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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)
  • 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)
 

分類: 精神科醫生信箱

Why different doctors give me different psychiatric diagnosis?

Why different doctors give me different psychiatric diagnosis?

Good day, I am XX, a 10 years patient with an unknown disease.

It is very hard for me to mention what happen in the past 10 years in a single email, but I have no clue on what should I do now.

Long story short, I am a psychiatric patient 10 years ago while I was a secondary school student, but during these years I was diagnosed differently by many doctors, ranging from Schizophrenia to ASD & ADHD + a bunch of mental issues. I was once told to have no disease at all, but that causes a lot of trouble on me. My family suffered from great pain that I have bought to them as well.

My so called sickness is a mystery for a decade, numerous of symptoms but no definition, the only common opionion from doctors are “This is a rare case, in fact I never saw this happened before”, which just made me feeling more frustrating.

I need a proper dignoses ASAP due to the sickness has already affecting my daily life heavily. But doctors so far could not handle my case properly. An accurate dignoses is not only a report to me, but also a relief from these 10 years of suffering, letting me facing the true enemy that always in my head.

What do you think about my case? Do you think I need to perform a test? I am looking forward to your reply.

Dear XX,

Thank you for your enquiry. I guess your symptoms might be very ambiguous and therefore different doctors have different opinions.

A psychiatric diagnosis is only a descriptive term. It signifies nothing about the pathology, ie the cause of the illness. The reason for that is most of the psychiatric illness is so complicated and no single reason causing the illness.

Doctors only differentiate patients by the presenting symptoms without knowing the underlying cause. That explain why different doctors give you different diagnosis.

However, having a diagnosis is still useful that it guide us to treat patients having similar symptoms.

So, you can interpret like this: different drs give you different diagnosis and they have different hypothesis of what your problem is. If any one of their treatment makes improvement, then the doctor had given you the correct treatment might have a more correct hypothesis on you. Hence, that diagnosis describe you illness most correctly.

You can try to interpret your past experience this way to see if you can get a conclusion or not.

Since your symptoms is so “rare” I can’t conclude anything on your diagnosis nor giving any treatment suggestions.

If you feel needed, please feel free to come to see me for another opinion.

Thanks you for your kind attention.

Dr. Chan

Esketamine 和 腦磁激(rTMS)

Esketamine 和 腦磁激(rTMS)

陳醫生你好,我女兒17歲,因學業壓力,患上焦慮抑鬱症已一年,有食藥和做心理輔導,但一到考試前就感到呼吸困難,失眠,考試亦不能完成,現入了院接受治療(再加藥)。越近DSE她便越緊張。請問rTMS又是否適合她呢?因她一直食藥令她集中力,精神比較差,變左自覺做得唔好,又再跌入旋渦,不斷加藥,惡性循環。

精神科醫生陳蔓蕾醫生回覆:
你好,
抑鬱焦慮症的成因往往都是長期壓力,因此抑鬱焦慮症通常都是常見的都市病。由於病情是有壓力導致,因此往往壓力會令病情轉差。
心理輔導的角色因此是很重要。因為DSE差不多是無可避免的事情(除非轉去其他學制,但是其他學制也有其相關的公開試)因此,只可以改變心態來應付考試。
不過,仍然有很多同學也是不敵考試壓力而生病,治療方案會變得更複雜,因為治療還要和時間競賽。如果能夠預留更多時間溫習,以博取更好成績。
你提及的 rTMS 和 令一種新治療方法Esketamine, 都是可以加速痊愈的治療方案。兩種療法都能維持清晰頭腦,減低症狀影響考試表現。不過至於病人是否適合新型治療方案,還是需要醫生決定。
因此,建議你盡快找你的主診醫生商量,以確定是否適合。

陳醫生