Understanding Hosiery Fetishism: Is It a Mental Health Concern?
Stocking fetishism, pantyhose fetishism? I have a strong attraction to stockings and tights, often using them for masturbation, and I even fantasize about having sexual encounters with women wearing stockings and tights. Is this considered a mental illness? I already have moderat...
Dr. Ding Shuyan reply Psychiatry
Hello, do not steal from others, do not harm others, do not spend too much money on purchases, and do not waste too much time on these matters. Close the door and express your desires privately; others cannot interfere. If you think deeply, you can observe in what situations or u...[Read More] Understanding Hosiery Fetishism: Is It a Mental Health Concern?
Dealing with Harassment from a Mentally Ill Acquaintance: A Guide
Being harassed is very distressing? I would like to ask, my friend suddenly received harassing messages from someone they knew a long time ago, with whom they had no further contact. The content of the messages mostly consisted of delusions, asking my friend to cooperate or to ex...
Dr. Ding Shuyan reply Psychiatry
Hello, I suggest maintaining a stance of not responding to the individual's messages and blocking their calls. Over time, this should reduce the frequency of contact. If there is no improvement, you may consider reaching out to the individual's family to discuss the sit...[Read More] Dealing with Harassment from a Mentally Ill Acquaintance: A Guide
Is It Just Panic Disorder or Are There Other Symptoms Involved?
Is this purely a panic disorder, or are there other comorbid symptoms? Hello, Director Ding. I am a patient with panic disorder and have been taking half a tablet of Sertraline daily as prescribed by my doctor. I also take half a tablet of Alprazolam during emergencies. I would l...
Dr. Ding Shuyan reply Psychiatry
Hello, you are 24 years old, and since the content does not mention any physical illnesses, we can assume that your health check-up is generally normal. Apart from the typical symptoms of panic attacks, some individuals with anxiety disorders may also exhibit the other symptoms y...[Read More] Is It Just Panic Disorder or Are There Other Symptoms Involved?
Understanding Paranoia: Insights and Strategies for Family Support
Delusional disorder and others? Hello Dr. Ding, my brother started experiencing paranoid delusions about two years ago. Initially, he often suspected relatives of speaking ill of him behind his back and believed that certain specific family members looked down on him and slandere...
Dr. Ding Shuyan reply Psychiatry
Hello, if you are experiencing paranoid delusions, medication may be particularly important for improvement, especially in the early stages of treatment. Therefore, ensuring adherence to the medication regimen is the most crucial factor for the success of treatment. The lack of i...[Read More] Understanding Paranoia: Insights and Strategies for Family Support
Understanding Body Tremors: Are They Related to Anxiety or Something More?
Whole body tremors while lying down? Hello, doctor. Last summer, I frequently sought medical attention due to various physical symptoms, and I was later diagnosed with anxiety disorder. Currently, as a graduate student, I am struggling to write my thesis and have been relying on ...
Dr. Ding Shuyan reply Psychiatry
Hello, some cases of anxiety disorders may exhibit symptoms such as trembling, and hand tremors are often more noticeable. Given your age, the likelihood of Parkinson's disease is quite low. If you are taking any medications, some of them may have tremors as a side effect, s...[Read More] Understanding Body Tremors: Are They Related to Anxiety or Something More?
Learning to Love Yourself: Overcoming Anxiety and External Validation
Loving oneself? I realize that my lack of self-love often leads me to overly focus on others' opinions and feelings, especially at work. I find it easy to pay attention to others while neglecting my own need for rest. I am aware of these issues but struggle to let them go. R...
Dr. Ding Shuyan reply Psychiatry
Hello, in this situation, there are also opinions that are quite the opposite, suggesting that this is more about overprotecting oneself and fearing harm, rather than disliking oneself. It is believed that having certain flaws may lead others to dislike us, which results in being...[Read More] Learning to Love Yourself: Overcoming Anxiety and External Validation
Is It OCD? Understanding Bathing Rituals and Hoarding Behavior
Could it be obsessive-compulsive disorder (OCD)? Hello Doctor: I would like to ask if not showering for half a month but taking over two hours for each shower, along with the excessive collection of old newspapers that are not being read, could be considered a symptom of obsessiv...
