tag:blogger.com,1999:blog-84966020975174434252024-02-19T01:36:45.029-08:00賴奕菁的精神科診所筆記福田診所 @ 新北市蘆洲區中正路140號 電話: 82863287。失眠。自律神經失調。焦慮。憂鬱。過動症。減重。心理治療Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.comBlogger140125tag:blogger.com,1999:blog-8496602097517443425.post-27854702786614592232022-04-05T06:00:00.005-07:002022-04-05T19:11:51.686-07:00「成人也有ADHD」新書推薦<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: justify;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhj1peApPCmMQH_P4nbY98S_-w0IZYT2enxNaYgoD7O65eWXjSo2LRe9--XZJR4b4M3zP0KmDQXAzbwd2r1T5p_P50NWYaSf_3OwbE3LZfZI4lzJfmiXbwfhQDK0GQmer9SnypDcqs8U8ePEf2SdiVQFalJpC2VFQl--_XV2o_25e0wEi_iI69j5X0k8w/s750/2014150523140b.jpg" style="margin-left: auto; margin-right: auto;"><span style="font-size: large;"><img border="0" data-original-height="750" data-original-width="532" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhj1peApPCmMQH_P4nbY98S_-w0IZYT2enxNaYgoD7O65eWXjSo2LRe9--XZJR4b4M3zP0KmDQXAzbwd2r1T5p_P50NWYaSf_3OwbE3LZfZI4lzJfmiXbwfhQDK0GQmer9SnypDcqs8U8ePEf2SdiVQFalJpC2VFQl--_XV2o_25e0wEi_iI69j5X0k8w/w284-h400/2014150523140b.jpg" width="284"></span></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;">書籍封面</span></td></tr></tbody></table><span style="font-size: large;"><div style="text-align: justify;">為什麼都已經是成年人了,還是常忘東忘西,丟三落四的呢? 從小就被責罵「粗心」,但再怎麼努力都沒用,讓您沮喪嗎? 我們都知道,身為大人就該為自己負責,不能找藉口,但有沒有人可以幫幫我,脫離這種自己也無可奈何的混亂世界?</div><div style="text-align: justify;"><br></div><div style="text-align: justify;">有喔! 其實,如果您有上面的狀況,那您並不孤單。社會普遍誤以為ADHD(注意力不集中/過動症)是孩童專屬的問題,長大後腦部成熟就會自癒,事實並非如此。台灣兒童有ADHD的比例為7%,其中有八成的症狀會持續到青春期,六成會持續到成年。也就是說,大半的ADHD即使長大了也不會自己好!</div><div style="text-align: justify;"><br></div><div style="text-align: justify;"><span></span></div></span><a href="https://lai0228.blogspot.com/2022/04/adhd.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.comtag:blogger.com,1999:blog-8496602097517443425.post-42941644091915973392021-09-28T02:43:00.006-07:002021-09-28T19:28:09.890-07:00自主停藥? 會出大事之抗憂鬱劑「血清素戒斷症候群」<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtlKT_bMRsSksihCoZLG-_Ra53lb8AIgtR35q1esj6ZNHVfNk9bl2QTrOaP8mEiDxeKBd2NO20HwfWRxT67rfXs2Qc6R9IoeQhYl0T6etnQrIi0ltXlk3fv2EdHWywPYupbecDiXXvyM7t/s614/%25E8%259E%25A2%25E5%25B9%2595%25E6%2588%25AA%25E5%259C%2596+2021-09-28+17.37.43.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="作用在血清素接受體的抗憂鬱劑" border="0" data-original-height="533" data-original-width="614" height="348" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtlKT_bMRsSksihCoZLG-_Ra53lb8AIgtR35q1esj6ZNHVfNk9bl2QTrOaP8mEiDxeKBd2NO20HwfWRxT67rfXs2Qc6R9IoeQhYl0T6etnQrIi0ltXlk3fv2EdHWywPYupbecDiXXvyM7t/w400-h348/%25E8%259E%25A2%25E5%25B9%2595%25E6%2588%25AA%25E5%259C%2596+2021-09-28+17.37.43.png" width="400"></a></div><br><div style="text-align: justify;"><span style="font-size: large;">「朋友都說不要吃精神科的藥啊,說有習慣性會成癮,戒不掉會失智什麼的。所以,前幾天我就把藥都給停了。」</span></div><div style="text-align: justify;"><span style="font-size: large;"><br></span></div><div style="text-align: justify;"><span style="font-size: large;">「沒藥就很難睡啊! 但是到昨晚,我完全睡不著了。今天早上起來就好難過,說不出來的不舒服,頭有點痛,不過沒發燒。整個人很虛但躺不住,吃不下又想吐,走路不太穩,眼睛看東西有點霧霧的... 我是不是病得很重,或是快要中風了?!」</span></div><div style="text-align: justify;"><span style="font-size: large;"><br></span></div><div style="text-align: justify;"><span style="font-size: large;"><span>這種</span><span>「</span><span>災情</span><span>」</span><span>在診間裡蠻常聽到的,通常是在親友以</span><span>恐嚇口吻的</span><span>「好心建議」後,病人因為恐懼而直接把藥都停掉,然後就出事了。</span></span></div><div style="text-align: justify;"><span style="font-size: large;"><br></span></div><div style="text-align: justify;"><span style="font-size: large;"><span>像上面這位就是直接斷掉「抗憂鬱劑」(</span><span>SSRIs, SNRIs),此類</span><span>藥物作用在血清素(serotonin)接收體,長期服用後如果突然停藥,約有20%的人會出現「</span><b>血清素戒斷症候群</b><span>」。</span></span></div><div style="text-align: justify;"><span style="font-size: large;"><span></span></span></div><a href="https://lai0228.blogspot.com/2021/09/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.comtag:blogger.com,1999:blog-8496602097517443425.post-12477835054899394982020-09-06T01:38:00.001-07:002020-09-06T01:38:22.257-07:00病毒在他鄉,如常運動保健康<div style="text-align: left;"><div><span style="font-size: x-large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYp5ApNrUM_O_pjr8yWfZJb3XyDQLhCvDhq6PT9chI4KKUgfRc9bcCGETDCa4sglJK2sgUKjpEv5qLo8hsuzHkA5ImDmERmCtGrNHNtOs3biyBaJGhYrX9UzJo73KHBAY4pRc2hgdNRsAl/s1259/3.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="534" data-original-width="1259" height="170" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYp5ApNrUM_O_pjr8yWfZJb3XyDQLhCvDhq6PT9chI4KKUgfRc9bcCGETDCa4sglJK2sgUKjpEv5qLo8hsuzHkA5ImDmERmCtGrNHNtOs3biyBaJGhYrX9UzJo73KHBAY4pRc2hgdNRsAl/w400-h170/3.png" width="400"></a></div></span><span style="font-size: large;"><div style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;">前陣子的萬人普篩之亂,徹底終結了普篩派的危言聳聽,也證實了台灣現行的「入境檢疫隔離」加上「全民口罩」,已經是最有效的防疫政策了。