Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Autonomic nervous system dysfunction? I have symptoms of autonomic nervous system dysfunction, and I am currently taking antidepressants and anxiolytics. However, I have not undergone any autonomic nervous system testing. When I asked my attending physician some questions, the an...
Dr. Wang Chongren reply Psychiatry
The situation described by the patient may fall within the scope of autonomic nervous system disorders. It is important to determine whether these symptoms occur daily and are related to their lifestyle and other symptoms. A detailed medical history and clinical neurological exam...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Dealing with a Difficult Relative: Understanding Emotional Strain
I am very tired from being scolded by someone? Hello, doctor. My aunt lives close to us, and we almost hear her complain about everything every day. She loves to gossip and often lectures others. When someone criticizes her, she gets very angry and holds grudges. Her family has t...
Dr. Wang Chongren reply Psychiatry
Based on your description, your aunt seems to have personality traits that make her difficult to get along with. If this behavior has been present since her youth, it may be necessary to consider whether there is a long-standing personality disorder. However, if your aunt is now ...[Read More] Dealing with a Difficult Relative: Understanding Emotional Strain
Understanding and Addressing Paraphilic Disorders in Relationships
Paraphilia Hello, Doctor: I have been married for nearly 10 years and have two children. In the past, I discovered used feminine hygiene products in my husband's clothing pockets. At that time, I didn't think much of it because I was busy taking care of our young childr...
Dr. Wang Chongren reply Psychiatry
Hello: Based on your description in the letter, it is indeed necessary to encourage your husband to seek medical attention actively. If he has the motivation to make changes, his condition can improve with the support and assistance of healthcare professionals and family.[Read More] Understanding and Addressing Paraphilic Disorders in Relationships
Feeling Anxious About Persistent Attention from a Classmate
Feeling anxious about a guy's persistent pursuit? Hello, doctor. My current concern is about some emotional issues with the opposite sex. I have previously rejected three boys who confessed their feelings to me. Two of them are currently maintaining a friendship with me, but...
Dr. Wang Chongren reply Psychiatry
Based on your description in the letter, it is clear that you are currently experiencing significant distress. You have verbally rejected the individual multiple times and have not responded, yet they continue to pursue you, prompting you to seek help from your parents. Generally...[Read More] Feeling Anxious About Persistent Attention from a Classmate
Understanding Panic Disorder: Overcoming Fear and Disconnection
Neurocognitive abnormalities About a month ago, while I was riding the subway alone, I suddenly felt anxious and started sweating. Strangely, this had never happened before. Since that incident, I have developed a fear of going out, without any specific reason for my fear—just a ...
Dr. Wang Chongren reply Psychiatry
Dear Miss Bao Lian, You mentioned in your letter that you have been experiencing unexplained feelings of anxiety, such as nervousness and fear of going out, along with physical symptoms like sweating. Additionally, it seems that your anxiety is affecting your ability to think cl...[Read More] Understanding Panic Disorder: Overcoming Fear and Disconnection
Understanding Mental Health Struggles: A Daughter's Perspective on Family Stress
Supplementary information about my mother's condition? During the period when my father was having an affair, I experienced a lot of stress and almost broke down crying at school. I often found myself questioning the purpose of living. Later on, I felt that I preferred being...
Dr. Wang Chongren reply Psychiatry
Your mother is likely experiencing a lot of emotional pain. She may feel a sense of loss from unmet expectations of belonging and is struggling to manage her feelings of resentment, which keeps her trapped in negative emotions. Your mental state is probably influenced by her, but...[Read More] Understanding Mental Health Struggles: A Daughter's Perspective on Family Stress
Understanding Your Mental Health: When to Seek Help for Memory Issues
I'm not sure what's wrong with me; which specialist should I see or how can I improve? Recently, I've been having trouble remembering things. I forget what was just said right after hanging up the phone or turning around. My attention span is severely lacking; I ca...
