Understanding Unusual Thoughts: A Guide for Families in Mental Health
Thank you? First of all, thank you, doctor, for your response. Last time, I wasn't speaking irrationally; what I meant to express is that my uncle usually behaves normally and does household chores. Occasionally, he helps out during religious activities, and he seems fine, n...
Dr. Chen Wenyu Reply:
Hello Amin: His thoughts are not based on reality, right? They are all his own inventions. Why does he think this way? Perhaps he saw that girl, and she glanced at him, leading him to delusionally believe that she wants to marry him. When he sees others winning the lottery, he th...[Read More] Understanding Unusual Thoughts: A Guide for Families in Mental Health
Understanding Nightmares: Is Your Girlfriend Experiencing Sleep Disorders?
I want to help my girlfriend but I'm not sure if she has a parasomnia? My girlfriend has heard that dreaming a lot at night can lead to poor sleep. Recently, it has become more severe; no matter how long she sleeps, she still feels tired, as if she hasn't slept at all. ...
Dr. Chen Guangpeng Reply:
Dear Little Treasure Online Friend: Regarding your girlfriend's condition, it seems to involve more than just a simple sleep issue; there may be personality problems combined with emotional disturbances and sleep disorders. A detailed diagnosis, etiology, and treatment plan ...[Read More] Understanding Nightmares: Is Your Girlfriend Experiencing Sleep Disorders?
Can Schizophrenia Patients Safely Engage in High-Risk Activities?
Can I engage in this activity? Can patients with schizophrenia (experiencing auditory hallucinations) engage in activities such as swimming, shallow water activities, mountaineering, climbing heights, and skiing? What is the likelihood of relapse if they completely stop their med...
Dr. Chen Wenyu Reply:
Hello Chen: Since the activity you mentioned involves chronic schizophrenia, it is essential not to stop the medication. Discontinuing the medication on your own will definitely lead to a relapse. Thank you for your message![Read More] Can Schizophrenia Patients Safely Engage in High-Risk Activities?
Understanding Medication Management in Schizophrenia: Risks of Stopping Treatment
Medication If a patient with schizophrenia (auditory hallucinations) stops their medication, it may lead to a relapse characterized by the re-emergence of symptoms such as hallucinations, delusions, and disorganized thinking. The severity and timing of the relapse can vary among ...
Dr. Chen Guangpeng Reply:
Dear Chen, I am glad to hear from you again. Unfortunately, it seems you are still at a standstill—hesitating over whether to take medication or to stop it. In fact, you have asked similar questions on November 19, 23, and 27, and I have done my best to respond to you. Perhaps i...[Read More] Understanding Medication Management in Schizophrenia: Risks of Stopping Treatment
Understanding the Risks of Stopping Medication for Schizophrenia
If the medication is discontinued? If a patient with schizophrenia (auditory hallucinations) stops medication and experiences a relapse, the situation may involve a return of symptoms such as hallucinations, delusions, disorganized thinking, and impaired functioning. The severity...
Dr. Chen Wenyu Reply:
Hello Chen: If the diagnosis is confirmed and it is the first episode, the treatment should continue for at least 1-2 years after all symptoms have resolved before considering discontinuation of medication (the criteria for stopping medication is not fixed; based on my knowledge ...[Read More] Understanding the Risks of Stopping Medication for Schizophrenia
Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Schizophrenia Can schizophrenia (auditory hallucinations) be completely cured? Is it possible to fully recover and stop medication?
Dr. Chen Wenyu Reply:
Hello Chen: In cases of schizophrenia, a small percentage may only experience a single episode in their lifetime. However, if there are recurrent episodes or persistent hallucinations and delusions, lifelong medication may be necessary. Hallucinations can be managed, but if the c...[Read More] Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Medications for Schizophrenia: Dosage and Timing for Hallucinations
Medications For schizophrenia with auditory hallucinations, the typical medications prescribed are antipsychotics. Common options include: 1. **Risperidone**: Starting dose is usually 1-2 mg per day, which can be adjusted based on response and tolerability. 2. **Olanzapine**: St...
