Understanding Chronic Anxiety: Causes and Coping Strategies
Nervous anxiety This situation has been ongoing for several years. Whenever I have planned activities, such as taking a train at a certain time or meeting friends the next day, I inexplicably become anxious. Initially, I thought it was just discomfort, but since these are friends...
Dr. Ding Shuyan reply Psychiatry
Hello, this kind of anticipatory anxiety is something many people experience, though the severity can vary. Your situation seems to be worsening, and if you're also experiencing physical discomfort, it's best to see a doctor. Individuals who are more impatient or perfec...[Read More] Understanding Chronic Anxiety: Causes and Coping Strategies
When Should Psychiatrists Issue Prescriptions? A Patient's Guide
The timing for a physician to issue a prescription? Hello, Doctor: In May, I moved and needed to switch hospitals to get my medication. During my first consultation, I asked the doctor about this issue, and the doctor replied that we would need to wait and see. For the past few y...
Dr. Ding Shuyan reply Psychiatry
Hello, it's perfectly reasonable to ask a physician questions. Both you and the subsequent physician are merely prescribing medications. If you have concerns, I believe he would be more than willing to address them. The active ingredients in the medications are the same; how...[Read More] When Should Psychiatrists Issue Prescriptions? A Patient's Guide
Is This a Mental Health Issue? Navigating Career Dissatisfaction
Is this considered a mental illness? Hello Dr. Ding: I used to study subjects I liked in school, and after working in that field for a few years, I found myself growing increasingly frustrated with it. Eventually, I decided to stop working in that area. However, I am not particul...
Dr. Ding Shuyan reply Psychiatry
Hello, your main question is whether this is a mental illness. Simply disliking your job cannot be classified as a mental disorder. Some individuals may initially perform well in their jobs but later become unable to cope due to functional impairments caused by conditions such as...[Read More] Is This a Mental Health Issue? Navigating Career Dissatisfaction
Facing Fears: Coping with Anxiety About Encountering Strangers
Encountering bad people? At night, when I manage the store, I worry about encountering bad people. Additionally, the late-night shift attracts the most customers, which creates anxiety for someone like me who prefers quieter times. Sometimes, on Sunday nights when my family goes ...
Dr. Ding Shuyan reply Psychiatry
Hello, this question is quite difficult to answer. The experience of managing a store can vary greatly depending on the type of store, such as a bookstore versus an entertainment venue, as the composition of customers and their expectations for service differ significantly. The p...[Read More] Facing Fears: Coping with Anxiety About Encountering Strangers
Navigating Loneliness: Insights and Advice for Social Connection
Direction of thought I have been a solitary person for over a decade, which may also be a barrier to my job search because I find it difficult to interact with others. Sometimes I ask myself if I enjoy being alone, and I often feel that there is nothing wrong with it. If you were...
Dr. Ding Shuyan reply Psychiatry
Hello, there are many perspectives on a situation. Your own perspective often differs from that of those around you. Some people complain that they live for others, sacrificing and giving without a sense of self. However, those close to them might feel that they are being overly ...[Read More] Navigating Loneliness: Insights and Advice for Social Connection
Overcoming Evening Anxiety: Tips for Socializing Again
I don't like going out at night? During the New Year’s Eve, I felt overwhelmed by the number of guests, so I went upstairs to rest. Since then, I have preferred to stay upstairs in the afternoons after hiring staff for the store, and I generally dislike going out in the even...
Dr. Ding Shuyan reply Psychiatry
Hello, human behavior, whether to act or not, usually has its reasons. The answers vary from person to person, and each individual knows themselves best. I don't particularly see anything wrong with not wanting to go out at night. Your description provides too little informa...[Read More] Overcoming Evening Anxiety: Tips for Socializing Again
Overcoming Social Memory Challenges: A Guide for Students
Social (Memory) Disorder I am a third-year student attending night classes (working part-time at school in the morning). Although I have been with my classmates for nearly three years, I still feel completely unable to talk to them outside of academic-related issues. I struggle t...
