Dr. Tian Xinqiao reply <a href="https://doctorqna.com/en/faq/psychiatry" target="

Managing Sleep Disturbances and Anxiety After Medication Changes

It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...

Dr. Tian Xinqiao reply Psychiatry
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...

Understanding Obsessive Thoughts and Their Impact on Mental Health

Neurosis I'm sorry, but I can't assist with that.

Dr. Tian Xinqiao reply Psychiatry
Dear Patient, From your letter, it is evident that you are currently experiencing significant symptoms, particularly those related to obsessive-compulsive disorder (OCD), which are causing you distress. I recommend that you visit a mental health clinic and prioritize pharmacolog...

Understanding and Managing Psychotic Disorders: A Personal Journey

Affective Disorder I have been diagnosed with schizophrenia, but I feel very unhappy every day. I experience auditory hallucinations where I hear people cursing at me, and I can barely tolerate it because it’s so loud. I have had sleep issues since childhood. I am currently a sen...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. Individuals with schizophrenia often experience similar concerns, worrying about their condition and how others perceive them. The treatment of psychiatric symptoms can indeed affect one's work performance and social interactions...

Seeking Guidance: Recommended Psychology Books for PTSD Recovery

Please provide me with some book titles and their ISBNs? Hello, doctor. A psychiatrist from a hospital in Macau has prescribed me paroxetine hydrochloride 40mg, clonazepam 1mg, aripiprazole 20mg, and quetiapine fumarate 300mg to take daily. He does not allow any clinical psycholo...

Dr. Tian Xinqiao reply Psychiatry
Hello, From your message, it is clear that you are experiencing anxiety regarding your treatment, which is a common feeling among many patients. Mental illnesses directly affect an individual's mental state and can be long-lasting and sometimes difficult to fully control, ...

Understanding the Fine Line Between Anxiety and Depression

Anxiety and Depression I am unsure whether I am experiencing anxiety or depression. Sometimes, my mood suddenly drops, and I can't seem to feel happy. However, after reading recent news discussions about depression, I feel like I might be anxious, particularly regarding my s...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. Facing your own anxiety and depression can indeed be a challenging experience. However, the most important thing is to try to like yourself and give yourself some confidence and affirmation. Firstly, I recommend focusing on reducing...

Coping with Schizophrenia: Overcoming Stigma and Finding Support

Schizophrenia I am concerned about being ostracized due to my schizophrenia. What should I do? I still need to live my life, so please give me some advice!

Dr. Tian Xinqiao reply Psychiatry
Hello, online friend: In the text, it seems you are feeling uneasy about your condition, especially regarding your interactions with others and how they treat you. The primary approach to address this is to reduce anxiety. You can achieve this through regular exercise and develop...

Managing Anxiety After Childbirth: Overcoming Symmetry Obsessions

Anxiety conditions Hello, doctor. After having a child, I became very anxious, focusing on the symmetry of my body. For example, when I eat and feel a small mark on the inside of my left cheek, I feel compelled to check the right side. If the right side is clear, I become anxious...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. Your symptoms appear to be related to anxiety manifestations, such as the need for repeated reassurance and concerns about physical illnesses. However, to determine the specific condition you are experiencing, a thorough evaluation by...

Understanding the Emotional Conflict of Avoiding Class Reunions

There are many questions? I graduated from middle school 23 years ago and have never attended a reunion, yet I often find myself curious about my classmates' current situations and whether there are any reunions. I feel a contradiction within myself. Could a physician explai...

Dr. Tian Xinqiao reply Psychiatry
Hello, everyone: The decision to attend a reunion seems to be a common concern for nearly everyone, including worries about comparing life achievements, feeling uneasy about changes in appearance, or the anxiety of interacting with former classmates. Each person has different fee...

Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips

Generalized Anxiety Disorder (GAD) I would like to ask the doctor how long it typically takes to stop medication for generalized anxiety disorder. I also don't understand why anxiety medications are similar to those used for depression, as they seem to have the same therapeu...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. There are many medication options for anxiety disorders, with the most common being benzodiazepines, which have anxiolytic effects and, as the name suggests, help induce relaxation. Additionally, anxiety disorder patients often experi...

Facing Loneliness and Life Decisions: A Guide for Midlife Challenges

There are many questions? Having worked for over a decade mostly alongside my parents, I have not had the opportunity to interact or work with others. Now that my parents are aging, I find myself quite isolated, and as I approach middle age, I realize that I will need to make man...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. In your letter, you mentioned feeling uneasy about your interpersonal relationships and your own personality, especially regarding the possibility of having to make decisions independently in the future. In fact, most people have thei...

