### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
MY WIFE S ELDER SISTER IS PSHYCATRIST PATIENT MORE OR LESS SIX YEARS. STILL THE TREATMENT IS GOING ON BUT SHE IS NOT NORMAL. PROBLEM IS AFTER HER FATHER S DEATH. SHE IS TELLING & SHOUTING SOMEBODY IS CALL ME. SOMEBODY IS CRAB ME. BEFORE THREE YEARS SHE WAS SHOUTED LIKE THIS. BUT NOWADAYS SHE DIDN T TAKE HER FOOD PROPERLY AND NOT WALKING, NOT TALKING. WITHOUT OTHERS HELP SHE CANNOT ABLE TO DO SOMETHING. EVEN GOING TO TOILET, BRUSHING TEETH , EATING FOOD. SHE LIKE A STATUE. BUT SOUL IS THERE. HER NAME IS AAAAAAA 23 YEARS OLD. STAYING IN METTUKUPPAM, CHENNAI. WOULD U CLEAR HER PROBLEM? BECAUSE SO MUCH OF DOCTORS SAID THE SAME WORD THIS ONLY. THAT IS THERE IS NO MEDICINE IN MEDICAL WORLD. MY EMAIL ID: YYYY@YYYY . I AM WAITING FOR UR EXCELLENT ANSWER. THANKYOU SIR.

### output:

As you said she is suffering from a mental disorder of chronic nature (6 Years or more) with initial symptoms of Irrelevant talks (Shouting), Auditory hallucination (Hearing voices) and Paranoid ideation (Somebody will crab me). Her condition deteriorated despite psychotropic treatment for last 6 years. Now she is having Poor self-care with Resistivity & Emotional blunting. Well, the case description fits into the mental illness called schizophrenia (?). Schizophrenia with prominent negative sign & symptoms is very difficult to manage but once her symptoms comes under control she will remain well-adjusted to her social condition for long duration of time, off course with continuing Chat Doctor.  Available options for her include ....[1] Second generation anti-psychotic (like quetiapine, risperidone, clozapine, piperidine etc.) either alone or in combination with other first/ second generation anti-psychotics targeting specifically her negativity & resistivity[2] Electron convulsive therapy (ECT)[3] Hospitalization for short duration of time (If needed)[4] Behavioral Therapy[5] RehabilitationSchizophrenia does not have so much gloomier picture as you have developed perception about this illness. As I said, once the symptoms are under control by the use of appropriate psycho-pharmacological intervention, she will remain well for long duration of time. What is needed is a dedicated & comprehensive effort from treating psychiatrist & care taker. Thank You (Viewer rating for my Answer is Awaited)