Feeling Trapped: Seeking Help for Mental Health Struggles
I'm not sure what to do? Dear Doctor, Thank you for taking the time to read this letter amidst your busy schedule. I am unsure about what to do. I have been experiencing symptoms for several years, and they have recently been worsening. My symptoms include a persistent feel...
Dr. Guo Jialun reply Psychiatry
Based on your description, these symptoms have already impacted your work and daily life. It is advisable to seek evaluation and treatment from a psychiatrist. If your parents still oppose seeking treatment, you could ask them to accompany you to the appointment to hear the medic...[Read More] Feeling Trapped: Seeking Help for Mental Health Struggles
Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Recently, my mental state has been increasingly abnormal? I have recently started experiencing both unconscious and conscious sleepwalking. The frequency of talking in my sleep is about once or twice a week. Recently, while playing a game with a friend, he suddenly said, "Wh...
Dr. Guo Jialun reply Psychiatry
Sleepwalking may be related to certain psychosocial stressors or genetic factors, but it generally occurs during sleep. The example you mentioned involves unconscious behaviors during waking activities, which may resemble a dissociative state or lack of attention, potentially lin...[Read More] Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun reply Psychiatry
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Emotional Turmoil: Navigating Mood Swings and Mental Health
Emotional fluctuations? Hello, doctor. About a year ago, I started feeling down due to various pressures and setbacks, and I haven't had a single good day since then. Initially, I only felt sadness and low spirits from the stress and blows I faced. Now, my emotions have beco...
Dr. Guo Jialun reply Psychiatry
"Emotional fluctuations, changes in sleep or appetite are common experiences for most people and are related to factors such as stress and hormonal changes (e.g., the female menstrual cycle). If these issues severely impact daily functioning, such as persistent difficulties ...[Read More] Understanding Emotional Turmoil: Navigating Mood Swings and Mental Health
Understanding the Mental Health Impact of Compulsive Masturbation
Masturbation causing mental illness? I started masturbating after seeing a classmate do it in kindergarten, and until now, I feel like there is another version of myself trying to punish me during masturbation. I don't know if that is really me, but every time I finish mastu...
Dr. Guo Jialun reply Psychiatry
Based on your description, an increase in the frequency of masturbation or feelings of guilt associated with it are not symptoms of a mental illness, so there is no need for concern. However, if these feelings cause significant distress and severely impact your daily functioning,...[Read More] Understanding the Mental Health Impact of Compulsive Masturbation
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun reply Psychiatry
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
Understanding Panic Disorder vs. Anxiety: Symptoms and Treatment Options
Anxiety Disorder and Panic Disorder Hello Doctor: Recently, I have been experiencing frequent chest tightness and pain, difficulty breathing, and even hyperventilation. I often feel nauseous for no apparent reason, and sometimes I have a sensation of a foreign body in my throat. ...
Dr. Guo Jialun reply Psychiatry
Anxiety disorders, in a broad sense, encompass various anxiety-related diagnoses, such as panic disorder and generalized anxiety disorder. Many patients exhibit multiple symptoms simultaneously. In terms of treatment, the primary medication options are selective serotonin/norepin...[Read More] Understanding Panic Disorder vs. Anxiety: Symptoms and Treatment Options
Caring for Elderly Relatives: Signs of Dementia and Seeking Help
Elderly family members showing signs of dementia? Recently, the elder in our home has been frequently forgetting things, often forgetting which bus numbers to take. They tend to ask the same question multiple times within a short span of an hour. We encourage them to seek medical...
Dr. Guo Jialun reply Psychiatry
As we age, it is indeed common to experience a decline in learning ability and memory comprehension compared to our younger years. However, if this decline severely impacts daily functioning, such as forgetting familiar bus routes from many years ago or repeatedly asking the same...[Read More] Caring for Elderly Relatives: Signs of Dementia and Seeking Help