Understanding Your Child's Reluctance to Attend School: A Guide for Parents
Suddenly becoming tearful and refusing to go to school? Hello Dr. Song, my daughter is currently 5 years and 2 months old and has just started kindergarten. Here’s the situation: Last June, she kept insisting on going to kindergarten because she had turned 4 (which qualifies her ...
Dr. Song Chengxian reply Psychiatry
Hello, Ms. Hsuan-Hsuan's mom: It seems that your daughter is very sensitive to changes in her new environment, and the adaptation process is lengthy with significant emotional reactions. I recommend that you first understand the negative factors in the school environment tha...[Read More] Understanding Your Child's Reluctance to Attend School: A Guide for Parents
Helping 7th Graders Develop Positive Attitudes Towards Learning and Life
The lifestyle and learning attitudes of seventh-grade freshmen? Hello, Doctor. I apologize for interrupting you during your busy schedule, but I am at a loss and would like to seek your advice regarding the upbringing of my seventh-grade daughter. Our family consists of dual-inco...
Dr. Song Chengxian reply Psychiatry
Hello: Your eldest daughter has a laid-back lifestyle, poor self-discipline, and lacks motivation, which may be due to both inherent factors and adaptive outcomes. I recommend that you take your daughter to a pediatric mental health specialist for an evaluation during the summer....[Read More] Helping 7th Graders Develop Positive Attitudes Towards Learning and Life
Is Halving Your Medication Safe? Understanding Schizophrenia Treatment Risks
The patient with schizophrenia has independently reduced the dosage of Sulpride by half? Hello Dr. Song, I am currently your patient. At the beginning of the month, I independently reduced my dosage of Sulipride by half, and I did not change any of my other medications. By the en...
Dr. Song Chengxian reply Psychiatry
Hello, Xiao Gan: It is not recommended for patients with schizophrenia to reduce or discontinue their antipsychotic medication without discussing it with their physician. Doing so often leads to a worsening of their condition. It is advisable to maintain the current dosage and th...[Read More] Is Halving Your Medication Safe? Understanding Schizophrenia Treatment Risks
Understanding Emotional Challenges and Self-Harm in Young Children
Children's Emotional and Self-Harm Issues Hello, due to my desire to return to work, I asked my mother to come up north to help take care of my youngest daughter starting from when she was 1 year old. Initially, to help my daughter get familiar with her grandmother, my mothe...
Dr. Song Chengxian reply Psychiatry
Dear hardworking mother, First of all, I apologize for the delayed response as I have been out of the country on vacation. Your letter conveys a lot of information, and I would like to summarize the key points: 1. Your parenting philosophy differs significantly from your moth...[Read More] Understanding Emotional Challenges and Self-Harm in Young Children
How to Handle Your Child Being Bitten by a Classmate
Toddler biting? Hello, I have a question: My daughter has been in kindergarten for six months, and this year a new student joined who has been exhibiting biting behavior for less than two months. Within a week, this child bit my daughter twice in a row, and only my daughter, not ...
Dr. Song Chengxian reply Psychiatry
Hello: Kindergartens have the responsibility to ensure the safety of every child and should report any issues to the teachers for them to address problematic behavior. If the kindergarten is unable to protect the children's safety, should one consider choosing a better envir...[Read More] How to Handle Your Child Being Bitten by a Classmate
Understanding Impulse Control Issues in Mental Health: A Family's Journey
Mother is unable to control herself? Hello Dr. Song, I left a message for you on March 29th this year. My mother, whose last name is Hu, has her next appointment on June 27th. Previously, we discussed her stealing money to gamble and lying. There has been some improvement since s...
Dr. Song Chengxian reply Psychiatry
Hello, concerned friend of your mother: Based on your description, it is currently difficult to determine whether this behavior is part of a medical condition or if there are other reasons causing your mother to be unable to let go. You or your father are welcome to accompany you...[Read More] Understanding Impulse Control Issues in Mental Health: A Family's Journey
Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Mood disorders (with cases of suicide) Cai Congyu is a 16-year-old student currently on a temporary leave from the second semester of high school (Taipei Private Yuda Commercial and Vocational School). He has interests in playing the piano and board games. Since childhood, he has...
