Diagnosis/Treatment of Mental Illness???

jeanmarie

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Mar 24, 2004
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I am hoping that someone can point me in the direction of a reputable doctor, hospital or psyciatric clinic.. be it Sto Domingo, Santiago or elsewhere. The person in need is my mother-in-law, who lives in Barahona.

Any advice or anecdotal responses are welcome...

Here's my situation..

My husband came to the US last May... first time away from Mami. She is about 50 years old, with Type 2 diabetes- controlled by diet only, not insulin. Probably her sugar is poorly monitored. Since learning that he was going to be leaving (she also has 2 daughters that live with her both in their early 20's) she has gradually lapsed into some sort of psychosis which she seems to drift in and out of.. she has good days and bad ones. At first I thought her condition might be blood sugar related, but it seems to be worsening..

On my last trip there last April I saw that she was behaving significantly different than on previous trips through 2004. Here are her sypmtoms on bad days...

Her walk is more like a shuffle...
Her stare is distant...
She takes a long time to respond to a question.. just kind of looks at you while she gets an answer together in her mind..
Her voice is sometime inaudible...
She has some physical tic like habits, like rubbing her thumbs against the tips of her other fingers incessantly...
She's up all night, somtimes just walking around the house from room to room...

More recently, reports are that she has taken to walking around town without purpose.. talking to herself or nobody (sometimes yelling) with the subject frequently being "mi hjo this, mi hijo that" as if greiving his absense, and being very argumentative with poeple. Sometimes my husband winds up hanging up the phone on her because she start rambling and ranting and he doesn't know who she's talking to and can't get her attention... Although he insists to her that he is fine here, she can't be convinced... The general conclusion in her pueblo is "crazy".

My husband is beside himself and insists that he caused all this by leaving her, which of course strains our relationship. I try to tell him that while her fixation seems to be on his absense- his leaving cannot be the cause of her losing her lucidity/reason (pls tell me I'm right ?).

He says that she was like this once before, when the oldest daughter, who left for the US 15 years ago visited her Mom then returned to the US and didn't keep in contact. But eventually she improved...

I have asked my husband to find out who her Dr is in Sto Domingo and what meds she is on. I don't know if it's a Dominican trait to not ask a ton of questions, but it's like pulling teeth to get this information. I ask what kind of Dr she is seeing and he says one that specializes in "nerves" but I can't figure out exactly what that means...

If anyone can recommend a psychiatrist and/or neurologist I would appreciate it.

Thanks, Jeanmarie
 

jeanmarie

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Mar 24, 2004
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wrong forum- oops :(

Whoops I meant this for the General-General fourm- not Travel-General.

Can it be moved for me? Or should I repost...?

Thank you..

Jeanmarie
 

Mirador

On Permanent Vacation!
Apr 15, 2004
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Your description of symptoms suggests the possibility that she is being slowely poisoned, voluntarily or not (she could be suicidal). She needs to be closely monitored and controled, and it's obvious her two live-in daughters are no help.
 

Tordok

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Oct 6, 2003
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jeanmarie,
please see your PM inbox with my comments.
- Tordok
:glasses:

In general, any person with a sudden and/or clear deviation from their behavioral baseline will need a prompt medical evaluation, ideally by a psychiatrist or a neurologist, but at least even by a GP.

The main issue is to determine whether there is an underlying general medical condition with systemic consequences that is causing cognitive and behavioral changes, or whether the person is suffering from a primary psychiatric illness. Both are potentially treatable, but a good evaluation is needed.

A third possibility is that the symptoms are "staged" in order to gain special sympathy. This may or may not be done at a conscious level. If it is conscious and done with a discernible agenda in mind, then it is simply the calculated emotional manipulation of a malingerer; if its done in an uncosncious manner then it might be a conversion disorder with psychological symptoms or even a culturally-sanctioned manifestation of grief for the temporary loss of the child
 

Mirador

On Permanent Vacation!
Apr 15, 2004
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Knowing the region (Barahona) very well, I would suggest not discard manipulation with the use of drugs. I've seen similar psychatric symptoms mimicked by the ingestion of a concoction made from local Morning Glory (Campanita) and Piptadenia peregrina (Cohoba). Practitioners would grind the seeds along with other ingredientes and then toast them...