Dental Care Tips for Individuals with Mental Health Challenges
How to maintain dental health for individuals with mental disorders? Hello Dr. Dai, I would like to ask the following questions: 1. My teeth easily get food stuck between them when I eat certain vegetables or meat, but due to my cognitive impairment, I do not use dental floss f...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. Wu: Regarding dental care for individuals with intellectual disabilities, it should not differ significantly from that of the general population. The use of dental floss is an important preventive measure, and many people may have questions about its use or may struggle...[Read More] Dental Care Tips for Individuals with Mental Health Challenges
Overcoming Fear of Therapy: Addressing Mental Health Stigma
Fear of going to work? I want to ask about seeing a psychiatrist because I have friends who have seen doctors, and after taking medication, they appear dazed. This is one of the reasons I am afraid to see a doctor. If I want to apply for insurance, the insurance agent will know a...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss: If you are experiencing emotional distress, most people can recover through self-adjustment abilities, support and care from family and friends, or assistance from psychological counseling. If the recovery process is not smooth or if the condition is more severe, the...[Read More] Overcoming Fear of Therapy: Addressing Mental Health Stigma
Understanding Hand Numbness and Weakness During Emotional Stress
Feeling angry can lead to numbness and weakness in the hands? I’m sorry to hear that you’re experiencing these symptoms. It sounds like during intense arguments with your boyfriend, you feel very angry or distressed, which leads to numbness or weakness in your hands. This could b...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss: Based on your description, experiencing symptoms of numbness and weakness in your hands during times of anger or sadness makes it difficult to determine whether it is related to a psychoneurosis. Some internal medicine and neurology issues need to be ruled out, and m...[Read More] Understanding Hand Numbness and Weakness During Emotional Stress
Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Anxiety Panic Disorder Hello, Doctor. I have some questions I would like to ask you. Since I had an episode of hyperventilation after a meal during a business trip last July, I experienced another episode of hyperventilation in October that made me feel scared, and I was later di...
Dr. Dai Wanxiang reply Psychiatry
Hello, Mr. Wen: Based on your description, the symptoms that appeared after changing medication could indeed be withdrawal symptoms. However, it is essential to discuss this with your treating physician to determine the best pharmacological treatment approach. Xanax is an effecti...[Read More] Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Overcoming Workplace Anxiety: A Journey from Fear to Confidence
Fear of going to work? The story begins in elementary school. In the first semester of first grade, I really enjoyed going to school and found it fun and exciting. At that time, I had no obstacles and was even able to go on stage to receive awards. However, in the second semester...
Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it seems that you are troubled by significant anxiety symptoms. There are many potential causes for anxiety, which may relate to inherent temperament, past upbringing experiences, life history, and life stressors. With the assistance of medicatio...[Read More] Overcoming Workplace Anxiety: A Journey from Fear to Confidence
Understanding Withdrawal Symptoms After Stopping Antidepressants
Discontinuation of Antidepressants Hello, doctor. My mother has been taking a medication called Yuankang for depression for the past ten years, at a dosage of two pills a day. Towards the end, it seemed like she developed symptoms similar to bipolar disorder, becoming easily ange...
Dr. Dai Wanxiang reply Psychiatry
Ms. Tseng: Hello, Wellbutrin is an effective medication for treating depression. Since your mother has been taking it for 10 years, it is difficult to determine whether her anger, irritability, and excessive sleepiness are related to this medication. Generally, side effects do no...[Read More] Understanding Withdrawal Symptoms After Stopping Antidepressants
Understanding Delusional Symptoms in Patients with OCD
Delusional questioning Hello Doctor: First, I would like to thank you for taking the time to read my question amidst your busy schedule. A few days ago, while I was at the hospital for a consultation and waiting to pick up my medication, I experienced a sharp pain in my back, whi...
Dr. Dai Wanxiang reply Psychiatry
Hello, Mr. Hsu: Based on your description, it is difficult to determine if it is a delusion. A delusion refers to "a belief or thought that is inconsistent with reality and is held with conviction." The sharp pain in your back, along with the suspicion of being pricked,...[Read More] Understanding Delusional Symptoms in Patients with OCD
Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders
Unable to control emotions, crying every day? Hello, doctor. I have searched for a lot of information and found this place, and I truly hope a doctor can help me. I appreciate your patience in reading this lengthy message. Due to family pressure, I developed mild bipolar disorder...
