Delusions, Psychiatry FAQ - Page 12

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Understanding Alcohol Dependency and Sleep Issues in Older Adults

Insufficient alcohol content prevents sleep? Hello, Doctor: My father is 59 years old. He has been drinking alcohol every day since he was young. In recent years, when he gets drunk, he tends to act erratically and has no recollection of his actions the next day. Lately, he has b...


Dr. Chen Wenyu Reply:
Hello Tina, It seems that your father has been drinking for two to three decades, and it may be time for him to face the consequences of alcohol use. Cases of alcohol addiction often lead to chronic insomnia, where individuals rely on alcohol to sleep, creating a vicious cycle t...

[Read More] Understanding Alcohol Dependency and Sleep Issues in Older Adults


Understanding Menopause-Related Mental Health Issues and Solutions

Concerns about menopause My mother is 55 years old. According to her, last year was the most severe period for her menopausal symptoms, including menopause, night sweats, and insomnia. On the other hand, my father underwent cancer treatment last year, and during this time, my mot...


Dr. Chen Wenyu Reply:
Hello, Banfu: Your mother is likely suffering from depression, which requires medical treatment. Depression can be accompanied by delusions and other psychiatric symptoms, and it indeed necessitates pharmacological intervention. Sensitivity to medications can be discussed with th...

[Read More] Understanding Menopause-Related Mental Health Issues and Solutions


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


How to Communicate with a Loved One Experiencing Delusional Disorder

excuse me? As a family member of a patient with erotomania, how can I effectively communicate and interact with them? Is it appropriate to directly deny the delusional content in their conversations? Thank you!


Dr. Wang Chongren Reply:
Dear SKK, I hope this message finds you well. Dr. Wang Chong-Jen from the Psychiatry Department of Tainan Hospital, Ministry of Health and Welfare, would like to address the topic of erotomania as discussed by the Mental Health Center. Erotomania is a type of delusion that is ri...

[Read More] How to Communicate with a Loved One Experiencing Delusional Disorder


Understanding the Pros and Cons of ETC Treatment for Severe Depression

Pros and Cons of ETC Therapy 1. What are the symptoms of major depressive disorder? 2. What is the difference between major depressive disorder and dementia? 3. After 1.5 to 2 months of medication for major depressive disorder, there has been some improvement, but the conditi...


Dr. Shao Jinghan Reply:
Dear Ms. Hsiao-Min, Regarding your inquiry, I will respond in order and hope you find the information satisfactory. 1. What are the symptoms of major depressive disorder? Major depressive disorder is classified in the DSM-IV as a single episode or recurrent depressive disorder....

[Read More] Understanding the Pros and Cons of ETC Treatment for Severe Depression


Coping with a Loved One's Delusions: Communication Strategies and Recovery Insights

Patients with delusional disorder who receive treatment and achieve recovery..? As a family member of a patient with erotomania, how can I effectively communicate and interact with them? Is it appropriate to directly deny the delusional content they discuss? Additionally, after a...


Dr. Su Zongwei Reply:
As a family member of a patient with delusional disorder, how can I effectively communicate and interact with them? Is it appropriate to directly deny the delusional content they discuss? Thank you! Unless the patient is able to accept it, direct denial may only lead them to feel...

[Read More] Coping with a Loved One's Delusions: Communication Strategies and Recovery Insights


Understanding the Genetic Links to Psychosis and Family Dynamics

Regarding the issues of mental illness and genetics! Hello Doctor, I would like to ask you a question. My mother has a history of dementia and has been managing it with medication for over a decade, but she occasionally experiences more severe episodes (e.g., outbursts of anger, ...


Dr. Yu Xie Zhao Reply:
Most mental illnesses have unclear causes. Although many studies show that schizophrenia, bipolar disorder, and even alcoholism and certain personality disorders are related to genetics, there have not been any groundbreaking discoveries. In families with individuals who have del...

[Read More] Understanding the Genetic Links to Psychosis and Family Dynamics


Understanding Mental Health Issues in Parkinson's Patients: A Caregiver's Guide

Inquire about the father's medical condition? Hello Doctor, my father-in-law has been diagnosed with Parkinson's disease for eight years and is currently managing it with medication, which has kept his condition relatively stable. However, in the past month or two, he h...