Dr. Ding Shuyan reply Psychiatry
Hello, your article is very well written, and your language skills are better than many of my colleagues at the hospital. The hospital is indeed a professional environment, yet I still encounter quite a few individuals who lack logical reasoning, make numerous spelling mistakes, ...[Read More] Overcoming Social Memory Challenges: A Guide for Students
Understanding Tolerance and Efficacy of Anxiety Medications
The resistance and persistence of anxiolytic medications? Hello Dr. Ding: I am currently taking Xanax (Alprazolam) 0.5 mg/tablet, once in the morning and once in the evening. The reason for taking this medication is that I have asthma and tend to get anxious, so my doctor prescri...
Dr. Ding Shuyan reply Psychiatry
Hello, according to the theoretical framework, these types of medications can develop what is known as drug resistance, more formally referred to as tolerance. However, the development of tolerance requires certain conditions, such as higher dosages and prolonged usage. Some indi...[Read More] Understanding Tolerance and Efficacy of Anxiety Medications
Understanding Asperger's, OCD, and Other Mental Health Issues in Teens
Asperger's syndrome / fetishism / obsessive-compulsive disorder (OCD) / bipolar disorder Hello, doctor. My daughter is 13 years old and is in the first year of junior high school. Over the past 3-4 years, based on our observations, she has exhibited many unusual behaviors th...
Dr. Ding Shuyan reply Psychiatry
As parents of adolescents, we all go through the process of witnessing significant physical and emotional changes in our children. It can be challenging for parents to discern which of these changes are typical for this developmental stage and which may indicate potential issues....[Read More] Understanding Asperger's, OCD, and Other Mental Health Issues in Teens
Navigating Emotional Challenges: Supporting Crying Children in Therapy
Challenges at work Hello, doctor. I am encountering a child who is "crying continuously" and there is no space for intervention. I attempted to establish a relationship through play therapy, but due to the child's constant crying, there is zero interaction. The chi...
Dr. Ding Shuyan reply Psychiatry
Hello, your anxiety may stem from your actual performance at work not meeting the standards you have set for yourself. This gap can lead to frustration, and facing new tasks each day may cause worry about not achieving the desired level of performance. This psychological torment ...[Read More] Navigating Emotional Challenges: Supporting Crying Children in Therapy
Understanding Delusions in Mixed-Use Residential Settings: A Psychiatric Perspective
Mixed-use development I often worry about living in a mixed-use residential area and the possibility of someone invading my home. I am concerned that after having dinner, I might sweat excessively while going to my store, which could lead to something bad happening. I fear that w...
Dr. Ding Shuyan reply Psychiatry
Hello, it seems that you have many concerns and you also feel that they might be delusions. Based on my understanding, it would be best to see a doctor for a quicker improvement regarding delusions. Both psychosomatic medicine and psychiatry can help. Discussing online may provid...[Read More] Understanding Delusions in Mixed-Use Residential Settings: A Psychiatric Perspective
Understanding Schizophrenia: Can Over-Acceptance and Sensitivity Be Cured?
Is it curable? Schizophrenia symptoms: excessive tolerance and heightened sensitivity can be explained as follows. Excessive tolerance may manifest as an inability to set boundaries or a tendency to accept behaviors or situations that others might find unacceptable. Heightened se...
Dr. Ding Shuyan reply Psychiatry
Hello, excessive tolerance refers to an individual's ability to pay attention to sensory stimuli being too diffuse, making it difficult to selectively focus on stimuli that are meaningful for current decisions or actions. Over-sensitivity, on the other hand, involves cogniti...[Read More] Understanding Schizophrenia: Can Over-Acceptance and Sensitivity Be Cured?
Understanding Restless Legs and Its Connection to Anxiety Disorders
Easily movable legs? I have a tendency for my feet to collide with each other, or my big toes to intertwine tightly; I refer to this as "restless legs." Additionally, I notice that when I wake up in the morning, I feel very excited and like to move around, even running ...
Dr. Ding Shuyan reply Psychiatry
Hello, when we visit a doctor, it is mostly because we have noticed some unusual or uncomfortable symptoms. However, there may be other symptoms that we are not aware of or do not pay much attention to, which are important for diagnosing our condition. Online responses to questio...[Read More] Understanding Restless Legs and Its Connection to Anxiety Disorders
Understanding Persistent Thoughts After Long-Term Antipsychotic Use
Please provide the content you would like me to translate? I have been on antipsychotic medication for many years, and I have noticed that from the moment I wake up in the morning, I start thinking about specific people, especially those I haven't seen in ten years. Could yo...
