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关于陈蔓蕾医生

陈蔓蕾医生专业资格

香港医学专科学院院士 (精神科)

香港精神科医学院院士

英国皇家精神科医学院院士

香港中文大学内外全科医学士

香港中文大学内科医学文凭

英国卡的夫大学皮肤科学文凭

精神科专科医生 – 陈蔓蕾

女精神科医生- 陈蔓蕾- 证件相1

 
陈蔓蕾医生现为精神科专科医生,拥有超过20年的精神科经验。她曾服务于不同的公共医疗机构,照顾不同种类的病人,并接受过多种精神科专业培训。

陈蔓蕾医生曾任荣誉香港大学助理教授、香港精神科医学院荣誉临床导师,为医生提供精神科专科训练,亦多次被邀请到电视台及杂志接受访问和担任演讲嘉宾。

精神科服务范畴

提供医疗程序

门诊服务到诊服务

陈蔓蕾精神科专科诊所 - 精神科服务范畴 - 儿童及青少年精神科(专注力不足及过度活跃症[ADHD]、自闭症、情绪及行为问题的评估及治疗)

儿童精神情绪问题(Child and Adolescent Psychiatry)

  • 专注力不足及过度活跃症(ADHD)
  • 自闭症谱系障碍 (Autistic Spectrum Disorder)
  • 亚斯伯格症候群 (Asperger Syndrome)
  • 选择性缄默症 (Selective Mutism)
  • 儿童焦虑/抑郁 (Anxiety / Depression in Children)
 
 
 

住院治疗

使用医院或其他服务诊所:

  • 养和医院 (Hong Kong Sanatorium & Hospital)
  • 圣保禄医院 (St. Paul’s Hospital)
  • 嘉诺撒医院 (Canossa Hospital)
  • 香港港安医院 (Hong Kong Adventist Hospital)
  • 明德国际医院 (Matilda International Hospital)
  • 港怡医院 (Gleneagles Hong Kong Hospital)

精神科相关配套服务

会诊语言:

  • 国语 (Mandarin)
  • 广州话 (Cantonese)
  • 英语 (English)
 

分类: 精神科医生专栏

長期面對壓力會令我們生什麼病?

長期面對壓力會令我們生什麼病?

現代人生活忙碌,工作繁重,不知不覺間便逐漸形成壓力。當壓力不斷增加,而沒有宣洩的渠道,便慢慢引起各種不同的疾病。常見的疾病有心臟病、胃病、頭痛、失眠等等。可是,大家有沒有想到一些看似沒有關係的疾病原來都是和壓力有關呢?

例如濕疹,根據美國及台灣一些大型研究顯示,濕疹和抑鬱症及焦慮症關係密切。若患上濕疹,日後患有抑鬱症及焦慮症的機會便會大大提高。相反,在臨床上,有些病人患有嚴重的濕疹,經過了多種治療不果,他們都有一個共通點,就是面對各種不同的壓力。當他們的壓力減輕時,他們的皮膚情況不約而同地減輕,甚至完全復原。

當然,壓力亦會導致各種不同的精神病或令其病情加劇。我們最常遇到的就是經常焦慮症。除此以外,很多精神病其實和壓力亦是有重大關連的。例如恐慌突襲症、廣場恐懼症、強逼症、抑鬱症、甚至操鬱症及思覺失調等。

其實壓力並不是一面倒的壞事,有適當的壓力,能夠推動我們不斷進步,提高工作效率,令我們更加成功。可是若是過度的壓力,便會令我們精神散渙、過度焦慮、引致身體不適、甚至影響情緒。

日常令我們減壓的辦法有很多,從基本的着手,我們可以多做運動,多吃新鮮水果,減少吸煙和喝酒的份量,令身體體質增強。此外,儘量增加休息時間,令精神可以放鬆。培養舒展身心的興趣,也能提供正能量。當遇到困難時,積極嘗試面對問題,尋求解決方法。有時一人計短,二人計長,也可請別人幫忙解決。如果最後問題仍未能解決,和家人或朋友傾訴也是可行的辦法。

可是,如果情況持續,或病情越來越嚴重,例如有傷害自己或別人的想法,便需考慮尋求專業人士,例如精神科醫生或心理專家的協助了。

Adult attention deficit and hyperactive disorder (ADHD)

