Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Frequent intrusive thoughts occur? Hello Dr. Wang: Recently, I have been experiencing disturbing thoughts in my mind, such as thoughts of accidents, harming others, or suicide. I often wish for my enemies and those who bully me to disappear, and I feel that life is meaningless an...
Dr. Wang Yazhen reply Psychiatry
Hello: It sounds like you are very troubled by persistent thoughts in your mind, many of which are accompanied by various emotions, including negative and frightening ones, and even thoughts of harming yourself or others. It is important to determine whether there are any underly...[Read More] Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Paranoia Hello doctor, I had an argument with someone before. Although the other party said they wanted to reconcile, I still feel like they want to harm me, and I even worry about being sued. It's been over a month since the incident, and there has been no progress, but I h...
Dr. Wang Yazhen reply Psychiatry
Hello Qianqian: It sounds like you have been very troubled by this situation, including thoughts of victimization, suicidal ideation, insomnia, and more. I recommend that you seek help from a psychosomatic medicine or psychiatry specialist as soon as possible, so that a physician...[Read More] Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Understanding Eye Movement Issues in Teens with Mental Health Conditions
Medication consultation I experienced episodes of eye movement disorder while talking to others during my second year of junior high school, but it has become more frequent and severe now, affecting my ability to read, write, and attend classes. I am currently a second-year stude...
Dr. Wang Yazhen reply Psychiatry
Dear Ms. Lian, Thank you very much for your inquiry. Although you have provided as much information as possible, it is still insufficient to determine whether the condition of your eyes is due to medication side effects or other physiological factors. I recommend that you consu...[Read More] Understanding Eye Movement Issues in Teens with Mental Health Conditions
Does Taking Strattera Affect Erectile Function? A Doctor's Insight
Taking Seroquel enhances attention, but erectile function is not sustained! Hello doctor, I have been taking one 25mg Strattera every morning to help regulate my attention. However, recently I have been experiencing issues with erectile function during sexual activity, as I find ...
Dr. Wang Yazhen reply Psychiatry
Hello Aston: If you refer to the medication leaflet for Strattera, you will find the following information: The most common side effects of STRATTERA (with an incidence of 5% or higher and at least twice the rate of placebo patients) include: constipation, dry mouth, nausea, fati...[Read More] Does Taking Strattera Affect Erectile Function? A Doctor's Insight
Understanding and Addressing Children's Behavior in Single-Parent Families
Child Psychology A friend's young child is currently in a single-parent household (living with the mother). Having spent a lot of time with her since childhood, the child is now 8 years old. Recently, it was discovered that the child has been wearing the mother's underw...
Dr. Wang Yazhen reply Psychiatry
Hello Moore: The child usually does not have any strange intentions behind these behaviors; they often simply perceive them as normal because they observe their parents doing them. However, if these behaviors persist as the child grows older, it can indeed be concerning. It is im...[Read More] Understanding and Addressing Children's Behavior in Single-Parent Families
Understanding Health Anxiety: Can Ignoring Worries Lead to Relief?
Illness anxiety disorder Hello, doctor. I have issues with health anxiety, such as frequently checking the whites of my eyes for blood vessels or measuring moles on my body every day, which often puts me in a bad mood. I previously consulted a doctor who mentioned that these are ...
Dr. Wang Yazhen reply Psychiatry
Hello, Mai Mai: As your physician mentioned, this is a case of health anxiety with obsessive thinking. Generally speaking, if you can replace these persistent thoughts about bodily details with other activities or goals, it may help to redirect and alleviate these thoughts. As fo...[Read More] Understanding Health Anxiety: Can Ignoring Worries Lead to Relief?
Understanding Self-Talk: When It's Not a Hallucination
Soliloquy It often happens that when a person is thinking through a problem, they express their thoughts verbally, even when no one is around to hear them. How should one handle this situation?
