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11 Dec 2004

Dear "Cybershrink"

I need help very urgently! My mother is 63yrs of age and in my 29yrs of life she has always been bothered with depression - undiagnosed. She is someone "who does not believe in pshychology" and subsequently has lead a very difficult life. She experiences severe manic episodes. Overall she feels worthless, depressed, experiences insomnia, has recurrent thoughts of death (and during the manic episodes she will do harm to others) and in my opinion she has been part of a lifelong struggle against a series of somatoform disorders (hypochondria, pain disorder).

I am sure you can understand my dilemma, since she's been going through life without any treatment - and it is reaching a climax now. The help I need is your reference to a psychiatrist with a practice in natural medicines, or a naturopath/homeopaht with a background in psychology. It will take a real effort and probably another episode, if I could get my mother to see someone - but I am really desperate at this stage.

I would greatly appreciate your help - I do not feel the time is right to loose my mother now.

Kind regards,
Answer 367 views

01 Jan 0001

I tend to have a reaction, to the "I don't believe in psychology" ocomments, that is almost religious, in that the response that springs to mind is "Never mind, psychology still believes in you." It's sad if your mother has remained so resistant to the idea of receiving competent and effective help, as you seem to be describing a Bipolar Disorder ( as used to be called Manic-Depressive). If she becomes so violent as you describe in a manic phase, it is possible that she could be "sectioned" and compulsorily admitted to hospital for proper assessment and treatment. But if it is possible to persuade her to seek competent help, which of course is by far the best option, then she will probably not be very tolerant of failure or delay, so she would need to see a good local psychiatrist able to use a range of potentially effective treatments, and to stabilize what sounds like a severe Bipolar Disorder, that means proper medicines. There isn;t a shred of evidence that ANY nauropathioc or homeopathic remedy has EVER helped one single soul with bipolar disorder. Mood stabolizers, perhaps some of those also used to treat epilepsy, can greatly help to stabliize the mood swtings, various meds can reduce the severity and duratio of themnaic episodes, and antidepressants can help the depressive ones.
Naturopathy / homeopathy / herbal remedies could be of no possible benefit. And if they were tried and didn't work, you might lose your only chance to get her engaged in effective treatment, and she might become all the more implacably opposed to the idea of any treatment. And by convincing her that her conditon is serious but hopeless, it could be dangerous. Look for a good local orthodox psychiatrist
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