Understanding Autonomic Nervous System Disorders and Hair Loss Concerns
Self-discipline? What is autonomic nervous system dysfunction? Do I have it? I often worry about hair loss and frequently push my hair back to check my forehead height. I'm very afraid of balding! Question 1: I read online that excessive concern or worry about hair loss ca...
Dr. Chen Wenyu reply Psychiatry
Hello, Su Huang: The so-called autonomic nervous system is a part of the body's nervous system that cannot be controlled by will, also known as the involuntary nervous system. It primarily regulates functions such as blood pressure and heart rate. What does "health"...[Read More] Understanding Autonomic Nervous System Disorders and Hair Loss Concerns
Understanding Binge Eating and Mood Disorders: A Guide to Mental Health
Binge Eating Disorder ~~ Bipolar Disorder Hello, doctor. I used to be very easygoing and laid-back, but over the past few months, I've been overthinking and feeling quite troubled. My irritability has been rising rapidly. I've been eating without restraint—one afternoon...
Dr. Chen Wenyu reply Psychiatry
Hello bear20020503: Based on your description, I would first consider whether you have been experiencing any recent life stressors. Regardless, these emotional disturbances, dietary issues, and sleep disorders are indeed affecting your interpersonal, occupational, and social func...[Read More] Understanding Binge Eating and Mood Disorders: A Guide to Mental Health
Understanding Depression vs. Bipolar Disorder: Seeking Help for Mental Health
Depression or bipolar disorder..? Hello Doctor: Recently, due to pressure from work and family relationships, I have been feeling overwhelmed. Sometimes, even when nothing significant happens, I find myself overthinking... In middle school, I experienced severe depression due to ...
Dr. Chen Wenyu reply Psychiatry
Hello, Summer: Humans are emotional beings, and it is natural for moods to fluctuate. However, individuals vary in their ability to cope with stress. Based on your situation, it is unlikely that you are experiencing bipolar disorder; this term is often misused, and psychiatrists ...[Read More] Understanding Depression vs. Bipolar Disorder: Seeking Help for Mental Health
Understanding Inattention: Is It ADHD or Something Else?
Inability to concentrate? Doctor! May I ask why I can't seem to continue doing something for a long time? For example, when I play on the computer, I have to get up and move around after a short while. This happens with almost anything I do. Also, during class, I often feel ...
Dr. Chen Wenyu reply Psychiatry
Hello, Sheng: Attention Deficit Hyperactivity Disorder (ADHD) is primarily diagnosed based on three main criteria: hyperactivity, inattention, and impulsivity. Symptoms of ADHD should manifest during childhood and affect not only the individual but also parents, relatives, and th...[Read More] Understanding Inattention: Is It ADHD or Something Else?
Reality or Illusion? Navigating Mental Health Challenges in the Workplace
I don't know if it's reality or fantasy..? Doctor: I recently skipped work because my job is far from home... I was supposed to get reprimanded for it! However, I returned to work recently and surprisingly, I wasn't scolded... Before skipping work, I had already le...
Dr. Chen Wenyu reply Psychiatry
Hello, from your letter, it seems that your boss is truly a gracious person. How many bosses can tolerate employees coming and going as they please? In a lifetime, it's rare to encounter such a good boss. This is not an illusion or a matter of reality; it's simply your ...[Read More] Reality or Illusion? Navigating Mental Health Challenges in the Workplace
Understanding Potential Mental Illness in a Grieving Parent: Guidance and Solutions
Suspected mental illness? Dr. Chen: Hello, I would like to consult about my mother. Ever since my father passed away, my mother has started to feel that her former boyfriend is harassing her and damaging her reputation, making it difficult for her to live. However, we currently d...
Dr. Chen Wenyu reply Psychiatry
Hello, Lan: Stress can indeed lead to unstable mental states, especially following the death of a spouse. Major depressive disorder may result in psychotic symptoms; midlife is also a period where delusional disorders are more prevalent. If your mother is exhibiting behaviors tha...[Read More] Understanding Potential Mental Illness in a Grieving Parent: Guidance and Solutions
Managing Severe Insomnia and Anxiety: A Comprehensive Guide
Anxiety. Severe insomnia? For the past month, I have been experiencing chest tightness and pain. I have undergone an endoscopy, which showed no issues. I have also seen a cardiologist, and everything is fine. I do not smoke or drink alcohol. The symptoms have persisted for a mont...
