How to Access Mental Health Care Without Insurance in Taiwan
If your health insurance has been suspended, how can you seek treatment at a psychiatric outpatient clinic? Hello, I have previously received treatment at Changhua Hospital. While I was in Taichung, I was forcibly hospitalized due to self-harm and drug overdose. After returning t...
Dr. Ding Shuyan reply Psychiatry
Hello, first of all, I want to encourage you for not giving up hope and for bringing your questions here! Your situation is indeed challenging, but I can still see that positive strength within you, working hard to live, which is truly precious and moving. In Taiwan, not having h...[Read More] How to Access Mental Health Care Without Insurance in Taiwan
Understanding Borderline Personality Disorder: Identity and Self-Perception Challenges
Borderline Personality Disorder Individuals who have recently started a new job often feel the need to project confidence. Generally, once they become accustomed to their role, they no longer need to feign this confidence and readily accept validation from others. However, those ...
Dr. Ding Shuyan reply Psychiatry
Sure! Got it![Read More] Understanding Borderline Personality Disorder: Identity and Self-Perception Challenges
Exploring Male Hormone Therapy Options for Gender Dysphoria
I would like to receive male hormone therapy? Hello Doctor: I am a female, but I have always wished to become a male since I was young. I know that gender-affirming surgery is available, but I have heard that it can lead to a shorter lifespan and may have side effects, so I am no...
Dr. Ding Shuyan reply Psychiatry
Hello, you can consult a urologist regarding this issue, as they are more specialized in this matter! Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Exploring Male Hormone Therapy Options for Gender Dysphoria
Understanding Sleep Disorders: Insights into Nightmares and Sleep Disturbances
Sleep issues Hello, Doctor: I would like to ask you about a sleep issue concerning my girlfriend. Sometimes, when she lies down to sleep, she falls asleep in less than five minutes. Shortly after, it seems like she starts having nightmares; her hands clench tightly, and her limbs...
Dr. Ding Shuyan reply Psychiatry
Hello, this is a type of sleep disorder. You can consult a psychiatrist, so there's no need to worry too much. Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Understanding Sleep Disorders: Insights into Nightmares and Sleep Disturbances
Understanding Patient Symptoms: Exploring Psychiatric Issues and Management
What are the patient's symptoms? Hello Dr. Ding, I would like to ask you a question regarding a situation that has been ongoing for about six months. The patient's symptoms are as follows: the onset of symptoms typically occurs in the morning upon waking or in the even...
Dr. Ding Shuyan reply Psychiatry
Hello, actually, if we are not the parties involved, we cannot know the truth behind their marital disputes. Some situations are easier for outsiders to assess, such as an eighty-year-old person with dementia who suspects that their seventy-year-old spouse, who is bedridden due t...[Read More] Understanding Patient Symptoms: Exploring Psychiatric Issues and Management
How to Manage Anxiety Over Minor Issues and Unlikely Events
I easily get stressed over small things? I easily get worried about small things, and I even think about unlikely events. What should I do?
Dr. Ding Shuyan reply Psychiatry
Hello, I suggest the following: 1. Reflect on those small worries from the past; how did they turn out in the end? 2. Stand up and do something else! Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] How to Manage Anxiety Over Minor Issues and Unlikely Events
Trapped Thoughts: Navigating Trust and Support in Mental Health
Trapped thoughts I am someone who strives to find solutions when facing difficulties, so I seek advice from others and consult my colleagues. However, I have noticed that when I am in a really bad situation, my colleagues are more willing to help me. Yet, when my situation improv...
Dr. Ding Shuyan reply Psychiatry
Hello, the issue you mentioned is very insightful! When we face painful situations, it seems easier to receive care and assistance from others; when our circumstances improve, we may feel that the affection from others has diminished significantly. This is not surprising and is s...[Read More] Trapped Thoughts: Navigating Trust and Support in Mental Health
Understanding Delusional Disorders in the Elderly: A Case Study
Fantasy insecurity Hello, recently my uncle (91 years old) has been feeling that someone is trying to harm him. He often talks to himself, expressing that we are not treating him well. This has escalated to the point where he keeps a knife by his bedside and frequently recounts e...
