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Overcoming Fear: Understanding Anxiety and Medication Effects

Fear of the unknown? A person is afraid to go out, fears social interaction, is not proactive, and only thinks negatively. They feel introverted and withdrawn around others, often experiencing unhappiness, anxiety, fear, and depression due to being scolded, laughed at, or bullied...


Dr. Duan Yongzhang reply Psychiatry
Hello: You can discuss these issues with the prescribing physician, asking why these medications were prescribed, and inform the doctor about your condition after taking them. This will be more helpful for you.

[Read More] Overcoming Fear: Understanding Anxiety and Medication Effects


Overcoming Uncontrollable Anxiety: A Journey from Self-Doubt to Healing

May experience involuntary tension and fear? Hello, Doctor: I have been a very lively person since childhood, and I also have a good appearance. However, during high school, I developed a lot of acne on my face, which caused me to hide in my room and avoid being seen by others. A...


Dr. Duan Yongzhang reply Psychiatry
Hello: Your condition may not necessarily indicate a specific illness. Some individuals are more concerned about how others perceive them or may lack confidence, which can lead to similar experiences as yours. I'm curious to know the extent to which your social, academic, or...

[Read More] Overcoming Uncontrollable Anxiety: A Journey from Self-Doubt to Healing


Understanding Binge Eating: When Snacking Becomes a Concern

Binge Eating Disorder Hello, doctor. Recently, I've developed a strong craving for snacks, and once I start eating, I can't stop. Even when I'm not hungry and feel full, I just have to keep eating until there's nothing left in front of me. However, I feel guil...


Dr. Duan Yongzhang reply Psychiatry
Since you should stop eating only when there's nothing left, try not to stockpile too many snacks around you. Being overweight due to a love for snacks may not be something that a doctor can help with. Weight can sometimes be a subjective perception; being slightly overweigh...

[Read More] Understanding Binge Eating: When Snacking Becomes a Concern


Is Staying Awake When Sleepy Harmful to Your Health?

Is intentionally staying awake when you want to sleep harmful to your health? Hello doctor, sometimes, especially after having a meal in the afternoon, I feel sleepy or drowsy without realizing it. If I try to stay awake during this time (like washing my face or finding something...


Dr. Duan Yongzhang reply Psychiatry
Hello: The average sleep duration for a normal person is about 6 to 8 hours per day. If you can get more than 6 hours of sleep each night and the quality is good, you may not need to nap during the day. Feeling sleepy after eating is a normal physiological response because blood ...

[Read More] Is Staying Awake When Sleepy Harmful to Your Health?


Understanding Sleep Medications: Tapering vs. Stopping Abruptly

Issues with Sleep Aids Hello, is there such a statement? Is it true that sleep aids need to be taken continuously, and that they can only be tapered down but not stopped abruptly?


Dr. Duan Yongzhang reply Psychiatry
Hello: This statement is only partially correct. When sleep medications are taken continuously for a period of time, they can lead to physiological and psychological dependence, making it inappropriate to stop the medication abruptly; however, if they are used for a short term wi...

[Read More] Understanding Sleep Medications: Tapering vs. Stopping Abruptly


Understanding Emotional Distress: Sleep Issues and Mental Health After a Breakup

Frustration Hello, I would like to ask about some issues I've been experiencing. It has been six months since I broke up with my girlfriend at the beginning of the year, and due to some family factors, I have been facing the following problems: Over the past six months, I of...


Dr. Duan Yongzhang reply Psychiatry
Hello: Based on your description, you may be exhibiting tendencies of depression. It is common for individuals to feel down after experiencing a breakup or other stressful events, often accompanied by sleep disturbances, changes in appetite, and difficulty concentrating. Typicall...

[Read More] Understanding Emotional Distress: Sleep Issues and Mental Health After a Breakup


Understanding Sleep Quality: Frequent Dreaming and Sleep Disturbances

Constantly dreaming while sleeping? Hello Dr. Duan: Regarding sleep quality, I have a few questions I would like to ask you, and I also want to know if there are others who experience similar situations as I do. 1. I have always had good sleep quality, falling asleep quickly an...


