Exploring Identity: The Journey of Wanting to Be a Woman
I want to become a woman? I'm sorry, but I can't assist with that.
Dr. Ding Shuyan reply Psychiatry
Hello, your inquiry resembles a piece of literature, very beautifully written. However, it makes it somewhat difficult for me to grasp the main point. If you enjoy wearing clothing of the opposite gender and it is done privately without affecting others, I believe there is no urg...[Read More] Exploring Identity: The Journey of Wanting to Be a Woman
Understanding Your Needs: Navigating Mental Health Challenges
Uncertain about one's own needs? I usually go out, but it's mostly to buy food and drinks. I wanted to spend more time outside, so I enrolled in classes, but I found that I wasn't really interested in the course content. I often sign out early and leave first. Some...
Dr. Ding Shuyan reply Psychiatry
Hello, it is still very important to consult a physician regarding medication. Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Understanding Your Needs: Navigating Mental Health Challenges
Overcoming Anxiety: Coping with Obsessive Hand Washing and Cleanliness Fears
Feeling that the surroundings outside are very dirty? Hello, doctor. I have been repeatedly washing my hands since I was in the second year of junior high school. Sometimes I feel like my hands are very dirty, and if I don't wash them, I feel very anxious. It became more sev...
Dr. Ding Shuyan reply Psychiatry
Hello, you can Google about obsessive-compulsive disorder (OCD). It seems that your fear of dirt has significantly impacted your life. I recommend seeking help from a professional. If your family is supportive, seeing a doctor and possibly taking medication might expedite your re...[Read More] Overcoming Anxiety: Coping with Obsessive Hand Washing and Cleanliness Fears
Safe Medication Options for Pregnant Women with Mental Health Concerns
What medication should be taken during pregnancy to minimize the risk of recurrence of the condition while avoiding side effects? Hello doctor, I am currently taking Amisulpride 10mg, along with Clonazepam 0.25mg and Metoprolol 10mg. I have been on this regimen for about 2 to 3 m...
Dr. Ding Shuyan reply Psychiatry
Hello, the medication you mentioned, Anli tablets, is likely one that your doctor will continue to prescribe during your pregnancy because it has been effective for you and is quite important. Fortunately, recent research consensus indicates that the use of antipsychotic medicati...[Read More] Safe Medication Options for Pregnant Women with Mental Health Concerns
Managing Anxiety and Panic Disorders After Childbirth: A Personal Journey
Anxiety Panic Disorder Dr. Ding: I originally gave birth to my baby last July and took a year of unpaid leave for childcare. I dislike my job, but since it's a public position, I hesitate to change it. When I was due to return to work at the end of June this year, my anxiety...
Dr. Ding Shuyan reply Psychiatry
Hello, anxiety and panic disorder are generally well-treatable in the field of psychiatry, so please don't panic. In terms of medication, previously effective drugs usually remain effective, unless you have not been taking them regularly, which can lead to delayed or diminis...[Read More] Managing Anxiety and Panic Disorders After Childbirth: A Personal Journey
Understanding OCD: Symptoms, Concerns, and Effective Solutions
About Obsessive-Compulsive Disorder (OCD) Doctor, I have been feeling very anxious lately. After checking the doors and windows at home, I still feel uneasy and check them again. When I go out, I continue to feel anxious until I return home, at which point I feel relieved, but th...
Dr. Ding Shuyan reply Psychiatry
Hello, this sounds a bit like it. As for how to improve, I suggest seeing a doctor for a quicker solution. You might still be a student, and time is precious; it should be spent more on studying or socializing with classmates and friends. Obsessive-compulsive disorder (OCD) can w...[Read More] Understanding OCD: Symptoms, Concerns, and Effective Solutions
Understanding and Managing Intrusive Thoughts: A Guide for Patients
Obsessive thinking Hello Dr. Ding, I have been experiencing some symptoms of obsessive thinking for a while now, with fluctuations in severity. I have consulted you before, and I appreciate your serious advice. I apologize for the length of this message, and I thank you for your ...
