Struggling with Mental Health: Understanding Medication Side Effects and Despair
I really want to give up everything? A few days ago, I was not in a good condition. The doctor administered Haldol, and the next day I began to experience involuntary movements throughout my body. Later, I went to the emergency room and received an antidote, which helped me recov...
Dr. Ke Shengying reply Psychiatry
Dear Dr. Wang Chong-Ren of the Tainan Hospital, Department of Psychiatry, From your letter, I sense that you have a distrustful and unstable view of relationships, and at the same time, you seem uncertain about your inner feelings. It appears that you may need more self-underst...[Read More] Struggling with Mental Health: Understanding Medication Side Effects and Despair
Understanding Side Effects of Antidepressants: Constipation and Urinary Issues
Medications? Doctor: Can efexor and xanax cause constipation and urinary difficulties? What about artane? (This medication is taken to alleviate the involuntary movements caused by haldol.) Previously, when taking the medication (about one to two months ago), there were almost no...
Dr. Ke Shengying reply Psychiatry
Dear Dr. Wang Chong-Ren of the Tainan Hospital, Department of Psychiatry, Artane, like many antidepressants, can cause constipation as a side effect. If you are unable to reduce the dosage, you must take a stool softener, drink plenty of water, and consume a high-fiber diet to ...[Read More] Understanding Side Effects of Antidepressants: Constipation and Urinary Issues
Understanding Tinnitus: Is Stress the Hidden Culprit?
Is it a psychological factor? Recently, I have been experiencing occasional tinnitus due to work-related stress, along with some discomfort. However, while listening to the radio, I heard a medical report stating that those who frequently experience tinnitus should not take it li...
Dr. Ke Shengying reply Psychiatry
Dear wst, I have read your description and understand that you have many concerns regarding tinnitus. Tinnitus can be related not only to ear issues but also to brain conditions or stress. If you are very worried, you may consider visiting the outpatient clinic for a consultatio...[Read More] Understanding Tinnitus: Is Stress the Hidden Culprit?
Overcoming Anxiety: Strategies for Managing Stress in Exams and Work
Easily anxious? I feel that I get very nervous easily, whether it's during exams or at work. For example, during a math test, I often write "+" as "-" and "0" as "2," and I don't realize these mistakes until after the exam when I ...
Dr. Ke Shengying reply Psychiatry
Dear Zhang, Dr. Ke Sheng-Ying from the Psychiatric Department of Tainan Hospital, Ministry of Health and Welfare, respectfully replies: Having a tendency to be easily anxious can often diminish performance in various aspects. If this is causing you significant distress, I rec...[Read More] Overcoming Anxiety: Strategies for Managing Stress in Exams and Work
Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
Could the chest pain radiating to my back and left shoulder blade that has troubled me for many years be caused by autonomic nervous system dysfunction? Hello Doctor: I have been experiencing symptoms such as chest pain, chest tightness, and difficulty breathing for several years...
Dr. Ke Shengying reply Psychiatry
Dear Fu Ge, 1. The term "autonomic nervous system" refers to the "sympathetic nervous system" and the "parasympathetic nervous system," with the vagus nerve being part of the parasympathetic nervous system. The autonomic nervous system innervates th...[Read More] Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
Understanding Anxiety: Coping with Hair Loss and Stress Management
Anxiety? Dr. Ke, I experienced hair loss due to seborrheic dermatitis last November. I then visited a dermatologist, who prescribed topical medications for my treatment. After some time, my dermatitis has been mostly well-controlled. However, I also expressed my concerns about ha...
