Strategies to Improve Focus and Alleviate Mental Fatigue
Inattention Hello Dr. Lee: I often experience a feeling of tightness and restlessness in my chest while reading books or newspapers. When I try to memorize things or focus hard, I feel a strain in my brain, and my verbal responses are delayed. Is there anything that can help impr...
Dr. Li Junren reply Psychiatry
Fatigue, anxiety, depression, insufficient sleep, or improper use of medication can all contribute to the phenomena you described. It is recommended that you try some simple relaxation techniques, which may help alleviate some of the issues. You can learn advanced relaxation tech...[Read More] Strategies to Improve Focus and Alleviate Mental Fatigue
Struggling with Insomnia: Understanding Sleep Issues and Solutions
I can't sleep at night? I have insomnia every night; it takes me one to two hours to fall asleep after lying down in bed. I'm not sure what the problem is.
Dr. Li Junren reply Psychiatry
There are many potential causes of insomnia, and you may need to pay attention to the following conditions: 1. Consumption of stimulating beverages or foods, such as coffee or tea. 2. Engaging in stimulating activities before bedtime, such as dancing, racing, or other activities ...[Read More] Struggling with Insomnia: Understanding Sleep Issues and Solutions
Struggling with Insomnia: Tips for Better Sleep and Mental Health
Insomnia User question: I have insomnia at night, and it takes me one to two hours to fall asleep every time I lie down in bed. I'm not sure what the problem is.
Dr. Li Junren reply Psychiatry
There are many potential causes of insomnia, and you may need to pay attention to the following conditions: 1. Consumption of stimulating beverages or foods, such as coffee or tea. 2. Engaging in stimulating activities before bedtime, such as dancing, racing, or other activities ...[Read More] Struggling with Insomnia: Tips for Better Sleep and Mental Health
Overcoming Social Anxiety: The Role of NLP in Treatment
NLP Hello, doctor: I believe I have social anxiety disorder, as I feel nervous in certain situations, such as making phone calls to certain people or worrying that the teacher will call on me during class. I have also read some psychology books and learned about NLP. I would like...
Dr. Li Junren reply Psychiatry
N.L.P. (Neuro-Linguistic Programming) is not a recognized or scientifically validated therapeutic method. In fact, legitimate psychotherapy textbooks do not include this type of treatment. You can refer to the book "Doctors Jumping and Patients Screaming," published by ...[Read More] Overcoming Social Anxiety: The Role of NLP in Treatment
Finding Academic Research on Depression and Viagra Side Effects
Please assist in providing relevant academic research papers and websites for finding information. Thank you? I am unable to seek out journals and research papers on "depression" and studies on Viagra and its side effects due to course requirements. Please provide assis...
Dr. Li Junren reply Psychiatry
You can enter "medline" in either the Infoseek or Lycos search engines to find a wealth of medical journal search engines. Then, in the medical journal search engines, type "depressive disorder" and "Viagra" to obtain the information you need.[Read More] Finding Academic Research on Depression and Viagra Side Effects
Is It Depression? Understanding Symptoms Beyond Physical Health
Is it depression?! I previously worked at a steel company, and my life was very stressful! A few years ago, I left that company and opened my own store. However, after starting my business at home, I have been experiencing various minor health issues, although several health chec...
Dr. Li Junren reply Psychiatry
Your issue seems to stem from chronic stress and tension in both your mind and body, which has accumulated over time. There is a higher likelihood of anxiety disorder. It is difficult to assess the possibility of depression due to insufficient information. I recommend that you co...[Read More] Is It Depression? Understanding Symptoms Beyond Physical Health
Understanding Sleep Paralysis: When You're Awake but Can't Move
Conscious but unable to move? Hello Dr. Lee: I have been struggling with the inability to move my body after waking up for a long time. Although I am fully aware, I cannot move even a single finger. Usually, this happens while my eyes are open, and I can see my surroundings. Ther...
Dr. Li Junren reply Psychiatry
Human sleep can be divided into two distinct phases: Rapid Eye Movement (REM) sleep and Non-Rapid Eye Movement (NREM) sleep. These two sleep phases alternate throughout the sleep cycle, approximately every ninety minutes. During REM sleep, the muscles are effectively paralyzed, s...[Read More] Understanding Sleep Paralysis: When You're Awake but Can't Move
Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
Am I suffering from panic disorder? I used to work continuously, but about two years ago, due to work-related exhaustion, I stayed home to rest and take care of my child. For a while, I suddenly experienced palpitations, shortness of breath, stomach pain, and even numbness in my ...
Dr. Li Junren reply Psychiatry
Your situation exhibits typical symptoms of panic disorder. Panic disorder is a type of anxiety disorder, distinct from depression, though these two conditions often co-occur. The medication you are currently using is a good combination (Prozac + Xanax + Inderal), but there may b...[Read More] Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
Navigating Emotional Turmoil After Miscarriage: A Patient's Dilemma
Distress This year, I experienced my second miscarriage, and the psychological stress has been immense. Fortunately, I encountered a caring physician who performed both surgeries. Each time, he kindly encouraged and comforted me. I have been seeing this doctor since I was very yo...
