Re: New onset ANGRY outbursts in a 60 y/o male

[Guest guest]

It sounds like its part psych, and possibly part physiological. If testosterone

levels are low normal this could cause an issue even though they may still be

WNL. Same with blood sugars, or even Vitamin D & B levels. Otherwise without

speaking to him and getting full stories not really sure. He may be used to a

much higher testosterone level and now that it's on the lower side it may be

throwing him " off " .

From: rd-usa [mailto:rd-usa ] On Behalf Of

Dineright4@...

Sent: Thursday, February 02, 2012 11:09 AM

To: LEAP_RDs

Cc: rd-usa ; jpatenaude@...

Subject: New onset ANGRY outbursts in a 60 y/o male

Any ideas about a 60 y/o guy that was never a nasty person.

(For example he made a huge scene yesterday at a grocery store because a

clerk sent him down the wrong aisle twice. Even it scared/surprised him in

retrospect.)

In the past year, he's had issues of extreme angry outbursts. (His abusive

father passed away in May of last year of brain cancer - but he wasn't

having angry outbursts then.)

Diet and exercise/lifestyle hasn't changed significantly except for getting

out of a bad 3 year relationship (but has often had relationships that

turn bad, but not due to anger issues).

Takes a good variety of supplements, B-vitamins, etc. Basic blood levels

normal. Only cholesterol very mildly elevated. Thyroid levels " standard

normal " but I think his testoserone levels are borderline low - oh, said his

libido has plummeted, but also dealing with breakup again.

Docs and psych have examined him and can't give him any ideas - said they

don't know what's up.

Even with drinking - he turns into a lovey, sleepy guy and goes to bed.

Has always been ADD and dyslexia - but never on meds for these. Does take

depression meds but never dx with bipolar and doesn't have the highs and

crashes of bi-polar.

Intelligent guy. Authority issues. Mostly works for himself most of his

life (or doesn't work). Grew up in a wealthy but highly abusive home.

He wants to know " Why am I NOW getting so angry over little things when

I've never been like this before? "

Anyway. This is what his SISTER has told me (she's a dear new friend - I

don't know her brother) because she speaks by phone often with her brother.

Sounds like hormone changes? Or exacerbated PTSD? He IS working with a

psychiatrist.

He's wondering IS this psych? (With such new onset) Or something more

physical related?

Specific ideas welcome.

Jan Patenaude, RD, CLT

Director of Medical Nutrition

Signet Diagnostic Corp.

Telecommuting Nationwide

(Mountain Time)

Fax:

DineRight4@...<mailto:DineRight4%40aol.com>

Certified LEAP Therapist and specialist in food sensitivity for IBS,

migraine, fibromyalgia and multiple inflammatory conditions. Co-author of the

Certified LEAP Therapist (CLT) Training Course.

Your email is important to me. If you send me an important email, and I

don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

buried in email and I do not mean to ignore your email!

[Guest guest]

I'd be looking for a brain tumor or SDH (subdural hemorrhage) if it's not PTSD.

 

Holly

---------- Holly Lee Brewer, MS RD Pediatric Dietitian, Diabetes Educator

Medical Nutrition Therapist, Las Vegas, NV Maj Holly Brewer, USAFR BSC 301st

MDS, NAS JRB Fort Worth (Carswell), TX http://hollyinbalad.blogspot.com

>________________________________

>

>To: " 'rd-usa ' " <rd-usa >

>Sent: Thursday, February 2, 2012 12:13 PM

>Subject: RE: New onset ANGRY outbursts in a 60 y/o male

>

>

> 

>It sounds like its part psych, and possibly part physiological. If testosterone

levels are low normal this could cause an issue even though they may still be

WNL. Same with blood sugars, or even Vitamin D & B levels. Otherwise without

speaking to him and getting full stories not really sure. He may be used to a

much higher testosterone level and now that it's on the lower side it may be

throwing him " off " .

>

>From: rd-usa [mailto:rd-usa ] On Behalf Of

Dineright4@...

>Sent: Thursday, February 02, 2012 11:09 AM

>To: LEAP_RDs

>Cc: rd-usa ; jpatenaude@...

>Subject: New onset ANGRY outbursts in a 60 y/o male

>

>Any ideas about a 60 y/o guy that was never a nasty person.

>(For example he made a huge scene yesterday at a grocery store because a

>clerk sent him down the wrong aisle twice. Even it scared/surprised him in

>retrospect.)

