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Understanding Sedative Use in Mild Mental Illness: Key Considerations

Mental illness patients I would like to ask about my sister, who has a mild mental illness. Can sedatives be administered four times within less than 10 hours? In the morning, she was taken to the hospital and her speech and physical movements were normal, but by around 3 or 4 PM...


Dr. Liu Runqian reply Psychiatry
The symptoms described in your text are more similar to the side effects caused by antipsychotic medications. Anticholinergic medications can be used to manage these side effects. If the symptoms are not severe, they will also improve after the medication is metabolized by the bo...

[Read More] Understanding Sedative Use in Mild Mental Illness: Key Considerations


Navigating Mental Health: Finding Hope Beyond Depression and Despair

Psychological state Hello, Doctor: A few months ago, I went through a period of depression due to a breakup, experiencing insomnia, anxiety, fatigue, burnout, eating disorders, an inability to do anything, and uncontrollable thoughts of suicide. I have received psychiatric treatm...


Dr. Liu Runqian reply Psychiatry
After treatment for depression, not all symptoms improve immediately; some individuals may still experience residual symptoms. As mentioned in your text, you are currently attending regular appointments and undergoing psychotherapy. Please continue to maintain this routine, and d...

[Read More] Navigating Mental Health: Finding Hope Beyond Depression and Despair


Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective

Interpersonal difficulties, polarized personality, distrust of others? I have recently started feeling depressed, constantly wanting to cry, and feeling like I'm going crazy. I don't understand why my grades are average, yet my interpersonal skills are poor. Aside from ...


Dr. Liu Runqian reply Psychiatry
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, a...

[Read More] Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective


Am I Really the Problem? Understanding Feelings of Isolation and Depression

Am I really having serious issues? About two to three months ago, something happened (related to a friend's betrayal) that made me very sad and often negative. Initially, I shared my thoughts with them, but after about a week, I stopped. I couldn't eat and even had thou...


Dr. Liu Runqian reply Psychiatry
Depression not only affects emotional well-being but also impacts physical functioning and cognitive processes. For example, symptoms may include insomnia, hypersomnia, decreased appetite, fatigue, difficulty concentrating, feelings of worthlessness, helplessness, hopelessness, a...

[Read More] Am I Really the Problem? Understanding Feelings of Isolation and Depression


How to Manage Anxiety in New Environments: Tips for Overcoming Nervousness

How to adjust and manage your tendency to feel anxious? Recently, I started learning in a new environment, but I tend to get very nervous and fear crowds. I'm afraid that my anxiety will cause stomach pain, and I might not be able to go to the restroom during class. I worry ...


Dr. Liu Runqian reply Psychiatry
It is recommended to start with some relaxation techniques, such as diaphragmatic breathing, progressive muscle relaxation, or the Jacobson relaxation method. Additionally, carrying some short-acting anxiolytic medications for temporary use may be helpful. If symptoms do not impr...

[Read More] How to Manage Anxiety in New Environments: Tips for Overcoming Nervousness


Overcoming Anxiety About the Future: A Journey Through Depression

Feeling anxious about the future? I have been suffering from depression for many years and have been seeing a doctor. Recently, I feel that even with medication, it hasn't helped much; my mood remains low. Perhaps I am putting pressure on myself, feeling that my life is a fa...


Dr. Liu Runqian reply Psychiatry
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in the limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessnes...

[Read More] Overcoming Anxiety About the Future: A Journey Through Depression


Feeling Out of Control: When to Seek Help for Depression

Feel like I've lost control? Hello, doctor. I took an online depression screening test in middle school and scored high. My family thought it was just that I couldn't handle stress, so I didn't seek medical help. Recently, over the past two years, I've noticed...


Dr. Liu Runqian reply Psychiatry
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and psychomotor retardation, decreased appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopeles...

[Read More] Feeling Out of Control: When to Seek Help for Depression


Understanding Panic Attacks: Causes, Symptoms, and When to Seek Help

Anxiety and Panic Dr. Liu: Hello, I would like to ask about my recent condition. I often wake up after sleeping for three to five hours with a rapid heartbeat and a feeling of breathlessness. After waking up, drinking some water and resting in a seated position helps a lot. This ...


