Post-Surgery Delirium: Understanding Symptoms and Recovery in Elderly Patients
Postoperative agitation and the emergence of delirium after anesthesia? Hello Doctor, my father is 67 years old and recently underwent minimally invasive surgery for artificial disc replacement and nerve decompression due to lumbar vertebral collapse. The surgery lasted for 9 hou...
Dr. Qiu Junda Reply:
Hello. Your father's condition is occasionally seen and does resemble symptoms of delirium. However, once the underlying cause is addressed, there should not be any lasting effects. He is expected to recover within one to two weeks, and it should not impact his memory or oth...[Read More] Post-Surgery Delirium: Understanding Symptoms and Recovery in Elderly Patients
Understanding OCD: Experiencing Disconnection and Loss of Reality
Obsessive-compulsive disorder can lead to a sense of detachment, as if one has lost touch with reality? Hello Doctor: I have been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. When my condition is stable, I hardly experience any symptoms, and even when ...
Dr. Wu Enliang Reply:
It is indeed possible that the symptoms are caused by obsessive-compulsive disorder (OCD), as individuals may experience feelings of derealization when they are anxious. Dr. Wu En-Liang.[Read More] Understanding OCD: Experiencing Disconnection and Loss of Reality
Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Obsessive-Compulsive Disorder (OCD) or Hypochondriasis? Hello, Doctor! Since the pandemic began, I've started to feel some anxiety. While I'm not as anxious about COVID-19 anymore, it seems that I've developed a form of obsessive cleanliness, constantly washing my ...
Dr. Lin Mianzhang Reply:
Hello Lily: It seems that you are really anxious, and I empathize with you! Your situation may be related to "illness anxiety disorder" or "obsessive-compulsive disorder," or possibly both. These conditions are associated with stress, especially since you star...[Read More] Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Navigating Treatment Challenges for Family Members with Schizophrenia
Issues related to family members with schizophrenia seeking medical care? Hello Doctor, my mother is 56 years old. Her past medical history includes hypertension, and there is a family history of cancer. Her current condition started about a year ago with olfactory and visual hal...
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 conditions such as diabetes and hyperte...[Read More] Navigating Treatment Challenges for Family Members with Schizophrenia
Overcoming Paranoia: Seeking Help for Mental Health Challenges
Paranoid delusions I have been wanting to leave my current job for a little over three months. I want to go to a psychiatric clinic for evaluation and medication. Why am I so afraid of my colleagues' feelings that I can't resign? I worry that I am heading towards a stat...
Dr. Xiao Minghong Reply:
Dear Wei-Yue, From your words, I sense your anxiety, unease, and pain, as well as your strong effort to overcome difficulties. It must have taken considerable effort for you to be willing to accept medical help, and your acceptance of treatment is a positive first step. The acce...[Read More] Overcoming Paranoia: Seeking Help for Mental Health Challenges
Can Subclinical Hyperthyroidism Lead to Delusional Disorders?
Can subclinical hyperthyroidism lead to delusional disorders? Hello, Dr. Yu. A family member around me has been experiencing symptoms of delusion, so they underwent a blood test. Both T4 and T3 levels are normal, but TSH is low. The doctor mentioned this could be subclinical hype...
Dr. Yu Quanxun Reply:
Hello: It sounds like your family is struggling with mental health issues, which may also be affecting daily life and interactions with others. In this situation, it is commendable that your family is willing to explore and understand the circumstances together. I can sense your ...[Read More] Can Subclinical Hyperthyroidism Lead to Delusional Disorders?
Can Mild Hyperthyroidism Cause Delusional Disorders?
Can mild hyperthyroidism cause delusional disorder? Hello, Doctor. I would like to ask about my wife. Her T3 and T4 levels are normal, but her TSH is low. An endocrinologist mentioned that this is subacute hyperthyroidism, but she also exhibits symptoms of delusional disorder. Sh...
