Understanding Family Rights in Schizophrenia Care and Communication
The right of family members to be informed about the condition of a patient with schizophrenia? Hello, my brother (32 years old) is suspected of having schizophrenia. He has stated that he was diagnosed with schizophrenia by a psychiatrist, and he argued that he is being stigmati...
Dr. Xiao Minghong Reply:
Dear Ms. S, In order to reduce stigma, schizophrenia is now referred to as schizophrenia spectrum disorder. One of the most common symptoms is lack of insight, where patients believe they are not ill and therefore do not see the need for treatment, which can sometimes cause dist...[Read More] Understanding Family Rights in Schizophrenia Care and Communication
Is My Paranoia Within Reason? Understanding Delusions and Schizophrenia
Are my delusions within a reasonable range? I'm sorry to bother you again, doctor. This time I would like to ask: 1. Whenever someone stands behind me, I feel like they might be trying to stab me with a needle to give me a sexually transmitted infection. 2. When getting my b...
Dr. Qiu Junda Reply:
Hello. In psychiatry, delusional symptoms refer to false beliefs that are held with strong conviction. Your condition initially appears to be more related to suspicious thoughts (ideas) rather than reaching the level of a delusional disorder. However, the situations you described...[Read More] Is My Paranoia Within Reason? Understanding Delusions and Schizophrenia
Understanding Music Hallucinations and Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, musical hallucinations? A female elder in the household, approximately 60 years old, has been experiencing symptoms of depression and insomnia. Four years ago, she sought treatment at a mental health clinic and was prescribed Cymbalta (duloxe...
Dr. Dai Wanxiang Reply:
Hello: Since I have not examined the patient, it is difficult to accurately respond to your specific questions regarding the case. I can only provide a brief response regarding general conditions. 1. If the medication (such as Sertraline) was effective in the past but is no lon...[Read More] Understanding Music Hallucinations and Autonomic Nervous System Disorders
Understanding Schizophrenia: When to Seek Further Medical Help
Schizophrenia Hello, doctor. My sister started experiencing auditory hallucinations two years ago, mainly involving many imaginary friends with whom she converses. She took medication for a year at the first hospital without much improvement. Later, when she saw another doctor, s...
Dr. Liang Sunyuan Reply:
Hello Ann: Since symptoms may change over time, if there is no improvement or if you still feel very troubled, you may seek medical attention again.[Read More] Understanding Schizophrenia: When to Seek Further Medical Help
Understanding Schizophrenia: When to Seek Further Medical Help
Schizophrenia Hello, doctor. My sister started experiencing auditory hallucinations two years ago, mainly involving imaginary friends with whom she converses. She took medication for a year at the first hospital, but there was no significant improvement. Later, when she saw anoth...
Dr. Liang Sunyuan Reply:
Hello Ann: Since symptoms may change over time, if there is no improvement or if you still feel very troubled, you can seek medical attention again.[Read More] Understanding Schizophrenia: When to Seek Further Medical Help
How to Treat Musical Ear Syndrome: Understanding and Managing Symptoms
If you are experiencing persistent auditory hallucinations, such as hearing music or voices, it is important to seek professional help. Treatment options may include: 1. **Psychotherapy**: Cognitive Behavioral Therapy (CBT) can help you manage and understand your Hello Doctor: A...
Dr. Dai Wanxiang Reply:
Ms. Jian: Based on your description, it is very likely to be what is known as benign auditory hallucinations (with no other psychiatric symptoms present). However, if it is causing distress, a low dose of antipsychotic medication could be considered (such as the medication you me...[Read More] How to Treat Musical Ear Syndrome: Understanding and Managing Symptoms
Managing Complex Medication for Mental Health: A Patient's Journey
Taking Entresto (sacubitril/valsartan), Rifampin, and Zantac (ranitidine) together may lead to potential drug interactions that could affect heart rhythm. It is important to monitor for signs of arrhythmia, which can include palpitations, dizziness, or fainting. If you experience...
