Identifying and Managing Delusional Disorders in Loved Ones
How to identify delusional disorder and how to manage it? Hello Dr. Chen, my wife is 64 years old and was diagnosed with hepatitis C and mild cirrhosis earlier this year. She has been undergoing treatment with interferon for over three months. I have a severely intellectually dis...
Dr. Chen Wenyu Reply:
Hello Mike, Indeed, middle-aged and elderly individuals are more prone to "delusional disorders." Based on your description, it seems your wife is exhibiting symptoms of "delusions." However, what could be the underlying cause? Generally, the course of a delu...[Read More] Identifying and Managing Delusional Disorders in Loved Ones
Understanding OCD Symptoms: Coping with Intrusive Thoughts and Sleep Issues
The previous diagnosis from the physician was obsessive-compulsive disorder (OCD)? My symptoms appeared suddenly. At the end of February, while trying to sleep in the early morning, I suddenly had intense self-harming thoughts (like wanting to gouge out my right eye...). For the ...
Dr. Chen Wenyu Reply:
Hello Roy, It seems that you are experiencing quite a bit of stress! However, there is no need to worry too much about the side effects of medication. Currently prescribed antidepressants by psychiatrists have a high safety profile, with minimal side effects, making them suitabl...[Read More] Understanding OCD Symptoms: Coping with Intrusive Thoughts and Sleep Issues
Understanding Organic Delusional Disorder: Treatment Duration and Recovery Insights
Please ask your question? Hello Dr. Cheng, I would like to ask about my condition. I have drug-induced organic delusional syndrome. Is this classified as a delusional disorder or amphetamine psychosis? I would like to know, based on your clinical research, how long the treatment ...
Dr. Zheng Jingming Reply:
Hello, Generally speaking, the psychosis caused by drugs such as amphetamines tends to last for about two weeks after discontinuation. However, any subsequent use of amphetamines can trigger the re-emergence of psychotic symptoms. Clinically, many amphetamine users may not expe...[Read More] Understanding Organic Delusional Disorder: Treatment Duration and Recovery Insights
Struggling with Trauma: Finding Hope Amidst Mental Health Challenges
I am not happy? Hello. I have witnessed domestic violence in the past, and my sister has also abused my younger sister. There are many things I can't talk about with others; it seems that since I started to have memories, they have all been bad. However, I can't forget ...
Dr. Su Zongwei Reply:
1. Your situation is urgent; you must see a psychiatrist. 2. Hearing voices indicates that the neurotransmitters in your brain are disrupted and require medication treatment. 3. Delaying treatment can affect your IQ, which is very important. 4. Therefore, this is no longer ...[Read More] Struggling with Trauma: Finding Hope Amidst Mental Health Challenges
Understanding and Managing Anxiety Disorders: A Personal Journey
Anxiety Disorder Since high school, I have experienced anxiety when traveling alone on trains, feeling the urge to get off at every stop. At that time, it only occurred when I was physically unwell while riding the train. Now, as a senior in college, I faced significant anxiety o...
Dr. Xie Dicheng Reply:
Hello, I apologize for the late response. Indeed, your "anxiety symptoms" are quite pronounced and have a significant impact. At this stage, pharmacotherapy would be a more rapid and effective approach—besides anxiolytics like ERA, it is also important to consider other...[Read More] Understanding and Managing Anxiety Disorders: A Personal Journey
Managing Persistent Head Pulsations and Sleep Disruptions After Trauma
Continuous pulsating sensation in the head for 24 hours affecting sleep? Hello, doctor: Several years ago, I had bipolar disorder. Four years ago, I stopped seeing a psychiatrist and my condition improved significantly. However, two years ago, I was involved in a car accident cau...
Dr. Zheng Jingming Reply:
Hello, I'm not sure if you had a CT scan or other examinations of your head two years ago. The physician may be able to assess the extent of any brain injury based on those results, your medical history, and a neurological examination. I cannot determine whether the reason f...[Read More] Managing Persistent Head Pulsations and Sleep Disruptions After Trauma
Can Stroke-Induced Amnesia Be Treated at Your Hospital?
Can I receive treatment at your hospital for memory loss caused by a stroke? Hello, I would like to seek your advice. My father suffered a stroke in June of this year, which caused a blood clot to press on a part of his brain, leading to intermittent memory loss. He has been taki...
