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Overcoming Aquaphobia: Understanding and Managing Fear of Water

Can humans suffer from hydrophobia? Hello, Dr. Chen. I have read many articles about aquaphobia online, but the literature is quite limited and doesn't fully answer my questions, so I am here to ask you! Swimming has been something I've feared since childhood, especiall...


Dr. Chen Wenke reply Psychiatry
After seeing your question, I can't help but feel for you. What I can share is that your experience is almost identical to mine; I also had a near-drowning experience, which led to panic whenever I encountered water. In high school, swimming was required, and in college, it ...

[Read More] Overcoming Aquaphobia: Understanding and Managing Fear of Water


Overcoming Social Anxiety: A High School Student's Journey to Confidence

Social Anxiety Disorder I am a high school student who easily gets nervous and shy. I blush when talking to unfamiliar people, and I often fidget with my fingers, even struggling to make eye contact with them. During my third year of junior high, there were times when I spoke les...


Dr. Chen Wenke reply Psychiatry
Hello, your concerns clearly indicate that you are experiencing social anxiety disorder, which is an anxiety disorder. Since it has significantly impacted your normal social activities, I recommend that you consult a professional psychiatrist to discuss your issues. Currently, a ...

[Read More] Overcoming Social Anxiety: A High School Student's Journey to Confidence


Comparing the Duration of Action for Common Psychiatric Medications

Medication Consultation Hello doctor, I consulted you a few days ago regarding sleep medications: Lendormin 0.25mg, Zolpidem 7.5mg, and Stilnox 10mg. Which one has the longest duration of action? For the anxiolytics: Rivotril 2mg, Ativan 2mg, Xanax 2mg, and Alplax 15mg, which one...


Dr. Chen Wenke reply Psychiatry
Hello, I found a link that might help with your question: https://meddataspeaks.files.wordpress.com/2015/05/2015-5-311.png. Wishing you safety and well-being.

[Read More] Comparing the Duration of Action for Common Psychiatric Medications


Managing Anxiety Symptoms: Eye Strain, Fatigue, and Coping Strategies

If you experience eye strain and fatigue during periods of anxiety, consider the following steps: 1. **Take Breaks**: Follow the 20-20-20 rule. Every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain. 2. **Practice Relaxation Techniques**: ...


Dr. Chen Wenke reply Psychiatry
Hello: Your description actually reflects typical symptoms of anxiety disorder, which indeed often has recurring episodes. However, you are doing well by seeking professional help and consistently taking medication for about eight months. Regarding the dosage, it is important to ...

[Read More] Managing Anxiety Symptoms: Eye Strain, Fatigue, and Coping Strategies


Struggling with Emotional Control: A High School Student's Journey

Inability to control emotions? I'm sorry to hear that you're feeling this way. It sounds like you're experiencing significant emotional challenges, including anger and sadness, which have been difficult for you to manage. You mentioned that you often feel angry ove...


Dr. Chen Wenke reply Psychiatry
Hello: Regarding your title: "Inability to Control Emotions," I want to commend you for bravely recognizing that you have emotional issues as a high school freshman. Struggling with anger and sadness is quite common at your age, as you are going through a natural physio...

[Read More] Struggling with Emotional Control: A High School Student's Journey


Is It Normal to Feel Depressed and Sleep-Deprived? Seeking Help

Most people experience depression and insomnia? Hello, doctor. I am currently facing a problem where I am unsure if I should see a doctor. My sleep duration is mostly around 5 to 6 hours, and I often struggle to wake up on time in the morning. At night, I frequently find myself r...


Dr. Chen Wenke reply Psychiatry
Whether further medical consultation is needed usually requires clarification on a few points. First, it is important to determine if these uncomfortable symptoms occur frequently and significantly impact daily life, work, or interpersonal relationships. If so, I recommend speaki...

[Read More] Is It Normal to Feel Depressed and Sleep-Deprived? Seeking Help


Understanding Your Mental Health: Signs You Might Need Help

Mental status I often experience stomach pain, headaches, dizziness, and chest tightness, but all my medical examinations have come back normal. I feel the urge to sleep all the time, yet I can't fall asleep when others do. I've lost interest in things I used to enjoy a...


