Overcoming Swallowing Anxiety: Tips to Manage Your Fear of Choking
Phagophobia Recently, I choked on some rice while eating, and since then, I have developed a fear of eating. I find myself chewing for an excessively long time, almost to the point where it resembles vomit. I know that my prolonged chewing is due to my fear of choking, and I want...
Dr. Huang Zhijia reply Psychiatry
Hello: The diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. Even with the same diagnosis, different treatments may be necessary based on individual circumstances. It is recommended to co...[Read More] Overcoming Swallowing Anxiety: Tips to Manage Your Fear of Choking
When Is Involuntary Hospitalization Necessary for Mental Health Issues?
What level of severity necessitates mandatory hospitalization? I have been experiencing poor mental health lately and have been diagnosed with autism and schizophrenia. In recent weeks, I have been struggling with insomnia, anxiety, irritability, and increasingly intense feelings...
Dr. Huang Zhijia reply Psychiatry
Hello: A mandatory hospitalization under the Mental Health Act requires evaluation by two specialized psychiatrists before it can be implemented.[Read More] When Is Involuntary Hospitalization Necessary for Mental Health Issues?
Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
What is this considered? Hello, Doctor! This is my first time using this website, and I'm not quite sure which specialty to consult for my issues. I apologize if I haven't expressed myself clearly. I find it challenging to describe the problems I'm experiencing bec...
Dr. Huang Zhijia reply Psychiatry
Hello, the diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. Please seek medical attention.[Read More] Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
Understanding Sexual Orientation: Insights on Attraction and Identity
Sexual orientation issues? I am a gay man who has liked other men and also has a desire to be a woman. I feel no romantic attraction towards the women around me; they are just friends. I have no interest in women's faces and feel somewhat fearful of women's private part...
Dr. Huang Zhijia reply Psychiatry
Hello: There is no correlation; everything is normal, and there is no need to feel ashamed about it.[Read More] Understanding Sexual Orientation: Insights on Attraction and Identity
Understanding OCD: Do Intrusive Thoughts Affect Others?
Obsessive-Compulsive Disorder (OCD) issues? I understand that obsessive-compulsive disorder (OCD) can lead to distressing thoughts, including fears of negative events happening to yourself or others. It's important to know that these intrusive thoughts are a common symptom o...
Dr. Huang Zhijia reply Psychiatry
Hello: Even if you know it's not real, or others have answered or confirmed it multiple times, intrusive thoughts can still be difficult to control. It is advisable to seek treatment.[Read More] Understanding OCD: Do Intrusive Thoughts Affect Others?
Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...
Dr. Huang Zhijia reply Psychiatry
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Managing Anxiety Medications: Tips for Panic Disorder Relief
Anxiolytic medication consultation, medication issues, panic disorder? I would like to ask the doctor, I have been prescribed medication for panic disorder and have been taking it for six months. After achieving stability, the doctor advised me to practice tapering off the medica...
Dr. Huang Zhijia reply Psychiatry
Hello: Each patient is unique, and there is no formula or SOP that can be applied to every patient. The physician who examines the patient in person is the one who understands the patient's condition best and can make the appropriate management decisions. It is recommended t...[Read More] Managing Anxiety Medications: Tips for Panic Disorder Relief
Can Autonomic Nervous System Disorders Cause Painful Urination?
Autonomic nervous system dysfunction can affect urinary pain? Hello, doctor! I would like to inquire about my experiences with urethritis or cystitis. I have autonomic nervous system dysfunction, and a few months ago, I started experiencing slight pain while urinating. I have und...
Dr. Huang Zhijia reply Psychiatry
Hello: Autonomic nervous system disorders rarely manifest as painful urination; it is recommended to seek medical evaluation.[Read More] Can Autonomic Nervous System Disorders Cause Painful Urination?
Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Switching from Lurasidone 40 mg to Risperidone 1 mg, what are the related side effects? The patient started medication for schizophrenia on July 22, taking Lurasidone 40 mg for nearly a year. They sleep approximately 9 hours a day but often feel fatigued and lack interest in acti...
Dr. Huang Zhijia reply Psychiatry
Hello: If you are not the physician who issued this prescription, please consult the prescribing physician.[Read More] Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Overcoming Severe Anxiety: Strategies for Public Speaking Success
Severe anxiety Hello, Doctor! I've been struggling with anxiety for a long time. Whenever I have to give a presentation or speak in public, I start feeling anxious weeks in advance. In the nights leading up to the event, I often can't sleep. Even though I've practi...
Dr. Huang Zhijia reply Psychiatry
Hello: The more you care, the more anxious you become; the more anxious you are, the worse the situation gets, leading to a vicious cycle of increased concern. Practicing not to care is easier said than done; it is advisable to engage in other interesting activities to distract y...[Read More] Overcoming Severe Anxiety: Strategies for Public Speaking Success
Understanding Panic Disorder: Symptoms and Management Tips
Hello, doctor. I would like to inquire about anxiety and panic? Hello Doctor, I used to experience sudden palpitations and uncontrollable anxiety, similar to panic disorder, especially when I went out. However, I feel much better now. I only feel anxious when eating out or on the...
