Understanding the Fear of Good Fortune: Is It Anxiety or Something More?
There is no such thing as a free lunch? Hello, doctor. I am 21 years old, and I don't know when it started, but I occasionally experience a feeling where, whenever something lucky or happy happens in my daily life—such as winning a good item in an online game lottery, winnin...
Dr. Liang Sunyuan reply Psychiatry
Hello: Many people may experience excessive worry at times. It is advisable to accept that occasional unnecessary concerns are normal, and then shift your focus to other more important aspects of daily life, concentrating on living in the present moment. Wishing you well.[Read More] Understanding the Fear of Good Fortune: Is It Anxiety or Something More?
Addressing Anxiety: Concerns About Shared Living Spaces and Hygiene
Recent issues that have arisen? Hello Doctor, Case 1: Recently, I rented a house with some friends, and the refrigerator in the kitchen has been having issues. I called a technician to take a look, but since I was busy, I let him fix it by himself while I wasn't home, and t...
Dr. Liang Sunyuan reply Psychiatry
Hello: It is common for individuals to experience excessive worry at certain stages, and this is often just a temporary phenomenon. It is advisable to first accept the reality of being prone to excessive worry. When excessive worry arises again, try to smile internally and remind...[Read More] Addressing Anxiety: Concerns About Shared Living Spaces and Hygiene
Am I Really Suffering from Anxiety Disorder? Understanding Your Symptoms
Could this be anxiety disorder? Hello Doctor, I am a junior student. I often find myself dwelling on trivial matters for a long time, even spending time online searching for information. This makes it difficult for me to focus on other tasks. Additionally, I have high expectation...
Dr. Liang Sunyuan reply Psychiatry
Hello, anxiety can be a personality trait, a disorder, or a state, but these require a period of observation and follow-up. Regardless of the situation, appropriate intervention can lead to improvement. It is recommended that you collaborate with your outpatient physician and dis...[Read More] Am I Really Suffering from Anxiety Disorder? Understanding Your Symptoms
Will Escitalopram's Drowsiness Side Effect Fade Over Time?
Regarding escitalopram, it may cause drowsiness? Hello, doctor. I previously asked you about anxiety disorder, and I forgot to ask one more question. I am currently taking this medication once a day in the morning, and I always feel very sleepy after taking it, which somewhat aff...
Dr. Liang Sunyuan reply Psychiatry
Hello, the side effects of this type of medication usually diminish as the body gradually adapts. However, if the same issues persist after some time, you might consider taking it before bedtime, as this often reduces the feeling of drowsiness. You can also discuss this in person...[Read More] Will Escitalopram's Drowsiness Side Effect Fade Over Time?
Escitalopram and Delayed Ejaculation: Concerns and Alternatives
Taking escitalopram 10 mg (an SSRI) can lead to delayed ejaculation? Hello, doctor. A few days ago, I visited a psychiatrist, and the doctor prescribed me medication for anxiety (which I inquired about in the previous two posts). During this period, I have been experiencing diffi...
Dr. Liang Sunyuan reply Psychiatry
Hello: Discontinuing this medication after a few days should not cause any discomfort; however, the original anxiety may still persist. It is recommended to schedule an earlier follow-up appointment to discuss this with your outpatient physician.[Read More] Escitalopram and Delayed Ejaculation: Concerns and Alternatives
Navigating Life with Paranoid Schizophrenia: Seeking Guidance and Support
Please provide a specific topic or question for me to give you an opinion on I have been diagnosed with paranoid schizophrenia. The advantage is that I can function normally and do not need to be hospitalized. However, I do not know how to face the people around me, nor do I know...
Dr. Liang Sunyuan reply Psychiatry
Hello: It is recommended to follow your own expertise and interests, learning and growing every day. As for interpersonal relationships and lifelong commitments, they cannot be forced; it is advised to go with the flow and find contentment in what comes your way. You may also dis...[Read More] Navigating Life with Paranoid Schizophrenia: Seeking Guidance and Support
Understanding the Impact of Parental Pressure on Mental Health
I am under a lot of stress? I'm in a single-parent household with my dad, and for almost a week, she has been yelling at me for 3 to 4 days. She keeps saying that she is just talking and not scolding me. I now feel like the world has turned black and white. I still remember ...
Dr. Liang Sunyuan reply Psychiatry
Hello, Huahua: During adolescence, interactions with parents are often both conflicting and contradictory. This period is characterized by impulsivity, so it's advisable to take some time to calm down when feeling emotional and gradually find ways to adjust. The desire to ha...[Read More] Understanding the Impact of Parental Pressure on Mental Health
Understanding the Delayed Effects of Fluoxetine: A Patient's Perspective
Medication consultation I am taking fluoxetine, and I have been on it for five days. Although I know that the medication needs to be taken for more than two weeks to take effect, I still find myself thinking, "I've already taken the medication, so why am I still having ...
Dr. Liang Sunyuan reply Psychiatry
Hello: Treating depression requires a lot of patience. When feeling impulsive or restless, it is advisable to redirect your attention to other activities (such as exercising, listening to music, walking, creating, or reading). In addition to pharmacotherapy, psychological adjustm...[Read More] Understanding the Delayed Effects of Fluoxetine: A Patient's Perspective
Understanding the Role of Psychiatrists: Questions and Challenges in Mental Health Care
Psychiatrist Why do psychiatrists seem like they're conducting a background check? They keep asking how old you are, how many siblings you have, your home address... they don't stop asking questions. Not speaking means you have auditory hallucinations... When I say the ...
Dr. Liang Sunyuan reply Psychiatry
Hello: During the initial consultation in psychiatry, a detailed medical history inquiry is usually conducted. This is crucial for understanding your condition and determining the causes of your symptoms. The more detailed the questions, the more it indicates the physician's...[Read More] Understanding the Role of Psychiatrists: Questions and Challenges in Mental Health Care
Optimal Timing for Risperidone Liquid to Minimize Side Effects
What is the recommended time to take Risperidone drops? Hello, due to the lack of insight in patients with schizophrenia, the situation seems to be worsening. After seeking help, it was suggested to initially use Risperidone oral solution for the patient. After a week of observat...
Dr. Liang Sunyuan reply Psychiatry
Hello: Everyone's sensitivity to medication varies. With the same use of Risperidone drops, some people may feel sleepy while others may experience insomnia. However, schizophrenia itself can easily lead to insomnia, which may not necessarily be a side effect of the medicati...[Read More] Optimal Timing for Risperidone Liquid to Minimize Side Effects
Am I Experiencing Dissociative Identity Disorder?
Am I experiencing a delusional disorder? Hello, I am unsure if I have a dissociative disorder. Biologically, I am female and identify as bisexual. I feel that I have another persona, which is male. Sometimes I "switch modes," experiencing either my female persona or my ...
Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Mo: It is difficult to determine the condition without an in-person evaluation. If you are feeling confused and troubled by your current situation, it is advisable to seek medical assistance.[Read More] Am I Experiencing Dissociative Identity Disorder?
Am I Gay? Understanding Sexuality at 14
Am I really gay? I am 14 years old. When I was in seventh grade, I had a very good friend. At first, I just wanted to hug her and hold her hand, but when I entered eighth grade, I heard her talking about how she interacts with people in her class, and I started to feel jealous. I...
Dr. Liang Sunyuan reply Psychiatry
Hello: Based on your description, it is still difficult to make a judgment. I recommend maintaining patience, as it may take a few years for things to become clearer. During this period, it is advisable to focus on learning and general friendships, as this will allow for healthie...[Read More] Am I Gay? Understanding Sexuality at 14
Understanding Severe Depression: Medication Side Effects and Treatment Options
Major Depressive Disorder I have severe depression and I would like to ask: First, the doctor at the clinic said that I am feeling nauseous because I am not eating enough, and that I am vomiting the medication, which makes him worried about the effectiveness of the treatment. How...
Dr. Liang Sunyuan reply Psychiatry
Hello: It is recommended that you discuss your questions with the outpatient physician during your next follow-up appointment.[Read More] Understanding Severe Depression: Medication Side Effects and Treatment Options
Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Anxiety and autonomic nervous system dysregulation? Hello, doctor. I previously experienced anxiety during the summer vacation, but it improved later. However, it relapsed during this winter vacation, and I feel very frustrated. The reason for the relapse was due to gastritis, wh...
Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Lan: The medications for anxiety require patience. If the current treatment is effective, it is advisable to maintain stability for a period before discussing the possibility of gradually tapering off the medication with your physician. Getting enough sleep, exercisin...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Understanding the Genetic Risk of Asperger's Syndrome in Future Children
Asperger's syndrome I would like to ask the doctor, what is the likelihood of inheriting this symptom? I am the male partner, and both of our families are generally healthy. My girlfriend's brother has Asperger's syndrome, which is inherited from their mother. My g...
Dr. Liang Sunyuan reply Psychiatry
Hello: Asperger's syndrome is classified as part of the autism spectrum disorders. Currently, the prevalence of autism spectrum disorders is approximately 0.5%, and the likelihood of one sibling having this condition if another sibling has it is about 5%. If you marry and ha...[Read More] Understanding the Genetic Risk of Asperger's Syndrome in Future Children
Understanding Left Upper Abdominal Discomfort: Is It Related to Autonomic Dysfunction?
Autonomic nervous system dysfunction with a sensation of a foreign body in the upper left abdomen, described as a tight or uncomfortable feeling, but not significantly painful? Hello Dr. Liang, I sincerely hope you can help me with this question. About three weeks ago, after I go...
Dr. Liang Sunyuan reply Psychiatry
Hello: If you have already consulted a doctor and they believe there is nothing wrong, it is advised to relax. If the uncomfortable symptoms occur only occasionally and resolve on their own, there should not be any significant issues. If the symptoms are caused by autonomic nervo...[Read More] Understanding Left Upper Abdominal Discomfort: Is It Related to Autonomic Dysfunction?
Understanding Severe Depression: Coping with Overwhelming Emotions
Major Depressive Disorder A few days ago, I was rescued from a drug overdose. Sometimes I feel like life has no meaning, and I am constantly trapped by negative emotions, unable to break free. Even when the people around me say to take it slow, I can't seem to absorb that ad...
Dr. Liang Sunyuan reply Psychiatry
Hello: Depression can make one feel uncomfortable, but with proper treatment and cooperation, it will eventually improve. It is essential to be very patient during the treatment process and not to give up. Remind yourself that the current discomfort is only temporary. By working ...[Read More] Understanding Severe Depression: Coping with Overwhelming Emotions
Unsure About Depression: Should I Seek Help from a Psychiatrist?
I'm not sure if it's depression, and I'm uncertain whether I should visit a clinic? The situation has been ongoing for a long time and is somewhat complicated, making it difficult for me to understand my own circumstances and the key issues. I apologize for the len...
Dr. Liang Sunyuan reply Psychiatry
Hello: Self-harm can indeed become addictive. Feelings of emptiness and pain are part of our emotional experience. It is advisable to first accept these emotions and gradually build resilience against them. Avoid rushing into self-harm; instead, take the time to understand what i...[Read More] Unsure About Depression: Should I Seek Help from a Psychiatrist?
Should I Seek Help from a Psychiatrist for My Mental Health?
Should I seek treatment at a psychiatric hospital? Hello Doctor, I am currently a high school sophomore. Since childhood, I have experienced unexplained feelings of anxiety or stress that lead me to bite my nails and constantly pick at my hands. In middle school, I harmed myself ...
Dr. Liang Sunyuan reply Psychiatry
Hello Nicky, since childhood, you have been biting your nails and picking at your skin, which can be harmful to yourself and is often associated with anxiety and depression. It is recommended to first recognize and accept this part of yourself, and then try to learn new and diffe...[Read More] Should I Seek Help from a Psychiatrist for My Mental Health?
Managing Anxiety and Medication: Insights for Patients with Lumps
Inquiries about emotional and medication issues? Hello Doctor, about a month and a half ago, I noticed a lump under my left neck near the clavicle. Its size hasn't changed significantly, remaining less than one centimeter, and it feels somewhat flat (it seems to fluctuate in...
Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Ke: Since you have already seen three doctors who all believe it is a lymph node issue, you should not worry too much about it. It is advisable to accept that you tend to be anxious and not to focus too much on whether you are touching that lymph node. Remind yourself...[Read More] Managing Anxiety and Medication: Insights for Patients with Lumps