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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)
 

標籤: 互動交流

失眠的問題

失眠的問題

留言: 女性友人長期服食抗抑鬱藥和安眠藥,但每日晚都是很難入睡,抑鬱情況亦時好時壞,很想幫助她。

陳蔓蕾精神科醫生回覆:

你好,
你的女性朋友如果需要長期服用抗抑鬱藥及安眠藥,她應該是患有一些精神病,估計應該是抑鬱或焦慮的病徵。如果有抑鬱症焦慮症,睡眠的確質量會變差。不過隨着病情好轉,睡眠質量應該會逐漸改善。一般抗抑鬱藥會在四至六個星期生效,但亦有可能需要更長的時間才能改善。不過通常會看見有改善的跡象。

因此,建議你對你的女性朋友就這一方面可以再作詳細了解,如果只是服用藥物數星期,的確有可能還未看到改善。如果已服用超過這個時期,而且並沒有改善的趨勢,建議你和他的主診醫生了解一下原因。
謝謝
陳醫生

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留言:感謝陳醫生,沒想到你那麼快便回覆,而且還答覆了那麼多,沒給人hea的感覺, 我盡量說服佢嚟看一看陳醫生你,希望到時預約能夠安排時間給我們,萬分感激!

X先生

陳蔓蕾精神科醫生回覆:
你好,

謝謝你,此網站的目的是盡量幫助患病的病人,如果我有時間的話,通常會盡快回覆。
如果需要,可以請你的女性朋友過來了解一下。
謝謝
陳醫生

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