Talk to Psychiatry on Mental Issues
Asking for Sister, Female, 22 years old, Islamabad
My sister has been suffering from severe psychological problems for the past 7 years. At times she appears normal and healthy, but her condition becomes very serious. We have consulted multiple doctors, but medications and therapy have not been effective.Currently, she is unable to perform daily activities and often asks for death. Her condition is also disturbing the entire family, as we cannot sleep due to her screaming episodes. We recently changed her doctor 2 months ago. He diagnosed her with dissociative disorder and prescribed medications along with CBT sessions, but there has been no improvement. We feel helpless and are looking for alternative or advanced treatment options for her condition.
Dr. Azaan Abdullah - Psychiatrist
MBBS , MCPS (Psychiatry) | Karachi
Psychological conditions take some time to improve.Show to psychiatrist for evaluation and treatment
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
83 Positive Reviews
Available immediately
Hello, thanks for reaching out. It seems quite concerning at the moment and I understand that it could be really overwhelming for the family. There must be some trigger/stressor in the background that we need to address. And for that, I would recommend booking a consultation so that she can be assessed in detail and we can work on the trigger. Educating the family in this situation could be really helpful and can aid in her recovery.
Ehsan Zafar Awan - Psychologist
MSc (Applied Psychology) Certification in Psychiatry Post Graduate Diploma in Applied Psychology, MS Level in Subjects organizational Behaviour & Management | Islamabad
996 Positive Reviews
She need proper deep diagnosis. You can book my appointment through Marham for necessary diagnosis and treatment
She should continue her medication and with medication she needs psychological sessions and therapies to treat her problems . it may takes time but if she would be consistent and take her sessions she will be fine after some sessions, if feasible book your appointment
Asst. Prof. Dr. Muhammad Ayub Baloch Gold Medalist - Psychiatrist
MBBS, FCPS Psychiatry ( Gold-Medalist ), Fellow, College of Physicians & Surgeons, Pakistan, Certificated Child & Adolescent Psychiatry. Consultant Psychiatrist & Expert in the treatment of Psychiatric, Neuropsychiatric, Drug addiction & Sexual disorders | Karachi
545 Positive Reviews
آپ اور آپ کی فیملی پچھلے کئی سالوں سے بہت مشکل صورتحال سے گزر رہے ہیں، اور مسلسل care کرتے کرتے emotionally exhausted محسوس کرنا بالکل سمجھ میں آنے والی بات ہے۔
آپ کی بہن کی علامات کافی severe لگ رہی ہیں، خاص طور پر روزمرہ کام نہ کر پانا، screaming episodes اور بار بار death کی بات کرنا۔ ایسی صورت میں صرف diagnosis کے نام پر focus کرنے کے بجائے ایک detailed re-evaluation ضروری ہوتی ہے، کیونکہ کبھی کبھی مختلف mental health conditions ایک دوسرے سے ملتی جلتی نظر آ سکتی ہیں۔
چونکہ ڈاکٹر بدلے ہوئے صرف 2 ماہ ہوئے ہیں، بعض اوقات medications اور therapy کو اثر دکھانے میں وقت لگتا ہے، لیکن اگر suicidal thoughts، self-harm کا خطرہ، شدید agitation یا reality سے disconnect بڑھ رہا ہو تو فوری اور زیادہ intensive psychiatric support کی ضرورت پڑ سکتی ہے، بعض cases میں admission بھی helpful ہوتا ہے۔
Family counselling بھی اہم ہے تاکہ گھر والے بہتر طریقے سے situation handle کر سکیں اور caregiver burnout کم ہو۔ CBT کے ساتھ trauma-focused therapy یا دوسرے structured treatments بھی بعض مریضوں میں فائدہ دیتے ہیں، مگر یہ decision مکمل assessment کے بعد ہوتا ہے۔
میں strongly مشورہ دوں گا کہ کسی experienced psychiatrist کے ساتھ detailed follow-up یا second opinion arrange کریں، preferably ایسی جگہ جہاں multidisciplinary mental health team موجود ہو۔ مناسب treatment plan بننے کے بعد improvement ممکن ہوتی ہے، اس لیے امید نہ چھوڑیں۔
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