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Understanding Attention Issues: Overcoming Exam Anxiety and Focus Challenges

Cognitive speed, attention? I currently have generalized anxiety disorder, and both my counselor and previous psychiatrist suspect that I may have attention deficit issues. I would like to inquire about the problem of never being able to finish exams. Despite being well-prepared ...


Dr. Liao Dinglie reply Psychiatry
Hello, internet user: From your description, you are concerned that you may have Attention Deficit Hyperactivity Disorder (ADHD). You feel that your attention is not focused, and you often find yourself unable to complete exams. Even though you understand subjects like mathematic...

[Read More] Understanding Attention Issues: Overcoming Exam Anxiety and Focus Challenges


Understanding Social Perceptions: Insights for Mental Health Challenges

What is the situation? I am tall and have a decent appearance, but those who interact with me often find my conversations boring. I tend to discuss reasoning, life philosophy, and news reports. When I was a student, I frequently asked about these topics, and my classmates thought...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: Have you felt that your conversations don't attract others? I'm not sure if you're interested in social interactions. Engaging in social activities is actually a great thing; we can gain new knowledge, enjoy life, find companionship, and provi...

[Read More] Understanding Social Perceptions: Insights for Mental Health Challenges


Should You Continue Medication for OCD After Symptoms Improve?

Should I continue taking medication for obsessive-compulsive disorder (OCD)? Dr. Liao: I have been on medication for about 2 months, and my obsessive-compulsive symptoms have mostly disappeared. Currently, this medication seems to be the most ideal for me (not considering switchi...


Dr. Liao Dinglie reply Psychiatry
Hello, user: It is truly reassuring that the current medications can be helpful! As for your desire for an improved condition, including alleviating some unusual sensations, it may be beneficial to discuss with your physician how to achieve the best balance with your medications....

[Read More] Should You Continue Medication for OCD After Symptoms Improve?


Managing Mood Disorders and Medication Concerns in Psychiatry

Emotional adjustment and medication issues? Dear Dr. Liao, First of all, I want to express my heartfelt gratitude for your thoughtful responses to my previous inquiries; I truly appreciate it! Regarding my condition: Obsessive-Compulsive Disorder (OCD) / Depression. I have a fe...


Dr. Liao Dinglie reply Psychiatry
Hello, dear netizen: When your classmates are moving ahead, you feel a lot of pressure and negative emotions about not being able to keep up with them and facing health issues. I can sense the conflicting feelings in your words: Should you take Anliflu? Should you undergo medicat...

[Read More] Managing Mood Disorders and Medication Concerns in Psychiatry


Managing Health Anxiety: Coping Strategies After Trauma

Hypochondriacal thinking Hello, doctor. Since giving birth, I have been experiencing excessive worry about my health, often repeatedly checking moles on my body or looking for blood vessels in my eyes. After receiving counseling, I have gradually started to cope with it, and my c...


Dr. Liao Dinglie reply Psychiatry
Hello, dear reader: From your letter, it's clear that you've been extremely busy lately. The emotional stress you originally felt may be exacerbated by caring for your family. The so-called "health anxiety" is classified in psychiatry as a stress/anxiety syndr...

[Read More] Managing Health Anxiety: Coping Strategies After Trauma


Seeking Guidance on Medication Effects for OCD and Anxiety

I need advice! Hello Dr. Liao, I apologize for the lengthy message. Here is my situation: I have obsessive-compulsive disorder (OCD) and I am taking Wellbutrin (bupropion) once a day for my depression. I have been on the medication for about a month. Recently, as I prepare for e...


Dr. Liao Dinglie reply Psychiatry
Hello, user: You mentioned that you have obsessive-compulsive disorder (OCD) and are currently taking the medication Ubiquinone, along with possibly other medications. You are fully focused on preparing for your exams and are unsure whether to prioritize "academic performanc...

[Read More] Seeking Guidance on Medication Effects for OCD and Anxiety


Understanding Solitary Self-Talk: Navigating Life with This Habit

The habit of talking to oneself? I have been like this since I was young, often talking and laughing to myself, finding joy in my own company. However, because of this, I don't have many friends. Others see me as a bit eccentric. Although that's not how I perceive mysel...


Dr. Liao Dinglie reply Psychiatry
Hello, netizen: You may notice that your own enjoyment might not be understood by others, but this does not affect your ability to find a satisfying lifestyle. On the other hand, humans are social animals. In fact, sharing happiness with others can be a wonderful thing. Sometimes...

[Read More] Understanding Solitary Self-Talk: Navigating Life with This Habit


Dealing with a Partner's Severe Obsessive Cleanliness: Seeking Help

My boyfriend has severe obsessive-compulsive tendencies but lacks insight into his condition. He insists that I adopt his cleanliness standards and is unwilling to seek medical help? Hello Doctor: My boyfriend has a phobia of microorganisms and practices strict hygiene, believing...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: Your boyfriend lives every day with great caution, paying attention to various details to keep himself safe, which likely indicates he feels insecure. Typically, such repetitive thoughts and excessive cleaning behaviors are classified as obsessive-compulsive...

[Read More] Dealing with a Partner's Severe Obsessive Cleanliness: Seeking Help


Understanding ICU Syndrome: The Psychological Impact of Critical Care

ICU syndrome Hello Dr. Liao, at the end of last year, I underwent major surgery and experienced significant blood loss during the procedure, which led to my transfer to the ICU for monitoring. During that time, I developed DIC, resulting in hypovolemic shock and necessitating a s...


Dr. Liao Dinglie reply Psychiatry
Hello, dear netizen: Your heart must be wounded. From your description, one can sense the harrowing experience of surgery and the intensive care unit, where you were in a tug-of-war with death. Such profound pain and helplessness are deeply felt. Sometimes, these intense feelings...

[Read More] Understanding ICU Syndrome: The Psychological Impact of Critical Care


Facing Loneliness and Illness: A Guide for Single Adults with Mental Health Issues

If you are single and fall ill? I have been ill for many years and have mostly visited medical institutions. I have a mild psychotic disorder, and because of my condition, I have faced rejection in several social gatherings. As a 40-year-old, I am worried about being unwell in th...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: You can truly understand that life is filled with many frustrations. In addition to the distress caused by schizophrenia, there are indeed many troubling aspects in the world; everyone has their own worries, which is why some say "the sea of suffering i...

[Read More] Facing Loneliness and Illness: A Guide for Single Adults with Mental Health Issues


Understanding Anxiety and Medication: Do You Need Treatment?

Anxiety and medication issues? Dr. Liao: I would like to ask the following questions: 1. I sometimes feel anxious over trivial matters (for example, I worry about forgetting what I need to do in the evening, which prevents me from concentrating on other tasks until I complete tha...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: 1. In psychology, "anxiety" is a type of worry that tends to spread continuously. Sometimes, there isn't a specific major concern, similar to how you might feel irritable over small matters. "Anxiety" can reduce a person's wor...

[Read More] Understanding Anxiety and Medication: Do You Need Treatment?


Understanding Your Week of Discomfort: Sleep and Mental Health Insights

The ailments of this week? I didn't sleep all night on Tuesday, and the next day, Wednesday, I first experienced chest discomfort by noon, followed by general malaise. I decided to lie down and rest, and after two hours, I woke up to find that the symptoms had resolved. Sinc...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: It seems that you've been feeling quite unwell this week. Fortunately, after lying down and waking up, some of your symptoms have disappeared. You would hope to avoid feeling sleepy during the day and to sleep well at night without experiencing discomfo...

[Read More] Understanding Your Week of Discomfort: Sleep and Mental Health Insights


The Impact of Irregular Medication on OCD Treatment and Mental Health

The effects of irregular medication adherence? Hello Dr. Liao, I would like to ask you a question. I have been prescribed medication for my obsessive-compulsive disorder, which consists of four tablets of Effexor (Venlafaxine) 20 mg and half a tablet of Lexapro (Escitalopram) 10 ...


Dr. Liao Dinglie reply Psychiatry
Hello, internet user: Obsessive-Compulsive Disorder (OCD) involves both repetitive thoughts and actions. You may "strongly dislike taking medication," which likely creates some internal conflict: "wanting to accept help from medication while also wanting to rely on...

[Read More] The Impact of Irregular Medication on OCD Treatment and Mental Health


How to Safely Discontinue Lexotan: Tips for Managing Withdrawal

How to discontinue the use of Lamotrigine? Due to autonomic nervous system dysfunction, I initially experienced nausea and occasional stomach pain at night, but I never had insomnia. The doctor prescribed me Lexotan (0.5 mg), which I took for over three months. The doctor did not...


Dr. Liao Dinglie reply Psychiatry
Hello, user: From your question, I sense your conflicting feelings about using Lorazepam 0.5 mg. When undergoing medication treatment for a condition, we often hope that "the day we recover from the illness is the day we no longer need to take medication." For certain s...

[Read More] How to Safely Discontinue Lexotan: Tips for Managing Withdrawal


Understanding Self-Talk: When Imagination Becomes a Concern

Soliloquy I often find myself talking to my reflection in the mirror when I'm alone, but the content of these conversations isn't about self-criticism or complaining about things. Instead, I create a scenario and become deeply engaged in it, exchanging dialogue with my ...


Dr. Liao Dinglie reply Psychiatry
Hello, internet user: You used to feel that your imagination was rich, considering it a strength, and you didn't mind spending more time talking to yourself. However, if you've noticed that this affects your time spent with others, making them perceive you as more solit...

[Read More] Understanding Self-Talk: When Imagination Becomes a Concern


Should You Seek Help for Suspected Asperger's Syndrome?

If you suspect that you have Asperger's syndrome, it is advisable to seek medical attention? Hello, Doctor. I happened to come across an article describing Asperger's syndrome and found several points that resonate with me. I took the Adult Asperger Assessment Scale and...


Dr. Liao Dinglie reply Psychiatry
Hello, user: You may have noticed that you feel a significant sense of anxiety in social situations, and that you are different from others. Perhaps you wish you could be more humorous and better understand the "subtext" in social interactions, as well as grasp abstract...

[Read More] Should You Seek Help for Suspected Asperger's Syndrome?


Understanding the Genetic Risks of Asperger's Syndrome and Related Disorders

Asperger's syndrome If the female partner and her siblings all have Autism Spectrum Disorder (ASD), with the brother also having Attention Deficit Hyperactivity Disorder (ADHD) and the sister having epilepsy, while the male partner has no history of ASD, ADHD, or epilepsy in...


Dr. Liao Dinglie reply Psychiatry
Hello, internet user: It seems you are quite concerned about the hereditary nature of Asperger's syndrome. Having a child with a condition can be disheartening; however, conversely, the birth of a new life often brings excitement and joy. Like all mental illnesses, the proba...

[Read More] Understanding the Genetic Risks of Asperger's Syndrome and Related Disorders


Managing Anxiety and Panic: Medication Options and Symptoms Explained

I haven't had an episode recently, but I feel very anxious? Hello Dr. Liao, I am experiencing anxiety and panic due to heart palpitations. I have been taking 20 mg of Cymbalta (duloxetine) twice daily, along with Xanax (alprazolam) as needed, 1-2 tablets per year. Despite ta...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. "Anxiety," on the other hand, is a persiste...

[Read More] Managing Anxiety and Panic: Medication Options and Symptoms Explained


Managing Anxiety: Medication Insights and Treatment Options

Supplementary question? Hello Dr. Liao, I apologize for missing a few questions and wasting an online resource. I would like to ask you about my anxiety and panic due to missing doses. Currently, I am taking 40 mg of Prozac (Fluoxetine) and 0.5 mg of Xanax (Alprazolam) once befor...


Dr. Liao Dinglie reply Psychiatry
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. On the other hand, "anxiety" is a persisten...

[Read More] Managing Anxiety: Medication Insights and Treatment Options


Understanding Confusion: Navigating Anxiety and Sexual Orientation Questions

Frustration, anxiety, and uncertainty? Hello, doctor. I would like to ask you a question and express what’s been on my mind. Here’s the situation: some time ago, I started to question my sexual orientation. During my middle school years, I had no feelings for boys at all, but I h...


Dr. Liao Dinglie reply Psychiatry
Hi there, it's great to see you making an effort to communicate more and understand yourself better regarding your emotions. In your message, you mentioned "sexual orientation," which refers to whether you are attracted to "other males," "females,&qu...

[Read More] Understanding Confusion: Navigating Anxiety and Sexual Orientation Questions


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