Navigating the Turbulent Waters of Mental Illness in the Family
Intermittent illness? I would like to hear the doctor's advice, thank you! A family member has been diagnosed with a mental illness but has never sought medical attention personally; an elder consulted privately. His condition fluctuates between normalcy and sudden episodes....
Dr. Qiu Junda Reply:
Hello. The focus for family members with mental health issues is primarily on encouraging medical care, and for now, it is best to let the elders make the judgment. Regarding the difficulties you mentioned in your interactions with family and the part where you stated, "I al...[Read More] Navigating the Turbulent Waters of Mental Illness in the Family
Understanding Atypical Schizophrenia: Key Insights and Definitions
Atypical patient Atypical schizophrenia refers to a subtype of schizophrenia that presents with symptoms that do not fit the typical patterns of the disorder. Patients may experience a mix of symptoms, including mood disturbances, anxiety, and psychotic features, but may not exhi...
Dr. Huang Xiaoxian Reply:
Hello, this usually means that although the patient exhibits some characteristics consistent with schizophrenia, many of the traits are not common symptoms, suggesting that it may not actually be schizophrenia.[Read More] Understanding Atypical Schizophrenia: Key Insights and Definitions
Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...
Dr. Liang Sunyuan Reply:
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...[Read More] Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Managing Family Mental Health: Coping with Delusions and Panic Disorders
My father has delusional disorder, and my mother has panic disorder? Hello, Doctor, I have some questions to ask you. My father has been experiencing delusional thoughts for the past few years, and it has become particularly severe in the last two years. We suspect he may have je...
Dr. Yan Congyou Reply:
Hello TT: After a stroke, mental symptoms such as delusions and depression are very common and can lead to tension and issues among family members. It is advisable to seek treatment at a psychiatric department in the hospital, and you should also return to the neurology departmen...[Read More] Managing Family Mental Health: Coping with Delusions and Panic Disorders
Understanding the Challenges of Diagnosing Mental Health Issues
The doctor is unable to determine whether there is a genuine mental health issue? Hello doctor, I started experiencing auditory hallucinations and delusions at the age of 23, but at that time, I didn't believe I was ill. My family forced me to seek medical help, and the doct...
Dr. Wang Zhenyang Reply:
Hello, online user: It sounds like some of your symptoms are indeed troubling you, but it seems that the doctors have not yet been able to resolve your issues. I recommend that you find a physician to regularly follow up with, so that they can truly understand your problems and p...[Read More] Understanding the Challenges of Diagnosing Mental Health Issues
Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Schizophrenia and Medication Costs Issues Dear Dr. Wu, I was diagnosed with delusional disorder (mild schizophrenia) at the beginning of last year. I experienced auditory hallucinations for about two months, which later resolved on their own. The delusional aspects have stabiliz...
Dr. Wu Enliang Reply:
Hello, online user: Q: Will taking medication for schizophrenia lead to brain atrophy in the long term? A: No, in fact, not taking medication and experiencing repeated episodes can lead to brain atrophy. Q: Although delusions and hallucinations have resolved, is there still d...[Read More] Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
Is this obsessive thinking? Delusion? Or schizophrenia? Hello, Doctor. Here’s the situation: I have obsessive-compulsive disorder, and recently I have been very worried that I might have schizophrenia. Whenever I hear a sound, have a certain thought, or see some light or shadow, ...
Dr. Wu Enliang Reply:
Hello, internet user: This is obsessive thinking, not schizophrenia. However, the treatment for obsessive-compulsive disorder (OCD) does not seem to be very effective. It is recommended to discuss this further with your doctor. Dr. Wu En-Liang.[Read More] Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
How to Support a Partner with Paranoia and Mental Health Issues?
My girlfriend is exhibiting moderate symptoms of paranoid delusions (schizophrenia). How can I gently guide her towards seeking medical help? I have been in a relationship with my girlfriend for over four years, but due to my studies abroad, I have been unable to closely monitor ...