Dr. Cai Qijin Reply:
Hello: Psychosomatic symptoms need to rule out the influence of mental and physical disorders. Involuntary head shaking and auditory hallucinations require further evaluation for other issues. The medications you are using, including Lyrica, Rifampin, Zyprexa, and Atarax, are all...[Read More] Managing Complex Medication for Mental Health: A Patient's Journey
Understanding Schizophrenia: Medication Adjustments and Patient Awareness
Schizophrenia Hello, Doctor! My brother has schizophrenia. He started taking 2 mg of Artane and 2 mg of Valium each in the morning in mid-March; in the evening, he takes 25 mg of Seroquel and 2 mg of Olanzapine, one of each. Initially, his mental state was good, and his mood was ...
Dr. Liang Sunyuan Reply:
Hello: When starting treatment for schizophrenia, it is important to be very patient. Worsening symptoms are more likely due to the progression of the illness, and typically, the purpose of medication is to reduce the severity of symptoms. Generally, the initial treatment does no...[Read More] Understanding Schizophrenia: Medication Adjustments and Patient Awareness
Understanding Emotional Control Issues and Violence in Relationships
Emotional regulation issues, violence? Doctor, my boyfriend is 40 years old, works in insurance sales, and grew up in a single-parent family. After his parents divorced when he was in junior high, he has lived alone, with custody granted to his father. However, his father was bus...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the description in your letter, I would like to address several aspects regarding your boyfriend that require attention, including his daily routine, work situation, emotional stability, and impulsive or violent behaviors. The medical aspect will first i...[Read More] Understanding Emotional Control Issues and Violence in Relationships
Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Soliloquy I have been asking this question for a long time. My diagnosis is unrelated to my self-talk; I enjoy speaking to myself and listening to my own voice, or I might privately discuss what I want to say to others. This could be the reason why I rarely engage in conversation...
Dr. Ding Shuyan Reply:
Hello, as you mentioned, you have been asking this question for a long time. Perhaps you can revisit the previous responses from your physician to see if they are still helpful. It seems that this issue is not very serious, and you have already adapted to its presence. Instead of...[Read More] Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Understanding Schizophrenia: Treatment Challenges and Options for Families
Schizophrenia A family member has been diagnosed with schizophrenia and has been undergoing treatment for over six months. The medications have been changed frequently, and the dosage has increased. Currently, they are taking 30 mg of Aripiprazole, 20 mg of Ziprasidone, and one t...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the medication information you provided, the dosage your family member is taking is indeed high. It is occasionally observed in clinical practice that patients may have a poor response to medication treatment, leading to gradu...[Read More] Understanding Schizophrenia: Treatment Challenges and Options for Families
Understanding Anxiety, Panic Disorders, and Schizophrenia Symptoms
Schizophrenia, anxiety disorder, panic disorder, autonomic nervous system dysfunction? I have symptoms such as nervousness, hand tremors, chest tightness, insomnia, and vivid dreams. I researched online and found information about schizophrenia, which made me very anxious about p...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your letter. First, I would like to clarify that the term "schizophrenia" is now more accurately referred to as "schizophrenia spectrum and other psychotic disorders." "Thought" refers to cognition, while "percepti...[Read More] Understanding Anxiety, Panic Disorders, and Schizophrenia Symptoms
Understanding Auditory Hallucinations and Memory Loss in Alcohol Use Disorder
Auditory hallucinations, amnesia, agitation? My sister came home on the night of April 18 and kept scrolling through Facebook, suddenly talking to herself, wondering if the news was about her, and continuously checking comments to see if they were mentioning her. Normally, at tha...
Dr. Liu Runqian Reply:
Based on the symptoms you described, such as auditory hallucinations, delusions of reference (believing the news is about her), and paranoid delusions (feeling that someone is out to harm her), there are many potential underlying causes. These symptoms could be due to alcohol use...[Read More] Understanding Auditory Hallucinations and Memory Loss in Alcohol Use Disorder
Can Women with Schizophrenia Safely Stop Medication During Pregnancy?
Can a person with schizophrenia stop medication during pregnancy? Hello doctor, I am 24 years old and have been diagnosed with this condition during my youth. I have a few questions I would like to ask you: 1. Initially, I experienced auditory hallucinations for about 3 to 6 mo...
