Struggling to Sleep: Understanding Sleep Issues in Dorm Life
Persistent insomnia? Hello Doctor: I don’t understand why I can sleep well at home, but I can’t seem to fall asleep in the school dormitory. I haven’t slept for three consecutive days. Will this affect my health? When I try to sleep, I keep tossing and turning, and even though I ...
Dr. Cai Yunlin reply Psychiatry
Hello, the situation you mentioned may be related to disturbances in the sleep environment or inappropriate sleep associations. If sleep issues are affecting your daily functioning, it is advisable to seek further evaluation and treatment at a psychosomatic medicine clinic.[Read More] Struggling to Sleep: Understanding Sleep Issues in Dorm Life
Understanding Anxiety: Is My Medication Dose Too High or Too Low?
Worry and anxiety? I would like to ask the doctor if taking 10 mg of Escitalopram daily is considered a high or low dose. If I want to stop the medication, would changing my follow-up appointments from every two weeks to every three weeks indicate progress? I also worry that havi...
Dr. Cai Yunlin reply Psychiatry
Excessive anxiety and worry are common symptoms of anxiety disorders. These concerns are often multifaceted. It is advisable to discuss issues such as medication and follow-up appointment frequency with your physician, as this may help improve your condition.[Read More] Understanding Anxiety: Is My Medication Dose Too High or Too Low?
Understanding Sleep Medications: Addressing Insomnia After Surgery
Issues with sleeping pills? Hello Doctor, I recently experienced a retinal detachment and after surgery, I need to sleep face down for an extended period, which has resulted in chronic sleep deprivation and a disrupted day-night cycle. I feel mentally exhausted and anxious, and l...
Dr. Cai Yunlin reply Psychiatry
Hello, in addition to your sleep issues, there may also be postoperative discomfort and related anxiety. I recommend reviewing your current daily habits and sleep-related behaviors that may be affecting your sleep. Common suggestions include the following: 1. Regardless of how ...[Read More] Understanding Sleep Medications: Addressing Insomnia After Surgery
Overcoming Sleep Anxiety: Tips for Better Rest and Relaxation
How can I fall asleep? Hello Doctor: I used to have no sleep issues while living in the dormitory, but for some reason, after one night of not being able to sleep, I have not been able to sleep well since then. I now fear not being able to sleep, but I feel mentally alert through...
Dr. Cai Yunlin reply Psychiatry
Hello, insomnia caused by inappropriate sleep associations (such as linking sleep with anxiety, worry, and other emotions) is a common phenomenon in clinical practice. The treatment approach involves re-establishing the connection between sleep and the associated emotional contex...[Read More] Overcoming Sleep Anxiety: Tips for Better Rest and Relaxation
Understanding Sleep Disturbances: Uncontrollable Hand Movements at Night
Sleep issues Hello doctor, I have no trouble falling asleep, but sometimes I wake up in the middle of the night and notice that my hands are raised on their own, and I can't control them. After that, I feel sleepy again and then it's morning. I'm not sure what the ...
Dr. Cai Yunlin reply Psychiatry
Hello, if you suspect you have a sleep-related movement disorder, it is recommended to visit a sleep center at a hospital for further evaluation. Wishing you all the best.[Read More] Understanding Sleep Disturbances: Uncontrollable Hand Movements at Night
Memory Issues and Sleep Medications: Understanding the Impact
Experiencing mental fog in the morning after taking sleeping pills? Hello doctor, I am currently taking sleeping pills and have gradually noticed a decline in my memory and learning ability. Could the sleeping pills be causing this? I have been taking them for quite a long time a...
Dr. Cai Yunlin reply Psychiatry
Hello, generally speaking, sleeping pills should be safe when taken at the recommended dosage, but they should be used in conjunction with sleep hygiene and exercise. Additionally, it is important to rule out issues such as depression and anxiety that may be affecting sleep. Rega...[Read More] Memory Issues and Sleep Medications: Understanding the Impact
Understanding Emotional Outbursts: A Guide to Managing Anger and Memory Issues
What is wrong with me? Hello Dr. Tsai, recently I have noticed that I seem to have difficulty controlling my temper. In the past, when I argued with my husband, I tried my best to endure and not engage in a fight, but I would feel very frustrated and have thoughts of self-harm, c...