Dr. Chen Wenke reply Psychiatry
Hello, based on your description, I have a few observations for your consideration. Firstly, it seems that your daily routine is quite unstable, which can certainly increase the likelihood of emotional fluctuations and decreased concentration, creating a vicious cycle. It appears...

[Read More] Understanding Your Mental Health: Signs You Might Need Help


Am I Experiencing OCD Symptoms or Just Normal Worry?

Is it obsessive-compulsive disorder? Hello, doctor. I would like to ask if my situation is indicative of obsessive-compulsive disorder (OCD). The issue began when a family elder put their hand in my child's mouth under certain circumstances. This elder has warts, and I am ve...


Dr. Chen Wenke reply Psychiatry
Your condition clearly presents significant anxiety, which is affecting your mood and daily routine. Additionally, your family is concerned about your behavior, leading me to believe that you are exhibiting noticeable obsessive-compulsive symptoms. I recommend seeking further eva...

[Read More] Am I Experiencing OCD Symptoms or Just Normal Worry?


Coping with OCD, Anxiety, and Intrusive Thoughts: A Guide

What should I do about obsessive-compulsive disorder, anxiety, and racing thoughts? Hello, doctor. I'm really troubled by my constant overthinking. For example, when I'm riding my bike on a bike lane and I see another cyclist approaching, I suddenly start to worry about...


Dr. Chen Wenke reply Psychiatry
Hello, based on what you described, if this occurs frequently, it can be quite uncomfortable. These thoughts may linger in your mind, preventing you from focusing on your daily life, work, studies, and even interpersonal relationships. Therefore, I suggest that you seek a nearby ...

[Read More] Coping with OCD, Anxiety, and Intrusive Thoughts: A Guide


Struggling with Mental Clarity: Overcoming Emotional Suppression

Unable to think clearly, feeling mentally suppressed? Previously, when I went to work in another place, I felt very suppressed. When I returned to my original living environment, I suddenly realized that I couldn't think clearly; I was constantly overthinking everything, whi...


Dr. Chen Wenke reply Psychiatry
Hello: Based on your information, it seems that you are experiencing significant emotional distress, which is affecting your daily life and routines. You may find it difficult to concentrate on various tasks, and you are also experiencing physical discomfort, leading to unhappine...

[Read More] Struggling with Mental Clarity: Overcoming Emotional Suppression


Understanding Symptoms of Anxiety: Chest Tightness, Dizziness, and Rapid Heartbeat

Chest tightness, dizziness, and rapid heartbeat? I have been experiencing chest tightness and a rapid heartbeat (around 110 beats per minute) for the past week or two, which makes me feel dizzy and like my brain is lacking oxygen, almost to the point of not being able to breathe....


Dr. Chen Wenke reply Psychiatry
Hello, based on your description, I have a few observations for your reference. Your numerous physiological symptoms seem to be causing you significant discomfort and are clearly affecting your emotions, leading to heightened anxiety. Even though initial examinations did not reve...

[Read More] Understanding Symptoms of Anxiety: Chest Tightness, Dizziness, and Rapid Heartbeat


Overcoming Insomnia and Anxiety After Breast Cancer Chemotherapy

Severe insomnia after chemotherapy for breast cancer? Hello Dr. Chen, Five years ago, I underwent surgery and chemotherapy for breast cancer, and since then, I have been struggling with insomnia and anxiety. I have consulted with doctors during this time for treatment, but my s...


Dr. Chen Wenke reply Psychiatry
Good afternoon, Sherry. I was somewhat surprised to receive your letter, as I have not been involved in addressing medical issues for quite some time. However, I would like to discuss the concerns that have troubled you over the years. Firstly, chemotherapy drugs can cause phys...

[Read More] Overcoming Insomnia and Anxiety After Breast Cancer Chemotherapy


Is It a Delusional Disorder? Understanding Signs and Seeking Help

Is it a delusional disorder? My brother is a college student. For the past two weeks, he has been saying things like he is the source of chaos or that he is possessed by a demon. He interprets events happening at school or in society as being related to him, and he believes he is...


Dr. Chen Wenke reply Psychiatry
Hello, based on your description, it does seem that you are experiencing symptoms of a mental disorder. Given your previous use of substances like ecstasy, it is important to consider that the combination of various drugs may be contributing to your altered mental state. I recomm...

[Read More] Is It a Delusional Disorder? Understanding Signs and Seeking Help


Is Your Partner's Jealousy a Sign of Deeper Issues?

