Dr. Qiu Junda reply Psychiatry Question - Page 24

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Understanding Genetic Links to Mental Health Issues in Families

Is it hereditary? Hello Doctor: My boyfriend has two sisters, one of whom has depression. The other has been unemployed at home for 6 or 7 years and has recently exhibited strange behaviors, often claiming to be possessed and screaming at night. She has been in a psychiatric hosp...


Dr. Qiu Junda reply Psychiatry
Hello: This is a heavy issue. Medically speaking, many diseases such as hypertension and diabetes (including mental disorders) may be related to genetics, with varying probabilities. Furthermore, the development of mental disorders is influenced not only by physical constitution ...

[Read More] Understanding Genetic Links to Mental Health Issues in Families


Managing Anxiety, IBS, and Smoking Cessation: A Comprehensive Guide

Nervousness, irritable bowel syndrome, smoking cessation issues? Hello, Doctor! I have been seeing a psychiatrist for over ten years. Since last year, I have developed irritable bowel syndrome and autonomic nervous system issues, which make me prone to diarrhea and frequent urges...


Dr. Qiu Junda reply Psychiatry
Hello: Irritable bowel syndrome (IBS) is often associated with autonomic nervous system issues and may itself be a manifestation of autonomic dysregulation. Therefore, please discuss with your physician during your visit to the psychosomatic clinic whether medication adjustments ...

[Read More] Managing Anxiety, IBS, and Smoking Cessation: A Comprehensive Guide


Should We Take Dad to a Mental Health Specialist?

Should I take them to see a psychiatrist? Hello, my father is in his sixties. In the past year or two, my mother has made some new friends and has been going out on weekends. Occasionally, she invites my father to join her, but after a few outings together, he suddenly became ver...


Dr. Qiu Junda reply Psychiatry
Hello: Dad's emotional reactions seem to be related to his interactions with Mom and others. Whether it has reached a level of illness still needs to be assessed. If Dad is willing to visit a mental health specialist, that would be best (you can tell him it's for consul...

[Read More] Should We Take Dad to a Mental Health Specialist?


Understanding Intrusive Thoughts: Seeking Help for Mental Health Concerns

Mental health issues Hello, I have been experiencing frequent thoughts of cursing and harming my family. I have tried many methods to distract myself, but nothing seems to work. I am very afraid that these thoughts might eventually lead to actions. Do I have a mental health issue...


Dr. Qiu Junda reply Psychiatry
Hello: Due to the limited information provided, it is difficult to assess the situation. However, it is not uncommon for individuals to experience some negative thoughts. If attempts to redirect these thoughts are unsuccessful and they cause physical and mental distress, it would...

[Read More] Understanding Intrusive Thoughts: Seeking Help for Mental Health Concerns


Coping with Anxiety and OCD: A Teen's Struggle with Academic Pressure

Anxiety and Obsessive-Compulsive Disorder (OCD) I am currently 17 years old and about to enter my senior year of high school, facing the academic pressure of the upcoming college entrance exams. However, since sixth grade, I have exhibited behaviors such as repeatedly checking my...


Dr. Qiu Junda reply Psychiatry
Hello: It seems that the interference from your symptoms has greatly affected you, and I'm glad that you reached out for help (by asking questions). Obsessive-compulsive disorder can indeed be distressing, but with proper treatment, significant improvement is possible, so do...

[Read More] Coping with Anxiety and OCD: A Teen's Struggle with Academic Pressure


Understanding Anxiety: When Stress Leads to Physical Symptoms

Often feel so anxious that I want to vomit? Recently, I visited a traditional Chinese medicine practitioner near my home for a massage due to inflammation in my lower back. During the first session, the pain was so intense that I cried out loudly. A few days later, I began experi...


Dr. Qiu Junda reply Psychiatry
Hello: It seems from the text that you are indeed feeling very anxious. Is it possible that you have a naturally anxious personality, combined with a recent unpleasant experience with traditional Chinese medicine massage, which has led to your current feelings of anxiety? However...

[Read More] Understanding Anxiety: When Stress Leads to Physical Symptoms


Coping Strategies for Families of Patients with Bipolar Disorder

How to approach patients with bipolar disorder? Hello, Doctor. My sister has not been in a good mental state recently; she is experiencing symptoms such as paranoia, grandiosity, and aggression. She is currently being involuntarily hospitalized for treatment, and her diagnosis is...


Dr. Qiu Junda reply Psychiatry
Hello: If it is confirmed that your sister is in a manic phase, due to poor insight, she may believe that she does not need treatment and wish to be discharged. Since she is currently under involuntary hospitalization, the focus should be on treatment for now, and the physician w...

[Read More] Coping Strategies for Families of Patients with Bipolar Disorder


Understanding Paranoia in Depression: A Daughter's Struggle with Her Mother's Mental Health

Mother's Paranoia? Hello, Doctor! My mother has a history of depression for over ten years and has been continuously seeking medical treatment, but she only takes sleeping pills and refuses to take antidepressants because she says they make her feel dull and she doesn't...


Dr. Qiu Junda reply Psychiatry
Hello: Patients with mental illness often have poor insight, which complicates treatment. It may be necessary to first communicate with the attending physician regarding the possibility of using liquid medications (which should generally be available at psychiatric medical facili...

[Read More] Understanding Paranoia in Depression: A Daughter's Struggle with Her Mother's Mental Health


Obsessive Thoughts or Delusions? Understanding Your Mental Health

Obsessive-Compulsive Disorder (OCD) or Delusions? Hello, doctor. I don't know when it started, but after reading about delusional disorders and hearing others talk about many symptoms of schizophrenia, I've been feeling strange. For example, I found information about de...


Dr. Qiu Junda reply Psychiatry
Hello: The discussion of symptoms can be quite complex and requires some time to clarify. Here, I will briefly mention that delusions refer to false beliefs that are firmly held despite evidence to the contrary. Your doubts and counterarguments may not reach the level of delusion...

[Read More] Obsessive Thoughts or Delusions? Understanding Your Mental Health


Understanding Your Symptoms: Depression or Bipolar Disorder?

I am not sure if I have depression or bipolar disorder? In recent years, my temper has been getting worse. Whenever I encounter something upsetting, I feel like yelling at people or even wanting to harm them (though I have never acted on it). I've noticed that I sometimes ge...


Dr. Qiu Junda reply Psychiatry
Hello: It seems that you are indeed troubled by some emotional issues. I wonder if you have been experiencing long-term stress over the years. Since you have previously sought treatment for irritable bowel syndrome, I encourage you to also address your emotional concerns by visit...

[Read More] Understanding Your Symptoms: Depression or Bipolar Disorder?


How to Help a Loved One Refusing Mental Health Treatment?

The individual is unwilling to seek medical treatment? Hello Doctor, my brother has been exhibiting violent behavior. When he disagrees with family members or his partner, he becomes emotionally agitated. Initially, he would slam doors and throw things, but now he has started phy...


Dr. Qiu Junda reply Psychiatry
Hello: It seems that your brother's behavior may indicate issues with emotional regulation. Whether this is a manifestation of bipolar disorder still needs further clarification. If your brother is unwilling to seek medical attention, I recommend that you consult a physician...

[Read More] How to Help a Loved One Refusing Mental Health Treatment?


Supporting a Partner with Mental Health Challenges: A Guide

How to help a friend with a neurosis? My boyfriend has a neurosis and has been receiving treatment at a clinic, including medication. He often experiences anxiety, depression, insomnia, and sometimes hears voices, even magnifying the reactions of others. Since childhood, his pare...


Dr. Qiu Junda reply Psychiatry
Hello: It seems that your boyfriend not only has insomnia issues but also some emotional symptoms. Sometimes, medication alone may not yield the expected results. I wonder if the clinic he is visiting is a mental health (psychiatry) clinic. If so, you could accompany him during h...

[Read More] Supporting a Partner with Mental Health Challenges: A Guide


Am I Experiencing OCD Symptoms or Something Else? A Mental Health Inquiry

Doctor, am I experiencing obsessive-compulsive disorder, or is it another condition? Hello Doctor, I was diagnosed with obsessive-compulsive disorder (OCD) when I was around 17 years old in high school. Over the past decade, I have experienced relapses whenever I am under stress,...


Dr. Qiu Junda reply Psychiatry
Hello: Since you have been receiving ongoing treatment for obsessive-compulsive symptoms, it would be best to consult your attending physician during your outpatient visit. Whether the unwanted thoughts and thinking mentioned above are also considered obsessive-compulsive symptom...

[Read More] Am I Experiencing OCD Symptoms or Something Else? A Mental Health Inquiry


Is This Autonomic Nervous System Dysfunction? Understanding Your Symptoms

Does this count as autonomic nervous system dysfunction? I have been experiencing frequent vomiting lately, which I feel is caused by palpitations. I get very anxious with even slight stress, often feeling short of breath, and I also experience weakness in my limbs, chest tightne...