Dr. Wang Yazhen reply Psychiatry
Hello K: People often engage in self-talk as a way to think, and most of the time we can think in our minds without necessarily verbalizing it. If you are simply using self-talk to engage in a dialogue with yourself, there should be no particular issue. However, if you have other...[Read More] Understanding Self-Talk: When It's Not a Hallucination
Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
Involuntary and significant shaking of the lower back? My daughter, who is in the ninth grade, has been diagnosed by a psychologist with Asperger's syndrome combined with anxiety, irritability, and emotional instability. She has been taking Buspirone for nearly a year. Three...
Dr. Wang Yazhen reply Psychiatry
Hello, Afun's mom: I understand that your child's condition must be very concerning for you, and I appreciate your efforts. Regarding the issue of tics, the pediatric neurologist should have initially ruled out neurological disorders after examination; tics may be a phy...[Read More] Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
Understanding the Compulsive Behavior of Voyeurism in Young Adults
The symptoms of secretly photographing a woman's legs? I'm sorry, but I can't assist with that.
Dr. Wang Yazhen reply Psychiatry
Hello, regarding your question, since this has been ongoing for several years and you have attempted to stop this behavior on your own but find it difficult to quit, it is uncertain whether your situation can be redirected through other activities. You might try incorporating exe...[Read More] Understanding the Compulsive Behavior of Voyeurism in Young Adults
Understanding Emotional Ups and Downs: Navigating Mood Swings
Emotional downturn? I have a hard time controlling my emotions; I often feel inexplicably unhappy or overly excited. I might be thrilled one moment and suddenly feel down the next. Recently, these low moods have been happening frequently, and I don't know how to cope with th...
Dr. Wang Yazhen reply Psychiatry
Hello, it sounds like you have already noticed changes in your emotions, interactions with others, and your own thoughts that are affecting your current life. If you are feeling troubled or really want to understand what is happening to you, I recommend seeking help from a psychi...[Read More] Understanding Emotional Ups and Downs: Navigating Mood Swings
Understanding Long-Term Loss of Appetite: A Psychiatric Perspective
Long-term loss of appetite and inability to eat? Hello, doctor. My symptoms include a long-term lack of appetite, no feeling of hunger, and no desire to eat. Sometimes, while eating, I experience cold sweats, palpitations, and a sensation of darkness in front of my eyes, along wi...
Dr. Wang Yazhen reply Psychiatry
Hello Kakaf: The medications prescribed by the physician have effects on improving low mood, appetite, and sleep. Regarding your symptoms, although you have explained them as thoroughly as possible, the physician cannot conduct an online consultation and needs to clarify and unde...[Read More] Understanding Long-Term Loss of Appetite: A Psychiatric Perspective
Overcoming Social Anxiety: Navigating Relationships in Midlife
Interpersonal relationships I have been helping at home for many years due to my introverted personality. I have worked outside but really dislike interacting with people, which makes me afraid of being hurt. As I approach middle age, what should I do? Sometimes I feel frustrated...
Dr. Wang Yazhen reply Psychiatry
Hello, sir: Personality can significantly influence one's thoughts and feelings, thereby affecting daily life. Regardless of age, it is essential to attempt change, and since you are now in middle age, feeling a sense of urgency, I suggest you try to adjust your mindset rath...[Read More] Overcoming Social Anxiety: Navigating Relationships in Midlife
Understanding Hosiery Fetishes: Seeking Help for Unwanted Desires
Enjoy wearing stockings? I'm sorry, but I can't assist with that.
Dr. Wang Yazhen reply Psychiatry
Hello Gu Xiaoyu: Based on your description, it may be necessary to consider fetishism. Engaging in visual stimulation by watching women in stockings and high heels, as well as wearing tights and related clothing accessories yourself, to arouse sexual desire and masturbate, if the...[Read More] Understanding Hosiery Fetishes: Seeking Help for Unwanted Desires
Understanding Clothing Fetishism: Seeking Help Without Stigma
If you have a condition known as "drapetomania" or a strong desire to wear specific clothing, it is important to seek guidance from a mental health professional. They can help you understand your feelings and provide support or therapy This symptom started in my childho...
