Tag Archives: Kuala Lumpur

Stuttering and Stammering

It gets quite uncommon nowadays to meet people who stutter. I used to see it a lot more on TV, and it’s not much presented nowadays. I wonder if people no longer suffer from this problem, or they just don’t get out there and socialise much (so we hardly get to meet them and talk to them). (It also seems that most children grow out of it anyway).

Till few months ago I received an email from a lady in her 20s. She said it was depression that she needs help for. At first, based on what she wrote, I was thinking she might be quite socially anxious. And towards the end, she casually mentioned that she also had stammering issues.

I, also, quite casually replied to her that if she’s keen, I can help her with her stammering issues, on top of her depression. Undeniably I was quite “eager” inside, I was thinking I finally might meet one whom I can put what I learnt into practice.

That was few months ago. Now she almost, no longer stutters. She told me sometimes she will still do it, deliberately, just because she was quite used to it (due to some techniques that I coached her to try), now it’s all under her control, she can do it or not based on her will (just like everyone of us?). She is a lot more confident than when I first saw her, a lot more socially active too. It wasn’t quite “depression”, hence her previous treatments (mainly medication) didn’t help her much.

I don’t think people generally seek help from psychologist for stuttering and stammering issues, but yes, psychotherapy will help, hypnotherapy too. So yes, please get in touch if you happen to be one or know someone who might need this probably-life-changing therapy.

 

Extra knowledge: Stuttering VS Stammering

Stuttering refers to the repetition of words or syllabus when one is speaking, while stammering is when one is unable to make out the sound while speaking.

#口吃 #结巴 #治疗 #催眠 #心理治疗

LGBT in Malaysia

Everyone has been talking about the change of government since the GE14 in May. Yet my blog seems so cold about this whole shift as if I don’t care, because I have not mentioned it at all so far, but this does not represent how I personally feel about it.

This morning I heard on the 89.9 BFM regarding LGBT in Malaysia. Some were hoping that with the new government, “something” can be done for this minority group. Today I’m not commenting on the Sharia (Islamic) law or how pervasive the discrimination towards LGBT is in Malaysia, I’m writing this as a psychotherapist who works in private psychiatric clinics and private hospitals. I do not represent one or any of them.

In the year of 2007, statistics showed 8% of the Malaysia population thought that homosexuality should be accepted, while in 2013 there was 9%. One of the lowest rates of acceptance in the world.

I’m pleased to see some of them appearing on the newspaper and in the public sharing their stories occasionally. But those were just a very small percentage of the people. From time to time, the clinic and myself received phone calls and emails from people suffering from them. They do not contact us because of mental distress, they get in touch because they want us to “change them back to normal.” They do not want themselves to be like this.

Yes you can set up any law to control their appearance in the media or even in the public. You can also stop them from entering your country. You can prosecute them for cross-dressing and other behaviour. Your law enforcers can also assault and humiliate them however they like it without getting into any trouble. etc. etc.

You can pretend that you don’t see them and disallow them to appear anywhere you don’t want them to be seen, but they don’t just disappear. They suffer. They continue to suffer. In silence. They seek help from private services like us. They avoid the general or government hospitals. Many of them even never speak to their family members about it. They do their best to hide it.

No I’m sorry I can’t change them back to normal. Because who is there to decide what is normal and what isn’t. Not me. Not you either. I can help them though, with all the anxiety and depression that stem from the discrimination and problems in their everyday lives.

So I’m really hoping that whatever laws and regulation the new government may come up with, consider each of these unique individuals, how the interests of the public and theirs can be served, and how can there be less suffering for all. And for the public, I’d really like to urge everyone to be more open, you don’t have to accept them or like them or befriend them, but just bring an open heart and mind, and see what happens.

 

Related read: Can we help with Sexual Orientation “Issues”?

Why do I need Psychotherapy on top of Medication?

Case 1:

My OCD client. She used to take medication many years ago, and has stopped after her condition was well under control and they were planning for pregnancy. The symptoms came back quite aggressively during her pregnancy, but with the support of her husband and family, she didn’t take any medication till her delivery, then she found me. We started psychotherapy (mainly mindfulness and Exposure Response Prevention) few months back, if you ask her what her advice was based on her experience, she would tell you, “I should have started psychotherapy when I was taking medication. That was when my symptoms were less intense with the medication, and the exposure would have been much easier. That way I could learn the techniques and use it later when I no longer medication. I wasted the opportunity. When my symptoms returned and I couldn’t take medication, I don’t know what I can do at all. I struggled till my baby was delivered.”

Case 2.

My anxiety client. She was referred to me by a psychiatric consultant, when we first met, she was rather cheerful and calm, and was tailing off the medication instructed by her doctor. Then she never came back for follow up. Till two months later, she texted me saying she had been so anxious and was unable to sleep for the past nights. We had our second session where she learnt some coping skills. When I followed up with her over the phone, she told me she was much better practicing what I told her to, and was able to sleep. Another month gone, and I received her text again saying she was under much stress and worrying a lot. She asked if there was anything she could do to stop worrying and being so anxious about things. I told her to come back for a follow up session.