Dr. Chen Wenyu Reply:
Hello Chen: The diagnosis is confirmed, and treatment will certainly involve antipsychotic medications. The dosage varies from person to person and may be administered once, twice, three times, or four times a day depending on the situation. Thank you for your message![Read More] Medications for Schizophrenia: Dosage and Timing for Hallucinations
Managing Schizophrenia: Alternatives to Seroquel and Recovery Insights
Schizophrenia I have schizophrenia (auditory hallucinations) and am currently taking Seroquel. I am feeling better, but I have difficulty getting up in the morning. Are there any alternative medications? Is it possible to fully recover in the future? Can the medication harm my ki...
Dr. Tang Xinbei Reply:
Dear friend: You are using the atypical antipsychotic Seroquel, which is a newer medication that generally has relatively fewer and milder side effects. However, some individuals may experience a stronger sedative effect, which could lead to difficulty waking up in the morning (p...[Read More] Managing Schizophrenia: Alternatives to Seroquel and Recovery Insights
Managing Schizophrenia: Alternatives to Seroquel and Recovery Insights
Schizophrenia I have schizophrenia (with auditory hallucinations) and I am currently taking Seroquel. I am feeling better, but I have difficulty getting up in the morning. Are there any alternative medications? Is it possible for me to fully recover in the future? Can these medic...
Dr. Lin Yanhong Reply:
Hello, there are several types of antipsychotic medications, and Seroquel is just one of them. However, since you mentioned that your symptoms have improved, it seems to be effective, although there are some side effects—such as difficulty getting up in the morning. If you have m...[Read More] Managing Schizophrenia: Alternatives to Seroquel and Recovery Insights
Overcoming Despair: Finding Hope Amidst Mental Health Struggles
Everything becomes dull if indulged in for too long? Good afternoon, Dr. Chen: I am currently facing the most frustrating situation that has led me to have suicidal thoughts, but it seems that fate is not on my side. I may not have cut deep enough. I am alive. When I think about ...
Dr. Chen Wenyu Reply:
Hello Xiaoqian: Based on the situation you described, it appears that you may be experiencing "severe depression with psychotic features." Relying solely on willpower, psychotherapy, or sedatives and sleeping pills will not resolve your current issues. The best course o...[Read More] Overcoming Despair: Finding Hope Amidst Mental Health Struggles
Understanding the Aftermath of Ecstasy: Symptoms and Recovery
What are the side effects of ecstasy? I am a patient who accidentally ingested ecstasy. On April 20th of this year, I first consumed ecstasy, initially taking two pills, after which I lost consciousness for two hours. I then took another pill, and subsequently experienced physiol...
Dr. Tang Xinbei Reply:
Dear Xiao Rui, Many young individuals, like yourself, have previously misused or accidentally ingested ecstasy. Are your symptoms indicative of acute amphetamine toxicity? Although ecstasy is classified as a substance similar to amphetamines, it possesses both central nervous sy...[Read More] Understanding the Aftermath of Ecstasy: Symptoms and Recovery
Understanding and Managing Auditory Hallucinations in Elderly Patients
Vasculitis Dear Dr. Chiu, Hello. My aunt, who is 85 years old, fell at home two years ago and fractured the area where her thigh connects to her hip. She underwent surgery and had steel pins inserted. During the medical evaluation, she was also diagnosed with mitral valve insuff...
Dr. Qiu Ruixiang Reply:
Hello, Xiao Ying. Based on the information provided, it is likely that your aunt is experiencing dementia with accompanying psychiatric symptoms. The primary symptom of dementia is a significant decline in memory, which can sometimes be difficult for family members to notice, esp...[Read More] Understanding and Managing Auditory Hallucinations in Elderly Patients
Understanding My Mental Health Struggles: Seeking Answers and Hope
What disease is it? I experienced a long period during my illness where I felt that my classmates and friends were excluding me, which often led me to hide alone in my dorm room and cry. Sometimes, even an offhand comment or a glance from someone would make me feel sad. I struggl...
