Am I Overreacting? Understanding Trust Issues in Relationships
Am I sick? I'm not sure why, but I tend to trust people easily at first. If someone makes a good impression on me right away, I unconsciously trust them. However, for those who don't leave a good first impression, I find it hard to believe in them. Despite the fact that...
Dr. Ding Shuyan reply Psychiatry
Hello, you mentioned a lack of trust in people, especially in a boyfriend, which is something many experience, albeit to varying degrees. Some may reach a level of jealousy delusion, which could be considered a mental health issue. In such cases, medication is often the most effe...[Read More] Am I Overreacting? Understanding Trust Issues in Relationships
Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Schizophrenia with severe delusions? The patient originally self-administered injections but unexpectedly refused to return for a follow-up appointment with the doctor three months ago, stating that after so many years of treatment, there has been no improvement. Family members h...
Dr. Ding Shuyan reply Psychiatry
Hello, there are different types of tinctures, and for this part, it's best to consult your physician. The doctor will consider the previous reactions and side effects experienced by patients to decide whether to increase the dosage. Generally, tinctures do not degrade when ...[Read More] Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Facing Stigma: Navigating Life with Schizophrenia and Social Anxiety
Schizophrenia Doctor, I am unsure how to let others know that I am functioning normally, but I tend to overthink things, which makes me fearful of how others feel. I wanted to participate in social events, but I am uncertain if the opposite sex will be understanding. I worry abou...
Dr. Ding Shuyan reply Psychiatry
Hello, the most important aspect of managing schizophrenia is medication treatment. First, congratulations on your 80% recovery. No one can be liked and accepted by everyone in the world. Conversely, everyone will eventually find people who can embrace and care for them. In my cl...[Read More] Facing Stigma: Navigating Life with Schizophrenia and Social Anxiety
Understanding Escitalopram: Is It Effective for PTSD Treatment?
Medication consultation Hello Dr. Ding Shuo-Yan, I have recently been prescribed Escitalopram 10 mg to take daily. I would like to ask if Escitalopram is used to treat Post-Traumatic Stress Disorder (PTSD)? Thank you for your response.
Dr. Ding Shuyan reply Psychiatry
Dear Dr. Ding Shuo-Yan, wishing you a speedy recovery. Sincerely,[Read More] Understanding Escitalopram: Is It Effective for PTSD Treatment?
Is Living Alone Suitable for Patients with Bipolar Disorder?
Is it suitable for individuals with bipolar disorder to live alone? Hello Dr. Ding, I would like to ask about a patient with bipolar disorder who has a 9-year history, a 37-year-old single female. Is it suitable for her to live alone? If she decides to live alone, what should the...
Dr. Ding Shuyan reply Psychiatry
Hello, the most important considerations are the stability of the condition and the ability for self-care. Adherence to medication regimens is also directly related to the first two factors. Living with family is, in my opinion, the best option, unless there are very specific rea...[Read More] Is Living Alone Suitable for Patients with Bipolar Disorder?
Understanding Adaptation Disorders: Navigating Work and Mental Health Challenges
Adjustment Disorder Hello, Doctor: It's been a long time! I've been busy with work and making a living, so I haven't had the chance to check back on this Q&A and see information from others with the same condition as mine, or even to use it as a reference for m...
Dr. Ding Shuyan reply Psychiatry
Hello, I'm glad to hear that you stepped out and found a job, and that you worked for a while. Of course, you eventually left, but this valuable experience can provide us with insights into the reasons for setbacks and whether improvements can be made next time. It sounds li...[Read More] Understanding Adaptation Disorders: Navigating Work and Mental Health Challenges
Overcoming Health Anxiety: Coping with Worries About Skin Lesions
I want to change the current situation? I am very fearful of getting sick and often pay close attention to my body. Recently, I discovered a mole on my skin (I’m not sure if it has been there for a long time) and I am very anxious about it possibly growing or changing. I have see...
Dr. Ding Shuyan reply Psychiatry
From a rational perspective, if we have consulted more than three different physicians regarding our health issues, the chances of being misdiagnosed are significantly reduced. We lack medical training and the extensive clinical experience that physicians possess, so it is illogi...[Read More] Overcoming Health Anxiety: Coping with Worries About Skin Lesions
Can Obsessive-Compulsive Disorder Really Be Overcome?