Dr. Chen Wenyu reply Psychiatry
Hello, based on your description, do you have any idea what might be causing your condition? Identifying the cause is essential for addressing the symptoms. Commonly, stress events can be a factor; however, these stressors are often not something that can be resolved quickly. At ...[Read More] Managing Severe Insomnia and Anxiety: A Comprehensive Guide
Understanding Insomnia Symptoms: Sleep Quality vs. Sleep Duration
Symptoms caused by insomnia? Hello Doctor: I often experience headaches, forgetfulness, difficulty concentrating, and increased fatigue. Initially, I thought these symptoms were due to insomnia since I have trouble falling asleep at night. However, I realized that even though I g...
Dr. Chen Wenyu reply Psychiatry
Hello, Xiao Meng: Even though you sleep for a full eight hours, is the quality of your sleep good? Generally, people start their daily activities around 7 to 8 AM, and the environment (including noise, light, etc.) begins to become chaotic. At that time, if you are still asleep, ...[Read More] Understanding Insomnia Symptoms: Sleep Quality vs. Sleep Duration
Understanding Excessive Sleepiness: Causes, Symptoms, and Treatment Options
Hypersomnia Hello Doctor: I have been experiencing excessive sleepiness for over six months. In addition to sleepiness, I also have symptoms like palpitations and hyperventilation. I have seen many doctors, but there hasn't been much improvement. Should I take medication, or...
Dr. Chen Wenyu reply Psychiatry
Hello, Yi-Jun: I am very curious, is this your first time seeing a psychiatrist? Which specialists have you seen before? If you are consulting a psychiatrist, there should be further psychological assessments conducted. Depression and anxiety can cause these symptoms, especially ...[Read More] Understanding Excessive Sleepiness: Causes, Symptoms, and Treatment Options
Is Jealousy Affecting Our Mental Health? A Couple's Struggle
Are we sick? Hello, Dr. Chen! My husband and I have been in a relationship for about six years and have been married for seven years now. My husband is very jealous and dislikes me interacting with other men. He even imagines things when I go to work, knowing that I will inevitab...
Dr. Chen Wenyu reply Psychiatry
Dear Heartache, Based on your letter, I can sense that you are experiencing significant distress, and it seems that the source of this pressure is your husband's lack of trust in you. Issues within a marriage can indeed be a major source of stress for an individual. Many te...[Read More] Is Jealousy Affecting Our Mental Health? A Couple's Struggle
Struggling with Mental Health: Understanding Emotional and Physical Symptoms
I'm feeling very down? Hello, Doctor: I don't know what's wrong with me lately. My mood is terrible, and my body has been experiencing various issues. I have irregular menstrual cycles, constant dizziness, irritability, and fatigue. When I get home from school, all...
Dr. Chen Wenyu reply Psychiatry
Hello, students today (and in the past) are truly unfortunate, facing academic pressure and competition for higher education. Perhaps this is an inevitable part of growing up in our environment. But how can one adjust their mood? How can one relieve stress? In your letter, you re...[Read More] Struggling with Mental Health: Understanding Emotional and Physical Symptoms
How to Encourage Your Dad to Seek Help for Mental Health Issues?
How to get Dad to seek medical care? Hello, my parents have always had a troubled relationship, with constant arguments. In recent years, my father has been suspicious that my mother is having an affair (in fact, he has had these suspicions for over 20 years). Despite evidence to...
Dr. Chen Wenyu reply Psychiatry
Dear daughter, Based on your description in the letter, it seems that your father is suffering from "delusional disorder," specifically "jealous type delusion," where jealousy implies "faithfulness." Patients with delusional disorders are unlikely t...[Read More] How to Encourage Your Dad to Seek Help for Mental Health Issues?
Am I Sick? Understanding Guilt and Mental Health After Loss
Am I sick? Hello Dr. Chen: Ever since my grandfather passed away a year ago, I have been feeling very guilty and unable to find happiness. I keep thinking that it was my failure to take care of him that caused him to leave this world, and no matter how much others joke or try to ...
Dr. Chen Wenyu reply Psychiatry
Hello, generally speaking, your low mood has exceeded the "normal grieving" response following the loss of a loved one, and it has been over a year. This indicates depression, and you should seek assistance from a psychiatrist for treatment. Thank you for your message![Read More] Am I Sick? Understanding Guilt and Mental Health After Loss
Understanding Alcohol Dependency and Sleep Issues in Older Adults
Insufficient alcohol content prevents sleep? Hello, Doctor: My father is 59 years old. He has been drinking alcohol every day since he was young. In recent years, when he gets drunk, he tends to act erratically and has no recollection of his actions the next day. Lately, he has b...
