Understanding Schizophrenia: Job Instability and Delusional Thoughts
Schizophrenia, frequent job changes, and delusional issues? Hello, doctor. I often quit my job after just a few days because I feel anxious, and in the mornings, I experience auditory hallucinations telling me to leave the company. I follow these hallucinations and resign, which ...
Dr. Wu Enliang Reply:
If you are experiencing symptoms of schizophrenia that are troubling and affecting your work, it is advisable to return for a follow-up appointment with your physician to see if medication adjustments can be made. Dr. Wu En-Liang.[Read More] Understanding Schizophrenia: Job Instability and Delusional Thoughts
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Can Medication Help Control Negative Symptoms in Mental Health?
Can medication help control these negative situations? Ten years ago, I started experiencing hallucinations and auditory delusions. Later, I found it difficult to understand emotions, such as crying or laughing. I can hardly remember past events. A few months ago, I began to feel...
Dr. Wu Enliang Reply:
Online friends can improve, but mental illnesses still require mental treatment! - Dr. Wu Enliang[Read More] Can Medication Help Control Negative Symptoms in Mental Health?
Understanding Potential Borderline Personality Disorder in Young Adults
I have discovered that I may have been struggling with borderline personality disorder all along? Hello Doctor, I am a 20-year-old college student who has been dealing with obsessive-compulsive disorder since middle school and have been under psychiatric care and medication ever ...
Dr. Lin Mianzhang Reply:
Hello, Xiao Meng: It seems that you easily oscillate between two extremes regarding others' opinions, which aligns with some characteristics of borderline personality disorder (BPD). However, to be diagnosed with BPD, other criteria must also be met, including emotional inst...[Read More] Understanding Potential Borderline Personality Disorder in Young Adults
Understanding Schizophrenia, Anxiety, and Dementia: A Caregiver's Guide
Schizophrenia / Anxiety Disorder / Dementia Hello, doctor. I apologize for the interruption. My mother exhibited symptoms of delusions, hallucinations, and illusions earlier this year. After seeking medical attention, the doctor diagnosed her with schizophrenia. After over a mont...
Dr. Tang Jiahong Reply:
After middle age, if hallucinations or delusions occur, it is advisable to check the brain. Visiting a neurologist is a good option to see if any reversible issues can be identified and addressed. Tremors and slow movements can also be discussed with the neurologist to determine ...[Read More] Understanding Schizophrenia, Anxiety, and Dementia: A Caregiver's Guide
Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Judgment in patients with delusions? Sometimes when I'm bored, I think of unrealistic images, sounds, or plots. However, I came across an article online about the symptoms of delusions and started to wonder if I might also have delusional symptoms. But if what I experience c...
Dr. Yan Congyou Reply:
The definition of delusion is more stringent than simply having unrealistic thoughts or scenarios; it typically involves behaviors or emotions that are significantly impacted by these beliefs, affecting daily life (such as work, academics, and interpersonal relationships). The co...[Read More] Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Managing Intermittent Anger: Medication Insights and Emotional Balance
Medication Consultation Hello Doctor, I have been experiencing sudden outbursts of anger. I searched online and found information about intermittent explosive disorder, but I believe my situation varies depending on the circumstances. I often lose my temper with family members or...
Dr. Tang Jiahong Reply:
Hello, assuming that mood stabilizers are helpful for you. Lamotrigine has mood-stabilizing effects, and its side effects are relatively fewer compared to antipsychotic medications. You can discuss with your physician whether irritability/restlessness is a side effect of Lamotrig...[Read More] Managing Intermittent Anger: Medication Insights and Emotional Balance
Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Schizophrenia Hello Dr. Lin! I would like to ask you a question. If a person only exhibits positive symptoms (such as hallucinations and delusions) and shows no negative symptoms at all, can this still be classified as schizophrenia? Thank you!
Dr. Lin Mianzhang Reply:
Hello: The diagnostic criteria for schizophrenia include delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. At least two of these five symptoms must be present (with at least one of the first three) for a duration of one month, along wit...[Read More] Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Understanding Delusions: Definitions, Symptoms, and Misconceptions
Definition and Assessment of Delusions I would like to ask the doctor the following questions. I am just curious if I have symptoms of delusion, as I have read some articles about the definition of delusion. However, I feel that I do not have any issues, and the questions regardi...
Dr. Qiu Junda Reply:
I will answer your question in reverse order. 3. In a previous class, the professor discussed the definition of delusions: a false belief that is firmly held. (Judgment is based on whether it meets the definition.) 2. A mathematician may propose a theorem that is later proven...[Read More] Understanding Delusions: Definitions, Symptoms, and Misconceptions
Understanding Delusions: Definitions and Distinctions in Psychiatry
Definition and Assessment of Delusions Recently, I came across an article about delusions, and I often find myself imagining scenes, sounds, and plots when I'm bored. Novelists, comic artists, animators, television producers, and even some mathematicians who propose certain ...
