Delusions, Psychiatry FAQ - Page 4

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Understanding Paranoia: Coping with Family Conflict and Mental Health

Paranoia Hello Dr. Wu: For the past six months, I have been in conflict with my mother, who strongly suspects that my boyfriend is trying to deceive me for my house and money. My father has also been persuaded by her to confront me, leading to intense arguments multiple times, ev...


Dr. Wu Enliang Reply:
It is advisable for the patient to discuss the issues causing distress with their physician. If possible, the physician could arrange for family therapy and invite the patient's mother to participate in the discussion. If the situation becomes too overwhelming, it may be bes...

[Read More] Understanding Paranoia: Coping with Family Conflict and Mental Health


Understanding Childhood Delusions: When to Seek Professional Help

Is it childhood delusional disorder and does it require medical attention? Your 4.5-year-old child frequently exhibits paranoid behavior, claiming that things are being stolen and that classmates are bullying her. She often recounts complete narratives and stories rather than fra...


Dr. Liang Sunyuan Reply:
Hello Ms. Wu: A 4-and-a-half-year-old child may sometimes struggle to express their emotions and might exaggerate or fabricate stories to gain adult attention. It is advisable to first observe whether the child is attempting to seek our attention. Additionally, I recommend spendi...

[Read More] Understanding Childhood Delusions: When to Seek Professional Help


Managing Schizophrenia: Medication Challenges and Anxiety Concerns

Medication use in schizophrenia and accompanying anxiety? Hello, doctor. I am here to ask a question because a family member is suffering from this illness. Four years ago, my brother was diagnosed with schizophrenia, experiencing auditory hallucinations and delusions. He took me...


Dr. Lin Mianzhang Reply:
Hello A-Cheng: The condition of schizophrenia can sometimes be influenced by changes in life stress, daily routines, and medication adherence. Even with regular medication, symptoms can fluctuate. Therefore, your brother's changes in condition may require careful evaluation ...

[Read More] Managing Schizophrenia: Medication Challenges and Anxiety Concerns


Helping a Family Member with Suspected Schizophrenia: Tips for Encouragement

Inquiry on behalf of a family member - Schizophrenia? My mother exhibits symptoms suggestive of schizophrenia, such as fixed delusions, auditory hallucinations, disorganized thinking, and a loss of interest in daily activities. These behaviors have become more pronounced since th...


Dr. Wang Yaoting Reply:
Hello: Your mother is experiencing such conditions, and it's understandable that the family is worried and distressed about how to help her. If the psychiatric symptoms appeared suddenly, it is important to first rule out any physical causes (such as thyroid dysfunction) or ...

[Read More] Helping a Family Member with Suspected Schizophrenia: Tips for Encouragement


Guidelines for Diagnosing Schizophrenia and Assessing Severity

Schizophrenia When diagnosing schizophrenia, are there any specific criteria? And how is the severity assessed?


Dr. Lin Mianzhang Reply:
Hello! The diagnostic criteria for schizophrenia include four main aspects: 1. Symptoms: These include delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, and negative symptoms. At least two of these symptoms must persist for more than one month, a...

[Read More] Guidelines for Diagnosing Schizophrenia and Assessing Severity


Understanding Affective Psychosis: Differences, Recovery, and Hallucinations

Affective Psychosis Hello, doctor. I would like to ask: 1. Is there a difference between schizoaffective disorder and mood disorder with psychotic features? My prescription states "major depressive disorder in remission, schizoaffective disorder," but when I asked my ...


Dr. Lin Mianzhang Reply:
Hello Evonne: 1. Schizoaffective disorder and affective psychosis are merely differences in translation; they refer to the same condition, which is known in English as schizoaffective disorder. "Schizo-" refers to splitting, while "affective" pertains to emo...