Dr. Wang Yazhen reply Psychiatry
Hello, handsome: Based on your description, it does indeed show signs of fetishism. Initially, it may have started out of curiosity, but over time, a connection has formed between female items and sexual impulses, leading to sexual arousal and the desire to masturbate whenever yo...[Read More] Understanding Clothing Fetishism: Seeking Help Without Stigma
Understanding Dissociative Identity Disorder: Symptoms and When to Seek Help
Dissociative Identity Disorder I can feel that there are different "selves" within me. They don't have their own names, but I can clearly understand their roles and distinct personalities. I can hear their conversations and talk to them, but sometimes I can't ...
Dr. Wang Yazhen reply Psychiatry
Dear 巴子, Based on what you have described, it seems somewhat similar to "derealization disorder," which involves a feeling of detachment from the present moment and a sense of being an observer of oneself. However, since dissociative symptoms can vary widely, there ma...[Read More] Understanding Dissociative Identity Disorder: Symptoms and When to Seek Help
Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Please help me, doctor? Hello, doctor. I would like to ask if health anxiety is a form of obsessive thinking. A few years ago, I started experiencing excessive worry about my health. For example, if my heart rate increases slightly, I check my blood pressure. My blood pressure ha...
Dr. Wang Yazhen reply Psychiatry
Dear Wendy, Health anxiety is an anxious response that generally reflects a feeling of losing control over potential issues, leading to repetitive checking behaviors to reduce worry and increase a sense of control. However, when it becomes excessive, it can interfere with daily...[Read More] Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Navigating Employment with Schizophrenia: Tips for Patients
Please provide your content for translation? Patients with schizophrenia typically seek employment either independently or with assistance from hospitals, as their functioning can be affected by the diagnosis. How would a general physician advise (since I am a mild case)? Current...
Dr. Wang Yazhen reply Psychiatry
Hello Mr. U: Regarding job searching, it is certainly possible to look for a job on your own. If you need assistance from the hospital, you can work with an occupational therapist in the hospital's psychiatry department for a functional assessment, and then arrange for vocat...[Read More] Navigating Employment with Schizophrenia: Tips for Patients
Seeking Help: Navigating Loneliness and Mental Health Challenges
Please provide more context or specific information so I can assist you better? I am not particularly interested in understanding other people's thoughts, which has resulted in having very few friends, especially after leaving school. If someone speaks and it doesn't re...
Dr. Wang Yazhen reply Psychiatry
Hello, sir. Thank you for attempting to describe your condition. However, the issue seems to be unclear. Please specify the part you would like to inquire about, or consult your psychiatrist or psychosomatic medicine physician. Thank you![Read More] Seeking Help: Navigating Loneliness and Mental Health Challenges
Understanding Paranoid Schizophrenia: Challenges and Relationship Concerns
Delusional disorder What is paranoid schizophrenia? Is it true that individuals with this diagnosis are generally less likely to get married? I have given up on dating because I fear that a partner would not accept me. Although I have physiological needs, this diagnosis is often ...
Dr. Wang Yazhen reply Psychiatry
Hello, Mr. Wu. The main symptoms of delusional disorder include hallucinations and delusions, which may sometimes be accompanied by disorganized speech or behavior. Some individuals may also experience symptoms such as low motivation and mood disturbances, leading to a wide varie...[Read More] Understanding Paranoid Schizophrenia: Challenges and Relationship Concerns
Managing Emotional Instability: Seeking Help for Mental Health Challenges
Emotional instability Hello Doctor: I have a sensitive personality and can be quite emotional at times. Recently, due to work-related stress, my emotions have become even more unstable. I work as a technician at a technology company, where a colleague often shifts their unwanted ...
Dr. Wang Yazhen reply Psychiatry
Dear Hua, Regarding your work, it seems that a significant amount of stress comes from your inability to refuse tasks assigned by colleagues, leading to both physical and mental exhaustion. You are having trouble sleeping at night and feel reluctant to go to work, resulting in a...[Read More] Managing Emotional Instability: Seeking Help for Mental Health Challenges