REFUSAL OF TREATMENT BY A BIPOLAR MANIC DEPRESSIVE YOUNG PATIENT, REFUSAL OF TREATMENT Options

[abbas]

Please Answer These Questions URGENTLY , I Am In Trouble Plz Help Me. Thanks.

Patient: Age :22 Years. Diagnosis: [U]Confirmed MANIC DEPRESSIVE PSYCHOSIS.
EXCESSIVE SLEEP.
FIRED OUT OF SHOOL.
NON-COMMUNICATIVE.
AGITATION PREVIOULY A MONTH BACK NOT PRESENTLY.
TOTAL SOCIAL WITHDRAWAL.
TREATMENT :
TABLET PROTHIADEN 75 MLLIGRAM -ONE TABLET AT NIGHT ON ALRENATE DAYS SINCE ONE WEEK.
TABLET LITHIUM CARBONATE 400 MILLIGRAM - ONE TABLET ON ALTERNATE DAYS SINCE ONE WEEK.

RESPONSE: NONE- HE IS STILL TOTALLY UNDER PSYCHOMOTOR RETARDATION & TOTALLY SOCIALLY WITHDRAWN SLEEPING ALL DAY & AWAKENING
ENTIRE NIGHT.
PREVIOUS TREATMENT : NEVER AND NONE.

MY QUESTION: PATIENT REFUSES TO TAKE MEDICINES WILLINGLY IN ABSOLUTE TERMS.MOTHER GIVES HIM ABOVE-MENTIONED MEDICINES TO HIM IN A
GLASS OF JUICE WITHOUT ANY KNOWLEDGE OF PATIENT.
HOW TO ADMINISTER MEDICINES TO THIS PATIENT AND HOW WOULD HE WILLINGLY TAKE THESE MEDICINES ????/


I WILL BE HIGHLY THANKFUL TO ALL WHO HELP ME IN THIS TIME OF DIRE NEED.

DR ABBAS -MBBS-1981-KE-PAKISTAN NOW TORONTO-BASED.
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