Dr. Dai Wanxiang reply Psychiatry
Hello Ms. D: Based on your description, you are experiencing numerous psychosomatic symptoms and struggling with life. The emotional distress and self-denial you are facing indicate that, in addition to medication, psychological therapy is also very important. I suggest discussin...[Read More] Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders
Struggling to Focus: Overcoming Study Challenges and Mental Health Issues
Inability to concentrate? Hello, doctor. I often feel that my study efficiency is very poor. In the past, I could memorize things quickly and had no issues understanding concepts. Now, I can’t focus on studying like I used to. I often spend a lot of time sitting in the library bu...
Dr. Dai Wanxiang reply Psychiatry
Hello: Based on your description, it is currently only possible to confirm that you are experiencing issues such as feeling very down, difficulty concentrating, and tinnitus. It is not yet possible to determine what specific mental illness it may be. I recommend seeking assistanc...[Read More] Struggling to Focus: Overcoming Study Challenges and Mental Health Issues
Understanding My Father's Verbal Abuse: Seeking Help for Mental Health Issues
Regarding my father's frequent verbal abuse? My dad is around 56 years old and often yells at the people on TV or makes negative comments about news reports, including criticizing the appearance of the news anchors. He is frequently harsh towards our family, often saying hur...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. Liu: Based on the information you provided, it is not yet possible to determine whether your father has a mental illness or if it is a matter of personal character traits. In cases of severe mental illness, there are usually clear signs of delusions or hallucinations, o...[Read More] Understanding My Father's Verbal Abuse: Seeking Help for Mental Health Issues
Struggling with Depression: Seeking Help for Low Self-Esteem and Loneliness
Doctor, help me!! I often feel very depressed and think about dying? I have been feeling very low for the past 4.5 years, and I haven't been able to improve. The thoughts that contribute to my low mood include often envying guys who have girlfriends, believing that I can...
Dr. Dai Wanxiang reply Psychiatry
Hello, Mr. Youyou: After reading your description, I can sense the pain of your feelings of inferiority and depression, particularly regarding your concerns related to relationships with women. At your age, the desire to engage with the opposite sex is indeed an important life is...[Read More] Struggling with Depression: Seeking Help for Low Self-Esteem and Loneliness
Understanding Head and Nerve Issues: Managing Anxiety and Physical Symptoms
Head issues, neurological problems? Recently, I have been feeling unwell for some unknown reason. Today, while on the subway, I felt particularly uncomfortable, experiencing shortness of breath, rapid heartbeat, panic, a sense of disorientation, headaches, and dizziness, to the p...
Dr. Dai Wanxiang reply Psychiatry
Hello: Based on your description, symptoms such as anxiety, panic, shortness of breath, and rapid heartbeat generally warrant an initial physical evaluation, particularly focusing on cardiopulmonary assessment. If no significant issues are found after the examination, it is also ...[Read More] Understanding Head and Nerve Issues: Managing Anxiety and Physical Symptoms
Managing Anxiety and Schizophrenia: A Patient's Journey to Stability
Schizophrenia Hello, Doctor Dai. I am a patient with schizophrenia and have been ill for 11 years. For the past 5 years, I have been controlling my condition with Ziprasidone (5 mg) at an average of one pill daily. The symptoms of delusions and hallucinations have not reappeared,...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. Wu: Based on your statements, it seems that the medication is effectively controlling the symptoms of delusions and hallucinations, but the situation regarding generalized anxiety is worsening. Schizophrenia can indeed be associated with symptoms of anxiety and depressi...[Read More] Managing Anxiety and Schizophrenia: A Patient's Journey to Stability
Understanding Unusual Behavior: Is My Brother Experiencing a Mental Health Crisis?
I seek Dr. Dai's guidance! My brother has been exhibiting very unusual behavior lately! Hello Dr. Dai, my brother (39 years old) has recently been exhibiting strange behavior. I'm not sure if it's due to work-related stress, but he has been talking in his sleep for...
