Understanding Emotional Rollercoasters: A Guide to Mood Swings
Emotional fluctuations are significant? I'm feeling a strong aversion to studying this semester. I don't want to focus on my studies, but I still manage to submit my assignments on time. In class, I don't want to listen to anything, even if the teacher is excellent...
Dr. Huang Xiaoxian reply Psychiatry
Dear Grace, it sounds like your mood has been fluctuating significantly lately, whereas it was previously stable. There may be a potential for underlying bipolar affective disorder. I'm wondering if you have been experiencing any other sources of stress recently. I recommend...[Read More] Understanding Emotional Rollercoasters: A Guide to Mood Swings
Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Medication issues Hello, doctor. I visited a psychiatric clinic last Saturday. Although I found the consultation somewhat strange, I chose to trust the physician's diagnosis. The doctor mentioned that I seem to have depression and prescribed Xanax 0.25 mg (alprazolam) and Es...
Dr. Huang Xiaoxian reply Psychiatry
Hello Ms. Li: Regarding the situation you mentioned, it seems there may be some concerns about the diagnosis? Since I am not familiar with your actual condition, I recommend discussing it further with your physician to obtain more information. As for the medications prescribed, t...[Read More] Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Understanding the Voices Within: Exploring Dissociation in Mental Health
Two people inside the body Hello Doctor, I am Little Raindrop. I consulted you yesterday regarding an issue, and I would like to provide more details about the two voices I hear within my body. I initially thought this "voice" was just another side of my personality, bu...
Dr. Huang Xiaoxian reply Psychiatry
Dear Little Raindrop, Hello! Regarding the situation you described, it initially sounds like what is known as Dissociative Identity Disorder, commonly referred to as multiple personality disorder. This condition is believed to be more related to psychological factors, and it is ...[Read More] Understanding the Voices Within: Exploring Dissociation in Mental Health
Understanding the Struggle: Navigating Depression and Identity Crisis
I don't know who I am? Hello Doctor, I have been diagnosed with depression and generalized anxiety disorder. During my appointments, I often mention to my doctor that I feel like there are two versions of myself inside my body, but the doctor seems to dismiss it. For example...
Dr. Huang Xiaoxian reply Psychiatry
Dear Little Raindrop: Hello, thank you for your question. The voices you mentioned, along with the thoughts from different aspects of yourself, may require further clarification regarding their origins. Various situations can lead to the aforementioned experiences. From a psychol...[Read More] Understanding the Struggle: Navigating Depression and Identity Crisis
Overcoming Anxiety: Coping with Fear of Illness and Loss
How to address anxiety conditions? Hello, Doctor: Recently, my cousin passed away suddenly due to a ruptured cerebral blood vessel, which has left me immersed in negative emotions. A significant part of my feelings stems from the fear that I or my family might also leave suddenly...
Dr. Huang Xiaoxian reply Psychiatry
Hello, I'm sorry to hear about your cousin's news. Typically, when a young person experiences a sudden rupture of a cerebral blood vessel, it is often related to an underlying cerebral aneurysm, which is quite rare in the general population. The sudden loss of a family ...[Read More] Overcoming Anxiety: Coping with Fear of Illness and Loss
Coping with Family Stress: Navigating Challenges with a Troubled Sister-in-Law
Psychological stress I've been married for almost a year, and my sister-in-law's issues have been troubling me greatly. She got married a year before me and currently has two children, aged one and a half and six months. Due to my husband's work, they have been liv...
Dr. Huang Xiaoxian reply Psychiatry
Hello Vupannie, it sounds like you and your husband are living with your in-laws, and although your sister-in-law is married, she is still living with you. Living together may cause you stress, and your mood could be affected by her presence. I suggest that you communicate with y...[Read More] Coping with Family Stress: Navigating Challenges with a Troubled Sister-in-Law
Emotional Turmoil After a Dental Injury: Coping with Trauma
Unstable mental state after the accident? In October 2017, I was involved in a car accident. Although there were no major physical injuries, my left central incisor and left lateral incisor were both fractured halfway. It's hard to express... I have always considered my teet...
