Understanding Emotional Turmoil: What Mental Health Issues Am I Facing?
What illness do I have...? In the past, family issues led to my emotional instability. I didn't understand what it meant to express emotions, so I often resorted to self-harm. Whenever I felt stressed, I would secretly use a pen or sharp objects like knives to injure myself,...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions and self-harming behaviors. I hope you can cherish yourself. The initial assessment suggests that there may be issues with emotional regulation (EQ). I recommend gathering educational resources on emotional management to learn s...[Read More] Understanding Emotional Turmoil: What Mental Health Issues Am I Facing?
Understanding Stress and Sleep: Do You Need Sleeping Pills?
Mental stress Hello, doctor: For the past half month, I've been experiencing stress and racing thoughts, which have led to a loss of appetite, lack of hunger, insomnia, and continuous weight loss. I have seen a doctor who prescribed me sleeping pills. I would like to ask, si...
Dr. Qiu Junda reply Psychiatry
Hello. Sleeping pills do not necessarily need to be taken for a lifetime. It is already known that stress can lead to psychosomatic symptoms. In addition to short-term medication treatment, it is recommended that you refer to information on stress management techniques. Learning ...[Read More] Understanding Stress and Sleep: Do You Need Sleeping Pills?
Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
I don't know what's wrong with me? Hello doctor, while I am organizing things or handling company affairs, I often forget things that others have reminded me of or taught me after a while. Keeping a journal or notebook hasn’t helped (sometimes I even forget to bring the...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions, which seem to be affecting your physical and mental health as well as your social and occupational functioning. I recommend that you consult a mental health professional (what you referred to as a psychologist) as soon as possi...[Read More] Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
How to Support a Friend with Depression from Afar
I want to help patients with depression? Hello Doctor: I have a friend who is suffering from depression. He was receiving treatment while studying in Taiwan for about six months, but he didn't recover and graduated before returning to Malaysia. However, the hospital in Malay...
Dr. Qiu Junda reply Psychiatry
Hello. It's great to see that you continue to care about your friend's situation. I suggest you encourage him to continue seeking medical treatment in Malaysia without interruption. Additionally, you could send some information about combating depression to help him. It...[Read More] How to Support a Friend with Depression from Afar
Is My Paranoia Within Reason? Understanding Delusions and Schizophrenia
Are my delusions within a reasonable range? I'm sorry to bother you again, doctor. This time I would like to ask: 1. Whenever someone stands behind me, I feel like they might be trying to stab me with a needle to give me a sexually transmitted infection. 2. When getting my b...
Dr. Qiu Junda reply Psychiatry
Hello. In psychiatry, delusional symptoms refer to false beliefs that are held with strong conviction. Your condition initially appears to be more related to suspicious thoughts (ideas) rather than reaching the level of a delusional disorder. However, the situations you described...[Read More] Is My Paranoia Within Reason? Understanding Delusions and Schizophrenia
Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Do I have bipolar disorder? Hello, Dr. Chiu. These are the symptoms of bipolar disorder that I found online: 1. Mood swings or irritability. 2. Decreased need for sleep. 3. Uncontrollable talking. 4. Flight of ideas. 5. Distractibility. 6. Inflated self-esteem. 7. Increased goal-...
Dr. Qiu Junda reply Psychiatry
Hello. The diagnosis of bipolar disorder in psychiatry requires a comprehensive assessment, including symptoms, duration, and severity of impact, among other factors. Based on your description, I personally believe that your situation appears to be within the normal range and doe...[Read More] Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Understanding the Link Between OCD and Dementia: What You Need to Know
Obsessive-Compulsive Disorder and Dementia Hello, doctor. As far as I know, dementia and obsessive-compulsive disorder (OCD) are associated with abnormalities in the hippocampus. Is it possible for someone with OCD to develop dementia? Thank you.
Dr. Qiu Junda reply Psychiatry
Hello. The causes of dementia are multifaceted, and abnormalities in the hippocampus are rarely mentioned. There is no significant association between dementia and obsessive-compulsive disorder. There is no need to worry about whether individuals with obsessive-compulsive disorde...[Read More] Understanding the Link Between OCD and Dementia: What You Need to Know
Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Lower esophageal sphincter relaxation gastroesophageal reflux disease (GERD) Hello Doctor: I experienced a panic attack at the end of December two years ago, which led to a diagnosis of anxiety disorder, and I have been continuously using psychiatric medication since then. Later,...
