Understanding Paranoia in Elderly: Causes, Treatment, and Specialist Guidance
Mental health issues Hello Dr. Ding: My father is 82 years old. For the past year, he has been saying that someone is trying to harm him or that he needs to escape quickly. What kind of illness is this? Is it treatable? Which specialist should we see?
Dr. Ding Shuyan reply Psychiatry
Hello, if there were no similar issues in the past and they have only arisen in the last year, it is important to consider whether these symptoms are related to dementia in the elderly. It is best to consult a psychiatrist for this issue; however, if that is not convenient, a neu...[Read More] Understanding Paranoia in Elderly: Causes, Treatment, and Specialist Guidance
Am I Sick? Understanding Emotional Struggles and Mental Health
Am I sick? I have been suffering from lower back pain for about 1.2 years. My mom keeps telling me to stop exercising altogether! I followed her advice and tried to avoid intense activities, but occasionally my classmates drag me to play badminton or similar sports, and my back s...
Dr. Ding Shuyan reply Psychiatry
Hello, having psychological distress and emotional issues is common, and talking to someone can be very helpful. However, we must also recognize that others have their own commitments and may be experiencing their own mood fluctuations. At times, this can make it seem like they a...[Read More] Am I Sick? Understanding Emotional Struggles and Mental Health
Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
I am unsure whether I have depression or anxiety disorders? Hello Doctor: I am unsure whether I have depression or anxiety. I find that I cannot tolerate continuous loud noises; for instance, if a baby is crying persistently, I feel an uncontrollable urge to stop the source of th...
Dr. Ding Shuyan reply Psychiatry
Hello, sensitivity to sound, fear of noise, insomnia, emotional fluctuations, and easy crying are indeed common manifestations of anxiety and depression. As for whether you have reached a level of illness, it is important to consider factors such as the severity of symptoms, thei...[Read More] Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
How to Seek Involuntary Treatment for a Family Member with Mental Illness
Family members have mental health issues and are unwilling to seek treatment? My mother has a mental illness and was previously sent for involuntary treatment by family members, but she did not stay for long and returned home. Now she has violent tendencies that threaten the safe...
Dr. Ding Shuyan reply Psychiatry
Hello, you can first contact the local health center near your home and ask for assistance from their public health nurse to arrange for medical transportation. They usually coordinate with the fire department's ambulance to take you to the hospital. Once there, the physicia...[Read More] How to Seek Involuntary Treatment for a Family Member with Mental Illness
Overcoming Insecurity: Finding Confidence and Inner Peace
Feeling anxious due to a lack of self-confidence? I often feel like there is something weighing on my heart, and I'm not very happy. I think it might be due to a lack of confidence, which causes me to feel anxious and tense. Sometimes I get frustrated with myself, leading me...
Dr. Ding Shuyan reply Psychiatry
Hello, your letter describes a profound and candid inner transformation, which resonates with many people's feelings. Your concerns are universal; everyone experiences these dilemmas to some extent. The contradiction of wanting affirmation from others while not wanting to li...[Read More] Overcoming Insecurity: Finding Confidence and Inner Peace
Navigating Loneliness: Finding Self-Worth Amid Emotional Turmoil
The feeling of loneliness? I have conflicting emotions; I want to build good relationships and be well-liked, but sometimes when I interact warmly with others, I fear: what if it’s gone tomorrow? It feels a bit like worrying unnecessarily, yet it’s a genuine emotion. Even after h...
Dr. Ding Shuyan reply Psychiatry
Hello, one thing you can be sure of is that you are a very kind person. In this society, people like you may occasionally feel taken advantage of or perceive that others do not reciprocate our kindness, but ultimately, your benefactors will gradually appear, and your troubles wil...[Read More] Navigating Loneliness: Finding Self-Worth Amid Emotional Turmoil
Understanding Emotional Instability: Insights on Psychogenic Disorders
Psychoneurosis Hello, Doctor. I have some questions to ask you. Recently, I attended a dance performance with a female friend. During the performance, she exhibited signs of emotional instability, crying continuously, and at times, her head would involuntarily sway to the rhythm ...
