Mental Health: Common Questions About Psychiatric Conditions

Psychiatric Medical Record

Hello, doctor.
I would like to ask the following questions:
1.
Does having a psychiatric history automatically classify someone as having a mental illness?
2.
If I forget what I have read all at once, could it be due to brain hypoxia, aging, or brain pathology?
3.
Is having paranormal sensitivity considered a mental illness? Can those who claim to be psychics be referred to as such?
4.
Is talking to oneself considered a mental abnormality? If it is just thinking aloud, it should be normal, right?
5.
Can taking psychiatric medication for four years cause physical side effects?
6.
Is it possible to be on psychiatric medication for a lifetime?
7.
Can psychiatric medication lead to infertility?
8.
If someone is experiencing emotional distress due to difficulties, do they need to take psychiatric medication? How can we determine if there is a psychological issue?
I apologize for the accumulation of questions, and I appreciate your response.
Thank you!

pony, 30~39 year old female. Ask Date: 2009/11/30

Dr. Wang Chongren reply Psychiatry

Dear Dr.
Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare:
Greetings.

Question 1: Mental disorders include insomnia, headaches, psychosomatic disorders, adjustment disorders, somatoform disorders, depression, and personality disorders, which may have a normal sense of reality.
In contrast, disorders such as schizophrenia, delusional disorder, and bipolar disorder involve a distorted sense of reality, often accompanied by hallucinations, delusions, and bizarre behaviors that are difficult for the general public to understand.
As a result, these individuals frequently face societal discrimination and stigma.
It is important to recognize that mental illness is fundamentally a brain issue, similar to how a stroke is a brain pathology and hypertension is a cardiovascular issue.
Therefore, visiting a psychiatrist does not necessarily indicate a distorted sense of reality.
Question 2: Memory problems are common among many individuals and may arise from (1) simple inattention, (2) the normal aging process, or (3) brain pathology (such as brain injury, brain tumors, or dementia).
For individuals without severe brain pathology, memory issues are often reversible, and they can frequently recall forgotten information, typically due to fatigue or inattention (many cases are exacerbated by excessive anxiety or depression).
Question 3: If one experiences paranormal sensations or clairvoyance while maintaining a sense of reality and is not confused or losing self-function due to these experiences, it does not constitute a mental illness.
Question 4: Severe psychiatric disorders often involve auditory hallucinations, leading to self-talk.
However, some individuals may not exhibit a distorted sense of reality but may engage in self-talk due to being immersed in their thoughts.
Those who frequently engage in self-talk and have persistent negative thoughts may be suffering from depression and should seek medical attention.
Question 5: All medications, including those from other specialties, have both therapeutic effects and side effects.
The types and severity of side effects vary depending on the specific medication and the individual's constitution, and it is advisable to discuss these with your physician.
Question 6: Whether psychiatric medications are needed for a lifetime depends on the type of illness and whether it has become chronic.
Generally, this is related to individual constitution, personality, stress levels, and social resources.
Question 7: Generally, psychiatric medications do not cause infertility.
However, some antipsychotic medications may lead to sexual dysfunction or elevated prolactin levels, which can affect fertility.
Question 8: Individuals often have a subjective view of their mental state.
It is best to consider feedback from friends and family or objective indicators, such as academic or occupational performance, sense of reality, social skills, and self-care abilities, to assess whether there are mental health issues.
If these problems persist and cannot be self-managed or cause distress to others, it is essential to seek medical evaluation for mental health status.
Early intervention can prevent complications.
Wishing you good health and peace of mind!
Sincerely,
Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare

Reply Date: 2009/11/30

More Info

Hello! Thank you for your questions regarding mental health and psychiatric conditions. It’s great that you’re seeking to understand these topics better. Let’s address each of your questions one by one.

1. Does having a psychiatric history mean one has a mental illness?
Not necessarily. A psychiatric history indicates that an individual has sought help for mental health issues in the past, but it does not automatically classify them as having a mental illness. Mental health is a spectrum, and many people experience temporary issues that do not meet the criteria for a mental disorder. It’s essential to consider the context and severity of the symptoms.

2. Is forgetting what I read due to brain hypoxia, aging, or brain pathology?
Forgetting information can stem from various factors, including stress, lack of sleep, or distractions during learning. While aging can affect memory, significant memory loss or cognitive decline may indicate underlying conditions such as dementia or other neurological disorders. If memory issues are concerning, it’s advisable to consult a healthcare professional for a thorough evaluation.

3. Is having paranormal experiences a sign of mental illness?
Experiences such as feeling a connection to the supernatural can be subjective and vary widely among individuals. While some may interpret these experiences as spiritual or paranormal, others might view them through a psychological lens. It’s crucial to differentiate between cultural beliefs and symptoms of mental health conditions. If these experiences cause distress or impair functioning, it may be worth discussing with a mental health professional.

4. Is talking to oneself a sign of mental illness?
Talking to oneself can be a normal behavior, especially when processing thoughts or emotions. Many people engage in self-talk as a way to organize their thoughts or motivate themselves. However, if self-talk becomes distressing, involves hallucinations, or is accompanied by other concerning symptoms, it may warrant further evaluation.

5. Can long-term use of psychiatric medication lead to side effects?
Yes, long-term use of psychiatric medications can lead to side effects, which vary depending on the type of medication. Common side effects may include weight gain, metabolic changes, or movement disorders. Regular follow-ups with a healthcare provider can help monitor for side effects and adjust treatment as necessary.

6. Will I need to take psychiatric medication for life?
Not everyone will need to take psychiatric medication indefinitely. Treatment plans are individualized and may include medication, therapy, or lifestyle changes. Some individuals may find that they can reduce or discontinue medication after achieving stability, while others may require ongoing treatment.

7. Can psychiatric medications cause infertility?
Some psychiatric medications may have effects on reproductive health, but this varies by medication. It’s essential to discuss any concerns about fertility with a healthcare provider, who can provide information tailored to your specific situation and medication.

8. Do I need medication for temporary emotional distress?
Not all emotional distress requires medication. Many people experience temporary feelings of sadness or anxiety due to life events. Therapy, lifestyle changes, and coping strategies can be effective for managing these feelings. However, if emotional distress significantly impacts daily functioning or persists, consulting a mental health professional is advisable.

In conclusion, mental health is a complex and nuanced field. If you or someone you know is struggling with mental health issues, seeking professional help is a vital step. Mental health professionals can provide tailored advice, support, and treatment options based on individual needs. Remember, it’s okay to ask for help, and taking care of your mental health is just as important as physical health.

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