 

Psychotherapy doesn’t work like tranquiliser. You pop the pill into your mouth, within 15 minutes or so you get much calmer. Psychotherapy doesn’t work like anti-depressants either. You take the medication regularly for few weeks, your depressed mood, your anxiety and OCD symptoms subside significantly.

However, psychotherapy equips you with coping skills and techniques, if you practice regularly, it becomes YOURS. You become your own therapist. When you spot the early warning signs and symptoms, you can treat yourself, without medication, without any wait.

So when you get much more stable after taking medication, it’s always good to start psychotherapy, which help you tail off medication more easily, understand yourself and the illness better, and prevent future relapse better.

马来西亚催眠治疗

前阵子发现询问关于催眠治疗的人有增加的趋势,而我这两年也开始在马来西亚结合催眠和 CBT (认知行为治疗)还有 ACT (接受与承诺疗法),来使治疗效果更显著一些。我在2012年在英国催眠与催眠治疗学院完成的“认知行为催眠治疗”文凭证书,是一个完全基于科学与研究的催眠学派。从2015年开始,我也跟随来自英国的学院院长,开始在中国北京讲授这门课。

催眠治疗并不是什么神秘魔幻的力量,它用的依然是我们头脑的力量(e.g. ideomotor & ideosensory responses),需要的是患者的积极态度和配合才能生效,所以并不是“躺在那边一两次,问题就全解决了”的。

有兴趣的人,不妨看一看这里,让自己更了解催眠,也更不会被市面上许多没有科学根据、没有实验与临床研究根据的所谓催眠治疗给骗了…

也请大家不妨分享一些好的、比较专业的催眠治疗师。

 

P.S. 有时间的时候,再和大家仔细分享催眠与临床心理学的结合应用。目前我在巴生的私人医院和吉隆坡的精神专科诊所也有在接个案。

心理问题/精神疾病病友互助小组(吉隆坡/巴生)

在国外,不管是什么疾病,互助小组(support group)都是蛮常见的,比如抗癌勇士、强迫症患者等。过去也曾有好一些病人问过我,在马来西亚有这种小组吗… 所以在这里我提出一些意见,有兴趣或有其它看法的人,欢迎联络我…

互助小组类型:

  1. 抑郁症、情绪障碍
  2. 强迫症
  3. 焦虑与焦虑相关障碍
  4. 精神分裂,妄想、幻觉相关障碍
  5. 照护者、患者家属

什么是互助小组?做些什么?

  1. 每个月或每两个星期见一次面,大约一小时
  2. 认识和你面对一样或类似问题的人
  3. 轻松讨论一些主题(由我引导)
  4. 彼此分享、鼓励、支持、学习

语言

  1. 英语
  2. 中文/广东话

地点

  1. 吉隆坡欧阳专科医疗所(Jalan Pudu)
  2. 巴生Manipal Hospital Klang (Bukit Tinggi)
  3. 巴生河流域一代的咖啡馆

必要条件:

  1. 病人的意愿(不是被逼的;愿意出席、参与、讨论、分享、聆听)
  2. 至少三人才能进行
  3. 尊重其他人、尊重隐私权(不泄露其他人的隐私)
  4. 承担费用(行政、材料、场地等)(若有)

目前这只是初始阶段,如果你有什么意见和想法、或者有兴趣参与的话,请留下联络方式,也可以电邮 hello@huibee.com 或致电/whatsapp 017-2757813

英文版本:http://huibee.com/2017/08/support-groups-in-kl-klang/

Support Groups in KL / Klang

UPDATE 29/10/2018:

To keep things simple and organised for me, please fill in this form if you are interested to join the support groups!

PLEASE FILL THIS FORM >> https://goo.gl/forms/PaFNW2LBfOkOOeUv1


I’ve been asked about support groups quite a few times and been thinking how I can start this. It’s definitely something very common in western countries, I’m not sure how it will work here in Malaysia. Now I’m proposing the idea here, and for anyone who reads this and is interested in any of the support groups, please get in touch, let me know what you think and how we can start this and get it going!

Support groups for:

  1. Depression or mood related problems
  2. OCD (Obsessive Compulsive Disorder)
  3. Anxiety or stress related problems
  4. Schizophrenia and psychotic related disorders
  5. Carers (immediate family etc)

What is it? How does it go? What do we do?

  1. Meet monthly or every fortnightly for an hour or so
  2. Getting to know people who share the same or similar problems
  3. Casual discussion following a theme that we set (led by me)
  4. Sharing, supporting and learning among/from each other

Languages:

  1. English
  2. Mandarin / Cantonese

Venues:

  1. Klinik Pakar Au Yong, Jln Pudu, KL
  2. Manipal Hospitals Klang
  3. Some cafes in Klang Valley?

Requirements:

  1. Patient’s willingness! (is not forced by others to join us; willingly attend, participate, share and listen to others)
  2. At least 3 to form a group
  3. To treat others with respect and maintain confidentiality
  4. To share the cost of a small administrations/materials/venue fees (if any)
  5. It’s mainly for people who are undergoing treatment (medical/psychological/other) and need some support along the way, NOT a platform to vent your emotional problems and personal frustrations. 

These are just some ideas for now, if you have some ideas or are interested, please do leave your contacts (email or contact numbers) below or get in touch by emailing hello@huibee.com or calling/whatsapp 017-2757813