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關於陳蔓蕾醫生

陳蔓蕾醫生專業資格

香港醫學專科學院院士 (精神科)

香港精神科醫學院院士

英國皇家精神科醫學院院士

香港中文大學內外全科醫學士

香港中文大學內科醫學文憑

英國卡的夫大學皮膚科學文憑

精神科專科醫生 – 陳蔓蕾

女精神科醫生 - 陳蔓蕾 - 證件相1

 

陳蔓蕾醫生現為精神科專科醫生,擁有超過20年的精神科經驗。她曾服務於不同的公共醫療機構,照顧不同種類的病人,並接受過多種精神科專業培訓。

陳蔓蕾醫生曾任榮譽香港大學助理教授、香港精神科醫學院榮譽臨床導師,為醫生提供精神科專科訓練,亦多次被邀請到電視台及雜誌接受訪問和擔任演講嘉賓。

精神科服務範疇

提供醫療程序

門診服務到診服務

陳蔓蕾精神科專科診所 - 精神科服務範疇 - 兒童及青少年精神科 (專注力不足及過度活躍症[ADHD]、自閉症、情緒及行為問題的評估及治療)

兒童精神情緒問題 (Child and Adolescent Psychiatry)

  • 專注力不足及過度活躍症 (ADHD)
  • 自閉症譜系障礙 (Autistic Spectrum Disorder)
  • 亞斯伯格症候群 (Asperger Syndrome)
  • 選擇性緘默症 (Selective Mutism)
  • 兒童焦慮/抑鬱 (Anxiety / Depression in Children)
 
 
 

住院治療

使用醫院或其他服務診所:

  • 養和醫院 (Hong Kong Sanatorium & Hospital)
  • 聖保祿醫院 (St. Paul’s Hospital)
  • 嘉諾撒醫院 (Canossa Hospital)
  • 香港港安醫院 (Hong Kong Adventist Hospital)
  • 明德國際醫院 (Matilda International Hospital)
  • 港怡醫院 (Gleneagles Hong Kong Hospital)

精神科相關配套服務

會診語言:

  • 粵語 (Cantonese)
  • 普通話 (Mandarin)
  • 英語 (English)
 
OCD

OCD

Obsessive-Compulsive Disorder – The unceasing thoughts and behaviours

Mind Health Psychiatrist Specialist Clinic - OCD
Everyone from time to time may have some obsessive thoughts or compulsive behaviours, such as the thought of jumping out of the window when standing by one, or the restlessness of not having a door secured which can only be eased by returning to check. Nevertheless, if these thoughts or worries appear once in a while will not affect one’s life. However, when the time spent on obsessions or acting on compulsions become long enough to affect one’s life, it may develop into Obsessive-Compulsive Disorder (OCD), a kind of anxiety disorders. OCD can be further classified into two types. One type of OCD patients is deeply troubled by obsessions. For example, an overstressed mother has imaginations of stabbing her new born baby whenever she holds a knife, pouring hot water over it when making milk with formulas, or to throw it out of the window when stand next to it. Although the aforesaid are only ideas not executed, and some patients do not have them often, these intrusive thoughts are already enough to distress the patients. The scepticism to one’s morality will create a downward spiral and continue to haunt the patients.

Another type of patients has compulsions. A commonly known compulsive behaviour is mysophobia, meaning intensive fears of contamination and cleaning rituals. Initially, mysophobic patients know it is irrational (i.e. resistance), but later the resistance towards the ritual diminishes.  For example, an OCD patient would spend three hours just for a shower. He will start the ritual by cleaning the entrance of bathroom, then the wall, the floor, the bathtub… and finally the shower. If by accident there is a drop of water on the floor, the whole process has to start all over again.

In the US, there are 1.2% of diagnosed OCD. Half of the patients have their onset in their adulthood, while one-fourth to nearly half of the patients already had atypical symptoms during their childhood and adolescence. The childhood-onset symptoms usually wax and wane and are sometimes atypical, such as the unconscious hair-grabbing, nail-picking, skin-peeling, and finger-biting.

Whether it is an obsessive thought or a compulsive behaviour, OCD will cause great disturbance to the patients’ mind, life, work, and even their relationship with people around. Hence, they must receive professional treatment for recovery. The treatment approach is usually a combination of medication and cognitive behavioural therapy (CBT).

Medication can directly relieve the anxiety of patients so that the reappearing thoughts are reduced. Selective serotonin reuptake inhibitors (SSRIs) and minor tranquilizers are most commonly used. For the best results, patients cannot rely solely on the help of medicine. They should also be treated by cognitive behavioural therapy (CBT) for synergistic effect with medication.

There are many skills in CBT, graded exposure being one of the commonest techniques adopted in this illness. The principle of this therapy based on the fact that the compulsive person will exercise irrational behaviours in order to reduce their anxiety. These rituals are called “safety measures”, and it is these safety measures which maintain the disease. Despite refraining the patient from executing these rituals will trigger anxiety, he will gradually habitualise the anxiety and  fears will subside with time.

All in all, CBT should be complemented with medication if it is to be effective in helping patients to overcome the hurdles. In addition, usually there are some persisting stressors  which overwhelmed a patient. Therefore, it will be easier and quicker to first tackle and alleviate the stress and subsequently the nervousness will be further mellowed.

“Standard”  27/6/17

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