Dr. Qiu Junda reply Psychiatry
Hello: The text does suggest the possibility of autonomic nervous system dysfunction. It would be beneficial to gather information online about how to cope with autonomic nervous system disorders, such as relaxation techniques. If there is no improvement, it is advisable to seek ...

[Read More] Is This Autonomic Nervous System Dysfunction? Understanding Your Symptoms


Understanding Chronic Nausea: Is Your Sympathetic Nervous System to Blame?

Frequent nausea may be suspected to be caused by sympathetic nervous system activity? Hello, doctor. I have been experiencing frequent bloating and nausea in my upper abdomen for the past two years. When it gets severe, it can lead to palpitations and difficulty breathing. I expe...


Dr. Qiu Junda reply Psychiatry
Hello: The letter mentions that you have seen a psychiatrist and that the medication has had some effect, but it does not meet your expectations. It is recommended that you continue your treatment for a period of time, as some psychological factors affecting physical symptoms (in...

[Read More] Understanding Chronic Nausea: Is Your Sympathetic Nervous System to Blame?


Managing Insomnia and Anxiety: Tips for Better Mental Health

Insomnia and anxiety? Recently, I've been feeling low on energy, easily distracted, and experiencing dizziness. I have trouble focusing and lack motivation. I visited a Western medicine doctor who said my blood pressure is slightly high. How can I establish a normal routine?...


Dr. Qiu Junda reply Psychiatry
Hello: I wonder if you have been experiencing significant stress recently that may have led to these symptoms. Since you have prior experience with medical care, I recommend visiting a nearby healthcare facility's psychiatry department, as this will aid in the diagnosis and ...

[Read More] Managing Insomnia and Anxiety: Tips for Better Mental Health


Do I Need to See a Doctor for My Anxiety and Social Fears?

Do I need to see a doctor for this? Hello, Doctor: 1. When I get nervous, my hands shake and I tend to speak until my face turns red, but this doesn't happen around people I'm familiar with. As a result, others often misunderstand that I have a crush on someone, but I...


Dr. Qiu Junda reply Psychiatry
Hello: The symptoms you described, although not many, suggest that you may have a more anxious and sensitive personality. Whether this reaches the level of social anxiety disorder or what is referred to as neurasthenia requires further evaluation. If the symptoms are severe, medi...

[Read More] Do I Need to See a Doctor for My Anxiety and Social Fears?


Understanding Mental Exhaustion: When to Seek Help for Hallucinations

Physical and mental fatigue? Hello doctor, when I was 16 years old, I experienced a traumatic event. I would wake up at night feeling scared. Later, during my military service, I had a minor conflict with a fellow soldier, and during training, I constantly heard threats from him ...


Dr. Qiu Junda reply Psychiatry
Hello: It is unclear what the initial diagnosis was when you were ill and taking medication. If you are experiencing persistent auditory hallucinations, it may indicate a more serious mental disorder that needs to be clarified. If the original hospital (is it 818?) is too far, yo...

[Read More] Understanding Mental Exhaustion: When to Seek Help for Hallucinations


Understanding Escitalopram: Managing Recurring Anxiety Symptoms

Escitalopram medication issues? Hello Doctor: I have been experiencing palpitations, chest tightness, and frequent anxiety, which led me to seek help from a psychosomatic specialist. I was diagnosed with autonomic nervous system dysfunction and have been taking Escitalopram for t...


Dr. Qiu Junda reply Psychiatry
Hello: The use of medication for autonomic nervous system disorders indeed follows a specific treatment course. The recurrence of symptoms during this period may be due to the medication course not being long enough, as you mentioned, but it could also be influenced by external e...

[Read More] Understanding Escitalopram: Managing Recurring Anxiety Symptoms


Understanding Emotional Distress: When to Seek Help During Exam Stress

Emotional distress Hello doctor, I have been preparing for exams recently and find studying very boring, frustrating, and overwhelming. I often feel the need to yell to relieve stress, but my family thinks this behavior is abnormal. Do you think there are any signs that I might n...


Dr. Qiu Junda reply Psychiatry
Hello: Yelling as a way to relieve stress can be considered a normal outlet, similar to how some people choose to sing loudly in the shower or hit a pillow. However, if it causes misunderstandings or distress for family members, it may be helpful to make some adjustments, such as...

[Read More] Understanding Emotional Distress: When to Seek Help During Exam Stress


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