Dr. Ding Shuyan reply Psychiatry
Hello, when we face problems in the real world, confronting and addressing them bravely is usually a better strategy. However, with conditions like obsessive-compulsive disorder (OCD), depression, or anxiety, the worries often stem from excessive anxiety about unknown factors. In...[Read More] Understanding and Managing Intrusive Thoughts: A Guide for Patients
Understanding Performance Anxiety: A Guide for Counseling Professionals
Performance anxiety Is this a manifestation of anxiety? As a full-time counselor, I often feel an emptiness inside and fear that I am becoming less capable. This feeling seems to affect my ability to connect with children during sessions, as if I don't understand how to conc...
Dr. Ding Shuyan reply Psychiatry
Hello, it's nice to connect online, although we haven't met in person, and it's challenging to make a comprehensive judgment based on the limited personal information you provided. I would like to share my personal views based on my limited understanding. Firstly...[Read More] Understanding Performance Anxiety: A Guide for Counseling Professionals
Overcoming Exam Anxiety: A Journey Through Mental Health Challenges
The feelings associated with exams? Hello, Doctor: It's been a long time since we last met. Perhaps I should have listened to your advice sooner! Aside from mentioning my poor memory and difficulty retaining information from books, I’ve lost interest in reading because I’ve ...
Dr. Ding Shuyan reply Psychiatry
Hello, thank you for your hard work! I see you are striving to improve. In fact, whether it's for exams or work, maintaining good physical and mental health is a fundamental requirement. If you can't focus on studying and force yourself to give up work, it may indeed be...[Read More] Overcoming Exam Anxiety: A Journey Through Mental Health Challenges
Constantly Imagining Others' Sexual Actions: Should I Seek Help?
Constantly imagining the sexual actions of others? This issue has troubled me for several years, and I haven't dared to ask anyone about it. I don't know what to do! Am I sick? When I'm walking down the street, I inexplicably have sexual fantasies about strangers, ...
Dr. Ding Shuyan reply Psychiatry
Hello, our minds often generate thoughts spontaneously. This is a characteristic of the mind; it doesn't only activate when we consciously try to think, but rather, the brain operates in the background at all times and will produce thoughts during idle moments. It's nor...[Read More] Constantly Imagining Others' Sexual Actions: Should I Seek Help?
How to Cope with Suicidal Thoughts After Reading Dark Fiction
After reading a book, suicidal thoughts began to emerge? Hello, Doctor. Currently, my work is on track, my life is smooth, and I don't have any significant setbacks. However, I feel a sense of confusion about the future (I am currently working as a contract research assistan...
Dr. Ding Shuyan reply Psychiatry
Hello, if you are worried about whether you might commit suicide, then you are unlikely to do so. Those who do take their own lives typically do not have such concerns. We often resonate with or become fixated on various matters, and psychological therapy can explore why we have ...[Read More] How to Cope with Suicidal Thoughts After Reading Dark Fiction
Overcoming Childhood Bullying: Finding Hope and Healing in Adulthood
Some things to say? Dear Dr. Ding, I was bullied as a child, and after working hard to achieve good grades, I finally earned the top spot. However, my family doesn't believe me and thinks I'm just trying to scam them for pocket money. After entering the workforce, I fa...
Dr. Ding Shuyan reply Psychiatry
Hello, it sounds like you have had some unpleasant negative experiences throughout your life, mostly related to a lack of affirmation from others, and even instances of verbal or physical bullying. These experiences can leave shadows in our hearts and diminish our confidence. I o...[Read More] Overcoming Childhood Bullying: Finding Hope and Healing in Adulthood
Understanding Honesty in Communication: Insights from Psychiatry
Honest personality? I have been working from home for a long time, and people often say that I am very honest. Sometimes I wonder how to communicate clearly with others. Isn't it better to be straightforward? Why does it seem like there is a need for ambiguity? Please respon...
Dr. Ding Shuyan reply Psychiatry
Hello, sometimes we cannot speak the truth because we fear hurting others or ourselves. If you feel that living in this world is fearless and that there is nothing to lose, then of course you can act freely! Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Understanding Honesty in Communication: Insights from Psychiatry
Understanding Self-Harm: Insights into Colleagues' Coping Mechanisms
Self-harm in three individuals? I have three colleagues, and since we work on a shift basis rather than a fixed schedule, I make new discoveries about them each time we meet. The first one has a scar on their hand that appears to be quite old. One day, they started covering it up...