[Read More] Understanding Affective Psychosis: Differences, Recovery, and Hallucinations


Is It Just OCD or Something More Serious? Understanding Mental Health Concerns

Is it pure obsessive-compulsive disorder or another issue? Hello Dr. Lin, I have been diagnosed with obsessive-compulsive disorder (OCD) since I was 17 years old, and it has been several years now. In recent years, I have not experienced much in the way of compulsive behaviors, ...


Dr. Lin Mianzhang Reply:
Hello Mr. Paul: The fact that you are concerned about whether you have schizophrenia actually indicates that you likely do not have it, as individuals with schizophrenia often believe they are normal and do not recognize that they are ill. The worries you have mentioned are more ...

[Read More] Is It Just OCD or Something More Serious? Understanding Mental Health Concerns


Understanding Cognitive Dysfunction: A Personal Journey Through Mental Health Challenges

Cognitive function decline issues Since I experienced severe insomnia at the age of 16, I have struggled to pay attention in class and have found it difficult to concentrate and think clearly. Even when I am well-rested, I still face the same issues. Subjects like math suddenly s...


Dr. Xue Gengming Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Cognitive Dysfunction: A Personal Journey Through Mental Health Challenges


Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders

Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...

[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders


Feeling Dreamlike While Awake: Understanding a Disturbing Mental State

Suddenly feeling like you are dreaming while awake? Hello, doctor. Recently, I have been experiencing episodes where I suddenly feel like I am dreaming while I am awake, and everything seems unreal. Before these episodes, I am fully awake, functioning normally, and responding app...


Dr. Yan Congyou Reply:
Hello ZZ: The feelings you described are indeed a type of psychosomatic symptom known as dissociative syndrome. However, there are many potential causes for such feelings, including stress, depression, anxiety, or any trauma that affects the mind and body. Therefore, it is advisa...

[Read More] Feeling Dreamlike While Awake: Understanding a Disturbing Mental State


Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?

Am I experiencing anxiety, Munchausen syndrome, or another condition? Or am I just normal? I have a very stubborn and extreme personality, and I struggle with reading social cues; I tend to speak very directly. I was severely reprimanded by a teacher for two years, and later, fol...


Dr. Wu Enliang Reply:
Hello: It's not Munchausen syndrome, but there are indeed issues with anxiety and depression. It seems to have significantly affected your life. Just as you would see a doctor for a physical fever, it's important to address emotional distress as well! I recommend discus...

[Read More] Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?


Navigating Medication Challenges in Schizophrenia Treatment

Medication issues Hello, doctor. Since April 2018, I have felt that something is not right with me. I have been obsessively thinking about past events or forcing myself to think about things, which has made me very unhappy upon waking up, and I realized that I was in trouble beca...


Dr. Wu Enliang Reply:
Hello, internet user: It is recommended to continue collaborating with your trusted physician. The effectiveness of long-acting injections and oral medications is comparable, or even better (since there is no issue of forgetting to take the medication), making it a good option. D...

[Read More] Navigating Medication Challenges in Schizophrenia Treatment


Navigating Care for Schizophrenia: A Caregiver's Dilemma

Confusion Among Caregivers of Individuals with Schizophrenia Hello Dr. Lin, thank you for your previous response. I would like to continue discussing the care of patients with schizophrenia. After discussing with my family, we have reached a consensus to "maintain the status...


Dr. Lin Mianzhang Reply:
Hi there! 1. This condition may potentially be maintained for a lifetime; however, it is also possible that your family member's functioning may gradually decline, eventually requiring assistance with basic activities such as bathing and using the restroom. This is one rea...

[Read More] Navigating Care for Schizophrenia: A Caregiver's Dilemma


Understanding the Signs: When Family Members Show No Awareness of Mental Illness

Family members have had symptoms for many years but show no awareness of their illness? Hello, Dr. Lin. I apologize for the lengthy message. My family member is a 28-year-old male who has experienced a decline in academic performance since his junior year in college and subsequen...