Dr. Huang Xiaoxian reply Psychiatry
Dear Yuri, thank you for your question. You mentioned that after your car accident, you are unable to feel joy, and the only time you feel happy is when you see news about accidents caused by unlicensed or drunk drivers, as you find solace in the cries of the victims' famili...[Read More] Emotional Turmoil After a Dental Injury: Coping with Trauma
Finding Peace: Overcoming Anxiety and Guilt in Mental Health
The brain needs a break? It’s easy to be concerned about what others think and fear that they might not like us. When we express our dissatisfaction or show that we are in a bad mood, we often feel guilty, worried about making others unhappy. Sometimes, it feels like we are tryin...
Dr. Huang Xiaoxian reply Psychiatry
Dear IA, thank you for your question. It sounds like you have been feeling anxious lately, experiencing low mood, and being affected by interpersonal relationships. Your mind seems to be constantly ruminating on past events, which may indicate some signs of anxiety or depression....[Read More] Finding Peace: Overcoming Anxiety and Guilt in Mental Health
Managing SNRI Side Effects: Urinary Discomfort and Solutions
Side effects of SNRIs (Serotonin-Norepinephrine Re Hello, doctor. I have been taking Cymbalta for a long time, but during the treatment, I experienced a burning sensation in my urethra, and the burning sensation intensified after ejaculation. I then switched to another SNRI, Pris...
Dr. Huang Xiaoxian reply Psychiatry
Hello, the symptoms you mentioned of a warm and acidic sensation in the urethra are considered rare side effects of SNRIs. It may be that the medication is causing some degree of urinary difficulty, as there are many types of antidepressants. If you continue to experience these s...[Read More] Managing SNRI Side Effects: Urinary Discomfort and Solutions
Overcoming Anxiety-Related Tremors: Strategies for Students in High-Pressure Situations
Nervous tremors? Hello, doctor: I have a naturally anxious disposition and often find myself overthinking. Every time there is a significant event, such as a major exam or military enlistment, I can’t sleep the night before. I get startled by the slightest changes in my surroundi...
Dr. Huang Xiaoxian reply Psychiatry
Dear Ank, Hello! You mentioned that you are feeling very anxious and tense, and that you often experience irrational thoughts that you cannot control. You tend to overthink due to worry, which is affecting your practical performance. I suggest seeking an evaluation from a psych...[Read More] Overcoming Anxiety-Related Tremors: Strategies for Students in High-Pressure Situations
Unusual Sensation in Esophagus: Is It a Psychological Issue?
Dysphagia or abnormal sensation in the esophagus? Hello Doctor: I recently underwent an endoscopy due to gastroesophageal reflux disease (GERD), and the outpatient physician stated that my esophagus, stomach, and duodenum are all normal, indicating non-erosive reflux disease. My ...
Dr. Huang Xiaoxian reply Psychiatry
Dear Mr. Zhang, The activity of the gastrointestinal tract is indeed often influenced by emotions. According to research, Gastroesophageal Reflux Disease (GERD) frequently co-occurs with anxiety disorders. Therefore, some cases may experience significant difficulty swallowing o...[Read More] Unusual Sensation in Esophagus: Is It a Psychological Issue?
Struggling with Health Anxiety: When to Seek Mental Health Support
I think I have a mental illness? Hello, doctor. I feel that my tendency to worry about illness is getting out of control. Ever since I discovered a swollen lymph node in my neck over two months ago that hasn't gone down, I've been obsessively visiting various hospitals ...
Dr. Huang Xiaoxian reply Psychiatry
Hello, Xiao K. I'm sorry to hear that you are troubled by health-related anxiety. The fear of illness is a common issue that many people encounter throughout their lives. Some individuals may experience anxiety about death when faced with stressful life events or when friend...[Read More] Struggling with Health Anxiety: When to Seek Mental Health Support
Overcoming Anxiety: Strategies to Manage Worry and Find Peace
Easily worried and feeling anxious? Hello, doctor. I would like to seek ways to improve my emotional well-being. I tend to magnify small physical issues, which makes me very anxious and tense. I constantly find myself searching online for various articles and identifying with the...
Dr. Huang Xiaoxian reply Psychiatry
Dear Yenning Chen, You mentioned that you are feeling very anxious and depressed, and that you are experiencing many uncontrollable and irrational thoughts. You are also worried about whether there is something wrong with your body. These symptoms are similar to those of typica...[Read More] Overcoming Anxiety: Strategies to Manage Worry and Find Peace
Managing Anxiety and Insomnia: Tips for Better Sleep and Mental Health
Insomnia and anxiety? Hello Doctor, I have been feeling very anxious and restless for quite a while. I often find myself overthinking and worrying that I might be seriously ill. I tend to take things too seriously and feel like anything could happen to me. Recently, I experienced...