Dr. Liu Runqian reply Psychiatry
Based on the symptoms you described, they seem more like reactions caused by anxiety, which may include panic disorder and anxiety disorder. If internal and external medical issues have been ruled out and symptoms persist, it may be advisable to consult a psychiatrist or a psycho...

[Read More] Understanding Panic Attacks: Causes, Symptoms, and When to Seek Help


Overcoming Anxiety from Carelessness: Seeking Help for Mental Health

Feeling anxious due to my own carelessness? I have recently been troubled by anxiety again (I have been diagnosed in the past). I tend to be somewhat scatterbrained, forgetful, and careless. I often leave my keys in the door and forget to take them out (later, my family asked me ...


Dr. Liu Runqian reply Psychiatry
Memory varies from person to person, and at your age, it is unlikely that you are experiencing issues such as dementia. If you are having trouble with your memory, you can start by using other supportive tools (such as sticky notes, notebooks, or mobile calendars) to assist you. ...

[Read More] Overcoming Anxiety from Carelessness: Seeking Help for Mental Health


Overcoming Fear of Crowds: A Journey Towards Employment and Mental Wellness

Fear of facing crowds? I haven't worked for many years and currently rely on my family for financial support, which makes me feel like a "parasite." Recently, I tried looking for jobs on the 1111 Job Bank website and applied to one company. However, I started to re...


Dr. Liu Runqian reply Psychiatry
If the reason for being unable to work is due to fear of facing crowds, it may resemble social anxiety disorder, anxiety disorder, or depression. Since you have not provided detailed descriptions of your symptoms, it is currently difficult to determine the exact cause of your ina...

[Read More] Overcoming Fear of Crowds: A Journey Towards Employment and Mental Wellness


Understanding Auditory Hallucinations and Memory Loss in Alcohol Use Disorder

Auditory hallucinations, amnesia, agitation? My sister came home on the night of April 18 and kept scrolling through Facebook, suddenly talking to herself, wondering if the news was about her, and continuously checking comments to see if they were mentioning her. Normally, at tha...


Dr. Liu Runqian reply Psychiatry
Based on the symptoms you described, such as auditory hallucinations, delusions of reference (believing the news is about her), and paranoid delusions (feeling that someone is out to harm her), there are many potential underlying causes. These symptoms could be due to alcohol use...

[Read More] Understanding Auditory Hallucinations and Memory Loss in Alcohol Use Disorder


Supporting Schizophrenia Patients: Effective Strategies for Friends and Family

What can friends and family do for individuals with schizophrenia? Hello, Dr. Liu. The patient is a 24-year-old male who clearly exhibits symptoms of auditory and visual hallucinations, as well as signs resembling dissociative identity disorder. For instance, he responds to comma...


Dr. Liu Runqian reply Psychiatry
Family members and friends need to understand a few key concepts. The first is to be psychologically prepared; during the course of the illness, patients may exhibit inappropriate behaviors, such as breaking things or saying hurtful words. However, family and friends must recogni...

[Read More] Supporting Schizophrenia Patients: Effective Strategies for Friends and Family


Overcoming Nail Biting: Strategies for Anxiety and Self-Image Issues

I want to quit biting my nails (I end up eating them after biting)? Hello, doctor. I am currently a freshman in college. I started to realize that biting my nails was not right when I was in the first year of middle school, but I began biting them in elementary school. I have tri...


Dr. Liu Runqian reply Psychiatry
According to your description, the behavior of nail-biting is highly correlated with emotional anxiety and may require differentiation to rule out obsessive-compulsive disorder or anxiety disorders. Since your behavior has caused significant distress in your daily life, it is adv...

[Read More] Overcoming Nail Biting: Strategies for Anxiety and Self-Image Issues


Understanding Anxiety Symptoms: Is It Dysautonomia or Overthinking?

Unclear symptoms? I have been feeling very anxious for the past four weeks due to a possible HIV infection. Although everyone says it's unlikely, I am having trouble eating, and my throat feels a bit strange—not sore, but dry and somewhat constricted. I occasionally experien...