</span></div><div style="text-align: justify;"><br></div><span style="font-family: inherit;"><div style="text-align: justify;"><span style="font-family: inherit;">台灣的社區可以說是少數的淨土,目前全世界最安全的所在。</span></div></span><div style="text-align: justify;"><br></div><span style="font-family: inherit;"><div style="text-align: justify;"><span style="font-family: inherit;">然而,疫情還是留下一些後遺症,例如:被打亂的生活習慣。不少人因為疫情而放棄了戶外活動與常規的運動,加上媒體持續不斷的訊息轟炸,從不敢出門演變到習慣窩在家裡,習慣了靜態的生活模式。結果就是,失眠惡化,自律神經失調到焦慮恐慌發作,甚至擔心到憂鬱復發...</span></div></span><span></span></span></div></div><a href="https://lai0228.blogspot.com/2020/09/blog-post_6.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.comtag:blogger.com,1999:blog-8496602097517443425.post-35125946861337168762020-09-06T01:14:00.005-07:002020-09-06T01:38:39.268-07:00恐怕是你對他做過什麼好事...<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPtdaJU_lRk3HIb-cp_j7NKAWQu80Ogioc-QAhMtufuP14vSEqOY283NeR4hf1ynWlXC93gF3r68oCN970hsB9mCBMwOlq4auvefmXtF6X_YYVf51hdCD7c8TnRCLu1N3c4tasxgc-McEW/s1411/1.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="495" data-original-width="1411" height="175" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPtdaJU_lRk3HIb-cp_j7NKAWQu80Ogioc-QAhMtufuP14vSEqOY283NeR4hf1ynWlXC93gF3r68oCN970hsB9mCBMwOlq4auvefmXtF6X_YYVf51hdCD7c8TnRCLu1N3c4tasxgc-McEW/w500-h175/1.png" width="500"></a></div><span style="font-size: large;"><div style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;">在診間裡,尤其以女性居多,常會問說,為什麼我都跟前夫離婚了,或是跟前男友分手了,對方還是糾纏不休呢?!</span></div><div style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;"><br></span></div><div style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;">就像其中一個離婚女性說的--</span></div> <div style="text-align: justify;"><br></div></span><blockquote style="border: none; margin: 0px 0px 0px 40px; padding: 0px; text-align: left;"><span style="font-size: large;"><span style="font-family: inherit;"><div style="text-align: justify;"><span face="">「</span>我做家事,照顧小孩,還出去工作,他不給家用,缺錢時還找我拿錢,我也盡力給了。我真的仁至義盡,只為了小孩而維持家庭表象。<span face="">」</span></div></span></span><span style="font-size: large;"><span style="font-family: inherit;"><div style="text-align: justify;"><span face="">「</span>後來,我終於狠下心放棄小孩,好不容易換得離婚。但他竟然糾纏不休,還是會出現在我工作的地方,要不然到我娘家去鬧...<span face="">」</span></div></span></span><span style="font-size: large;"><span style="font-family: inherit;"><div style="text-align: justify;"><b><span face="">「</span>我什麼都不要了,為什麼他就是不放過我?<span face="">」</span></b></div></span></span><span style="font-size: large;"><div style="text-align: justify;"><br></div></span></blockquote><span style="font-size: large;"><span style="font-family: inherit;"><div style="text-align: justify;"><span style="font-family: inherit;">是啊,該給的不該給的,只要能給的都給了,為什麼說好了分開,那男人卻可以若無其事地繼續鬧?</span></div></span></span><span style="font-size: large;"><span></span></span><a href="https://lai0228.blogspot.com/2020/07/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.comtag:blogger.com,1999:blog-8496602097517443425.post-22754807772145021712020-09-05T08:58:00.007-07:002020-09-06T18:02:37.395-07:00睡不著可以吃褪黑激素嗎?<div style="text-align: left;"><div style="text-align: justify;"><span style="font-family: inherit; font-size: large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNqv-9sVGd_XPyJrVEHUn0Qaxc_65yoiof1rS04IDU28X5sKfrOQXoeYE6tKilhfsUm4IB67-s5oW26b_UOm9TQIIJHvhf9dJTcGyTIfCjDaXuxEjjWMpLwgETZY35KpCunYNJ18RQCoTM/s1920/melatonin.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNqv-9sVGd_XPyJrVEHUn0Qaxc_65yoiof1rS04IDU28X5sKfrOQXoeYE6tKilhfsUm4IB67-s5oW26b_UOm9TQIIJHvhf9dJTcGyTIfCjDaXuxEjjWMpLwgETZY35KpCunYNJ18RQCoTM/w400-h225/melatonin.png" width="400"></a></div><span style="font-family: inherit;">關於這個常見的問題,我的答案是: 可以嘗試。畢竟,沒有絕對需要禁止的理由。</span></span></div><div style="text-align: justify;"><span style="font-family: inherit; font-size: x-large;"><br></span></div><div style="text-align: justify;"><span style="font-family: inherit;"><span style="font-size: x-large;">通常會再被追問:</span><span face="" style="font-size: x-large; text-align: left;">「</span><span style="font-size: x-large;">會有效嗎?</span><span face="" style="font-size: x-large; text-align: left;">」</span></span></div><span style="font-family: inherit;"><span style="font-size: large;"><p class="MsoNormal"><span lang=""><o:p></o:p></span></p><div style="text-align: justify;"><span>關於第二個問題,問得太過含糊,難以回答。醫師只是具有醫學知識的專家,沒有預知的能力。</span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span><br></span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span><span face="" style="text-align: left;">「</span></span><span>醫生,你就看看我,像我這樣,吃褪黑激素會有效嗎? </span><span face="" style="text-align: left;">」像這種換個方式繼續問的人,也是有的...</span></div><div style="text-align: justify;"><span><br></span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span>看著患者熱切的眼神,我除了微笑不語外,只想</span><strike>翻個白眼</strike><span>(誤)寫篇文章來說明一下,褪黑激素是甚麼東西,真的可以取代安眠藥,真的如傳說中所言,是種天然健康,不成癮又無副作用的失眠救星嗎?