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Managing Emotional Instability: Sleep Issues and Anger Management

Emotional instability can lead to irritability and insomnia? Hello doctor, these issues have been happening for a long time. I have visited a mental health clinic, but the doctors just listened and didn’t provide any guidance. Therefore, I didn’t share much about my insomnia at n...

Dr. Wang Hongsong reply Psychiatry
Hello, from your letter, it seems that you are experiencing insomnia and emotional issues that have been troubling you for some time. The content of your message is somewhat fragmented, making it difficult to systematically understand the entirety of your problems. I recommend th...

Is ADHD Solely Genetic? Exploring Other Contributing Factors

Is genetics the only cause of ADHD? Is ADHD always hereditary? My parents don't seem to have attention deficit issues (not entirely sure), but I do. My dad often has trouble controlling his emotions when he's angry, occasionally forgets things, and has a generally impat...

Dr. Wang Hongsong reply Psychiatry
Hello: There are many factors that can contribute to hyperactive behavior, including genetics, maternal factors during pregnancy, family environment, and dietary habits. These factors interact with each other and manifest as hyperactivity. Hyperactive behavior does not necessaril...

Assessing Repetitive Speech in Children: When to Seek Help?

Is an evaluation necessary? The child is five years old and constantly repeats what adults say. For example, when I tell him not to cry, he keeps saying, "I won't cry, I won't cry..." When I say to stop crying, he responds with, "I will stop crying, I wil...

Dr. Wang Hongsong reply Psychiatry
Hello, the child's issues may involve emotional, attention, and parenting interaction problems, among others. Since the child is under six years old, it is recommended to seek an evaluation at a pediatric developmental clinic.

Living Without Emotions: Understanding Emotional Detachment and Seeking Help

Born without emotions? I seem to have lived a completely emotionless life since I can remember, for 24 years. I have neither laughed nor cried, and I feel nothing towards anything. When I got into my first-choice school, my family was happy, and I just thought, "Oh, I got in...

Dr. Wang Hongsong reply Psychiatry
Hello, regarding the events mentioned above, feeling troubled is an expression of your emotions. It does not mean you lack emotions. Not knowing how to express your feelings in social interactions can indeed make others feel uncomfortable. You can seek help from a teacher at the ...

Understanding Mental Health: How to Get Tested for Disorders

Psychiatric assessment? I am unsure if I have a mental illness, as I experience symptoms such as panic in crowds, social anxiety, depression, autism, and anxiety. I have taken several online tests and almost always passed them. Does your hospital offer a comprehensive set of psyc...

Dr. Wang Hongsong reply Psychiatry
Hello, although there are many tests available online, they should only be used as a reference. Your concerns require a visit to a hospital where a physician can conduct an interview and select the appropriate psychological assessment tools. Not all assessment tools should be adm...

Can Adults Have ADHD Symptoms? Seeking Help for Attention Issues

Attention Deficit Disorder (ADD) I would like to ask the doctor: Can adults still exhibit symptoms of Attention Deficit Hyperactivity Disorder (ADHD)? I feel that I have difficulty concentrating. I want to visit an ADHD clinic, but it seems that hospitals in central Taiwan catego...

Dr. Wang Hongsong reply Psychiatry
Hello: Attention Deficit Hyperactivity Disorder (ADHD) is typically evaluated by a child psychiatrist, but child psychiatrists also specialize in general psychiatry. Some child mental health clinics may have age restrictions for consultations. If you are unable to visit a child m...

How to Handle Unusual Behavior from a New Friend: A Guide

I noticed that a newly acquainted friend is exhibiting unusual behavior..? Hello Doctor, I recently met a female friend who is a few years older than me at a place I frequently visit. We discovered that we have many common backgrounds, and she seemed very enthusiastic. After a fe...

Dr. Wang Hongsong reply Psychiatry
Hello, consider whether you have any appealing qualities, such as your lifestyle, habits, or personality. Temporarily change some of these aspects to reduce her interest in you. For example, evaluate whether the places you frequently visit are essential to your routine. Additiona...

Does Bipolar Disorder Affect Growth in Young Adults?

Bipolar disorder issues Hello, doctor. I was diagnosed with bipolar disorder at the age of 21, but I haven't seen a doctor for five years. I would like to know if lack of sleep could affect my growth potential, and if it could result in me being shorter than I could have bee...