Dr. Song Chengxian reply Psychiatry
Dear Mr. Jiang, The current situation of the case is concerning. Dangerous items at home should be carefully secured, and the guardian should promptly take the case to a psychiatrist or mental health specialist for evaluation. If the case is resistant to visiting a hospital or s...[Read More] Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Understanding ADD: Diagnosis, Treatment, and Management Options
ADD (Attention Deficit Disorder) Hello, doctor. Can Attention Deficit Hyperactivity Disorder (ADHD) be diagnosed at the hospital? If there is no hyperactivity and it is Attention Deficit Disorder (ADD), which department should I consult? Aren't those symptoms more common in ...
Dr. Song Chengxian reply Psychiatry
Hello: Attention deficit, whether with or without hyperactivity, is treated in mental health or psychiatric clinics. Individuals as young as 16 can seek treatment. Whether medication or non-medication therapy is needed should be assessed and recommended by a physician. Sincerely,...[Read More] Understanding ADD: Diagnosis, Treatment, and Management Options
Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help
Issues in 4-Year-Old Children Hello, doctor! I have a four-year-old grandson who is in kindergarten. Recently, he has been biting his nails, throwing tantrums and breaking things, and he can't sit still during activities and runs around. I'm wondering if I should take h...
Dr. Song Chengxian reply Psychiatry
Hello, regarding your grandson's condition, it is important to determine whether it is an adaptation issue, a temperament issue, or if there are other emotional or behavioral problems. I recommend taking your grandson to a pediatric psychologist or child psychiatrist for a c...[Read More] Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help
Overcoming Social Anxiety: A High School Student's Struggle
Fear of judgment from others? I am currently a sophomore in high school. I've been experiencing these issues since I was in seventh grade. Whenever I interact with strangers, regardless of the number of people, I feel like they are judging me, which makes me very anxious and...
Dr. Song Chengxian reply Psychiatry
Hello, classmate: Your current condition is no longer just simple nervousness and shyness; it has become a psychological issue. I recommend that you seek an appointment with a psychiatrist as soon as possible. I believe you can overcome this low period soon! Sincerely, Dr. Song.[Read More] Overcoming Social Anxiety: A High School Student's Struggle
Managing ADHD and OCD: Seeking Effective Treatment Options
Attention Deficit Hyperactivity Disorder (ADHD), Obsessive-Compulsive Disorder (OCD), etc? Hello, doctor. I was diagnosed with ADHD when I was 4 to 5 years old. Throughout the years, I have taken antihistamines, Strattera, Ritalin, and recently, I have also tried Sertraline. I ex...
Dr. Song Chengxian reply Psychiatry
Hello: Your current condition, including obsessive symptoms, indicates that you feel your executive function is poor and you are experiencing a sense of helplessness. I recommend that in addition to medication treatment, you take some time to arrange for cognitive-behavioral ther...[Read More] Managing ADHD and OCD: Seeking Effective Treatment Options
Should I Seek Help? Understanding When to Consult a Psychiatrist
Should I see a doctor? Hello, Doctor. I would like to ask if I need to see a doctor. About six months ago, I experienced an assault from my ex-boyfriend, and since then, my condition has been very poor. Although the school arranged for a counselor immediately and the court provid...
Dr. Song Chengxian reply Psychiatry
Hello, classmate: Your condition sounds quite serious. Don't hesitate, seek medical attention as soon as possible! Sincerely, Dr. Song.[Read More] Should I Seek Help? Understanding When to Consult a Psychiatrist
Addressing a Sister's Stealing Behavior: Seeking Help and Solutions
My sister has been stealing for a long time? Hello, I am a senior in college, and my younger sister is in the second year of junior high school. Our mother has been taking care of our grandmother abroad for the past four years. The remaining family members are my father, my older...
Dr. Song Chengxian reply Psychiatry
Hello Xiaomei, Your sister's situation is indeed concerning. It appears that she has multiple issues that cannot be addressed solely by you or effectively resolved by involving the police. It would be best to take her to a pediatric mental health specialist or a child psyc...[Read More] Addressing a Sister's Stealing Behavior: Seeking Help and Solutions
Understanding Your Child's Sudden Hand Washing Behavior
My daughter has been exhibiting compulsive handwashing behavior? Hello, doctor. My daughter is 4 years old and I have been taking care of her myself. However, this week, as I started working, she suddenly began to exhibit compulsive hand-washing behaviors starting on my first day...
