Understanding My Boyfriend's Recent Fetish: Is It a Serious Issue?
My boyfriend has a fetish? Hello, regarding the previous inquiry #146116, my boyfriend is 32 years old and has recently started to masturbate while smelling his own underwear. The frequency is not high, and I have subtly asked him about it, but he pretends to know nothing and den...
Dr. Wang Zhenyang reply Psychiatry
Hello, Miss: If the frequency of your recent sexual activities has decreased, your boyfriend's behavior may not be serious. Human sexual fantasies are inherently diverse, and if your boyfriend's situation is not causing distress to himself or you, it may be worth observ...[Read More] Understanding My Boyfriend's Recent Fetish: Is It a Serious Issue?
Is Talking to Yourself a Sign of Mental Illness?
Soliloquy If self-talk is not caused by auditory hallucinations, does it still count as a mental disorder? Often, a person engages in self-dialogue or self-communication without experiencing hallucinations, but they may privately talk to themselves. I wonder if the physician coul...
Dr. Wang Zhenyang reply Psychiatry
Hello, sir: If the self-talk is not caused by auditory hallucinations, it is not a phenomenon of psychopathology, so it is not a sign of mental illness, and there should be no need for concern. Thank you. Dr. Wang Zhenyang, Attending Physician and Director, Community Psychiatry D...[Read More] Is Talking to Yourself a Sign of Mental Illness?
Understanding Your Partner's Fetish: When to Seek Help
Discovering your boyfriend's fetish? My boyfriend is 32 years old. Recently, when we meet, he rarely touches me. I accidentally discovered that he secretly smells my used underwear while masturbating. Should I be concerned and see a doctor? Is it appropriate to confront him ...
Dr. Wang Zhenyang reply Psychiatry
Hello, Miss: Is your boyfriend's behavior serious? It’s important to inquire whether it has affected his daily life or emotional relationships, and whether the frequency is quite high, among other factors. Perhaps instead of questioning him directly, you could express your c...[Read More] Understanding Your Partner's Fetish: When to Seek Help
Is It OCD? Understanding and Overcoming Obsessive Behaviors
Is it obsessive-compulsive disorder (OCD)? How can it be resolved? Two years ago, a family member was hospitalized, and due to their weakened immune system, we had to maintain a very clean environment. This made me more concerned about another family member's athlete's ...
Dr. Wang Zhenyang reply Psychiatry
Hello, Miss: Based on your description, it seems that your repetitive cleaning activities, which consume a lot of your time, are causing you significant distress, indicating that you may be experiencing obsessive-compulsive disorder (OCD). I recommend that you consult a psychiatr...[Read More] Is It OCD? Understanding and Overcoming Obsessive Behaviors
Overcoming Anxiety and Isolation: A Journey Through Mental Health Struggles
Constant feelings of anxiety/obsessive thoughts/sleep disturbances? Since childhood, my home has been filled with chaos and conflict (a typical violent family), with very few peaceful days. After the second year of junior high, I became the only child at home (my older brother pa...
Dr. Wang Zhenyang reply Psychiatry
Hello, Miss: It appears that you are experiencing significant symptoms of anxiety and difficulties in interpersonal relationships. The background you mentioned in your letter suggests that you may not have had a sufficiently secure attachment during childhood, which has led to ch...[Read More] Overcoming Anxiety and Isolation: A Journey Through Mental Health Struggles
Understanding Suicidal Thoughts: Navigating Mild Depression and Self-Disdain
I feel like I just have depressive feelings, but I often think about suicide? Although I sometimes feel suddenly depressed, I generally maintain a relaxed mood. I just detest myself for constantly thinking, "What if I could just die?" I used to imagine suicide but felt ...
Dr. Wang Zhenyang reply Psychiatry
Dear Miss Jian, The symptoms of depression are diverse, and suicidal thoughts are one of them. In your letter, you mentioned that you simply loathe yourself, which is a psychological state that needs to be understood and addressed. Self-loathing can lead to feelings of boredom a...[Read More] Understanding Suicidal Thoughts: Navigating Mild Depression and Self-Disdain
Understanding Intrusive Thoughts and Compulsive Behaviors in Mental Health
Improving small movements, hoping to be a bit sunnier? I apologize for the interruption, but I have some questions I would like to ask the doctor. My organizational skills are poor, so I appreciate your help! Sometimes, I have strange thoughts that pop into my mind unexpectedly, ...
