Navigating Unwritten Rules in Psychiatric Care: Your Options Explained
Unwritten regulations In psychiatry, there seems to be an unwritten rule that the first psychiatrist you see becomes your primary provider for ongoing treatment. In other words, if you are dissatisfied and wish to switch doctors, it depends on whether the psychiatrist is willing ...
Dr. Ding Shuyan reply Psychiatry
Hello, because you have been seeing the same physician for a long time, this physician should theoretically have a better understanding of your condition. Other doctors in the same hospital may be less familiar with you and might be more hesitant to change the prescriptions made ...[Read More] Navigating Unwritten Rules in Psychiatric Care: Your Options Explained
Can OCD Lead to Memory Decline? Understanding the Connection and Recovery
Obsessive-compulsive disorder (OCD) and memory impairment? Hello, I have always felt that I have obsessive-compulsive disorder (OCD). A year ago, I had a concussion from a car accident. After six weeks of dizziness, I have recovered, but I still feel paranoid about potential long...
Dr. Ding Shuyan reply Psychiatry
Individuals with obsessive-compulsive disorder, anxiety disorders, or depression often experience noticeable stages of their conditions where they may feel a decline in memory or difficulty concentrating. A relatable analogy is that our mental capacity is limited; if it is filled...[Read More] Can OCD Lead to Memory Decline? Understanding the Connection and Recovery
Understanding Intrusive Thoughts: Coping Strategies for Anxiety and Fear
Delusions of strange things? Due to the previous murder incident on the Taipei Metro, I often find myself thinking about it. On one hand, I am afraid to take the subway, and on the other hand, I sometimes wonder if I might lose control and commit a terrible act myself. I really d...
Dr. Ding Shuyan reply Psychiatry
Hello, something shocking has happened, and the process has been repeatedly broadcasted on television, which can cause psychological impact on many people. The extent and duration of this impact vary from person to person. A few days after the incident, I felt uneasy while taking...[Read More] Understanding Intrusive Thoughts: Coping Strategies for Anxiety and Fear
Managing Intrusive Thoughts: Seeking Better Mental Health Solutions
Controlling one's thoughts? I am currently employed and have been on various antipsychotic medications for a long time, but I still cannot control my thoughts. For example, when watching a movie, I find myself overthinking, which leads me to speak out loud, resulting in emot...
Dr. Ding Shuyan reply Psychiatry
Hello, regardless of the psychological distress, psychotherapy can be helpful; the issue lies in the extent of that help, as well as our own problems and conditions, determining whether psychotherapy is the best choice. As we age, the effectiveness of psychotherapy tends to dimin...[Read More] Managing Intrusive Thoughts: Seeking Better Mental Health Solutions
Navigating Career Choices and Mental Health: Seeking Guidance for a Fulfilling Future
Some suggestions? I have had an unsuccessful academic journey in the past, attending a less reputable school. Sometimes, when I think about it, it makes me feel unhappy. Although 14 years have passed, I often feel that if I could start over, I might choose to attend night school,...
Dr. Ding Shuyan reply Psychiatry
Hello, I find your question quite unclear. I am a psychiatrist, and I may be able to assist with medical issues. However, I have been out of touch with matters related to studying and employment for quite some time. I am even unsure about what entrance exams my child is currently...[Read More] Navigating Career Choices and Mental Health: Seeking Guidance for a Fulfilling Future
Is Talking to Yourself a Sign of Mental Illness or Just Independent Thinking?
Soliloquy Is talking to oneself considered a mental illness? Different physicians have varying opinions on this matter. Some believe it is a sign of an overly introverted personality, while others suggest that self-talk during solitude serves as an emotional release. However, if ...
Dr. Ding Shuyan reply Psychiatry
Hello, yes, sometimes talking to oneself does not necessarily indicate a mental health issue. It is important to consult with a physician to assess if there are other underlying conditions, such as insomnia, delusions, hallucinations, reality distortion, emotional problems, etc. ...[Read More] Is Talking to Yourself a Sign of Mental Illness or Just Independent Thinking?
Understanding Sleep Disorders: Anxiety, Medication, and Health Impacts
Sleep disorders After several consecutive nights of not being able to sleep fully and only resting with closed eyes, I consulted a psychiatrist. The doctor diagnosed me with anxiety-induced sleep disorder and prescribed Lexapro, Remeron, and medication to alleviate anxiety, but t...
