Navigating Mental Health Challenges: Finding the Right Treatment and Support
Mental disorders Dear Dr. Tang, I apologize for bothering you again! Due to work and memory issues, I have been irregularly taking my medication, which has caused me a lot of suffering. On September 1, I ran out of medication and went to St. Mary's Hospital for treatment. T...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, I apologize for the delay in my response; I have been quite busy with work lately. I can sense that the changes in your environment may often lead to difficulties in adjustment, resulting in emotional distress. I also understand that you are still in a state of un...[Read More] Navigating Mental Health Challenges: Finding the Right Treatment and Support
Understanding Speech Difficulties: Beyond Stuttering in Adolescents
It is a situation similar to stuttering, but not stuttering? Hello, doctor. I am a senior high school student and I have a problem. I don't think it's stuttering, but sometimes when I start to speak, I feel a pressure that makes it difficult to begin. Once I get past th...
Dr. Tang Xinbei reply Psychiatry
Hello, Huang. Your situation may be related to performance anxiety, which means that your anxiety levels increase when you need to perform in front of others (such as rapid breathing, increased heart rate, gastrointestinal disturbances, muscle tension, and restlessness). This fee...[Read More] Understanding Speech Difficulties: Beyond Stuttering in Adolescents
Managing Intrusive Thoughts and Compulsive Behaviors: A Guide
Persistent intrusive thoughts and behaviors? Dr. Tang: Hello. I have a few questions I would like to ask you. When I was in the third grade, I sometimes had intrusive thoughts that kept spinning in my mind, which felt very exhausting. After a while, it got better. However, this M...
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you have been troubled for some time by repetitive thoughts and behaviors. I sense that you may easily feel anxious, depressed, and worried about many negative outcomes, such as illness, accidents, or death. This has made it difficult for you to concent...[Read More] Managing Intrusive Thoughts and Compulsive Behaviors: A Guide
Understanding Affective Psychosis: Symptoms, Diagnosis, and Support
Affective psychosis Dear Dr. Tang, Recently, I visited the Holy Mother Hospital for a consultation, where the physician diagnosed me with a serious illness card, identifying my condition as affective psychosis. However, I am unsure of its meaning. After researching online, I fou...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, It seems that you are confused about your disease diagnosis! "Affective disorders" include several conditions, generally divided into "bipolar affective disorder" (also known as manic-depressive illness) and "unipolar affective disorder&qu...[Read More] Understanding Affective Psychosis: Symptoms, Diagnosis, and Support
Coping with Heartbreak: A Schizophrenia Patient's Journey
Emotional matters I am a patient with schizophrenia. Last September, I met a boy, and not long after getting to know him, I told him about my condition. He said it was okay. After dating for a while, he requested to have sexual relations, which I initially refused. He became angr...
Dr. Tang Xinbei reply Psychiatry
Dear Shu-Wei, I apologize for the delay in responding to your concerns due to my overseas conference and subsequent changes in my hospital duties. I understand that you are troubled by matters of the heart, having invested emotionally and physically in a relationship only to be ...[Read More] Coping with Heartbreak: A Schizophrenia Patient's Journey
Understanding Seroxat: Uses, Side Effects, and Key Considerations
Medication Use Dr. Tang: Hello. I would like to ask you two questions: 1. What types of conditions is Seroxat indicated for? Does it have side effects? What should be noted when using it? 2. Are antidepressants and anti-anxiety medications different? Thank you for taking the time...
Dr. Tang Xinbei reply Psychiatry
Dear friend, Regarding your question, here are the answers: 1. Seroxat is a "selective serotonin reuptake inhibitor" (SSRIs), of which there are five active ingredients available in Taiwan. It is primarily indicated for depression. Recently, it has also been confirmed...[Read More] Understanding Seroxat: Uses, Side Effects, and Key Considerations
Struggling with Sexual Identity: A Journey of Acceptance and Pressure
Psychosomatic issues Hello, doctor. I am a 31-year-old man who has known about my homosexual tendencies since middle school. After enduring mental and emotional struggles throughout high school and college, I have fully accepted that I am gay (I am not seeking a diagnosis from yo...
