Dr. Chen Wenyu reply Psychiatry Question - Page 6

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Understanding Body Sensations: From Feet to Head and Mental Health

A sensation that travels from the soles of the feet to the top of the head? Since childhood, I have often experienced a sensation of numbness throughout my body. Sometimes, when I walk and my right foot steps on the edge of a brick, I feel a strong urge for my left foot to step o...


Dr. Chen Wenyu reply Psychiatry
Hello, Cicico: Everyone has some unique habits, and as long as they are not too extreme and do not significantly affect overall interpersonal, occupational, or social functioning, they can be overlooked. However, if they severely impact these areas, they may fall under "obse...

[Read More] Understanding Body Sensations: From Feet to Head and Mental Health


Understanding Low Doses of Inderal: Is Three Pills a Week Considered Low?

Please ask your question? The low dose of Inderal (propranolol) can vary depending on the condition being treated. Generally, a low dose for anxiety or performance anxiety might be around 10 to 20 mg taken one to three times a day. Taking three pills in a week could be considered...


Dr. Chen Wenyu reply Psychiatry
Hello CC: Inderal is commonly used in psychiatry to manage anxiety, with a typical dosage ranging from 10 to 40 mg per dose, taken three times a day. This amounts to three pills per week, which is considered a low dosage. Thank you for your message!

[Read More] Understanding Low Doses of Inderal: Is Three Pills a Week Considered Low?


Understanding Mental Fatigue: Symptoms and Solutions for Better Well-being

Loss? Hello Dr. Chen, It has been over two years now. My symptoms include a heavy feeling in my head, frequent racing thoughts, and thinking about unrealistic things. I know I can't change anything, but I still find myself thinking about them unintentionally. I feel lethar...


Dr. Chen Wenyu reply Psychiatry
"What's wrong with me?" Hello: Based on psychiatric diagnostic criteria, you exhibit symptoms that are quite similar to depression, such as negative thinking, lack of motivation and interest, significant mood swings, and sleep disturbances. However, if your sleep i...

[Read More] Understanding Mental Fatigue: Symptoms and Solutions for Better Well-being


Understanding Mental Health Struggles Related to Gender Identity

I've been feeling really down lately..? Hello Dr. Chen: Recently, I've been feeling down to the lowest point... partly because of my gender and partly because of my parents... One day, I watched a program hosted by a transgender person. The show was interesting, so I ke...


Dr. Chen Wenyu reply Psychiatry
Hello, regarding the immense pressure you are facing, it's understandable that it can affect your mood. Additionally, I haven't paid much attention to your age; during adolescence, individuals often experience some issues related to gender identity. As I've mention...

[Read More] Understanding Mental Health Struggles Related to Gender Identity


Understanding Delusional Disorder: Managing Symptoms and Family Dynamics

Delusional disorder Hello Dr. Chen: I am the person who asked a question previously. After my mother’s consultation, it was confirmed that she has a delusional disorder. Previously, my mother suspected that my brother wanted to take her to see a doctor under the pretext of gettin...


Dr. Chen Wenyu reply Psychiatry
Hello, Ban: The drops have a sedative and hypnotic effect, so they should be used at night and not during the day. Are you using "Risperdal" drops? This medication has a low incidence of side effects and is less likely to cause adverse reactions. If the dosage is suffic...

[Read More] Understanding Delusional Disorder: Managing Symptoms and Family Dynamics


Long-Term Use of Inderal for Anxiety: Health Risks and Checkups

Inderal Long-term use of Inderal (propranolol) for anxiety may have effects on the body. It is advisable to consult a healthcare professional to determine if liver or kidney function tests are necessary.


Dr. Chen Wenyu reply Psychiatry
Hello CC: The side effects of medications are indeed related to dosage and duration of use. When psychiatrists prescribe Inderal to manage anxiety symptoms, the dosage should generally not be high. Therefore, unless there are underlying systemic diseases (such as liver disease, k...

[Read More] Long-Term Use of Inderal for Anxiety: Health Risks and Checkups


Is My Mother Suffering from Depression? Understanding Her Disturbing Behavior

Could you please tell me if you are experiencing symptoms of depression? Hello Doctor: My mother has been superstitious for a long time, and recently it has become more severe. She often dreams at night, and regardless of what she dreams about, she claims that someone is trying t...