Dr. Wang Hongsong reply Psychiatry
Hello, height is related to genetics and lifestyle habits such as diet, exercise, and sleep. Insufficient sleep during puberty may affect height, and after puberty, the chances of growing taller are low.

Recommended Medications for Managing Delusions in Psychiatry

Medication issues Hello, doctor. I would like to ask if there are any recommended medications that can be prescribed for delusions, considering that I am regularly receiving long-acting injections and my oral medication is stable, but my delusional symptoms have not improved.

Dr. Wang Hongsong reply Psychiatry
Hello: If you are undergoing regular medication treatment and still experiencing symptoms, it is important to consider whether the dosage is sufficient or if other medication options are necessary. Each individual responds differently to medications, and it is not possible to add...

Understanding Medication Management for Children with ADHD: Key Considerations

Medication Issues for Children with ADHD Hello, doctor. My child has been diagnosed with ADHD and has been on medication for two years, specifically Ritalin, from kindergarten to second grade. Currently, their condition is relatively stable. However, when I ask the prescribing ph...

Dr. Wang Hongsong reply Psychiatry
Attention deficit hyperactivity disorder (ADHD) medications can enhance a child's focus and reduce hyperactivity and impulsivity. In addition to medication, behavioral interventions and parenting strategies can also be beneficial for children. Children tend to concentrate be...

Pregnancy Considerations for Patients with Early-Onset Mental Disorders

Early-onset mental disorders Hello Dr. Wang: Is it advisable for patients with early-onset mental disorders to become pregnant? What potential issues might arise for the child born from such a pregnancy? Will the child be at risk of developing mental health disorders as they grow...

Dr. Wang Hongsong reply Psychiatry
Is it suitable for patients with early-onset mental disorders to become pregnant? Patients with early-onset mental disorders can discuss the possibility of pregnancy with their doctor and family when their symptoms are stable. If they decide to pursue pregnancy, they should pay a...

Could My Chronic Cough and Eye Blinking Indicate Tourette Syndrome?

Suspecting that I have Tourette syndrome (known to have Asperger's syndrome)? Hello, Doctor (the question is a bit long): I have had a chronic cough since middle school (a dry cough year-round, which does not occur at night or while sleeping; during exams or when I am nervou...

Dr. Wang Hongsong reply Psychiatry
Hello, it seems that your chronic cough has been bothering you for a long time. You have taken medication and consulted with doctors, which provided some relief, but it keeps recurring. There is a Taiwanese proverb: "The chef fears the midday meal, the plumber fears leaks, a...

Understanding Attention Issues in Preschoolers: When to Seek Help

Children with attention difficulties may experience poor academic performance? Hello Doctor: My son is going to enter kindergarten this year. When he was in preschool, he often wasn't attentive in class and didn't really listen to the teacher. However, his preschool tea...

Dr. Wang Hongsong reply Psychiatry
Hello: Every child has different learning abilities. If a child cannot remember all the steps at once, it might be helpful to focus on one step at a time. Work together with them to complete that step, and then give them a big hug or praise. This encouragement will boost their co...

Enhancing Child Development: Addressing Autism, Delays, and Potential

Physical and mental development Hello, Doctor: 1. I would like to ask, if parents exhibit some autistic traits, and the child also shows some of these traits, how can we improve this situation? 2. How can we address the child's delayed responses and enhance their intellig...

Dr. Wang Hongsong reply Psychiatry
Hello: You must be very concerned about your child's development, worried that he may not be smart enough or agile enough, and fearing that he might have developmental delays, hoping for improvement. Poor academic performance is not necessarily directly related to developmen...

Understanding Asperger's Syndrome: Diagnosis, Symptoms, and Misconceptions

Asperger's syndrome or not? Doctor, I apologize for bothering you during your busy schedule. Around October last year, I visited a psychiatric department at a certain hospital because I have many peculiarities in social interactions and behavior. I am currently 25 years old,...

Dr. Wang Hongsong reply Psychiatry
Hello: Asperger's syndrome is a congenital condition, not something that develops later in life. It is important to trace back to childhood or infancy, and since you are already 25 years old, it may be more difficult to recall those early experiences. Typically, we would ask...