Dr. Lin Mianzhang Reply:
Hi, based on your description, it seems that your family member may be suffering from schizophrenia. Symptoms such as negative symptoms (deterioration in hygiene, infrequent bathing), auditory hallucinations (having conversations with multiple voices in their head), and delusions...

[Read More] Understanding the Signs: When Family Members Show No Awareness of Mental Illness


Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions

Schizophrenia (Medication Consultation) I previously sent you a message regarding my feelings of guilt and self-blame. Despite the uncertainty of the situation, I have an overwhelming sense of energy that convinces me I have done something wrong. I feel an intense need to compens...


Dr. Lin Mianzhang Reply:
Hello Han Han: For this type of delusion, if there are no accompanying symptoms of depression, anxiety, or obsessive-compulsive disorder, the primary treatment would still be antipsychotic medications. If neither Seroquel (quetiapine) nor Abilify (aripiprazole) is effective, it m...

[Read More] Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions


Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles

Menkes syndrome Five years ago, after being diagnosed with severe depression and receiving care, I developed symptoms that I found online referred to as "Munchausen syndrome." My depressive feelings have mostly alleviated now, but my emotional fluctuations are more pron...


Dr. Wang Yaoting Reply:
Hello: After reading your description, it seems that you have been living in a state of emotional conflict for the past few years. You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptoms ar...

[Read More] Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles


Understanding Delusions of Sin and Guilt in Schizophrenia Patients

Have you heard of patients with schizophrenia experiencing delusions of sin or guilt? Patients with schizophrenia who experience delusions of sin or guilt firmly believe that they have done something wrong and are being punished or should be punished. These delusions may relate t...


Dr. Lin Mianzhang Reply:
Hello Han Han: Thank you for your hard work! It must have been very distressing for you regarding that matter. In fact, schizophrenia and obsessive-compulsive disorder (OCD) can coexist. Your symptoms do align with delusions of guilt, but they can also be indicative of OCD. Addit...

[Read More] Understanding Delusions of Sin and Guilt in Schizophrenia Patients


Coping with Paranoia: Non-Medication Strategies for Relief

Paranoid delusions? Doctor, I have some symptoms of paranoia. I constantly feel worried about various things, such as whether the packages I receive from online shopping are poisoned, if my drinks have been tampered with, and I feel like some people on the street might want to ha...


Dr. Wu Enliang Reply:
Hello, internet user: This situation may not necessarily be a case of paranoid delusions; it could also be due to other conditions. It is advisable to seek medical attention for a differential diagnosis as soon as possible to determine the best treatment approach (which may not n...

[Read More] Coping with Paranoia: Non-Medication Strategies for Relief


Understanding Pregnancy Risks for Those with Schizophrenia and Intellectual Disabilities

Affective Disorder I have been diagnosed with mild schizophrenia. I have been taking psychiatric medications since I was in the first year of junior high school, and I am currently on the following medications: Depakote 500 mg extended-release, Seroquel 200 mg extended-release, S...


Dr. Cai Qijin Reply:
Hello: 1. During the use of psychiatric medications, it is essential to discuss with your physician any potential adjustments to your medication if you are planning to become pregnant, as these medications may affect the fetus. 2. The causes of preterm birth are complex; please c...

[Read More] Understanding Pregnancy Risks for Those with Schizophrenia and Intellectual Disabilities


Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions

Schizophrenia, excessive sleepiness for 12 hours, feeling tired during the day, and experiencing significant fatigue? Hello, Doctor (I apologize for the lengthy message): I have schizophrenia and experience excessive daytime sleepiness for about 12 hours daily, feeling very fatig...


Dr. Huang Xiaoxian Reply:
Hello Mr. Zhou, first of all, I want to commend you on your awareness of your condition. Understanding your illness and consistently taking your medication greatly contributes to your stability. Regarding Abilify, it does have a higher incidence of drowsiness as a side effect, wh...

[Read More] Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions


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