Prof. Dr. Kemal Arıkan
Psikiyatrist

A Horrendous Anger!

A 36-year-old woman from the Black Sea Region applied with the complaints of sudden anger.

Her anger was so sudden and violent that she described herself by saying “Like I’m becoming the devil”.

She was being exposed to physical violence countless times due to her anger attacks.  In general, her husband was the one turning to violence.  This one time, she was punched in her left eye, which knocked her unconscious.

She was putting up with all those beatings.  Because she was tolerant to all people she loved, especially her husband.  Even though they did not understand, it was quite normal for them to take measures and protect themselves against her anger.  She was full of love.  She continued to cry as she was telling during the examination.  The pain she was suffering from was becoming one with the greatness of her soul, pulling at the listener’s heartstrings.  She had a limitless talent for empathy.

No other pathological findings or story than anger would define the situation during her psychiatric examination.

Finally, the examination came to an end. There wasn’t any single clue to explain the anger.  Plus, not a single sign of impairment was present in her personality.

When I talked to husband, he couldn’t hold his tears back after a short while and told he was feeling guilty for what he had done.  But, in fact, one had to take physically restrictive measures to protect both oneself and her against her own anger.  The sincerity in his face was clear.

This tragic story had been continuing for years.

During routine examinations, there was an apparent slowdown in the left forehead (frontal) and right nape (occipital) areas in her QEEG. It was not possible to reach these attributes via a normal EEG.

I resolved that further examination was necessary.  I demanded contrasted brain MR.

The report determined that there were infarction and hydrocephalus in the 3rd gap (ventricle 3) inside the brain, namely there was an accumulation of liquid in the brain.

A brain surgeon consultation was requested immediately.

In the end, it was decided that the infarction should be removed with a shunt operation.

The end of the anger attacks would revive both the patient and all the people she loved.

Long story short, it was once again understood that a “brainless” psychiatry was full of traps, like my esteemed elders said.  They could cost the patients their years and cause the physician to be alienated from his profession…

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