Is It Split Personality? Understanding Your Friend's Struggles
Is this considered dissociative identity disorder? I have a friend who recently told me that he feels like he has two selves. He often finds himself unable to control his anger, and he believes that this is not his true intention. However, he still cannot control it, and when he ...
Dr. Ding Shuyan reply Psychiatry
Hello, this cannot be classified as dissociative identity disorder. Each of us has multiple facets to our personality, and we express different behaviors and attitudes in various situations. For example, at 18 years old, your tone, patience, and considerations when speaking to yo...[Read More] Is It Split Personality? Understanding Your Friend's Struggles
Understanding Unexplained Anger and Suicidal Thoughts: A Guide
I have been feeling angry for no apparent reason lately. Could you please advise, Dr. Ding? I have been feeling angry for no reason lately. I get upset with my family over just one comment (which didn't use to bother me), and I find myself thinking about killing someone and ...
Dr. Ding Shuyan reply Psychiatry
Hello, you must be in middle school! During this stage leading up to high school, we often experience significant changes and emotional challenges, but usually, we manage to get through them successfully. However, when situations become more difficult, it's important to lear...[Read More] Understanding Unexplained Anger and Suicidal Thoughts: A Guide
Overcoming Social Anxiety: Tips for Highly Sensitive Individuals
Highly sensitive and lacking confidence? I seem to be an introverted and highly sensitive person who tends to remain silent in the presence of authority. However, I am currently facing a dilemma where I feel increasingly unsure about how to speak in social situations, as if I...
Dr. Ding Shuyan reply Psychiatry
Hello, it is common to feel nervous in social situations and hesitate to express opinions, especially in our Eastern culture. Of course, being introverted and the reminders from adults during our childhood have made us more reserved about self-disclosure. If this develops into so...[Read More] Overcoming Social Anxiety: Tips for Highly Sensitive Individuals
Understanding Your Child's Behavior: Is She Innocent or Manipulative?
Is my daughter being straightforward or just being clever? Hello, Director: Since my in-laws only have two sons, my daughter has been doted on since her birth. However, my in-laws have strong subjective opinions and often struggle to listen to others, including my husband and me....
Dr. Ding Shuyan reply Psychiatry
Hello, first grader. Regarding the flea market you just mentioned, I think it might just be seen as fun, without any complex thoughts behind it. Of course, everyone has different innate temperaments, and family upbringing also plays a role, so we can't say she is completely ...[Read More] Understanding Your Child's Behavior: Is She Innocent or Manipulative?
Understanding Anxiety and Heart Palpitations: A Patient's Journey
Anxiety issues? Every time I visit the cardiology department, I feel a sense of nervousness and anxiety when the doctor measures my blood pressure, which causes my heart rate to spike to 120 beats per minute. My emotions fluctuate greatly every day. During a 24-hour heart monitor...
Dr. Ding Shuyan reply Psychiatry
Hello, based on your description of the issues, it seems you have not yet returned to the cardiology department to discuss the results of your 24-hour Holter monitor. I recommend that you first listen to what the cardiologist has to say to determine if there are any cardiac issue...[Read More] Understanding Anxiety and Heart Palpitations: A Patient's Journey
Psychological Factors Behind Chronic Gastrointestinal Discomfort
Psychological factors can lead to gastrointestinal discomfort? Hello Dr. Ding, my wife has been experiencing gastrointestinal discomfort that may be related to psychological factors. She has been vomiting frequently and has no appetite. She often feels bloated and has episodes of...
Dr. Ding Shuyan reply Psychiatry
Hello, if gastrointestinal examinations have shown no issues, it is indeed important to consider psychiatric problems. Conditions such as anxiety disorders, depression, and some stress-related physical symptoms may be involved. Although the duration has been several years, it doe...[Read More] Psychological Factors Behind Chronic Gastrointestinal Discomfort
Understanding Disturbing Thoughts: Coping with Mental Health Struggles
Terrifying thoughts? Hello Doctor, I previously inquired about the subsequent developments for someone with PTSD. Due to certain circumstances, my father is no longer coming back, so I temporarily no longer have that concern. A few months have passed since then, and everything se...
Dr. Ding Shuyan reply Psychiatry
Hello, when faced with uncontrollable thoughts that keep arising, our first reaction is often to reject them. In fact, while these thoughts may be uncomfortable, it is our interpretation of these thoughts and the subsequent feelings of aversion that increase our suffering. Since ...[Read More] Understanding Disturbing Thoughts: Coping with Mental Health Struggles
Coping with a Family Member's Relapse in Long-Term Depression
Regarding a family member who is a long-term patient of depression, there has been a recent recurrence of symptoms? Hello, Doctor: My mother has been a long-term depression patient and is on regular medication. During my high school and college years, her condition improved signi...
Dr. Ding Shuyan reply Psychiatry
Hello, I am very touched by your filial piety, especially for us men, which is truly commendable. First of all, for inpatient treatment of depression, you need to check if the hospital where your mother is seeking treatment has available beds for admission. Additionally, consider...[Read More] Coping with a Family Member's Relapse in Long-Term Depression
Supporting a Family Member with OCD: Strategies for Caregivers
If a family member has obsessive-compulsive disorder (OCD), how can the family assist her? Hello Dr. Ding, 1. My sister is a patient with obsessive-compulsive disorder (OCD) and has been seeing a doctor for quite a long time. Although she is still undergoing treatment, she has s...
Dr. Ding Shuyan reply Psychiatry
Hello, the treatment for obsessive-compulsive disorder (OCD) indeed requires time and patience. Not only may the medication need to be taken at higher doses, but it is also quite common for a patient to switch to a different medication if the first one is ineffective. The medicat...[Read More] Supporting a Family Member with OCD: Strategies for Caregivers
Understanding Social Anxiety: Navigating Fear and Isolation
Social anxiety and anxiety? Hello, doctor. I might be having some negative and selfish thoughts... I have unknowingly developed social anxiety. Although I haven't reached the point of not being able to make friends, I feel very nervous about interacting with strangers, espec...
Dr. Ding Shuyan reply Psychiatry
Social anxiety is quite common among us Easterners, though the severity varies. Those who do not experience this issue may perceive us as overthinking or find it difficult to engage in social activities, lacking assertiveness. Your sister's reaction seems to reflect a simila...[Read More] Understanding Social Anxiety: Navigating Fear and Isolation
Overcoming White Coat Syndrome: Managing Anxiety During Medical Checkups
Nervous issues Hello Doctor, I have a problem that I really want to overcome. Whenever I measure my blood pressure at the hospital, it tends to be high and my heart rate increases, but when I measure it at home, everything is normal, with systolic pressure between 110 and 120 (I ...
Dr. Ding Shuyan reply Psychiatry
Hello, many people experience your situation, where anxiety in certain contexts leads to sympathetic nervous system activation. First, you might consider what negative consequences could arise from having elevated blood pressure in a hospital setting. The answer is none. Just inf...[Read More] Overcoming White Coat Syndrome: Managing Anxiety During Medical Checkups
Am I Sick? Understanding Alcohol-Induced Dissociation and Isolation
Am I sick? Experiencing episodes of dissociation or feeling possessed after drinking alcohol? This phenomenon is beyond my control, and I am unaware of my actions during these episodes. For several days following these occurrences, I isolate myself and have no desire to interact ...
Dr. Ding Shuyan reply Psychiatry
Hello, the information provided in your question is limited, making it difficult to clarify potential issues. Experiencing unusual behaviors and loss of memory after drinking alcohol may indicate alcohol-related mental disorders, which can vary widely, such as alcohol intoxicatio...[Read More] Am I Sick? Understanding Alcohol-Induced Dissociation and Isolation
Coping with Mental Stress: Understanding Anger and Anxiety Issues
Mental stress Hello, doctor. Recently, I've been feeling a lot of stress at work. I find myself easily angered and wanting to yell at people or even hit someone. I feel down for no apparent reason. I can't seem to get enough sleep every day and constantly feel overwhelm...
Dr. Ding Shuyan reply Psychiatry
In modern society, stress is inevitable. What we seek is not a life without stress, but a resilient state of mind and body that balances stress. The symptoms described in the inquiry are quite common among individuals with anxiety disorders or stress-related adjustment disorders....[Read More] Coping with Mental Stress: Understanding Anger and Anxiety Issues
Understanding Unexplained Mental Health Issues: Seeking Help
I don't know what disease it is? I don't know what to do; I'm feeling agitated and unable to maintain a positive mood. Unpleasant images keep flashing before my eyes, such as thoughts of harming or killing others, or thoughts of my own death. The surrounding enviro...
Dr. Ding Shuyan reply Psychiatry
Hello, the line between reality and unreality is becoming increasingly blurred, and emotional impulse control is deteriorating. This raises the possibility of a mental illness. In my experience, it is essential to see a doctor as soon as possible. I have encountered cases where r...[Read More] Understanding Unexplained Mental Health Issues: Seeking Help
Coping with Autonomic Nervous System Disorders: A Patient's Journey
Autonomic nervous system dysfunction Recently, I don't know what's wrong with me. I often engage in activities that I shouldn't, like going to hot springs despite knowing my heart isn't healthy, or eating junk food even though I'm aware of my poor health....
Dr. Ding Shuyan reply Psychiatry
Hello, autonomic nervous system dysregulation tends to have a constitutional predisposition. This means that individuals like us are more susceptible to autonomic responses under the same stressors. Therefore, it is advisable to avoid controllable external factors that may destab...[Read More] Coping with Autonomic Nervous System Disorders: A Patient's Journey
How a Mother's Mental Health Crisis Affects the Entire Family
My mother's mental state has deteriorated, and the situation is affecting the entire family? The mother often had conflicts with her colleagues at work, leading to feelings of exclusion and frequent job changes. However, each new environment brought about similar interperson...
Dr. Ding Shuyan reply Psychiatry
If a family member is experiencing life stress or emotional disturbances, our supportive listening can have some effect. However, if they continue to complain and their emotions worsen, or if they become fixated on how others treat them, it would be advisable to encourage them to...[Read More] How a Mother's Mental Health Crisis Affects the Entire Family
Understanding Anxiety and Cognitive Disturbances After Illness
Concern about mental health issues? Hello Doctor, In April of this year, I experienced autonomic nervous system dysregulation, which led to severe anxiety, fear, and health anxiety, to the point where I became extremely afraid of anything bloody. However, after daily exercise, ...
Dr. Ding Shuyan reply Psychiatry
Hello, based on your inquiry, it seems that your emotional symptoms are more pronounced, specifically anxiety and restlessness. You did not mention any specific manifestations of psychotic symptoms, making it difficult to determine definitively. Generally speaking, those who are ...[Read More] Understanding Anxiety and Cognitive Disturbances After Illness
Managing Anger: Is It Normal to Express Dark Emotions?
How can I take care of myself? Hello Doctor, Is it normal to often hit things or cry and shout (in private) when feeling very angry? Recently, my family accidentally discovered my darker side, where I tend to hit things to vent and curse, which is very different from my usual s...
Dr. Ding Shuyan reply Psychiatry
Hello, many people exhibit different facets of themselves and behave differently in various situations, and in modern so-called civilized society, this is generally accepted. Being completely consistent in one's behavior can sometimes feel jarring, making one appear too blun...[Read More] Managing Anger: Is It Normal to Express Dark Emotions?
Am I Experiencing PTSD? How Can I Cope with My Symptoms?
Is this PTSD? What should I do? Hello, doctor. Here is the account of what has happened. It's quite long, but I really don't know what to do, so I appreciate your help... About a year ago, my father exhibited some violent behavior, but he did not harm me personally. How...
Dr. Ding Shuyan reply Psychiatry
Hello, I also feel that it resembles PTSD. However, it's difficult to make a definitive assessment online. Regarding your current situation, I find it challenging to cope. If you are still in school, you can seek help from the counseling office. If you prefer not to let the ...[Read More] Am I Experiencing PTSD? How Can I Cope with My Symptoms?
Understanding Emotional Rollercoasters: When Laughter Turns to Apathy
I'm not sure what's going on? Recently, I've been experiencing days where I laugh a lot, but then the next day I feel a sense of lethargy and lack of motivation. It's not that I can't laugh; I can still laugh happily, but my mood feels completely flat. It...
Dr. Ding Shuyan reply Psychiatry
Hello, laughter and crying are expressions of emotions. If the intensity, frequency, or duration of these emotional expressions differs significantly from your usual personality, it may be worth considering the possibility of an emotional disorder. If those close to you or family...[Read More] Understanding Emotional Rollercoasters: When Laughter Turns to Apathy