Understanding Symptoms of Long-Term Insomnia and Emotional Instability
What are the symptoms? Hello, doctor. I would like to ask about my long-term insomnia and emotional instability. I sometimes experience loss of control, such as yelling at people and throwing things. My emotions feel strange, as if I can't control them. I also have sudden ou...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Based on what you described, the hallucinations and delusions do seem to be symptoms of a mental illness. Patients with mental disorders are often not fully aware that they are unwell, which can lead to a lack of seeking medical att...[Read More] Understanding Symptoms of Long-Term Insomnia and Emotional Instability
Understanding My Brother's Sudden Mood Swings: When to Seek Help?
My brother? Hello Dr. Chen, my brother has been acting strangely for the past few months, which has created a gloomy atmosphere in our family. I would like to ask if this situation requires medical attention. He is 25 years old and usually has a very good temperament, but he is v...
Dr. Chen Wenyu Reply:
Hello, Xiao Jing: The diagnosis in psychiatry generally revolves around three main areas: "interpersonal," "occupational," and "social." These three areas are interrelated, meaning that if one is affected, over time, all three will likely suffer. In ...[Read More] Understanding My Brother's Sudden Mood Swings: When to Seek Help?
Understanding Psychiatric Medications: Options for Family Support
Regarding psychiatric medications? Hello, my mother has noticeable mental health issues, but she is unwilling to seek medical treatment. I went to see a doctor by myself, and the doctor prescribed me a liquid medication called Haloperidol. However, since I'm running low on i...
Dr. Zhou Sunyuan Reply:
These medications require a doctor's prescription to obtain. It is recommended that you encourage your mother to seek medical attention so that a physician can prescribe appropriate treatment.[Read More] Understanding Psychiatric Medications: Options for Family Support
Understanding Paranoid Schizophrenia: Treatment and Support Options
Paranoid schizophrenia? Hello Dr. Chen, My younger brother has been experiencing significant stress since his military service, leading to a diagnosis of schizophrenia. He currently holds a moderate disability certificate. In the mornings, he takes one tablet of Sulpride and on...
Dr. Chen Yixing Reply:
Hello, Xiaoming: Regarding your question, I would like to address it in two parts: symptoms and diagnosis. Most patients with schizophrenia indeed experience auditory hallucinations, which may disappear after treatment or manifest as delusions or disorganized thinking. Concerning...[Read More] Understanding Paranoid Schizophrenia: Treatment and Support Options
Understanding Emergency Responses for Psychiatric Patients in Crisis
Regarding psychiatric patients? I understand that patients are only forcibly taken to the hospital if they are self-harming or pose a risk to others. However, what if a patient experiences an episode where they run outside without clothes, or post notes on community bulletin boar...
Dr. Zhang Zhehong Reply:
Hello, sometimes when doctors have a high volume of patients, they may not be able to discuss all issues in detail. Each patient has unique considerations, and there is no single solution to your concerns. The most important approach is a multimodal treatment plan that includes m...[Read More] Understanding Emergency Responses for Psychiatric Patients in Crisis
Navigating Life with Schizophrenia: A Patient's Journey to Stability
Confusion in patients with schizophrenia? Hello Doctor, I first experienced symptoms at the age of 28, including persecutory delusions, and was diagnosed with paranoid schizophrenia after consulting a psychiatrist. After a period of medication treatment and stabilization, I stopp...
Dr. Liu Guangqi Reply:
Being ill and needing to take medication or temporarily leave work is often unavoidable. Facing the environment again requires immense willpower and courage. Once you understand and accept yourself, you can gradually adjust to confront the world. Experiencing low mood is a common...[Read More] Navigating Life with Schizophrenia: A Patient's Journey to Stability
Is My Father-in-Law Suffering from Dementia? Understanding Cognitive Decline
Suspecting that my father-in-law has dementia? Hello, Dr. Lin. My father-in-law is 75 years old and has been taking medication for hypertension, diabetes, and heart disease for a long time. Last year, he started taking Parkinson's disease medication due to symptoms of tremor...
