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OCD and tourette
My son is 22 years was diagnosed with OCD and tourette disorder one year ago when he was turning 21 years. Before then, we had noticed he was always violently angry over very small things. He would snatch chairs, bang doors etc. He has been on 400 mg zoloft tablets every morning and respirodone 1mg in the evenings. Tourette has almost disappeared but there are lots of OCD related behavior. He is also not regularly taking respirodone on argument that the drug makes him drowsy. We notice he had started the violent outbursts, he is stubborn, irritated and does not listed to us as parents. The clinical psychologist he is consulting advises that he needs his space but the he is abusing that space.
My questions are: what is the cause of the problem that my son is experiencing? is my son mentally hill? Will ever be alright? When will he ever stop medication? Will he require admission in a mental hospital.
Nkunjah
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Hi Nkunjah, This sounds like
Hi Nkunjah,
This sounds like a very challenging and distressing situation. Unfortunately, two of the questions you are answering would be impossible for anyone to answer (i.e. will he ever be all right, and when will he stop the medication).
As for what is causing your son's behaviors; I don't have nearly enough information to even speculate, and with most disorders, no one can provide an exact cause. With most psychiatric issues, there are often many factors involved.
As for whether or not he is mentally ill. OCD and Tourette's are psychiatric disorders, so yes, he is mentally ill. As for whether he will need to be admitted to a hospital - hospitalization is usually not indicated for Tourette's, OCD, or intermittent explosive disorder. But again, I can't say for sure.
It wasn't clear how long the anger outbursts have been occurring, but he may have an impulse control disorder known as "intermittent explosive disorder". However, his anger outbursts could be childish trantrums that he uses in a manipulative manner. It's hard to say.
Medications can help, but it sounds like what he really needs for the OCD and anger issues is therapy. A skilled therapist can help him learn to manage his anger and change thought patterns that are contributing to his OCD.
If he is living with you then I recommend a few family sessions with him and his psychologist (or another therapist who can consult with this therapist) to determine the best way to handle this issue. You have a very valid point that he is abusing his space. Two of the rules for him to continue living in your home may need to be that he takes all of his medication and be involved in some type of anger management. If he refuses, then he will need to live elsewhere. If you allow the behavior to continue, it will. But I recommend that these issues be discussed with a therapist (his or another) to determine the best plan of action based on his history and diagnoses.
It is difficult to implement tough love with a mentally ill adult child, but his destructive behavior could end up putting someone in danger and needs to be addressed.
I hope this helps.
Dr. Lane