Dr. Huang Xiaoxian reply Psychiatry
Dear fgh, It sounds like you have many concerns, as well as anxiety and insomnia. I'm not sure if there have been any recent stressors affecting you. Often, anxiety symptoms are related to an imbalance of neurotransmitters in our brain. I recommend seeking an evaluation fr...[Read More] Managing Anxiety and Insomnia: Tips for Better Sleep and Mental Health
Understanding Schizophreniform Disorder vs. Latent Schizophrenia
Are these two the same? Hello, doctor. Could you please tell me if Schizophreniform Disorder and Latent Schizophrenia are the same? Thank you.
Dr. Huang Xiaoxian reply Psychiatry
Dear Kosurpoll, There are many differences in the definitions of these two diagnoses, such as the age of onset, duration of symptoms, and symptomatology. Both conditions share several similarities with schizophrenia, including the presence of auditory hallucinations and delusio...[Read More] Understanding Schizophreniform Disorder vs. Latent Schizophrenia
Understanding Mirtazapine Dosage for Anxiety: Concerns and Guidelines
Dosage issues of mirtazapine for anxiety disorders? Hello, Doctor. I previously reached out to you with some questions, and I greatly appreciate your kindness. I have been taking half a 30mg tablet of mirtazapine for a month due to my anxiety symptoms. During my follow-up appoint...
Dr. Huang Xiaoxian reply Psychiatry
Hello Mr. Wang, regarding your question, generally speaking, for anxiety or depression, it is advisable to adjust to an adequate dosage (typically considered to be one pill or more). However, when prescribing, we aim to minimize the likelihood of temporary side effects, so a grad...[Read More] Understanding Mirtazapine Dosage for Anxiety: Concerns and Guidelines
Understanding Psychiatric Medication: Your Questions Answered
Medication consultation Hello Doctor: I am the patient from <a href="https://adoctor.tw/article/143609">#143609</a>. I later visited a large hospital near my school and no longer went to the small clinic. After explaining my condition, the doctor diagnosed m...
Dr. Huang Xiaoxian reply Psychiatry
Dear Leo, Kinax and Xanax are the same type of medication, just produced by different manufacturers. In terms of dosage, 0.5 mg of Xanax is equivalent to 1 mg of Kinax. Both are considered broad-spectrum benzodiazepines, which have sedative and hypnotic effects. Comparatively, ...[Read More] Understanding Psychiatric Medication: Your Questions Answered
Managing Sexual Desire and Fantasies: A Guide for Men in Their 30s
Sexual desire management At the age of 37, I am still a virgin and have sexual desires. I would like to ask the doctor how to manage my sexual fantasies and urges, as I often find myself visiting pornographic websites and engaging in online sexual exchanges. In the past, I freque...
Dr. Huang Xiaoxian reply Psychiatry
Hello, sir. First of all, thank you for your question. Regarding sexual desire, it is a normal physiological need for both men and women. Most people seek appropriate ways to address it, so there is no need to feel overly stressed about it. Wishing you all the best![Read More] Managing Sexual Desire and Fantasies: A Guide for Men in Their 30s
Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Anxiety Panic Disorder Hello Dr. Huang, I am a medical student preparing for the national exam, but I have been experiencing various health issues. Every time I see a doctor, I feel very anxious, and after researching my conditions, I become even more pessimistic. My anxiety ofte...
Dr. Huang Xiaoxian reply Psychiatry
Dear Wemin, Thank you for your question. From your description, it sounds like the anxiety symptoms have been quite distressing for you, and I empathize with your situation. Additionally, the multiple physical symptoms you mentioned seem to resemble common manifestations of anx...[Read More] Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Facing Virginity at 38: Strategies for Mental Well-Being
How to handle it? I am 38 years old and still a virgin. Doctor, what should I do? How should I face this situation, and what methods can I use to cope?
Dr. Huang Xiaoxian reply Psychiatry
Hello, sir. Thank you for your question. It seems that you may be experiencing difficulties in interpersonal relationships, particularly in the context of romantic connections. If you have not been in a relationship, perhaps you could try to expand your social circle and meet new...[Read More] Facing Virginity at 38: Strategies for Mental Well-Being