>

>In the past year, he's had issues of extreme angry outbursts. (His abusive

>father passed away in May of last year of brain cancer - but he wasn't

>having angry outbursts then.)

>

>Diet and exercise/lifestyle hasn't changed significantly except for getting

>out of a bad 3 year relationship (but has often had relationships that

>turn bad, but not due to anger issues).

>

>Takes a good variety of supplements, B-vitamins, etc. Basic blood levels

>normal. Only cholesterol very mildly elevated. Thyroid levels " standard

>normal " but I think his testoserone levels are borderline low - oh, said his

>libido has plummeted, but also dealing with breakup again.

>

>Docs and psych have examined him and can't give him any ideas - said they

>don't know what's up.

>

>Even with drinking - he turns into a lovey, sleepy guy and goes to bed.

>

>Has always been ADD and dyslexia - but never on meds for these. Does take

>depression meds but never dx with bipolar and doesn't have the highs and

>crashes of bi-polar.

>

>Intelligent guy. Authority issues. Mostly works for himself most of his

>life (or doesn't work). Grew up in a wealthy but highly abusive home.

>

>He wants to know " Why am I NOW getting so angry over little things when

>I've never been like this before? "

>

>Anyway. This is what his SISTER has told me (she's a dear new friend - I

>don't know her brother) because she speaks by phone often with her brother.

>

>Sounds like hormone changes? Or exacerbated PTSD? He IS working with a

>psychiatrist.

>

>He's wondering IS this psych? (With such new onset) Or something more

>physical related?

>

>Specific ideas welcome.

>

>Jan Patenaude, RD, CLT

>Director of Medical Nutrition

>Signet Diagnostic Corp.

>Telecommuting Nationwide

> (Mountain Time)

>Fax:

>DineRight4@...<mailto:DineRight4%40aol.com>

>

>Certified LEAP Therapist and specialist in food sensitivity for IBS,

>migraine, fibromyalgia and multiple inflammatory conditions. Co-author of the

>Certified LEAP Therapist (CLT) Training Course.

>

>Your email is important to me. If you send me an important email, and I

>don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

>buried in email and I do not mean to ignore your email!

>

>

[Guest guest]

Thanks everybody.

Just an update. He went back to his doc, maybe even got a new one - being

" in tears " the health care team he's worked with all agreed this " was not

him " - so they upped his Xanax. Sigh. . . I won't say more about that. (He

was on a minimal dose -they'll give him a few days and check response.)

His father died of a brain tumor in the past year, I think they ruled that

out for him. Ruled out early Alzheimers and dementia as best they could.

I think they need to dig further on the PTSD, depression (current

relationship meltdown+father's death in past year+caring for formerly severely

abusive mother with psych issues) and hormone levels. I also think low blood

sugar was R/O. Maybe chemical exposure as well - he's the " house cleaner " and

his sister is very chemical sensitive.

Full combo likely. Thanks again.

Jan Patenaude, RD, CLT

Director of Medical Nutrition

Signet Diagnostic Corp.

Telecommuting Nationwide

(Mountain Time)

Fax:

DineRight4@...

Certified LEAP Therapist and specialist in food sensitivity for IBS,

migraine, fibromyalgia and multiple inflammatory conditions. Co-author of the

Certified LEAP Therapist (CLT) Training Course.

Your email is important to me. If you send me an important email, and I

don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

buried in email and I do not mean to ignore your email!

In a message dated 2/3/2012 6:04:29 A.M. Mountain Standard Time,

rd-usa writes:

_Re: New onset ANGRY outbursts in a 60 y/o male _

(http://groups.yahoo.com/group/rd-usa/message/27912;_ylc=X3oDMTJzNGsyNGQxBF9TAzk\

3MzU5NzE1BGdycElkAzEwM

DM1NTQ3BGdycHNwSWQDMTcwNTA2MTIwOQRtc2dJZAMyNzkxMgRzZWMDZG1zZwRzbGsDdm1zZwRzd

GltZQMxMzI4Mjc0MjY2)

Posted by: " hl brewer " _hlbrewer@... _

(mailto:hlbrewer@...?Subject=

Re:%20New%20onset%20ANGRY%20outbursts%20in%20a%2060%20y/o%20male)

_hlbrewer _ (http://profiles.yahoo.com/hlbrewer)

Thu Feb 2, 2012 1:44 pm (PST)

I'd be looking for a brain tumor or SDH (subdural hemorrhage) if it's not

PTSD.

Holly