Dr. Liu Runqian Reply:
If schizophrenia (formerly known as schizophrenia) is diagnosed and symptoms reappear after stopping medication, it is generally recommended to maintain long-term management. If pregnancy is a consideration and may affect the fetus, in addition to discontinuing medication, medica...[Read More] Can Women with Schizophrenia Safely Stop Medication During Pregnancy?
Overcoming Nighttime Hallucinations and Sleep Disturbances After Loss
Frequent auditory hallucinations before sleep and waking up suddenly in the middle of the night? In the past three months, due to the passing of a family member, I frequently experienced auditory hallucinations at night, specifically hearing the sound of an ambulance siren. Over ...
Dr. Huang Weiqin Reply:
Dear Inquirer, Hello! Based on your description, it seems that you may be experiencing excessive anxiety due to difficulties in coping with the loss of a family member. If you are still a student, I recommend that you consider visiting the counseling center during school hours ...[Read More] Overcoming Nighttime Hallucinations and Sleep Disturbances After Loss
Is Your Mind Always Playing Music? Understanding Auditory Hallucinations
If you are constantly hearing songs in your head, could it be auditory hallucinations? I constantly have music and singing playing in my head, even waking up to it. Sometimes, songs I haven't heard in a long time suddenly pop up. I have a favorite idol, and most of the time,...
Dr. Huang Weiqin Reply:
Dear Inquirer: Hello! Based on your description, you may be experiencing some anxiety and obsessive thoughts. If you are a student, you might consider visiting the counseling center to practice relaxation techniques and distraction exercises with a counselor. If these issues pers...[Read More] Is Your Mind Always Playing Music? Understanding Auditory Hallucinations
Should I Continue My Mental Health Treatment?
Should I continue seeking medical treatment? Hello Dr. Zhong, Please forgive me for not being able to disclose my real name. I am currently in my fourth year of a five-year vocational program and began seeing a psychiatrist in early January. I was hospitalized for over ten days ...
Dr. Zhong Mingxun Reply:
Classmate: I was very concerned to see your letter. Based on your description, you may be experiencing auditory hallucinations, visual hallucinations, and delusions of reference, which are psychiatric symptoms. However, it is also possible that these are just transient phenomena....[Read More] Should I Continue My Mental Health Treatment?
Overcoming Social Anxiety: Coping with Fear in Crowded Situations
Social Anxiety Disorder, Agoraphobia I am currently a high school student, and every time I find myself in a crowded situation, I feel extremely anxious, as if everyone is watching and paying attention to me. This is especially true during flag-raising ceremonies, where my face i...
Dr. Liang Sunyuan Reply:
Hello: It seems that this symptom has caused you considerable distress. I suggest shifting your focus to more neutral matters, such as paying closer attention during meetings to what your superiors are advocating, and contemplating the purpose behind their messages and the effect...[Read More] Overcoming Social Anxiety: Coping with Fear in Crowded Situations
Understanding Tinnitus and Auditory Hallucinations in Children and Teens
Children and adolescents Is it common for elementary school children to occasionally experience tinnitus, hearing music, conversations with friends, or even voices speaking to them? This usually occurs at night when they have trouble sleeping or feel scared (it's unclear whe...
Dr. Liang Sunyuan Reply:
Hello: Typical auditory hallucinations can occur during the day and usually happen every day. If they only appear occasionally at night when the child is having trouble sleeping, it may be related to stress or anxiety. It is advisable to try to increase enjoyable parent-child int...[Read More] Understanding Tinnitus and Auditory Hallucinations in Children and Teens
Am I Experiencing Auditory Hallucinations or Schizophrenia?
Do I have hallucinations? Or am I experiencing schizophrenia? Hello, doctor. I have always been an outgoing person since childhood, considered an invincible source of happiness by my family and friends. I am always the life of the party during celebrations, farewells, and April F...
Dr. Zhang Zhehong Reply:
Hello: Your psychiatric symptoms may include auditory hallucinations, depression, and anxiety. 1. First, there are physiological issues; elevated liver enzymes and weight loss require prompt medical attention. Please consult an internist for evaluation and treatment of internal m...[Read More] Am I Experiencing Auditory Hallucinations or Schizophrenia?