Dr. Su Zongwei Reply:
The symptoms may be indicative of organic psychiatric symptoms caused by a stroke. Our hospital has a psychosomatic medicine department that offers outpatient treatment. Please prepare a list of all medications your father is currently taking for reference during the treatment.[Read More] Can Stroke-Induced Amnesia Be Treated at Your Hospital?
Is It Bipolar Disorder? Understanding Mood Swings in the Elderly
Could this be bipolar disorder? Hello Doctor: My grandmother is now in her 80s and has been experiencing a persistent issue. She often expresses that she doesn't feel very happy and lacks motivation for anything, showing little interest in activities and mostly just sitting ...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. According to the symptoms described in your letter regarding your grandmother, they do resemble those of bipolar disorder. Bipolar disorder is a chronic mental illness, and its exact cause remains unclear. It may be due to an imbala...[Read More] Is It Bipolar Disorder? Understanding Mood Swings in the Elderly
Managing Behavioral Changes After Stroke: When to Seek Psychiatric Help
Psychiatric disorders following a stroke? The mother-in-law has had a stroke for about 5 years, and the following behaviors have become increasingly frequent: 1. She often wakes up at night and disturbs others. 2. She forgets that she has already eaten. 3. She is never satisfied ...
Dr. Lin Yuzhong Reply:
Hello, the issues mentioned above should indeed be addressed by a psychiatrist. In terms of mood, behavior, and sleep, psychiatric medications are effective; however, regarding bladder and bowel control as well as satiety function, it is likely that these are caused by stroke-rel...[Read More] Managing Behavioral Changes After Stroke: When to Seek Psychiatric Help
How to Determine if Someone Has a Mental Illness: A Case Study
How to diagnose mental disorders? Dr. Huang's mother has been blind in both eyes for over a decade due to optic nerve damage from brain tumor surgery. Initially, it was thought that her blindness led to an inability to cope, resulting in increased paranoia. However, in recen...
Dr. Huang Weiqin Reply:
Dear Inquirer: Hello! Based on your description, it seems that your mother may be experiencing mild delirium or geriatric psychosis, and the onset could be related to her previous brain tumor or surgery. Please bring your mother to our geriatric psychiatry outpatient clinic for f...[Read More] How to Determine if Someone Has a Mental Illness: A Case Study
Caring for a Parent with Severe Chronic Mental Illness: Guidance and Insights
My father suffers from severe chronic mental illness? Hello Dr. Lin, My surname is Liu. My father is 65 years old and has been suffering from severe chronic mental illness for the past 7 to 8 years. Although his mood and mental state have stabilized and improved, for more than a...
Dr. Lin Yuzhong Reply:
Hello Mr. Liu: 1. First, it is essential to confirm the specific type of chronic mental illness. Different disorders may have varying courses or progressions. 2. Currently, there is no evidence indicating that psychiatric medications cause brain degeneration. On the contrary, se...[Read More] Caring for a Parent with Severe Chronic Mental Illness: Guidance and Insights
Signs You Might Be Struggling with Depression: A Personal Journey
Do I have depression? Hello Doctor, I have taken some online assessments, and the results indicate that I should seek medical attention. Since December of last year, I have become reluctant to go out; I avoid going out unless absolutely necessary and have isolated myself in my do...
Dr. Wang Chongren Reply:
Dear Manager, Dr. Wang Chong-Ren from the Department of Psychiatry at Tainan Hospital, Ministry of Health and Welfare, would like to address you: Your mental health condition indeed requires proactive medical attention. You are aware that you are experiencing depression, losing ...[Read More] Signs You Might Be Struggling with Depression: A Personal Journey
Do I Have Depression? Understanding Symptoms and Seeking Help
Am I suffering from depression? Hello Doctor: I would like to ask if my symptoms require me to see a doctor for treatment. Since childhood, my mother often compared me to my sister. Whenever my grades dropped, she would frequently call me worthless, saying things like "Why d...
Dr. Duan Yongzhang Reply:
Yulin: Hello! It is necessary for you to visit a psychiatric outpatient clinic. It seems that you have been experiencing emotional distress for many years, and facing it alone can be very challenging. Many individuals with similar issues have found improvement after seeking treat...[Read More] Do I Have Depression? Understanding Symptoms and Seeking Help
Dealing with a Mentally Ill Boss: A Hair Salon Employee's Struggle
Regarding the issues I have with my supervisor? Hello Doctor, I have a few questions to ask you. Currently, I am working at a hair salon, but I have been suffering from Zao Yu disease for over two years, intermittently undergoing treatment. Recently, due to significant stress, I...
