Overcoming Anxiety and OCD: Tips for Managing Fear of Illness
Obsessive-Compulsive Disorder (OCD) and Panic Disorder? Hello Dr. Wu, I am quite scared because I once stepped on a condom on the street (due to some specific occupations on my way to school). Since then, I have felt anxious whenever I see something uncertain on the road, fearing...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I am quite scared because I once stepped on a condom while walking (due to some activities related to certain industries on my way to school). Since then, I feel anxious whenever I see something uncertain on the street, fearing that I might get sick. This ha...[Read More] Overcoming Anxiety and OCD: Tips for Managing Fear of Illness
Navigating Gender Identity: Understanding Your Feelings and Experiences
Gender identity Hello, doctor. To avoid going into too many details, I will try to briefly describe my issue. I am a biologically female individual who identifies as a woman, but I have recently started to feel confused about my gender identity. Since elementary school, I have di...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Broadly speaking, it is also a form of "gender dysphoria." If it causes physical or mental distress, it is necessary to seek medical attention. Dr. Wu Enliang.[Read More] Navigating Gender Identity: Understanding Your Feelings and Experiences
Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Anxiety Panic Disorder Recently, I have been experiencing difficulty breathing due to nasal congestion, and I have scheduled surgery for the end of the month. However, over the past few weeks, I have also been experiencing chest pain. I went to the hospital for an examination, an...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Psychosomatic disorders can cause various physical symptoms. It is advisable to seek medical attention at a mental health facility. Dr. Wu En-Liang.[Read More] Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Managing Breath Awareness in Anxiety and Panic Disorders
Constantly monitor your breathing? Hello, doctor. I have seen you answer related questions, and recently I have started to pay close attention to my breathing. When I am still, about 50% of my focus is on it, and when I am watching TV or doing other activities, it is about 20%. I...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: You can practice some relaxation techniques such as diaphragmatic breathing, meditation, or progressive muscle relaxation. If you find it difficult to learn these methods, you may ask your physician to arrange biofeedback training. Dr. Wu En-Liang[Read More] Managing Breath Awareness in Anxiety and Panic Disorders
Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Fear of palpitations and shortness of breath issues? Hello, I have recently been seeing a psychiatrist who diagnosed me with somatic symptom disorder due to anxiety stemming from physical ailments. The doctor prescribed me Anxiolytic tablets and Beta-blockers to be taken after me...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Please do not worry. Sometimes it is normal to feel fear, but this is just a part of the anxiety disorder. It's important to understand that this will not lead to any physical sequelae or death. These psychosomatic symptoms can improve with proper treat...[Read More] Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Understanding the Link Between Insomnia and Headaches: Seeking Solutions
Insomnia and Headaches Hello, doctor. I have been experiencing insomnia for about two months now. I don't have difficulty falling asleep, but I wake up approximately every two and a half hours after falling asleep. I can usually fall back asleep within half an hour, but I&#x...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It is recommended to visit a psychiatrist or a psychosomatic medicine specialist rather than a neurologist for a thorough evaluation of your mental and physical condition, to identify the causes of insomnia and address them with appropriate treatment. Dr. Wu...[Read More] Understanding the Link Between Insomnia and Headaches: Seeking Solutions
Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Autonomic nervous system disorders I underwent an autonomic nervous system assessment, and I was informed that my autonomic nervous system is leaning towards 2.5, with a reference value of 0-1.5, indicating that my parasympathetic nervous system function is somewhat elevated. 1...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: My autonomic nervous system leans towards 2.5, with a reference value of 0-1.5, indicating slightly elevated parasympathetic nervous system function. 1. Will this affect anything? A: It suggests a tendency to feel anxious, so it's important to engage in...[Read More] Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Managing Insomnia and Anxiety: Effective Strategies for Relief
Insomnia and anxiety issues? Doctor, I experienced anxiety for an entire night due to a certain issue, and the next morning I only managed to sleep for three hours before getting up. As a result, I felt unwell that day. Even after 2-3 weeks, I still didn't feel quite right, ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: If your anxiety and insomnia are this severe, it is certainly recommended to seek medical attention at a nearby mental health facility. Dr. Wu Enliang[Read More] Managing Insomnia and Anxiety: Effective Strategies for Relief
Do Psychiatric Medications Affect Labor Health Check Results?
Drug screening issues? Hello, doctor. I have recently started follow-up visits and medication treatment for anxiety disorder and autonomic nervous system dysregulation. However, I need to undergo a labor health examination for my new job, and I am concerned whether the medication...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: These medications will not affect the results of routine labor tests! Please rest assured. Dr. Wu Enliang[Read More] Do Psychiatric Medications Affect Labor Health Check Results?
Understanding Schizophrenia and Dissociative Identity Disorder: Diagnosis and Treatment Options
Schizophrenia, Dissociative Identity Disorder, Diagnostic Questionnaire I realized I had a mental health issue when I discovered I had other personalities, so I visited a clinic once. However, I didn't mention my other personalities at that time; I believed I was experiencin...
