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Question
Posted by: stevie | 2010-10-07

Bipoler

Goeiedag

My broer het ''n sielkundige gaan sien en volgens die diagnose is hy bipoler (2) - blykbaar is daar 2 soorte. Syne lyk soos die " mental"  een. Hy ly ook glo aan OCD omdat hy baie hande was en deure wil sluit. Hy wil geen medikasie gebruik nie en kry by tye woede uitbarstings maar dan gaan hy wee normaal aan. Hy is ongelukkig by sy werk en soek na ander werk en het sover gegaan om in die skryf vir ''n graadkursus. Hy is 43 en ongetroud en sy meisie het hom nou verlaat. Hy praat nie met my hieroor nie en ek en my man weet nie of ons moet inmeng nie. My ma het dieselfde toestand en is op medikasie nadat sy 5 jaar gelede in Weskoppies beland het. Wat moet ek as sy oudste suster doen? Ek weet nie of ek met hom moet praat sodat hy hulp kan kry nie en of ek my net moet uithou nie. Ek vra graag raad. Baie dankie.

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Our expert says:
Expert ImageCyberShrink

Bipolar Disoder, and indeed also OCD, are common disorders which usually respond well to appropriate medication. CBT style psychotherapy can also help, though in severe cases a combination would probably be wisest.
Surely at least some of his distress and temper is related to losing his girlfriend and his discontent at work ?
The presence of a family history in terms of his mother having had similar problems, is relevant. YOu know him well. YOu can find a way of talking with him about his problems - about how they affect him, about how he could be better, and perhaps persuade him to consider treatment, perhaps starting with a counsellor. What did he think of the sielkundige he saw - would he consider seeing him/her again, or maybe he'd prefer to see someone else ?

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Our users say:
Posted by: cybershrink | 2010-10-09

Bipolar Disoder, and indeed also OCD, are common disorders which usually respond well to appropriate medication. CBT style psychotherapy can also help, though in severe cases a combination would probably be wisest.
Surely at least some of his distress and temper is related to losing his girlfriend and his discontent at work ?
The presence of a family history in terms of his mother having had similar problems, is relevant. YOu know him well. YOu can find a way of talking with him about his problems - about how they affect him, about how he could be better, and perhaps persuade him to consider treatment, perhaps starting with a counsellor. What did he think of the sielkundige he saw - would he consider seeing him/her again, or maybe he'd prefer to see someone else ?

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