Dr. Chen Wenyu reply Psychiatry
Hello Jin: Based on your letter, it appears that your mother is not suffering from depression but rather from a psychiatric disorder. From a psychiatric perspective, if we can rule out any "organic" (medical or surgical) factors, your mother may be diagnosed with a ment...

[Read More] Is My Mother Suffering from Depression? Understanding Her Disturbing Behavior


Is Your Mind in Distress? Understanding Signs of Mental Health Issues

Is the heart sick? Since the beginning of this year, I have become irritable, easily angered, and impatient, even over small matters. I have lost interest in everything; I used to enjoy drawing and reading, but now I rarely engage in those activities. I often stay at home and hav...


Dr. Chen Wenyu reply Psychiatry
Hello Erica: Has it been a long time since the beginning of the year? Is there any specific event that has caused you to feel this way? Regardless, whether or not there have been stressful events, your current symptoms really resemble "depression." It would be advisable...

[Read More] Is Your Mind in Distress? Understanding Signs of Mental Health Issues


Understanding the Signs: When to Seek Psychiatric Help for a Loved One

excuse me? Hello Doctor, I am 25 years old, and my mother is 52. She has always been quite superstitious, but this year it seems to have worsened. Initially, she installed a bagua mirror on the third floor of our house, which led to complaints from our neighbors about the refle...


Dr. Chen Wenyu reply Psychiatry
Hello, based on the content of your letter, your mother's paranoid thoughts seem to have reached the level of "delusions" (meaning that even strong evidence to the contrary does not change her beliefs). Furthermore, her thoughts lean towards bizarre and irrational ...

[Read More] Understanding the Signs: When to Seek Psychiatric Help for a Loved One


Comparing Stilnox and Zolnox: Liver Damage and Addiction Risks

Medication consultation Hello, doctor: I would like to ask which of the two medications, Stilnox and Zolnox, causes more severe damage to liver function with long-term use? Which one is more likely to lead to drug dependence? I kindly request your response. Thank you!


Dr. Chen Wenyu reply Psychiatry
Hello, These two medications have the same active ingredients, so their effects on the body should theoretically be the same. Currently, this new type of sleeping medication does not cause physical dependence; however, psychological dependence (the desire to rely on medication ...

[Read More] Comparing Stilnox and Zolnox: Liver Damage and Addiction Risks


Facing Gender Identity: A Journey of Acceptance and Understanding

Send another letter? Hello.. I previously wrote a letter to you.. After reading your response, I gathered the courage to make a hypothetical statement to my parents one day: "If I say I want to transition, would you accept me and sign a consent form?" However, the respo...


Dr. Chen Wenyu reply Psychiatry
Hello, shoes: Think about it from a role reversal perspective. If you were the parents, in their era, they hardly heard about homosexuality, let alone gender transition. If you suddenly brought up this issue, how would they accept it? Before you transition into a female body (phy...

[Read More] Facing Gender Identity: A Journey of Acceptance and Understanding


Managing Frequent Dizziness: Supplements and Anxiety Solutions

Frequent dizziness? I often experience dizziness, especially after playing sports or spending too much time on math and physics. I also tend to feel anxious and restless. Is it necessary to take supplements to improve this dizziness? If so, which ones should I consider?


Dr. Chen Wenyu reply Psychiatry
Hello student: You may want to check for anemia or other internal medical issues (consult a physician). It is normal to experience brief dizziness after playing sports or studying for extended periods, so there is no need to worry too much about that. As for feelings of anxiety a...

[Read More] Managing Frequent Dizziness: Supplements and Anxiety Solutions


Understanding Anxiety: Signs, Symptoms, and Solutions for Designers

excuse me? Hello Doctor: I am a person who gets easily anxious and has an impatient personality. I am currently working in the design industry in Taipei. Every morning when I wake up, I feel a heaviness in my head, and I can sense that I haven't slept deeply. When my mind st...


Dr. Chen Wenyu reply Psychiatry
Hello, everyone has their own innate temperament (personality) and unique life experiences, so the ways they cope with life stress can vary. "Stress management" is currently your most important issue. You can search online for "relaxation training" to find inf...

[Read More] Understanding Anxiety: Signs, Symptoms, and Solutions for Designers


Overcoming Perfectionism: A Journey Through Mental Health Struggles

Perfectionism Hello, doctor. My subconscious "perfectionism" is suffocating me, and this perfectionism is entirely my own issue, not pressure from my parents. Since childhood, I have been accustomed to thinking deeply about everything in life, even the smallest details ...