Dr. Ding Shuyan reply Psychiatry
Hello, there is a risk of violence in this situation! Although your uncle is already ninety-one years old, it is difficult to say when it comes to delusions. Sometimes, when pushed to the limit by these delusions, individuals may exert all their strength to retaliate or act preem...[Read More] Understanding Delusional Disorders in the Elderly: A Case Study
Understanding Panic Disorder and Its Connection to Sexual Orientation
Panic disorder and questions about homosexuality? Hello Doctor: Three years ago, I almost fainted at school and was urgently taken to the hospital. The doctor initially diagnosed me with neurasthenia, and I experienced this condition three times within a month. Although I have no...
Dr. Ding Shuyan reply Psychiatry
Hello, anxiety or panic disorders can be treated through a multifaceted approach. If you have been on medication for three years and are still experiencing fluctuations, it is important to first check if you have been adhering to your physician's prescriptions. Missing doses...[Read More] Understanding Panic Disorder and Its Connection to Sexual Orientation
Understanding Mental Struggles: Why Change Feels Impossible
Why won't you listen? My friend said something to me that really hurt because I feel so powerless. I want to change and improve, but it's not something I can just do immediately because a friend has talked to me about it countless times. They wonder why I don’t listen, ...
Dr. Ding Shuyan reply Psychiatry
Hello, I believe that everyone, including myself, has certain obsessions or habits that are difficult to change. It depends on whether these obsessions or habits help us adapt better, live happily, and interact pleasantly with others. For instance, having a fixed routine of hikin...[Read More] Understanding Mental Struggles: Why Change Feels Impossible
Managing Anxiety: Tips for Reducing Stress and Finding Inner Peace
How to manage chronic mental stress? Hello, I am very prone to anxiety. When I have a heavy workload, I experience headaches and cold sweats. At night, I wake up easily from even the slightest noise, which makes me feel worse the next day. Am I suffering from anxiety disorder? Wh...
Dr. Ding Shuyan reply Psychiatry
Hello, yes, it does sound similar. However, to determine if it is an anxiety disorder, it is essential to consult a doctor, as a face-to-face evaluation is necessary for an accurate diagnosis. Seeing a physician, taking medication, exercising, practicing relaxation techniques, an...[Read More] Managing Anxiety: Tips for Reducing Stress and Finding Inner Peace
Overcoming Social Anxiety: Finding Motivation to Work and Connect
If you're afraid of social interactions and lack motivation to work, consider the following steps: 1. **Seek Professional Help**: Consulting a mental health professional can provide you with strategies to cope with social anxiety and lack of motivation. 2. **Set Small Goal...
Dr. Ding Shuyan reply Psychiatry
Hello, most people actually cannot tell if someone else is experiencing depression unless the symptoms are very severe. You mentioned that you appear normal most of the time; I believe that even a psychiatrist might not be able to notice unless you disclose it. Depression is a ve...[Read More] Overcoming Social Anxiety: Finding Motivation to Work and Connect
Transforming Thoughts: Overcoming Self-Doubt in Communication
Changing thoughts changes perspectives? Many people say that changing your thoughts can change your beliefs. I understand what this means, but I just can't change myself... I am someone who struggles to express myself, which makes me feel somewhat insecure about speaking. I ...
Dr. Ding Shuyan reply Psychiatry
Hello, you may want to reflect on the many memorable events in your past life and compare your feelings about those events before and after. Have you ever found yourself underestimating your abilities? Moving forward, it is important to firmly acknowledge your strengths and capab...[Read More] Transforming Thoughts: Overcoming Self-Doubt in Communication
Struggling with Motivation and Social Interaction: What to Do?
If you don't want to interact with others and lack motivation to work, consider the following steps: 1. **Self-Reflection**: Take some time to understand the underlying reasons for your feelings. Are you experiencing stress, anxiety, or depression? 2. **Set Small Goals**: ...
