Jun272009

憂鬱症Depression:一種可以治療的疾病(Fact Sheet)

Depression is a serious medical condition that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. (2004).

Depression is a serious medical condition that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who have depression.

Types of Depression

Depression comes in different forms, just as is the case with other illnesses such as heart disease. The three main depressive disorders are: major depressive disorder, dysthymic disorder, and bipolar disorder.

Major depression (or major depressive disorder) is manifested by a combination of symptoms (see symptom list below) that interfere with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. A major depressive episode may occur only once, but it is more common for several episodes to occur in a lifetime. Chronic major depression may require a person to continue treatment indefinitely.

A less severe type of depression, dysthymia (or dysthymic disorder), involves long-lasting symptoms that do not seriously disable, but keep one from functioning well or feeling good. Many people with dysthymia also experience major depressive episodes during their lives.

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Jun092009

ADHD衛教影音

在此林醫師特地收集了一些經典的文章與影音。
這些文章與影音通常是一個中立的學術研究機構所撰寫,
或是其嚴謹度和專業度值得大家參考,而非一般的個人意見發表。
大部份像是美國國家衛生研究院文章等等
有些You Tube的影片,也是林醫師看過,覺得有必要與讀者分享。

ADHD影音衛教(上)內容為郭豐榮醫師主講

ADHD影音衛教(下)

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Jun022009

失智症的評估與預防(簡易量表)

失智症是一種漸進式的記憶力衰退,通常好發於65歲以上的老人,少數則發生在65歲之前,稱為早發性失智症。一開始您會發現,家中老人常忘記剛剛發生的事、説過的話,不斷重複交代著同樣的話,接著便出現生活自理能力逐漸退化,像是將東西擺放在奇怪的地點、沒有辦法思考複雜的事、表達能力出現問題,連簡單的一些詞句都忽然說不出來,甚至就連個性都有了轉變,原本喜歡、擅長的事也變的沒有辦法處理。

上述都是一般常見的失智症症狀,包含記憶力、定向力、判斷力、計算力、抽象思考力、注意力,及語言等的認知功能障礙,同時也可能出現個性及情緒的改變、行為異於平常、喪失信心與活力、妄想或幻覺等情況。

以下是一份提供臨床參考的簡易心智狀態問卷,可以提供您幫忙家中的長者做初步的篩檢。請依以下的問題順序詢問並紀錄:

1. 今天是幾號?(年、月、日都對才算正確)

2. 今天是星期幾?(星期對才算正確) Read More »

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Apr142009

恐慌症的症狀和進程Symptoms of Panic Disorder and It Proceedings

恐慌症的症狀和進程
Symptoms of Panic Disorder and It Proceedings

首次發作

通常第一次恐慌發作都是無預警的,常常就是在日常生活的活動中發生,像是開車時或是走路上班的時候,突然就被一陣嚇人又不舒服的症狀攫住。這些症狀通常包括了害怕、一種不真實感或是擔心失控的感覺。

這一連串的症狀通常會維持幾秒,但是也可能會持續幾分鐘,然而大多在一小時之內就會逐漸消退。有恐慌發作經驗的人都對這種極度不舒服,好像會被什麼恐怖又致命的疾病襲擊,或者是像是要發狂的感覺指證歷歷。通常這些恐慌發作的人都會到急診室尋求幫助。 Read More »

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