Delusions, Psychiatry FAQ

Understanding Anxiety, Panic Disorders, and Schizophrenia Symptoms

Schizophrenia, anxiety disorder, panic disorder, autonomic nervous system dysfunction? I have symptoms such as nervousness, hand tremors, chest tightness, insomnia, and vivid dreams. I researched online and found information about schizophrenia, which made me very anxious about p...

Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your letter. First, I would like to clarify that the term "schizophrenia" is now more accurately referred to as "schizophrenia spectrum and other psychotic disorders." "Thought" refers to cognition, while "percepti...

Understanding Auditory Hallucinations and Memory Loss in Alcohol Use Disorder

Auditory hallucinations, amnesia, agitation? My sister came home on the night of April 18 and kept scrolling through Facebook, suddenly talking to herself, wondering if the news was about her, and continuously checking comments to see if they were mentioning her. Normally, at tha...

Dr. Liu Runqian Reply:
Based on the symptoms you described, such as auditory hallucinations, delusions of reference (believing the news is about her), and paranoid delusions (feeling that someone is out to harm her), there are many potential underlying causes. These symptoms could be due to alcohol use...

Understanding My Father's Verbal Abuse: Seeking Help for Mental Health Issues

Regarding my father's frequent verbal abuse? My dad is around 56 years old and often yells at the people on TV or makes negative comments about news reports, including criticizing the appearance of the news anchors. He is frequently harsh towards our family, often saying hur...

Dr. Dai Wanxiang Reply:
Hello Mr. Liu: Based on the information you provided, it is not yet possible to determine whether your father has a mental illness or if it is a matter of personal character traits. In cases of severe mental illness, there are usually clear signs of delusions or hallucinations, o...

Managing Anxiety and Schizophrenia: A Patient's Journey to Stability

Schizophrenia Hello, Doctor Dai. I am a patient with schizophrenia and have been ill for 11 years. For the past 5 years, I have been controlling my condition with Ziprasidone (5 mg) at an average of one pill daily. The symptoms of delusions and hallucinations have not reappeared,...

Dr. Dai Wanxiang Reply:
Hello Mr. Wu: Based on your statements, it seems that the medication is effectively controlling the symptoms of delusions and hallucinations, but the situation regarding generalized anxiety is worsening. Schizophrenia can indeed be associated with symptoms of anxiety and depressi...

Understanding Paranoia: Signs and Symptoms of Persecutory Delusions

Paranoid schizophrenia I often feel like someone is watching me when I'm halfway through typing on the computer. When I go downstairs, I run down the stairs and feel like there's a ghost chasing or watching me, whether it's morning or night. In my previous home, wh...

Dr. Dai Wanxiang Reply:
Hello Ah Hu: Based on your description, there are symptoms of paranoia and hypersensitivity, but more information is needed to determine the specific mental illness. It is recommended that you visit a psychiatric department at a hospital for further evaluation with your parents. ...

Understanding Hallucinations in Elderly Patients: A Case Study

Regarding the frequent occurrence of hallucinations in a 91-year-old grandmother? Hello Doctor, I apologize for bothering you. My grandmother is 91 years old. This past Lunar New Year (at the end of January), she was hospitalized due to gastrointestinal bleeding. During her stay,...

Dr. Dai Wanxiang Reply:
Hello Mr. Lin: Based on your description, your grandmother is exhibiting symptoms suggestive of hallucinations and delusions, most likely due to delirium or dementia. Both conditions can affect the patient's cognitive functions (attention, memory, thinking abilities), cause ...

Supporting Schizophrenia Patients: Effective Strategies for Friends and Family

What can friends and family do for individuals with schizophrenia? Hello, Dr. Liu. The patient is a 24-year-old male who clearly exhibits symptoms of auditory and visual hallucinations, as well as signs resembling dissociative identity disorder. For instance, he responds to comma...

Dr. Liu Runqian Reply:
Family members and friends need to understand a few key concepts. The first is to be psychologically prepared; during the course of the illness, patients may exhibit inappropriate behaviors, such as breaking things or saying hurtful words. However, family and friends must recogni...

Can I Consult a Doctor About My Wife's Paranoia Without Her?

My wife has paranoid delusions but is unwilling to seek treatment. Can I make an appointment in my name to discuss her condition with a doctor and obtain medication? My wife is experiencing paranoid delusions but is unwilling to seek help. Can I schedule an appointment in my name...

Dr. Zhang Fangrong Reply:
Hello Michael, in response to your question, prescribing medication is specific to the individual patient. Therefore, if you were to make an appointment and prescribe medication, it would not be appropriate. However, discussing your interactions with your wife with a physician sh...

Do I Have Schizophrenia? Understanding My Mental Health Struggles

I suspect that I have schizophrenia? About 6 or 7 years ago, when I started experiencing extreme mental stress, I would begin to make malicious comments about others whenever I spoke to someone. I tried to control this behavior, but I could only manage it after I had calmed down....

Dr. Liu Runqian Reply:
The symptoms of schizophrenia (formerly known as schizophrenia) include delusions, hallucinations, disorganized thinking or speech, negative symptoms, and rigidity. The symptoms described in your text are more aligned with mood symptoms and are less related to schizophrenia. A de...

Overcoming Sensitivity: How to Stop Worrying About Others' Opinions

Caring about others? Feeling exhausted and overly sensitive to what even so-called friends say can be draining. Living in a state of concern about others' evaluations takes a significant toll on daily life. This constant vigilance can lead to a loss of genuine smiles and a h...

Dr. Ding Shuyan Reply:
Being overly concerned about others can stem from personality issues, anxiety disorders, or symptoms of depression. Less commonly, it may be a sign of delusions associated with psychotic disorders. The approach to addressing these concerns varies based on the underlying cause. If...