Dr. Huang Zhijia reply Psychiatry
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint. It is recommended to consult a psychiatrist.[Read More] Understanding Panic Disorder: Symptoms and Management Tips
Struggling with Schizophrenia: A Journey of Isolation and Hope
Not wanting to make an effort? Hello, doctor. I am a patient in psychiatry with a diagnosis of schizophrenia and have been regularly attending follow-up appointments and taking medication. To keep it brief, I will summarize my situation. When I was younger, I can't recall my...
Dr. Huang Zhijia reply Psychiatry
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint. It is recommended to seek consultation with a psychiatrist.[Read More] Struggling with Schizophrenia: A Journey of Isolation and Hope
Understanding Recent Anxiety in Crowded Places: A Student's Experience
Recently, I've been feeling quite uncomfortable when walking in crowded places? Hello Doctor, I am a university student. Until last week, I never felt uncomfortable walking into crowds, but starting last week, I began to feel quite uneasy in crowded places, experiencing slig...
Dr. Huang Zhijia reply Psychiatry
Hello: The diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. It is recommended to consult a psychiatrist.[Read More] Understanding Recent Anxiety in Crowded Places: A Student's Experience
Understanding Your PET Scan Results After Lymphoma Chemotherapy
Positron Emission Tomography (PET) Hello, I am a lymphatic cancer patient who underwent six cycles of chemotherapy followed by a PET scan. Could you please help me explain the results? THANKS **FDG PET/CT [Interpretation]** 1. There are fibrotic changes and ground-glass opacitie...
Dr. Zhuang Zhijian reply Nuclear Medicine
Hello, thank you for your question! Based on the information you provided, the report's inference indicates that there were no clear findings of malignancies that would uptake a significant amount of fluorodeoxyglucose during this examination. Positron emission tomography (P...[Read More] Understanding Your PET Scan Results After Lymphoma Chemotherapy
Overcoming Trauma: Coping with Persistent Anxiety After an Injury
Trauma Syndrome Hello doctor, last year while working, I accidentally got hit on the head by a falling iron pipe. Since then, I often have flashbacks of that incident and frequently worry whether my skull is fractured or if there are any issues inside my brain. This has been ongo...
Dr. Huang Zhijia reply Psychiatry
Hello: If the neurology department has confirmed that there are no issues of any size, and as stated, it is recommended to visit the psychiatry department for the next step in assessment and subsequent treatment. Dr. Huang Chih-Chia[Read More] Overcoming Trauma: Coping with Persistent Anxiety After an Injury
Overcoming the Fear of Vomiting Sounds: A Mental Health Perspective
I am very afraid of the sound of vomiting? Hello, doctor. When I was a child, I was quite afraid of the sound of vomiting. There was an incident when my dad was vomiting, and I cried uncontrollably. Even now, when a friend says something like, "I think I'm going to thro...
Dr. Huang Zhijia reply Psychiatry
Hello: Everyone has their own specific fears, such as common ones like cockroaches, snakes, spiders, confined spaces, or heights. If these fears do not severely impact daily life, cognitive behavioral therapy (CBT) can be utilized. The method currently being used by this individu...[Read More] Overcoming the Fear of Vomiting Sounds: A Mental Health Perspective
Can PET Scans Replace Inflammation Imaging for Infection Assessment?
Can positron emission tomography (PET) replace inflammatory scans? Hello Dr. Chuang, Recently, a family member was hospitalized due to a bacterial infection. Follow-up tests did not reveal any bacteria, and the inflammatory markers have returned to normal levels. However, the fa...
Dr. Zhuang Zhijian reply Nuclear Medicine
1. The commonly used radiopharmaceutical for positron emission tomography (PET) is F-18 FDG, which is frequently utilized for detecting tumors in cancer patients. Additionally, PET can identify metabolically active inflammatory lesions and assess whether tissues or organs are inf...[Read More] Can PET Scans Replace Inflammation Imaging for Infection Assessment?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...
Dr. Huang Zhijia reply Psychiatry
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Understanding PET Scan Results: What Do Bright Spots Mean for Your Health?
Positron Emission Tomography (PET) Report Issues Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes more pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation in the...
Dr. Zhuang Zhijian reply Nuclear Medicine
Thank you for your questions. Here are the explanations: Q1. I would like to ask the doctor if the bright spots in positron emission tomography (PET) indicate the presence of unhealthy cells that absorb the injected substances and appear brighter? A: Positron emission tomograp...[Read More] Understanding PET Scan Results: What Do Bright Spots Mean for Your Health?
Understanding PET Scan Results: Navigating Uncertainty in Throat Symptoms
Positron Emission Tomography (PET) Report Issues Hello Doctor, I have a question that I would like to ask. I feel very helpless and do not know how to deal with the persistent sensation of pain and foreign body feeling in my throat. I have undergone the following examinations: in...
Dr. Zhuang Zhijian reply Nuclear Medicine
If a biopsy is performed and tissue samples are obtained, staining the tissue and conducting histopathological examination under a microscope can assist in diagnosis and serve as a basis for further treatment. It is recommended to discuss this with an otolaryngologist.[Read More] Understanding PET Scan Results: Navigating Uncertainty in Throat Symptoms