Dr. Chen Wenyu Reply:
Hello KK: Patients with Parkinson's disease often exhibit psychiatric symptoms during their treatment process. The symptoms your father-in-law is presenting are indeed psychiatric in nature and require antipsychotic medication; simple sedatives will not be effective. Therefo...

[Read More] Understanding Mental Health Issues in Parkinson's Patients: A Caregiver's Guide


Helping a Family Member with Bipolar Disorder and Smoking Addiction

How can I help him...? Hello Doctor: There is an issue that has been troubling our family for a long time. My husband's brother is a patient with bipolar disorder, and over the past year, he has developed a smoking addiction, smoking up to two packs a day if not controlled. ...


Dr. Xie Yongfeng Reply:
It is advisable to bring him to the hospital for professional treatment, as that is the proper course of action.

[Read More] Helping a Family Member with Bipolar Disorder and Smoking Addiction


Understanding Paranoia: How to Help a Loved One with Delusional Disorder

Delusional disorder, also known as paranoia, is a mental health condition characterized by the presence of one or more delusions that persist for at least one month. These delusions are false beliefs that Over the past year, my family member has been acting strangely, frequently ...


Dr. Yu Xie Zhao Reply:
Based on your description, your suspicions are indeed plausible. It is a long journey for him to transition from voluntary medical treatment to developing insight into his condition. I think it is important to honestly and gently inform him that it is necessary to undergo some br...

[Read More] Understanding Paranoia: How to Help a Loved One with Delusional Disorder


Understanding My Father's Strange Behavior: Signs of Mental Health Issues

Please take a look at my father's condition, thank you? My father has been increasingly strange in his behavior over the past few years. He often acts irrationally and frequently criticizes my mother. One question he often asks is, "What did you just say?" He tends...


Dr. Chen Wenyu Reply:
Hello Meg: Based on the description, it seems that your father has become disconnected from reality, correct? He may be experiencing "paranoid delusions" (believing that others are talking about him, speaking ill of him, and assuming that conversations are about him), a...

[Read More] Understanding My Father's Strange Behavior: Signs of Mental Health Issues


Understanding Depression: Signs and Solutions for Isolation in Young Adults

Depression? My sister just graduated from college (studying art) and loves the big city of Taipei. Our home is in the countryside, in a standalone house with no neighbors, and there is no pressure for her to find a job right away since we are not in a financial bind. She has neve...


Dr. Chen Wenyu Reply:
Hello, Ping Ping: Based on the description in your letter, it is clear that your younger sister is experiencing significant issues, and the situation seems quite serious. A range of unusual behaviors has emerged, such as locking herself in her room, staying awake at night, feelin...

[Read More] Understanding Depression: Signs and Solutions for Isolation in Young Adults


Understanding Delusional Disorder: Managing Symptoms and Family Dynamics

Delusional disorder Hello Dr. Chen: I am the person who asked a question previously. After my mother’s consultation, it was confirmed that she has a delusional disorder. Previously, my mother suspected that my brother wanted to take her to see a doctor under the pretext of gettin...


Dr. Chen Wenyu Reply:
Hello, Ban: The drops have a sedative and hypnotic effect, so they should be used at night and not during the day. Are you using "Risperdal" drops? This medication has a low incidence of side effects and is less likely to cause adverse reactions. If the dosage is suffic...

[Read More] Understanding Delusional Disorder: Managing Symptoms and Family Dynamics


Is My Mother Suffering from Depression? Understanding Her Disturbing Behavior

Could you please tell me if you are experiencing symptoms of depression? Hello Doctor: My mother has been superstitious for a long time, and recently it has become more severe. She often dreams at night, and regardless of what she dreams about, she claims that someone is trying t...


Dr. Chen Wenyu Reply:
Hello Jin: Based on your letter, it appears that your mother is not suffering from depression but rather from a psychiatric disorder. From a psychiatric perspective, if we can rule out any "organic" (medical or surgical) factors, your mother may be diagnosed with a ment...