Dr. Lin Yuzhong Reply:
Hello Ms. Chen, it appears that your father-in-law is indeed exhibiting significant psychiatric symptoms, which could be a result of a stroke. Additionally, these symptoms may also be caused by antiparkinsonian medications or a state of delirium due to physical illness or treatme...[Read More] Is My Father-in-Law Suffering from Dementia? Understanding Cognitive Decline
How to Help a Friend Struggling with Amphetamine Addiction
Amphetamine for a period of time? My friend has been using amphetamines for a period of time, several years. He experiences talking excessively, laughing uncontrollably, anxiety, and difficulty concentrating. He also has hallucinations, specifically auditory hallucinations. There...
Dr. Zheng Jingming Reply:
Patients with amphetamine-induced psychosis exhibit clinical symptoms similar to those of paranoid schizophrenia, ranging from early signs such as excessive talking, uncontrollable laughter, anxiety, fear, and difficulty concentrating, to more severe manifestations like persecuto...[Read More] How to Help a Friend Struggling with Amphetamine Addiction
Understanding and Supporting a Classmate with Hallucinations and Delusions
My junior seems to have a delusional disorder? My junior rarely speaks, often seems lost in thought, and when I ask him questions, he usually doesn't respond. I'm not sure what's wrong with him, so I asked our advisor. The teacher mentioned that he experiences delu...
Dr. Chen Meizhu Reply:
Hello: From your letter, it appears that the student is exhibiting clear signs of delusional thoughts and victimization ideation. It is recommended that he seek medical treatment immediately. You can listen to him, accompany him, and actively encourage him to undergo a medical ev...[Read More] Understanding and Supporting a Classmate with Hallucinations and Delusions
Navigating Medication for Schizophrenia: A Guide for Caregivers
Medication consultation Hello, Doctor: I noticed that your specialty is pharmacology, and I thought you might have some knowledge about medications. My mother at home seems to have delusions related to schizophrenia, but she has not shown any signs of illness for over 20 years an...
Dr. Zhan Hongyu Reply:
Hello: Antipsychotic medications typically need to be used continuously for 2 to 3 weeks before their effects gradually manifest, so occasional use may not yield satisfactory results. It may be advisable to encourage patients to seek medical attention for physical discomforts suc...[Read More] Navigating Medication for Schizophrenia: A Guide for Caregivers
Understanding Paranoia: Effective Psychological Treatments Explained
Paranoid disorder... urgent~~ What are the psychological treatments for persecutory delusions? Can you explain?
Dr. Liu Guangqi Reply:
Delusional disorder refers to a condition where patients exhibit delusional behaviors. When a patient is diagnosed with delusions, it typically indicates that there are developmental deficiencies related to trust and mistrust that originated during infancy. It is more common in i...[Read More] Understanding Paranoia: Effective Psychological Treatments Explained
Am I Experiencing Paranoia or Schizophrenia? Seeking Help for Mental Health Issues
Do I have paranoid delusions and schizophrenia? I previously spent nearly six months isolating myself in my room, constantly thinking that someone was trying to harm me. I felt I couldn't trust anyone, and the only time I could temporarily escape these thoughts was when I oc...
Dr. Zhang Zhehong Reply:
Hello: When you experience these troubling symptoms but still think and express yourself clearly, it indicates that you still retain full cognitive function. You may already be considering seeking assistance from a physician. It is important to rule out any underlying medical con...[Read More] Am I Experiencing Paranoia or Schizophrenia? Seeking Help for Mental Health Issues
Can I Marry Someone with Bipolar Disorder? Understanding the Risks and Concerns
Is it bipolar disorder? Hello, Doctor: I have a question I would like to ask! I have been in a relationship with my boyfriend for nearly 8 years. Last year, in May 2005, on a Saturday, he was supposed to come see me, but I couldn't make it due to some matters. Unexpectedly, ...