</span></div><div style="text-align: justify;"><span><br></span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span>褪黑激素(melatonin) 是腦內</span><span face="" style="text-align: left;">「</span><span>松果體</span><span face="" style="text-align: left;">」</span><span>分泌的一種</span><span face="" style="text-align: left;">「</span><span>賀爾蒙</span><span face="" style="text-align: left;">」</span><span>,受</span><span face="" style="text-align: left;">「</span><span>光線</span><span face="" style="text-align: left;">」</span><span>調節。當眼部接收到光線時,會抑制其分泌;當外界光線減弱,就開始分泌。通常在半夜時達到最高量,啟動腦部睡眠,讓人出現昏昏欲睡的感覺。在入睡之後,它還能維持睡眠。當次晨天亮,光線進入眼部,褪黑激素</span><span>逐漸</span><span>減少,大腦開始甦醒。</span></div><div style="text-align: justify;"><span><br></span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span>按照上面的機制,褪黑激素的確對睡眠具有啟動與維持的功能,拿來幫助睡眠,應該會有效。那麼,它對哪些睡眠障礙有效呢?</span></div><div style="text-align: justify;"><span><br></span></div></span><span style="font-size: large;"><div style="text-align: justify;"><span><span></span></span></div></span></span></div><a href="https://lai0228.blogspot.com/2020/09/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-36858768926450514112020-04-23T20:46:00.001-07:002020-09-05T06:58:29.689-07:00因疫情陷入集體焦慮? 這幾招破除心理魔障<div style="text-align: justify;">
<span style="font-size: large;">隨著武漢肺炎在的疫情發燒,我們診間裡也陸續出現了新聞受害者,症狀從焦慮、失眠到恐慌發作,不是遑遑不可終日,就是寢食難安,貼著手機查看最新消息。</span></div>
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<span style="font-size: large;">那種感覺就待宰的羔羊一樣,深怕下一個確診者就是自己。甚至有人吐露心聲,與其無時無刻在消毒雙手與物件,搞到快歇斯底里,那她寧願直接被感染,假如大病一場不死,就能免疫解脫了。聽起來病苦還不是最可怕的,而是惶恐不安的心理重擔,才更磨人。</span></div>
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</div><a href="https://lai0228.blogspot.com/2020/04/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-91808327117736060712020-02-27T19:40:00.000-08:002020-02-28T17:16:38.565-08:00覺得記性變差,會是因為「使蒂諾斯」嗎?<div style="text-align: justify;">
<span style="font-size: large;">失眠的病友常跟我抱怨說,感覺服用「使蒂諾斯」之後,雖然睡眠改善,但記性似乎變差了。那種記性差的感覺,不像把過往都忘記的失智症那樣,而是明明知道的東西,當下就是想不起來,剛剛才答應的事情,轉身就忘個精光。有時候又像是斷片似的,想著想著,突然就不知道上一秒想到哪了。或者是,以前應答流暢,簡直是反射的事情,竟然反應不太過來...</span></div>
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<span style="font-size: large;">特別的是,服用其它安眠藥的患者較少這樣抱怨。(當然也有抱怨別的,例如太慢睡著之類的) 這讓人不禁好奇,這顆藥是否真的有其特別之處呢?</span></div>
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</div></div><a href="https://lai0228.blogspot.com/2020/02/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-69666267281224434572019-12-13T02:00:00.001-08:002019-12-23T04:42:08.569-08:00鎮靜安眠藥已有官方的使用指引?! (二)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAxxKRrT7zzsUOU2l_Vag4ljwtnkglpTwgDd85ZF4ZI5n3432oBgAupkTnnyDDsNlGXPVHGKDKXbf0N6x9f9wgGAKtADPy33Jv2BuvN1DgWi5GbotAF-CYO3vxCwFSqQ3Nyq2zEfq1DVic/s1600/%25E7%259B%25B8%25E7%2589%2587+2019-12-13+%25E4%25B8%258B%25E5%258D%25884+02+46.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAxxKRrT7zzsUOU2l_Vag4ljwtnkglpTwgDd85ZF4ZI5n3432oBgAupkTnnyDDsNlGXPVHGKDKXbf0N6x9f9wgGAKtADPy33Jv2BuvN1DgWi5GbotAF-CYO3vxCwFSqQ3Nyq2zEfq1DVic/s400/%25E7%259B%25B8%25E7%2589%2587+2019-12-13+%25E4%25B8%258B%25E5%258D%25884+02+46.jpg" width="400"></a></div>
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<span style="font-size: large;">承接上一篇 <a href="http://lai0228.blogspot.com/2019/12/blog-post.html#more">鎮靜安眠藥以有官方的使用指引? (一)</a>,繼續為您說明使用時的「<b>注意事項</b>」:</span></div>
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<b><span style="font-size: large;"> 一、 苯二氮平類藥品具「</span><span style="font-size: large;">呼吸抑制</span><span style="font-size: large;">」</span><span style="font-size: large;">作用,慢性呼吸道阻塞併發呼吸衰竭或睡眠呼吸中斷症候群之病人,應避免使用苯二氮平類藥品。</span></b><br>
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<span style="font-size: large;">呼吸有問題的患者,請主動高知醫師,注意評估是否合適開立鎮靜安眠類藥物。免得抑制到原本就不好的呼吸功能,發生意外。</span><br>
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<a href="https://lai0228.blogspot.com/2019/12/blog-post_13.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-41964177107967794042019-12-13T00:41:00.000-08:002019-12-23T04:42:19.027-08:00鎮靜安眠藥已有官方的使用指引?! (一)<div style="text-align: justify;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_xcxtEa3TX21PSifUr_LknUutBNG8HeJ2KQRyUzujkWD7GlUArAN3hMLHlzgkbTiNCx4rTJYtH7vyiI2QOMdF3fdMCMhKArDtD8UDYgUPLHzEv86_krjNVuoAg_UHxK0W3HSFmVFEN6qT/s1600/%25E7%259B%25B8%25E7%2589%2587+2019-12-13+%25E4%25B8%258B%25E5%258D%25884+02+46.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_xcxtEa3TX21PSifUr_LknUutBNG8HeJ2KQRyUzujkWD7GlUArAN3hMLHlzgkbTiNCx4rTJYtH7vyiI2QOMdF3fdMCMhKArDtD8UDYgUPLHzEv86_krjNVuoAg_UHxK0W3HSFmVFEN6qT/s400/%25E7%259B%25B8%25E7%2589%2587+2019-12-13+%25E4%25B8%258B%25E5%258D%25884+02+46.jpg" width="400"></a></div>
<span style="font-size: large;">是的。官方指引是存在的!</span></div>
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<span style="font-size: large;">(按此連結可下載PDF檔案)</span></div>
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<a href="https://www.fda.gov.tw/upload/46/%E8%8B%AF%E4%BA%8C%E6%B0%AE%E5%B9%B3%E9%A1%9E%E4%B9%8B%E5%85%AC%E5%91%8A_961003%E5%85%AC%E5%91%8A%E4%BF%AE%E8%A8%82.pdf"><span style="font-size: large;">苯二氮平類(Benzodiazepines)藥品用於鎮靜安眠之使用指引</span></a></div>