Dr. Ding Shuyan reply Psychiatry
Hello, it is common for people to get lost in thoughts that are not related to the present moment; the difference lies in the duration of this distraction and whether one can quickly return to focus. Mental illnesses, such as schizophrenia and depression, often involve such exper...[Read More] Understanding Persistent Thoughts After Long-Term Antipsychotic Use
Concerns About HIV Exposure After Witnessing an Injury: What to Do?
Could you please provide more details or specify your question? Hello Doctor: Today, I saw a person on the street with a head wrapped in bandages and blood seeping through. There were two police officers nearby helping him with the bandaging. I didn't want to walk directly p...
Dr. Ding Shuyan reply Psychiatry
Hello, the routes of HIV transmission and associated risks have been well researched. Firstly, the individual you witnessed must be a positive carrier of the HIV virus, and the viral load in their blood must reach a level that is infectious. Secondly, you must have come into cont...[Read More] Concerns About HIV Exposure After Witnessing an Injury: What to Do?
Understanding the Central Filtering System in Psychiatry and Its Treatments
Central filtration system What is the central filtration system and how is it treated?
Dr. Ding Shuyan reply Psychiatry
Hello, this term is not commonly used in the field of psychiatry in Taiwan, and I could only find two articles on Google regarding it. However, the concept it represents is often referenced in psychiatric research concerning the symptomatology of schizophrenia patients. Humans ha...[Read More] Understanding the Central Filtering System in Psychiatry and Its Treatments
Overcoming Fear of Infection: Coping with Health Anxiety in Daily Life
I am very afraid of getting infected? Hello, Doctor: I apologize for being someone who is very afraid of getting sick. A few days ago, I visited the colorectal and anal clinic at a certain hospital. I asked my mom to hold my bag because the lid of the nearby trash can was open, a...
Dr. Ding Shuyan reply Psychiatry
Fear of certain specific things is one of the most common psychological symptoms in humans, such as fear of the dark, fear of heights, or fear of snakes. The onset of fear typically occurs after witnessing or experiencing a frightening situation or object. However, it is interest...[Read More] Overcoming Fear of Infection: Coping with Health Anxiety in Daily Life
Understanding Anxiety and Sleep Issues: Is It Depression?
Depressive Panic Hello Doctor: I've been worried lately about whether I have some health issues. The more I search for related information online, the more scared I become, fearing that I might have a serious illness. Since then, I've been experiencing some sleep proble...
Dr. Ding Shuyan reply Psychiatry
Hello, if your sleep has become shorter than usual, accompanied by vivid dreams or frequent awakenings, and these symptoms persist for a period of time, it is indeed worth noting. However, sleep disturbances are often just the tip of the iceberg and are common manifestations of v...[Read More] Understanding Anxiety and Sleep Issues: Is It Depression?
Managing Panic Disorder Medication During Pregnancy: What You Need to Know
Panic disorder and pregnancy: What should I do about medication? Hello, doctor. I am a patient with panic disorder and have been on medication for over a year. I am currently in the process of tapering off my medication, taking one Lorazepam every two days. After two weeks, I dis...
Dr. Ding Shuyan reply Psychiatry
Hello, you have been on medication for over a year under the care of your physician. When it comes to the question of whether to discontinue medication during pregnancy, the best person to answer that is your treating physician, not an unfamiliar doctor online. No matter how know...[Read More] Managing Panic Disorder Medication During Pregnancy: What You Need to Know
Overcoming Anxiety in Helping Professions: Strategies for Confidence
Nervous personality Hello, Doctor: I previously asked a question ^-^ I've been dealing with a nervous personality for over 10 years. As a helper (special education teacher), I passed my certification exam in my first year (I had been preparing for the general teacher exam fo...
Dr. Ding Shuyan reply Psychiatry
Hello! I recall that you might have asked a similar question before. It's common for people to feel uncertain about themselves, whether it's regarding work, choosing a partner, deciding to buy a house or a car, or even what to eat for dinner. We make numerous choices ev...[Read More] Overcoming Anxiety in Helping Professions: Strategies for Confidence