Dr. Li Zhengfeng Reply:
Hello Miss Xiao Qian, First of all, welcome to your inquiry. Based solely on what you have described, it is not possible to determine whether your boyfriend is suffering from bipolar disorder. Bipolar disorder is a chronic mental illness characterized by alternating episodes of ...[Read More] Can I Marry Someone with Bipolar Disorder? Understanding the Risks and Concerns
Understanding and Managing Paranoia and Delusions in Family Members
Schizophrenia My mother used to tell our family that my grandmother had cast a spell on her, claiming that she wanted to harm her. She would go around saying that my mother was inappropriate and liked to be with other men. My aunt also claimed that they were colluding to harm her...
Dr. Huang Weiqin Reply:
Dear Inquirer, Hello! It seems that your mother may be suffering from schizophrenia. It would be advisable for your family to encourage her to seek medical attention for further evaluation and treatment. In Pingtung, you can seek professional assistance at the Pingtung Hospital...[Read More] Understanding and Managing Paranoia and Delusions in Family Members
Understanding and Managing Suspected Schizophrenia in Family Members
My mother is suspected of having schizophrenia? Hello, doctor: My mother has previously told our family that she was cursed by my grandmother, claiming that my grandmother wanted to harm her. She has been spreading rumors that my mother is inappropriate and enjoys being with othe...
Dr. Zhang Zhehong Reply:
Hello, first, a diagnosis should be confirmed by a physician. If it is not possible to take her to an outpatient clinic, a home visit may be a good option. If organic factors are ruled out and schizophrenia is confirmed, it is advisable to arrange for treatment in an acute care u...[Read More] Understanding and Managing Suspected Schizophrenia in Family Members
Understanding the Link Between Bipolar Disorder and Schizophrenia Symptoms
Regarding bipolar disorder and schizophrenia? Hello Doctor: My sister has been dealing with bipolar disorder since her teenage years, and she is now in her thirties. She has been consistently taking medications like Depakote to manage her condition and attends regular follow-up a...
Dr. Su Zongwei Reply:
Bipolar disorder can present acute psychiatric symptoms such as delusions and hallucinations during severe episodes. In addition to mood stabilizers like lithium, antipsychotic medications can be combined for treatment. Regarding your sister's situation, it is unclear whethe...[Read More] Understanding the Link Between Bipolar Disorder and Schizophrenia Symptoms
Dealing with Obsessive Fans: A Guide for Mental Health Professionals
How to deal with patient harassment? Hello, I have a foreign artist friend who regularly performs in Taiwan every few years. He is quite famous in this circle and has many admirers. Due to my work being related to writing and having my own website, I have been receiving letters f...
Dr. Liu Guangqi Reply:
As you mentioned, the content of A's letters reflects unrealistic thoughts, differing from fantasies and delusions. Fantasies are akin to daydreaming; A may only briefly become fixated on these thoughts while writing, temporarily expressing beliefs that feel real, while othe...[Read More] Dealing with Obsessive Fans: A Guide for Mental Health Professionals
Understanding Medications for Schizophrenia: Your Questions Answered
Medication issues Hello, Doctor Dai. I have visited a psychiatrist, and it seems that I have been diagnosed with schizophrenia. The doctor prescribed Olanzapine 200 mg and Quetiapine extended-release 500 mg. I would like to know if these medications are used for treating schizoph...
Dr. Dai Wanxiang Reply:
Hello, I apologize for the delay in responding to this email due to the change in my email address. Indeed, Olanzapine is an antipsychotic medication used in psychiatry, one of the treatments for schizophrenia, primarily aimed at addressing psychotic symptoms such as hallucinatio...[Read More] Understanding Medications for Schizophrenia: Your Questions Answered
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 Compulsive Skin Picking: Causes and Concerns
I'm not sure what's wrong? Hello Doctor: In the past six months, I have noticed that my friend's mother often picks at her face during her free time to the point of bleeding (on her freckles). She claims this is due to an excess of toxins in her body. Even after he...
Dr. Sun Xiaoru Reply:
Dear User, From your letter, it seems that your friend's mother is experiencing significant distress. However, it is not yet clear whether this has reached the level of delusions or compulsions. The diagnosis of mental illness requires an in-person evaluation. Therefore, I ...[Read More] Understanding Compulsive Skin Picking: Causes and Concerns