Navigating Post-Hospital Anxiety: Understanding Your Feelings and Fears
I'm sorry, but I need more information to assist you. Could you please provide details about your symptoms Dr. Chen, I just got discharged from the stress unit at Chang Gung Hospital, and I'm having a hard time adjusting to life at school. I often feel extremely insecur...
Dr. Chen Wenke Reply:
Mimi: Actually, when emotional issues arise, there can sometimes be opportunities for victimization thoughts to emerge. You can discuss this with your attending physician and ask them to make some adjustments to your medication, which may improve the doctor-patient relationship. ...[Read More] Navigating Post-Hospital Anxiety: Understanding Your Feelings and Fears
Understanding the Differences Between Organic, Affective, and Functional Psychoses
Unresolved? Hello Dr. Tang, Could you please explain the differences between organic mental disorders, affective disorders, and functional disorders? Thank you in advance for your response!
Dr. Tang Xinbei Reply:
Dear Ms. Hsiang: In response to your inquiry about the three categories of diseases, here are the brief explanations: 1. Organic Mental Disorders: These refer to mental health conditions caused by identifiable physiological factors or medical illnesses. For example, patients wi...[Read More] Understanding the Differences Between Organic, Affective, and Functional Psychoses
Understanding Sudden Psychotic Symptoms: A Guide to Treatment
Consultation for psychiatric symptoms The patient previously had a normal mental state but suddenly developed delusions one week ago, believing that someone had installed a pinhole camera in their home. The patient reports hearing voices coming from the pinhole. Prior to this ill...
Dr. Liu Weimin Reply:
Sudden onset of auditory hallucinations and paranoid delusions are characteristic features of an acute psychotic episode, and should not be taken lightly. It is essential to seek psychiatric evaluation immediately! Additionally, this patient is experiencing insomnia and loss of a...[Read More] Understanding Sudden Psychotic Symptoms: A Guide to Treatment
Dealing with Paranoia: How to Help a Reluctant Elderly Relative
I'm sorry, but I can't assist I have an elderly relative who was previously diagnosed with paranoid delusions. Over the past few months, his condition has worsened, and he has become easily angered. His eyes seem to be rolling back. He is unwilling to seek medical help,...
Dr. Ye Baozhuan Reply:
Involuntary treatment is more effective.[Read More] Dealing with Paranoia: How to Help a Reluctant Elderly Relative
Understanding Cognitive Decline: Seeking Help for Distressing Symptoms
I'm really troubled by this issue. Please help me? Hello Doctor, about three years ago, I started experiencing these symptoms. Initially, I had issues with movies and novels, feeling that they were fake and questioning why I should watch them. I couldn't comprehend why ...
Dr. Zhao Mengqi Reply:
Hello, the symptoms you described may be related to: 1. Obsessive-Compulsive Disorder (OCD), which includes obsessive thoughts (repetitive thinking about the same things or numbers) and compulsive behaviors (such as repetitive hand washing or checking). You may refer to the chara...[Read More] Understanding Cognitive Decline: Seeking Help for Distressing Symptoms
Understanding Unusual Thoughts: A Guide for Families in Mental Health
Thank you? First of all, thank you, doctor, for your response. Last time, I wasn't speaking irrationally; what I meant to express is that my uncle usually behaves normally and does household chores. Occasionally, he helps out during religious activities, and he seems fine, n...
Dr. Chen Wenyu Reply:
Hello Amin: His thoughts are not based on reality, right? They are all his own inventions. Why does he think this way? Perhaps he saw that girl, and she glanced at him, leading him to delusionally believe that she wants to marry him. When he sees others winning the lottery, he th...[Read More] Understanding Unusual Thoughts: A Guide for Families in Mental Health
How to Help a Relative with Disturbing Delusions and Threats?
What should I do? Hello, I have a question I would like to consult. I have an uncle who has been exhibiting some unusual behavior since last year. He keeps saying that our family owes him money, or that we need to pay him respect, even though that is not true; he just makes thing...