Should I seek medical attention? My husband is an only child who has been protected by his parents since childhood. Now, he works from home, and I feel that he either doesn't trust me or lacks security, or perhaps both. He seems to have a strong sense of suspicion. I work ou...


Dr. Chen Wenke reply Psychiatry
AVON: In situations like this, to be honest, your husband is indeed more sensitive. However, people like him usually do not recognize that there is anything wrong with their behavior. Therefore, encouraging him to seek treatment is generally not easy, as he may appear completely ...

[Read More] Is Your Partner's Jealousy a Sign of Deeper Issues?


Finding Love with Schizophrenia: Relationships and Genetic Concerns

Schizophrenia How do individuals with schizophrenia find partners for marriage? Is there a risk of it being inherited by the next generation? Please provide information. Thank you.


Dr. Chen Wenke reply Psychiatry
PETER: I'm not sure how individuals with schizophrenia find their marriage partners, but I believe that having parents help in the search is a common approach. If you have a relative (a blood relative) with schizophrenia, your risk of developing the condition may be higher, ...

[Read More] Finding Love with Schizophrenia: Relationships and Genetic Concerns


Understanding Hospital Treatment Options for Bipolar Disorder Patients

Patients with bipolar disorder who require inpatient treatment? In the case of patients with bipolar disorder receiving inpatient treatment, the therapeutic approach typically includes a combination of medication management and psychotherapy. Medication treatment often involves m...


Dr. Chen Wenke reply Psychiatry
NANCY: Inpatient treatment typically includes medication therapy, group therapy, activity therapy, and psychotherapy. However, acute care units usually place greater emphasis on medication management.

[Read More] Understanding Hospital Treatment Options for Bipolar Disorder Patients


Seeking Guidance: Struggling with Mental Health Medication Adjustments

I urgently need your help? Director Chen: Hello, I have been on medication for nearly four and a half months. During this period, there has been no significant improvement in my condition, so my physician has made two adjustments to my medication and dosage. However, there has be...


Dr. Chen Wenke reply Psychiatry
I apologize for not clearly understanding your main question. However, if ongoing treatment has not led to improvement after a significant period, it may be worth consulting another physician or having a more in-depth discussion with your original treating physician. Some conditi...

[Read More] Seeking Guidance: Struggling with Mental Health Medication Adjustments


Encouraging Depressed Loved Ones to Seek Help Without Hurting Their Pride

How to encourage individuals with symptoms similar to depression to seek medical attention? A family member is experiencing mental instability following the death of their spouse, believing they are being haunted by spirits. They frequently burn joss paper and often hide under th...


Dr. Chen Wenke reply Psychiatry
Hello, Ms. Hu: It can be quite challenging to deal with individuals who have issues but are unwilling to seek medical attention. However, there are several approaches you might consider. Based on your description, your family member may exhibit symptoms of a mental disorder. Typi...

[Read More] Encouraging Depressed Loved Ones to Seek Help Without Hurting Their Pride


Struggling with Compulsive Masturbation: Seeking Help and Understanding

I'm in so much pain? I have been accustomed to masturbation since my teenage years. At first, it was infrequent, but now it has become a daily habit, and I can't sleep without it. I keep telling myself to stop, but when the time comes, my mind goes blank, and by the tim...


Dr. Chen Wenke reply Psychiatry
Masturbation is not considered an abnormal behavior, as long as it does not excessively interfere with your work or daily life, there is no need for excessive concern. Sometimes, enjoying your own private life can be quite nice, right? Whether or not to masturbate, and the freque...

[Read More] Struggling with Compulsive Masturbation: Seeking Help and Understanding


Effective Strategies for Addressing Alcoholism in Family Members

Alcoholism Hello Dr. Chen, my mother has a serious problem with alcohol abuse, and she often drinks secretly. She has a history of long-term alcohol consumption that has led to a gastric ulcer. Especially in the past few days, after arguing with my father, she has been drinking e...


Dr. Chen Wenke reply Psychiatry
Alcohol consumption can lead to habitual and behavioral issues, including long-term excessive drinking, which is well-known to cause severe damage to the gastrointestinal tract, liver, pancreas, and femur (avascular necrosis). However, the ultimate target of alcohol is our nervou...

[Read More] Effective Strategies for Addressing Alcoholism in Family Members


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