Dr. Wang Chongren reply Psychiatry
Poor memory, aside from organic changes such as brain degeneration or injury, is most commonly seen in young people due to stress, which leads to a lack of concentration and results in forgetfulness. It is advisable for you to seek evaluation and treatment from a psychosomatic or...[Read More] Understanding Your Mental Health: When to Seek Help for Memory Issues
Am I Depressed? Understanding Emotional Turmoil and Childhood Trauma
Do I have depression? I'm sorry to hear that you're feeling this way. It's really important to talk to someone who can help you, such as a mental health professional.
Dr. Wang Chongren reply Psychiatry
The sudden outbursts you described in your letter may require further evaluation to understand their underlying causes. Generally, it is important to identify both remote and immediate factors, as well as the extent to which they affect your daily life, in order to establish a di...[Read More] Am I Depressed? Understanding Emotional Turmoil and Childhood Trauma
Understanding OCD: Signs, Symptoms, and What to Do Next
Obsessive-Compulsive Disorder (OCD) issues? Hello doctor, I feel like I have obsessive-compulsive disorder because sometimes I force myself to do strange movements, or I shout randomly; otherwise, I feel a pressure building up inside me that is very painful. Is this OCD? What sho...
Dr. Wang Chongren reply Psychiatry
You should avoid making your own diagnosis. If these behaviors are clearly related to your stress, it is recommended that you first consult the Tainan City Health Bureau Community Mental Health Center by phone (TEL: 06-3352982 or 6377232). If the issues continue to trouble you, i...[Read More] Understanding OCD: Signs, Symptoms, and What to Do Next
Is My Mother Mentally Ill? Understanding Symptoms and Seeking Help
Is my mother mentally ill, and what are the ways to address it? Hello, my mother is 45 years old, divorced, and has two children. She has previously experienced domestic violence leading to her divorce, and her second relationship ended after four years due to forced separation. ...
Dr. Wang Chongren reply Psychiatry
In your letter regarding your mother's mental condition, you described many of her behaviors that are inconsistent with reality, which initially raises concerns about a possible mental illness. Her insight into her condition appears to be poor, so it may be advisable to enco...[Read More] Is My Mother Mentally Ill? Understanding Symptoms and Seeking Help
Should You Seek Psychiatric Help for Emotional Instability?
Should I seek medical attention in this situation? Hello Dr. Wang, About three years ago, during my high school years, I experienced significant self-harm and compulsively ate paper due to intense exam pressure, along with prolonged feelings of low mood and insomnia. At that ti...
Dr. Wang Chongren reply Psychiatry
Based on the situation you described in your letter, your feelings of depression may require psychological counseling. Given your family circumstances, you might consider contacting the mental health department of your local health bureau, as they can assist in arranging counseli...[Read More] Should You Seek Psychiatric Help for Emotional Instability?
Finding Group Therapy Resources for Borderline Personality Disorder in Tainan
Resources for Borderline Personality Disorder Treatment Hello, I have a family member who is diagnosed with Borderline Personality Disorder, and I would like to inquire about relevant treatment resources in Tainan. I know that general hospitals have outpatient services in psychos...
Dr. Wang Chongren reply Psychiatry
Hello Ms. Yang: Regarding your inquiry about group therapy for borderline personality disorder, to my knowledge, there are currently no such services available in Tainan. Director Tang Xinbei at Annan Hospital has considerable experience in psychological treatment and group thera...[Read More] Finding Group Therapy Resources for Borderline Personality Disorder in Tainan
Feeling Breathless: Understanding Stress-Related Symptoms and Treatment Options
Shortness of breath? I have been experiencing shortness of breath and coughing recently due to work-related stress, as I have to cover for two colleagues who have either left or gone on maternity leave. For the past couple of days, I have also been feeling breathless before going...
Dr. Wang Chongren reply Psychiatry
Hello JJ, Your letter mentions various physical symptoms, which also seem to be related to your work stress. Stress can indeed cause physical symptoms (through sympathetic nervous system activation), but it may also exacerbate underlying or pre-existing medical conditions. I re...[Read More] Feeling Breathless: Understanding Stress-Related Symptoms and Treatment Options
Understanding and Addressing Suspected Mental Health Issues in Family Members
Suspected mental health issues seeking resolution? Hello Doctor: I would like to ask you about my sister, who has been unemployed at home for a while. She experienced significant setbacks at her previous job and decided to pursue a public service career, but that hasn't gone...
