Understanding Long-Term Emotional Instability: Causes and Solutions
Long-term emotional instability? I often experience mood swings that last for several months, not just for a short period. For no apparent reason, my mood can suddenly plummet, leaving me feeling extremely low. I find no joy in anything and feel incredibly lonely, as if I am all ...
Dr. Duan Yongzhang reply Psychiatry
Hello! Based on this description alone, it is not possible to determine whether there is an illness. If needed, please seek assistance at an outpatient clinic. Thank you for your inquiry.[Read More] Understanding Long-Term Emotional Instability: Causes and Solutions
Managing Sleep Disorders and Jet Lag for Maritime Workers
Regarding the impact of time zone differences on sleep when traveling by boat? Hello Doctor: I may start working on a cargo ship next year (on a shipping route), with each voyage lasting about 30 days. However, I have some sleep disorders, so I am currently concerned about how je...
Dr. Duan Yongzhang reply Psychiatry
Hello: Those who need to overcome jet lag are usually individuals who must stay at a specific location for a period of time. When they first arrive at their destination, it takes some time to adjust. However, since you work on a ship and spend long periods at sea, possibly with f...[Read More] Managing Sleep Disorders and Jet Lag for Maritime Workers
How to Move On: Coping with the Emotional Aftermath of Abortion
How to forget? Hello Doctor: I am 29 years old. I have been pregnant before, but I had no choice but to terminate the pregnancy because I couldn't bring the child into the world. I thought I would forget about the abortion, and there were days when I didn't think about ...
Dr. Duan Yongzhang reply Psychiatry
Hello: Forgetting may not necessarily solve the problem. If you continue to experience emotional distress, please seek assistance from a psychiatric outpatient clinic directly.[Read More] How to Move On: Coping with the Emotional Aftermath of Abortion
Am I Gay? Understanding Sexual Orientation and Feelings
Am I gay??? I am a college student and I have never had a girlfriend or engaged in sexual activity. Recently, when I go swimming, to hot springs, or even to the restroom, I find myself focusing on the male genitalia. The most embarrassing incident was when I went to Wulai with my...
Dr. Duan Yongzhang reply Psychiatry
Hello: Based on your description, it is not possible to determine if you are gay; many non-gay men may also experience similar situations. It may take more time and life experiences to ascertain your sexual orientation.[Read More] Am I Gay? Understanding Sexual Orientation and Feelings
Understanding Fantasy Disorders: Are Nightmares a Sign of a Deeper Issue?
excuse me? 1. What is a delusional disorder? 2. My mother sometimes wakes up from nightmares and takes a few minutes to realize that it was a nightmare, or she has difficulty distinguishing between dreams and reality upon waking, and sometimes needs others to tell her it was a d...
Dr. Duan Yongzhang reply Psychiatry
In medicine, there is no term known as "fantasy disorder." Abnormal or erroneous sensory experiences are referred to as "hallucinations," such as auditory or visual hallucinations. If there are erroneous and distorted thought content that is held with strong c...[Read More] Understanding Fantasy Disorders: Are Nightmares a Sign of a Deeper Issue?
Promoting Acceptance of Conversion Disorder Patients in Society
Do you accept it? How can physicians help the public accept patients with conversion disorder? There is a general stigma against mental health conditions, and individuals who would not typically be aggressive may feel very distressed and isolated due to this rejection. If society...
Dr. Duan Yongzhang reply Psychiatry
If there are related issues, it is important to seek medical attention early to restore a stable life and avoid potential rejection. Hypnosis is not my area of expertise, so I am unable to provide an answer on that topic.[Read More] Promoting Acceptance of Conversion Disorder Patients in Society
Coping with Anxiety: Managing Fear of Happiness and Uncertainty
The struggles of anxiety disorders? Hello Doctor, I have been struggling with anxiety for a long time. After undergoing psychological counseling for a while, I have experienced some improvement, but my condition still fluctuates. I am aware that many of my thoughts are irrational...
Dr. Duan Yongzhang reply Psychiatry
1. It is beneficial to continue discussing such issues with your therapist during counseling sessions, as face-to-face support is often more effective. 2. "It is more blessed to give than to receive." Sometimes, when others are too kind to us, it can create feelings of ...[Read More] Coping with Anxiety: Managing Fear of Happiness and Uncertainty
Understanding Anxiety and Menopause: When to Seek Help
excuse me? 1. If a person tends to think negatively and frequently experiences anxiety, should they see a doctor? 2. Is menopause defined only by the cessation of menstruation? What symptoms can occur?