Dr. Tang Xinbei reply Psychiatry
Dear Derlin, I apologize for the delay in my response! I was out of the country for a conference for half a month, and upon returning, I was busy with other work, which is why I am only able to reply today. I can sense from your letter that you are feeling quite lonely, isolated...[Read More] Struggling with Sexual Identity: A Journey of Acceptance and Pressure
Gratitude for Compassionate Support in Mental Health Care
Thank you? Dr. Tang: Hello. I have searched for information online multiple times regarding my child's psychosomatic issues. I am deeply moved by your warm support, encouragement, comfort, and guidance towards those seeking help in this online Q&A. Thank you for your car...
Dr. Tang Xinbei reply Psychiatry
To a caring mother: Thank you for your blessings and affirmation. It is often said, "A physician's heart is like that of a parent!" As a father of two children myself, and having experienced a serious illness, I may have a bit more "empathy" than others. ...[Read More] Gratitude for Compassionate Support in Mental Health Care
Understanding Mental Health Struggles: Seeking Help for Depression and Anxiety
Mental health issues Dear Dr. Tang, I apologize for bothering you again and taking up a bit of your time! 1. Recently, I have been experiencing persistent memory issues, even while taking psychiatric medication. Should I consider consulting a neurologist for treatment? 2. I ...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, I apologize for the delay in responding to your inquiry. I was out of the country for a conference for the first half of the month, and upon my return, I had a heavy workload. Regarding your first concern about poor memory, which persists even with psychiatric me...[Read More] Understanding Mental Health Struggles: Seeking Help for Depression and Anxiety
Understanding Mental Health Challenges: A Journey Through Emotions and Aspirations
Psychosomatic issues Dear Dr. Tang, Thank you for your previous guidance, which has not only brought me much comfort but also encouraged my primary physician to help alleviate my medical expenses. I was initially hesitant to speak up, but your kind words gave me the courage to d...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, I am glad to hear that your condition has improved! After reviewing your statement, it seems that the emotional instability caused by the illness still persists. If medications are not taken regularly, discomfort may arise. Therefore, I strongly recommend that you...[Read More] Understanding Mental Health Challenges: A Journey Through Emotions and Aspirations
Understanding Self-Harm: When to Seek Help for Emotional Distress
I'm sorry Hello, doctor: I am someone who does not express my emotions in front of others (especially anger). When I try to suppress my emotions, I sometimes harm myself. Initially, when I felt bad, listening to music would help me feel better. Gradually, I started turning t...
Dr. Tang Xinbei reply Psychiatry
Dear Ting: It seems that your emotional distress has been ongoing for quite some time. You feel quite lonely, scared, and helpless! You care a lot about how others perceive you, and you feel that no one understands you. You struggle to control your own behaviors and often find yo...[Read More] Understanding Self-Harm: When to Seek Help for Emotional Distress
Understanding Current Psychiatric Treatment Approaches in Taiwan
Online consultation? User question: I would like to know the current treatment approaches in psychiatry in Taiwan. Could you please provide some information? Thank you.
Dr. Tang Xinbei reply Psychiatry
Dear Radiant Young Lady, Your question is brief, yet quite challenging to answer! I'm not sure what exactly you are asking. Generally speaking, there are many types of psychiatric disorders, and treatment methods can be broadly categorized into: 1. Biological Treatments (P...[Read More] Understanding Current Psychiatric Treatment Approaches in Taiwan
Overcoming Anxiety and Panic: Seeking Guidance for Mental Health Challenges
Psychological Counseling Hello Doctor: I am a patient with multiple comorbidities, including anxiety, panic, and obsessive-compulsive disorders. Although I have been receiving treatment from a psychiatrist for some time, I still feel unstable inside! Sometimes I feel like my visi...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, It seems that you are suffering from an illness that is difficult to treat, and the financial difficulties at home are making you feel depressed and hopeless. The pressure of military service is also causing you to feel conflicted. Regarding your difficulties, I s...[Read More] Overcoming Anxiety and Panic: Seeking Guidance for Mental Health Challenges
Understanding Depression in Young Adults with Chronic Conditions
Depression Hello Doctor: I am a patient with essential hypertension, currently under medication control. Sometimes I feel that my hypertension is not a big deal, but at other times I feel frustrated and have a lot of complaints that I can't express. Every time I think about ...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Qing, Seeing that you are only twenty years old and already dealing with hypertension due to your constitution, it must be overwhelming to think about relying on medication for a lifetime. The daily struggle of taking medication, the limitations and restrictions on you...[Read More] Understanding Depression in Young Adults with Chronic Conditions
Effective Treatments for Psychosomatic Disorders: A Comprehensive Guide
How to treat psychosomatic disorders? Hello, doctor. I have seen your responses to patients' questions on other websites, and I believe you are a very caring and dedicated physician. Thank you for your efforts on behalf of patients. I would like to ask you how to treat psych...