Adult attention deficit and hyperactive disorder (ADHD)

In a competitive city like Hong Kong, people have become more concerned about their intellectual ability and qualifications. Attention deficit and hyperactive disorder (ADHD), a psychiatric condition, is notorious for affecting the learning abilities of children.  Previously it was thought to be a condition that affected only children and would remit spontaneously when the children grew into adulthood. Indeed, we seldom see adults jump up and down like a monkey. Does it mean children with ADHD have recovered? The answer is no. According to the National Comorbidity Survey Replication in the United States in 2001-02, 4.4% of 18- to 44-year-old adults suffered from adult ADHD. Comorbidity is also very common with this disorder, including mood disorders, anxiety disorders, substance use disorders and intermittent explosive disorders, etc.  Although hyperactivity gradually lessens with time, the problem of attention deficit does not cease completely.

One of my patients told me his story. It was the time when people had no idea about ADHD. He was noted as a “naughty” child when he was young. He never sat still or concentrated in class. As a result, he was not a favoured student of the teachers. He was also disliked by his classmates for he was disturbing all the time. His school results were not good either.  The headmaster of his school suggested him to transfer to another school for better “adjustment”.

His parents wanted to give him a second chance and sent him abroad to a high school in the United States. Despite all the efforts he made, his academic results did not improve much. Whenever there was noise during lessons, he was distracted. He frequently committed careless mistakes and had difficulties wrapping up his projects. It was also socially embarrassing that he kept fidgeting or squirming and talked like a chatterbox during gatherings.  Finally, many of his classmates got admitted to their ideal universities, but he returned to Hong Kong in disappointment.

In the end, he completed some distance learning courses and started working. He hoped things would work out finally. However, he still struggled quite a lot. He could not follow the instructions given by his supervisors and his mind drifted away during their conversations. His desk was chaotic and his schedule was so packed that he found it difficult to finish all the tasks on time. His colleagues commented that he was absent-minded and disorganised.  He needed almost double the time of others to finish a task. Therefore, his boss didn’t give a good evaluation on his performance.

He was not popular among his colleagues either, as he had delayed their projects many times. He had the bad habit of deferring until he had the time to think in detail, which was quite annoying to his work partners as he kept everyone waiting all the time. Discussions were also hard as he always interrupted others and did not seem to follow the line of thought of others. As a result, people found it difficult to collaborate with him.

Having worked under high pressure for many years, he gradually started to have anxiety symptoms. He complained of restlessness and apprehension from time to time. On and off he suffered from shortness of breath and palpitation. The symptoms persisted despite that he was treated by his family doctor repeatedly. His sleep was superficial and he had many dreams. His mood was low and he started to see things more negatively. His concentration and work abilities further declined. His depressed mood affected other aspects of his life that he no longer enjoyed his hobbies or social gatherings. He felt he was a failure and could not see his future.

His family suspected him to be suffering from depression and suggested him see a psychiatrist for treatment. Eventually, he came to me for an assessment.

We had a long discussion about his problems and struggles. He realised that his problems did not start in recent years but surfaced when he was young. He was diagnosed to be suffering from depression with an underlying long-standing, untreated ADHD.

It was quite common for individuals who suffered from ADHD remained undiagnosed in their childhood and adulthood due to the lack of knowledge about this condition decades ago. These individuals might eventually develop comorbidities such as anxiety or depression, due to hindrance caused by ADHD in their earlier lives. In order to cure these patients, doctors should put ADHD high on the list of potential underlying causes.

Core symptoms of adult attention deficit and hyperactive disorder (ADHD)
Deficit in Executive Function
·         Suboptimal working memory
·         Poor ability in task shifting
·         Ineffectiveness in self-monitoring and response inhibition
Problems of Inattention
·         Difficulty in focusing, especially for a long period
·         Inability to organise activities and prioritise tasks
·         Forgetfulness
·         Trouble in managing time
Hyperactivity
·         Feeling fidgety or restless
·         Talking too much and/or interrupting others
·         Being impulsive

from <<CONNECT>> Winter Issue 2017

标签云

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