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<span style="font-size: large;">前面不是都說鎮靜安眠藥嗎? 怎麼突然跳出苯二氮平類藥物</span><span style="font-size: large;">(Benzodiazepines)奇怪的名詞? </span><span style="font-size: large;">因為這類藥物的分子結構核心都是一樣的,只是支鏈有差異,所以統稱它們是</span><span style="font-size: large;">苯二氮平(化學名詞)。(更新型的安眠藥便被稱為"<b>非</b>苯二氮平")</span><br>
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<span style="font-size: large;">這個存在感薄弱的官方指引早已於民國93年就公告,96年還修訂過,存在超過15年了。但別說社會大眾聽聞過,即使醫師也不見得都知道。</span></div>
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<span style="font-size: large;">如果,您有興趣了解鎮靜安眠藥應該如何使用的話,請花個幾分鐘閱讀: </span></div>
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<span style="font-size: large;">首先是,<b>用藥原則:</b></span></div>
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</div><a href="https://lai0228.blogspot.com/2019/12/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-79378018483313532932019-11-25T17:13:00.000-08:002019-11-25T17:14:25.038-08:00他們都要丟掉我的安眠藥,怎麼辦?!<div style="text-align: justify;">
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrs56UsI3MJKCeX_IhaA-ccD2wF07yPe4cWwvQ_HFXPfWgLh3Mrt8Tvc1dQnxjE6R52uHWOJziiJBGQ3f3EVdq-icUJCOtncxQYD-RpT9BFdlmq_7XzY5mO7GFJXJ76lNgD1Ov59-gdrPp/s1600/618DB970-ECC9-49E2-89B5-91EF97037D1F.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="915" data-original-width="703" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrs56UsI3MJKCeX_IhaA-ccD2wF07yPe4cWwvQ_HFXPfWgLh3Mrt8Tvc1dQnxjE6R52uHWOJziiJBGQ3f3EVdq-icUJCOtncxQYD-RpT9BFdlmq_7XzY5mO7GFJXJ76lNgD1Ov59-gdrPp/s400/618DB970-ECC9-49E2-89B5-91EF97037D1F.jpg" width="306"></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>詳細資訊請參考本書內文</b></td></tr>
</tbody></table>
<span style="font-size: large;">「睡眠是人的本能」。對!</span><br>
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<span style="font-size: large;">「能睡就不需要安眠藥」。對!</span><br>
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<span style="font-size: large;">但是,兩句話合起來變成 --「睡眠是本能,人本來就不需要安眠藥。 」可就變成錯的。</span></div>
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<span style="font-size: large;">因為「本能」是一回事,但當遇到了病痛或特殊狀況時,本能也可能瞬間瓦解的。</span><br>
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<span style="font-size: large;">例如: </span></div>
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<ul>
<li><span style="font-size: large;">「憂鬱症」讓人吃不下也睡不著。</span></li>
<li><span style="font-size: large;">身體「病痛」讓人即使睡著了,半夜還是痛醒。</span></li>
<li><span style="font-size: large;">「時差」嚴重,該睡時睡不著,該醒的時候腦袋卻昏昏沉沉。</span></li>
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</div><a href="https://lai0228.blogspot.com/2019/11/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-70511563336190399112019-10-07T21:30:00.002-07:002019-10-07T21:30:34.274-07:00強力推薦「原來這就是B型人格」<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFr5q6b1jt_SeqXiZkJf6Zmqv-XXMjowJP7UtyXyz8HFKZUEN-3Uoj9q449hGj9VGDKs3WAp9FLllFIalU-fp6qVx-yUv_VW8C1RzzD2WfJy0MdJpj6uZ8KaQPg6MDqp8oxjx7Prj7Z7Jc/s1600/2011730244976b.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="748" data-original-width="545" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFr5q6b1jt_SeqXiZkJf6Zmqv-XXMjowJP7UtyXyz8HFKZUEN-3Uoj9q449hGj9VGDKs3WAp9FLllFIalU-fp6qVx-yUv_VW8C1RzzD2WfJy0MdJpj6uZ8KaQPg6MDqp8oxjx7Prj7Z7Jc/s400/2011730244976b.jpg" width="291"></a></div>
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<b><span style="font-size: large;">近期能讓我拍案叫絕的超實用心理書籍,解答了我也沒想通的臨床難題。精神專科訓練必備,少踩千百個地雷。</span></b></div>
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<b><span style="font-size: large;">專業助人者(心理師,社工,各類治療師) 請看過這本之後,再去掛牌執業!</span></b></div>
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<b><span style="font-size: large;">總是無法內心平靜,搞得自己遍體鱗傷? 或許,您自己就是</span></b><span style="font-size: large;"><b><span style="font-family: 微軟正黑體;">「</span>B型人格</b></span><b><span style="font-size: large;">」呢! 如果是的話,這本書就是理解自己與世界的入門鑰匙。</span></b></div>
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<b><span style="font-size: large;"><br></span></b></div>
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<span style="font-size: large;">當我收到此書時,旁人湊上來看到封面,有的說:</span><span style="font-size: large;">「</span><span style="font-size: large;">我是B型耶~</span><span style="font-size: large;">」</span><span style="font-size: large;">(抱歉,你那個是血型,不是人格分類) 也有的說:</span><span style="font-size: large;">「</span><span style="font-size: large;">我不是A型人格,那就是B型人格了吧?!</span><span style="font-size: large;">」</span><span style="font-size: large;"> (sorry, 你說的</span><span style="font-size: large;">「</span><span style="font-size: large;">A型</span><span style="font-size: large;">」</span><span style="font-size: large;">與</span><span style="font-size: large;">「</span><span style="font-size: large;">非A型</span><span style="font-size: large;">」</span><span style="font-size: large;">,是個性與壓力導致疾病的關聯性研究。並非精神科診斷分類啊~)</span></div>
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<span style="font-size: large;">光是</span><span style="font-size: large;">「</span><span style="font-size: large;">B型人格</span><span style="font-size: large;">」</span><span style="font-size: large;">這個標題,就會引起誤解...(淚+累) </span><span style="font-size: large;">所以,必得先說明現在談的是</span><span style="font-size: large;">「</span><span style="font-size: large;">精神科疾病診斷準則手冊</span><span style="font-size: large;">」DSM-V</span><span style="font-size: large;">的人格分類。</span></div>
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<span style="font-size: large;">此分類包含--</span></div>
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<span style="font-size: large;"><div style="text-align: justify;">
<span style="font-size: large;"><b>A</b></span><b>型人格</b>: 低度社會互動需求。看起來就是個怪人,幾乎沒有朋友,比例很少,沒有存在感。</div>
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<span style="font-size: large;"><b>B</b></span><b style="font-size: x-large;">型人格</b><span style="font-size: large;">: 即使看似關心別人,但實際在意的事別人眼中的自己。如果與自己無關,就會突然變得冷漠。情緒變化極快,連他們自己都無法預測。看起來好相處,但久了會發現總有隔閡,無法靠近他們的真心。這類人常會被孤獨感所困擾,但又不知如何擺脫。</span></div>
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<span style="font-size: large;"><b>C</b></span><b style="font-size: x-large;">型人格</b><span style="font-size: large;">: 非常在乎別人對自己的看法,總是在觀察別人,順從權威與社會期待,容易過度緊張。</span></div>
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<span style="font-size: large;">因為B型人格是這裡面最不穩定的類型,常造成周遭人與他們自身的痛苦。細分類下有四種子人格,分別是</span><span style="font-size: large;">「<b>自戀型</b></span><span style="font-size: large;">」</span><span style="font-size: large;">、</span><span style="font-size: large;">「<b>戲劇型</b></span><span style="font-size: large;">」</span><span style="font-size: large;">、</span><span style="font-size: large;">「<b>邊緣型</b></span><span style="font-size: large;">」</span><span style="font-size: large;">、</span><span style="font-size: large;">「<b>反社會型</b></span><span style="font-size: large;">」。</span></div>
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<a href="https://lai0228.blogspot.com/2019/10/b.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-90922263490508169992019-07-23T01:18:00.001-07:002019-10-07T17:43:44.913-07:00[老後破產]讀後感<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0rouL5hfUoDeBwb7JxwXmKfBh0di45iECatycekwDjZwrEMk7Pvjq0Svr-xDzij5ABhIY4mcA1J95KYUTYsrXeDGxbAoyiJA8iOXBdqSFjdKPRR7bLRn145yE8JzJzaOOCOVm3ih9Cc_Z/s1600/%25E7%259B%25B8%25E7%2589%2587+2019-7-23+%25E4%25B8%258B%25E5%258D%25882+51+02.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1137" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0rouL5hfUoDeBwb7JxwXmKfBh0di45iECatycekwDjZwrEMk7Pvjq0Svr-xDzij5ABhIY4mcA1J95KYUTYsrXeDGxbAoyiJA8iOXBdqSFjdKPRR7bLRn145yE8JzJzaOOCOVm3ih9Cc_Z/s400/%25E7%259B%25B8%25E7%2589%2587+2019-7-23+%25E4%25B8%258B%25E5%258D%25882+51+02.jpg" width="283"></a></div>
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<span style="font-size: large;">聽楊斯棓醫師演講後,在書店裡順手翻到這本書,一看就停不下來。因為是以NHK採訪小組的角度所書寫,行文相當口語且以人物描寫為主,買回的隔天就看完了。說起讀後感,堪比恐怖小說,還是真實版。最可怕的是,你我每一個人都可能遇得到! </span></div>
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<span style="font-size: large;">想到某個女病人,她收入中上,未婚租房自住,過得還算愜意。最近回診,她說父母不知何時竟讓弟弟拿老家房子去貸款,說要做生意,卻是拿去玩期貨,搞到房子要被銀行法拍了。兩老不僅無法在自宅終老,還得來擠她的套房,想到就讓人頭大。 </span></div>
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</div><a href="https://lai0228.blogspot.com/2019/07/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-59554613886344540072019-06-12T00:28:00.000-07:002019-06-12T00:29:26.996-07:00恐慌發作好難過,怎樣避免才好?<div style="text-align: justify;">
<span style="font-size: large;">人如果感覺到威脅,身體常會無意識地跳到戰鬥模式。但若此種保護機制胡亂自行啟動,就是恐慌發作了-- 突然心悸,胸悶,喘,頭暈,手抖,不安...,簡直是災難一場。曾有恐慌發作過的人想知道,</span><span style="font-size: large;">要怎樣才能減少恐慌的發作呢?</span></div>
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<span style="font-size: large;">首先,請把<b>恐慌症當成上天給的安全警鈴,別不把壓力當成一回事</b>。自律神經比較敏感的話,就要好好保養,還是能過好日子的。千萬不要去挑戰極限,以為可以訓練抗壓性...抱歉,這在恐慌症是行不通的!</span></div>
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<span style="font-size: large;">鄭重提醒: <b>恐慌發作愈多次,會導致心理陰影愈來愈重,神經愈來愈不穩,愈容易發作。</b></span></div>
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<span style="font-size: large;">恐慌症的主角是神經系統,愈沒發作就愈穩定,愈放鬆,愈不會跳電。要安撫,要平穩,輕鬆而逐漸悠哉,無入而不自得。</span></div>
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<span style="font-size: large;">別拿肌力重訓的概念來對付神經,想用洪水法,或是沒有保護下的減敏治療,來衝擊恐慌症病患,那可會把病人搞到神經衰弱,理智線斷烈。</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeZpp7s9PM4gk5PoNU6Mp1UjBadiqDeHesOVI3zVDmcFRPnGor12WL3RBZ_eoA_3U0mbRwpu7I1lDsucVxYHf_fP0S8na2lD3c525gS-zEEG1qHqnzmcxdxQvHrvUk0IZR_HA0KFZr7ZG0/s1600/FIQk7JZA.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" data-original-height="900" data-original-width="1195" height="481" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeZpp7s9PM4gk5PoNU6Mp1UjBadiqDeHesOVI3zVDmcFRPnGor12WL3RBZ_eoA_3U0mbRwpu7I1lDsucVxYHf_fP0S8na2lD3c525gS-zEEG1qHqnzmcxdxQvHrvUk0IZR_HA0KFZr7ZG0/s640/FIQk7JZA.png" width="640"></span></a></div>
