<s>[INST] My 45 years old husband had hernia operation and then followed by orchidectomy of post operative hematoma 5 years ago. He developed progreesive irritable mood, became loss of some working performance early this year. A month ago he felt better with psychiatrist mediaction and testosterone replacement. His brain CT scan yesterday shows mild cerebral atrophy. Our youngest child is 6+ years old. Hes also under treatment of DM, HT and dyslipidemia for few years. Now his mood is much better but he sleep too much. My problem is that would it be better to switch off psychiatrist treatment to consult neurologist ? [/INST] Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your husbands problems and the recent CT findings. Since you have mentioned that the recent CT shows mild cerebral atrophy and since he also has risk factors such as Diabetes, Hypertension and Dyslipidemia, it would be advisable to have a consultation with a Neurologist. However, since he is already on psychiatric medication, it would not be a good idea to discontinue treatment and follow up with his psychiatrist. I would suggest that you continue the medication for the time being till you get an opinion from the Neurologist. Wish you all the best. </s>