Dr. Ding Shuyan reply Psychiatry
Hello, there are many causes of insomnia, which are often manifestations of psychological stress or underlying health issues. Based on your age and the description of your problem, it seems you have not experienced significant insomnia over the past few decades. Therefore, you ca...[Read More] Understanding Sleep Disorders: Anxiety, Medication, and Health Impacts
Overcoming Anxiety and Depression: Learning to Love Yourself Again
Always feeling difficult? I really wish I could say, "I love myself so much," but I often feel overwhelmed before I even start anything, constantly battling thoughts of inadequacy. It feels like a heavy stone is pressing on my heart. Today, I even felt a bit sad and cri...
Dr. Ding Shuyan reply Psychiatry
Hello, sometimes feelings of depression or anxiety can become overwhelming, making it difficult to escape despite our efforts to cope. My suggestion is to see a psychiatrist, as this may be the quickest way to alleviate your suffering. Whether it's depression or anxiety diso...[Read More] Overcoming Anxiety and Depression: Learning to Love Yourself Again
Navigating Childhood Trauma and Schizophrenia: Seeking Help and Understanding
Childhood trauma and a history of schizophrenia? Hello, doctor. I would like to ask for your advice: I was nearly a victim of sexual assault during my childhood, and I often find myself developing feelings of affection towards older individuals of the opposite sex. I frequently s...
Dr. Ding Shuyan reply Psychiatry
Hello, regarding schizophrenia, based on my understanding and clinical experience, adhering to medication is the most important treatment approach. You can also incorporate psychotherapy, exercise, or even spiritual support, but these should be considered as adjunctive methods. S...[Read More] Navigating Childhood Trauma and Schizophrenia: Seeking Help and Understanding
Impact of Long-Term SSRI Use on Surgical Outcomes: What You Need to Know
Taking SSRIs (Selective Serotonin Reupt I have been taking SSRIs for nearly ten years, and I am scheduled for surgery soon. Will this affect the surgery?
Dr. Ding Shuyan reply Psychiatry
Hello, SSRIs should not have a significant impact on surgery. However, the reasons for taking SSRIs may be more relevant. Wishing you a successful surgery. Sincerely, Dr. Ding Shuo-Yan.[Read More] Impact of Long-Term SSRI Use on Surgical Outcomes: What You Need to Know
Impact of SSRIs on Surgery: Understanding Anxiety Medication Risks
Taking SSRIs (Selective Serotonin Reupt I apologize, but could you please explain why taking SSRIs might have a greater impact on surgery? I am taking this medication for anxiety, and I am concerned about bleeding during the surgery.
Dr. Ding Shuyan reply Psychiatry
Hello, psychological factors can have varying effects on the medical process. In fact, you should ask your doctor who prescribed the SSRI about this issue. I've already explained the reasons many times before! Wishing you all the best, Dr. Ding Shuo-Yan.[Read More] Impact of SSRIs on Surgery: Understanding Anxiety Medication Risks
Supporting a Loved One with Mental Health Struggles: A Guide
Please provide the content you would like translated into English? Hello, my girlfriend has always been an outgoing person. To outsiders, she appears to be intelligent, generous, extroverted, empathetic, and able to bring joy to others. Due to her good looks, she has had many adm...
Dr. Ding Shuyan reply Psychiatry
Hello, from such a detailed and heartfelt description of the issues, it is clear that you are very considerate of your girlfriend's well-being. Eating disorders are generally best treated with a combination of psychotherapy and medication. Exploring personality and psycholog...[Read More] Supporting a Loved One with Mental Health Struggles: A Guide
Choosing the Right Psychiatrist: Managing Anxiety and Insomnia Medications
Which doctor should I see? I would like to ask... Recently, due to severe insomnia and anxiety, my doctor prescribed me Lishutong to take at night. However, after a few months, I still rely on this medication to fall asleep, and I have increased my dosage from one tablet to one a...
Dr. Ding Shuyan reply Psychiatry
Hello, long-term and excessive use of Lexotan may lead to some degree of tolerance. However, whether a patient becomes addicted to a medication often depends more on the patient's mindset than on the medication itself. Some people enjoy taking medication, while others are af...[Read More] Choosing the Right Psychiatrist: Managing Anxiety and Insomnia Medications
Coping with Stress: Supporting a Loved One with Mental Illness
High stress? I feel like I'm going crazy right now. I have suspected that I might have depression and have a history of self-harm, but now a family member has also developed a mental illness (they are receiving treatment, but their condition fluctuates). Their situation seem...