[Read More] Is My Mother Suffering from Depression? Understanding Her Disturbing Behavior


Understanding the Signs: When to Seek Psychiatric Help for a Loved One

excuse me? Hello Doctor, I am 25 years old, and my mother is 52. She has always been quite superstitious, but this year it seems to have worsened. Initially, she installed a bagua mirror on the third floor of our house, which led to complaints from our neighbors about the refle...


Dr. Chen Wenyu Reply:
Hello, based on the content of your letter, your mother's paranoid thoughts seem to have reached the level of "delusions" (meaning that even strong evidence to the contrary does not change her beliefs). Furthermore, her thoughts lean towards bizarre and irrational ...

[Read More] Understanding the Signs: When to Seek Psychiatric Help for a Loved One


Understanding the Symptoms of Depression and Bipolar Disorder

請提供 Sure! Here are the symptoms of depression and bipolar disorder: **Depression Symptoms:** 1. Persistent feelings of sadness or emptiness. 2. Loss of interest or pleasure in activities once enjoyed. 3. Changes in appetite or weight (either weight loss or gain). 4. Sleep distur...


Dr. Lin Yanhong Reply:
The diagnostic criteria for depression include nine conditions: 1. A depressed mood nearly every day. 2. A significant loss of interest or pleasure in most activities of daily life. 3. A weight change of more than 5% without intentional dietary changes. 4. Insomnia or hypersomnia...

[Read More] Understanding the Symptoms of Depression and Bipolar Disorder


Understanding Bipolar Disorder: Effects on Intelligence and Perception

Bipolar disorder Do patients with bipolar disorder experience any changes in intelligence? I know that some individuals with mental illnesses often have hallucinations, such as feeling that someone is watching or criticizing them. Do patients with bipolar disorder experience thes...


Dr. Chen Guangpeng Reply:
Hello, netizen: What you mentioned is known as delusions of reference, where the individual misinterprets unrelated situations as being directed towards themselves. This phenomenon of blurred self-boundaries can occur in any severe mental illness—although it is more commonly seen...

[Read More] Understanding Bipolar Disorder: Effects on Intelligence and Perception


Supporting Family Members with Mental Illness: Effective Strategies for Ongoing Care

How to support a family member with a mental illness in continuing their treatment? Dear Doctor, First of all, thank you for taking the time to read and respond to my letter amidst your busy schedule. I have a family member who is a moderate mental health patient (specifically e...


Dr. Chen Guangpeng Reply:
Hello, Little P: Based on your description, it seems that there may be a family member with paranoid schizophrenia in your home, exhibiting both positive symptoms (such as delusions) and negative symptoms (like deterioration in daily living habits). The necessity for treatment ca...

[Read More] Supporting Family Members with Mental Illness: Effective Strategies for Ongoing Care


Effective Strategies for Addressing Alcoholism in Family Members

Alcoholism Hello Dr. Chen, my mother has a serious problem with alcohol abuse, and she often drinks secretly. She has a history of long-term alcohol consumption that has led to a gastric ulcer. Especially in the past few days, after arguing with my father, she has been drinking e...


Dr. Chen Wenke Reply:
Alcohol consumption can lead to habitual and behavioral issues, including long-term excessive drinking, which is well-known to cause severe damage to the gastrointestinal tract, liver, pancreas, and femur (avascular necrosis). However, the ultimate target of alcohol is our nervou...

[Read More] Effective Strategies for Addressing Alcoholism in Family Members


Understanding the Side Effects of Risperdal: Weight Gain and Concentration Issues

What are the potential side effects of Risperdal? A 53-year-old male patient with jealous-type delusions is taking 1.7 ml of Risperdal daily. What side effects might he experience? Will he gain weight or have difficulty concentrating? Initially, he experienced drowsiness when sta...


Dr. Tang Xinbei Reply:
Dear QQ: It seems that you are inquiring about medication for a family member. Risperdal (known in Chinese as "理思必妥") is a novel antipsychotic medication. According to information provided by the manufacturer's branch in Taiwan, common side effects of this medicati...

[Read More] Understanding the Side Effects of Risperdal: Weight Gain and Concentration Issues


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