Mental Health: Common Questions About Psychiatric Disorders - Psychiatry

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Medical issues


1.
If we put it bluntly, are mental patients just considered "crazy"?
2.
How can auditory hallucinations be completely cured? If a person hears voices coming from the sky, is it inspiration or a sign of illness? Do individuals with auditory hallucinations necessarily need medication for a cure? Could it be a religious issue? If it is a religious issue, who should one consult for help? I have encountered monks who mentioned that people might hear hallucinations while meditating, and that ignoring them is sufficient; does this mean medication is unnecessary?
3.
If a person experiences significant stress or trauma that prevents them from living normally, are they also considered mentally ill? Do they necessarily need medication to recover? How is this treated?
4.
What are the causes of mental illness? Is it a problem with the brain or a psychological issue? If it is a psychological issue, wouldn't seeing a psychologist suffice?
5.
If a child has a mental illness, does that mean the parents must also have a mental illness? What is the prevalence of this?
6.
If headaches are classified under psychiatric care, doesn't that mean everyone who sees a doctor for headaches is considered mentally ill?
7.
Thank you, doctor, for your patient answers.
Wishing you good health!

c.c, 30~39 year old female. Ask Date: 2011/01/11

Dr. Xie Dicheng reply Psychiatry


Hello: Here are the brief answers to your questions: 1.
Patients with mental illness should not be referred to as "crazy." 2.
It is difficult to clearly explain whether experiencing auditory hallucinations indicates a mental illness.
If hearing voices significantly disrupts daily life, it is essential to seek evaluation from a psychiatrist to clarify the issue of illness.
3.
If one experiences psychosomatic symptoms (such as tension, irritability, palpitations, shortness of breath, anger, insomnia, etc.) due to stress or trauma that affects daily life, it is advisable to undergo appropriate psychiatric evaluation.
Whether medication is needed should be discussed individually with a physician.
4.
Currently, both psychological and psychiatric disorders are being researched and treated as brain diseases, and the mechanisms of psychotherapy may also relate to changes in neural pathways.
5.
Broadly speaking, mental illnesses do have a familial tendency; however, if your question pertains to a specific individual, it is necessary to consult a professional for confirmation.
6.
Of course, there is a stigma associated with seeing a psychiatrist; however, many individuals with palpitations or chest discomfort visit cardiologists, who often diagnose them with psychosomatic or psychiatric disorders and prescribe anxiolytics or sleep medications.
Are these patients heart disease patients or mental illness patients? 7.
Thank you, and I hope this addresses some of your confusion.

Reply Date: 2011/01/11

More Info


Understanding mental health and psychiatric disorders can be complex, and it's important to approach these topics with sensitivity and clarity. Let's address your questions one by one.

1. Are people with mental illnesses just "crazy"?
The term "crazy" is often used colloquially to describe someone who behaves in ways that are difficult to understand or that deviate from societal norms. However, this term is stigmatizing and does not accurately reflect the reality of mental health conditions. Mental illnesses are medical conditions that affect a person's thinking, feeling, behavior, and overall functioning. They can range from mild to severe and can be caused by a combination of genetic, biological, environmental, and psychological factors. It's crucial to view mental health issues through a compassionate lens rather than labeling individuals as "crazy."
2. How can auditory hallucinations be treated?
Auditory hallucinations, such as hearing voices, can be a symptom of various mental health disorders, including schizophrenia and severe depression. Treatment typically involves a combination of medication, such as antipsychotics, and psychotherapy. While some individuals may find relief through spiritual practices or meditation, it is essential to consult a mental health professional for a comprehensive evaluation. Relying solely on spiritual explanations or practices without medical intervention can lead to worsening symptoms. If someone believes their experiences are related to religious or spiritual issues, they might consider speaking with a mental health professional who understands these perspectives or a spiritual advisor who is knowledgeable about mental health.

3. Can significant trauma lead to mental illness?
Yes, experiencing significant trauma or stress can lead to mental health issues, including post-traumatic stress disorder (PTSD), anxiety disorders, and depression. While some individuals may recover from trauma with time and support, others may require professional help, which can include therapy and medication. Treatment approaches vary based on the individual's needs and the severity of their symptoms. It's important to seek help from a qualified mental health professional who can provide appropriate care.

4. What causes mental illness?
The causes of mental illness are multifaceted and can include genetic predisposition, brain chemistry, environmental factors, and psychological stressors. Mental health disorders can arise from a combination of these factors rather than a single cause. While some conditions may have a biological basis, others may be more influenced by psychological or environmental factors. Therefore, both psychiatrists and psychologists play vital roles in treatment, as they address different aspects of mental health.

5. If a child has a mental illness, does that mean their parents do too?
Mental health disorders can have a genetic component, meaning that having a family history of mental illness can increase the likelihood of a child developing similar issues. However, it does not mean that parents will necessarily have mental health problems. The relationship between genetics and mental health is complex, and many factors contribute to the development of mental illness.

6. Is headache considered a mental health issue?
Headaches can be classified under various medical categories, including tension-type headaches and migraines, which may have psychological components. Stress and anxiety can exacerbate headaches, leading to their classification in some cases as a mental health issue. However, not every person with a headache has a mental illness. It is essential to differentiate between primary headaches (not caused by other conditions) and secondary headaches (caused by underlying health issues).

7. Conclusion
Understanding mental health requires a nuanced perspective that considers biological, psychological, and social factors. It's essential to approach mental health issues with empathy and to seek professional help when needed. Mental health professionals can provide the necessary support and treatment to help individuals manage their conditions effectively. Thank you for your thoughtful questions, and I wish you good health and well-being.

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