i want to ask a question about my 21yr old niece. after a domestic problem about two weeks ago, she started crying continuosly, she gets no sleep at nite. a week later we suspected cerebral malaria. she  was taken to the doctors but he said it isnt malaria. for the past five days, the problem has developed to another level. now she barely recognises anyone. she claims she is seeing a big rat in the house, but no one else can c this rat. she now talks all ady all nite. without sleeping tablets she gets no sleep. for a few seconds, she would have a proper conversation, and then she would go to her dream world where she seem to see things that no one else sees. we are very worried about her
Hello, Though the stressor is present when all these complaints started, still it will be wise to rule out electrolyte imbalance. Get her sugar levels, Sr. electrolytes- Na, K, Cl, Mg. and blood urea. If all are within normal range -then all of it is more likely due to psychological trauma. Such cases show good response to olanzapine 5-10\u00a0mg at night. Further, dose adjustments depends on the response of meds. If there is no response in week or so, you may need to get an MRI brain (but this has a very little chance that she will not get better with treatment). So, please get blood tests, and you may discuss the line of management with your doctor and proceed. Wish you good health