Discussions By Condition: I cannot get a diagnosis.

Possible misdiagnosis and now in a mental ward

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: Burdbrain
  • September 10, 2010
  • 08:50 PM

Hi, I'm writing about my father who due to gastritis that was not discovered or tested for by his nhs gp, I had to fund privately for the procedure as it would have taken too long to wait under nhs. Treatment was started.

My dad had not gotten any sleep in nearly 2 months because the burning feeling in his chest was keeping him up all night. The gp gave him sleeping pills. The first night was excellent. My dad was so happy that he finally got a full nights sleep.

By the end of the week the sleeping pills did not work any more and so he was put on low dose antidepressants to help him sleep. This is where the nightmare began.

1 week on from starting antidepressants, he was put on citalopram in the mornings, as well as the low dose amatriptiline at night. Soon after this (maybe not even a week) he tried to kill himself by jumping in front of cars. Didn't work so he ran to the station around the corner. Luckily the police caught him.

He was immediately put into a psychiatric ward. Bearing in mind that he or noone in my family has ever suffered any type of mental illness before, the doctors immediately changed his medication for stronger antidepressants. Fluoxitine. Also another one at night. He has only been in there 3 weeks. He is now suffering a full on psychosis. Rambling random stuff. Muscle spasms, repeating things over and over to himself with his head in his hands.

The doctor, against my request has started him on an antipsychotic and a different antidepressant at night, and today has been the worst yet. The doctor is not there for the weekend and my dad is only being looked after the caseworkers who have no authority to change or stop his medication.

I spoke directly to the doctor on tuesday and requested that he take my dad off all antidepressants to see if it has all been induced be the medication. He has no desire to even try to stop giving him these pills.

He agreed to stop the Fluoxitine and there was a 1 day period (yesterday) where he did not receive an antidepressant. To me he seemed improved. He was calm, he was remembering things which he could not even one day before. Last night and this morning he was given new medication (mirtazapine and quetiapine). Today he was jumping around, holding his head, and just generally a rambling mess, screaming out random words and swearing.

Now, I'm no doctor, but surely if a patient shows signs, however subtle, of improvement, then why would you start a new course if pills?

I want to override the doctors decision, but the staff are having none of it. What can I do now? Just wait and see? This is ridiculous. I am so angry and frustrated. I would really like to know of Antibes thoughts and suggestions as to what I can do now.