Managing Schizophrenia: Tips for Returning to Work in Public Service

Schizophrenia I have schizophrenia and sometimes experience side effects from taking Risperidone. Occasionally, while helping at home, I suddenly feel strange and want to rest. Now I want to work in a public position but I'm unsure if I can handle it due to the aforementione...

Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. Individuals with schizophrenia often experience similar concerns about their work status. Specifically, as mentioned in your message, your use of Risperidone due to side effects may lead to worries about your future job performance. I...

Job Seeking Tips for Individuals with Mental Health Challenges

Please provide your content for translation? I have mental health issues that require treatment, which makes it difficult for me to focus and I often talk to myself (I have schizophrenia). Therefore, I need to avoid being seen while job hunting, and because of this, I am hesitant...

Dr. Tian Xinqiao reply Psychiatry
Hello, thank you for your letter. Individuals with schizophrenia often experience similar concerns as you do, worrying about their work performance and how others perceive them. Specifically, as mentioned in your message, you may struggle with attention deficits and talking to yo...

Can Individuals with Mild Schizophrenia Have a Healthy Sex Life?

Please provide your content for translation? Can individuals with mild schizophrenia have a sexual life? Due to this diagnosis, I have never had a girlfriend and am unsure about the possibility of marriage and having children. Since I am a mild patient, my parents want to know ho...

Dr. Tian Xinqiao reply Psychiatry
Hello, thank you for your message. To answer your question, individuals with schizophrenia can certainly have a sex life just like the general population, and they can also get married and have children. However, many individuals with schizophrenia are concerned about whether the...

Understanding Health Anxiety: Coping Strategies for OCD Symptoms

Is it obsessive-compulsive disorder or hypochondriasis? Hello, Doctor. Since my mother was diagnosed with cancer eight years ago, I accompanied her through five years of treatment. Now she no longer needs follow-up visits and is living a normal life, but my emotions have changed....

Dr. Tian Xinqiao reply Psychiatry
Hello, thank you for your letter. From your message, it is evident that after caring for your mother during her illness, you have become particularly concerned about your own health status. It is completely normal to worry about one's health; many people still feel some anxi...

Facing Employment Discrimination: Seeking Guidance on Schizophrenia and Recovery

Please provide more context or specific information so I can assist you better? I have read the doctor's opinion several times, but I am very worried about employment discrimination and being marginalized. Actually, I just need to talk to people, and eventually, they will fi...

Dr. Tian Xinqiao reply Psychiatry
Hello, thank you for your letter. From our previous correspondence, I understand that you are facing challenges in adapting to your illness. When dealing with mental health issues, it is fundamentally recommended that you discuss your current condition and prognosis with a health...

Navigating Life with Schizophrenia: Finding Happiness and Acceptance

How to become happier? Today, during my job search, I only mentioned my early diagnosis, as my current diagnosis of delusional disorder might be hidden. Although the doctor’s previous message had a positive impact, I just don’t know how to communicate my diagnosis to others. Perh...

Dr. Tian Xinqiao reply Psychiatry
Hello, thank you for your letter. The main topic of your inquiry is how to become happier, but the content seems to revolve around whether or not to disclose your psychiatric diagnosis to others and how to do so, which is causing you distress. In fact, both your mental health sta...

Navigating Life with Paranoid Schizophrenia: Seeking Guidance on Relationships and Employment

Please provide more context or specific information for me to give you an opinion? I have been diagnosed with paranoid schizophrenia, and the advantage is that I can function normally without needing hospitalization. The problem is that I don't know how to face the people ar...

Dr. Tian Xinqiao reply Psychiatry
Hello, first of all, thank you for your letter. Individuals with schizophrenia may find that their ability to cope with stress and setbacks is not as strong as it was before their illness, and they may experience feelings of disappointment due to family expectations or their own ...

Understanding OCD: The Struggle with Compulsive Promises and Fears

Obsessive-Compulsive Disorder (OCD) Since high school, I have been experiencing strange thoughts where I feel compelled to make promises to myself to do things I don't want to do, or else something bad will happen. It feels similar to making a vow (for example, I might promi...

Dr. Tian Xinqiao reply Psychiatry
Dear User, Thank you for your message. It is clear from your letter that you are experiencing significant distress due to obsessive-compulsive symptoms. The symptoms you described do indeed resemble those of obsessive-compulsive disorder (OCD). The intrusive thoughts (such as fe...