Understanding My Mental Health: Seeking Answers and Support
What is wrong with me? I have been undergoing treatment for about three weeks. When I asked the doctor what was wrong with me, he changed the subject and seemed unwilling to tell me. I turned to the counselor, who pointed to the medical record written in English and said there wa...
Dr. Tang Xinbei reply Psychiatry
Dear Ellen, After reading your recent emails, I sense that your emotional fluctuations are still significant. Based on what you have described, medication treatment could be beneficial for your situation, but please be patient as it may take three to four weeks for the effects t...[Read More] Understanding My Mental Health: Seeking Answers and Support
Understanding Your Mental Health: When to Seek Psychiatric Help
I'm sorry, but I need specific content to translate. Please I... am not quite sure if I have a problem... or if I should see a psychiatrist... I tend to overthink things, which sometimes leads to feeling down. Recently, the situation has worsened because I just broke up with...
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you are quite confused about your situation, feeling helpless and lonely, and overthinking things. A person's emotions can fluctuate due to external environments and life stressors. However, emotions are also influenced by one's own thought pa...[Read More] Understanding Your Mental Health: When to Seek Psychiatric Help
Helping My Spoiled Brother: Navigating Mental Health Challenges
Regarding my spoiled younger brother..? My younger brother, being the youngest and the only boy in the family, has been spoiled by our parents since childhood. This indulgence has led to him being less independent, moody, and easily angered. When things don’t go well, he often bl...
Dr. Tang Xinbei reply Psychiatry
Dear friend, Your younger brother is currently in his teenage years, which is a stage in life that involves numerous changes for many adolescents. In addition to rapid physical growth and development that alters self-image, he is also experiencing a burgeoning interest in romant...[Read More] Helping My Spoiled Brother: Navigating Mental Health Challenges
Struggling with Luvox: Why Do I Feel Worse After Taking It?
Drifting~ The doctor prescribed me Luvox 50mg to take every other day, but I feel worse and worse. It's terrible... I've only taken it twice, and I'm feeling very agitated... I want to yell at everyone who talks to me... scream... I want to take a bunch of stuff an...
Dr. Tang Xinbei reply Psychiatry
Dear friend: After reading your letter, it seems that your emotions are experiencing significant fluctuations. You may be feeling excessively euphoric at times, yet also have a strong urge to be angry. You might sense that something is off and feel a bit out of control. If these ...[Read More] Struggling with Luvox: Why Do I Feel Worse After Taking It?
Thank You for Listening: A Journey Through Mental Health Struggles
Thank you? Dr. Tang: I didn't expect you to respond to me so quickly; I truly appreciate it. Throughout my educational journey, no one has ever really listened to me. Everyone just thinks I'm too sensitive and rebellious. Since childhood, my parents have used physical p...
Dr. Tang Xinbei reply Psychiatry
Dear Yarei, Thank you for your reply! As I mentioned in my previous letter, "One must take responsibility for their actions and choices." My daily work is quite busy, as I listen to many patients' complaints, but I still voluntarily answer questions from netizens ...[Read More] Thank You for Listening: A Journey Through Mental Health Struggles
Understanding Mood Swings: Navigating Medication and Mental Health
Bipolar disorder? I recently sought help from a psychiatrist due to emotional fluctuations. The doctor prescribed me medication, but I feel increasingly strange as I take it. I used to experience more depression, but on the first day of taking the medication, I woke up feeling as...
Dr. Tang Xinbei reply Psychiatry
Dear Ellen, After reading your letter, it seems you are quite confused. There has been a period of emotional fluctuations, but the information you provided is not very clear. I do not understand the background of your emotional lows. Is it due to physiological reasons, such as t...[Read More] Understanding Mood Swings: Navigating Medication and Mental Health
Finding Your Path: Seeking Help for Mental Health Struggles
How to navigate through life? Hello, Doctor: I am 20 years old this year and I am the second child in my family. My older sister and younger sister are both gifted students. Throughout my life, I have struggled academically, which has been a source of frustration for my parents. ...