Dr. Qiu Junda Reply:
Hello. Delusion: a false belief that is firmly held despite contradictory evidence (no explanation can correct it, such as believing that an alien has implanted a chip in the brain). The situation you mentioned pertains to the process of developing certain theoretical concepts an...[Read More] Understanding Delusions: Definitions and Distinctions in Psychiatry
Understanding Delusions: Definitions and Distinctions in Psychiatry
Definition and Assessment of Delusions Recently, after reading some articles about delusions, I found that I sometimes imagine unrealistic scenes, sounds, and narratives. Novelists, comic artists, cartoon writers, television scriptwriters, and even some mathematicians who propose...
Dr. Qiu Junda Reply:
Replied.[Read More] Understanding Delusions: Definitions and Distinctions in Psychiatry
Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Diagnosis and Definition of Delusions I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing distress due to concerns about psychiatric symptoms such as delusions. 1. Facing an uncertain future, psychiatric disorders are common in modern society. These are chronic conditions that require long-term treatment for ...[Read More] Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Issues with Antipsychotic Medications A family member has schizophrenia and exhibits symptoms such as hallucinations. After seeing a doctor, they were prescribed Wellbutrin (bupropion), Rifampicin, and Fluoxetine. I would like to ask the physician if these medications, which are ...
Dr. Lin Mianzhang Reply:
Hello: These medications may not effectively improve the psychotic symptoms of schizophrenia (such as hallucinations, delusions, etc.), and it is possible that your family member did not fully disclose their condition to the physician during the medical visit. It is recommended t...[Read More] Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Distinguishing Between Obsessive Thoughts and Delusions: A Guide
How to distinguish between delusions and obsessive thoughts? How to stop worrying? Hello, doctor. I am the patient with obsessive-compulsive disorder who was very worried about having delusions or a mental illness a few days ago. I would like to ask you how to differentiate betwe...
Dr. Lin Mianzhang Reply:
Hello Ah Yue: This is a typical case of obsessive thinking, and just like other forms of obsessive thoughts, no matter how much reassurance others provide, you will still worry about "what if...". Therefore, the best approach is to redirect your attention and engage in ...[Read More] Distinguishing Between Obsessive Thoughts and Delusions: A Guide
Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Depression or schizophrenia? My brother has been suffering from a mental illness for five years. He is currently 30 years old. Initially, the doctor diagnosed him with schizophrenia, but about six months later, a different doctor said it was early symptoms of depression, includin...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about your family's depressive symptoms and the stress of mental health issues. 1. Facing an uncertain future, mental disorders are common in modern society and are chronic conditions that require long-term treatment for...[Read More] Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Comparing MRI and NIRS for Brain Health in Schizophrenia Patients
MRI and NIRS Hello, doctor. I have been diagnosed with unspecified psychotic disorder and have been on medication for two years. Recently, I would like to get my brain checked for any degeneration. I would like to know which examination, MRI or NIRS, would provide clearer informa...
Dr. Xue Gengming Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Comparing MRI and NIRS for Brain Health in Schizophrenia Patients
Understanding Non-Specific Psychotic Disorders: Clarifying Terminology and Symptoms
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder Is non-specific psychosis an old term for atypical psychosis? Does it refer to conditions that are not necessarily schizophrenia? Could you please provide a detailed explanation of non-specific psychosis? Thank you.
Dr. Tang Jiahong Reply:
Hello: Schizophrenia, unspecified (F20.9), falls within the category of schizophrenia. It must meet the diagnostic criteria for schizophrenia, such as the presence of hallucinations, delusions, disorganized speech, disorganized behavior, and negative symptoms, with at least two o...[Read More] Understanding Non-Specific Psychotic Disorders: Clarifying Terminology and Symptoms
Understanding Mental Health: Navigating Treatment and Sensitivity Issues
Hello? I am currently undergoing treatment withdrawal, having experienced an initial onset and a subsequent relapse. My attending physician has provided me with a severe illness card, indicating that I should receive treatment for a sensory processing disorder, but I do not posse...
Dr. Li Zhengfeng Reply:
Hello: Schizophrenia is a chronic illness that requires long-term continuous treatment; otherwise, it is prone to relapse, leading to hallucinations, delusions, and harmful behaviors. It is advised that you do not give up on treatment, as this may increase the risk of relapse.[Read More] Understanding Mental Health: Navigating Treatment and Sensitivity Issues
Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues
Hello, doctor. I have a question I would like to ask? Hello, Doctor. Eight years ago, I used to abuse methamphetamine for about three to four years, which severely harmed my body. During that time, I experienced hallucinations and auditory delusions, feeling like someone was foll...
Dr. Yan Congyou Reply:
Hello, based on your description, if you have been abstinent from amphetamines for many years and have not experienced any hallucinations or delusions during this period, it is possible that your current symptoms are unrelated to amphetamine use. The leg twitching during sleep ma...[Read More] Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues