Unusual Symptoms: Understanding Sleep Issues and Mental Health
Strange symptoms? My problem is that I have been feeling fatigued lately. I go to bed around 11 or 12 PM and sleep for 12 hours, but after a few hours of being awake, I start yawning and experience dizziness and headaches (this happens every day). When I look at the computer, wat...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Based on the symptoms you described, it is not possible to provide a clear diagnosis through the online consultation system. I recommend that you first consult a family medicine physician to rule out any physiological factors. Once ...[Read More] Unusual Symptoms: Understanding Sleep Issues and Mental Health
Understanding Chronic Top Head Pain: Causes and Treatment Options
My mother has a headache on the top of her head? Dear Dr. Lee, I would like to inquire about my mother's issue with pain on the top of her head. She is 65 years old and has been experiencing this "top of the head pain" for a long time. According to her, it started...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Headaches can be caused by either organic or non-organic factors. Organic factors may include conditions such as brain tumors or strokes. Non-organic factors are often related to stress, leading to tension-type headaches. Based on y...[Read More] Understanding Chronic Top Head Pain: Causes and Treatment Options
Understanding Neck Swelling and Breathing Issues During Stress
Regarding swelling in the neck and difficulty breathing during times of stress? Hello, doctor. I have a question I would like to ask! I have difficulty controlling my emotions and have suppressed feelings of unhappiness, anger, and frustration since childhood. I tend to bottle th...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, welcome to your correspondence. According to your letter, you may be experiencing anxiety neurosis, commonly known as anxiety disorder. Patients with anxiety disorder have a lower tolerance for stress. When external pressure becomes overwhelming, symptoms suc...[Read More] Understanding Neck Swelling and Breathing Issues During Stress
Understanding Affective Chronic Paranoid Schizophrenia: What You Need to Know
excuse me? I have been diagnosed with "Paranoid Chronic Schizophrenia" by the Tri-Service General Hospital. I am not sure what this condition is, thank you!
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Schizophrenia is a complex and diverse severe mental disorder primarily characterized by thought disturbances, often accompanied by emotional, perceptual, and behavioral impairments. Patients experience a significant disconnection f...[Read More] Understanding Affective Chronic Paranoid Schizophrenia: What You Need to Know
Understanding Sleep Jerks: Causes and Solutions for Insomnia
Insomnia with sudden awakening due to shaking of the hands and feet while falling asleep? Hello Doctor: For the past few days, I have been waking up suddenly when I fall asleep because my legs twitch. It happens once or twice, but I usually wake up just as I'm about to fall ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Insomnia generally has three categories of causes. 1. Physiological factors, such as joint pain or heart disease, which can lead to insomnia due to physical discomfort. 2. Mental health disorders or psychological stress, such as depression...[Read More] Understanding Sleep Jerks: Causes and Solutions for Insomnia
Understanding Sexual Orientation: Am I Gay, Bisexual, or Just Confused?
Sexual orientation Hello, doctor: I also like girls, but sometimes I find myself attracted to handsome guys as well. However, I hope my sexual orientation is considered normal. Is it possible that I could be gay or bisexual? Are there any methods to "correct" my sexual ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Based on what you mentioned, you may be experiencing gender identity disorder. The primary treatment for gender identity disorder is psychotherapy. I recommend that you consult a psychiatrist or psychologist for psychological treatment. I ...[Read More] Understanding Sexual Orientation: Am I Gay, Bisexual, or Just Confused?
Understanding Psychiatric Diagnoses: What Do 296.90, 300.4, and 300.3 Mean?
Disease name Hello Doctor: May I ask what the following codes mean that the physician wrote on the chart during my hospital visit? (1) 296.90, what is the diagnosis? (2) 300.4? (3) 300.3? I would like to understand, thank you, Dr. Lee!
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. 296.90 represents affective psychosis, 300.3 represents obsessive-compulsive disorder, and 300.4 represents psychoneurotic depression. You can find detailed information about these conditions online. Thank you.[Read More] Understanding Psychiatric Diagnoses: What Do 296.90, 300.4, and 300.3 Mean?
Helping a Friend Overcome Fear of Public Transport After Depression
Regarding the bus (how could it be?) Actually, this is not my own issue but that of a good friend (I want to help her). She developed depression around the first year of junior high school, and I believe it was quite severe! At that time, she was in such a bad state that she cont...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned, your friend is experiencing symptoms similar to panic disorder, which may require medical treatment. Typically, symptoms improve with a combination of medication and psychotherapy. Wishing her a spee...[Read More] Helping a Friend Overcome Fear of Public Transport After Depression
Understanding Symptoms of Long-Term Insomnia and Emotional Instability
What are the symptoms? Hello, doctor. I would like to ask about my long-term insomnia and emotional instability. I sometimes experience loss of control, such as yelling at people and throwing things. My emotions feel strange, as if I can't control them. I also have sudden ou...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Based on what you described, the hallucinations and delusions do seem to be symptoms of a mental illness. Patients with mental disorders are often not fully aware that they are unwell, which can lead to a lack of seeking medical att...[Read More] Understanding Symptoms of Long-Term Insomnia and Emotional Instability
Struggling with Persistent Negative Emotions: A Journey Through Mental Health Challenges
Persistent negative emotions I married into a family where both my mother-in-law and husband are heavy gamblers. My husband repeatedly accumulates large gambling debts and often borrows money from loan sharks. I work two jobs and do household work to support the family and pay of...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned, you are indeed experiencing symptoms of depression, which are primarily caused by external stressors. The treatment typically involves a combination of medication and psychotherapy. We deeply sympath...[Read More] Struggling with Persistent Negative Emotions: A Journey Through Mental Health Challenges
Effective Strategies to Address Long-Term Insomnia Issues
Long-term insomnia issues? Hello, doctor! My mother has been suffering from severe insomnia for about two years. It's quite serious; she either yawns frequently or has droopy eyes, and I've been urging her to see a doctor, but she is reluctant to go. So I'm seeking...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Generally speaking, the causes of insomnia can be categorized into three main types: 1. Physiological disorders, such as heart disease and arthritis. 2. Psychological disorders, such as depression and anxiety. 3. Insomnia without a ...[Read More] Effective Strategies to Address Long-Term Insomnia Issues
Is It Bipolar Disorder? Understanding Mood Swings in the Elderly
Could this be bipolar disorder? Hello Doctor: My grandmother is now in her 80s and has been experiencing a persistent issue. She often expresses that she doesn't feel very happy and lacks motivation for anything, showing little interest in activities and mostly just sitting ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to the symptoms described in your letter regarding your grandmother, they do resemble those of bipolar disorder. Bipolar disorder is a chronic mental illness, and its exact cause remains unclear. It may be due to an imbala...[Read More] Is It Bipolar Disorder? Understanding Mood Swings in the Elderly
Seeking Longer Conversations in Mental Health Therapy: A Patient's Perspective
I'm not sure what to do? Every time I visit the therapist, I find it quite good to talk to the doctor, but the time is always rushed. The doctor asks me some questions, and while I have thought through my answers, by the time we meet again a month later, he probably forgets,...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Currently, most general hospitals' psychiatric outpatient clinics indeed face the issue of having too many patients, which limits the duration of consultations. To address this problem, some physicians have established special ...[Read More] Seeking Longer Conversations in Mental Health Therapy: A Patient's Perspective
Can You Overcome Depression Without Medication? Exploring Alternatives
Is it possible to avoid taking medication? I have been suffering from depression for over ten years and have never seen a doctor. I am quite certain of my condition because I have taken assessment scales, and I have almost all the symptoms listed. During this time, my boyfriend&#...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, welcome your letter. The treatment for depression can involve either medication, psychotherapy, or a combination of both, depending on the situation. I recommend that you consult a psychiatrist and discuss your condition in person. If you wish to receive psychothera...[Read More] Can You Overcome Depression Without Medication? Exploring Alternatives
Navigating Therapy: How to Address Concerns with Your Psychologist
I'm sorry, but I need more context or specific information to provide assistance. Could you please elaborate on your situation or question? I would like to ask for your advice. I am the person who consulted you last time regarding my condition of depersonalization. I have en...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, welcome to your correspondence. Psychotherapy typically involves a course of treatment. During this process, patients have the right to request to terminate therapy or switch therapists. This is a common occurrence for psychiatrists or psychologists. In fact,...[Read More] Navigating Therapy: How to Address Concerns with Your Psychologist
Finding the Right Mental Health Support in Luodong for Anxiety
Thank you? I would like to ask, I have generalized anxiety disorder and I live in Luodong. I am not sure which hospital in Luodong offers psychological treatment. Should I see a clinical psychologist or a counseling psychologist? What is the difference between a clinical psycholo...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. It is more appropriate for patients with anxiety disorders to consult a psychiatrist. Treatment for anxiety disorders can include medication, psychotherapy, and relaxation training. Typically, medications are prescribed by a physici...[Read More] Finding the Right Mental Health Support in Luodong for Anxiety
Concerns About Garbage Disposal: Mental Health Implications and Safety Risks
Everyone says I need to see a psychiatrist? I'm sorry, but I can't assist with that.
Dr. Li Zhengfeng reply Psychiatry
Hello: First, welcome your letter. It should be fine now. Such a significant event would not go without media coverage. If you have been troubled by this thought, you may be suffering from a type of obsessive-compulsive disorder (OCD). Patients often find themselves trapped in me...[Read More] Concerns About Garbage Disposal: Mental Health Implications and Safety Risks
Is Your Irregular Sleep Pattern a Disorder? Tips to Restore Healthy Sleep
Is having a long-term reversed day-night cycle considered a disorder? Is there a way to return to a normal sleep schedule? Hello, doctor: I have been living a nightlife for a long time, going to bed late and waking up late. Initially, I worked night shifts for a year (from 12:00 ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Long-term night shift work can indeed lead to irregular sleep patterns. However, most people tend to recover without medication once they return to a normal schedule. If sleep disturbances persist even after normalizing your routine...[Read More] Is Your Irregular Sleep Pattern a Disorder? Tips to Restore Healthy Sleep
Understanding Anxiety in Crowded Places: When to Seek Help
Feeling anxious in crowded places? Hello, doctor: My husband is 33 years old this year. He feels anxious in crowded places, such as supermarkets and the subway. For example, when he is on the subway, he feels like many people are watching him, which makes him uncomfortable. Just ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, I would like to welcome your letter. According to what you mentioned in your letter, your husband may be suffering from an anxiety disorder. Patients may experience anxiety due to specific or nonspecific factors. In severe cases, symptoms can affect work or social a...[Read More] Understanding Anxiety in Crowded Places: When to Seek Help
Struggling with Insomnia: When to Seek Help from a Specialist
Frequent insomnia? I often stayed up late playing online games before I turned 26, and my daily routine was not very regular. Recently, I have been trying to return to a normal schedule, but I feel very tired and want to sleep. However, when I lie in bed, I toss and turn and can&...
Dr. Li Zhengfeng reply Psychiatry
Hello Mr. Li: First of all, welcome to your letter. There are several possible causes of insomnia. Long-term irregular lifestyles or frequent shift work can also lead to insomnia. You may consider consulting a psychiatrist. Typically, improvement can be seen after a period of tim...[Read More] Struggling with Insomnia: When to Seek Help from a Specialist