Could My Symptoms Indicate Autonomic Nervous System Dysfunction?
Do these symptoms resemble autonomic nervous system dysfunction? Hello, doctor: I would like to ask about my symptoms. When I experience stress, emotions, or tension, I feel an uncomfortable sensation in my chest, but I cannot describe it well. It feels like something is being st...
Dr. Wang Yaoting reply Psychiatry
Hello: It is generally recommended to first conduct a routine examination for symptoms of discomfort (such as chest tightness and bloating). If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, it may indicate autonomic nervous ...[Read More] Could My Symptoms Indicate Autonomic Nervous System Dysfunction?
Understanding Memory Gaps: Causes and Concerns in Adolescents
Memory fragments Dear Doctor: A 17-year-old girl experienced a loss of memory for a period of time before going to bed, without the influence of alcohol or drugs. She remembers what she was doing prior to that time, but her memory is completely blank from a certain point until sh...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on the description, there may be some abnormal behaviors during sleep. If this is causing significant distress or affecting daily life, it is recommended to visit a nearby psychiatric clinic for a more comprehensive evaluation.[Read More] Understanding Memory Gaps: Causes and Concerns in Adolescents
Understanding Autonomic Nervous System Disorders: Is Occasional Relapse Normal?
Autonomic nervous system dysfunction Hello, doctor. I previously had issues with autonomic nervous system dysregulation and have sought medical treatment, but I still experience occasional flare-ups. Is this considered normal? When I feel anxious, I also experience hiccups and bl...
Dr. Wang Yaoting reply Psychiatry
Hello: The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which can become overactive or lose their rhythm due to stress or physical factors, leading to various physical symptoms such as chest tightness, shortness of breath, palpitations, g...[Read More] Understanding Autonomic Nervous System Disorders: Is Occasional Relapse Normal?
Understanding Social Withdrawal: Insights from Mental Health Perspectives
High psychological stress? The doctor’s previous letter mentioned that it’s okay not to force oneself to fit in, and that it doesn’t matter if one feels out of place. However, you also implied that avoidance prevents one’s thoughts from being validated and hinders the development...
Dr. Wang Yaoting reply Psychiatry
Hello: It's difficult to truly understand your situation and provide assistance through text descriptions in online Q&A. I recommend that you seek an evaluation at a nearby psychiatric or psychosomatic clinic as soon as possible. I wish you the best in finding answers so...[Read More] Understanding Social Withdrawal: Insights from Mental Health Perspectives
Understanding Fatigue, Acid Reflux, and Neck Pain: A Mental Health Perspective
Fatigue, acid reflux, neck and shoulder pain? Hello, doctor. Recently, I have been experiencing intermittent acid reflux, and I feel pain in my shoulders and neck after looking at the computer or phone for a long time. Sometimes, I also have unexplained fatigue, and watching stim...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, you may be experiencing symptoms of "autonomic nervous system dysfunction." The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which can become overactive or lose their rhythm due to stress or phy...[Read More] Understanding Fatigue, Acid Reflux, and Neck Pain: A Mental Health Perspective
Do Mental Illnesses Heal Without Medication? Understanding the Risks
Is medication always necessary for mental illness? Is there a possibility of recovery from any mental illness without medication? My mother-in-law believes that my husband, who has not exhibited any harmful behaviors and seems to have normal thoughts, does not need to be pressure...
Dr. Wang Yaoting reply Psychiatry
Hello: The scope of mental illness is broad. According to the Mental Health Act, mental illness is defined as "abnormal manifestations of mental states such as thinking, emotions, perception, cognition, and behavior, which lead to functional impairments in adapting to life a...[Read More] Do Mental Illnesses Heal Without Medication? Understanding the Risks
Coping with Social Anxiety: Strategies for Managing Mental Pressure
High psychological stress? I have been a lone wolf since childhood, and because of this, the social interactions that are common for most people feel like a source of stress for me. The more I try to avoid interacting with others, the more pressure I feel, which makes me want to ...
