如何前往:

陳蔓蕾精神科醫生專科診所 - 如何前往MindHealth精神科專科診所 - Direction Icon

聯絡查詢:

陳蔓蕾精神科醫生專科診所 - Telephone Icon陳蔓蕾精神科醫生專科診所 - Contact Form Icon陳蔓蕾精神科醫生專科診所 - Whatsapp Icon

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)
  • 聖保祿醫院 (St. Paul’s 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: ADHD特徵

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

你的孩子有專注力不足過度活躍症嗎?

你的孩子有專注力不足過度活躍症嗎?

請完成以下問卷:

一、無法注意到事情細節或因粗心大意使學校功課、工作或其他活動發生錯誤。
二、無法完成老師或家長交辦的事務,包括功課、家務等。

三、在工作或遊戲時,無法持續維持注意力。

四、和別人說話時,似乎沒有留心聽。

五、缺乏組織能力。

六、常避免、不喜歡或拒絕參加需要持續使用腦力的工作,如:學校工作或家庭作業。

七、容易遺失或忘了工作或遊戲所需要的東西,如:玩具、鉛筆、處等。

八、容易被外界的刺激所吸引。

九、容易忘記每日常規活動,需要大人時常提醒。

十、在座位上無法安靜的坐在,身體不斷扭動。
十一、無法安靜地參與遊戲及休閑活動。
十二、在課堂中常離座,未能安座。
十三、在教室或活動場合中不恰當地跑、跳及爬高等。
十四、日夜不停地動。

十五、說話多。

十六、問題尚未聽完前,便搶先回答。
十七、在需要輪流等候的場合,無法耐心地等待
十八、中斷或干擾其他人,如:插嘴或打斷別人的遊戲

若你的孩子在家或學校情況相似,便有可能患有專注力不足過度活躍症。

由於患有ADHD的學童,很容易被誤會為故意搗亂,不守秩序,甚至無心向學等,大大影響學童的自信心、社交及自我形象。

因此,應該盡早帶學童到精神科專科醫生作出評估評及治療。