Steroid psychosis recovery

Going on the 7th month since my daughters 6 day prednisone prescription. After about two and a half months of psychosis and mania, a psychiatrist that had been treating her called her in a prescription for lithium. With no follow up care!!!From my understanding she should have had lab work when taking lithium. After approximately one week on the lithium the mania finally ended , but then severe depression took its place. She then refused to take any more of the lithium. We’ve tried multiple doctors around our home town and they have tried a couple antidepressants. She was on each one for 6-8 weeks and neither one had any success in relieving this depression. She’s never experienced any type of depression remotely close to this. We eventually made her an appointment at Mayo Clinic in Minnesota. While there she had multiple appointments and saw several doctors. They knew exactly what we were going through. They were well aware of the dangerous side effects of the prednisone. Unfortunately, unless we could have stayed for several weeks, there really wasn’t much they could do except tell us to find a place that offered congnitive therapy. So we came back home trying to find this type of help. She has now developed such a fear of doctors, and distrust for psychiatrists that she is afraid to seek help. She admits her depression has taken over her life and now has no interest in anything. She tried enrolling back in college, but her anxiety wouldn’t let her go through with it. We recently tried taking her to an all girls facility for depression and anxiety, bipolar, eating disorders. We drove 9 hours to get her there. Once we were there, she was too afraid to stay. They knew of these types of psychosis and depressive reactions to prednisone. And I felt this was our only hope. She simply was too afraid for us to leave her because of the way she was treated at other hospitals.. What angers me most is that she had viral pharyngitis when a physician assistant prescribed her this prednisone. She shouldn’t have even been given such a dangerous medication for a virus. We are still desperately seeking help for her. I guess I’m hoping someone will see this and know how to help us. We’re simply desperate.

Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia , which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or Alzheimer's disease . [12] Large dosage variations in the patient's medication (including a self-increased dosage from 10 mg/day to as much as 100 mg/day for at least 3 months) produced extreme behavioral changes, from missed appointments to physical altercations, and eventually admission to a psychiatric ward and later to a locked Alzheimer facility. During this time, neuropsychological testing showed a decline in the patient's previously superior IQ as well as deficits in memory, language, fluency, and visuospatial function, which given the patient's age was considered to be compatible with early dementia. When the steroid treatment ended after a year, the patent's confusion and disorganized appearance stopped immediately. Within several weeks, testing showed strong improvement in almost all cognitive functions. His doctors were surprised at the improvement, since the results were inconsistent with a diagnosis of dementia or Alzheimer's. Testing after 14 months showed a large jump in Full Scale IQ from 87 to 124, but mild dysfunction in executive function, memory, attentional control, and verbal/nonverbal memory remained. [12]

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Help!!!

My Wife was diagnosed back in January with Giant Cell Arteritis and prescribed Prednisolone (Initially 30mg and then raised to 40mg per day). While this is now under control, for the last 8 months she has suffered from various flavours of Steroid Induced Psychosis. This was presented as follows.

1. After about 3 - 4 days she started to get elevated mood which eventually developed into full blow Mania. She was Sectioned in February with full blown Mania and eventually stayed in an acute psychiatric hospital for 2 months after which she was discharged with only a slightly elevated mood but generally OK.

2. After being out of hospital for about 2 1/2 weeks she started to become depressed which got worse and worse although the local crisis team tried to manage this at home (and she was also prescribed Venlafaxine) she eventually took a very large overdose of Amytriptiline (2800mg) which she had been taking previous to the GCA for pain management with suspected Fibromyalgia. She survived this overdose against all the odds with no lasting side effects and was admitted after 5 days in ITU back into the acute Psychiatric hospital. Her depression had persisted however after a week she was put back onto Venlafaxine and got better within 3 weeks and was discharged after 4 weeks.

3. After approx 3 weeks the depression returned and rather than go down the route of managing at home based on the suicide risk, she was admitted back into the Psychiatric hospital and has been there for 7 1/2 weeks with no improvement.

4. During her stay, first the Venlafaxine was doubled, then Mirtazipine was added as an adjunct, then raised and then the Venlafaxine has been raised twice within the last week. She continues to get worse, more depressed, more anxious, more suicidal (luckily she is in a safe place) and feeling utterly hopeless.

Has anyone got experience of treatment of Steroid Psychosis, I have heard of Lithium Carbonate being a good fix for both future protection as well as the treatment of existing conditions however I know of the somewhat worrying side effects. The Psychiatrist is set on continuing with the Venlafaxine / Mirtazipine therapy as they have worked for her in the past (she had postnatal depression and post menopausal depression after a hysterectomy).
I'm beginning to lose my patience with the treatment, if is painful to watch your loved one go through something that is akin to Torture and to remain in a condition which could be described as a living ***l.

Has anyone out there experience of Steroid Psychosis (whatever flavor it comes in) and it's successfull treatment. I kind of need all the help I can get in getting the Psych to change track as I think he is going down the wrong route (but then what do I know, I'm only a layman and have only know my wife for 20 years).

Andy

Steroid psychosis recovery

steroid psychosis recovery

Help!!!

My Wife was diagnosed back in January with Giant Cell Arteritis and prescribed Prednisolone (Initially 30mg and then raised to 40mg per day). While this is now under control, for the last 8 months she has suffered from various flavours of Steroid Induced Psychosis. This was presented as follows.

1. After about 3 - 4 days she started to get elevated mood which eventually developed into full blow Mania. She was Sectioned in February with full blown Mania and eventually stayed in an acute psychiatric hospital for 2 months after which she was discharged with only a slightly elevated mood but generally OK.

2. After being out of hospital for about 2 1/2 weeks she started to become depressed which got worse and worse although the local crisis team tried to manage this at home (and she was also prescribed Venlafaxine) she eventually took a very large overdose of Amytriptiline (2800mg) which she had been taking previous to the GCA for pain management with suspected Fibromyalgia. She survived this overdose against all the odds with no lasting side effects and was admitted after 5 days in ITU back into the acute Psychiatric hospital. Her depression had persisted however after a week she was put back onto Venlafaxine and got better within 3 weeks and was discharged after 4 weeks.

3. After approx 3 weeks the depression returned and rather than go down the route of managing at home based on the suicide risk, she was admitted back into the Psychiatric hospital and has been there for 7 1/2 weeks with no improvement.

4. During her stay, first the Venlafaxine was doubled, then Mirtazipine was added as an adjunct, then raised and then the Venlafaxine has been raised twice within the last week. She continues to get worse, more depressed, more anxious, more suicidal (luckily she is in a safe place) and feeling utterly hopeless.

Has anyone got experience of treatment of Steroid Psychosis, I have heard of Lithium Carbonate being a good fix for both future protection as well as the treatment of existing conditions however I know of the somewhat worrying side effects. The Psychiatrist is set on continuing with the Venlafaxine / Mirtazipine therapy as they have worked for her in the past (she had postnatal depression and post menopausal depression after a hysterectomy).
I'm beginning to lose my patience with the treatment, if is painful to watch your loved one go through something that is akin to Torture and to remain in a condition which could be described as a living ***l.

Has anyone out there experience of Steroid Psychosis (whatever flavor it comes in) and it's successfull treatment. I kind of need all the help I can get in getting the Psych to change track as I think he is going down the wrong route (but then what do I know, I'm only a layman and have only know my wife for 20 years).

Andy

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