Dr. Wang Yaoting reply Psychiatry
Hello: Almost everyone has a part of themselves that lacks a sense of security, uncertain about whether they will be accepted by others; the difference lies in the degree and severity of this impact. Many people's struggles with "alienation and isolation" begin in ...[Read More] Coping with Social Anxiety: Strategies for Managing Mental Pressure
Overcoming Health Anxiety: Coping with Persistent Worries About Illness
I am very worried that I might be sick? Hello, Doctor. I know that I am a very pessimistic person. Since I discovered breast lactation last September, I have been very anxious about whether I have cancer. However, after blood tests and an ultrasound, the doctor said I was normal ...
Dr. Wang Yaoting reply Psychiatry
Hello: It seems that you are very anxious about your physical condition, and this period must have been quite uncomfortable for you. Generally speaking, being concerned about bodily ailments is essential for maintaining health. However, if you are excessively worried about your h...[Read More] Overcoming Health Anxiety: Coping with Persistent Worries About Illness
Alternative Medications for Anxiety Without Osteoporosis Risks
Medication issues Dear Doctor, I have been taking Clonazepam 12.5mg for about 10 years due to anxiety and panic issues, along with my constitution. I also have osteoporosis that requires treatment. I found on Google that SSRIs can have side effects related to osteoporosis. I woul...
Dr. Wang Yaoting reply Psychiatry
Hello: Research abroad indicates that SSRIs, a class of antidepressants that regulate serotonin, may reduce bone density in individuals aged 65 and older. In high-risk groups (those with osteoporosis or a history of fractures), caution is advised when using these medications, alt...[Read More] Alternative Medications for Anxiety Without Osteoporosis Risks
Understanding the Connection Between Mental Health and Physical Discomfort
Physical and mental discomfort? Sometimes I feel discomfort in my chest when I have a lot on my mind. However, I have allergic rhinitis, so I'm unsure if it's a physical issue or a psychological one. Sometimes my emotions affect me, leading to self-talk that causes ches...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, if your physical discomfort is influenced by emotions, it may be due to anxiety causing autonomic nervous system dysregulation. I suggest discussing this with your current physician to see if there are any adjustments that can be made to your med...[Read More] Understanding the Connection Between Mental Health and Physical Discomfort
How to Help a Loved One with Mental Health Issues Seek Treatment
Mental disorders My younger brother, who is 46 years old, is naturally shy and has never been married. Two years ago, he developed feelings for a female colleague at work, but she did not reciprocate and humiliated him in front of other male colleagues. Since then, he has often f...
Dr. Wang Yaoting reply Psychiatry
Hello: It is recommended to first consult with the local health center, where you can apply for a home assessment by a physician (some counties have designated hospitals and subsidies), or a public health nurse can visit the home for care. If the individual exhibits violent behav...[Read More] How to Help a Loved One with Mental Health Issues Seek Treatment
Understanding Alexithymia: Signs, Symptoms, and When to Seek Help
Affective Disorder Hello, Doctor: About a year ago, I started to realize that I am different from others, and upon reflection, I think the signs began about eight years ago. I find it difficult to understand when others cry, even during family funerals, which doesn't surpris...
Dr. Wang Yaoting reply Psychiatry
Hello: "Alexithymia" refers to the inability to express emotions verbally, rather than a lack of emotional experience, although it is often interpreted more broadly. Based on your description, it seems that this may be more related to personality traits, typically assoc...[Read More] Understanding Alexithymia: Signs, Symptoms, and When to Seek Help
Understanding Chronic Mental Illness: Criteria for Disability Certification
Chronic mental illness In general, is it considered chronic mental illness if someone has been seeing a psychiatrist for more than two years? In other words, can they apply for a disability certificate? How can one determine whether they need to see a psychiatrist for more than t...
Dr. Wang Yaoting reply Psychiatry
Hello: Only certain psychiatric diagnoses are eligible for applying for a disability certificate, and the assessment must be conducted at an approved evaluation hospital (you can inquire with the social services staff). Generally, you need to have been receiving regular medical t...[Read More] Understanding Chronic Mental Illness: Criteria for Disability Certification
Understanding Self-Injury: Coping with the Urge to Harm Yourself
I have been wanting to see my injury lately? I don't feel like I'm under any pressure. However, recently I've been frequently using a utility knife to cut my arms, enjoying making large red marks. The cuts aren't too deep, but they do bleed. When I shower, I d...