Understanding My Mother's Mental Health: Signs and Treatment Options

Does my mother have a mental health issue, and how should it be treated? 1. My mother has always wanted to have complete control over my life, insisting that I must comply with her wishes in everything I do. If I don't, she throws tantrums and becomes upset! We have communic...

Dr. Qiu Junda Reply:
Hello: Your mother's condition is indeed causing you significant distress, but the situation mentioned in the text, where suspicion has reached the level of delusion, still needs clarification and requires further evaluation. If your mother is unwilling to seek treatment, yo...

Understanding Mood Disorders: Bipolar, Anxiety, or Delusional Symptoms?

Bipolar disorder, anxiety disorder, or delusional disorder? Hello Doctor: My mother previously worked night shifts and needed to drink alcohol. Last July, she was imprisoned for four months due to drunk driving. When she returned, there were no significant issues, but she often c...

Dr. Qiu Junda Reply:
Hello: Regarding my mother's condition, it appears that she is indeed experiencing emotional difficulties, primarily exhibiting negative behaviors. Whether this is due to depression, bipolar disorder, or other potential causes still requires further evaluation. Additionally,...

How to Communicate Medication Concerns for Schizophrenia Treatment

Schizophrenia Hello doctor, I am asking on behalf of my boyfriend. If he is receiving long-acting injections and is consistently taking medication but still experiences instability and episodes of delusions, what should he communicate to the doctor to request a change in medicati...

Dr. Liang Sunyuan Reply:
Hello: Even with regular treatment, some patients with schizophrenia may still experience certain symptoms. Several factors may contribute to the lack of treatment efficacy: if the patient smokes heavily, it may accelerate drug metabolism, reducing the effectiveness of the medica...

Can Women with Schizophrenia Safely Stop Medication During Pregnancy?

Can a person with schizophrenia stop medication during pregnancy? Hello doctor, I am 24 years old and have been diagnosed with this condition during my youth. I have a few questions I would like to ask you: 1. Initially, I experienced auditory hallucinations for about 3 to 6 mo...

Dr. Liu Runqian Reply:
If schizophrenia (formerly known as schizophrenia) is diagnosed and symptoms reappear after stopping medication, it is generally recommended to maintain long-term management. If pregnancy is a consideration and may affect the fetus, in addition to discontinuing medication, medica...

Should I Continue My Mental Health Treatment?

Should I continue seeking medical treatment? Hello Dr. Zhong, Please forgive me for not being able to disclose my real name. I am currently in my fourth year of a five-year vocational program and began seeing a psychiatrist in early January. I was hospitalized for over ten days ...

Dr. Zhong Mingxun Reply:
Classmate: I was very concerned to see your letter. Based on your description, you may be experiencing auditory hallucinations, visual hallucinations, and delusions of reference, which are psychiatric symptoms. However, it is also possible that these are just transient phenomena....

Understanding Family Conflict: When to Seek Mental Health Help for a Parent

Family disputes Hello, doctor. Today I would like to ask about my mother's situation. Ever since she suspected that my dad is having an affair, her personality has become very suspicious. After arguing with my dad, she often drowns her sorrows in alcohol. Sometimes she hides...

Dr. Zhong Mingxun Reply:
Mom feels that after Dad's affair, her personality has become very suspicious. Is this true? If it is not true, I am concerned that Mom may have delusions and needs to seek medical attention promptly. If it is true, Mom's basic trust in others will be significantly dama...

Understanding Paranoia in Depression: A Daughter's Struggle with Her Mother's Mental Health

Mother's Paranoia? Hello, Doctor! My mother has a history of depression for over ten years and has been continuously seeking medical treatment, but she only takes sleeping pills and refuses to take antidepressants because she says they make her feel dull and she doesn't...

Dr. Qiu Junda Reply:
Hello: Patients with mental illness often have poor insight, which complicates treatment. It may be necessary to first communicate with the attending physician regarding the possibility of using liquid medications (which should generally be available at psychiatric medical facili...

Obsessive Thoughts or Delusions? Understanding Your Mental Health

Obsessive-Compulsive Disorder (OCD) or Delusions? Hello, doctor. I don't know when it started, but after reading about delusional disorders and hearing others talk about many symptoms of schizophrenia, I've been feeling strange. For example, I found information about de...

Dr. Qiu Junda Reply:
Hello: The discussion of symptoms can be quite complex and requires some time to clarify. Here, I will briefly mention that delusions refer to false beliefs that are firmly held despite evidence to the contrary. Your doubts and counterarguments may not reach the level of delusion...

Do I Have a Mental Illness? Understanding My Emotional Struggles

May I ask if you are feeling unwell? Hello, Dr. Ding. I would like to describe my situation and ask if I might be ill. My life has been relatively smooth; I have a happy family, no trauma, no significant losses, no end to close relationships, and no experiences of bullying. Howev...

Dr. Ding Shuyan Reply:
Hello, if you are experiencing emotional ups and downs, whether due to personality traits or bipolar disorder, it is advisable to consult a doctor. For some individuals, these emotional issues are more related to external stressors, while others, as you mentioned, may not be able...

Struggling with Binge Eating and Anxiety: A College Student's Journey

I'm not sure if I have binge eating disorder or anxiety disorder? Recently, I felt that going to college was meaningless, thinking that what I learn every day may not be applicable to my future job. However, I am only a freshman, and this feeling was particularly strong on M...

Dr. Wu Enliang Reply:
It seems that your life is indeed filled with a lot of stress, leading to significant anxiety. Your parents' divorce during your childhood is not your fault, and worrying about family or not wanting to go to school are also common sources of life stress. It is important to t...

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