Dr. Ding Shuyan reply Psychiatry
Hello, when watching movies, dramas, and various artistic performances, each person's feelings can vary greatly, which is somewhat related to individual experiences and personalities. It is difficult to determine whether your friend's reactions are unusual; some individ...[Read More] Understanding Emotional Instability: Insights on Psychogenic Disorders
Understanding Muscle Twitches: A Guide to Stress and Neurological Issues
Muscle spasm Hello Dr. Ding, I would like to ask a question on behalf of my family member. Recently, he has been experiencing muscle twitches before going to sleep, similar to the sensation of suddenly falling into a deep hole, causing him to jerk. However, I have noticed that h...
Dr. Ding Shuyan reply Psychiatry
Hello, muscle spasms or involuntary tremors can have various causes. In addition to epilepsy and neurological disorders, factors such as alcohol or drug addiction, anxiety disorders, depression, and even fatigue from lack of sleep can contribute to these symptoms. As mentioned in...[Read More] Understanding Muscle Twitches: A Guide to Stress and Neurological Issues
Understanding Muscle Relaxation from Psychiatric Medications: Solutions and Insights
Antipsychotic medications can cause muscle relaxation? I am currently taking 500 mg of Depakote, 1.5 mg of Rifampin, 40 mg of Prozac, and 100 mg of Sulpiride daily. I have been on these medications for a long time, and recently I came across a medical study suggesting that antide...
Dr. Ding Shuyan reply Psychiatry
Hello, the transformation of muscle from firm to soft is primarily related to usage and training. Antidepressant medications do not directly cause muscle relaxation. The reference value of medical research reports varies in levels, which is a core aspect of evidence-based medicin...[Read More] Understanding Muscle Relaxation from Psychiatric Medications: Solutions and Insights
Understanding Symptoms That Fall Under Psychiatry: A Guide
What symptoms are considered psychiatric? What symptoms are considered psychiatric? Which department should I consult for autonomic nervous system disorders? Why do I often experience dizziness, headaches, nausea, vomiting, and weakness in my limbs, yet psychiatric medications al...
Dr. Ding Shuyan reply Psychiatry
Hello, the symptoms you described sometimes do not reveal any abnormalities in the physical organs. Instead, they may be related to anxiety disorders, psychosomatic disorders, or depression combined with autonomic nervous system dysfunction, which can lead to the discomfort you m...[Read More] Understanding Symptoms That Fall Under Psychiatry: A Guide
Signs of Bipolar Disorder: Understanding Emotional Instability
Is there bipolar disorder? Dr. Ding: I would like to inquire about my partner's condition. 1. She has difficulty controlling her emotions, with extreme mood swings and tends to have strong emotional reactions to even minor issues. 2. During arguments, she repeatedly reiterat...
Dr. Ding Shuyan reply Psychiatry
Hello, I have also seen many people without bipolar disorder who exhibit similar behaviors! Wishing you both a deepening relationship. Sincerely, Dr. Ding Shuo-Yan.[Read More] Signs of Bipolar Disorder: Understanding Emotional Instability
Should I See a Psychiatrist? Navigating Mental Health After Kidney Transplant
Should I see a psychiatrist? I am a kidney transplant recipient, and it has been 10 years since my transplant. However, ever since I had the surgery, I have become very anxious. Initially, I was afraid of getting infected with any bacteria or viruses that could harm my kidney, so...
Dr. Ding Shuyan reply Psychiatry
Hello, psychiatrists in Taiwan are neither made of wood nor are they robots; they certainly interact with people. I believe the situation you encountered may stem from your dissatisfaction with the interaction with your physician. This is a common occurrence, and I don't thi...[Read More] Should I See a Psychiatrist? Navigating Mental Health After Kidney Transplant
Can I Change My Psychiatrist for Better Communication and Care?
Can I really change my doctor? I feel that I cannot communicate with my current doctor. Her attitude during consultations and inquiries is very poor, so I only receive medication for symptom control each time. I just want to get my condition treated as soon as possible. Is this r...
Dr. Ding Shuyan reply Psychiatry
The attitude of a physician towards their patients, whether caring or indifferent, can indeed reflect their consideration for the patient's well-being, with the primary goal being to provide effective treatment. However, physicians are also human and have varying personaliti...[Read More] Can I Change My Psychiatrist for Better Communication and Care?