Dr. Wang Yaoting reply Psychiatry
Hello: Cutting the body with a knife can involve many complex psychological motivations, such as: 1. Regaining a sense of control (some individuals may feel that everything in their life is out of control, and the only thing they can control is creating wounds on their own body) ...[Read More] Understanding Self-Injury: Coping with the Urge to Harm Yourself
The Endless Cycle of Suffering: A Reflection on Mental Health Challenges
The terrifying aspect of this world: "the endless cycle of suffering." Hello Dr. Wang, I would like to validate my perspective, which is detailed as follows. The terrifying aspect of this world: "the endless cycle of suffering." If there were no suffering in t...
Dr. Wang Yaoting reply Psychiatry
Hello: Living inevitably involves suffering, which may bring torment. However, for most people, the pain in life has a positive significance. It not only helps us understand our true nature and what we truly desire, but also teaches us what we can let go of, guiding us toward a b...[Read More] The Endless Cycle of Suffering: A Reflection on Mental Health Challenges
Understanding Side Effects of Antidepressants: Sleepiness and Focus Issues
Medication Consultation Hello Dr. Huang, I previously took Wellbutrin and experienced drowsiness, so I switched to Effexor (currently half a pill) but still feel drowsy. I would like to ask if this side effect will disappear after some time? If so, how long does it usually take...
Dr. Wang Yaoting reply Psychiatry
Hello: I apologize for the delayed response as I did not receive the notification email regarding the system's inquiry. Actually, both Prozac and Effexor are antidepressants that increase serotonin levels in the brain. Some individuals may be more sensitive to serotonin and ...[Read More] Understanding Side Effects of Antidepressants: Sleepiness and Focus Issues
Coping with Heartbreak: Understanding Emotional and Physical Symptoms
Heartbreak..? It's been about a month since my breakup, and my ex is a classmate. I still can't get over the emotional pain. I used to have a big appetite, but now I feel full after just one rice ball, and sometimes I can't even finish it. I'm still experienci...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description of your current situation, it seems to be more like acute stress disorder combined with depressive symptoms. If the depressive symptoms persist for more than two months and increasingly affect your daily life, it is advisable to seek help from a p...[Read More] Coping with Heartbreak: Understanding Emotional and Physical Symptoms
Managing Insomnia and Irritability: Strategies for Mental Health
Insomnia and irritability? I experience significant mood swings and often find myself unable to tolerate people and situations. My temper becomes even harder to control when my husband and daughter don’t listen to me. There are days when I feel angry almost all day long, and I fr...
Dr. Wang Yaoting reply Psychiatry
Hello: Taking care of children can indeed be very stressful, and many people experience emotional regulation issues like you do. However, if you feel that your situation is becoming unmanageable or is affecting your daily life, it may be advisable to visit a nearby psychiatric ou...[Read More] Managing Insomnia and Irritability: Strategies for Mental Health
Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?
The sedative effects of the sleeping pills are too strong? I have been experiencing sleep disturbances due to depression, so my doctor prescribed me sleeping pills. Although I still experience interruptions in my sleep, I can go back to sleep after waking up. However, my doctor i...
Dr. Wang Yaoting reply Psychiatry
Hello: If there is an issue with the dosage or the medication regarding the use of sleeping pills, it is advisable to consult your physician earlier to avoid further complications. Additionally, it is recommended to modify your sleep habits, such as reducing the intake of tea or ...[Read More] Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?
Understanding Drug Interactions in Schizophrenia Treatment
Are there any drug interactions with the medications on the prescription? Hello, Doctor: My sister has schizophrenia, and I would like to inquire about potential interactions between the medications listed on her prescription. Additionally, my sister does not have Parkinson'...
Dr. Wang Yaoting reply Psychiatry
Hello, I apologize for the late response due to some matters in the past few days. 1. Currently, there are no clear drug interactions; however, the combination of certain medications may increase the likelihood of some rare side effects. For example, the combination of Zyprexa ...[Read More] Understanding Drug Interactions in Schizophrenia Treatment