Managing Emotional Instability in Rare Disease Patients During Pandemic
Emotional instability I have been a patient with a rare disease for a long time and have been taking medication to control my epilepsy. Before the pandemic, I had only mild delays in job opportunities, which occurred once every six months. Currently, I can only complete half of m...
Dr. Tang Jiahong Reply:
Hello: Your condition should first be evaluated and managed by a neurologist for epilepsy. Once the epilepsy is under stable control, an assessment of emotional and cognitive functions can be conducted to determine if treatment improvements are possible. It may be necessary to ad...[Read More] Managing Emotional Instability in Rare Disease Patients During Pandemic
Understanding Confidentiality in Mental Health Evaluations: Key Questions Answered
Counseling-related issues? Hello, Doctor: After graduating from high school, I received treatment at the psychiatric department of Hospital A and underwent a psychological evaluation there (the report has been uploaded to the National Health Insurance system). I am currently atte...
Dr. Wu Enliang Reply:
1.) If the psychological evaluation report conducted by the clinical psychologist hired by the school is uploaded to the National Health Insurance system, will the psychiatrist at Hospital A be able to see my psychological evaluation report from the school? A: The school-employed...[Read More] Understanding Confidentiality in Mental Health Evaluations: Key Questions Answered
Feeling Dreamlike: Understanding Reality and Mental Health
The real-life self? Hello, sometimes I feel like I'm living in a dream... especially when it comes to using the restroom, which often causes confusion for me... I know I'm using the restroom in real life, but I still feel like I'm dreaming, and I often pinch my han...
Dr. Li Guanying Reply:
Hello, thank you for your message. It’s clear from your expression that you are experiencing complex feelings and various surreal sensations. I recommend seeking consultation with a psychosomatic specialist or arranging regular psychotherapy. Establishing a safe environment and a...[Read More] Feeling Dreamlike: Understanding Reality and Mental Health
Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues
Side effects of medication (Jinpusu) Hello Dr. Lee, since I started taking 5 mg of Olanzapine (Zyprexa) daily in 2021, I have noticed that for over three years, my stools have been soft, loose, moist, and unformed, making it very difficult to clean up (I cannot simply use a few p...
Dr. Li Zhengfeng Reply:
Hello Ms. Chen: Generally, there have been no reports of soft stools as a side effect of Jinsupus. However, there are occasional cases of specific individuals with unique sensitivities to medications. To determine whether Jinsupus is causing soft stools, it would be necessary to ...[Read More] Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues
Understanding Privacy in Psychological Assessments: Key Questions Answered
Issues related to psychological counseling? Hello, doctor: After graduating from high school, I received treatment at the psychiatric department of Hospital A and underwent a psychological evaluation there (the report has been uploaded to the National Health Insurance system). I ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Patient privacy is governed by data protection regulations, and you can refer to relevant websites for more information. The recent surge in the pandemic has led the Centers for Di...[Read More] Understanding Privacy in Psychological Assessments: Key Questions Answered
Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Diagnostic issues Hello, Doctor: After my consultation at a certain hospital's psychiatry department, the physician diagnosed me with F34.9, unspecified persistent mood disorder (persistent affective disorder). I would like to ask: (1) Does this mean I have depression? The d...
Dr. Qiu Junda Reply:
Hello. 1. F349 refers to unspecified persistent mood disorder, which is similar to depression. These conditions can be considered as issues related to negative emotions. The symptoms and overall treatment approach are similar, so there is no need to demand precise diagnostic term...[Read More] Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Chronic Fatigue and Sleepiness: When to Seek Psychiatric Help?
Feeling fatigued and wanting to sleep all day? Hello, Doctor. I would like to ask you some questions. Currently, these symptoms are bothering me a lot, scoring a 10 out of 10. I feel tired and want to sleep all day long. I previously took some medications for mental health issues...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for re...[Read More] Chronic Fatigue and Sleepiness: When to Seek Psychiatric Help?
Should I See a Doctor? Navigating Mental Health Struggles
I'm not sure if I should see a doctor? Last June, I cried almost every day, and then in October and November, I continued to cry daily. Even now, I still cry a few times a week. Just a few days ago, I finished my exams, and I suddenly did poorly in math, a subject I had prev...
Dr. Wu Enliang Reply:
It can be tough for internet users. If someone is giving you a nickname that you dislike, try talking to them directly and express that you don't like being called that. Alternatively, you can discuss it with close friends or family to identify the reasons behind it and work...[Read More] Should I See a Doctor? Navigating Mental Health Struggles
Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections
Issues related to schizophrenia? Hello, doctor. From the moment I discovered this issue at the Chinese Medicine Hospital in Hsinchu, I have been prescribed over 20 different medications for the past three years, but none have been effective. I am very certain that this is not cau...
Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex emotions you are experiencing, as well as the detailed experiences and various painful feelings you've expressed. I recommend that you continue to seek treatment from a psychosomatic specialist and arrange for regula...[Read More] Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections
Overcoming Anxiety About STDs: A Guide for Mental Health
I have always been very worried about contracting a sexually transmitted infection (STI)? Hello doctor, I easily get anxious and overthink. I constantly feel that if I touch something casually, or use a shared washing machine or restroom, I will contract a sexually transmitted in...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Recently, the pandemic has intensified, and the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from the long-term effects of acute COVID-19 inf...[Read More] Overcoming Anxiety About STDs: A Guide for Mental Health
How to Support a Family Member with Potential Obsessive Relationship Traits?
If you suspect that a male family member may have potential traits of an obsessive or dangerous partner (though this is just a guess), how should you handle the situation? Due to a family member being middle-aged and still single, they have been wanting to try to get to know the ...
Dr. Cai Qijin Reply:
Hello: As mentioned in the text, family members may develop negative thoughts after experiencing setbacks in online dating. It is advisable to encourage them to express themselves more, providing support and empathy without necessarily offering direct advice. Understanding their ...[Read More] How to Support a Family Member with Potential Obsessive Relationship Traits?
Understanding Auditory Hallucinations: A Patient's Experience and Insights
Continuation #205880 issue? Hello Dr. Lin! Regarding the incident on the train, let me explain in detail: It was around 10 PM, and my father and I were on our way home. The train carriage wasn't too crowded, but it wasn't empty either. As I mentioned to you before, some...
Dr. Lin Mianzhang Reply:
Hello: It seems that your experiences feel very real and are difficult to distinguish from reality. Therefore, I recommend discussing with your physician whether to adjust your medication to improve your auditory hallucinations. You might consider trying clozapine. Wishing you pe...[Read More] Understanding Auditory Hallucinations: A Patient's Experience and Insights
Struggling with Insomnia After Starting Medications for ADHD and Anxiety
Does taking Panadol Extra make it hard to sleep? I visited the doctor due to ADHD, Asperger's syndrome, and insomnia. Last month, the doctor prescribed me Xanax as an anti-anxiety medication. Currently, I take one Xanax before bed, and if I can't sleep, I take Zolpidem....
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery...[Read More] Struggling with Insomnia After Starting Medications for ADHD and Anxiety
Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
What is happening to me? Is it dissociation? Thought disorder? Am I just overthinking? Since last November, I have been experiencing self-harm behaviors that have become increasingly intense and deeper. Self-harm provides me with a sense of calm and a feeling of clarity, and I fi...
Dr. Liang Sunyuan Reply:
Hello, Huiwu: Self-harm is often associated with depression, high stress, and difficulty in coping with irritability. In your description, you mentioned symptoms such as depression, anxiety, and dissociation, along with a background that has experienced considerable stress. Your ...[Read More] Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
Understanding Genetic Risks of Mental Illness in Pregnancy
Genetic Issues in Mental Illness My wife has been diagnosed with persecutory delusions, but she is currently stable and well-controlled on medication. We are considering having a child, but I also have a family history of mental illness, as my aunt and cousin seem to have bipolar...
Dr. Wu Enliang Reply:
Epidemiological studies conducted abroad indicate that if one parent has schizophrenia, there is a 12% chance that their children will also develop schizophrenia. This is significantly higher compared to the general population, where only about 1% is affected by schizophrenia. Ho...[Read More] Understanding Genetic Risks of Mental Illness in Pregnancy
Understanding Side Effects of Panic Disorder Medications
Side effects of panic disorder medications? Hello, Dr. Hsueh. In mid-January of this year, I experienced a recurrence of panic disorder that I had 20 years ago. I am currently seeing a doctor regularly at the hospital, and the doctor has prescribed medications: Ulotar, Anpan, and...
Dr. Xue Gengming Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Side Effects of Panic Disorder Medications
How to Cope When Your Partner's Main Personality Disappears?
What should I do if my partner's dominant personality has disappeared? Hello, doctor. My partner has three distinct personalities, and personality switching rarely occurs unless she is extremely tired or under other stressors. The most common switch is to Personality A. Rece...
Dr. Li Guanying Reply:
Hello, from your letter, it is clear that you are experiencing discomfort and distress. Regarding concerns related to personality and other issues, I recommend further testing and evaluation. 1. Facing an uncertain future, somatic symptom disorder is a common condition in moder...[Read More] How to Cope When Your Partner's Main Personality Disappears?
Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide
Sudden mood swings, insomnia, chest tightness, feelings of wanting to cry, and binge eating? Hello, doctor. Recently, over the past two to three weeks, I've suddenly felt very strange. First, I've been experiencing inexplicable feelings of sadness. I initially thought t...
Dr. Qiu Junda Reply:
Hello. The described situation often involves negative physical and mental reactions. It may be helpful to clarify whether there has been any recent stress contributing to this. This way, you can address the stress or improve stress management (you can refer to educational resour...[Read More] Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide
Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts
Emotional issues Hello Doctor: I have been taking antidepressant medication, but I don't know why I have only taken about 10 out of the 28 pills that were prescribed to me. I have had self-harming tendencies in the past, and now I keep having this thought that everyone hates...
Dr. Li Zhengfeng Reply:
Hello: Since you have been diagnosed with severe depression and are experiencing suicidal thoughts and plans, you are considered a high-risk case. It is recommended that you seek psychiatric consultation immediately, and if necessary, arrange for inpatient treatment to prevent an...[Read More] Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts
Understanding Deep-Seated Schizophrenia Symptoms and Treatment Options
Schizophrenia It seems that the doctor previously addressed the issue of obsessive-compulsive disorder (OCD). I share similar symptoms with that person, but I have progressed to a deeply entrenched level. I have been receiving injections at a large hospital. Initially, my conditi...
Dr. Liang Sunyuan Reply:
Hello: The cognitive and affective symptoms of schizophrenia typically improve with ongoing treatment. It is recommended to collaborate patiently with your physician and adhere to the treatment plan, whether it involves oral medications or long-acting injectables, both of which a...[Read More] Understanding Deep-Seated Schizophrenia Symptoms and Treatment Options