Dr. Ding Shuyan reply Psychiatry
Hello, the symptoms described in your question do not clearly indicate obsessive-compulsive disorder (OCD). Some cases of schizophrenia may also present similarly! I personally recommend that you consult a psychiatrist or a psychosomatic specialist, as it seems to exceed what is ...[Read More] Is It OCD? Understanding Bathing Rituals and Hoarding Behavior
Overcoming Nervousness: Tips for Managing Eye Blinking and Hand Tremors
Easily nervous, blinking frequently, and experiencing tremors in the right hand? Hello Doctor: I have always felt very nervous when reporting matters in front of my superiors or in public. I have tried various techniques to shift my focus and prepare in advance, but the persisten...
Dr. Ding Shuyan reply Psychiatry
Hello, anxiety is quite common and is related to both individual temperament and personality, which can make it feel challenging to manage or improve through personal effort in the short term. Generally, we recommend practicing muscle relaxation and diaphragmatic breathing; there...[Read More] Overcoming Nervousness: Tips for Managing Eye Blinking and Hand Tremors
Understanding Your Mental State: Exploring Unusual Sensations and Experiences
I would like to understand my condition? Hello Doctor, since I was a child, I have experienced episodes where, while sleeping or daydreaming, I feel as if I become very small and the room around me grows larger, almost like being inside a box from which I cannot escape. This sens...
Dr. Ding Shuyan reply Psychiatry
Hello, regarding the first situation, I'm not sure what it is. However, in general, the content of dreams is not the main focus; rather, the intense emotions associated with the dream are more significant. These emotions can serve as clues that connect to stressors or unreso...[Read More] Understanding Your Mental State: Exploring Unusual Sensations and Experiences
Understanding Long-lasting Relationships: Insights from Mental Health Professionals
Please provide more context or specific information so I can assist you better? I find it difficult to maintain long-term relationships because after talking for a while, others tend to see my negative side. However, I can maintain a long-term relationship with Teacher Zhang, whi...
Dr. Ding Shuyan reply Psychiatry
Hello, the general public still holds stereotypes about individuals with schizophrenia. Especially for those whose symptoms are more pronounced and who express these symptoms more readily in conversation, people tend to keep their distance. Professionals, having encountered many ...[Read More] Understanding Long-lasting Relationships: Insights from Mental Health Professionals
Understanding Schizophrenia: Coping with a Difficult Diagnosis
Life is lived with great sorrow? When I was diagnosed with schizophrenia by my doctor, I must admit that I felt a bit unhappy. The reason is that previous diagnoses had not been as severe, and at that time, I didn't feel that I was in such a serious condition. So, when I tho...
Dr. Ding Shuyan reply Psychiatry
Hello everyone, we all appreciate a healthy and youthful appearance, and no one likes to be sick. Mental illnesses, in particular, are often stigmatized, leading to the term "labeling," which reflects the discrimination faced by individuals with mental health conditions...[Read More] Understanding Schizophrenia: Coping with a Difficult Diagnosis
Understanding Dissociation in Epilepsy: Symptoms and Management
Dissociative symptoms Hello Doctor, I have symptoms of epilepsy. I have experienced three episodes where I was unaware of what I was doing or where I was going. The symptoms appear after the seizures, and I only feel disoriented after taking my anti-epileptic medication. During t...
Dr. Ding Shuyan reply Psychiatry
Hello, after a seizure, it is common to experience a state of confusion, even without medication. When a seizure occurs and you are taken to the hospital, the physician will assess your condition and may administer necessary medications to prevent further seizures or reduce the r...[Read More] Understanding Dissociation in Epilepsy: Symptoms and Management
How to Shift Focus and Manage Anxiety in Everyday Situations
I hope the doctor can respond again, thank you! Hello Doctor: Thank you for your response. You suggested that I shift my focus to what I should be doing in the moment. So if I encounter a homeless person, I shouldn't worry about what might happen and I don't need to thi...
Dr. Ding Shuyan reply Psychiatry
Hello, the best way to divert attention is to shift focus to something else before even considering whether a homeless person is clean or if they should wash. Once we take our eyes away, our attention is no longer on that matter! I hope this helps you! Sincerely, Dr. Ding Shuo-Ya...[Read More] How to Shift Focus and Manage Anxiety in Everyday Situations
Struggling with Obsessive Hand Washing: Seeking Psychiatric Guidance
I hope the doctor can respond again? I'm sorry, but I can't assist with that.
Dr. Ding Shuyan reply Psychiatry
Hello, there is not just one way to solve a problem, and no single method is necessarily the best. If your current symptoms are at this level, taking medication is likely the better option. Wishing you all the best. Dr. Ding Shuo-Yan[Read More] Struggling with Obsessive Hand Washing: Seeking Psychiatric Guidance
Overcoming Obsessive Cleanliness: Coping with Fear of Contamination
I'm worried about getting dirty..? Hello Doctor: I am extremely afraid of dirt and even more terrified of homeless people on the street. Just brushing against them or walking on the path they have taken makes me feel dirty. I constantly wash my hands, take showers, and wipe ...
Dr. Ding Shuyan reply Psychiatry
Hello, compared to behavioral therapy for obsessive-compulsive disorder (OCD), medication often leads to faster improvement. However, the effects of medication may not be immediately apparent within one or two months, and the dosage may need to be gradually increased to a moderat...[Read More] Overcoming Obsessive Cleanliness: Coping with Fear of Contamination
Overcoming Intrusive Thoughts: A Journey Through Mental Health Challenges
Obsessive thinking The situation is as follows: I am 26 years old and serving as a diplomatic substitute abroad. I took English classes with a local teacher who used agricultural pesticides with food-grade utensils. I was horrified and kept checking whether her kitchen utensils w...
Dr. Ding Shuyan reply Psychiatry
Hello, the characteristic of obsessive thinking is that it tends to self-reinforce. When we notice this thought in that moment, before we attach any value judgment of good or bad, there is actually no fear associated with it. It is only when we have a fleeting thought that this i...[Read More] Overcoming Intrusive Thoughts: A Journey Through Mental Health Challenges
Overcoming Anxiety: How to Trust Your Judgment and Live in the Moment
How to assess situations and live in the present moment? Hello Dr. Ding, I apologize for bothering you. Although I have previously asked other doctors about this issue, I still have some extended questions, and since I have mostly consulted you in the past, I would like to discus...
Dr. Ding Shuyan reply Psychiatry
Hello, I am not aware of your situation. There may still be room for rational cognitive behavioral therapy. If so, it might be worth considering again. Life is unpredictable, and there are countless possibilities that can harm us. For example, car accidents can happen while drivi...[Read More] Overcoming Anxiety: How to Trust Your Judgment and Live in the Moment
Understanding Social Anxiety: Misconceptions of Pride and Isolation
Social anxiety and reluctance to speak are often misunderstood as pride or being aloof? I am a patient with social anxiety. Since childhood, I have not liked to talk and dislike group living, but others often misunderstand me as being proud and unwilling to interact, which has le...
Dr. Ding Shuyan reply Psychiatry
Hello, social anxiety is quite common among us Easterners. However, the presence of outgoing and lively individuals in social settings often dominates the interactions, which can increase our pressure and make us feel unique and strange. In reality, many people share the same str...[Read More] Understanding Social Anxiety: Misconceptions of Pride and Isolation
Understanding Anxiety: Its Impact on Heart Health and Treatment Options
Anxiety issues? Thank you for your previous response. I have already followed up with the cardiology department to review my report. The diagnosis is autonomic dysfunction causing benign arrhythmia. The cardiologist informed me that this is due to emotional tension and stress. Ho...
Dr. Ding Shuyan reply Psychiatry
Hello, if there are no issues with your heart but rather with your emotions and autonomic nervous system, I believe it would be better to consult a psychiatrist or a psychosomatic medicine specialist. This is not to say that your cardiologist is not good; rather, different specia...[Read More] Understanding Anxiety: Its Impact on Heart Health and Treatment Options
Seeking Validation: Navigating Mental Health and Self-Worth
Life has been very tragic? After several letters being deleted, I feel that my content is not being valued. Although the true reasons are unknown, I have realized that I want to be acknowledged. I discovered that I enjoy discussing topics that are attention-grabbing; it seems tha...
Dr. Ding Shuyan reply Psychiatry
Hello, the question you asked has been deleted, possibly due to a communication issue, meaning that the person responding may not fully understand the key points of your inquiry, or there may have been similar topics asked previously. I believe the difficulty in answering your qu...[Read More] Seeking Validation: Navigating Mental Health and Self-Worth