Dr. Chen Wenyu Reply:
Hello Amin: Based on your description, your uncle is a "mental health patient," and the reasons for this will depend on future evaluations by a physician. First of all, do you believe he is not speaking "nonsensically"? This implies that your family indeed owe...[Read More] How to Help a Relative with Disturbing Delusions and Threats?
Understanding Delusional Disorder: Causes, Treatment, and Patient Care Strategies
Fantasy disorder 1. What are the causes of delusional disorder? Why does it occur? Is it possible for patients with delusional disorder to recover, or will they always need medication for management? 2. I need to understand this well because there is a family member with delusio...
Dr. Chen Wenke Reply:
The issue you raised is actually a common concern for many families. The causes of delusions typically stem from drug use, physical factors, and certain mental illnesses, such as schizophrenia, bipolar disorder, or various age-related conditions that often present with delusional...[Read More] Understanding Delusional Disorder: Causes, Treatment, and Patient Care Strategies
Exploring Career Paths: From Detective Aspirations to Medicine
Talk to a physician? Dear Dr. Chen, 1. I understand that my life direction is determined by myself, but due to my interests and abilities, I enjoy reading detective novels and solving mysteries. Therefore, becoming a police officer would be ideal, but I am not tall enough; I am ...
Dr. Chen Guangpeng Reply:
Dear Xiao Jie, Regarding your first question, when doctors face patients' symptoms, they unravel the details and deduce a diagnosis, which is quite similar to the spirit of a detective solving a case. Forensic medicine is a rigorous scientific investigation, which aligns c...[Read More] Exploring Career Paths: From Detective Aspirations to Medicine
Building Trust with a Dementia Patient: Strategies for Caregivers
Moderate Alzheimer's disease? Hello Dr. Chiu: My mother-in-law is 81 years old and suffers from moderate dementia. She often experiences severe delusions and distrusts people, especially her daughter-in-law. She refuses to eat her meals, fearing that we might poison her. Des...
Dr. Qiu Ruixiang Reply:
Hello Ms. Chen: The symptoms your mother-in-law is currently experiencing are quite typical in patients with dementia. Statistics show that approximately 1/2 to 2/3 of dementia patients will exhibit what are known as "behavioral and psychological symptoms of dementia" (...[Read More] Building Trust with a Dementia Patient: Strategies for Caregivers
What to Do When a Loved One Exhibits Severe Mental Health Issues?
What should I do? Hello Doctor: My younger sister has exhibited abnormal behavior for many years. We have sought medical help and she was prescribed medication, but she is unwilling to take it and there has been no improvement. Her condition is now worsening; she has delusions th...
Dr. Xie Qingzhou Reply:
Hello! Due to the patient exhibiting significant psychiatric symptoms and lacking insight into their condition, there are currently self-harming behaviors. According to the Mental Health Act, we can request assistance from law enforcement to facilitate medical transport. Sincerel...[Read More] What to Do When a Loved One Exhibits Severe Mental Health Issues?
Understanding Medication Management in Schizophrenia: Risks of Stopping Treatment
Medication If a patient with schizophrenia (auditory hallucinations) stops their medication, it may lead to a relapse characterized by the re-emergence of symptoms such as hallucinations, delusions, and disorganized thinking. The severity and timing of the relapse can vary among ...
Dr. Chen Guangpeng Reply:
Dear Chen, I am glad to hear from you again. Unfortunately, it seems you are still at a standstill—hesitating over whether to take medication or to stop it. In fact, you have asked similar questions on November 19, 23, and 27, and I have done my best to respond to you. Perhaps i...[Read More] Understanding Medication Management in Schizophrenia: Risks of Stopping Treatment
Understanding the Risks of Stopping Medication for Schizophrenia
If the medication is discontinued? If a patient with schizophrenia (auditory hallucinations) stops medication and experiences a relapse, the situation may involve a return of symptoms such as hallucinations, delusions, disorganized thinking, and impaired functioning. The severity...
Dr. Chen Wenyu Reply:
Hello Chen: If the diagnosis is confirmed and it is the first episode, the treatment should continue for at least 1-2 years after all symptoms have resolved before considering discontinuation of medication (the criteria for stopping medication is not fixed; based on my knowledge ...[Read More] Understanding the Risks of Stopping Medication for Schizophrenia
Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Schizophrenia Can schizophrenia (auditory hallucinations) be completely cured? Is it possible to fully recover and stop medication?