Dr. Cai Yunlin reply Psychiatry
Hello Fangfang, Regarding your recent letter, it seems that you have been experiencing symptoms such as low mood, irritability, feelings of worthlessness, difficulty concentrating, and even some distressing thoughts. These issues are interfering with your family life, and you f...[Read More] Understanding Emotional Outbursts: A Guide to Managing Anger and Memory Issues
Overcoming Acne Anxiety: Seeking Help for Mental Health Struggles
Worry Over the past two years, due to issues with acne, I have seen doctors for a long time and have been on medication for two years without improvement. This has led me to not want to go out and to avoid talking to others. I walk with my head down every time, and my mood is con...
Dr. Cai Yunlin reply Psychiatry
Acne can be influenced by a variety of factors, including skin condition, diet, emotions, and hormonal balance. Addressing these issues requires the assistance of a professional dermatologist. In life, we often encounter events that are beyond our complete control. Striving for t...[Read More] Overcoming Acne Anxiety: Seeking Help for Mental Health Struggles
Is My Dad Struggling with Mental Health Issues?
Is Dad sick? My father is 55 years old and has a stable job in the technology industry. He grew up in a difficult family environment, as his grandfather was not very responsible, so he strives to be a good father, which he has succeeded in, maintaining a close relationship with m...
Dr. Cai Yunlin reply Psychiatry
Hello Ms. Chou, The situation you described seems to be causing significant distress for both you and your family. It is understandably difficult for family members to accept behaviors from a close relative that lead to such turmoil. Often, the individual involved experiences c...[Read More] Is My Dad Struggling with Mental Health Issues?
Understanding Memory Loss and Headaches: Is It Alzheimer's?
I often forget things, have difficulty concentrating, experience headaches when thinking, and frequently suffer from headaches? I have been experiencing frequent headaches lately without taking any medication, especially when I try to think or recall past events. I often forget t...
Dr. Cai Yunlin reply Psychiatry
Hello Ah-Hsien, regarding the issues of forgetfulness, attention, and headaches mentioned in your letter, it is important to consider not only physical health problems but also to rule out emotional factors such as anxiety, depression, or stress-related psychosomatic responses. I...[Read More] Understanding Memory Loss and Headaches: Is It Alzheimer's?
Understanding Autonomic Nervous System Disorders: Symptoms and Relief Strategies
Autonomic nervous system dysfunction with heightened sympathetic nervous system sensitivity? Hello Doctor, I would like to ask about issues related to the autonomic nervous system. I have been experiencing these symptoms for the past eight years, which include difficulty breathin...
Dr. Cai Yunlin reply Psychiatry
Hello, the symptoms you mentioned, such as difficulty breathing, numbness in the hands and feet, and fear of dying, may need further clarification to determine if they are symptoms of an anxiety disorder (such as panic attacks). I recommend that you visit a psychosomatic medicine...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Relief Strategies
Breathing Issues and Fatigue: Understanding Stress and Mental Health
I have been experiencing difficulty breathing for the past two weeks and feel fatigued at work? Hello Dr. Tsai: I am currently a college student and have been working at an auto repair shop for a little over a month. Recently, I have started experiencing some difficulty breathing...
Dr. Cai Yunlin reply Psychiatry
Hello, Xiao Zhong. The symptoms you described initially seem to be related to psychosomatic responses associated with stress or anxiety. Generally speaking, if these are temporary stress reactions, they should gradually alleviate over time with increased familiarity with work or ...[Read More] Breathing Issues and Fatigue: Understanding Stress and Mental Health
Overthinking Your Health: Understanding Anxiety and Fatigue
Overthinking? Hello, doctor. Since my freshman year, I have been playing on the computer for about 15 hours a day on average, and I often stay up late, sometimes going two or three days without sleep. I have been binge eating late-night snacks, and my weight has increased from 67...
Dr. Cai Yunlin reply Psychiatry
Hello, it seems that the psychosomatic symptoms you mentioned have been troubling you for a long time, and despite receiving treatment, you have not experienced satisfactory improvement. After many years, it is indeed challenging to find quick solutions or simple explanations for...[Read More] Overthinking Your Health: Understanding Anxiety and Fatigue
Overcoming Extreme Fear: Understanding Anxiety and Phobias
Naturally timid and very anxious overall! Hello, doctor. I have always been timid. When I was a child, I was afraid of the dark and didn't dare to sleep alone. I was also very scared of cockroaches, mice, and other creatures. Additionally, I am extremely afraid of watching h...