Dr. Tang Xinbei reply Psychiatry
Dear friend: First of all, thank you for your encouragement. I hope to do my best to contribute to others and society. As long as time permits, I will answer the questions from online users as thoroughly as possible. Through addressing these questions, I can also motivate myself ...[Read More] Effective Treatments for Psychosomatic Disorders: A Comprehensive Guide
Addressing Self-Esteem Issues in Children: A Psychiatric Perspective
Organ donation Can a physician fill out organ donation consent forms online? It is true that scolding children who grow up without confidence can have negative effects. Individuals lacking self-confidence often experience frustration in interpersonal relationships and may even de...
Dr. Tang Xinbei reply Psychiatry
Dear friend: Regarding your first question, you can leave your information on the "Republic of China Organ Donation Association" website at <http://www.organ.org.tw>. After filling out and submitting the application form as instructed, the process will be complete...[Read More] Addressing Self-Esteem Issues in Children: A Psychiatric Perspective
Understanding the Hereditary Risks of Psychosomatic Depression
Question Hello Dr. Tang: I am a patient with "neurotic depression." I have learned from some books that individuals with this condition may pass it on to the next generation. Is this really true? However, I understand that this is not necessarily the case, as the books ...
Dr. Tang Xinbei reply Psychiatry
Dear friend: Are you worried that your issues might be inherited by the next generation? Since the publication of the "Human Genome Project" at the end of last year, it seems that many diseases are closely related to genetics or heredity, especially chronic illnesses an...[Read More] Understanding the Hereditary Risks of Psychosomatic Depression
Understanding Nightmares: When Relationship Insecurities Haunt Your Sleep
Dreams Hello Doctor, I have a good relationship with my husband, but he is very busy with work and has a good social life, especially with women, which sometimes makes me uncomfortable. Occasionally, if my husband seems to neglect me or mentions other women, I might have nightmar...
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you often wake up from dreams related to yourself, and the content of these dreams appears to reflect your worries and fears as if they were real life. Our dreams connect with our life experiences, serving as a channel through which our experiences, inn...[Read More] Understanding Nightmares: When Relationship Insecurities Haunt Your Sleep
Overcoming Severe Insomnia and Sleep Anxiety: Seeking Solutions
Severe insomnia and sleep anxiety? Dear Sir/Madam, I am a working professional and a night school student, and my schedule is quite hectic, leading to significant stress. No matter how tired I am, I find myself tossing and turning in bed at 1 AM, unable to fall asleep, and I fre...
Dr. Tang Xinbei reply Psychiatry
Dear friend, It seems that you have been feeling mentally and physically exhausted lately, juggling work and classes. I wonder if there are any other issues troubling you recently? I sense that you appear to be quite anxious! There are many factors that can affect sleep quality,...[Read More] Overcoming Severe Insomnia and Sleep Anxiety: Seeking Solutions
Understanding Anxiety Relief: Is Ativan the Right Choice for You?
Anxiety? I'm sorry, but I seemed to have gotten too excited last time. I finally got taken off, and the doctor prescribed me Ativan 0.5 mg. I know this is for anxiety relief, but why is it used for anxiety? It's quite strange. I'm not sure if I still need to see th...
Dr. Tang Xinbei reply Psychiatry
Dear Ellen, I apologize! Due to some technical issues, I was unable to respond to your question until today when the email transmission problem was resolved. After reading your email, I sense that you are experiencing significant emotional fluctuations at the moment. Ativan (Lor...[Read More] Understanding Anxiety Relief: Is Ativan the Right Choice for You?