Dr. Duan Yongzhang reply Psychiatry
Hello: Based on your description, it is possible that your recent poor sleep quality is leading to vivid dreams. Potential causes may include life stress, low mood, or physical discomfort. It is recommended to avoid consuming beverages such as coffee or tea before bedtime, and en...

[Read More] Understanding Sleep Quality: Frequent Dreaming and Sleep Disturbances


Understanding Obsessive Thoughts: When Passion Turns into Concern

Thoughts It seems that you are experiencing feelings of envy or longing related to someone else's achievements, particularly in the context of sports competitions. This kind of emotional response is not classified as a disease, but rather as a common human experience. It may...


Dr. Duan Yongzhang reply Psychiatry
Hello! Having these thoughts or fantasies does not necessarily indicate a disorder, unless they occupy your mind all day and significantly impact your daily life, in which case it may be considered a disorder. If that is the case, please seek assistance from a psychiatric outpati...

[Read More] Understanding Obsessive Thoughts: When Passion Turns into Concern


Can Viagra Help with Depression-Related Sexual Dysfunction?

Please consult a physician? Consulting a physician, can a patient with depression who experiences difficulty thinking with the lower body request Viagra from a psychiatrist?


Dr. Duan Yongzhang reply Psychiatry
If there are such issues, they can be discussed with a physician. As for whether to prescribe related medications, each individual's situation is different. If necessary, the psychiatrist will refer the patient to a urologist for evaluation.

[Read More] Can Viagra Help with Depression-Related Sexual Dysfunction?


Understanding and Overcoming Negative Thoughts: A Guide to Mental Health

Complex psychological disorders Hello, Doctor! Recently, I don't know what's wrong with me... I often have very negative or distressing thoughts, and this has been going on for several months. I feel so miserable! Every time I have these thoughts, I strongly blame mysel...


Dr. Duan Yongzhang reply Psychiatry
Hello! You have been suffering for several months, and it would be best to seek assistance from an outpatient physician, as this is the most helpful approach for you. You mentioned several psychological issues, and it is also recommended to discuss them in person with a physician...

[Read More] Understanding and Overcoming Negative Thoughts: A Guide to Mental Health


Are Online Depression Self-Tests Reliable for Diagnosing Mental Health?

Is the commonly found online depression self-assessment reliable? (1) The test result indicating a score of over 29 suggests a significant level of depressive symptoms, which may indicate the presence of depression or a high risk of developing it. It is advisable to seek a profes...


Dr. Duan Yongzhang reply Psychiatry
Hello! These test results cannot definitively diagnose depression, but they can provide a reference. To confirm a diagnosis, an in-person consultation with a physician is necessary. Work-related stress is likely to contribute to depressive tendencies and may even lead to major de...

[Read More] Are Online Depression Self-Tests Reliable for Diagnosing Mental Health?


Coping with Persistent Anger: Strategies for Emotional Healing

How to cope with persistent anger? I have been insulted, and even after three months, I still feel very angry when I recall the same situation. The more I try to avoid thinking about it, the more it keeps resurfacing in my mind. I have read psychology and self-help books, but not...


Dr. Duan Yongzhang reply Psychiatry
Hello: I'm not sure what you mean by "formal treatment." If you are experiencing ongoing emotional distress that affects your appetite and sleep, and you are unable to self-regulate, you can seek care at a psychiatric outpatient clinic.

[Read More] Coping with Persistent Anger: Strategies for Emotional Healing


Overcoming Irrational Health Fears and Self-Doubt: A Guide

How to avoid having such thoughts? Recently, when I feel unwell, I become afraid that I might be developing a serious illness, such as thinking my blurry vision could be a retinal detachment or my stomach discomfort might indicate gastrointestinal issues. I worry about whether I ...


Dr. Duan Yongzhang reply Psychiatry
With these physical and psychological concerns, it might be best to consult a physician to determine if there is an underlying condition. However, psychological worries may not necessarily resolve the issue!

[Read More] Overcoming Irrational Health Fears and Self-Doubt: A Guide


Understanding Depression: Symptoms, Types, and When to Seek Help

Depression? Hello, how can I know if I have depression? What types of depression are there? I've heard that panic disorder is considered a type of depression as well. My classmate keeps telling me to see a psychiatrist, but I feel like I'm fine! Could you please provide...