Dr. Wang Zhenyang reply Psychiatry
Hello, Miss: I recommend that you seek consultation at a psychiatry or psychosomatic medicine clinic. The physician will need to ask you further questions about your condition in order to diagnose your issues and provide treatment options. Thank you for your message, and I wish y...[Read More] Understanding Intrusive Thoughts and Compulsive Behaviors in Mental Health
Recurring Dreams of Past Loves: Understanding Emotional Impact and Healing
Having recurring dreams about someone you used to like every six months to a year? Hello Dr. Wang, I have reviewed the resumes of various doctors and feel that dream analysis might be your area of expertise. I am an international student living abroad, and last year I sought hel...
Dr. Wang Zhenyang reply Psychiatry
Hello, Hsin-Yi: If your issues are still causing you significant distress, I suggest considering a return to psychotherapy. I believe this could be more beneficial for you. Of course, the process of therapy can be challenging, as it requires confronting our inner difficulties and...[Read More] Recurring Dreams of Past Loves: Understanding Emotional Impact and Healing
How to Improve Sleep Quality and Reduce Disturbing Dreams
Head issues Hello, Doctor: 1. I have many dreams every night, with the most vivid ones occurring around six in the morning. In these dreams, it feels like someone is talking to me, and the conversations revolve around issues that are important to me. I find myself wanting to re...
Dr. Wang Zhenyang reply Psychiatry
Hello: Dreaming is a normal physiological phenomenon, and the content of dreams is often related to our daily concerns and subconscious thoughts. If the content of your dreams is causing you distress, it may indicate that there are troubling issues in your daily life as well. Wak...[Read More] How to Improve Sleep Quality and Reduce Disturbing Dreams
Dealing with Emotional Turmoil: Navigating Mental Health Challenges
Feeling emotionally confused and possibly experiencing symptoms of schizophrenia due to a blog? Hello, my mother is computer literate and is suspected to have schizophrenia. She experiences mood swings, becoming irritable and angry, and sometimes laughing and crying. She often ye...
Dr. Wang Zhenyang reply Psychiatry
Hello: It seems that your mother may be experiencing some psychiatric symptoms. I recommend taking her to a psychiatrist as soon as possible for an evaluation of her symptoms and to receive appropriate treatment. Thank you, Dr. Wang.[Read More] Dealing with Emotional Turmoil: Navigating Mental Health Challenges
Understanding Mental Health: Addressing Self-Talk, Emotional Imbalance, and Hallucinations
Mental health issues Hello, doctor. I would like to ask: 1. If a person engages in self-questioning and answering in response to their circumstances, does this indicate schizophrenia? How can this situation be improved? 2. If a person experiences physical injuries and encount...
Dr. Wang Zhenyang reply Psychiatry
Hello, I can sense from your letter that the auditory hallucinations are causing you distress. I am unsure if you are currently receiving treatment. Although a brief letter may not provide you with an immediate and definitive diagnosis, due to your evident distress and correspond...[Read More] Understanding Mental Health: Addressing Self-Talk, Emotional Imbalance, and Hallucinations
Navigating Hormone Therapy: Which Doctor to Consult for Gender Identity?
Hello, how can I assist you? Hello, I would like to ask, I am a male but my gender identity is female. I have a certificate for gender identity from my military service examination. If I want to take female hormones, can I go see a doctor to get the medication? If so, should I se...
Dr. Wang Zhenyang reply Psychiatry
Hello, you mentioned in your letter that you have a certificate of gender identity from your military service examination. I suggest you visit the psychiatry department of the hospital that issued your certificate. Could you ask if the psychiatry department can refer you to the o...[Read More] Navigating Hormone Therapy: Which Doctor to Consult for Gender Identity?
Finding Balance: Coping with Feelings of Inadequacy and Family Dynamics
How to resolve this? Hello doctor, I grew up in a happy family with an older sister, but she has always performed better than me academically. Although my family has never made any obvious comparisons, I still feel like I can't measure up to her. Recently, I've been fee...
Dr. Wang Zhenyang reply Psychiatry
Hello: It sounds like you are feeling quite troubled by the emotions that have arisen within you! From your letter, it seems that you may have been struggling with self-confidence. Although your sister performs better academically, do you recognize your own strengths? I'm no...[Read More] Finding Balance: Coping with Feelings of Inadequacy and Family Dynamics
Understanding Sudden Mood Swings: A Guide to Emotional Distress
What is wrong with me? Hello, doctor. Today, for no apparent reason, I feel really, really down. I have been crying uncontrollably, to the point of exhaustion and hysteria. I don't know what's wrong with me, and I'm actually quite scared. When my family asks me, I ...