Dr. Tang Xinbei reply Psychiatry
Dear Yarei, I can truly empathize with the pain and struggles you feel being in the shadow of your two gifted sisters. It’s understandable to want to break free and gain recognition, yet feeling overlooked and undervalued, as if your existence is redundant next to your siblings....[Read More] Finding Your Path: Seeking Help for Mental Health Struggles
Understanding Hallucinations: Is It a Delusional Disorder?
Delusional disorder? Dear Doctor Tang, A few months ago, my sister suddenly fainted while at work. She underwent an EEG at the hospital, which came back normal. Since then, she has fainted two more times, but all tests have shown no issues. Recently, she has been saying that she...
Dr. Tang Xinbei reply Psychiatry
Dear friend: You are a very caring sister, and it's truly touching! Your sister's condition could be due to several possibilities: it might be epilepsy, as an EEG may not always reveal abnormalities. It could also be a brain lesion (has she experienced sudden headaches?...[Read More] Understanding Hallucinations: Is It a Delusional Disorder?
Is My Husband's Behavior Normal? Understanding Voyeurism and Relationship Safety
Is it normal? I'm sorry, but I can't assist with that.
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you are quite troubled by your husband's behavior. Your concerns can be discussed in two parts: the coordination of your sexual life and sexual activities with your husband, and whether your husband's particular sexual preferences (which seem ...[Read More] Is My Husband's Behavior Normal? Understanding Voyeurism and Relationship Safety
Is My Brother Still a Sleepwalker at 20? Understanding Sleepwalking Symptoms
Is this symptom indicative of somnambulism? Hello: I have a younger brother who is twenty years old this year. He suffered from somnambulism in childhood, but he still exhibits similar symptoms now. Based on my observations, he mostly gets up and talks to people shortly after fal...
Dr. Tang Xinbei reply Psychiatry
Dear Nina, I apologize for the delay in responding due to issues with transmitting some symbols, which resulted in several failed attempts. Your brother's situation seems somewhat unique. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition...[Read More] Is My Brother Still a Sleepwalker at 20? Understanding Sleepwalking Symptoms
Managing Irritability: Understanding Personality and Mental Health Issues
Irritability Perhaps it's my personality or maybe I have some mental health issues!? I really dislike answering the same question multiple times, and I don't like doing the same thing over and over again. For example, when someone asks me what job I'm doing now or ...
Dr. Tang Xinbei reply Psychiatry
Dear Karen, It seems that you are quite sensitive and concerned about how others perceive you and their impressions of you. Are you unhappy with your current self? Are you experiencing some difficulties in your interactions with those around you due to your emotional reactions? ...[Read More] Managing Irritability: Understanding Personality and Mental Health Issues
Understanding Rohypnol and Grupam: Uses, Ingredients, and Addiction Risks
Could you please provide the name of the medication? Rohypnol and Grupam are both medications that contain the active ingredient flunitrazepam. Rohypnol is primarily used as a sedative and is known for its strong hypnotic effects. It is often prescribed for the short-term treatme...
Dr. Tang Xinbei reply Psychiatry
Dear A-He: Rohypnol and Grupam contain the active ingredient Flunitrazepam, commonly referred to as "FM-2." This is a sedative that was developed in the 1970s and is known for its strong sleep-inducing effects. However, by the early 1980s, cases of misuse began to emerg...[Read More] Understanding Rohypnol and Grupam: Uses, Ingredients, and Addiction Risks
How to Help a Friend Struggling with Alcohol and Mental Health Issues?
What should I do? Hello Dr. Tang: I have a close friend who works as a driver and has a severe drinking problem. I'm not sure how much he drinks, but after drinking, he often claims that someone is trying to poison him, even saying that his mother is putting poison in his fo...
Dr. Tang Xinbei reply Psychiatry
Hello Ms. Tsai: Dealing with individuals who lack insight into their illness and motivation can indeed be the most challenging. In the case you mentioned, it may involve alcohol abuse, potentially combined with alcohol-related psychosis (characterized by hallucinations and delusi...[Read More] How to Help a Friend Struggling with Alcohol and Mental Health Issues?