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</div><a href="https://lai0228.blogspot.com/2019/03/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com2tag:blogger.com,1999:blog-8496602097517443425.post-47713098043615943422019-03-25T02:40:00.000-07:002019-03-25T02:40:02.341-07:00恐慌症「吃」什麼可以改善?<div style="text-align: justify;">
<span style="font-size: large;">病人常問說: 「恐慌症要</span><b style="font-size: x-large;">多吃什麼</b><span style="font-size: large;">才會好?」</span></div>
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<span style="font-size: large;">這個問題常讓我陷入苦思。不是我不確定答案,而是</span><span style="font-size: large;">恐慌症治療的重點在於--「<b>別吃</b>」什麼,而不是多吃什麼。</span></div>
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<span style="font-size: large;">恐慌症源自於</span><span style="font-size: large;">「</span><span style="font-size: large;">神經迴路</span><span style="font-size: large;">」</span><span style="font-size: large;">出狀況,所以想讓發作減少的話,首要避免會刺激神經的東西。例如</span><span style="font-size: large;">下圖<b>↓</b></span></div>
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<span style="font-size: large;"></span></div></div><a href="https://lai0228.blogspot.com/2019/03/blog-post_25.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-72705909674353111742019-03-12T19:55:00.003-07:002019-03-12T19:55:52.557-07:00為什麼我會得「恐慌症」?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZPUm09HmEWnNt-1L5ZVS13_DA29CWvEMjKxjK3bJzLxCf3J3NhGMt0_aPmSkT24asqtim6IV_6aZQS3JVw86BDcr5AH-3bzKuHhOWE2LdAY0zCbMJ0FrOTHNv5zXgiML1TrOMbWoIzKST/s1600/IMG_2400.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="220" data-original-width="220" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZPUm09HmEWnNt-1L5ZVS13_DA29CWvEMjKxjK3bJzLxCf3J3NhGMt0_aPmSkT24asqtim6IV_6aZQS3JVw86BDcr5AH-3bzKuHhOWE2LdAY0zCbMJ0FrOTHNv5zXgiML1TrOMbWoIzKST/s320/IMG_2400.JPG" width="320"></a></div>
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<span style="font-size: large;">想知道自己的病因是很正常,</span><span style="font-size: large;">然而,這個問題沒有簡單的答案。</span></div>
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<span style="font-size: large;">我通常只能說「</span><b style="font-size: x-large;">自律神經失調</b><span style="font-size: large;">」,但這真的太籠統。如果您有點時間,且讓我解說一下:</span></div>
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<span style="font-size: large;">身體有「</span><b style="font-size: x-large;">戰鬥-逃避</b><span style="font-size: large;">」(</span><b style="font-size: x-large;">Fight-flight</b><span style="font-size: large;">) 模式,視外界狀況而轉換。如果意會到了「威脅」,身體會立刻跳轉到</span><b style="font-size: x-large;">戰鬥模式</b><span style="font-size: large;">,自動將肺換氣量,心跳加速,血管加壓,準備應付敵人。要決一死戰的狀態下,難免會伴隨害怕,不安的情緒。</span></div>
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<span style="font-size: large;"></span></div><a href="https://lai0228.blogspot.com/2019/03/blog-post_12.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com1tag:blogger.com,1999:blog-8496602097517443425.post-44661304765755884062019-03-08T00:54:00.001-08:002019-03-08T01:54:34.779-08:00我怎麼知道自己是「恐慌症」發作?<div style="text-align: justify;">
<span style="font-size: large;">恐慌症(panic disorder)的特點-- 突發性,極可能毫無預兆,短時間內衝到最高,經過幾十分鐘,甚至幾小時或整天才逐漸緩解。</span></div>
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<span style="font-size: large;">恐慌症的特點,除了內心感到焦慮,極度不安,特點是伴隨</span><span style="font-size: large;">「</span><span style="font-size: large;"><b>身體不適</b></span><span style="font-size: large;">」,這通常是患者最難以忍受的部份。</span></div>
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<span style="font-size: large;">可以從下圖看到,身體不適可以用</span><span style="font-size: large;">「器官/系統」來歸類,例如: 心臟的心跳加速,心悸,大力撞擊胸壁的感覺。腸胃系統的反胃,想吐,怪怪的感覺。呼吸系統的窒息感,呼吸困難,胸悶,束緊的感覺。四肢的刺痛或麻木,軀幹發抖,震顫,快站不穩的感覺。身體感覺也可能異常,感覺熱到冒汗,或是冷到發抖。頭部也常感覺昏沉,暈眩,甚至感覺外界好像不是真實的,自己靈魂離體...。上述這些症狀鬧到極點,會讓人極度恐懼害怕,直覺自己或許就要死了...</span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="color: purple; font-size: large;"><b>恐慌症的症狀圖解</b></span></td></tr>
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</div><a href="https://lai0228.blogspot.com/2019/03/blog-post_40.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-58362301096816939492019-02-10T22:50:00.002-08:002019-02-10T22:51:28.223-08:00即日起夜診改為 9:00 截止,為維護看診品質,初診請於 8:30 PM前掛號<div class="separator" style="clear: both; text-align: center;">
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<br />Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-38960341151958651162019-01-28T19:57:00.006-08:002019-01-28T19:57:38.356-08:00不耐煩竟然可能是憂鬱?! <div class="separator" style="clear: both; text-align: center;">
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<span lang="EN-US" style="font-family: "times new roman";">不耐煩竟然可能是憂鬱?! 沒錯,真的可能喔~!</span></div>
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<a href="https://lai0228.blogspot.com/2019/01/blog-post_28.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-70075779958046602772019-01-21T02:01:00.002-08:002019-01-21T02:01:22.832-08:00「煩躁」跟「躁症」怎麼分? <div style="text-align: justify;">