Dr. Song Chengxian reply Psychiatry
Dear Parent, I understand that your daughter is experiencing anxiety reactions due to your return to work. Has there been a change in the time you spend with your child or in your daily routine? Are you feeling some anxiety yourself about re-entering the workforce? Preschool-age...[Read More] Understanding Your Child's Sudden Hand Washing Behavior
Addressing Gambling Addiction and Deception in Family Members
Mom has started lying and stealing money? Hello Dr. Song! My mother has been regularly visiting your clinic at the Taoyuan Nursing Home, but recently we discovered that she has become addicted to gambling. After losing money, she has been stealing money from home to gamble again....
Dr. Song Chengxian reply Psychiatry
Hello, online user: I’m not sure which patient you are referring to. Do you have a medical record number? Most of my patients are children and adolescents under 19 years old, so I’m unclear about the patient you mentioned. Sincerely, Dr. Song.[Read More] Addressing Gambling Addiction and Deception in Family Members
Understanding Your Child's Anger: Causes and Solutions for Parents
The child is throwing things in anger over trivial matters at home? Hello Dr. Song, I have a son who is in the third grade. Since kindergarten, we have noticed that he often exhibits explosive anger when we reprimand him for mistakes at home, and this has been happening multiple ...
Dr. Song Chengxian reply Psychiatry
Dear Parents, It is indeed perplexing that your child frequently exhibits anger over minor issues at home while performing exceptionally well outside. This behavior may stem from family interactions or could be related to an inherent temperament that predisposes them to impulsiv...[Read More] Understanding Your Child's Anger: Causes and Solutions for Parents
What Happens If You Overdose on Fu'an Yuan Tablets?
What happens if you overdose on Fu'an Yuan tablets? Hello, doctor: I suffer from major depression and anorexia, and I have been in a state of extreme anxiety recently. My doctor prescribed me 0.25 mg of Clonazepam as a rescue medication. I didn't take it frequently befo...
Dr. Song Chengxian reply Psychiatry
Hello, your symptoms do not seem to be caused by the medication; however, adjusting the dosage indiscriminately still carries the risk of side effects. I sincerely recommend that you return for a follow-up appointment as soon as possible to inform your attending physician about y...[Read More] What Happens If You Overdose on Fu'an Yuan Tablets?
Overcoming OCD: Effective Strategies for Teens Struggling with Intrusive Thoughts
How to address obsessive-compulsive disorder (OCD) Hello, doctor. I am currently in the 9th grade, and I noticed that my behavior became very strange when I was in the 7th grade. I often have persistent thoughts in my mind that compel me to do certain things, or else something ba...
Dr. Song Chengxian reply Psychiatry
Hello, if you are suffering from obsessive-compulsive disorder (OCD), I recommend that you ask your parents to take you to a pediatric mental health specialist or a child psychiatrist for a professional evaluation and to develop an appropriate treatment plan. If you would like to...[Read More] Overcoming OCD: Effective Strategies for Teens Struggling with Intrusive Thoughts
Understanding Intrusive Thoughts and Impulses: A Mental Health Perspective
It feels like there is another thought in my head? Hello, doctor. Actually, I don't quite understand my issue; I just know that I seem to have some symptoms of attention deficit, so I came to consult you. I apologize if I'm mistaken. As a child, I was someone who found ...
Dr. Song Chengxian reply Psychiatry
Hello Kai-Hsuan, based on your description, it seems that you have been experiencing persistent obsessive thoughts, poor concentration, and involuntary movements. I recommend that you seek evaluation from a psychiatrist or a mental health specialist to assess whether you may have...[Read More] Understanding Intrusive Thoughts and Impulses: A Mental Health Perspective
Understanding Self-Harm and Suicidal Thoughts in Teens: A Call for Help
Being told that I have a problem (adolescent)? Hello, Dr. Song. I have been experiencing suicidal thoughts and self-harming tendencies for about six months to over a year. These suicidal thoughts began after my grandmother passed away when I was in fifth grade, and they have only...
Dr. Song Chengxian reply Psychiatry
Hello, it seems that you are quite aware that your mental and physical condition is not ideal. The ongoing self-harm behaviors and suicidal thoughts indicate that you are not happy. I recommend that you seek help from a mental health specialist or psychiatrist, who can assist you...[Read More] Understanding Self-Harm and Suicidal Thoughts in Teens: A Call for Help