Thanks,

Jon

Reply Flag this Discussion

5 Replies:

  • Sorry for the spelling mistakes. I posted this from my mobile, and it wasn't easy to proof read it all. Thanks
    Burdbrain 2 Replies
    • September 10, 2010
    • 10:07 PM
    • 0
    Flag this Response
  • Hi, I'm writing about my father who due to gastritis that was not discovered or tested for by his nhs gp, I had to fund privately for the procedure as it would have taken too long to wait under nhs. Treatment was started. My dad had not gotten any sleep in nearly 2 months because the burning feeling in his chest was keeping him up all night. The gp gave him sleeping pills. The first night was excellent. My dad was so happy that he finally got a full nights sleep. By the end of the week the sleeping pills did not work any more and so he was put on low dose antidepressants to help him sleep. This is where the nightmare began. 1 week on from starting antidepressants, he was put on citalopram in the mornings, as well as the low dose amatriptiline at night. Soon after this (maybe not even a week) he tried to kill himself by jumping in front of cars. Didn't work so he ran to the station around the corner. Luckily the police caught him. He was immediately put into a psychiatric ward. Bearing in mind that he or noone in my family has ever suffered any type of mental illness before, the doctors immediately changed his medication for stronger antidepressants. Fluoxitine. Also another one at night. He has only been in there 3 weeks. He is now suffering a full on psychosis. Rambling random stuff. Muscle spasms, repeating things over and over to himself with his head in his hands. The doctor, against my request has started him on an antipsychotic and a different antidepressant at night, and today has been the worst yet. The doctor is not there for the weekend and my dad is only being looked after the caseworkers who have no authority to change or stop his medication. I spoke directly to the doctor on tuesday and requested that he take my dad off all antidepressants to see if it has all been induced be the medication. He has no desire to even try to stop giving him these pills. He agreed to stop the Fluoxitine and there was a 1 day period (yesterday) where he did not receive an antidepressant. To me he seemed improved. He was calm, he was remembering things which he could not even one day before. Last night and this morning he was given new medication (mirtazapine and quetiapine). Today he was jumping around, holding his head, and just generally a rambling mess, screaming out random words and swearing. Now, I'm no doctor, but surely if a patient shows signs, however subtle, of improvement, then why would you start a new course if pills?I want to override the doctors decision, but the staff are having none of it. What can I do now? Just wait and see? This is ridiculous. I am so angry and frustrated. I would really like to know of Antibes thoughts and suggestions as to what I can do now. Thanks,JonMaybe you need to demand further testing, Possible your father has a infection attacking his brain. Antibiotics can cure or maybe he needs Mri/cat scan done. Can your father the proper help.
    Anonymous 42789 Replies
    • September 11, 2010
    • 01:10 AM
    • 0
    Flag this Response
  • Sorry for the spelling mistakes. I posted this from my mobile, and it wasn't easy to proof read it all. ThanksNot sure about the law in the UK but I am assuming it would be similar as to Canadian Law: only a judge can enfore a treatment order on a patient, and, only in an emergency can a physician treat a patient (against his or her will) if they do not have capacity. The doctor's may be justified in treating your father with medication if they believe he is at risk of harming himself. This is debatable while in hospital as an inpatient on a psych ward. If you are your father's legal substitute decision maker, you would be entitled to make medical decisions on his behalf, including treatment with medication. Did they rule out an organic medical cause to his psychosis?...
    Anonymous 42789 Replies
    • September 11, 2010
    • 07:27 AM
    • 0
    Flag this Response
  • The burning in the stomach he had at the start, could well of been acid reflex. I get it and it burns and are on prescription medication for it. Sleeping pills can do all kinds of weird things to people!! I once was put onto citalopram and lamotrigine due to having chronic fatigue syndome. These drugs both had MAJOR AFFECTS on me and i went almost PSYCHOTIC (actually i was only chatting a little while ago to another who also was put onto citalopram and went psychotic due to it). I wanted to rip someones body apart, tear big hunks of threads of flesh off with my bare hands to see the muscles and blood, I got obsessed about doing and seeing that. Each day i was on it (my boyfriend at the time made me continue it) I got worst. By the third day on it.. things were so so bad!!! and my partner even agreed I had to certainly get off of it. (i was actually scared I was going to murder someone due to it). There are people who end up being thought of as mental patients due to their drugs!! best luck be aware that lack of sleep can also make someone psychotic after a while.
    taniaaust1 2267 Replies
    • September 11, 2010
    • 00:45 PM
    • 0
    Flag this Response
  • Thanks for all the replies. My father had a cat scan of his brain done last Monday, and the results were all negative. No abnormalities whatsoever. I am wondering if an MRI scan could show different signs, and will probably request he has that done. Regarding overriding the doctors prescription, I found out that a friend of my sister was in a nut home for depression and her mother refused her to take any pills while she was in there. She recovered quickly and was out of there within the month. So I am sure I must have some sort of legal right. I saw him today and he was slightly better than yesterday in that his muscles are more relaxed and he can walk better. He is still rambling to himself and having short brief loony moments where he will shout out some bizarre thing. Saying that, he is slightly improved from yesterday, but nowhere near how good he was the day before that, which was before they started him on these new pills. I'm not interested in suing anyone, as I cannot be bothered with all the hassle. I just want my dad better, but if it comes to it I'll at least have to threaten the doctor with legal action or else he will continue to ignore and argue my requests. Apparently Prozac, which was given to my dad by this doctor apparently should not be used on elderly patients, because of a high risk of psychosis! What's more scary is that Prozac was only tested for about 6 weeks before it was released on the market! Ridiculous. I don't know how the pharma companies get away with it.
    Burdbrain 2 Replies
    • September 11, 2010
    • 10:35 PM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.