Dr. Liang Sunyuan Reply:
Hello: If the hyperthyroidism is mild and being treated, it should not cause symptoms of delusion. When psychiatric symptoms are caused by thyroid abnormalities, the thyroid dysfunction is usually significant, and the psychiatric symptoms will improve after the thyroid condition ...[Read More] Can Mild Hyperthyroidism Cause Delusional Disorders?
Understanding Schizophrenia vs. Bipolar Disorder: How to Support Your Partner
How to help someone with schizophrenia or bipolar disorder? Hello doctor, my partner suddenly changed at the beginning of September. He became vacant in his gaze, confused in his thoughts, suspected I was cheating, and exploded in anger, forcing me to break up with him. The next ...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wishing you go...[Read More] Understanding Schizophrenia vs. Bipolar Disorder: How to Support Your Partner
Understanding Bipolar Disorder: Navigating a Spouse's Crisis
My wife has bipolar disorder? Hello Doctor, I have been in a relationship with my wife for seven years and we have been married for nine months. She started taking the antidepressant Paroxetine (Paroxin F.C. Tablets 20mg) since the beginning of the year. Initially, she took one t...
Dr. Qiu Junda Reply:
Hello. It appears that your wife is experiencing an acute manic episode, and hospitalization for treatment is indeed necessary. It may take more than a month for her condition to gradually improve. Her symptoms include inappropriate thoughts and behaviors regarding relationships,...[Read More] Understanding Bipolar Disorder: Navigating a Spouse's Crisis
Understanding Delusions and Bipolar Disorder: Helping a Loved One
Delusions, obstinacy, bipolar disorder? Hello, doctor. My father had a history of depression and bipolar disorder several years ago. His condition had improved over the past few years, but recently, due to significant work-related stress, it seems to have relapsed. However, he do...
Dr. Qiu Junda Reply:
Hello. If there are signs of an episode, regardless of whether there are delusional symptoms, prompt medication treatment should be initiated (over-the-counter medications are not appropriate). You can contact the hospital where you previously received treatment for an appointmen...[Read More] Understanding Delusions and Bipolar Disorder: Helping a Loved One
Determining the Minimum Effective Dose of Sulpride for Schizophrenia Management
The minimum maintenance dose of Silenor? Hello, I have schizophrenia and have been taking 200 mg of Seroquel for 18 years. I feel that I am overweight, have high blood lipids, and experience muscle tension in the upper body. I would like to reduce my medication. The Seroquel info...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: Reducing medication carries risks. The minimum maintenance dose varies from person to person and requires careful evaluation of symptom changes after the reduction to determine the appropriate dosage. If symptoms recur after reducing the medication, it indicates th...[Read More] Determining the Minimum Effective Dose of Sulpride for Schizophrenia Management
Is Klonopin Worsening Psychotic Symptoms in Schizophrenia and OCD?
Klonopin issues Hello, doctor. I have been diagnosed with schizophrenia and obsessive-compulsive disorder for many years. Recently, I came across information stating that Klonopin may exacerbate psychotic disorders, such as delusions and paranoia associated with schizophrenia. Is...
Dr. Tang Jiahong Reply:
In the prescribing information for clonazepam, the psychiatric side effects that are most closely associated include confusion/mental disorientation (reported) and (uncommon reaction) agitation, but there is no explicit mention of delusions or paranoia. There are very few reports...[Read More] Is Klonopin Worsening Psychotic Symptoms in Schizophrenia and OCD?
Does Klonopin Worsen Delusions and Paranoia in Patients?
Issues with Klonopin? Hello, doctor. I recently received some information and I'm not sure if it's correct. Does Klonopin exacerbate delusions and paranoia associated with psychosis? Thank you.
Dr. Qiu Junda Reply:
Hello. I was not aware of this information. This medication is commonly known as Rifampin. Under normal circumstances, the use of this drug should not lead to more severe issues such as delusions and paranoia associated with psychosis.[Read More] Does Klonopin Worsen Delusions and Paranoia in Patients?
Understanding Medications for Schizophrenia: A Guide for Families
I would like to inquire about medications for anosognosia? Hello Doctor, my sister has been on psychiatric medication for a long time (she started around the age of 19 and is now 42). Initially, we thought she had severe obsessive-compulsive disorder, but later my parents mention...