Dr. Li Junren reply Psychiatry
Your issue is not about being "ill," but rather a phenomenon known as "transference" that can occur in the medical relationship. At your most anxious moments, when you need warmth and understanding the most, the timely care provided by this physician allows yo...[Read More] Navigating Emotional Turmoil After Miscarriage: A Patient's Dilemma
Is Uncontrollable Eating a Mental Health Disorder? Understanding the Signs
Is the inability to control eating a disorder? Doctor, about two years ago I sought medical help due to my eating habits (I would fast for a while to lose weight, then binge eat until I vomited when I felt depressed. Whenever I was in a bad mood, I would eat continuously, and the...
Dr. Li Junren reply Psychiatry
Treatment for eating disorders often requires a combination of medication (Zoloft is a good option) and psychotherapy to achieve a more comprehensive effect. It is recommended that you continue with medication treatment, along with psychological counseling (which may include psyc...[Read More] Is Uncontrollable Eating a Mental Health Disorder? Understanding the Signs
Am I Experiencing Depression? Understanding My Symptoms and Next Steps
Could you please tell me if my symptoms are indicative of depression? How should I address this? Hello, Doctor: My situation is as follows: In mid-September, I had a miscarriage and delivered a baby who had died due to insufficient amniotic fluid. My husband has been unfaithful m...
Dr. Li Junren reply Psychiatry
Your condition is a depressive state triggered by adjustment disorder due to stress. The accumulated issues have not been addressed or resolved, and your usual stress relief methods (such as emotional outbursts and excessive shopping) are inadequate for the current predicament. I...[Read More] Am I Experiencing Depression? Understanding My Symptoms and Next Steps
Choosing Anxiety Medications with Liver Function Concerns
What are anxiolytics? Hello, doctor: I have abnormal liver function, but I need to take anxiolytics. What type of medication should I choose that would have less impact on liver function? Thank you for your response!
Dr. Li Junren reply Psychiatry
When liver function is abnormal, the more suitable anxiolytic is Ativan (lorazepam), and the dosage should be adjusted based on the severity of anxiety symptoms and the current state of liver function.[Read More] Choosing Anxiety Medications with Liver Function Concerns
Understanding Binge Eating: Signs, Symptoms, and Coping Strategies
Binge Eating Disorder (BED) I usually have a small appetite and do not have a habit of snacking. However, when I feel down, I can continuously eat full meals, snacks, and additional treats throughout the day. This has been happening for about six months. Am I suffering from binge...
Dr. Li Junren reply Psychiatry
To determine whether your condition is binge eating disorder, more detailed information is needed. It is quite certain that snacking seems to be your primary method of coping with stress. "What can I do when I'm feeling down or stressed?" You can try to answer this...[Read More] Understanding Binge Eating: Signs, Symptoms, and Coping Strategies
Understanding Excessive Daytime Sleepiness: Seeking Help and Solutions
Is it narcolepsy? Hello, Doctor. This is my first letter to you. Due to my increasingly severe hypersomnia, I am writing to seek your advice. I am 23 years old and currently work as an administrative assistant in the computer industry. However, irregular overtime has disrupted my...
Dr. Li Junren reply Psychiatry
Hello, I apologize for the late response. To determine whether your condition may be narcolepsy, further information is needed. Here are a few points for your consideration: 1. During consecutive holidays, do you tend to go to bed very late and wake up late? If so, your issue m...[Read More] Understanding Excessive Daytime Sleepiness: Seeking Help and Solutions
Overthinking and Insomnia: Coping with Mental Exhaustion in Busy Lives
Intrusive thoughts, recurrent nightmares, and insomnia? During the day, I work as an accountant, and in the evenings, I work part-time as a registration assistant at a clinic. This busy lifestyle is exhausting. The fatigue I experience is primarily psychological. I often suffer f...
Dr. Li Junren reply Psychiatry
I apologize for the delayed response due to issues with the hospital's email system. Working late or engaging in other stimulating activities can keep the central nervous system in an excited state, often leading to overthinking or difficulty falling asleep. Forcing yourself...[Read More] Overthinking and Insomnia: Coping with Mental Exhaustion in Busy Lives
Understanding the Effects of Xanax and Inderal in Depression Treatment
Drug names and their effects? I began treatment because I felt hopeless in life. The doctor diagnosed me with depression and prescribed a medication called Xanax 0.5 mg to be taken after each meal. I am unsure of its effects. Additionally, I was prescribed Inderal 10 mg to be tak...
Dr. Li Junren reply Psychiatry
Xanax is an anxiolytic that also has some mood-enhancing effects. Inderal can also be used for anxiety, palpitations, and mood stabilization.[Read More] Understanding the Effects of Xanax and Inderal in Depression Treatment
Navigating Relationship Conflicts: Understanding Your Partner's Behavior
I'm sorry, but I need more specific information or Hello, I feel that there has been a lot of conflict between my boyfriend and me lately. My temper has become irritable after discovering his unusual behavior, and I find it hard to concentrate in class. In mid-April, my boyf...
Dr. Li Junren reply Psychiatry
You seem to suspect that your boyfriend has a cross-dressing fetish, but it's only a suspicion at this point; he may or may not have it. Everything will depend on genuine communication to find out the real answer. Do not treat communication as a means to "expose" h...[Read More] Navigating Relationship Conflicts: Understanding Your Partner's Behavior