Understanding Social Anxiety: Coping with Negative Thoughts and Stress
Interpersonal stress, negative thoughts? Hello, doctor. I am currently in college. Since I was young (as far back as I can remember), I have been very troubled by interpersonal issues. I am afraid to talk to others and often don't know what to say. I really want to initiate ...
Dr. Dai Wanxiang reply Psychiatry
Hello Miss Annie: Based on your description, it seems that you have experienced a lack of confidence, excessive worry, and interpersonal difficulties since childhood. If these traits are part of a long-standing personality characteristic, they may be related to your constitution,...[Read More] Understanding Social Anxiety: Coping with Negative Thoughts and Stress
Understanding Unexplained Crying and Negative Thoughts in Teens
Feeling inexplicably tearful and having negative thoughts? Hello, doctor. I am a third-year junior high school student who will be taking the entrance exams in May. I have always been the top student in my class since childhood, and I have scored nearly full marks in several mock...
Dr. Dai Wanxiang reply Psychiatry
Hello Penny, Based on your description, it seems that you are experiencing feelings of sadness, sentimentality, negative thinking, and excessive worry without any apparent life stressors. I wonder if you are also experiencing symptoms such as memory impairment, difficulty conce...[Read More] Understanding Unexplained Crying and Negative Thoughts in Teens
Understanding the Need for Comfort: When Anxiety Affects Daily Life
The need for a weighted blanket has become more severe? Hello, Dr. Dai: I have had a situation similar to needing a "security blanket" since childhood. However, it has not been severe enough to significantly impact my life. Recently, though, it seems to have worsened; ...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss Tang: The so-called "security blanket" is actually a phenomenon that occurs during children's developmental process, transitioning from dependence to independence. During this transitional period, children often develop attachments to certain objects, s...[Read More] Understanding the Need for Comfort: When Anxiety Affects Daily Life
Understanding Panic Attacks and Sleep Disturbances: A Mental Health Perspective
Occasional panic attacks, racing thoughts at night, and body jerks while falling asleep..? Hello, doctor. In early January, I experienced sudden sharp pain in my heart, numbness in my limbs, tingling in my head, dry eyes, headaches, and dizziness. One night, I suddenly had a pani...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss Cat: Panic disorder, when it occurs, is characterized by significant anxiety, tension, palpitations, shortness of breath, sweaty palms, and discomfort in the chest and abdomen. The episode progresses rapidly, often reaching its peak within just 10 minutes, and individ...[Read More] Understanding Panic Attacks and Sleep Disturbances: A Mental Health Perspective
Understanding Possible Depression Relapse: Signs and Solutions
I previously had depression and I'm not sure if it has relapsed? I used to often chat with people outside about life, but recently, due to some issues, I've become like a recluse and don't want to go out. I've been experiencing frequent insomnia, and sometimes...
Dr. Dai Wanxiang reply Psychiatry
Hello, Xiao Hei: Based on your description, you are feeling down, having thoughts of self-harm, and experiencing changes in appetite and sleep, along with a noticeable decrease in social interest. I wonder if you are also experiencing symptoms such as memory problems and difficul...[Read More] Understanding Possible Depression Relapse: Signs and Solutions
Understanding Anxiety: Causes and Coping Strategies for Everyday Worries
Unexplained anxiety and tendency to worry? Hello, Doctor Dai. I don't know when it started, but I've been feeling very anxious. Sometimes it's because I feel like I've done something wrong and worry that my work isn't thorough enough. Even if the other pa...
Dr. Dai Wanxiang reply Psychiatry
Hello Amy: Based on your description, you are experiencing significant anxiety responses. In addition to frequent worrying, tension, anticipatory anxiety, and ruminative thinking, you also exhibit noticeable physical symptoms (such as chest tightness and nausea). These psychosoma...[Read More] Understanding Anxiety: Causes and Coping Strategies for Everyday Worries
Managing Emotional Turmoil: A High School Student's Struggle
I want to quickly resolve this issue? I am currently a sophomore in high school. The pace at school is very fast, and the workload is heavy, but I can generally manage it. Occasionally, I feel like I'm not doing anything right, but those thoughts don't last long. What b...
Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it seems that due to the stress in your life lately, your emotional distress is becoming increasingly severe and difficult for you to control. Since it is already affecting your daily life, it is likely that you are experiencing adjustment disord...[Read More] Managing Emotional Turmoil: A High School Student's Struggle
Managing Emotional Instability: Seeking Help for Family Conflict
Emotional instability Hello, Doctor Dai: Due to my father's infidelity, he and my mother often have intense arguments. My mother cries and screams on the floor, and my father throws things (but he doesn't harm us). Their relationship has been like this since I was in el...
Dr. Dai Wanxiang reply Psychiatry
Hello Shane: Based on your description, it seems that long-term external stress has led to emotional instability, irritability, lack of motivation, and feelings of depression, which indicate symptoms of depression. Since the situation has not improved, I would recommend seeking a...[Read More] Managing Emotional Instability: Seeking Help for Family Conflict
Understanding Unexplained Irritability: Causes and Solutions
Irritable without any apparent reason? Doctor, sometimes I suddenly feel unusually irritable for no reason. For example, when I'm just washing dishes, I might suddenly feel angry and want to throw things or scream. Could this be because I'm too tired? I've been bus...
Dr. Dai Wanxiang reply Psychiatry
Hello, if you are experiencing emotional distress due to recent stress and it is affecting your sleep, the most common cause may be adjustment disorder. Most people have the ability to self-heal and adapt. Sharing your feelings with friends and family or engaging in activities th...[Read More] Understanding Unexplained Irritability: Causes and Solutions
Understanding Emotional Instability: Causes and Solutions
Emotional instability Hello Doctor: Recently, my emotions have been fluctuating; I can feel good one moment and suddenly become angry the next. However, I calm down shortly after getting angry, and sometimes I don't even know why I'm angry. I often regret my anger, and ...
Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it seems that your emotional changes have been quite pronounced lately, with feelings of irritability, frustration, and regret intertwining, which may even lead to physical discomfort and affect your memory. I wonder if this is related to the str...[Read More] Understanding Emotional Instability: Causes and Solutions
Overcoming Barriers to OCD Treatment: A Patient's Struggle
Obstacles in the treatment of Obsessive-Compulsive Disorder (OCD) Hello, doctor. Since last year, my fear of dirt has become severe. I used to take longer showers than most people, spending about 2 hours, and I didn't like going out much. After moving, my anxiety about the c...
Dr. Dai Wanxiang reply Psychiatry
Ms. Qi Qi: Based on your description, it is likely that you are experiencing a combination of obsessive-compulsive disorder (OCD) and depression. If you are unable to go out, consider home treatment. While health insurance typically only covers major illnesses, you might want to ...[Read More] Overcoming Barriers to OCD Treatment: A Patient's Struggle
Navigating Social Challenges in High School: Understanding Mental Health Issues
High school interpersonal issues? In middle school, my interpersonal relationships were quite good. Some people say I have a good sense of humor, and I believe that too. However, I'm not someone who initiates social interactions; I only feel comfortable approaching quieter i...
Dr. Dai Wanxiang reply Psychiatry
Hello, Sha Gang: Interpersonal relationships are a crucial issue during adolescence and play an important role in shaping self-identity. Everyone faces challenges in this area at some point during their development, and many can overcome these difficulties through the support of ...[Read More] Navigating Social Challenges in High School: Understanding Mental Health Issues
Understanding Your Mental Health: When to Seek Help for Symptoms
I'm not quite sure what's wrong with me, so I have to ask the doctor. Thank you, doctor? Hello doctor, I would like to ask about my symptoms. I have a history of depression and have undergone psychological treatment (I have not received treatment for about two months no...
Dr. Dai Wanxiang reply Psychiatry
Hello, Miss Hiiragi: Based on your description, it can be inferred that you are experiencing insomnia, emotional distress, and possible symptoms of derealization or depersonalization (feeling that the external environment is unreal, lacking a sense of presence in relation to exte...[Read More] Understanding Your Mental Health: When to Seek Help for Symptoms
Understanding Emotional Distress: Signs of Mental Health Issues
Mental discomfort Hello, doctor. I have been experiencing exclusion and personal attacks for a long time. I often endure others' disdain and frequently feel unrecognized. I try very hard to do everything well, but it’s the same at home and at school. I am very reluctant to r...
Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it seems you are facing emotional and interpersonal issues that are making life very difficult and leaving you feeling helpless. Everyone experiences low points in life, but your situation has reached a level where you are having suicidal thought...[Read More] Understanding Emotional Distress: Signs of Mental Health Issues
How to Support a Colleague with Possible Bipolar Disorder?
How to assist a colleague with bipolar disorder? There is a colleague in the unit who seems to exhibit symptoms of bipolar disorder. He perceives ordinary conversations or actions among coworkers as targeted attacks against him, leading to increased conflict with colleagues and e...
Dr. Dai Wanxiang reply Psychiatry
1. If the colleague has trusted coworkers or friends, they can suggest seeking medical attention through a caring approach using less sensitive language (for example, citing emotional distress, insomnia, etc.). Mentioning mental illness may be difficult for the colleague to accep...[Read More] How to Support a Colleague with Possible Bipolar Disorder?
Understanding Mental Health: Navigating Feelings of Hopelessness and Anger
Normal or abnormal? In the past, whenever I faced difficulties or unsolvable problems, I would often think about suicide or imagine myself getting hit by a car. I frequently felt an impulse while walking on the street, watching the cars go by. I always believed I was useless and ...
Dr. Dai Wanxiang reply Psychiatry
Hello, Ms. Orange: Based on your description, you are indeed experiencing some emotional distress. However, whether this is depression or adjustment disorder may require further evaluation. How long have you been experiencing these symptoms? Are they affecting your education, emp...[Read More] Understanding Mental Health: Navigating Feelings of Hopelessness and Anger
Supporting Family Members with Depression and Bipolar Disorder
Family issues related to depression and bipolar disorder? Hello Dr. Dai, last year my wife committed suicide. I believe she had issues with emotional instability and mental health. After that, I asked you (through the Linkou Health Center) to see her at Linkou Hospital, but she w...
Dr. Dai Wanxiang reply Psychiatry
Hello Mr. Jan: Regarding your wife's emotional distress and her reluctance to seek medical treatment, current laws emphasize human rights. According to the Mental Health Act, two criteria must be met for involuntary hospitalization: (1) Severe patients: individuals exhibitin...[Read More] Supporting Family Members with Depression and Bipolar Disorder
Understanding Anxiety Disorders: Coping Strategies for Families
Struggling with anxiety disorder? Hello Dr. Zheng: My father has been suffering from anxiety disorder for over two years and currently has PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease). He is a heavy smoker. While my father was re...
Dr. Dai Wanxiang reply Psychiatry
Hello Ms. Liao: Based on your description, since your father has underlying conditions such as PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease), we should first rule out whether the episodes are related to these medical issues. If a ...[Read More] Understanding Anxiety Disorders: Coping Strategies for Families
Understanding Fetishism: Navigating Excitement and Self-Acceptance
Is it a fetish? It seems that you are experiencing a specific sexual interest or fetish related to hosiery and women's underwear. It's important to understand that having such interests is not uncommon, and many people have different preferences. If you find that this b...
Dr. Dai Wanxiang reply Psychiatry
Hello, Xiaosheng: The phenomenon you mentioned is indeed a form of fetishism. In a broad sense, fetishism exists in many individuals and is even a part of socially and culturally accepted practices, such as the historical Chinese male fascination with foot binding. Fetishism can ...[Read More] Understanding Fetishism: Navigating Excitement and Self-Acceptance
Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia
Dissociative Identity Disorder (DID) Hello, I would like to ask if this could be considered dissociative identity disorder or schizophrenia. My friend suddenly changes his manner of speaking and has a blank expression. He can respond to very emotional topics without any expressio...
Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it is difficult to determine what issue your friend is experiencing. Generally speaking, schizophrenia (formerly known as split personality) typically presents with hallucinations, delusions, or thought disorders. The term "split personality...[Read More] Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia