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Composition of mental issues

If a 26 years old adult stays 24 hours a day in his room and has one relation as a mother who raised him single handedly but he hates him because of he is very aggressive towards his mother,mistress her, say bad things anout her strangled her because she tells people that he treats me this way.He hates every one.In his eyes every one is bad.And he says I am not born to look after you but demands ftom her to serve like a servant to him.Is he normal?

Please help me.he is not going to the doctor 

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Shanaz Shah
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16218 Arshad Raouf
Art Therapist, Clinical Psychologist, Marriage & Family The... Show more
M. Arshad Raouf
Art Therapist, Clinical Psychologist, Marriage & Family The... Show more
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46619 Zeamaro Zukanii https://mentalzon.s3.amazonaws.com/photo/acfc7a1a-e1e9-451d-8c57-000e9d2d579c.jpg?1769432468739
Art Therapist, Clinical Psychologist, Marriage & Family The... Show more

Thank you for sharing this. What you are describing sounds extremely painful and stressful for a mother to go through. The level of anger, isolation, and physical aggression you mentioned is very concerning, especially incidents like strangling or physical harm.

This kind of behavior is not considered healthy or normal functioning, and it may indicate that he is struggling with serious psychological or emotional difficulties. However, a proper assessment by a mental health professional would be necessary to understand what might be happening.

At the same time, your safety and emotional wellbeing are very important. Living with aggression and constant hostility can be extremely difficult and overwhelming for anyone.

If he is refusing to see a doctor right now, it may still be very helpful for you to speak with a therapist yourself. In many situations like this, supporting the parent or family member first can help them learn how to set boundaries, protect themselves, and find ways to encourage the person to eventually seek help.

If you feel comfortable, we can arrange a session to talk about your situation in detail and explore possible ways forward. You don’t have to handle this alone.

Muhammad Arshad Raouf 

Clinical psychologist 

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Zeamaro Zukanii
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The approach should combine basic psychological understanding with practical actions, focusing on safety, clear boundaries, and consistency rather than emotional reactions. The goal is not to “fix” him, but to manage the situation in a stable and structured way while slowly building awareness and responsibility.

  • Safety First (Non-negotiable): Any physical aggression (like strangling) = immediate boundary + external support. No discussion in that moment.

  • Firm Boundaries, Not Emotional Reactions: Stop over-explaining or pleading. Use calm, short lines: “I will help when you speak respectfully.” Consistency matters more than emotion.

  • Don’t Reward Abuse: If he gets service after aggression, behavior repeats. Shift to: respect → support / disrespect → withdrawal

  • Controlled Communication Window: Talk only when he is calm. Avoid debates during anger spikes.

3 Practical Activities

  • Reality Mirror Exercise: Once a week, ask him to write: “What did I do this week? What did I get in return?” This builds cause-and-effect awareness.

  • Physical Energy Release: Daily 20–30 minutes (gym, punching bag, running). Unreleased energy often comes out as aggression.

  • Responsibility Micro-Tasks: Give one small fixed duty daily (e.g., buying groceries, cleaning his room this will clear his knots in mind) and This helps build accountability slowly.

Final Truth- Change will only happen when boundaries are stronger than his behavior. Without that, no technique works.

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