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2018年8月11日星期六

My psychiatric medical history

當日有家人、親戚的支持,捱過了。
朋友的關心,不是沒有,屈指可數,很多都是避之則吉。
第一次病發是十九年前,社會理解更少,
有同學以為我碰鬼,有老師覺得我是一個麻煩學生。
上到了大學,污名化與歧視依然揮之不去。

病發時與兩個她吵架,
有一次更是極之公開,
苦了的卻是她們。

以下是私家醫生寫給政府問診的轉介信。
病歷中的藥物治療過程大部分刪減了。

Tsz Yeung first came to see me on 27.09.99. He presented with depressive symptoms for about three weeks. His symptoms included depressed mood, irritability, loss of interest, poor concentration, negative thoughts and guilt feelings. The diagnosis was a major depressive episode. He was treated with Zoloft, became well, and continued the medication as maintenance.

In June 2000, he had some manic features; he was talkative and complained he could not stop thinking. At the same time, his mood was depressed and the thought content was of a depressive theme. The clinical picture suggested a mixed affective state. In August 2001, treatment was stopped after he had been well and stable for one year.

He returned to see me on 29 August 2005, upon discharge from Eastern Hospital Psychiatric Unit, where he had stayed since 12 August 2005. He had manic symptoms for several days before admission to hospital. His condition improved and was well maintained by medication.

In September 2007, he had a major depressive episode with some mood-congruent delusional symptoms after some stress in studying.

In October 2011, he had manic symptoms again. At that time, his blood lithium dropped as he had taken sodium chondroitin sulfate for about six weeks on his own, and the increased sodium intake had probably reduced the blood lithium level. His condition did not improved though increased dosage of medication. Eventually he was admitted to KCH, where he stayed from 19.11.11 to 16.01.12. Upon discharge, he returned to my clinic for treatment. Subsequently, the medications were gradually reduced. In the past several years, his condition has been stable.

最後,當然要多謝治療我的醫生護士。

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