How to Accurately Assess Your Anxiety and Depression Symptoms
How to accurately determine if you have anxiety or depression? Causes of difficulty concentrating ~ If I feel mentally exhausted, how can I correctly determine whether I have anxiety or depression? As for mental illness, dementia, delirium, attention deficit hyperactivity disorde...
Dr. Ding Shuyan reply Psychiatry
Hello, the best answer to this question is to see a doctor! Online resources cannot diagnose diseases! Sincerely, Dr. Ding Shuo-Yan.[Read More] How to Accurately Assess Your Anxiety and Depression Symptoms
Understanding Stress and Its Impact on Sleep Quality: Solutions and Insights
Stress Management Techniques Dr. Ding, I would like to ask you about my recent difficulty with light sleep. I often wake up suddenly in the middle of the night, and I personally believe it is due to stress. I would like to know if there could be other factors involved. How can I ...
Dr. Ding Shuyan reply Psychiatry
Hello, sleep disturbances such as interrupted sleep are actually common symptoms of many diseases or conditions. It can be said that most psychiatric disorders are associated with sleep issues. High levels of stress are certainly one of the contributing factors. Other common cond...[Read More] Understanding Stress and Its Impact on Sleep Quality: Solutions and Insights
Am I Addicted to My Medication? Understanding Anxiety Treatment Risks
I think I might be addicted to drugs? As the doctor said, the medication controls my panic disorder very well. I take a fixed dosage every month. However, if I miss a dose, my panic symptoms become very severe, and I feel like I'm almost dying. I can't sleep all night, ...
Dr. Ding Shuyan reply Psychiatry
Hello, the recurrence of symptoms without medication can be attributed to at least two reasons. First, the illness may not have fully resolved and is merely being managed by the medication. This is often seen in chronic conditions such as hypertension and diabetes, where missing ...[Read More] Am I Addicted to My Medication? Understanding Anxiety Treatment Risks
Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
What is the relationship between panic disorder and autonomic nervous system dysregulation? Hello Doctor: I am a patient with panic disorder and have been taking the same medication for about a year and a half (prescribed by a municipal hospital). 1. Efexor XR 75mg capsule (Venla...
Dr. Ding Shuyan reply Psychiatry
Hello, the symptoms of autonomic nervous system dysfunction are typically present in panic disorder, and this is something you should understand first! The autonomic nervous system governs the functioning of our vital organs; therefore, symptoms such as shortness of breath, eleva...[Read More] Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
Understanding Mental Fatigue: Is Daydreaming a Sign of a Disorder?
mental fatigue Dear Dr. Ding, is zoning out a mental illness? Sometimes when others are talking to me, I unintentionally zone out, and it feels very rude! Is it because of fatigue or stress that I zone out without realizing it? Also, there are times when I feel very tired and wan...
Dr. Ding Shuyan reply Psychiatry
Hello, I am not sure what the true meaning of "letting go" is! Politicians say that letting go refers to releasing attachment and disputes. Your interpretation of letting go seems to imply a lack of focus on the present tasks at hand. People our age might describe it as...[Read More] Understanding Mental Fatigue: Is Daydreaming a Sign of a Disorder?
Understanding Anxiety After Pubic Lice Treatment: Is It Normal?
Could you please provide more details or specify your question regarding psychological disorders? Dear Dr. Ding, I contracted pubic lice over four months ago and have since been treated successfully. I have not been in contact with any potential sources of infection. After mult...
Dr. Ding Shuyan reply Psychiatry
Hello, once bitten by a snake, one is afraid of the rope for ten years. Many past life events can affect us to varying degrees. When psychological distress occurs, it typically lasts for a few months. This is quite normal; however, if it persists for too long, it can significantl...[Read More] Understanding Anxiety After Pubic Lice Treatment: Is It Normal?
Understanding Electroconvulsive Therapy for Severe Depression in Teens
Electroconvulsive Therapy for Major Depressive Disorder I apologize for coming back with more questions. During the last follow-up appointment, the doctor mentioned that my daughter should be hospitalized soon and that she might need radiation therapy, but they want to evaluate f...
Dr. Ding Shuyan reply Psychiatry
Hello, electroconvulsive therapy (ECT) is one of the treatment options for many mental disorders, and its effects can sometimes manifest more quickly than medications. Your daughter's physician must have made this decision after careful consideration. Short-term memory impai...[Read More] Understanding Electroconvulsive Therapy for Severe Depression in Teens