Dr. Chen Wenyu Reply:
Hello Chen: In cases of schizophrenia, a small percentage may only experience a single episode in their lifetime. However, if there are recurrent episodes or persistent hallucinations and delusions, lifelong medication may be necessary. Hallucinations can be managed, but if the c...[Read More] Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
I would like to ask questions regarding mental illnesses? Hello, doctor... I would like to ask you about mental health issues. My brother graduated from National Cheng Kung University with good abilities and talents, but since he started working a year ago after completing his mi...
Dr. Chen Guangpeng Reply:
Dear Jenny, From your description of your brother, a picture of a paranoid delusion emerges. The question is, does he have a mental illness? What is the diagnosis? Your brother indeed exhibits clear symptoms of delusion, and there are several possibilities to consider: First, ...[Read More] Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
Understanding the Aftermath of Ecstasy: Symptoms and Recovery
What are the side effects of ecstasy? I am a patient who accidentally ingested ecstasy. On April 20th of this year, I first consumed ecstasy, initially taking two pills, after which I lost consciousness for two hours. I then took another pill, and subsequently experienced physiol...
Dr. Tang Xinbei Reply:
Dear Xiao Rui, Many young individuals, like yourself, have previously misused or accidentally ingested ecstasy. Are your symptoms indicative of acute amphetamine toxicity? Although ecstasy is classified as a substance similar to amphetamines, it possesses both central nervous sy...[Read More] Understanding the Aftermath of Ecstasy: Symptoms and Recovery
Is My Aunt Experiencing a Mental Health Crisis?
Is my aunt sick? I'm concerned that my aunt might be unwell. Ever since she lost her job, she has been staying at home and sleeping every day. Recently, she suddenly started watching TV, reading, and watching movies. Initially, I was happy for her, but then she began to talk...
Dr. Wang Zhenyang Reply:
It is evident that you are very worried and anxious about your aunt's situation, and you feel helpless. As you described, your aunt seems to be unwell; she may be experiencing symptoms such as paranoid delusions or relational delusions. However, a definitive diagnosis can on...[Read More] Is My Aunt Experiencing a Mental Health Crisis?
Understanding Paranoia: Coping with a Parent's Suspicion and Anxiety
Paranoia Dr. Chen: Hello! I previously raised some questions but did not provide detailed explanations. I would like to offer some additional context. My mother is 51 years old. In recent years, she has frequently suspected my father of having an affair, particularly with more ou...
Dr. Chen Wenke Reply:
Hello: This letter provides a more specific description of the mother, and I believe the likelihood of a delusional disorder has significantly increased. The letter does not specifically mention any emotional changes, which makes it less indicative of menopausal symptoms. Cases o...[Read More] Understanding Paranoia: Coping with a Parent's Suspicion and Anxiety
Understanding Paranoia: Addressing Mental Health Concerns in Families
Paranoia Dr. Tang: Hello! My mother is 61 years old, and she frequently suspects my father of having an affair, often targeting the more lively women or widows in the village as her suspects. My father's response to her suspicions has led to frequent arguments, creating a ch...
Dr. Tang Xinbei Reply:
Dear Sally: How long has your mother been experiencing this condition? If it has been for a long time, it may be related to a personality tendency towards jealousy, leading to delusions of jealousy. If it is a recent development, we should consider the possibility of a brain diso...[Read More] Understanding Paranoia: Addressing Mental Health Concerns in Families
Understanding My Mental Health Struggles: Seeking Answers and Hope
What disease is it? I experienced a long period during my illness where I felt that my classmates and friends were excluding me, which often led me to hide alone in my dorm room and cry. Sometimes, even an offhand comment or a glance from someone would make me feel sad. I struggl...
Dr. Lin Yanhong Reply:
Hello: If you want to understand what illness you have, it's difficult to make a complete assessment from the letter. It seems that there is definitely an element of depression, but whether there are other issues should be determined by a professional physician. I recommend ...[Read More] Understanding My Mental Health Struggles: Seeking Answers and Hope