Dr. Ye Yuki Reply:
Hello, Cat who has lived a hundred lives. I need to reiterate that I cannot determine who is ill or not based solely on fragmented information from the internet. I am also uncertain if your situation aligns with bipolar disorder, and I cannot confidently say whether your supervis...[Read More] Dealing with a Mentally Ill Boss: A Hair Salon Employee's Struggle
Struggles with Mental Health Treatment: A Patient's Frustrating Journey
The helplessness, confusion, and lack of solutions regarding mental health disorders? It has been five years since the onset of my illness. Before I got sick, I always thought that being ill simply meant seeing a doctor and taking medication to get better. I initially believed th...
Dr. Duan Yongzhang Reply:
Bystander: Hello! Your feelings of helplessness and confusion are truly profound. I believe this is the result of five years of accumulated experiences, and it resonates with many friends who are seeing psychiatrists. By asking these questions for yourself, you are also giving a ...[Read More] Struggles with Mental Health Treatment: A Patient's Frustrating Journey
Understanding Anxiety Disorders: Signs, Symptoms, and Treatment Options
Is it anxiety disorder? Hello Doctor: I currently have a boyfriend of eight years. At the beginning of our relationship, he would often call me (on a landline), and he always claimed that he could hear other voices on the line. I said there was no one else, and I didn't pay ...
Dr. Duan Yongzhang Reply:
Hello! It seems that your boyfriend's condition is somewhat different from typical anxiety disorders, as he is experiencing symptoms such as paranoia, talking to himself, and perceiving things that should not exist. He is even unable to maintain his work at this point. These...[Read More] Understanding Anxiety Disorders: Signs, Symptoms, and Treatment Options
Can Memory Decline Be Reversed? Understanding Cognitive Challenges
Could you please provide more context or details regarding memory decline? I would like to ask if there is a way to remedy memory decline. I became deeply addicted to computers starting in middle school, which led me to neglect my studies, especially in mathematics. I hardly did ...
Dr. Su Zongwei Reply:
Generally speaking, the human brain becomes more agile with use and gradually deteriorates when not engaged; this is a natural mechanism intended to conserve brain resources. When one becomes engrossed in computers and neglects academic responsibilities, it is natural for their s...[Read More] Can Memory Decline Be Reversed? Understanding Cognitive Challenges
Can Acute Schizophrenia Heal Naturally Without Treatment? Understanding Relapse Risks
Is it possible for acute schizophrenia to resolve without medication and not relapse? Is it possible for a patient with acute schizophrenia to naturally recover without treatment if the stressful environment disappears? If so, what is the likelihood of relapse? My boyfriend previ...
Dr. Ye Yuki Reply:
Currently, there are no reliable diagnostic tools available that can definitively determine whether an individual has schizophrenia. Your boyfriend's situation is indeed unique, and I do not have a solid method to tell you if he is a schizophrenia patient; at least, he does ...[Read More] Can Acute Schizophrenia Heal Naturally Without Treatment? Understanding Relapse Risks
Understanding the Disconnect: When Thoughts and Words Don't Match
The words we think are different from the words we speak? My husband has recently been experiencing a phenomenon for the past half month where he thinks of something, like "phone," but says something completely different, like "watch." This occurs approximatel...
Dr. Chen Wenyu Reply:
Hello Mickey: If you are unable to correctly name objects, meaning you frequently cannot recall their names, it is advisable to consult a neurologist to rule out any "organic" issues within the brain. Thank you for your message![Read More] Understanding the Disconnect: When Thoughts and Words Don't Match
Understanding and Overcoming Mental Health Challenges: Expert Insights
How to resolve this? Dear Dr. Wang, I have been experiencing persistent auditory hallucinations and self-talk, along with racing thoughts that make it difficult for me to concentrate. I also experience muscle twitching and pain throughout my body, yet medical examinations have n...
Dr. Wang Chongren Reply:
Dear Director Wang Chong-Ren of the Psychiatry Department at Tainan Hospital, I have received your letter and noticed that your main concerns are the "voices in your mind" and "unexplained fear and laughter." These phenomena appear to be symptoms related to ...[Read More] Understanding and Overcoming Mental Health Challenges: Expert Insights