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<span style="font-size: large;">實習醫學生前來</span><span style="font-size: large;">留言,表示看過</span><a href="http://lai0228.blogspot.com/2017/04/blog-post_15.html" style="font-size: x-large;">前文</a><span style="font-size: large;">之後,已經能夠區別</span><span style="font-size: large;">「焦慮」與「憂鬱」。但「焦慮」與「躁症」要怎麼區分呢? 尤其焦慮的核心,不就是「煩躁」嗎? 這種躁跟「躁症」的躁,本質上有何不同?</span></div>
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嗯,多年來的臨床經驗,深感社會大眾對「躁症」過度關注了,動不動就嚷嚷自己有躁鬱症。其實,「躁鬱症」(雙極性情感精神病,分有躁期,鬱期)的盛行率很低,大概就是千分之幾罷了。相對上,焦慮症應該可以高達幾分之一吧! 這種百倍的差距,要是搞不懂而用猜的,我會建議學生先賭「焦慮」,別只考慮著聽起來很炫很酷的少有疾病。</div>
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</div></span><a href="https://lai0228.blogspot.com/2019/01/blog-post_21.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-44826090231460512282019-01-15T20:38:00.004-08:002019-01-15T20:38:54.556-08:00擊碎國立編譯館塞給你的中華史觀 - - [大清帝國與中華的混迷]<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi14g2QIfxKtMnlugOn56DJNkDfALWikqRNw15_RL360NLrTdwsJzHmwOHvOTj9Xb_eINdc_bIJwS_Zi3a8h5GwY7PgDUFv9Ms6QmWBwpC6ERWA5weBgFZ_UKBftSnalW-o-xCUXjbPGuH-/s1600/6072151_R.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="415" data-original-width="343" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi14g2QIfxKtMnlugOn56DJNkDfALWikqRNw15_RL360NLrTdwsJzHmwOHvOTj9Xb_eINdc_bIJwS_Zi3a8h5GwY7PgDUFv9Ms6QmWBwpC6ERWA5weBgFZ_UKBftSnalW-o-xCUXjbPGuH-/s400/6072151_R.jpg" width="330"></a></div>
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<span style="font-size: large;">作者: 平野聰</span></div>
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<span style="font-size: large;">出版社: 八旗文化</span></div>
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<span style="font-size: large;">八旗出書的水準相當高,</span><span style="font-size: large;">先前購入 </span><a href="http://lai0228.blogspot.com/2018/09/blog-post.html" style="font-size: x-large;">中國:潰而不崩</a><span style="font-size: large;"> ,由於是中國人自己寫的內部觀察,真實的數據參考性遠勝過形形色色的中國夢、強國說,更能讓清晰認知中國真實的現況。</span></div>
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<span style="font-size: large;">身為在台灣土生土長的中年世代,小的時候是國民黨專政,蔣家世襲,報禁、黨禁加戒嚴,最切身的還有髮禁啦! 作業本封面上是「</span><span style="font-size: large;"> 做個堂堂正正的中國人</span><span style="font-size: large;">」</span><span style="font-size: large;">,畫的國家地圖是</span><span style="font-size: large;">「</span><span style="font-size: large;">秋海棠</span><span style="font-size: large;">」</span><span style="font-size: large;">。</span><br>
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<span style="font-size: large;">但我那時只覺得很奇怪,為什麼寫信的時候,明明國家這麼大,寄信時地址卻不需要寫</span><span style="font-size: large;">「</span><span style="font-size: large;">台灣省</span><span style="font-size: large;">」</span><span style="font-size: large;">? 只要寫高雄縣啊,台北市哪,信就寄到了。等到長大之後才愈來愈清楚,國民黨政府說的</span><span style="font-size: large;">「</span><span style="font-size: large;">中華民國</span><span style="font-size: large;">」</span><span style="font-size: large;">,幾乎就等同於</span><span style="font-size: large;">「</span><span style="font-size: large;">台灣</span><span style="font-size: large;">」</span><span style="font-size: large;">! 中華民國保有的</span><span style="font-size: large;">「</span><span style="font-size: large;">固有疆土</span><span style="font-size: large;">」</span><span style="font-size: large;">,嚴格來說只有</span><span style="font-size: large;">「</span><span style="font-size: large;">金門</span><span style="font-size: large;">」</span><span style="font-size: large;">與</span><span style="font-size: large;">「</span><span style="font-size: large;">馬祖</span><span style="font-size: large;">」</span><span style="font-size: large;"> (還有太平島?)</span><br>
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<a href="https://lai0228.blogspot.com/2019/01/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com1tag:blogger.com,1999:blog-8496602097517443425.post-542223411286449952018-12-11T20:15:00.001-08:002018-12-11T20:15:17.921-08:00[若你委屈自己,任誰都能苛薄你] 推薦文<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPUy8UtyCk5djbJVjVB7bPIqkwOF6hphkLAHwP5s0XMFnkHWaVxLrPyv1vaIk5MPYBd9d9qEdTqL0mnkNvEttMqknpS2iX3QUc3NN7uPGCWd1CbHBVKo9jrmmdfRMp7WTKXLQJzgGVw_jF/s1600/173616.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="668" data-original-width="500" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPUy8UtyCk5djbJVjVB7bPIqkwOF6hphkLAHwP5s0XMFnkHWaVxLrPyv1vaIk5MPYBd9d9qEdTqL0mnkNvEttMqknpS2iX3QUc3NN7uPGCWd1CbHBVKo9jrmmdfRMp7WTKXLQJzgGVw_jF/s400/173616.jpg" width="298"></a></div>
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<span style="font-size: large;">黃大米的文筆流暢,直率坦誠,故事性強,最後解析又相當犀利。我相當推薦給父母做為青少年教育用書,擱一本在大屁孩視線所及處,讓他們隨手翻閱,保證一篇看完再一篇,打醒中二病,理解成人世界的規則。</span></div>
