留言: 陳醫生你好,小兒就讀中二,今個學期開始出以下情況:
1.上課其間經常睡覺,但回家後相反,晚上越晚越精神
2.上堂其間與同學或老師不滿就好容易發惱發狂,開始講會傷害同學/老師
3.向老師表示尋死
4.思想開始越來越負面,如何勸他也不行,發恕時會重複講以往不如愉快的事

我估計他可能有抑鬱症(十分擔心),是否已經好嚴重?能否做行為治療改善他的情況?或是一定要藥物的介入?其實有沒有其他的治療法?

謝謝!

陳蔓蕾精神科醫生回覆:
你好，
根據你的描述，可能性有很多，例如焦慮症、抑鬱症、躁鬱症、甚至早期思覺失調等等均有可能。因為早期的病人他們的病發時病徵並不特別明顯，日後其主要病徵才慢慢顯現出來。

因此，建議你盡快找精神科醫生作出診斷，並盡快接受治療。

謝謝

陳醫生

Hello, Doctor!
I am from Poland, Polish doctors cannot help.
The case is 12 years old.
I had problems with insomnia, the doctor prescribed Promazin, he recommended taking 2 or 3 tablets a day, 100 mg each. I took these amounts, but sleep did not appear at all, when you are awake for 10 days, you start to panic – I started taking more Promazin tablets (5 tablets) to make the drug “catch”. In the end, I started to fall asleep due to total fatigue and exhaustion of the body than from taking Promazine. But the side effects of taking Promazine appeared and continue, i.e. weakening of the brain, slower reactions, weaker concentration, “mudding“, etc.

Could the Doctor suggest a drug / drugs that would reverse the condition after taking Promazine?
Please tell me how to “get down to business”. I’m from Poland.

Thank you very much
Sincerely
L

Dear L,

As many of the insomnias has the underlying causes, if you only target at sleeping, it’s not going to help. The common causes are due to anxiety, depression, or even psychosis, attention deficit hyper activity disorder etc. so without seeing you, I really can’t recommend any kind of medication You should take.

If you are only 12, I guess this is the reason they prescribed this drug to you. This is essentially an  antihistamine. By using The side effects of the anti-histamine, it will give you a feeling of sleepiness. But of course there will be severe hangover and drowsiness the next day.

Therefore, you better see your psychiatrist and ask for a further assessment, and tell him the hangover problem. 

Dr Chan Man Lui