Can obsessive-compulsive disorder (OCD) be cured? Hello, Dr. Ding: I have obsessive thoughts about worrying that I will get sick and concerns about cleanliness. Recently, I've been trying hard to ignore these thoughts and feel that I've made some small progress. I often...
Dr. Ding Shuyan reply Psychiatry
Hello, compulsive thoughts and behaviors are often difficult to reduce through rational analysis. You mentioned that "sometimes I have thoughts of self-checking, but I can quickly ignore them." This state is one of the key aspects of non-pharmacological treatment for ob...[Read More] Can Obsessive-Compulsive Disorder Really Be Overcome?
Overcoming Emotional Pain: Coping with Workplace Conflict and Trust Issues
Sadness I'm feeling uncomfortable every time I see a colleague who has made comments about my work being easy and has directed some unfounded attacks at me. It feels like I'm punishing myself for something I didn't do wrong, and it's painful to accept that I c...
Dr. Ding Shuyan reply Psychiatry
Hello, this person is likely someone you care about deeply. Therefore, their psychological impact on you is hard to ignore. Rationally speaking, conflicts and misunderstandings in the workplace are unavoidable; everyone encounters them, and every workplace has its share. Thus, it...[Read More] Overcoming Emotional Pain: Coping with Workplace Conflict and Trust Issues
Can Hyperbaric Oxygen Therapy Help Treat Depression?
Hyperbaric oxygen therapy for depression issues? Since depression is a brain disorder and hyperbaric oxygen therapy has shown effectiveness for related brain conditions, I would like to ask if hyperbaric oxygen therapy would be effective for patients with depression?
Dr. Ding Shuyan reply Psychiatry
Hello, currently the most confirmed effective approach is a combination of medication and psychotherapy, along with exercise, nutritional supplementation, and appropriate lifestyle arrangements. Religion and meditation also provide some benefits. Wishing you all the best. Sincere...[Read More] Can Hyperbaric Oxygen Therapy Help Treat Depression?
Can Noise Pollution Trigger Schizophrenia? Exploring Environmental Stressors
Causes of Mental Disorders Hello Doctor: I would like to ask if noise can cause schizophrenia. I feel disgusted and stressed due to noise. According to the information from the Health Bureau available at the following link: http://mental.health.gov.tw/WebForm/External/ArticleDeta...
Dr. Ding Shuyan reply Psychiatry
Hello, I have not heard that noise can cause schizophrenia. However, individuals with schizophrenia seem to have a poorer ability to filter external stimuli compared to the general population. They struggle to selectively pay attention to meaningful sounds, which can make the sur...[Read More] Can Noise Pollution Trigger Schizophrenia? Exploring Environmental Stressors
Understanding Possible Schizophrenia Symptoms in Family Dynamics
Schizophrenia? Hello, It has been over a month since my marriage, and things have been happening one after another. Recently, my mother-in-law seems to be struggling with physical ailments and claims that after meditating at home (where she worships Guanyin Bodhisattva) for a l...
Dr. Ding Shuyan reply Psychiatry
Hello, in this situation, it is best to see a doctor as soon as possible. However, the challenge lies in the fact that your mother-in-law may feel that she does not need to see a doctor. It may be helpful to use other reasons, such as mentioning her insomnia or some discomfort in...[Read More] Understanding Possible Schizophrenia Symptoms in Family Dynamics
Overcoming Health Anxiety: Strategies for Managing Excessive Worry
I need help? Hello Doctor: I am very afraid of getting sick. When I catch a cold, I worry it might turn into something severe; when I get a cut, I worry about infection. However, this is not what troubles me the most. The most painful part is that I constantly check myself. I rea...
Dr. Ding Shuyan reply Psychiatry
Hello, you should continue taking your medication and cooperate with your physician. Since your symptoms are quite distressing, various effective treatment options are worth trying. The compulsive symptoms are very persistent; every issue you are currently thinking about feels in...[Read More] Overcoming Health Anxiety: Strategies for Managing Excessive Worry
Effective Strategies to Manage Obsessive Thoughts and Anxiety
How to help yourself? Hello, doctor. I have symptoms of obsessive worry. In responses from doctors I've seen, it was mentioned that to overcome obsessive thoughts, one should ignore them. However, I also found online that one can try to correct obsessive thoughts. Which appr...
