Overcoming Stigma: Proving Mental Health Stability for Brazilian Jiu-Jitsu
Schizophrenia Hello, doctor. I have been diagnosed with schizophrenia, which has led to paranoid delusions. My delusion involved being drugged and assaulted by my Brazilian Jiu-Jitsu coach. As a result, I posted malicious comments about my coach online and claimed that I was assa...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you! Wishing you good health![Read More] Overcoming Stigma: Proving Mental Health Stability for Brazilian Jiu-Jitsu
Understanding Auditory Hallucinations: When Can They Be Recorded?
Schizophrenia Hello Dr. Hsueh, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions of reference (suspected hallucinations). Th...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?
Understanding Auditory Hallucinations: When Can They Be Recorded?
Schizophrenia Hello Dr. Chiu, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions (suspected hallucinations). There are three ...
Dr. Qiu Junda Reply:
Hello. The issue is quite complex and cannot be addressed here. It would be best to consult with your attending physician during your follow-up appointment.[Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?
Struggling with Mental Health: Seeking Job Transfer After 21 Years in Public Service
At the age of 23, I fell ill. After my illness, I successfully passed the civil service examination and have been working for nearly 21 years. Currently, I am experiencing significant work-related stress and find it difficult to cope physically. I would like to transfer to a diff...
Dr. Zhang Gengjia Reply:
Dear Ms. Hsiang, Based on your description, I understand the difficulties you are facing due to workplace stress and the physical burden it imposes on you. I would like to offer the following suggestions: 1. Seek Professional Assistance: Maintain regular communication with your...[Read More] Struggling with Mental Health: Seeking Job Transfer After 21 Years in Public Service
Understanding Sleep Issues and Paranoia in OCD Patients
Medical inquiry Hello, Doctor: I would like to ask two questions. 1. Recently, I have been waking up at 5 or 6 AM but feel very sleepy and cannot fall back asleep, even though I had enough sleep the night before. What should I do? 2. When I am outside, I often feel a sensation li...
Dr. Lin Mianzhang Reply:
Hello: 1. It seems that you are experiencing early awakening, which is considered a type of insomnia. However, there are many potential causes for this condition, including circadian rhythm disturbances, disruptions in the sleep environment, psychological stress, mental health di...[Read More] Understanding Sleep Issues and Paranoia in OCD Patients
Understanding Genetic Risks of Mental Illness in Pregnancy
Genetic Issues in Mental Illness My wife has been diagnosed with persecutory delusions, but she is currently stable and well-controlled on medication. We are considering having a child, but I also have a family history of mental illness, as my aunt and cousin seem to have bipolar...
Dr. Wu Enliang Reply:
Epidemiological studies conducted abroad indicate that if one parent has schizophrenia, there is a 12% chance that their children will also develop schizophrenia. This is significantly higher compared to the general population, where only about 1% is affected by schizophrenia. Ho...[Read More] Understanding Genetic Risks of Mental Illness in Pregnancy
Understanding the Impact of a Parent's Mental Illness on Family Dynamics
My father's mental illness has driven the whole family crazy? Hello Doctor, my father is 62 years old this year. He has had numerous issues since childhood. He often belittles family members to highlight his own superiority, calling his children, wife, or even his siblings f...
Dr. Yu Quanxun Reply:
"Hello, thank you for your inquiry. If your relative is exhibiting behaviors that are severely disruptive or harmful to themselves or others, you can first contact the local health department or clinic for assistance; they will help you with emergency medical procedures. Add...[Read More] Understanding the Impact of a Parent's Mental Illness on Family Dynamics
Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances
Is it a visual hallucination or an illusion? Hello Doctor, I am a patient with health anxiety. I started medication in April of last year because I was experiencing persistent dizziness and was afraid it was a brain tumor. However, after a CT scan, the results were normal. Later ...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing distress due to your concerns about anxiety disorder (hypochondriasis). 1. Facing an uncertain future, anxiety disorder (hypochondriasis) is a common condition in modern society. It is a chronic illness that requires long-...[Read More] Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances
Understanding Schizophrenia: A Patient's Journey Through Medication and Symptoms
Continuation #205880 issue? Dr. Lin, I apologize for the lengthy message, as I have a lot to say and may have omitted some details. Let me first report the medications I have taken, which are about ten types. - Ziprasidone 5 mg, 4 tablets at bedtime (I switched this due to exce...
Dr. Lin Mianzhang Reply:
Hello: Regarding the hallucinations, I can only determine if they are indeed hallucinations if I am certain that the experiences you describe are not perceived by those around you. However, if you have tried multiple medications without effective symptom relief, it may be worth c...[Read More] Understanding Schizophrenia: A Patient's Journey Through Medication and Symptoms
Navigating Mental Health: Coping with Hallucinations and Life Goals
Continuation #205884 issue I am not unable to interact normally with others; in fact, I understand how to make friends and how to win a girl's affection. However, I do experience auditory hallucinations, delusions, and possible visual hallucinations, which can be quite distr...
Dr. Lin Mianzhang Reply:
Hello: It seems that you have a good understanding of how to interact with people, which is great! I hope you achieve your goals soon, and I wish you peace and good health![Read More] Navigating Mental Health: Coping with Hallucinations and Life Goals
Understanding Schizophrenia: A Personal Journey Through Voices and Treatment
Schizophrenia Hello Dr. Lin, I would like to explain my condition. I started hearing three voices around August 2011, one male and one female, and occasionally a child's voice. At first, I couldn't understand what they were saying, but by April 2012, I began to recogniz...
Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! It seems that you have a good understanding of your situation, but you are also quite troubled. Based on your description, you indeed exhibit symptoms of schizophrenia, including auditory hallucinations, delusions of reference (believing that ...[Read More] Understanding Schizophrenia: A Personal Journey Through Voices and Treatment
Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Can social anxiety disorder co-occur with autism spectrum disorder? Hello, doctor! I am a 23-year-old individual diagnosed with moderate autism (diagnostic code: F84.0) who has verbal communication skills and emotional issues that need to be addressed. I exhibit aggressive behavi...
Dr. Wu Menghuan Reply:
Hello, Q1: Can social anxiety disorder co-occur with autism spectrum disorder? A1: "Social anxiety disorder" has been renamed from "social phobia" in the DSM-5. There are significant differences in essence between "social anxiety disorder" and &qu...[Read More] Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Understanding Bipolar Disorder: Treatment and Coping Strategies
Treatment and Management of Bipolar Disorder Hello Dr. Chiu, last year I was involuntarily hospitalized for a week due to experiencing auditory hallucinations and delusions that affected others. At that time, I was diagnosed with schizophrenia. After being discharged, I felt that...
Dr. Qiu Junda Reply:
Hello. Generally, bipolar disorder stabilizes with treatment. It is recommended to continue medication management to maintain long-term stability and reduce the risk of relapse. If your current condition is still unstable (and you may be in a depressive phase), it is even more im...[Read More] Understanding Bipolar Disorder: Treatment and Coping Strategies
Understanding Organic Psychosis: Diagnosis and Thyroid Influence
Inquiry on Organic Mental Disorders Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I would like to inquire about the diagnosis of organic psychosis. My family member exhibited symptoms of delusional disorder a year and a half ago, ...
Dr. Qiu Junda Reply:
Hello: 1. Organic mental disorders refer to psychiatric conditions that may be caused by tangible (organic) factors, such as brain injuries, physiological issues, electrolyte imbalances, or drug-induced effects. Since the causes can be identified or inferred, they are collectivel...[Read More] Understanding Organic Psychosis: Diagnosis and Thyroid Influence
Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Which medications can help control and reduce positive symptoms? Hello Doctor: One of my children, who was 20 years old and in their first year of college, became ill and had to drop out to help at home. After nearly 5 years of treatment, the doctor diagnosed them with undifferen...
Dr. Cai Qijin Reply:
Hello: There are many types of medications for schizophrenia, each with different side effects and effects. Long-acting injectable formulations of second-generation antipsychotics have shown good efficacy for both positive and negative symptoms, and they can provide more stable b...[Read More] Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Understanding Diagnosis and Medication Guidance for Delusional Disorder
Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...
Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...[Read More] Understanding Diagnosis and Medication Guidance for Delusional Disorder
Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
I'm really fed up with my mom? Hello, doctor: I have researched a lot about paranoid delusions and have scoured the internet for information, but I feel like I'm going crazy. I can't think of any way to get my mom to willingly (or trick her into) see a psychiatrist...
Dr. Lin Mianzhang Reply:
Hello, Your mother's condition is indeed very serious, and it can be quite challenging to live under the same roof with her. Although it seems difficult, there are solutions available. You can start by visiting the local health center and informing the public health nurse ...[Read More] Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
Studying Abroad with Schizophrenia: Challenges and Solutions
Schizophrenia and issues related to studying abroad! Hello Dr. Tang, I am a 40-year-old male diagnosed with schizophrenia, and I have been dealing with this condition for about 16 years. I initially experienced symptoms such as flat affect, delayed responses, delusions, and audi...
Dr. Tang Jiahong Reply:
Hello: Regarding medications, according to the National Health Insurance Administration's website: "Chronic patients with continuous prescriptions who are scheduled to travel abroad, return to offshore islands, or are crew members of deep-sea fishing vessels or internat...[Read More] Studying Abroad with Schizophrenia: Challenges and Solutions
Can Stopping Seroquel Suddenly Cause Delusions?
Discontinuation of Sikkim? Hello doctor, can suddenly stopping the use of Seroquel lead to the emergence of delusional symptoms? (There were no delusional symptoms prior to taking it.)
Dr. Tang Jiahong Reply:
Hello: It is difficult to distinguish whether the symptoms are related to the original condition (which often worsens after discontinuation of the medication) or if they are related to the withdrawal from the medication, requiring longer observation. Withdrawal symptoms also enco...[Read More] Can Stopping Seroquel Suddenly Cause Delusions?
Can Schizophrenia Medication Be Stopped After Recovery?
Can antipsychotic medication be discontinued for schizophrenia? Hello, doctor. I was recently diagnosed with schizophrenia (with delusions and hallucinations lasting less than two weeks) and have been taking Lurasidone 10 mg. I also adjusted my daily routine and slowed down my pa...
Dr. Wu Enliang Reply:
Generally, schizophrenia is characterized by symptoms such as delusions and hallucinations lasting for more than a month. Has your doctor diagnosed you with schizophrenia? If it is confirmed to be schizophrenia, due to the high relapse rate, it is typically recommended to maintai...[Read More] Can Schizophrenia Medication Be Stopped After Recovery?