[18F] Experiencing visual hallucinations and behavioral changes
Patient Description
An 18-year-old female has been experiencing visual hallucinations for the past 8 months to a year. These hallucinations occur about twice a week, typically last for a second, and are usually of animals, occasionally humanoid figures. They often happen during the day when she is in a dark room. She has not found anything that helps to reduce or relieve these hallucinations. Additionally, she has been feeling constantly irritated and has become more reclusive over the past five months. She reports experiencing delusions of impending doom, disorganized thinking, and negative symptoms such as social withdrawal, lack of motivation, and reduced emotional expression. She has a family history of bipolar disorder but has not used any substances like drugs or alcohol that might be contributing to her symptoms. She is not currently taking any medications, including over-the-counter or herbal supplements, and has no diagnosed pre-existing conditions or chronic illnesses.
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Schizophrenia
- Rationale: Schizophrenia is a mental health disorder characterized by hallucinations (seeing or hearing things that aren't there), delusions (strongly held false beliefs), disorganized thinking, and negative symptoms such as social withdrawal and lack of motivation. Your visual hallucinations, delusions of impending doom, disorganized thinking, and negative symptoms align with this condition.
- Typical Treatments: Treatment often involves antipsychotic medications, psychotherapy, and support for social and occupational functioning. Early intervention can significantly improve outcomes.
Bipolar Disorder with Psychotic Features
- Rationale: Given your family history of bipolar disorder, it's possible that you might be experiencing a form of bipolar disorder that includes psychotic features, such as hallucinations and delusions. Bipolar disorder can also cause mood swings that might explain your constant irritation.
- Typical Treatments: Treatment usually includes mood stabilizers, antipsychotic medications, and psychotherapy. Managing stress and maintaining a regular routine can also be beneficial.
What you can do
Visual Hallucinations and Delusions
- Seek Professional Help: It's crucial to consult a mental health professional as soon as possible. They can provide a formal diagnosis and recommend appropriate treatment options.
- Medication: If prescribed, take antipsychotic medications as directed by your healthcare provider.
- Therapy: Cognitive-behavioral therapy (CBT) can help you manage symptoms and improve your quality of life.
Constant Irritation and Social Withdrawal
- Stress Management: Practice stress-reducing techniques such as mindfulness, meditation, or yoga.
- Routine: Maintain a regular daily routine to help stabilize your mood.
- Social Support: Reach out to friends or family members for support, even if it's challenging.
General Tips
- Healthy Lifestyle: Ensure you get enough sleep, eat a balanced diet, and engage in regular physical activity.
- Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your healthcare provider.
What you should look out for
Given the severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Increased Frequency or Severity of Hallucinations: If your hallucinations become more frequent or severe.
- Suicidal Thoughts: If you experience thoughts of self-harm or suicide, seek immediate help.
- Inability to Function: If your symptoms significantly impair your ability to perform daily activities.
Remember, while I can provide information and suggestions, I am not a substitute for a real healthcare professional. Please consult a mental health professional for a formal diagnosis and treatment plan.
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3 mo ago