Dr. Chen Wenyu reply Psychiatry
Hello Eric, At first glance, none of the descriptions seem to fit someone who is only 13 years old. Perhaps, as you mentioned, you are indeed more mature than your peers. While there are benefits to being mature, there are also pressures that come with it, right? Maybe subconsc...

[Read More] Overcoming Perfectionism: A Journey Through Mental Health Struggles


Understanding Excessive Daytime Sleepiness: A Possible Sleep Disorder

Sleep disorders I have had excessive daytime sleepiness since middle school. Currently, regardless of whether I go to bed early or not, once I fall asleep, I enter a state of deep sleep that is very difficult to wake from. It's not a lack of willpower; it's a state of p...


Dr. Chen Wenyu reply Psychiatry
Hello Suner: Your issue requires a consultation with a neurologist for an electroencephalogram (EEG) to assess whether it is "narcolepsy" or simply a higher than average sleep requirement. Thank you for your message!

[Read More] Understanding Excessive Daytime Sleepiness: A Possible Sleep Disorder


Struggling with Emotional Issues: Insights on Mental Health Challenges

Emotional issues I often find myself lost in thought, even though my life has a focus. I frequently engage in tasks while simultaneously thinking about other things. This situation has been present since childhood, and even attempts to shift my attention have not improved it. I t...


Dr. Chen Wenyu reply Psychiatry
Hello, Xiao Chen: Personality is innate; some people care about others' opinions, while others are unbothered even if the sky falls. However, if these intrusive thoughts or negative thinking become severe enough to affect your "interpersonal, occupational, and social&qu...

[Read More] Struggling with Emotional Issues: Insights on Mental Health Challenges


Dealing with Toxic Classmates: Strategies for Mental Well-Being

Hello? Your question: I have been classmates with someone I dislike for several years. Normally, after being friends for so long, things should get better, but I find myself hating him more and more. I want to argue with him about everything he says, even if he is right; I still ...


Dr. Chen Wenyu reply Psychiatry
Hello, Actually, everyone has some conflicting emotions to a certain extent. According to what you said, it seems that in your small group at school, you can't avoid him, right? Do others in your group share the same feelings as you, or even feel like harming him? Or is it...

[Read More] Dealing with Toxic Classmates: Strategies for Mental Well-Being


Understanding Nighttime Anxiety: Signs You May Have a Mental Health Issue

Suspecting that you may have a mental illness? Dr. Chen, I apologize! I would like to ask about my condition! Recently, I have been very afraid of the night. As soon as evening comes, I can't fall asleep, and even when I do, I keep waking up suddenly. I can't sleep if I...


Dr. Chen Wenyu reply Psychiatry
Insomnia, hello: Have you experienced any particular stress recently? Otherwise, how could your previously peaceful life suddenly change so drastically? Have you considered what exactly you are afraid of? Are you afraid of ghosts? Do you believe in ghosts? If ghosts exist, it imp...

[Read More] Understanding Nighttime Anxiety: Signs You May Have a Mental Health Issue


Understanding Gender Dysphoria: A Journey Towards Authenticity

I'm sorry... I... want to transition? I'm sorry... I sent out two letters because I haven't received any response from Dr. Chen Wen-Ke. I've been quite worried, but his name is not on the list. I'm sorry... I want to be a girl, but I'm afraid of bein...


Dr. Chen Wenyu reply Psychiatry
Hello, Shoes: It is undeniable that our society still has a poor level of acceptance regarding issues related to homosexuality and transgender individuals. But have you ever considered that if you cannot accept yourself, how can you expect others to accept you? If you are ashamed...

[Read More] Understanding Gender Dysphoria: A Journey Towards Authenticity


Understanding Sleep Issues and Emotional Distress: When to Seek Help

Please ask your question? Hello Doctor: I often experience insomnia and dream frequently. I frequently feel emotionally low, suffer from headaches, restlessness, anxiety, and have a poor appetite. However, when I am feeling frustrated or under stress, I find myself unconsciously ...


Dr. Chen Wenyu reply Psychiatry
Hello Sue: The physiological and psychological aspects are mutually influential; physical issues can affect sleep and mood, and conversely, emotions can impact physical health. What have you been worrying about lately? What thoughts keep you awake at night? Have you identified th...

[Read More] Understanding Sleep Issues and Emotional Distress: When to Seek Help


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