Dr. Liu Runqian reply Psychiatry
As you mentioned, if you continuously suspect that you have HIV despite multiple tests and confirmations from various doctors, and you still have strong doubts along with persistent anxiety and repeated testing, you may be experiencing health anxiety. The physical symptoms you de...

[Read More] Understanding Anxiety Symptoms: Is It Dysautonomia or Overthinking?


Managing Exam Anxiety: Strategies for Success in High-Stakes Testing

The pressure for the national examination is very high? Hello, doctor. I am a 26-year-old male who recently graduated from graduate school in December 2016. I will be taking the licensing exam next week. As the exam approaches, I find myself lying in bed for 1 to 2 hours each nig...


Dr. Liu Runqian reply Psychiatry
Adjustment Disorder: This condition develops within three months of a clearly identifiable stressor, characterized by an extreme inability to cope with the stress, leading to symptoms of anxiety, tension, and depressive mood. If it has caused significant distress, short-term phar...

[Read More] Managing Exam Anxiety: Strategies for Success in High-Stakes Testing


Do I Have Schizophrenia? Understanding My Mental Health Struggles

I suspect that I have schizophrenia? About 6 or 7 years ago, when I started experiencing extreme mental stress, I would begin to make malicious comments about others whenever I spoke to someone. I tried to control this behavior, but I could only manage it after I had calmed down....


Dr. Liu Runqian reply Psychiatry
The symptoms of schizophrenia (formerly known as schizophrenia) include delusions, hallucinations, disorganized thinking or speech, negative symptoms, and rigidity. The symptoms described in your text are more aligned with mood symptoms and are less related to schizophrenia. A de...

[Read More] Do I Have Schizophrenia? Understanding My Mental Health Struggles


Understanding Unexplained Anger: A Journey Through Mental Health Struggles

Uncontrollable anger I want to know what is wrong with me... Am I still normal? Since I was young, I have been thinking about suicide, often contemplating how wonderful it would be if I were not in this world; yet I also calmly know that I cannot do that. I only recognized "...


Dr. Liu Runqian reply Psychiatry
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, a...

[Read More] Understanding Unexplained Anger: A Journey Through Mental Health Struggles


Understanding Self-Harm and Emotional Outbursts: The Impact of Family Dynamics

When emotions are out of control, it can lead to self-harm? During middle school, when conflicts arose with family or friends, I would self-harm in my room using a utility knife, especially when I was extremely angry. I would cry while self-harming. Later, in high school, I stopp...


Dr. Liu Runqian reply Psychiatry
Based on what you mentioned, your impulse control is poor, and your emotions are often unstable. Many psychiatric diagnoses may present with such symptoms, including depression, bipolar disorder, and certain personality disorders such as borderline personality disorder. The cause...

[Read More] Understanding Self-Harm and Emotional Outbursts: The Impact of Family Dynamics


Can Women with Schizophrenia Safely Stop Medication During Pregnancy?

Can a person with schizophrenia stop medication during pregnancy? Hello doctor, I am 24 years old and have been diagnosed with this condition during my youth. I have a few questions I would like to ask you: 1. Initially, I experienced auditory hallucinations for about 3 to 6 mo...


Dr. Liu Runqian reply Psychiatry
If schizophrenia (formerly known as schizophrenia) is diagnosed and symptoms reappear after stopping medication, it is generally recommended to maintain long-term management. If pregnancy is a consideration and may affect the fetus, in addition to discontinuing medication, medica...

[Read More] Can Women with Schizophrenia Safely Stop Medication During Pregnancy?


Overcoming Anxiety: My Journey from Isolation to Acceptance

I believe I have anxiety disorder, and I am improving quickly? This matter needs to be explained from the beginning. Ever since I transferred to a junior high school, I was unfamiliar with everyone; they had already been there for six months and had their own friends, while I was...


Dr. Liu Runqian reply Psychiatry
Based on your statement, it seems that you may enjoy expressing yourself and the feeling of being the center of attention. However, if this has become intense enough to disrupt your daily life, it may be necessary to seek help from a counseling center. If there is still no improv...

[Read More] Overcoming Anxiety: My Journey from Isolation to Acceptance


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