Our expert says:
You seem to be describing someone who is psychotic, and / or in a toxic confusional state, and, while all sorts of variations in our body chemistry can indeed addle our brain function. mere salt levels seem inadequate to explain the duration and complexity of this. SHe should be seen as soon as possible by a fully trained psychiatrist for a thorough assessment, possibly including a brief spell in hospital for further tests to check out various possibilities. The talking all night sounds like a manic episode, and both manic and depressive episodes within a bipolar disorder can include psychotic episodes. Is there any possibility of bringing her to South Africa for asessment and treatment ? There are many possibilities, but Bipolar Disorder sounds like a fairly good bet. She could get better assessment and treatment here, and could then continue her treatment on return to Zim, if she can get the necessary meds there or if they can be sent to her. A continuing uncontroled manic episode has significant risks including exhaustion. The doctor there could try calming her with a medication like Risperdal or Haloperidol to prepare her for travel.
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