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Understanding Asperger's: Navigating Complex Social Interactions

He says he has Asperger's syndrome, but I don't think so! Hello Doctor, I live in Kaohsiung and I am studying at Kun Shan University. I would like to ask you a question! There is a classmate who is 27 years old and claims to have Asperger's syndrome on our class fo...


Dr. Wang Xiumei reply Psychiatry
Hello: I can sense your distress. Based on the content, it appears that only inappropriate interaction behaviors can be observed, and a remote diagnosis is not possible. The key point is that when there are harmful behaviors or the potential for harm in real life or online, pleas...

[Read More] Understanding Asperger's: Navigating Complex Social Interactions


Am I Showing Signs of Anorexia? Understanding My Weight Concerns

Do I have signs of anorexia? I am 171 cm tall, weigh 49.2 kg, and have a body fat percentage of 16.7%. I have been underweight since childhood and have never reached a normal weight standard. I previously tried to gain weight but was unsuccessful, and all my medical check-ups hav...


Dr. Wang Xiumei reply Psychiatry
Based on your description, there seems to be an issue with anxiety, while the symptoms of anorexia are not yet apparent. It would be advisable to seek an evaluation at a nearby psychiatric outpatient clinic to assess for any anxiety-related disorders.

[Read More] Am I Showing Signs of Anorexia? Understanding My Weight Concerns


Understanding and Addressing Unusual Behavior in Mental Health Issues

Mental status My mother used to be normal and was not picky about food, but now she refuses to eat meat and has developed strange cooking habits. She insists on blanching vegetables, meat, and mung beans until they are fully cooked, and then cooking them again. When shopping, she...


Dr. Wang Xiumei reply Psychiatry
You can first clarify your concerns regarding her sleep issues and express your care for her health. Emphasize the impact of sleep on overall health and encourage her to seek help from a nearby psychiatric clinic to address her sleep problems. Once at the clinic, the physician sh...

[Read More] Understanding and Addressing Unusual Behavior in Mental Health Issues


Helping Elderly with Anorexia: Overcoming Resistance to Mental Health Care

What to do when an elderly person with anorexia refuses to see a psychiatrist or a psychosomatic specialist? Hello, my elder relative has anorexia and often only eats a piece of cracker and a cup of soy milk a day. However, he is very resistant to seeing a psychiatrist and prefer...


Dr. Wang Xiumei reply Psychiatry
If the elderly patient refuses psychiatric care, you can first try consulting a family medicine physician.

[Read More] Helping Elderly with Anorexia: Overcoming Resistance to Mental Health Care


Understanding My Father's Anger and Stubbornness: Is It Depression or Bipolar Disorder?

My father is prone to emotional outbursts, extremely stubborn, and yells when things don't go his way. What could be the reason for this? My father has been retired for three years and doesn't have much of a social circle. He usually stays at home watching television or...


Dr. Wang Xiumei reply Psychiatry
It may be related to personality or emotional disorders, or early cognitive impairment. More information is needed, and it is recommended to seek outpatient consultation and evaluation.

[Read More] Understanding My Father's Anger and Stubbornness: Is It Depression or Bipolar Disorder?


Overcoming Speech Anxiety: Strategies for High School Students

Experiencing a lump in the throat while speaking? Hello, I am a senior in high school, and I have always had issues with anxiety when speaking in public or during exams. I struggle to make eye contact and find it difficult to discuss serious topics or speak in front of others wit...


Dr. Wang Xiumei reply Psychiatry
You may consider visiting a nearby psychiatric outpatient clinic for adolescents to assess for any phobia issues and to determine if psychological therapy is needed for assistance.

[Read More] Overcoming Speech Anxiety: Strategies for High School Students


Understanding Sleep Disturbances: Dreams of Falling and Physical Reactions

Kicking and punching during sleep? Sometimes I wake up suddenly in the middle of my sleep. Since childhood, I have experienced this occasionally, about once or twice a year, often accompanied by a sensation of falling. Just before waking up, my body moves on its own. Recently, I ...


Dr. Wang Xiumei reply Psychiatry
You can come to the outpatient clinic for evaluation, arrange relevant tests, and consult about subsequent management.

[Read More] Understanding Sleep Disturbances: Dreams of Falling and Physical Reactions


Do Seniors with Increased Energy Need Mandatory Hospitalization?

Do elderly individuals experiencing mental agitation need to be forcibly hospitalized for treatment? Hello Dr. Wang: We have a grandmother who is about 70 years old. Recently, she has been sleeping only about 2 hours at night but seems very energetic. She wanders around checking ...


Dr. Wang Xiumei reply Psychiatry
It is recommended to schedule an evaluation and treatment at our geriatric psychiatry outpatient clinic on Thursday morning or Friday morning.

[Read More] Do Seniors with Increased Energy Need Mandatory Hospitalization?


Understanding Irritability and Insomnia: Signs of Mental Health Issues

Irritability, insomnia? I have been feeling inexplicably irritable and sad lately, often wanting to cry. I feel as though no one needs me, and I have been having trouble sleeping at night, frequently experiencing insomnia or waking up easily. I want to understand what is happenin...