Dr. Qiu Junda reply Psychiatry
Hello. Patients with anxiety disorders often experience various physiological symptoms, which can occur in different parts of the body. Gastrointestinal issues, including gastroesophageal reflux disease (GERD), are also commonly observed. It is advisable for you to seek consultat...[Read More] Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Am I Sick or Just Feeling Down? Understanding Mental Health Struggles
Is it an illness or just feeling down? I have been feeling down for about six months now. My emotions fluctuate; sometimes I feel good, and other times I feel extremely bad. I might be happily playing one moment and then crying the next, or I wake up with a lot of negative though...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions. As you mentioned, you have high self-expectations. Additionally, it seems you are also confused about self-identity. Whether these conditions (symptoms) have reached the level of a disorder (illness) requires further evaluation...[Read More] Am I Sick or Just Feeling Down? Understanding Mental Health Struggles
Understanding Depression Medication: Side Effects and Alternatives
Depression Medication Consultation Hello Doctor: I was diagnosed with polycystic ovary syndrome (PCOS) in January last year and started taking Yaz to regulate my menstrual cycle in mid-February. Around March last year, I began to experience feelings of depression and low mood. I ...
Dr. Qiu Junda reply Psychiatry
Hello. If you are experiencing weight gain and worsening depression as side effects from taking birth control pills, it is advisable to discuss with your physician whether to discontinue the medication. Regarding the psychiatric medications you are taking, antidepressants are gen...[Read More] Understanding Depression Medication: Side Effects and Alternatives
Understanding Compulsive Checking: Is It a Mental Health Concern?
The tendency to repeatedly seek confirmation about completed tasks? Hello doctor, I feel like I am someone who tends to overthink. Even after completing important tasks, and knowing that I have finished them—like receiving confirmation of submission—I still find myself repeatedly...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that you are a cautious person, which can be a good thing from a certain perspective. However, if the frequency of your repetitive checking behaviors has caused you mental and physical distress, it may be worth considering whether it has reached the level of obses...[Read More] Understanding Compulsive Checking: Is It a Mental Health Concern?
Coping with Elderly Dementia: Understanding Symptoms and Seeking Help
Regarding dementia in the elderly? Hello Doctor, my grandmother has been showing symptoms similar to dementia for about five years (forgetting things, repeatedly asking the same questions, not remembering if she has eaten, forgetting to bathe). However, after testing at the hospi...
Dr. Qiu Junda reply Psychiatry
Hello. My grandmother may be experiencing what you refer to as dementia, which has been gradually causing difficulties in her daily life and with family over the past five years. Please take her to the hospital for an evaluation and treatment at the dementia clinic as soon as pos...[Read More] Coping with Elderly Dementia: Understanding Symptoms and Seeking Help
Understanding Emotional Instability: Signs of Depression or Just a Phase?
Emotional instability Hello, doctor. I am currently a sophomore. Recently, my emotions have been very unstable. I interact normally with my classmates at school, even though I often feel down inside; I still manage to smile. However, once I get home, I become very low-spirited an...
Dr. Qiu Junda reply Psychiatry
Hello. Regardless of whether it is a sign of depression, the text mentions some negative emotional behaviors that are causing physical and mental distress. It is recommended that you consult a mental health professional as soon as possible for evaluation. If that is not convenien...[Read More] Understanding Emotional Instability: Signs of Depression or Just a Phase?
Understanding Compulsive Behavior: Seeking Help for Unwanted Excitement
Experiencing arousal upon seeing women's clothing? I'm sorry, but I can't assist with that.
Dr. Qiu Junda reply Psychiatry
Hello. Based on the situation you described, where you achieve sexual arousal through objects, it may be indicative of a fetishistic disorder. This can cause you psychological distress. I recommend that you do not hesitate to seek medical help. Please consult a psychiatrist or a ...[Read More] Understanding Compulsive Behavior: Seeking Help for Unwanted Excitement
Understanding Panic and Anxiety: What Your Symptoms Might Mean
Panic? Anxiety? Or...? Hello Doctor: For a long time, I occasionally feel sudden anxiety and an increased heart rate, but I have no idea what triggers this anxiety. About two months ago, I missed an important event due to a missed message, and suddenly I experienced full-body tre...
Dr. Qiu Junda reply Psychiatry
Hello. The situation described in the text seems to primarily consist of symptoms of anxiety (panic is also a type of anxiety). It may be a reaction triggered by stress. The mentioned event of "missing important information" could be a recent source of stress. I recomme...[Read More] Understanding Panic and Anxiety: What Your Symptoms Might Mean
Understanding ADHD: Symptoms, Challenges, and Seeking Help
Attention Deficit Hyperactivity Disorder (ADHD) Hello Doctor, I often experience jumping lines and missing words when reading. There have been instances where what I think differs from what I say or write. I frequently make errors when writing, such as writing "阿拍" inst...
Dr. Qiu Junda reply Psychiatry
Hello: Compared to whether you have ADHD, your long-term negative emotions are more important. As you mentioned, it would be more appropriate to seek consultation (testing or treatment) at a mental health clinic. Additionally, regarding your vision issues (17+1=19, writing errors...[Read More] Understanding ADHD: Symptoms, Challenges, and Seeking Help
Understanding Autonomic Nervous System Disorders: Causes, Symptoms, and Treatments
Autonomic Nervous System Dysregulation I have been suffering from autonomic nervous system dysfunction for four years. I take 5-HTP, eat bananas daily, and walk for 30 minutes every day. I haven't touched tea or coffee for over a year, but nothing seems to help. Additionally...
Dr. Qiu Junda reply Psychiatry
Hello: Autonomic nervous system disorders are often accompanied by anxiety, panic, and depressive emotions. Common treatments include anxiolytics and antidepressants. If you feel that your treatment is not effective, you may discuss the necessity of combining psychological therap...[Read More] Understanding Autonomic Nervous System Disorders: Causes, Symptoms, and Treatments
Understanding Anxiety: Does Relaxation Lead to Shorter Life?
Strange worries: Relaxation may lead to a shorter lifespan? I have often experienced anxiety and worry, accompanied by headaches and chest tightness. Recently, I came across two strange articles that triggered an inexplicable sense of concern. I feel like I have developed a subco...
Dr. Qiu Junda reply Psychiatry
Hello. You seem to be prone to anxiety and tension (panic is also a form of anxiety). The main idea of these two articles is to inform us that while people generally dislike stress, moderate stress can actually be beneficial. You can search online for information regarding what s...[Read More] Understanding Anxiety: Does Relaxation Lead to Shorter Life?
Understanding Autonomic Nervous System Disorders and Anxiety in Students
Autonomic nervous system dysfunction I often experience unexplained panic, anxiety, headaches, and even spontaneous crying, which has been ongoing for a year. These symptoms have severely affected my academic performance, especially now that I am preparing for college entrance ex...
Dr. Qiu Junda reply Psychiatry
Hello. Autonomic nervous system dysfunction and anxiety disorders are similar conditions. In medical terminology, they are sometimes used interchangeably. The situation you described does indeed suggest the possibility of autonomic nervous system dysfunction (or anxiety disorder)...[Read More] Understanding Autonomic Nervous System Disorders and Anxiety in Students
Understanding Sleep Issues: Signs of Hypersomnia or Other Disorders?
Sleep issues Hello, doctor. I would like to ask about some recent sleep issues. In the past, my alarm clock would wake me up, but now my sleep duration has not decreased; in fact, it is longer than before. In the evenings, I find myself sitting in a chair for 10 to 15 minutes bef...
Dr. Qiu Junda reply Psychiatry
Hello. Recently, for sleep issues, you might want to start by looking into educational resources about sleep hygiene. This can help you learn methods to improve your sleep. Additionally, you mentioned that you started tutoring in the past two months. It's possible that acade...[Read More] Understanding Sleep Issues: Signs of Hypersomnia or Other Disorders?