Dr. Ding Shuyan reply Psychiatry
Hello, sometimes we may experience situations as described in the letter. If the duration is not long, such as within a few days, and the total time spent experiencing these feelings is less than half of the day, it may not necessarily indicate a problem. However, if the duration...[Read More] Struggling with Motivation and Social Interaction: What to Do?
Overcoming Obsessive Thoughts: Strategies for Mental Well-Being
How to address obsessive thinking? In high school, I would constantly ask people, "What did you just say?" or "What was that sentence you just mentioned?" I wanted to know every word clearly, even going so far as to say, "I'll pay for dinner if you t...
Dr. Ding Shuyan reply Psychiatry
Hello, actually the title of your question has already pointed out the essence of these issues, which are compulsive thoughts. Sometimes, they can stick to you like strong glue, and using various methods to combat them often proves futile. My suggestion is that once you determine...[Read More] Overcoming Obsessive Thoughts: Strategies for Mental Well-Being
Am I Truly Incapable of Learning? Understanding Fear and Self-Doubt
Am I really unable to learn this? I feel like I am incapable and unable to do anything well. I am afraid of not being able to learn anything. Every time I try to learn something new, I give up as soon as I encounter difficulty because I fear that I won't be able to do it. It...
Dr. Ding Shuyan reply Psychiatry
Hello, if this letter of inquiry was written by you, I must say that your organizational skills and expression are quite impressive, and you demonstrate a certain level of self-analysis and understanding, which is commendable. It is common to face problems with fear, feeling that...[Read More] Am I Truly Incapable of Learning? Understanding Fear and Self-Doubt
Understanding Developmental Delays in Adolescents: Signs, Support, and Solutions
Developmental delay Hello, doctor. I have a daughter who is attending vocational school. She appears normal and has an average IQ, but her reactions are slow and her learning abilities are poor. She can speak normally, but her expressive language skills are lacking. I'm not ...
Dr. Ding Shuyan reply Psychiatry
Hello, In your letter, you mentioned that your daughter has developmental delays, poor learning abilities, and slow responses, yet her IQ is normal. It may be necessary to clarify what is meant by "normal IQ," as individuals with developmental delays typically have lo...[Read More] Understanding Developmental Delays in Adolescents: Signs, Support, and Solutions
Should I Trust My Ability to Learn Despite My Fears?
Should I believe that I can learn? I feel like a person without abilities, unable to do anything well or learn anything. I am afraid of my inability to learn. Every time I try to learn something new, I give up as soon as I encounter difficulties, convinced that I can't do it...
Dr. Ding Shuyan reply Psychiatry
Hello, you are using the same email as the 41-year-old mother from earlier. If you are 27 years old, you should have your own email. Please use your own email address to ask your question. Although it is anonymous, it still feels a bit strange to respond this way.[Read More] Should I Trust My Ability to Learn Despite My Fears?
Understanding Sleep Talking and Emotional Outbursts: Treatment Options
Sleep talking? Hello, doctor! I would like to ask you some questions. My family member often talks in their sleep at night, and they do so very loudly, frequently disturbing the neighbors. Is there a way to treat this issue? Additionally, they often experience emotional breakdown...
Dr. Ding Shuyan reply Psychiatry
Talking in one's sleep indicates unstable sleep patterns, which can be caused by various factors such as high stress, anxiety disorders, or the consumption of alcohol and medications. Additionally, some individuals may have a predisposition that leads to sleep disturbances. ...[Read More] Understanding Sleep Talking and Emotional Outbursts: Treatment Options
Understanding Lexotan: Addiction Risks and Alternatives for Insomnia
Regarding sleeping pills? Hello, doctor: May I ask if it is safe to take one tablet of a medication called Lexotan every day? Will it lead to addiction? What are the potential side effects? Besides sleeping pills, what other methods can help improve chronic insomnia? Thank you.
Dr. Ding Shuyan reply Psychiatry
Hello, the medications prescribed by your physician should be taken according to their instructions, and there is no need to consult others about this. If you have any doubts regarding the medication, you should discuss them with your physician. Since they are the ones who examin...[Read More] Understanding Lexotan: Addiction Risks and Alternatives for Insomnia