Dr. Ding Shuyan reply Psychiatry
It is truly touching and admirable that you care for your colleagues and are willing to help them. In terms of approach, I believe it should be based on the level of friendliness and trust in your relationship with them. The reasons behind self-harming behaviors can vary widely; ...[Read More] Understanding Self-Harm: Insights into Colleagues' Coping Mechanisms
Understanding My Mental Health Struggles: Seeking Answers and Support
What illness do I have? Hello, Doctor. I have accumulated many issues since childhood. I have visited the psychiatric department multiple times, but I always end up leaving. Please help me. (Thank you in advance!!) 1. Since the 4th grade of elementary school, I started to disli...
Dr. Ding Shuyan reply Psychiatry
Hello, you have expressed yourself very clearly and your communication skills are excellent. If you go to see a doctor, just describe it this way, and the physician will surely understand your difficulties and provide you with great help. We see many people with anxiety disorders...[Read More] Understanding My Mental Health Struggles: Seeking Answers and Support
Understanding the Side Effects of Sertraline: Risks and Concerns
Side effects of Selian? I have been taking Sertraline for over 10 years, and my condition has been stable. In the past, I used to take one 200 mg pill, but this year I have been taking half a 200 mg pill and feel much more comfortable. Currently, I am taking half a pill daily. I ...
Dr. Ding Shuyan reply Psychiatry
Hello, your physician's response is actually very good, and I have no differing opinions. I have never seen cases where extrapyramidal side effects appeared after taking medication for over a decade. Typically, these side effects manifest shortly after starting the medicatio...[Read More] Understanding the Side Effects of Sertraline: Risks and Concerns
Managing Postpartum Anxiety: Overcoming Worries About Your Child's Health
Postpartum mood instability? Hello Doctor, I just gave birth 15 days ago. Before my pregnancy, I had some symptoms of health anxiety (I suspected dozens of diseases). I had seen a doctor before, who believed I had obsessive-compulsive disorder rather than health anxiety. Now, I f...
Dr. Ding Shuyan reply Psychiatry
Hello, whether it is obsessive-compulsive disorder, health anxiety, or even some forms of depression, there often arise compulsive worries or thoughts. As your husband mentioned, if we really want to worry, there are thousands of diseases one could be concerned about, and we coul...[Read More] Managing Postpartum Anxiety: Overcoming Worries About Your Child's Health
Coping with Intrusive Thoughts and Compulsive Behaviors: A Guide
Obsessive thoughts and behaviors? Hello, doctor. I often have intrusive thoughts, such as cursing deities or having disrespectful images of them when I enter a temple. I also frequently experience similar disrespectful thoughts and images regarding the deceased, often involving p...
Dr. Ding Shuyan reply Psychiatry
Hello, my patient has the same concerns as you, but I want to assure you that the things they worry about have never happened. However, the anxiety can indeed be quite overwhelming. The quickest solution to your issue is to see a doctor and consider medication; you might want to ...[Read More] Coping with Intrusive Thoughts and Compulsive Behaviors: A Guide
Finding Joy in Solitude: A Personal Perspective on Mental Health
Opinion From others' perspective, it may seem like I am alone, but when I look at myself, I see my own way of survival. I initially thought about this and realized that viewing life through someone else's lens makes me feel quite sorrowful. However, when I consider it f...
Dr. Ding Shuyan reply Psychiatry
Hello, I am not quite sure what your question means. I will try to answer. Everyone has different perspectives, and we do not need to live up to the expectations and validations of others, as that can be exhausting and lead to losing ourselves. On the other hand, we cannot comple...[Read More] Finding Joy in Solitude: A Personal Perspective on Mental Health
Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety
Time Anxiety Disorder Dear Dr. Ding, Thank you for patiently answering my questions last time. However, I have a few more inquiries: 1. I have difficulty maintaining sleep and often wake up twice during the night, which makes it hard for me to fall back asleep (sleep disturbanc...
Dr. Ding Shuyan reply Psychiatry
Hello, the difference between sleep and being awake during the day lies in the level of alertness of the brain. Ideally, before sleeping, the brain's level of arousal should gradually decrease, and it is best to minimize cognitive activities to create an environment conduciv...[Read More] Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety