Dr. Ding Shuyan reply Psychiatry Question - Page 9

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How to Help Family Understand Social Anxiety as a Real Condition

My family cannot accept that I have social anxiety and even treats me with ridicule and mockery? I have experienced social anxiety since childhood, and recently I have been regularly seeing a psychiatrist and undergoing medication treatment. However, when I mentioned this to my f...


Dr. Ding Shuyan reply Psychiatry
I empathize with your situation, as it is a common struggle for many who visit psychiatric clinics. The symptoms of mental disorders are intangible and more abstract, unlike physical illnesses such as fever, cough, or fractures, which are easier to observe objectively. As a resul...

[Read More] How to Help Family Understand Social Anxiety as a Real Condition


Are Positive and Kind People Really Out There? Understanding Negative Thoughts

Thought problems? Is there really someone in the world who is very positive, cute, and kind? I often have negative thoughts but do not express them. I may hate someone but act normally. I once shared my true thoughts with a close friend, and he said I was scary. Am I abnormal?


Dr. Ding Shuyan reply Psychiatry
Hello, everyone has both good and darker sides. It’s best to let the kind and positive aspects of ourselves shine through while minimizing the harm we cause to others. There’s nothing abnormal about being inconsistent; everyone experiences this. I don’t think it’s wrong to remain...

[Read More] Are Positive and Kind People Really Out There? Understanding Negative Thoughts


Overcoming Anxiety and Tension: Managing Stress and Physical Symptoms

Easily feels anxious and uncomfortable? Hello doctor, since I started university, I'm not sure if it's due to the pressure, but I find it difficult to engage with others like I used to. I easily get nervous in class, and I have a problem with shoulder and neck pain. Whe...


Dr. Ding Shuyan reply Psychiatry
Hello, we often face various situations that can trigger feelings of nervousness and anxiety, while some situations may not have the same effect. You can pay attention to which recurring situations provoke your anxiety and reflect on your thoughts during those times. Keeping a re...

[Read More] Overcoming Anxiety and Tension: Managing Stress and Physical Symptoms


Feeling Stuck: Navigating Mental Health Challenges and Finding Hope

I'm not sure what to do? In the morning, I often wake up feeling heavy-hearted, and even if I wake up a little earlier, I find myself frequently checking the time and noticing that an hour has passed. It seems like there’s nothing interesting happening in my life, and I feel...


Dr. Ding Shuyan reply Psychiatry
Hello, In your letter, you mentioned several symptoms of depression, but did not specify any particular life stressors that might be contributing to this. Therefore, we will discuss the management and adjustment of depressive symptoms. When a person is feeling depressed and unh...

[Read More] Feeling Stuck: Navigating Mental Health Challenges and Finding Hope


Understanding the Right Mental Health Care for Paranoia Issues

What type of medical care is needed? I often have paranoid thoughts and worry that I might be stabbed while eating or drinking hot soup. Today, while trying to eat, these paranoid images appeared. I continued to eat and drink, and later realized that looking upward helped, so I c...


Dr. Ding Shuyan reply Psychiatry
Hello, you can describe these symptoms to your physician. If he is a qualified psychiatrist, I believe he should be able to adjust your medication. Discussions online are not very helpful for these delusions of persecution. Wishing you all the best, Dr. Ding Shuo-Yan.

[Read More] Understanding the Right Mental Health Care for Paranoia Issues


Managing Anxiety and the Dilemma of Changing Doctors in Mental Health

Anxiety and the desire to change doctors? Hello Dr. Ding! (The content may be a bit long, as I want to provide detailed information for you to better understand my situation. Thank you for your patience!) Previously, while working and preparing for the national postal service exa...


Dr. Ding Shuyan reply Psychiatry
Hello, In your message, you mentioned whether you should go to a major hospital for further examination. In the past, your test results indicated that you have autonomic nervous system dysregulation. Physical discomfort and psychological stress are often two sides of the same c...

[Read More] Managing Anxiety and the Dilemma of Changing Doctors in Mental Health


Managing Anxiety Disorders: Strategies for Support and Treatment

How to deal with anxiety disorders? Hello Dr. Ding: My father has been suffering from anxiety for over two years. He used to go to the emergency room 2-3 times a week, but there was a period when it was under control. However, this week he went to the emergency room once and expe...


Dr. Ding Shuyan reply Psychiatry
Hello, your father's condition is very treatable in psychiatry. However, it is important to cooperate with the physician and not be too insistent on personal opinions. If he has been taking Zoloft daily for six months and has increased to three pills without improvement, swi...

[Read More] Managing Anxiety Disorders: Strategies for Support and Treatment


Understanding Gender Identity Disorder: Can Psychiatry Help Me Cope?

Gender identity disorder - Can seeing a psychiatrist help me adjust better? Hello, Doctor: I am very aware that I have gender identity disorder. I have never served in the military, and life feels to me like acting while wearing a mask. My appearance is indistinguishable from tha...


Dr. Ding Shuyan reply Psychiatry
Hello, there are some deeply rooted issues that, if they do not harm others, I suggest accepting their existence rather than trying to change them. This is a form of self-compassion and self-love. Very few people are completely satisfied with themselves; for instance, I have feat...

[Read More] Understanding Gender Identity Disorder: Can Psychiatry Help Me Cope?


Navigating Relationships and Anxiety: A Journey Through Mental Health

Fear of wanting a relationship? Hello, doctor! I have seen a psychiatrist before; I visited a few times in middle school but stopped later because both my family and I learned that taking medication wasn't effective. At that time, I would ask strange questions, like whether ...


Dr. Ding Shuyan reply Psychiatry
Hello, having a sex drive is a very natural thing. From a medical perspective, masturbation is not inherently good or bad; it is a common way for many people to relieve sexual tension. Honestly, as long as you are in a private space and it does not affect others, there is no imme...

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Struggling with Sleep Issues: Understanding and Overcoming Insomnia

Sleep issues Recently, I've been waking up after only a few hours of sleep. I go to bed around 11 or 12, but I wake up for the first time around two or three in the morning. After that, I wake up approximately every hour—around four, five, and six in the morning. Even when I...


Dr. Ding Shuyan reply Psychiatry
Hello, insomnia is a very common symptom that can arise from various situations. The answer actually lies within yourself, and it is worth exploring. Stimulants such as coffee, tea, and alcohol can contribute to this issue. Stressful events, changes in daily routines, and excessi...

[Read More] Struggling with Sleep Issues: Understanding and Overcoming Insomnia


Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support

What are the consequences of patients with schizophrenia discontinuing their medication? How should one respond to the auditory hallucinations and delusions experienced by a loved one with schizophrenia? Hello Director Ding. Thank you for taking the time to answer my questions am...


Dr. Ding Shuyan reply Psychiatry
Hello, as you mentioned in your letter, discussing the reality of hallucinations or delusions with individuals experiencing mental illness often presents a dilemma between providing a sense of reality and fostering distrust in relationships. Although family members are the ones w...

[Read More] Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support


Understanding Selective Mutism: Overcoming Social Anxiety Challenges

Selective Mutism I am John from last time. I feel that everyone is very friendly, but I am still very scared. Is this social anxiety disorder? I don't mind what the staff say, but when I am at a breakfast shop with a lot of people, I take a long time to mentally prepare and ...


Dr. Ding Shuyan reply Psychiatry
Hello, online discussions are not very suitable for making medical diagnoses, but let's assume you indeed have social anxiety disorder and exchange some opinions. Psychotherapy is highly individualized; while there are theories and guidelines available, their application to ...

[Read More] Understanding Selective Mutism: Overcoming Social Anxiety Challenges


Navigating Career Choices: A Student's Dilemma in Mental Health

The issue of future employment? Hello, doctor. I am currently a senior high school student facing issues related to further education. Since I was young, I have dreamed of becoming a police officer or a pharmacist, but my family opposes me pursuing these careers. Later, I told th...


Dr. Ding Shuyan reply Psychiatry
Hello, your question seems to be more related to career planning rather than a mental health issue. However, I would like to share my personal insights. You are only seventeen years old and should still be in school; it may take several more years before you enter the workforce. ...

[Read More] Navigating Career Choices: A Student's Dilemma in Mental Health


Understanding Social Anxiety: Overcoming Fear in New Social Situations

Social Anxiety Disorder When I enter a new class, if I have a friend from the beginning, I can interact with the whole class and make some friends. However, if I don't have anyone, I tend to be very quiet, and when others talk to me, my mind goes blank, and I can only respon...