Dr. Dai Wanxiang reply Psychiatry
Hello: Based on your description, some of your brother's behaviors, emotional changes, and sleep disturbances are indeed unusual. However, without more detailed information, it is difficult to directly determine the underlying condition. Issues could stem from physical, psyc...[Read More] Understanding Unusual Behavior: Is My Brother Experiencing a Mental Health Crisis?
Struggling to Wake Up: Understanding Sleep Issues in Teens
Once I fall asleep, I tend to sleep for a long time? Hello Doctor, I have three questions to ask. 1. When I was in middle school, I could set my own alarm and wake up by myself (waking up at 5 AM to study was not a problem). However, after entering high school, I gradually foun...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss Aji: Regarding your inquiry about excessive daytime sleepiness, it's important to note that the amount of sleep each person needs can vary. Essentially, if you feel well-rested and alert during the day, that can be considered good sleep. Sleep duration can differ...[Read More] Struggling to Wake Up: Understanding Sleep Issues in Teens
Understanding Anxiety and Panic: Coping with Fear and Irritability
Anxiety disorder? Irritability, negative thoughts? Hello doctor, I don't know why I have a strong fear of my dad, to the point where I try to avoid him as much as possible. I find it hard to make eye contact, and talking to him makes me very anxious. I really can't reme...
Dr. Dai Wanxiang reply Psychiatry
Hello, Ms. EVE: Based on your description, it seems you are troubled by some negative emotions. Due to the lack of more detailed information, I cannot determine the specific causes of these negative emotions. Generally speaking, they may be related to one's physical constitu...[Read More] Understanding Anxiety and Panic: Coping with Fear and Irritability
Understanding Xanax vs. Xanax XR: Dosage and Timing for Anxiety Management
Medication Issues - Xanax and Xanax XR Hello Doctor, I am a patient with a 7-8 year history of anxiety disorder. I have been taking Xanax (alprazolam) 0.5 mg short-acting twice daily for nearly six years. Typically, I only increase to a third pill on days when I experience sudde...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. ASOS: There is no difference in dosage between the regular and extended-release formulations of XANAX (0.5mg); the actual effects depend on individual clinical experience (which may vary from 1/2 to 4 times the dosage). However, the extended-release formulation has a sl...[Read More] Understanding Xanax vs. Xanax XR: Dosage and Timing for Anxiety Management
Understanding Panic Disorder and Autonomic Dysregulation: A Patient's Journey
Panic disorder, hypochondriasis, autonomic nervous system dysregulation? Hello, Doctor Dai. Three months ago, I often stayed up late and played video games, and during that time, I was unemployed, which affected my health. One night, I thought about doing push-ups, and after fini...
Dr. Dai Wanxiang reply Psychiatry
Hello, A-Wan: Panic disorder and hypochondriasis often accompany physical symptoms related to the autonomic nervous system, in addition to anxiety and tension. These conditions can be improved through psychiatric treatment, which may include medication or psychological/behavioral...[Read More] Understanding Panic Disorder and Autonomic Dysregulation: A Patient's Journey
Understanding Paranoia: Signs and Symptoms of Persecutory Delusions
Paranoid schizophrenia I often feel like someone is watching me when I'm halfway through typing on the computer. When I go downstairs, I run down the stairs and feel like there's a ghost chasing or watching me, whether it's morning or night. In my previous home, wh...
Dr. Dai Wanxiang reply Psychiatry
Hello Ah Hu: Based on your description, there are symptoms of paranoia and hypersensitivity, but more information is needed to determine the specific mental illness. It is recommended that you visit a psychiatric department at a hospital for further evaluation with your parents. ...[Read More] Understanding Paranoia: Signs and Symptoms of Persecutory Delusions
Understanding Hallucinations in Elderly Patients: A Case Study
Regarding the frequent occurrence of hallucinations in a 91-year-old grandmother? Hello Doctor, I apologize for bothering you. My grandmother is 91 years old. This past Lunar New Year (at the end of January), she was hospitalized due to gastrointestinal bleeding. During her stay,...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. Lin: Based on your description, your grandmother is exhibiting symptoms suggestive of hallucinations and delusions, most likely due to delirium or dementia. Both conditions can affect the patient's cognitive functions (attention, memory, thinking abilities), cause ...[Read More] Understanding Hallucinations in Elderly Patients: A Case Study