Doctor insights on:
Dystonia management: The primary management for dystonia is pharmacologic, using systemic medications. Drug classes most often used include dopamine depletors, anticholinergic drugs, serotonergics and calcium channel blockers. The local injections of Botox have been used to reduce muscle activity. ...Read more
Depends: Most individuals who experience tics in childhood will have them disappear as they grow older. Statistically, 1/3 will outgrow the tics while another 1/3 will continue to have a few tics that come and go. Less than 1/3 will have a severe case that has a significant impact on their lives. Most tics are harmless and the most troubling symptoms are co-occurring symptoms of adhd, depression or ocd. ...Read more
Yes: Amphetamines can mimic mania, and both amphetamine use and mania can provoke hypersexual activity. "deviant" is here a difficult word to understand--whether you mean it colloquially or in an older sense referring to abnormal (now called "paraphilic"). But in general, impulses of many kinds--sexual, aggressive, risky--that one might not want to act on can be disinhibited and exaggerated by both. ...Read more
Yes but rare: Amphetamines, such as Adderall (dextroamphetamine and racemic amphetamine) used primarily for adhd, can rarely cause cervical dystonia (also called spasmodic torticollis) all of which are fancy ways to say that you are getting an unusual degree of stiffness and muscle tightness in your neck. Some may be predisposed to have this problem and a different medication might be helpful without causing the problem. See your doctor for more help. ...Read more
Sometimes.: It is caused by the continued use of certain medications. The longer you take them the higher the chance of it being irreversible. Some people improve with certain medical treatments. Be sure to see your doctor about possible treatments. ...Read more
Depends greatly: the side effects of any drug treatment depends greatly on which drug is being used as well as who is taking it. Side effects vary from person to person. Additionally, you may have the option of several different classes of medications for chronic motor tic treatment, each with their own side effect profile. You can search each drug individually for their listed side effect profile. ...Read more
Your choice: If this is what you want, it's fine. Plenty of adults don't care about sex or think it's not worth the trouble, despite what pop culture keeps telling us. Almost all men do feel the need to relieve pressure / get enjoyment by masturbating, and there's evidence (though controlled studies are impossible) that to try to resist doing this is bad not only for your mood but for your prostate. ...Read more
See below: This is a difficult question to answer. The concern with seizures is that they greatly increase the brain's metabolism. If there is not much reserve then there is a potential for cell damage. If the seizures were prolonged and/or untreated for a long period then there is the potential for brain damage. However, a febrile sezure is not usually much of a risk. Talk with your pediatrician. ...Read more
Impact on function: Until one finds a way to relieve or reduce the symptoms of mental/emotional/behavioral disorders they do indeed have an impact on functioning in many areas of life. Often that is a necessary part of the dx. It's not likely that the innate intellectual capacity would be diminished, but the performance level definitely could. Find effective tx - a combo of cbt talk therapy and meds may be best. ...Read more
Is passive aggressive behavior associated with any psychiatric disorders? Also, is such behavior associated with any long term health risks?
Good question: In dsm-iv it was personality disorder unless part of maj depression or dysthymia. Millon divides it into 4 types. Vacillating, discontented, circuitous ; abrasive when part of other troubled personalities. It is a style, not a disease. Long-term health risks would seem to be difficulty utilizing medical care well in addition to poor relationships with most other people. ...Read moreSee 1 more doctor answer
Can preterm IVH have long-tern effects on mental health?Had grade 4 IVH as infant, no apparent neurological damage but severe anxiety.Related?
Maybe. Maybe not.: Severe intraventricular hemorrhage usually means many brain cells died off... and would affect everything in the life of that person from that point onward, for better or for worse, but we hope for better rather than for worse. The question is, whether one's anxiety level would have been worse, would have been better, or would have been the same, without the IVH. Nobody can tell with certainty. ...Read more
Mosly well tolerated: Guanfacine has been used for treating adhd for about 15-20 years. A few years ago, a once-a-day version (intuniv) got fda approval for use in treating adhd. Both work. Unlike stimulants, it give 24-hour coverage of the same key symptoms--inattention, impulsivity, hyperactivity. Major side effects are daytime tiredness and sluggishness and not working (about 40% of people respond positively. ...Read more
The 4-F's Take A Hit: Low motivation is hallmark of depression. U have little gas in ur tank for the all-important 4-f's: fleeing (darting from danger, walking out of a bad movie); fighting (standing up 2 bullies, arguing over politics/sports); feeding (finding something appetizing); & f-love making (feeling frisky). Without fs 1&2, we might feel quite defeated; & without fs 3&4 -the fun f's- we might ask "why bother?". ...Read moreSee 1 more doctor answer
Spinal meningitis: Long term effects of spinal meningitis are related to how severe the infection was to the patient. A mild or even moderate infection can leave no long term effects. In the more severe and prolonged cases of meningitis the effects can be potentially severe. Early and aggressive antibiotic therapy is key to reducing long term effects. ...Read more
My niece has dystonia, and as a result, she can't move or open her eyes. Any recommended treatments for her?
Oculoplastic surgeon: Although dystonia can limited any or all muscle movement, in certain instances there can be help available. If your niece cannot open her eyes, it is possible to perform a porcedure to allow them to open further. The danger is that the eyes will not be able to close well. It is worth at least speaking with an oculoplastic surgeon and her specialist as well. ...Read more