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港人壓力大,抑鬱症越趨普遍。若確診抑鬱症,患者有需要服用多種抗抑鬱藥物,必要時或需加大劑量。當服用兩種或以上一定劑量的抗抑鬱藥物,並持續一段時間,治療效果卻不甚理想時,醫學上便稱為「難治型抑鬱症」。統計顯示,有關病人佔抑鬱症患者多達三分一,絕對不容忽視。

現時醫學界積極發開發針對谷氨酸系統 (glutamate)的新抗抑鬱藥物。透過雙管齊下的藥物治療方案,對比過去30年的主要透過調節大腦中單胺系統(monoamine)抗抑鬱藥物,包括血清素多巴胺去甲腎上腺素的信號傳遞療法,臨床所見平均大約服用二至三星期才見效,而且並非對所有抑鬱症患者都能奏效之下,患者使用針對谷氨酸系統 (glutamate)的新抗抑鬱藥物有望在更短時間內減輕抑鬱情緒,得到緩解。

抑鬱症有多種治療方案,各有其成效、副作用及限制,患者應與自己的主診醫生商討,選用最合適的治療方案。若出現抑鬱症症狀便應儘早求助及求醫,及早治療處理症狀。

若想了解更多有關針對谷氨酸系統 (glutamate)的新療法,可按此參閱詳情,或直接聯絡查詢。

How can I cope with work stress?

 

Dear Dr. Chan,
I have huge work stress. I think I have serious mental problems due to the pressure of work and my boss.  I realized that I might be sick because I tried to hurt myself a few days ago, thinking that it might be the best way to avoid going back to work.  Also, physically I am feeling sick and the doctors cannot find out the cause.
I was referred by a friend who highly recommended you.  So I am writing to ask if I can make an appointment with you. Please let me know how to make appointment with you and what I should do before seeing you.
Thank you.


Reply from Dr. Chan Man Lui, Doris

Thank you for writing to me. Living in big city like HK is very stressful. It is quite common to feel stressed and develop anxiety or depressive  symptoms. If leave it untreated, it become worse with time and you will find lots of physical “symptoms” without underlying cause. It is understandable that you might tried to hurt yourself, which may be a way to escape from the stress; however, it is obviously not the best way to manage. A good way of managing stress including both medication and non-medication means. There are many medications which can relieve the above symptoms. Medications including SSRI, anxiolytic medications and minor tranquilizers etc.  Non- pharmacological means including psychological treatment, such as cognitive behavioural therapy, mindfulness or hypnosis, depending on the need.
Please kindly call my clinic assistant @ 23108918 to book an appointment.
Thank you for your kind attention
Dr. Chan

 

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