Dr. Duan Yongzhang reply Psychiatry
It is not always necessary to see a doctor, but if your work, studies, or daily life are affected, or if you experience depression or thoughts of self-harm, it is essential to consult a physician. Women typically undergo physiological and psychological changes when they begin men...[Read More] Understanding Anxiety and Menopause: When to Seek Help
Caring for a Family Member with Mental Health Challenges: Tips and Guidance
How to care for individuals with mental health conditions? Hello, I would like to inquire about my mother's condition. She has become somewhat superstitious after being involved with "Falun Gong" (she promotes its benefits, encourages others to join, and insists on...
Dr. Duan Yongzhang reply Psychiatry
Based on your description, it is difficult to determine whether your relative has a mental illness. I recommend that you take her to a psychiatric outpatient clinic for an in-person evaluation by a physician, which is necessary to identify the issue and provide you with the best ...[Read More] Caring for a Family Member with Mental Health Challenges: Tips and Guidance
Understanding Anxiety Medications: Risks, Side Effects, and Usage Tips
I urgently request assistance in consulting about the interactions of these psychiatric medications? Dear TH, Thank you for taking the time to answer my questions amidst your busy schedule. I have been on anxiety medication for a year and have also undergone psychological counse...
Dr. Duan Yongzhang reply Psychiatry
Hello: These medications, when taken according to the dosage and frequency prescribed by your physician, are not likely to lead to addiction. Therefore, it is strongly advised that you follow your doctor's instructions; otherwise, not only is there a risk of developing depen...[Read More] Understanding Anxiety Medications: Risks, Side Effects, and Usage Tips
Do I Need to See a Doctor for My Anxiety and Mental Health Concerns?
Do I need to see a doctor for this? Sometimes I worry about everything and find it hard to trust what I see, often leading to repetitive checking. When I'm anxious, I tend to become overly tense, and my mood fluctuates greatly. I frequently experience negative thoughts, and ...
Dr. Duan Yongzhang reply Psychiatry
Hello! It is recommended that you visit a psychiatric outpatient clinic for an in-person consultation with a physician to understand your condition. If you are over 18 years old, you can see a general psychiatrist; if you are under 18, you should see a child psychiatrist.[Read More] Do I Need to See a Doctor for My Anxiety and Mental Health Concerns?
Coping with Anxiety: Tips for Managing Perfectionism and Stress in Military Life
A personality that is prone to anxiety? Hello, Dr. Duan. In a month, I will be enlisting in the military. However, due to my personality, I tend to seek perfection and easily become anxious about others' opinions. In high school, I was so nervous before a basketball game tha...
Dr. Duan Yongzhang reply Psychiatry
Hello: It seems that you have a certain level of understanding regarding your anxiety issues and you wish to confront them rather than avoid them, which means you have already succeeded halfway! Anxiety often stems from the fear of the unknown or the worry that if things go wrong...[Read More] Coping with Anxiety: Tips for Managing Perfectionism and Stress in Military Life
Understanding Mixed Signals in Relationships: A Psychiatric Perspective
Real and False Emotions Dr. Duan: Hello! I have developed feelings for a male classmate at school. I know he has feelings for me as well. When I first started school and was feeling down, I reached out to him to share my troubles. Although it felt strange, he encouraged me to kee...
Dr. Duan Yongzhang reply Psychiatry
Hello: It is human nature to seek a partner with mutual affection and trust, but not everyone finds this process to be smooth. If you encounter setbacks or disappointments, these can often serve as valuable learning opportunities. The next time you meet someone you admire, you wi...[Read More] Understanding Mixed Signals in Relationships: A Psychiatric Perspective
Exploring ECT Therapy for Bipolar and Mood Disorders: Is It Right for You?
ETC Dear Dr. Duan: I am a patient with bipolar disorder and affective disorder. I have been on medication for three years, and today I learned from Dr. Lin Hsin-Nan at National Taiwan University that there is also ECT therapy, which requires anesthesia. I am currently using oral ...
