The doctor emphasizes that her condition is chronic and severe, and that her episodes can escalate quickly if treatment is interrupted.

Symptoms and Behavioral Challenges

The prescription and accompanying notes indicate persistent and concerning symptoms:

• Ideas of reference – believing unrelated events are directed at her.

• Restlessness – constant agitation and inability to remain calm.

• Social withdrawal – difficulty mingling or interacting with people.

• Depressed mood – persistent sadness and low motivation.

• Mood instability – unpredictable shifts between emotional extremes.

Dr. Reddy’s records note that if Suvarchala stops taking her prescribed medications for even two days, episodes recur, creating dangerous and highly unstable situations.

Prescribed Medications

To manage her complex conditions, Dr. Reddy has prescribed:

• Sizodon Plus – antipsychotic for schizophrenia and bipolar disorder.

• Petrit Beta – stabilizes mood and addresses manic tendencies.

• Feliz-S – targets depressive symptoms and mood swings.

• Arip MT – used for severe psychiatric symptoms, including agitation and manic episodes.

Treatment History Prior to Dr. Reddy

Before consulting Dr. Reddy, Suvarchala received treatment from psychiatrists in Guntur, Nellore, Ongole, and Warangal, as her family had to travel extensively for work purposes. Her treatment history indicates that her mental illness has been long-term, complicated by early drug addiction, which has worsened her psychiatric condition.

Expert Assessment

Dr. Reddy highlights that Suvarchala’s condition is not temporary; it is a long-lasting mental illness requiring consistent medication and monitoring. He warns that interruptions in treatment can trigger violent, unstable, and potentially harmful behavior, underscoring the severity of her psychiatric state.