Dr. Wang Chongren reply Psychiatry
Dear Mr. Xiaogang, Hello. Your letter mentioned that your sister is experiencing emotional and behavioral abnormalities due to the frustration of unemployment. It is indeed necessary to encourage her to seek medical attention to obtain a proper diagnosis and initiate active trea...[Read More] Understanding and Addressing Suspected Mental Health Issues in Family Members
Managing Schizophrenia: Medication Changes and Sleep Issues Explained
Treat the symptoms with appropriate medication? Symptoms: Schizophrenia, psychotic depression, insomnia. Currently taking medication: Seroquel 200mg, Lamictal 50mg, and Ativan 2mg. What should I do if I still experience insomnia after taking Ativan 2mg? Recently, my doctor mentio...
Dr. Wang Chongren reply Psychiatry
To Ching, You have many questions in your letter. Since I have not directly examined your condition, I can only respond based on general situations; I hope you understand. 1. Using benzodiazepines can help with relaxation and facilitate sleep. If you still experience insomnia...[Read More] Managing Schizophrenia: Medication Changes and Sleep Issues Explained
Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Long-term use of autonomic nervous system (anxiolytic) medications? Hello Dr. Wang, I have been taking medication for autonomic nervous system disorder for one year and three months. The medications I am taking are Kinax (alprazolam) and venlafaxine (Easyfor) 37.5 mg. Over the p...
Dr. Wang Chongren reply Psychiatry
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, Regarding the two medications you mentioned in your letter, Kinax is an anxiolytic, while Easyfor is an antidepressant. Discontinuing these medications suddenly after long...[Read More] Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Overcoming Anxiety and Irritability: Finding Balance After Life Changes
Feeling anxious and irritable? Hello, doctor: Recently, I have been feeling irritable and easily angered. Since graduating last year, my mood has been affected by my mother's illness, which led to feelings of depression. Additionally, I have been struggling to focus on study...
Dr. Wang Chongren reply Psychiatry
Dear Dr. Wang Chong-Ren of the Tainan Hospital, Department of Psychiatry, Executive Yuan Health Department: Hello, The mood you mentioned seems to be characterized by anxiety mixed with depression. Generally speaking, depression often arises from persistent anxiety that cannot ...[Read More] Overcoming Anxiety and Irritability: Finding Balance After Life Changes
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is there autonomic nervous system dysfunction? Hello, doctor. I have been living a reversed day-night schedule since I was around 18 years old, which has lasted for about 7 to 8 years now. Gradually, I have started to feel some issues with my body. In the past two years, I have w...
Dr. Wang Chongren reply Psychiatry
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, In your letter, you mentioned experiencing persistent insomnia due to a disrupted day-night cycle, along with various physical symptoms for which no underlying medical con...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Finding Independence: Navigating Life After Losing Parents
Where to go from here? At my age, I am considered a mature man, yet I still live like a child relying on pocket money. My thoughts remain stuck on the absence of my parents, leaving me feeling lost about how to truly become independent. I only know to live in the moment, and curr...
Dr. Wang Chongren reply Psychiatry
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: I understand from your letter that your concern revolves around the dilemma of wanting to be independent versus continuing to rely on your parents for care. It seems you have been...[Read More] Finding Independence: Navigating Life After Losing Parents
Overcoming Inner Doubts: A Psychiatric Perspective on Change
Key challenges Hello, Doctor: I have been seeking change and have made numerous attempts, trying many methods such as affirmations. However, those who truly achieve results seem to embody the following description: "When they want to realize something, they can clearly visua...
Dr. Wang Chongren reply Psychiatry
Dear Dr. Wang Chong-Jen of the Tainan Hospital, Department of Psychiatry, Executive Yuan Health Department: Hello, Self-doubt is a psychological issue that exists in everyone at all times. Some people have more faith and less doubt, while others are more doubtful and less trust...[Read More] Overcoming Inner Doubts: A Psychiatric Perspective on Change