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<a href="https://lai0228.blogspot.com/2018/12/blog-post_11.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-20140629204376995192018-12-03T02:06:00.002-08:002018-12-03T18:12:18.278-08:00[言語暴力]推薦文<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-7CtkDTkuxpaw-ZEnw22A905SwFPyBCTRD68zoGqybUYFbNNBJPsgQgChewJu1i-dXrcvpgeGV2bVm82JTwmgf7XuTPbzEaYIYMXEmPJZHw0A-G5uYyAlDr8zQHU0HFQYu5AvOdIW71RE/s1600/IMG_1967.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="796" data-original-width="560" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-7CtkDTkuxpaw-ZEnw22A905SwFPyBCTRD68zoGqybUYFbNNBJPsgQgChewJu1i-dXrcvpgeGV2bVm82JTwmgf7XuTPbzEaYIYMXEmPJZHw0A-G5uYyAlDr8zQHU0HFQYu5AvOdIW71RE/s400/IMG_1967.JPG" width="281"></a></div>
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<span style="font-size: large;">人混到一個程度,除了有出版社青睞邀稿寫書,竟然也冒出具名推薦的請求。遠流對此書深具信心,我又有免費的書可看,當然OK。</span></div>
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<span style="font-size: large;">相對於肢體暴力,言語暴力是較難被察覺的。要怎麼判斷自己是否被語言暴力了? 簡單來講,如果你本來感覺還好,但跟對方講過話之後,就覺得自己很糟糕,難過極了,情緒掉到谷底...,即使對方說只是你想太多,玻璃心...但,多半就是了。</span><br>
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<span style="font-size: large;">但因為語言暴力不會留下外傷,只有受虐者點滴在心頭,但往往聯受害者都搞不清楚自己經歷過什麼,還可能被長期受虐而不自知。</span></div>
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<a href="https://lai0228.blogspot.com/2018/12/blog-post_3.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-58304856548874784632018-12-02T19:57:00.002-08:002018-12-03T16:56:26.741-08:00[大腦的悖論]讀後感<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSNIRXOFZhk8jPbJm9O-7NMfLPtxTwmXIc3HuHMdVJOMmB1lrwFniifnKBHIVV4gRxoZl14zjytARa9-MxyUw7gUWIZFPZZwaeoA1OvrGqiKciF2nOuos2uopwnlvQbTvvtLFkmEDndQ-A/s1600/pic_1540970897_90637_s2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="906" data-original-width="640" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSNIRXOFZhk8jPbJm9O-7NMfLPtxTwmXIc3HuHMdVJOMmB1lrwFniifnKBHIVV4gRxoZl14zjytARa9-MxyUw7gUWIZFPZZwaeoA1OvrGqiKciF2nOuos2uopwnlvQbTvvtLFkmEDndQ-A/s400/pic_1540970897_90637_s2.jpg" width="282"></a></div>
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<span style="font-size: large;">多半買書是因為作者,很少人會因為譯者買書吧? 但是,這本書我就是因為譯者而買的。譯者是我認識的學弟,雖然他棄醫從商去了,我相信他的醫學背景與用功程度,是此書的翻譯保證。</span></div>
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<span style="font-size: large;">首先,書的開場由作者自己躺上機器,戰戰兢兢地找人幫忙判讀自己腦部影像開始...即使身為神經科學專家,判讀自己的片子跟別人的片子,情緒上鐵定截然不同。從這個開頭,作者開始引導我們進入腦部複雜且有趣的世界...</span></div>
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<a href="https://lai0228.blogspot.com/2018/12/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-29147281366543326982018-11-26T17:56:00.002-08:002018-11-26T17:56:44.157-08:00門診公告<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-jBXDpceRvaolrPCD4PFcB0DwBA8WOqe7QbTi_pUNLHBA_PCdju6ZFyqEFz286d37jWGZw_z-w3HnPAXMZZ6nQL7mippC5qbuFuXC9jTAHWtndXO7MrunIabyKHVdCWSBvm4aSPteEnXN/s1600/%25E8%259E%25A2%25E5%25B9%2595%25E6%2588%25AA%25E5%259C%2596+2018-11-27+09.54.39.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="522" data-original-width="925" height="360" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-jBXDpceRvaolrPCD4PFcB0DwBA8WOqe7QbTi_pUNLHBA_PCdju6ZFyqEFz286d37jWGZw_z-w3HnPAXMZZ6nQL7mippC5qbuFuXC9jTAHWtndXO7MrunIabyKHVdCWSBvm4aSPteEnXN/s640/%25E8%259E%25A2%25E5%25B9%2595%25E6%2588%25AA%25E5%259C%2596+2018-11-27+09.54.39.png" width="640" /></a></div>
<br />Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0tag:blogger.com,1999:blog-8496602097517443425.post-84356923122229580662018-10-19T20:59:00.003-07:002018-10-19T20:59:40.432-07:00「拼經濟」不是你以為的政客唬爛亂拼法! 經濟學入門書在此<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgj8QFBLqxJ958x0IrVYWlaeKXGp01Cey7p3BeOgpFzo9HLZAQXpyE9gRroyY-QCf12C-Iz8inTMdRZCgbG561oW0eXgtiLqEPVoJVEAQlkcFVhjSplmnPzgzjWk7PP_4rcSQ5Ny79AxrFb/s1600/%25E7%259B%25B8%25E7%2589%2587+2018-10-15+%25E4%25B8%258B%25E5%258D%25884+32+51.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1108" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgj8QFBLqxJ958x0IrVYWlaeKXGp01Cey7p3BeOgpFzo9HLZAQXpyE9gRroyY-QCf12C-Iz8inTMdRZCgbG561oW0eXgtiLqEPVoJVEAQlkcFVhjSplmnPzgzjWk7PP_4rcSQ5Ny79AxrFb/s400/%25E7%259B%25B8%25E7%2589%2587+2018-10-15+%25E4%25B8%258B%25E5%258D%25884+32+51.jpg" width="276"></a></div>
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<span style="font-size: large;">剛看到這本書,最初的感覺就是出版社真的很會,超會命名的。「拼經濟」的確是長年來台灣人最感興趣,政客最愛炒作的話題。但是,經濟是什麼? 到底是要怎麼「拼」? 沒人去深究,好像只要罵罵政府,換掉總統和內閣就好了。可惜,世上沒有如此便宜的事。</span></div>
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<span style="font-size: large;">作者張夏準先生,韓國人。我本以為他是中國人,在美華人,或是台灣學者...,但他就是個歪果仁,對台灣的政治惡鬥或是兩岸糾葛毫無涉入,不會參雜政治立場,請安心閱覽。</span></div>
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<span style="font-size: large;">作者強調<b>「經濟學95%是常識」</b>,人人都可涉獵。此書書寫淺顯易懂,堪為入門用書。剛開始不能免俗的會介紹各個經濟學流派,但作者認為隨意瀏覽就好,因為<b>經濟學不是科學! 而是--思想。</b>別被經濟學文章的數據,圖型,甚至是公式...等等給唬了,看到數字就以為是真理(真相)。科學的特性是能被重複驗證的,經濟學的理論倒是彼此之間互相打臉,各門派間爭論不休的。</span></div>
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<a href="https://lai0228.blogspot.com/2018/10/blog-post.html#more">閱讀更多 »</a>Dr. 賴奕菁http://www.blogger.com/profile/18157648351899301634noreply@blogger.com0