Dr. Ding Shuyan reply Psychiatry
Hello, you can try to identify your strengths, or ask family or close friends to share their thoughts with you, which can help you have a more balanced view of yourself and not feel overly insecure. Additionally, try to convince yourself that there are all kinds of people in this...

[Read More] Understanding Social Anxiety: Overcoming Fear in New Social Situations


Finding True Happiness: Overcoming Emotional Struggles and Building Confidence

How to become happy? I often feel like I'm not really happy, even though I do smile. I think I'm not living a joyful life. Sometimes I feel that not pretending to understand everything might make things easier. It's okay to let others share their thoughts too. My h...


Dr. Ding Shuyan reply Psychiatry
Hello, life is probably a mix of joy and suffering, and there will inevitably be situations that are unsatisfactory or unpleasant. It's important not to immediately feel disgust or have the impulse to escape; instead, learn to accept the current situation. Sometimes, this ca...

[Read More] Finding True Happiness: Overcoming Emotional Struggles and Building Confidence


Managing Pressure and Anxiety: A Student's Struggle with Mental Health

Feeling a lot of distress? Recently, I received my high school admission notice, and I barely made it into my first-choice school. Initially, I felt a bit of pressure worrying about keeping up with the pace, but after performing poorly on an exam at my tutoring center, the teache...


Dr. Ding Shuyan reply Psychiatry
Hello, regarding your grades, I believe that self-reflection is important. It's essential to assess your own abilities and whether you have put in your best effort; whatever the outcome, it's best to accept it. Teachers naturally hope for their students to perform well,...

[Read More] Managing Pressure and Anxiety: A Student's Struggle with Mental Health


Understanding Insomnia: When to Seek Help for Sleep Issues

Insomnia issues Hello, doctor. Recently, I've been experiencing difficulty sleeping at night. For some reason, whenever I close my eyes, my mind keeps racing with thoughts, and I feel very restless. Despite my efforts to fall asleep, I end up tossing and turning for 3 to 4 h...


Dr. Ding Shuyan reply Psychiatry
Hello, based on your concerns, I recommend that you see a psychiatrist. The stress and insomnia you're experiencing, along with the headaches, are indeed commonly related. Whether or not to take medication should be advised by a physician. Many people face similar issues, an...

[Read More] Understanding Insomnia: When to Seek Help for Sleep Issues


Supporting a Friend Struggling with Anxiety After Traumatic Events

Friend's difficulties Due to the murder case on the Taipei Metro a year ago, the prison escape incident, and the recent random stabbing case, my friend has been unable to sleep at night. She says she unconsciously feels like she is in a very dangerous place and could get hur...


Dr. Ding Shuyan reply Psychiatry
Hello, seeing that you are only 15 years old and so concerned about your friend truly touches my heart, it really does! Under normal circumstances, when faced with the impact of horror movies or news events, we tend to return to our daily lives quickly and gradually forget, resto...

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Can Personality Traits Change After Cancer Recovery?

Does the performance change completely? My father, who is 55 years old, has always had a suspicious and controlling personality. As the head of a company, he frequently calls to check on each employee's status every five minutes and has installed security cameras at every en...


Dr. Ding Shuyan reply Psychiatry
Hello, personality is not easy to change, and it becomes increasingly difficult with age. If a person's personality is characterized by stubborn perfectionism and self-centeredness, it is even less likely that they will find an opportunity for change. This is because they mu...

[Read More] Can Personality Traits Change After Cancer Recovery?


Understanding Your Communication Needs: Insights for Mental Health

What type of medical care is needed? I usually have short conversations with people, and throughout the day, I interact with very few individuals. I see others engaging in face-to-face conversations that can last for hours, sometimes two to three hours, but I have never had such ...


Dr. Ding Shuyan reply Psychiatry
Hello, speaking is a form of communication, and whether the duration of speech indicates something good or bad is an interesting question. Some people prefer brevity and getting straight to the point. However, others feel that overly concise speech can come across as arrogant or ...

[Read More] Understanding Your Communication Needs: Insights for Mental Health


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