Dr. Duan Yongzhang reply Psychiatry
Symptoms of depression include persistent low mood, loss of interest, changes in sleep and appetite, difficulty concentrating, self-denial, and even thoughts of self-harm. Many individuals with mild depression often experience physical pain and discomfort. The severity of depress...

[Read More] Understanding Depression: Symptoms, Types, and When to Seek Help


Is It Sleepwalking? Understanding Consciousness During Nighttime Episodes

Is this sleepwalking? I usually go to bed around midnight, but recently there was an instance where I suddenly woke up in the middle of the night and grabbed my brother (who was next to me). At that moment, I was aware of what I was doing. As soon as I touched him, he woke up, bu...


Dr. Duan Yongzhang reply Psychiatry
Hello! This situation is not sleepwalking; it is likely caused by poor sleep quality.

[Read More] Is It Sleepwalking? Understanding Consciousness During Nighttime Episodes


Managing Hyperventilation Syndrome: Tips for Better Sleep and Stress Relief

Hyperventilation syndrome Hello doctor, I have been experiencing palpitations since I was 18 years old. After consulting a physician, I was diagnosed with hyperventilation syndrome. I would like to ask if there are any methods to improve this condition. I usually go to bed betwee...


Dr. Duan Yongzhang reply Psychiatry
Hello! Hyperventilation is closely related to psychological anxiety and panic; however, some individuals may experience it due to conditions such as asthma, hyperthyroidism, or heart problems. Therefore, it is advisable to undergo a physical examination first. Additionally, consu...

[Read More] Managing Hyperventilation Syndrome: Tips for Better Sleep and Stress Relief


Managing Anxiety, Insomnia, and Frequent Urination: Expert Advice Needed

Please consult a physician regarding issues such as anxiety, high stress, insomnia, and frequent urination? Hello Dr. Duan, I have been having trouble calming my mind at night, constantly thinking about things that happened during the day, which prevents me from sleeping. I expe...


Dr. Duan Yongzhang reply Psychiatry
Hello: Regarding issues such as frequent urination, acne, drug allergies, and problems related to the liver and kidneys, these do not fall within the scope of psychiatry, and I am unable to provide relevant answers here. Psychiatric medications, when taken as directed by a physic...

[Read More] Managing Anxiety, Insomnia, and Frequent Urination: Expert Advice Needed


Seeking Psychiatric Advice: Sleep Issues, Anxiety, and Medication Concerns

Please consult Dr. Duan? Hello Dr. Duan, I have difficulty calming my mind at night and keep thinking about events that happened during the day (such as not achieving satisfactory results in experiments at school, having little interaction with classmates due to my limited commu...


Dr. Duan Yongzhang reply Psychiatry
Hello: Regarding issues such as frequent urination, acne, drug allergies, and problems related to the liver and kidneys, these do not fall within the scope of psychiatry, and I am unable to provide relevant answers here. Psychiatric medications, when taken as directed by a physic...

[Read More] Seeking Psychiatric Advice: Sleep Issues, Anxiety, and Medication Concerns


Am I Experiencing Depression? Signs and Concerns for New Moms

Could you please clarify if this aligns with depression? Doctor, I have had thoughts of self-harm during my pregnancy. I also experience many of the depressive symptoms mentioned in previous Q&As and have been in that state for a long time. As an unmarried mother, I often arg...


Dr. Duan Yongzhang reply Psychiatry
It is not possible to make a determination based on the written description. Please visit the outpatient clinic for an in-person consultation with a physician, who will provide the necessary assistance.

[Read More] Am I Experiencing Depression? Signs and Concerns for New Moms


Overcoming Isolation: A Journey Through Mental Health Challenges

Autism can lead to difficulties in social interactions and communication? I feel like an idiot, constantly being bullied. I've been very introverted since childhood, and others say I have autism. My elementary school teacher publicly criticized me for being too well-behaved,...


Dr. Duan Yongzhang reply Psychiatry
I am unable to answer your question as I cannot understand it.

[Read More] Overcoming Isolation: A Journey Through Mental Health Challenges


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