Dr. Ke Shengying reply Psychiatry
Dear 微積分, I have read your concerns regarding your hair issues, and I am glad to hear that your anxiety has improved significantly. Indeed, stress and anxiety can exacerbate hair loss. If you continue to struggle with anxiety, please feel free to visit our psychiatry outpatient ...[Read More] Understanding Anxiety: Coping with Hair Loss and Stress Management
Navigating Dual Treatment Options in Mental Health Care: A Patient's Dilemma
Treatment window..? Dear Doctor, I apologize for bothering you, but I would like to ask you a few questions. Currently, I have two treatment providers at different hospitals and with different doctors, but I feel that this approach is somewhat chaotic. I would like to consolidat...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, I apologize for the numerous questions you've had. 1. These medications do not cause cognitive decline; however, EriSpan may lead to a calmer mood, which might make you feel like your reactions are slower. I recommend that you continue taking your medication re...[Read More] Navigating Dual Treatment Options in Mental Health Care: A Patient's Dilemma
Am I Real? Understanding Emotional Struggles and Identity in Psychiatry
Is it true or false? Dear Doctor: First of all, thank you for being willing to answer my many questions. Recently, my condition has been very unstable; sometimes I feel perfectly fine all day, and other times I feel terrible. When I'm feeling down, I often question whether I...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, I have read many of your writings during this time, and I feel that you must be a wise girl! Perhaps shifting your focus away from emotions, communication, and feelings of being lost, and looking at the outside world, making friends outside, will help you rise from th...[Read More] Am I Real? Understanding Emotional Struggles and Identity in Psychiatry
Struggling with Focus: A College Student's Mental Health Journey
What should I do? Hello Doctor, First of all, thank you for taking the time to see me. I am currently a junior in college, and I often experience significant academic pressure. My issue is that I frequently struggle to concentrate. This problem first appeared when I was in the ...
Dr. Ke Shengying reply Psychiatry
Dear An, I have read your description, and it seems that your lack of focus has significantly impacted your life, which must be quite distressing. It appears to be a compulsive behavior that may reflect some external pressures or internal conflicts. Based solely on your written ...[Read More] Struggling with Focus: A College Student's Mental Health Journey
Struggling with Suicidal Thoughts: Finding Hope and Help
I'm really sorry to hear that you're feeling this way Doctor: My condition fluctuates greatly. Recently, I've often had thoughts and impulses of self-harm, and sometimes I find myself swaying on the rooftop! I really want to jump! There are always two voices in my ...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, It seems that the recent situation is not very good. As I mentioned before, the recovery process is always full of ups and downs, with many challenges. Sometimes when you feel tired, exhausted, or on the verge of giving up, it might be helpful to discuss with your the...[Read More] Struggling with Suicidal Thoughts: Finding Hope and Help
Can Hypnosis Help Overcome Fear of Cockroaches?
Can hypnosis cure..? Hello Dr. Ke: I have heard that hypnosis can help someone who is afraid of a certain animal or object to no longer feel that fear. Is that true? I am extremely, extremely afraid of cockroaches. A few years ago, I would even be terrified just seeing a small co...
Dr. Ke Shengying reply Psychiatry
Dear Rain, Hypnosis is indeed an effective treatment method in psychiatry. In Taiwan, the number of professional hypnotherapists is quite limited, especially in the southern region. That being said, many people have a fear of cockroaches and may need assistance from others when ...[Read More] Can Hypnosis Help Overcome Fear of Cockroaches?
Effective Strategies to Cope with Panic Disorder Beyond Medication
Panic disorder Hello Doctor: I would like to ask, aside from seeing a doctor and taking medication for panic disorder, what other methods can help me recover quickly? The medication makes my mind feel blank and forgetful, and I am unable to perform well at work. Are there any alt...
Dr. Ke Shengying reply Psychiatry
Dear A-Rong, It seems that you are in a difficult situation. Currently, the treatment for panic disorder primarily relies on medication, supplemented by cognitive behavioral therapy. If you are experiencing uncomfortable side effects from the medication, you should discuss adjus...[Read More] Effective Strategies to Cope with Panic Disorder Beyond Medication
Understanding the Struggles of Depression: Real Feelings vs. Illusions
Issues related to depression? Hello Dr. Ke: I trust this space because of my confidence in physicians. As I mentioned before, I have mostly recovered and my life is quite normal, similar to that of others. However, I often feel that my emotions are not genuine. For example, when ...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, First of all, congratulations on your significant recovery. Being ill is indeed a very difficult experience, and it's something that people outside of it find hard to understand. Being in such a state for a long time can be challenging and lonely, even with great...[Read More] Understanding the Struggles of Depression: Real Feelings vs. Illusions
Building Confidence and Relationships in Challenging Social Situations
How to Build Interpersonal Relationships I'm sorry to hear that you're feeling this way. It's important to talk to someone who can help you, like a counselor or a trusted adult. They can provide support and guidance to help you build confidence and address the issu...