Dr. Duan Yongzhang reply Psychiatry
Hello: Electroconvulsive Therapy (ECT) is typically used in cases where medication treatment is ineffective or in emergency situations (such as severe suicidal ideation and aggressive behavior). Patients who require ECT are often severely ill and may need inpatient treatment. For...[Read More] Exploring ECT Therapy for Bipolar and Mood Disorders: Is It Right for You?
Am I Unsuitable for Social Work? Navigating Challenges in Mental Health
Future? Hello Dr. Duan, I am a first-year social work student. After enrolling, I worked as a social work assistant at a certain institution. My personality is introverted and passive, but during my previous job, I actively collaborated with physicians to bring humor and comfort...
Dr. Duan Yongzhang reply Psychiatry
Hello: As you are still a student, it's too early to decide whether you are suited to be a social worker, so don't rush! You still have some time before graduation to better understand the nature of social work while also enhancing your self-awareness. These decisions c...[Read More] Am I Unsuitable for Social Work? Navigating Challenges in Mental Health
Overcoming Anxiety: Coping with Fear of Visiting a Partner's Home
Do I still have symptoms of anxiety and fear of a specific place? Hello Doctor: At the end of last year, I was diagnosed with anxiety at both Far Eastern Memorial Hospital and National Taiwan University Hospital. At that time, I was experiencing long-term insomnia, which made me ...
Dr. Duan Yongzhang reply Psychiatry
Hello: From your description, it seems that you may have formed a compulsive connection between your fear of insomnia and your girlfriend's place, which leads to feelings of worry and fear when you are there. You might consider trying relaxing music or muscle relaxation exer...[Read More] Overcoming Anxiety: Coping with Fear of Visiting a Partner's Home
Am I Experiencing a Mental Health Issue? Understanding Escapism and Reality
Do I have a mental illness? I often find myself imagining conversations or scenarios in my mind as if there were someone next to me talking. Some of these people and situations are from the real world, like friends and classmates, but others are entirely fabricated by my imaginat...
Dr. Duan Yongzhang reply Psychiatry
Hello: Based on your description, it is difficult to determine the cause of the issue. Some individuals may experience similar symptoms when under stress or feeling down. Substance abuse or certain medical conditions can also lead to comparable situations. The best course of acti...[Read More] Am I Experiencing a Mental Health Issue? Understanding Escapism and Reality
Can Spicy Foods Cause Insomnia and Urinary Issues?
Does consuming spicy foods cause insomnia? Hello Doctor: I have urinary issues (frequent urination and nocturia), so I try to avoid spicy foods. However, a few days ago I had some chili sauce, and recently I've been experiencing some insomnia at night, taking about an hour t...
Dr. Duan Yongzhang reply Psychiatry
Hello: Spicy foods are only digested in the gastrointestinal tract and do not travel to the urinary tract to stimulate the urinary system. However, sometimes spicy foods can irritate the gastrointestinal tract, causing abdominal pain and discomfort, which can still affect sleep. ...[Read More] Can Spicy Foods Cause Insomnia and Urinary Issues?
Understanding Irritability: A Guide to Mental Health Support
Impatience Hello Doctor: My older brother is a quiet person who doesn't share his thoughts with his wife, parents, siblings, or friends. I don't know when it started, but he has become irritable, often interrupting others before they finish speaking. This has been going...
Dr. Duan Yongzhang reply Psychiatry
Xiao Hui: Hello! Your brother's panic attacks are likely caused by the accumulation of long-term stress and emotional distress. It is indeed necessary for him to seek treatment. Unfortunately, he has not yet been able to receive assistance from a psychiatrist, which must be ...[Read More] Understanding Irritability: A Guide to Mental Health Support
Understanding Strong Heartbeats: When to See a Psychiatrist or Cardiologist
Strong heartbeat? Hello Doctor: I was discharged from the military at the end of 2006. I remember that every time I returned to the base after leave, I would feel anxious, and my heart would race. I often felt that my heart was beating very hard, and it would take me about an hou...
Dr. Duan Yongzhang reply Psychiatry
Hello: It is recommended that you first visit a cardiologist for an examination. Additionally, issues related to the thyroid or adrenal glands may also cause symptoms such as tachycardia or palpitations, which would require an evaluation by an endocrinologist. If all physical exa...[Read More] Understanding Strong Heartbeats: When to See a Psychiatrist or Cardiologist