Dr. Wang Xiumei reply Psychiatry
There may be issues related to depression affecting your physical health. It is recommended to seek evaluation at a psychosomatic medicine (psychiatry) outpatient clinic.

[Read More] Understanding Irritability and Insomnia: Signs of Mental Health Issues


Understanding Abnormal Behavior in Elderly: When to Seek Emergency Care

Abnormal behavior in the elderly? My father is 86 years old. He has fallen twice this year, and after an emergency room visit, he was diagnosed with a gastric ulcer. Due to poor bladder function, he currently has a urinary catheter. He has regular follow-up appointments with both...


Dr. Wang Xiumei reply Psychiatry
If you feel the need to have a bowel movement every two hours, it is advisable to consult a gastroenterologist to investigate the reasons for this change in bowel habits, particularly to rule out any diseases related to the colon. If the gastrointestinal tract is found to be norm...

[Read More] Understanding Abnormal Behavior in Elderly: When to Seek Emergency Care


Understanding Dementia Medication Coverage and Exceptions in Taiwan

Dementia medication reimbursement Hello, Doctor: I would like to inquire about medications for dementia, as follows: 1. Regarding the medications for dementia treatment - acetylcholinesterase inhibitors (donepezil, rivastigmine, galantamine), I saw on the National Health Insura...


Dr. Wang Xiumei reply Psychiatry
The assessment of medical history can be used when there is comorbidity of Alzheimer's disease or Lewy body dementia. Patients can pay out of pocket at the hospital.

[Read More] Understanding Dementia Medication Coverage and Exceptions in Taiwan


Understanding Chronic Headaches and Neck Stiffness: Seeking Help

I think I might be sick? I have been experiencing persistent headaches for 2 to 3 months, with a constant feeling of tightness in my head that often escalates to pain. Recently, I have also developed dry eye syndrome. I underwent an MRI of my head, which showed normal results. Du...


Dr. Wang Xiumei reply Psychiatry
It is recommended to consult a neurologist for a specialized evaluation of headaches.

[Read More] Understanding Chronic Headaches and Neck Stiffness: Seeking Help


Understanding Emotional Instability: Signs of Depression and Solutions

Emotional instability Hello! Recently, I've been experiencing significant emotional instability, often getting angry and shouting. I find myself losing my temper easily when talking to family and friends, which is quite frustrating. I've even had thoughts of self-harm. ...


Dr. Wang Xiumei reply Psychiatry
It is possible. You can visit a nearby psychiatric or psychosomatic clinic for evaluation, differential diagnosis, and counseling on the next steps for treatment.

[Read More] Understanding Emotional Instability: Signs of Depression and Solutions


Understanding the Differences Between Sedatives: Ativan, Relaxation Pills, and More

I would like to ask questions regarding sedatives? Recently, due to severe insomnia, my doctor prescribed me Urethane (also known as Lorazepam). It is very helpful when I feel anxious, but I don’t experience an immediate feeling of drowsiness. Additionally, after taking it for a ...


Dr. Wang Xiumei reply Psychiatry
Youyouan tablets and Ativan contain the same active ingredient. The strength of their effects depends on the dosage. All three have similar sedative and anxiolytic effects, and some also have hypnotic properties. Individual responses can vary based on personal constitution, the s...

[Read More] Understanding the Differences Between Sedatives: Ativan, Relaxation Pills, and More


Understanding Sleep Deprivation and Its Impact on Mental Health

Sleep deprivation and mental illness? Hello, I have been feeling unrefreshed despite sleeping 7-8 hours every day. I wake up with headaches, a heavy feeling in my head, and fatigue throughout the day. My internal medicine check-up showed no issues, and I have undergone several sl...


Dr. Wang Xiumei reply Psychiatry
Dogmatyl at low doses has multiple uses. The management of psychotic symptoms is just one of them and may not necessarily be the intended use. You may want to consult your physician about their considerations.

[Read More] Understanding Sleep Deprivation and Its Impact on Mental Health


Managing Generalized Anxiety Disorder: Medication Concerns and Solutions

Anxiety disorder issues? Doctor: Hello! I have generalized anxiety disorder. Currently, I take 0.5 mg of Alprazolam during the day and at night, I take 1.5 mg of Eszopiclone along with one Lamotrigine. I feel dizzy all day after waking up. I would like to know the feasibility of ...


Dr. Wang Xiumei reply Psychiatry
It is advisable to discuss any medication issues and side effects with your primary care physician for a more comprehensive understanding.

[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Solutions


How to Help My Sister with Her Mental Health Struggles?

I'm sorry, but I need more context to provide an appropriate response. Could you please provide more details about your sister's situation? Your sister has recently been experiencing frequent dreams about her father being abusive during her childhood. She often complain...


Dr. Wang Xiumei reply Psychiatry
Based on your description, your sister exhibits significant psychiatric symptoms. It is recommended that she consult a psychiatrist for differential diagnosis and further treatment.

[Read More] How to Help My Sister with Her Mental Health Struggles?