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My mother stopped her Paxil and appears to have gone crazy She went on Paxil eight years ago when my dad died, and now she's acting irrationally.
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  • duty

    A past psychiarist or psychologit will not have a duty to intervene when a person is not their client. A past client is not a client.

  • No choice

    Get your mother committed for psychiatric observation today.

    She is a danger to herself and to others. Call her GP immediately, get a lawyer, call the cops, whatever it takes, just get her in the hospital. She could unintentionally kill someone in this state, especially if she's driving. Do you want to live with that? If she won't take care of herself once out of the hospital, have her declared incompetent to handle her own affairs and take charge of her finances so you can make sure her property taxes and bills are paid.

    I'm so sorry you and your family are going through this, whatever is causing it. Take care of yourselves and each other during this time, as well. Please consider counseling for yourselves, especially if you end up in caretaker roles. I've seen firsthand with my mother how devastating caretaking can be emotionally.

  • Borderline Personality: I don't think your mother is bipolar

    Short history: I grew up with a mother who was violent and manipulative, alternating rage, violence, and control with brilliant creativity and wonderful support. She has beaten my father so badly he landed in a hospital; she has also been the most significant supporter of my own writing; she burned my father's immigration papers in a rage; and she is also the most brilliant and insightful person I know.

    Several years ago, after my father left her, my mother self-diagnosed bipolar disorder, in part because she is an artist and it's known as an "artist's disease." It makes her feel special.

    Increasingly, it's been my experience that psychiatrists and doctors diagnose bipolar disorder when it doesn't actually apply, and especially diagnose it when the patient (usually very intelligent) knows the symptoms by heart and can retrofit them for their own condition. Not all medical professionals are bright enough to see through it.

    In truth, my mother very likely has borderline personality disorder, a condition that is characterized by unpredictable bouts of rage and by a deep talent for manipulation (or what we people close to them perceive as manipulation). They redefine their own realities and are so terrified of finding faults within themselves that they devote all energies to blaming every problem in their lives on the people closest to them.

    Borderline people are almost overwhelmingly women, often mothers.

    Because borderline people are so frightened of not being perfect, they are rarely successfully treated because they will not admit that anything is wrong with _them_.

    A borderline mother, or any loved one, will suck you dry of energy, love, money, and your own life. If this is your mother, you have to realize her capacity to wreck your life completely in an effort to keep her own whole.

    If this sounds something like your mother, there are several resources for helping you deal with it. "Stop Walking on Eggshells" is a book that helps people keep mental stability around their borderline relatives. There is also a website for BPD relatives: http://www.bpdresources.com/supportnons.html

    Unfortunately, none of these will help cure your mother. It sounds like her violence has gone beyond the point where it is manageable, meaning you and others might have to involve police. It can't be helped. The important thing is to keep yourself sane and only give as much as will allow you to keep your own life intact.

    Whatever is wrong with her, you are never alone. Good luck.

  • Everybody here is Bill Frist

    Remote diagnosticians the lot of them. I don't know what's wrong with your mom. Neither do you. But I'd take the advice here like I take chemistry tips from a meth chef.

  • Call the police

    Your mother is a danger to herself and others. Because of her illness, she is not going to accept treatment.

    In cases like this, the law allows her to be taken into custody and treated against her will. The next time she does or threatens something dangerous, call the police. They will come out and question her. If she's as out of control as you say, she'll be taken into custody. At that point, she'll get the help that she needs.

    This probably seems extreme, but it really the only way to deal with a mentally ill person who is out of control and violent.

  • Please, get the meds checked, and get an MRI

    Two things sprang to mind reading this:

    One, sudden personality changes can result from injuries, small strokes, and tumors in the prefrontal cortex. So an MRI should be done.

    Two, adding my voice to mad cartoonist, bipolar disorder is frequently misdiagnosed, and this sounds classic. My husband was misdiagnosed as having chronic major depressive disorder with anxiety, and was put on Prozac and Wellbutrin for depression, Buspar and Klonopin for anxiety, and lithium to "enhance" the effectiveness of all these. Over time they tried Paxil and Celexa instead of Wellbutrin, and upped his Klonopin to 10-12 mgs daily (the maximum recommended dose for psychiatric purposes is 4). Throughout all of this he grappled with classic manic and hypomanic symptoms, as well as unusually severe depression.

    The problem is that SSRIs, and Prozac in particular, exacerbate the manic state. Sometimes the mania can persist long after the meds are out of the system; they serve as a trigger, throwing the mind out of balance and into a loop it can't escape by itself.

    In Type I, mania can take a very negative form, including psychotic symptoms and danger to self and others. In Type II negative symptoms can include irritation and sometimes rage attacks. For my husband, the fact that 10 mgs of Klonopin didn't even make him drowsy should have been a clue to his doctors; the Prozac was exacerbating the mania, and the Klonopin was barely keeping it under control.

    Type II is frequently underdiagnosed, and it's only in the past few years that better inventories for detection and treatment have appeared. For my husband, struggling with changing and over-prescribed meds for over two years as different doctors tried to treat him for depression, misdagnosis has been hellish. We had to move to find a doctor who could properly diagnose him, and he's in the process of adjusting his meds now.

    If you want to read the diagnostic criteria for bipolar and related disorders, try this as a starting point:

    http://en.wikipedia.org/wiki/Current_diagnostic_criteria_for_bipolar_disorder

    Good luck, LW!

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