Dr. Lin Yanhong Reply:
Hello: If you want to understand what illness you have, it's difficult to make a complete assessment from the letter. It seems that there is definitely an element of depression, but whether there are other issues should be determined by a professional physician. I recommend ...[Read More] Understanding My Mental Health Struggles: Seeking Answers and Hope
Understanding Schizophrenia Diagnosis and Disability Benefits in Taiwan
Diagnosis of Mental Disorders My doctor said I am prone to schizophrenia and that I should apply for a disability certificate. He also indicated schizophrenia on my records. I am currently receiving treatment at a city clinic and taking Fluanxol 1mg. A doctor from Mackay Memorial...
Dr. Chen Wenyu Reply:
Hello Lily: The diagnosis of schizophrenia primarily revolves around the "dopamine hypothesis," which suggests that there is an issue with the dopamine system in the brain. In terms of symptomatic diagnosis, it includes disturbances in thought processes (such as delusio...[Read More] Understanding Schizophrenia Diagnosis and Disability Benefits in Taiwan
Can Methamphetamine Use Lead to Paranoia and Psychosis?
Amphetamine-induced psychosis? Dr. Cheng: A friend of mine, a middle-aged male, has been using amphetamines intermittently for several years. In recent months, he has become paranoid, feeling that many ghosts are trying to harm him. Could this be caused by the amphetamines?
Dr. Zheng Jingming Reply:
Hello, it is highly likely that your friend has been diagnosed with amphetamine psychosis. It is recommended to consult a psychiatrist for differential diagnosis, addiction treatment, and therapy. Below is a brief overview of the relationship between amphetamines and psychosis, a...[Read More] Can Methamphetamine Use Lead to Paranoia and Psychosis?
Understanding Anxiety Disorders: Clearing Misconceptions and Promoting Acceptance
Neurosis - Anxiety Disorder Hello Dr. Tang: I participated in a matchmaking consulting company, and due to a prior conflict with the company's manager, I experienced hyperventilation. Recently, I need to arrange appointments with female members, but aside from one psychologi...
Dr. Tang Xinbei Reply:
Dear friend, I apologize for the delay in responding to your concerns due to my busy schedule. It seems you are feeling sad and angry about being rejected and are particularly sensitive to being labeled as "crazy" or "abnormal." From your description, it appe...[Read More] Understanding Anxiety Disorders: Clearing Misconceptions and Promoting Acceptance
Understanding Unpredictable Phenomena: A Personal Journey with Schizophrenia
Confusion I experience auditory hallucinations and delusions, and I have been diagnosed with schizophrenia in psychiatry. I have undergone involuntary treatment, but I do not need medication for control and live a normal life. I wonder why people do not believe in unpredictable p...
Dr. Huang Xiangxiong Reply:
Patients with schizophrenia often experience hallucinations that can have a significant negative impact on their well-being, such as emotional instability, disrupted sleep, impaired reality perception, and in severe cases, a loss of self-control leading to destructive or aggressi...[Read More] Understanding Unpredictable Phenomena: A Personal Journey with Schizophrenia
Understanding My Father's Hallucinations: A Psychiatric Perspective
I'm not sure what to do? Doctor, my father has been taking an over-the-counter cold medication for many years. About four to five years ago, after he suddenly lost his job, he started exhibiting some strange behaviors, such as hallucinations, delusions, and talking to himsel...
Dr. Lin Yanhong Reply:
Hello: There are two possible causes for your father's psychiatric symptoms. 1. Organic factors: Your father has a history of long-term use of over-the-counter medications (some of which contain stimulants), or there may be identifiable neurological conditions affecting his ...[Read More] Understanding My Father's Hallucinations: A Psychiatric Perspective