Dr. Ke Shengying reply Psychiatry
Dear Xiao Le, I understand from your description that you are feeling overwhelmed, and it truly saddens me. Navigating interpersonal relationships, balancing self-expression and integration into a group, can be quite challenging. I encourage you to talk to trusted family members...[Read More] Building Confidence and Relationships in Challenging Social Situations
Managing Depression: The Pressure to Heal and the Struggle to Share
Everyone is getting impatient? Doctor: I have been suffering from depression for almost 8 months now, and I’ve realized that the pressure has become overwhelming! Everyone expects me to get better quickly, including myself. I don’t want to disappoint anyone, so I often suppress m...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, I am glad that you trust this space and have raised several questions. Life is unique for everyone; some people are lively and cheerful, while others are sensitive and easily moved, which can also lead to feelings of sadness. Gradually learning to appreciate oneself a...[Read More] Managing Depression: The Pressure to Heal and the Struggle to Share
Understanding Neurological Symptoms: Coping with Anxiety and Stress
Neurological issues? I would like to ask the doctor, my ear near the temple keeps twitching continuously. What could be the reason? Recently, I have been experiencing some difficulties in my relationships, which have affected me significantly. I have tried to resolve these issues...
Dr. Ke Shengying reply Psychiatry
Dear Liu Yuan, I understand from your account that difficulties in your relationships have led you to a low point in your life, making everything seem completely different. Although you are making a strong effort to overcome this, it appears that the results have not been very e...[Read More] Understanding Neurological Symptoms: Coping with Anxiety and Stress
Understanding the Challenges of Depression Treatment and Self-Perception
Treatment issues for depression? I have heard that many patients with depression do not want to get better because they feel they have certain privileges while being depressed. I am afraid I might feel the same way; I have doubts... doubts about whether I truly want to get better...
Dr. Ke Shengying reply Psychiatry
Dear Mimi, There is a saying that "understanding oneself is the beginning of growth." From your description, it seems that although you are on the path to recovery, you still have many questions. This is actually quite normal; during the recovery process from depressio...[Read More] Understanding the Challenges of Depression Treatment and Self-Perception
Can Psychiatry Diagnose Depression? Understanding Your Mental Health
Depression? Can a psychiatrist diagnose depression? I have been feeling down for a long time without any apparent reason, and I feel like I can't see a future for myself. My mood has not improved, and I am unsure if I should seek a psychiatric evaluation.
Dr. Ke Shengying reply Psychiatry
Dear Tzu, Thank you for expressing your concerns here. Being fifteen should be a vibrant and hopeful age, and I can imagine that the feeling of "not being able to see the path to your future" is quite distressing. I encourage you to muster a bit of courage and visit th...[Read More] Can Psychiatry Diagnose Depression? Understanding Your Mental Health
Struggling with Sleep: Tips for Overcoming Night Owl Habits
My sleep condition seems to be very poor? Hello, doctor. Due to my academic commitments, I often stayed up late, and it seems that this has become a habit. Now, I find it difficult to fall asleep at night. The situation has worsened, as my sleep time has gradually shifted later—f...
Dr. Ke Shengying reply Psychiatry
Dear mioz, I understand that poor sleep can be quite distressing. There are many methods to help adjust imbalanced sleep, such as relaxation exercises and meditation. I believe you have tried several approaches. If you are still having difficulty falling asleep, I encourage you ...[Read More] Struggling with Sleep: Tips for Overcoming Night Owl Habits
Understanding Your Fourth Grader's Fear of Strangers: When to Seek Help
A fourth-grade girl is afraid of strangers? I would like to ask, my daughter is currently in the fourth grade. She used to be relatively normal, but in the past year, she has developed a strong fear of unfamiliar doctors. When asked to sit down and speak, she becomes very timid a...
Dr. Ke Shengying reply Psychiatry
Dear Sherry, Thank you for your message. It is clear that you are a caring and observant mother. There are many reasons why a child may be shy. Some children naturally have a more reserved temperament and need some time to adjust before interacting with strangers. Additionally, ...[Read More] Understanding Your Fourth Grader's Fear of Strangers: When to Seek Help