Dr. Wang Zhenyang reply Psychiatry
Hello, I apologize for the late response! I was abroad recently. Your condition seems to indicate a tendency towards depression, and I recommend seeking further evaluation at a hospital. Thank you, Dr. Wang.[Read More] Understanding Sudden Mood Swings: A Guide to Emotional Distress
Overcoming Perfectionism: Navigating Mental Health Challenges
Feeling a bit down? Two years ago, I visited a psychiatrist about five times and felt much better afterward, so I stopped going (the doctor diagnosed me with adjustment disorder at that time). Since May, due to increased stress, I have seen the psychiatrist three times (with foll...
Dr. Wang Zhenyang reply Psychiatry
Hello, online friend: It seems that the psychological distress you are currently experiencing has led you to face some difficulties! Psychiatric treatment involves more than just medication; sometimes psychotherapy is also a crucial component. Although you have a degree in counse...[Read More] Overcoming Perfectionism: Navigating Mental Health Challenges
Understanding Snoring: When to Seek Medical Help for Sleep Issues
Severe snoring? A family member (69-year-old mother-in-law) snores very loudly during sleep, and it is almost constant throughout the night. Upon waking, she feels her throat is quite dry or experiences pain and discomfort. She wants to seek medical attention for improvement but ...
Dr. Wang Zhenyang reply Psychiatry
Thank you for your message! Regarding the issue of snoring during sleep, you can seek assistance from a hospital that has a specialized sleep clinic or sleep center. Through a collaborative consultation with various specialists, you can find the most suitable treatment approach. ...[Read More] Understanding Snoring: When to Seek Medical Help for Sleep Issues
Understanding the Link Between Lupus and Obsessive-Compulsive Disorder
Obsessive-Compulsive Disorder (OCD) Hello: I recently read a report where a physician specializing in allergy, immunology, and rheumatology mentioned that one of his patients had depression and schizophrenia, which was later diagnosed as systemic lupus erythematosus affecting bra...
Dr. Wang Zhenyang reply Psychiatry
Hello Xiao Li, In response to your question, here are my replies: 1. Systemic lupus erythematosus (SLE) typically leads to cognitive dysfunction, psychiatric symptoms, depression, and mood disturbances, which are different from the psychoneuroses such as obsessive-compulsive di...[Read More] Understanding the Link Between Lupus and Obsessive-Compulsive Disorder
Overcoming Perfectionism: Tips for Improving Attention to Detail
Obsessive-Compulsive Disorder or Lack of Attention to Detail? Hello Doctor: I have a question to ask you. I know that I have a somewhat scatterbrained and careless personality. At work, to avoid making mistakes due to these shortcomings, I always check each document several times...
Dr. Wang Zhenyang reply Psychiatry
Hello: It seems that due to past negative experiences with frequent mistakes, you are trying to reduce errors by repeatedly checking. However, this concern may be affecting your daily life. I recommend that you visit a psychiatrist or a psychosomatic clinic for further evaluation...[Read More] Overcoming Perfectionism: Tips for Improving Attention to Detail
Understanding Anxiety and Panic Disorders: When to Seek Help
Anxiety and panic? Hello, Doctor: I am a patient suffering from anxiety disorder, hypochondria, panic disorder, and obsessive-compulsive disorder. I often worry and doubt that I have cancer or a serious illness. Whenever I feel a lump on my body, I fear that I have cancer. I freq...
Dr. Wang Zhenyang reply Psychiatry
Hello, In your letter, you clearly described your anxiety situation. I recommend that you seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible. Medication and some psychological therapies, such as cognitive behavioral therapy, can help al...[Read More] Understanding Anxiety and Panic Disorders: When to Seek Help
Helping a Loved One with Severe Depression: Strategies and Resources
Depression Dear Dr. Wang, My brother was diagnosed with severe depression two months ago, but after taking medication only twice, he refused to continue due to side effects such as dizziness and weakness. He has also been experiencing frequent auditory hallucinations, insomnia, ...
Dr. Wang Zhenyang reply Psychiatry
Hello: I apologize for the late response! I was unaware of this email until our hospital assistant printed it out for me. If your brother is exhibiting violent behavior, it is indeed necessary to seek involuntary hospitalization. You can request assistance from local health depar...[Read More] Helping a Loved One with Severe Depression: Strategies and Resources