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Asking for Mother, Female, 43 years old, Swabi, KP
I am seeking guidance regarding my 45-year-old mother who has been experiencing recurrent episodes for the past year characterized by sudden, uncontrollable crying (and sometimes laughing) with noticeable facial expression changes. Each episode lasts approximately 10–15 minutes, she remains fully conscious and responsive throughout, and episodes are commonly triggered by anxiety or emotional stress. She also reports chronic leg pain, previously described by physicians as “nerve weakness.” There is no history of loss of consciousness, seizures, stroke, head injury, diabetes, or hypertension.
She has been evaluated by multiple neurologists and neurosurgeons, and brain MRIs have been performed several times without any definitive findings or diagnosis. Due to the lack of clarity, she has also sought spiritual healing, which provides only temporary relief. We are exhausted and uncertain about the appropriate next steps and would appreciate expert input on possible diagnoses and guidance
Could be pseudobulbar effect or frontal lobe emotional liability. Please consult a Neurologist online to help discern which one and initiate appropriate treatment.
Psychiatry say this is Schizophrenia Or Bipolar Disorder
Neurology Say this is Gelastic and Dacrystic Seizures PBA PseudoBulbur Affect the condition in the brainstem corticobulbur pathways that control facial and emotional expression.
I am dealing with these issues.
Every patient is different.
I treat patients by diagnosing actual triggering factor.
For that purpose you need to share with me her history and her parents history.
Then I can give you miraculous results with the help of Allah Almighty.
My online consultation fee is 100 Rs You can call me to go in depth of problem discussion.
If neurological causes have been ruled out, these symptoms can be explained by conversion (functional neurological) disorder, where emotional stress is expressed through physical or behavioral episodes like sudden crying or laughing. The symptoms are real and involuntary, and psychological treatment is important because therapy helps the brain relearn healthier ways to process stress and to regulate emotions
Patient
Post Owner
thank you for your response. we have consulted many neurologists but they don't give us any diagnosis and give medications. the medications help a little for a while but doesn't treat permanently. do you think it's a case for a psychiatrist?
7 months ago
MBBS, FCPS Neurology, MRCP (UK), SCE Neurology (UK) | Peshawar | Book Appointment
Impossible to say on the basis of a single post. You can consult a Neurologist, who if need be, will refer to a psychiatrist.
Depending on how the consultation goes, I would also consider getting an NCS-EMG.
7 months ago
Patient
Post Owner
thank you so much for your time
7 months ago