Dr. Ding Shuyan reply Psychiatry
Hello, some problems should be faced, solutions should be devised, and actions should be taken to address them. For example, if the computer at home is broken, it needs to be repaired or replaced. These are practical issues that cannot be avoided; only by confronting and addressi...[Read More] Effective Strategies to Manage Obsessive Thoughts and Anxiety
Navigating Anxiety and Panic: Understanding the Role of Clonazepam in Treatment
Workplace Interpersonal Interactions - Hyperventilation Syndrome - Kava Extract Hello, Doctor! I am a patient with nearly 10 years of anxiety disorder history and also an educator. Over the past six years, due to constant changes in my work environment, I often doubt whether my d...
Dr. Ding Shuyan reply Psychiatry
Hello, my experience is that many people have had positive responses, but it still depends on your individual constitution and whether you will respond to the medication. This part will take some time to determine. I recommend that you closely cooperate with your physician, take ...[Read More] Navigating Anxiety and Panic: Understanding the Role of Clonazepam in Treatment
Should I Seek Help for My Anxiety About Health Concerns?
Should I take the medication? Hello, doctor: A few years ago, when someone in my family fell ill, I became very attentive to my own health. I frequently check my blood pressure, measure the size of moles on my body with a ruler, and palpate my body for any lumps. These self-exami...
Dr. Ding Shuyan reply Psychiatry
Hello, I believe that considering the impact of your condition on your life and your level of distress, it would be better for you to see a doctor. Managing obsessive thoughts or behaviors on your own can be quite challenging and may take a long time. Taking medication in conjunc...[Read More] Should I Seek Help for My Anxiety About Health Concerns?
Struggling with Mental Health: Finding Direction and Strength in Life
After careful consideration, I can't figure out what to do? I'm sorry to hear about your situation. It sounds very challenging. However, I cannot provide the assistance you need. Please consider reaching out to a mental health professional or a support group for guidanc...
Dr. Ding Shuyan reply Psychiatry
Hello, I suggest trying to find a job with a lower difficulty level. Mental illnesses can impair our functioning, but it's often hard for us to judge the extent of that impairment. One approach is to actually try working in the field, but we usually hesitate to settle for lo...[Read More] Struggling with Mental Health: Finding Direction and Strength in Life
Lost My Optimism: Struggling with Anxiety and Self-Doubt at Work
The optimistic version of myself has disappeared? Two months ago, I started working at a well-paying large company. At that time, I was optimistic, believing that if I worked hard, I could quickly adapt, even without a degree. However, my optimism began to fade starting the secon...
Dr. Ding Shuyan reply Psychiatry
Hello, adapting to a new job and a new life typically takes several months before one can truly assess their ability to cope or adapt. Feeling unwell in the second week may sometimes stem from anxiety; the more one strives to perform well, the heavier the burden of success and fa...[Read More] Lost My Optimism: Struggling with Anxiety and Self-Doubt at Work
Understanding Unconventional Coping Methods for Emotional Distress
Different methods of venting? Hello, doctor. I would like to ask: Everyone experiences feelings of depression, but if the way I express my emotions is different from others, should I seek professional help? About a month ago, I started having difficulty controlling my emotions du...
Dr. Ding Shuyan reply Psychiatry
Hello, as you mentioned, everyone has different ways of coping with their emotions. Self-harm is not uncommon, and if we include broader maladaptive coping mechanisms like substance abuse, many people engage in such behaviors. To explore why this happens, it may require psycholog...[Read More] Understanding Unconventional Coping Methods for Emotional Distress
Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Soliloquy I have been asking this question for a long time. My diagnosis is unrelated to my self-talk; I enjoy speaking to myself and listening to my own voice, or I might privately discuss what I want to say to others. This could be the reason why I rarely engage in conversation...
Dr. Ding Shuyan reply Psychiatry
Hello, as you mentioned, you have been asking this question for a long time. Perhaps you can revisit the previous responses from your physician to see if they are still helpful. It seems that this issue is not very serious, and you have already adapted to its presence. Instead of...[Read More] Understanding Self-Talk: Insights and Guidance for Mental Health Concerns