Dr. Ding Shuyan reply Psychiatry
Hello, when a family member is ill and you are also under stress, it can indeed feel overwhelming. Regarding medical matters, there is limited information available for discussion. My suggestion is to seek medical attention promptly and allow healthcare professionals to assist in...[Read More] Coping with Stress: Supporting a Loved One with Mental Illness
How to Help a Family Member Struggling with Suicidal Thoughts
Family issues Hello, doctor. What should I do if a family member is constantly expressing suicidal thoughts? They believe their symptoms (such as body tingling, fever, and sweating) are hopeless and feel that medication is ineffective (they frequently visit hospitals for medicati...
Dr. Ding Shuyan reply Psychiatry
Hello, the reasons for suicidal thoughts are numerous, and each case is unique, making it impossible to find a one-size-fits-all approach to address every situation. Generally, individuals who contemplate suicide may exaggerate the severity of their circumstances and overlook oth...[Read More] How to Help a Family Member Struggling with Suicidal Thoughts
Navigating Employment Challenges with Mental Health Issues in Taiwan
I want to go to work? Hello, doctor: I don't know the name of my illness. I have a disability certificate and a major illness card. The major illness card is for condition 296 (previously prescribed by a doctor), and my current disability certificate is for category 295【12】【...
Dr. Ding Shuyan reply Psychiatry
Hello, your desire to change the current situation and start looking for a job is actually a very good first step. No matter how ambitious your goals are, they all begin with that small step. Given your age and the lack of work experience over the years, finding a job can indeed ...[Read More] Navigating Employment Challenges with Mental Health Issues in Taiwan
Understanding Anxiety Medication: Concerns About Dependency and Withdrawal
Medication consultation Hello, Doctor: I have anxiety issues, which become particularly severe before traveling abroad. Recently, I need to go to the United States for a while, so I sought help from a psychiatrist. The doctor prescribed me Mocalm S.C. (2HCL) to take half a tablet...
Dr. Ding Shuyan reply Psychiatry
Hello, these two medications should not have addiction issues based on their pharmacological principles, and withdrawal symptoms upon discontinuation are not significant. However, if someone has a strong psychological response, excessive worry may lead to increased anxiety. As me...[Read More] Understanding Anxiety Medication: Concerns About Dependency and Withdrawal
Understanding the Cycle of Frequent Doctor Visits: A Mental Health Perspective
Constantly seeking medical attention? Hello, Doctor: I would like to ask about my ongoing medical issues. I had surgery when I was young, but it didn't significantly affect my life, and I have been regularly following up with the surgeon (about 3-4 times a year). My family h...
Dr. Ding Shuyan reply Psychiatry
Hello, I see that your journey in seeking medical help has been quite challenging. It is evident that there is an underlying sense of anxiety that has driven you to invest so much time and money in seeking assistance. Firstly, if over 30 physicians in the same specialty have asse...[Read More] Understanding the Cycle of Frequent Doctor Visits: A Mental Health Perspective
Overcoming Fear and Anxiety: Steps to Reclaim Your Life
Very anxious? Hello doctor, I haven't worked for many years because I'm afraid of the outside world. People seem terrifying to me, and I feel fearful and anxious! My body even shakes! What should I do?
Dr. Ding Shuyan reply Psychiatry
Hello, I suggest that you see a psychiatrist at a hospital or clinic as soon as possible. You have already wasted too many years, and life can be rich and colorful. You are only 26 years old, and the best years of your life are just beginning. Don't hesitate; be brave and se...[Read More] Overcoming Fear and Anxiety: Steps to Reclaim Your Life
Understanding Anxiety Disorders: Symptoms, Treatment, and Recovery Insights
Anxiety disorders and unexplained physical symptoms? Hello, doctor. My medical history is as follows: I took medication for anxiety and depression for six months a year ago. After feeling better, I stopped taking the medication on my own for a year. During that year, I felt compl...
Dr. Ding Shuyan reply Psychiatry
Hello, it seems that you are similar to the person who asked a question on February 12. You are of the same age, and the content of your questions is almost identical. Regarding your concerns, you can refer to the response I provided on February 12 about "recurring symptoms....[Read More] Understanding Anxiety Disorders: Symptoms, Treatment, and Recovery Insights