Dr. Cai Yunlin reply Psychiatry
Hello Amo, From your letter, it seems that you have been struggling with this fear-related anxiety for some time. The intense anxiety responses you mentioned when facing certain organisms or situations, which lead you to avoid or feel uncomfortable enduring these situations, ma...[Read More] Overcoming Extreme Fear: Understanding Anxiety and Phobias
Understanding Depression: Managing Medication and Persistent Thoughts
Wishing for peace and happiness? A few years ago, I was diagnosed with depression. After seeing a doctor and taking medication, I have noticeably improved. However, I still occasionally have negative thoughts. Why do I experience this even though I am consistently taking my medic...
Dr. Cai Yunlin reply Psychiatry
Hello, the medication you are currently receiving seems to be standard treatment for depression. Typically, with appropriate pharmacotherapy, symptoms can show significant improvement; however, there may still be some residual symptoms, including emotional and sleep issues. I rec...[Read More] Understanding Depression: Managing Medication and Persistent Thoughts
Effective Strategies for Rapid Recovery from Bipolar Disorder
How to expedite recovery from bipolar disorder? How can I recover from bipolar disorder quickly? I've been on medication for two years, but the medication is causing blurred vision and poor sleep quality. I often wake up suddenly during the night, and my memory has also wors...
Dr. Cai Yunlin reply Psychiatry
Hello Xiao Li, the treatment of bipolar disorder, like other mental illnesses, needs to consider physiological, psychological, and social aspects. Medications play an important role in this process. It seems that you have some concerns regarding the medications and some psycholog...[Read More] Effective Strategies for Rapid Recovery from Bipolar Disorder
Understanding Communication Difficulties: When to Seek Psychiatric Help
I would like to ask a question? I would like to ask about my father-in-law, who often struggles to express what he wants to say. He gets stuck in the middle of a sentence and takes a long time to continue. What could this be a symptom of? If we need to go to the hospital for an e...
Dr. Cai Yunlin reply Psychiatry
Hello, Jiaying. Regarding the speech disorders that may occur in middle-aged and elderly individuals, there are many factors to consider and rule out, including symptom history, other medical history, physical examination, and neurological and psychiatric evaluations. It is recom...[Read More] Understanding Communication Difficulties: When to Seek Psychiatric Help
Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Am I sick? Hello, since April, I have been experiencing a feeling of heaviness in my chest, along with palpitations and insomnia. In May, after visiting the hospital, my family medicine doctor said that my heart and lung functions were normal and advised me to reduce work stress ...
Dr. Cai Yunlin reply Psychiatry
Hello Apple, if the family medicine physician has conducted an evaluation and examination, it should be possible to preliminarily rule out any physical ailments related to the symptoms you described. It may be necessary to further exclude stress-related or emotional issues. I rec...[Read More] Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Do You Have Day Treatment Programs with Occupational Therapists?
Do you have a day hospital? Do you have occupational therapists in your day hospital? (To assist with rehabilitation for psychiatric patients); What should I prepare to go to the day hospital?
Dr. Cai Yunlin reply Psychiatry
Hello Mr. Hsieh, our outpatient department is equipped with occupational therapists. The activities designed in the outpatient department aim to assist patients in further rehabilitation and activities of daily living. Typically, patients need to have a more stable condition and ...[Read More] Do You Have Day Treatment Programs with Occupational Therapists?
Understanding the Connection Between Gut Feelings and Mental Health
This issue has troubled me for many years, and I hope the doctor can help me resolve it? Hello Dr. Tsai, I am Xiao Jie from Pingtung. I would like to ask you about a sensation I sometimes feel in my abdomen, which is a warm feeling. Whenever this sensation occurs, something bad h...
Dr. Cai Yunlin reply Psychiatry
Hello, Xiao Jie. What you mentioned seems to be a type of prediction about future conditions based on bodily responses. At this moment, I cannot determine whether this is caused by psychological factors. However, for diagnostic considerations, I would recommend that if similar si...[Read More] Understanding the Connection Between Gut Feelings and Mental Health