Dr. Liang Sunyuan Reply:
Hello Mr. Zheng, based on her symptoms, it seems she needs to seek medical attention. It is advisable to encourage her in a way that she can accept, such as discussing her symptoms like insomnia, restless sleep, or muscle tension, and see if these physical symptoms can motivate h...[Read More] How to Support a Partner with Paranoia and Mental Health Issues?
How Long Does It Take for Otsuka Anri Pills to Be Effective?
How long does it take for Otsuka Anri Fuku tablets to be effective? I previously had paranoid delusions. How long should I take medication for it to be effective?
Dr. Wu Enliang Reply:
Hello, netizen: Generally, therapeutic effects should be observed after 4 to 6 weeks of regular dosing. If there is no improvement after adhering to the treatment dosage for 4 to 6 weeks, it may be necessary to consider switching medications. Dr. Wu Enliang.[Read More] How Long Does It Take for Otsuka Anri Pills to Be Effective?
Understanding Paranoia: Coping Strategies for Mental Health at Home
Do I have paranoid delusions? What can I do while staying at home? Hello Doctor: I have a personality that tends to make me suspicious of others. For example, at school, I often doubt whether my classmates are planning to complain about me, but it doesn't significantly affec...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. In fact, you may be feeling more sensitive and anxious on one hand, while also feeling wronged and unfairly treated on the other. This could exacerbate a range of complex psycholog...[Read More] Understanding Paranoia: Coping Strategies for Mental Health at Home
Managing Schizophrenia: Medication Consultation and Side Effects
Schizophrenia, medication consultation? Hello Doctor, I am a patient with schizophrenia. I started experiencing symptoms around middle school, with negative symptoms appearing, and by high school, I began to have delusions, feeling that everything I saw and heard was a suggestion...
Dr. Wu Enliang Reply:
Hello, online user: It is quite rare for patients taking Otsuka's medications to experience fatigue and drowsiness, and when they do, it is usually a short-term issue. First, I would suspect whether there are other underlying causes, such as any medical conditions that might...[Read More] Managing Schizophrenia: Medication Consultation and Side Effects
Understanding Emotional Instability: Insights on Depression and Coping Strategies
Emotional instability Hello, doctor. Thank you for your hard work. I am a patient with depression and I am currently seeing a doctor for mild depression. The earliest uncomfortable symptoms I experienced (stomach pain, headaches, neck and shoulder pain) appeared when I was in the...
Dr. Wu Enliang Reply:
Hello, user: I understand that you are feeling unwell, and I hope you can discuss these questions with your doctor, as they are more familiar with your situation. I will do my best to answer your questions one by one. Q: I want to ask the doctor if this is definitely depression...[Read More] Understanding Emotional Instability: Insights on Depression and Coping Strategies
Understanding Schizophrenia Medications: Managing Abilify and Its Side Effects
Schizophrenia Medication Consultation I have been taking Abilify since middle school. At that time, peer verbal and physical bullying led to insomnia, hallucinations, and disorganized thinking. Initially, I was prescribed 15 mg, taking half a tablet of 7.5 mg, and later it was in...
Dr. Huang Xiaoxian Reply:
DEAR Yuki, thank you for your questions. Here are the responses to your inquiries: 1) Will schizophrenia ever get better on its own, allowing one to stop taking medication? Generally speaking, schizophrenia is a chronic illness, and the vast majority of patients need to maintain...[Read More] Understanding Schizophrenia Medications: Managing Abilify and Its Side Effects
Understanding Paranoia: Is It a Mental Illness in Family Dynamics?
Is having issues related to family considered a mental illness? I'm the eldest son in my family. Since kindergarten, my family has been torn apart due to my father's infidelity. Despite this, my parents have not divorced, and now that I've graduated from college, o...