Dr. Lin Mianzhang Reply:
Hello: 1. The efficacy of Seroquel (Quetiapine) is generally stronger than that of Risperdal (Risperidone), with Seroquel being an active metabolite of Risperdal. Some studies suggest that its effects may be slightly better than those of Risperdal, but the difference is not sig...[Read More] Understanding Medications for Schizophrenia: A Guide for Families
Understanding Hallucinations and Delusions: When to Seek Help for Mental Health Issues
Auditory hallucinations, visual hallucinations, and self-talk? Hello Dr. Wu: My daughter is 34 years old. In 2018, she believed that her family had transferred the family deities onto her and suspected that they intended to harm her, which led her to refuse contact with them. She...
Dr. Wu Enliang Reply:
It is indeed possible that the individual is experiencing issues. It is recommended to seek treatment at a nearby mental health facility, especially as the treatment outcomes are generally better for those with first-onset conditions. Dr. Wu Enliang.[Read More] Understanding Hallucinations and Delusions: When to Seek Help for Mental Health Issues
Coping with Paranoia: Managing a Father's Delusions in Family Care
Paranoia My older brother passed away early, and my sister-in-law has been living with my parents ever since. My mother had long-term health issues, and my father is heavily in debt. After my mother passed away five years ago, my father became suspicious that my sister-in-law was...
Dr. Qiu Junda Reply:
Hello. Your father's condition requires further evaluation. If he is unable to cooperate with medical treatment, you may first consult with your sister-in-law at a psychiatric facility (or with the physician he previously visited) to discuss how to address your father's...[Read More] Coping with Paranoia: Managing a Father's Delusions in Family Care
Understanding Your Mental Health: Navigating Anxiety and Hallucinations
I would like to inquire about the medical condition? I have already seen a psychiatrist. I tend to be overly nervous and anxious. Previously, I did not fully describe some things to the doctor. I only mentioned that I had fantasized about having "supernatural abilities"...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: It seems that you are experiencing some symptoms suggestive of hallucinations and paranoid delusions, which may indicate that your condition is not solely anxiety disorder. I recommend that you inform your physician during your follow-up visit so that they can thor...[Read More] Understanding Your Mental Health: Navigating Anxiety and Hallucinations
Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Bipolar disorder with anxiety disorder? I have a height of 164 cm and a weight of 44 kg. Last summer, I lost weight down to 39 kg, sleeping over ten hours a day and having no desire to eat. A recent doctor mentioned that I was in a depressive phase at that time. In December, I wa...
Dr. Qiu Junda Reply:
Hello. If the diagnosis is bipolar disorder, stopping antidepressants is a concern because they may trigger manic symptoms. Whether the symptoms you described are manifestations of bipolar disorder should be discussed with your treating physician. You can also discuss when to inc...[Read More] Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Obsessive-Compulsive Disorder (OCD), Schizophrenia, Emotional Disturbance? Hello, doctor. I have a few questions to ask you: 1. If a patient with obsessive-compulsive disorder (OCD) undergoes exposure and response prevention (ERP) therapy, what kind of results can typically be ...
Dr. Lin Mianzhang Reply:
Hello Tom: 1. The effectiveness of exposure and response prevention therapy is related to the severity of the condition and the frequency of practice. If the symptoms are relatively mild and you consistently practice at home, it is possible to see improvement of more than half ...[Read More] Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Can You Stop Long-Acting Injections for Schizophrenia Treatment?
Can long-acting injectable antipsychotics be discontinued? I once experienced symptoms of auditory hallucinations and paranoid delusions, and at that time, the doctor diagnosed me with schizophrenia. I have been receiving long-acting injectable medication for over three years, du...
Dr. Peng Liyun Reply:
Hello, schizophrenia is a chronic mental disorder that requires long-term medication. If you are considering discontinuing medication, it is advisable to have a thorough discussion with your physician to understand the associated risks and benefits. Thank you for your inquiry. Dr...[Read More] Can You Stop Long-Acting Injections for Schizophrenia Treatment?