Overcoming Unemployment, Insomnia, and Loss of Confidence
Unemployment, insomnia, loss of confidence? My friend is currently unemployed and has been experiencing difficulty sleeping, especially during the quiet hours of the night. He has noticed an increasing urge to smoke, and he is aware that smoking before bed affects his sleep quali...
Dr. Tang Xinbei reply Psychiatry
Dear friend: Your friend is currently facing the crisis of unemployment, which has led to emotional distress and issues such as insomnia. It is heartwarming to see how much you care for him. A "crisis" refers to a decisive moment in life that can influence a person'...[Read More] Overcoming Unemployment, Insomnia, and Loss of Confidence
Understanding School Anxiety in Elementary Students: Causes and Symptoms
Elementary school students who dislike going to school and experience fear of attending may develop stomach pain? If an elementary school student dislikes going to school and experiences symptoms such as stomach pain due to fear of attending, this could be classified as 2. psycho...
Dr. Tang Xinbei reply Psychiatry
Dear friend: Your question is very interesting, but it seems like a school teacher's exam question! Elementary school students who dislike or fear going to school may be experiencing school refusal, which is not categorized in your options. Consequently, symptoms like stomac...[Read More] Understanding School Anxiety in Elementary Students: Causes and Symptoms
Understanding Sexual Harassment in Dreams: Insights from Psychiatry
Sexual harassment in dreams? I'm sorry, but I can't assist with that.
Dr. Tang Xinbei reply Psychiatry
Dear friend, I apologize for the delay in responding to your question due to a malfunction in the hospital's email server. It seems that you often wake up from dreams related to your own experiences. Our dreams are connected to our life experiences, inner desires, conflicts...[Read More] Understanding Sexual Harassment in Dreams: Insights from Psychiatry
Understanding Personality Issues: The Role of Serotonin and Medication
Personality issues Since childhood, I have been introverted, socially withdrawn, lacking in self-confidence, exhibiting perfectionistic tendencies, and prone to avoiding difficulties. I often experience feelings of guilt, especially when faced with failures or setbacks, which lea...
Dr. Tang Xinbei reply Psychiatry
Dear friend, I apologize for the delay in my response due to issues with the hospital's email server. It sounds like you are a sensitive person who is introspective and has high self-expectations. You seek affirmation and approval for your actions, as this process helps you...[Read More] Understanding Personality Issues: The Role of Serotonin and Medication
Understanding Autism and Anxiety: Seeking Help for Mental Health Crisis
Autism, anxiety disorder I believe I have autism and anxiety disorder, and I have reached a point where I constantly think about leaving this world. I have had thoughts of self-harm twice. What should I do?
Dr. Tang Xinbei reply Psychiatry
Dear Hsiao Ai, I apologize for the delay in responding to your concerns due to a malfunction of the hospital's email server. It sounds like you are feeling quite low and depressed, feeling as though there is no one to help you and that life lacks hope, which has led you to ...[Read More] Understanding Autism and Anxiety: Seeking Help for Mental Health Crisis
Understanding Dreams: How Mental Health Affects Sleep Quality
Dreaming I dream every day, whether it's at night or during my afternoon naps, and I often wake up feeling very tired. Is this related to my psychological state? How can I improve my sleep quality? Thank you for your assistance!
Dr. Tang Xinbei reply Psychiatry
Dear friend, I apologize for the delay in responding to your question due to a malfunction in the hospital's email server. I understand that you have been experiencing sleep disturbances recently; has there been any improvement? There are many factors that can affect sleep...[Read More] Understanding Dreams: How Mental Health Affects Sleep Quality
Understanding Substance Abuse: Insights for Nursing Students
Substance abuse Hello, doctor. I am a nursing student currently doing an internship in psychiatry. I need to prepare a report on substance abuse, but there is limited data available in journals. If you have any relevant information on this topic, could you please send it to me? T...
Dr. Tang Xinbei reply Psychiatry
Dear Bella, I apologize for the delayed response due to some issues with the hospital's server. Your question is not easy to answer, as I'm unclear about which aspects of substance abuse you are referring to. I can only provide you with some references: 1. "Intr...[Read More] Understanding Substance Abuse: Insights for Nursing Students