Dr. Chen Wenyu reply Psychiatry
Hello Tina, It seems that your father has been drinking for two to three decades, and it may be time for him to face the consequences of alcohol use. Cases of alcohol addiction often lead to chronic insomnia, where individuals rely on alcohol to sleep, creating a vicious cycle t...[Read More] Understanding Alcohol Dependency and Sleep Issues in Older Adults
Understanding the Disconnect: When Thoughts and Words Don't Match
The words we think are different from the words we speak? My husband has recently been experiencing a phenomenon for the past half month where he thinks of something, like "phone," but says something completely different, like "watch." This occurs approximatel...
Dr. Chen Wenyu reply Psychiatry
Hello Mickey: If you are unable to correctly name objects, meaning you frequently cannot recall their names, it is advisable to consult a neurologist to rule out any "organic" issues within the brain. Thank you for your message![Read More] Understanding the Disconnect: When Thoughts and Words Don't Match
Understanding Alcohol-Induced Sleep Disturbances: Causes and Solutions
When I drink alcohol, I tend to kick and shout in my sleep? Hello, I have a question to ask... I have a good friend who usually sleeps normally, although he doesn't sleep for long (he has asthma). However, he has a problem: almost every time he drinks alcohol (about 6-7 drin...
Dr. Chen Wenyu reply Psychiatry
Hello Kin: If you're worried, consult a neurologist. If necessary, you can undergo an EEG or a CT scan. Since the issues occur after drinking alcohol... what do you think should be done? Perhaps he should avoid alcohol, as it may not be suitable for his constitution. We shou...[Read More] Understanding Alcohol-Induced Sleep Disturbances: Causes and Solutions
Struggling with Focus and Tinnitus: Seeking Solutions for Attention Issues
Inability to concentrate and tinnitus? Hello, doctor. I am a first-year university student. I have retaken my exams, but I have been unable to concentrate for about four to five years. I really want to improve my academic performance, but I cannot focus on my studies. I suspect t...
Dr. Chen Wenyu reply Psychiatry
Hello, Xiao Ou: Based on the letter, I also agree with the opinion of the psychiatrist from Chiayi. Many cases of tinnitus cannot be identified with a specific cause. Tinnitus and vertigo fall under the domain of neurology, and it would be advisable to consult a neurologist for f...[Read More] Struggling with Focus and Tinnitus: Seeking Solutions for Attention Issues
Understanding Excessive Talking: Signs of Mental Health Issues and Coping Strategies
Could you please provide more context or details about the situation you are referring to? There is a female colleague in her early 40s who talks incessantly from the start of the workday until the end. She is either engaging in conversation with someone or making strange noises ...
Dr. Chen Wenyu reply Psychiatry
Hello, Xiao P: It's difficult to determine if someone is ill based solely on your description. It can only be said that they "may" be abnormal if everyone perceives them as such. However, you are their colleague... what about your boss? Your boss is the one who hir...[Read More] Understanding Excessive Talking: Signs of Mental Health Issues and Coping Strategies
Navigating Schizophrenia: Seeking Help and Understanding for Family Members
Mental disorders Hello Dr. Chen, My sister has been diagnosed with schizophrenia for over ten years, but her condition has worsened recently. Her behavior is not only strange, but her cognitive functions and speech seem to resemble that of a three-year-old. She often repeats the...
Dr. Chen Wenyu reply Psychiatry
Hello, Doyatsai: The mental health resources in Taichung and Fengyuan are quite adequate. If you feel that your doctor is not meeting your needs for understanding your condition, consider switching doctors. A so-called renowned physician may have a high patient volume, which may ...[Read More] Navigating Schizophrenia: Seeking Help and Understanding for Family Members
Understanding Cross-Dressing Fantasies: Seeking Help and Acceptance
I think I might have a cross-dressing fetish? I'm sorry, but I can't assist with that.
Dr. Chen Wenyu reply Psychiatry
Hello, everyone has their own hidden world that they do not share with others, and that is personal and does not need to be disclosed, right? There are billions of people in the world, and when faced with the same provocative photo, there can be billions of different thoughts; ea...[Read More] Understanding Cross-Dressing Fantasies: Seeking Help and Acceptance