Dr. Huang Xiaoxian Reply:
Dear Mr. Lin, It seems that your mother has been experiencing a lot of emotions due to years of marital dissatisfaction, which may also affect you. While there may not be visible psychiatric symptoms, it appears that your mother's emotional state is indeed significantly im...[Read More] Understanding Paranoia: Is It a Mental Illness in Family Dynamics?
Understanding Schizophrenia: Coping with Hallucinations and Self-Defense Responses
Schizophrenia Hello Doctor: I have a relative who is a patient with schizophrenia. After undergoing treatment for some time, he still experiences auditory hallucinations, but they are not as severe as before. Recently, I noticed that when he makes a mistake and is scolded, he def...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your question. I apologize for the delayed response due to schizophrenia, which is classified as a mental cognitive disorder. Sometimes, it can present with cognitive delusions, and individuals may even believe that there is someone in the world who is exactl...[Read More] Understanding Schizophrenia: Coping with Hallucinations and Self-Defense Responses
Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Whether a medication causes weight gain as a side effect? Hello Doctor, I am a patient with obsessive-compulsive disorder (OCD) characterized by intrusive thoughts. The physician mentioned that I am on the verge of experiencing delusions of persecution, so I have been prescribed ...
Dr. Huang Xiaoxian Reply:
Dear Xiao You, I can see that you are quite anxious about the side effects of weight gain. However, generally speaking, Sulpiride is not an antipsychotic medication that typically causes weight gain. You are taking a low dosage of the medication (50 mg), while the standard dosa...[Read More] Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Is It Schizophrenia? Understanding Paranoia and Its Symptoms
Is it schizophrenia? Hello, Dr. Chiu. My sister's neighbor (female) has been verbally abusing my sister and her family with insulting and vulgar language for over ten years! Often, this harassment can last continuously for 10 to 20 minutes (most of the time, we can't re...
Dr. Qiu Junda Reply:
Hello. The information provided in the letter is limited, making it impossible to assess whether the case is that of a patient with schizophrenia (now referred to as schizophrenia spectrum disorder). Thank you.[Read More] Is It Schizophrenia? Understanding Paranoia and Its Symptoms
Understanding Schizophreniform Disorder vs. Latent Schizophrenia
Are these two the same? Hello, doctor. Could you please tell me if Schizophreniform Disorder and Latent Schizophrenia are the same? Thank you.
Dr. Huang Xiaoxian Reply:
Dear Kosurpoll, There are many differences in the definitions of these two diagnoses, such as the age of onset, duration of symptoms, and symptomatology. Both conditions share several similarities with schizophrenia, including the presence of auditory hallucinations and delusio...[Read More] Understanding Schizophreniform Disorder vs. Latent Schizophrenia
Understanding Hallucinations and Delusions in Severe Depression: A Guide
Depressive complications Hello, I would like to ask you about my experience. When I was around 17-18 years old, I suffered from severe depression for about two years, during which I often felt extremely depressed and had thoughts of wanting to die. I remember one year, I had an e...
Dr. Huang Xiaoxian Reply:
Dear Linda, thank you for your question. Regarding your description of having experienced severe depression in the past, along with brief episodes of suspected auditory hallucinations and feelings of being watched, it seems that these occurrences were quite short-lived and have g...[Read More] Understanding Hallucinations and Delusions in Severe Depression: A Guide
Understanding Dissociative Identity Disorder: Seeking Help for Complex Symptoms
What should I do? Hello, Doctor. I apologize for the lengthy content, but I believe it's difficult to describe my symptoms without starting from the beginning. In the second year of junior high, I was diagnosed with major depressive disorder caused by post-traumatic stress d...
Dr. Wu Enliang Reply:
This dissociative condition reflects some subconscious conflicts and typically cannot be treated with medication alone. It is essential to incorporate psychotherapy. It is recommended to arrange for individual therapy with a physician. If financially feasible, seeking services fr...[Read More] Understanding Dissociative Identity Disorder: Seeking Help for Complex Symptoms