Dr. Wu Enliang reply Psychiatry
Hello, online user: The psychological assessments for differential diagnosis are covered by health insurance, so there will be no additional costs. It is recommended to seek treatment at other mental health facilities. Dr. Wu Enliang.[Read More] Understanding Schizophrenia and Dissociative Identity Disorder: Diagnosis and Treatment Options
Understanding Anxiety and Physical Symptoms in New Environments
Could you please provide more details about your symptoms or condition? Hello Doctor, every time I enter a new environment, I experience stomach pain, nausea, loss of appetite, low mood, feelings of loneliness, lack of confidence, and I tend to quit my job after just one or two d...
Dr. Wu Enliang reply Psychiatry
Hello, netizens: Military service is inherently a significant source of stress for us men. If it causes excessive physical and mental pressure that cannot be adjusted, it is advisable to seek professional help at a mental health facility and learn relaxation techniques. Keep it u...[Read More] Understanding Anxiety and Physical Symptoms in New Environments
Challenges in Encouraging Health Checkups for Schizophrenia Patients
Patients with schizophrenia are reluctant to undergo health examinations? Hello Doctor, my mother has been suffering from schizophrenia for many years and lacks insight into her condition. Initially, she was willing to take her medication regularly, but later she refused, leading...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: There are not many organizations that can assist the public with health check-ups. It is recommended to communicate more with your mother and visit a nearby clinic or health center for free adult health screenings, or to participate in occasional local community h...[Read More] Challenges in Encouraging Health Checkups for Schizophrenia Patients
Understanding Side Effects of Medication for Anxiety Disorders
Regarding the side effects of Liyou (anxiolytic medication)? Hello Doctor, I visited a psychiatrist two years ago due to anxiety disorder and health anxiety, and I took the medication Liyou for over a year. I then stopped taking it on my own for a year without any discomfort. Alt...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: 1. Could this be a side effect of the medication Lyrica? A: Difficulty falling asleep and interrupted sleep may be possible. If so, it is recommended to take it in the morning instead of before bedtime to avoid poor sleep, but this could also be a symptom of the u...[Read More] Understanding Side Effects of Medication for Anxiety Disorders
Understanding Anxiety and Panic: Insights on Medication and Heart Health
Medications and Related Issues Hello Doctor: I have a more introverted and repressed personality, with tendencies toward worry, anxiety, and obsessive thinking, and I am quite sentimental. Two years ago, after drinking black coffee and engaging in intense exercise, I experienced ...
Dr. Wu Enliang reply Psychiatry
Hello, online user: 1. Does intravenous injection really cause permanent damage to blood vessels? Is there a risk of developing atherosclerotic plaques? In the past, I never considered this during blood draws or treatments, but some online information claims that venipuncture c...[Read More] Understanding Anxiety and Panic: Insights on Medication and Heart Health
Dealing with a Parent's Paranoia: Seeking Help for Mental Health Issues
Mother's paranoia troubles? Hello, doctor. Since I was a child, I have often heard my mother, who is deaf and mute, express concerns about family members stealing blankets, taking items from her room, and swapping things around. At that time, I was young and living with othe...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: She is experiencing mental health issues, which is causing those situations. Arguing with her will only lead to further emotional instability for both parties and will not persuade her. It is recommended that she continues with medication treatment. If it is diffi...[Read More] Dealing with a Parent's Paranoia: Seeking Help for Mental Health Issues
Understanding Medication Dissolution: Effects on Absorption and Efficacy
Drug dissolution Hello, I would like to ask a question. Regarding a medication like Xet, it turns into powder upon contact with water. When I cut it in half, it speeds up the powdering process to about 5 seconds. If I break it along the score line, it takes about 10 seconds, and ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: This is a medication for gastric absorption; as long as it is swallowed, the effect will be the same. Dr. Wu En-Liang.[Read More] Understanding Medication Dissolution: Effects on Absorption and Efficacy
Understanding Anxiety and OCD: Seeking Help and Managing Symptoms
Anxiety and Obsessive-Compulsive Disorder (OCD) Hello Doctor, I have symptoms of obsessive-compulsive disorder (OCD) that started about 4-5 years ago, triggered by academic pressure during my junior year. This has led to significant anxiety and discomfort (gastrointestinal and ca...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: 1. Is medication the only treatment option? I've read that psychiatric medications need to be taken for a long time and can lead to dependence, so I've been hesitant to see a doctor. A: In addition to medication, psychological therapy and behavio...[Read More] Understanding Anxiety and OCD: Seeking Help and Managing Symptoms
Understanding Mirtazapine and Gabapentin for Nerve Pain and Depression
Autonomic Nervous System Dysregulation & Neuropathic Pain Hello, Doctor. I have been suffering from interstitial cystitis for three years, along with perineal pain and depression. Recently, I have been experiencing tingling sensations in my hands and feet. I previously took D...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Q: Will taking Mirtazapine help treat neuropathic pain and tingling sensations? A: Mirtazapine primarily improves depression, and as depression improves, the body may become less sensitive. Some individuals may indeed experience a reduction in physical discomf...[Read More] Understanding Mirtazapine and Gabapentin for Nerve Pain and Depression
Understanding Compulsive Behavior: When to Seek Help for OCD Symptoms
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. I'm not sure if my symptoms warrant a visit to a psychiatrist. When I was 17, I was subjected to semi-coerced sexual activity, and later I learned that early sexual activity can lead to cervical cancer. Since then, I ...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It doesn't necessarily sound like obsessive-compulsive disorder; it seems more like health anxiety. Regardless, it is indeed causing you significant distress both mentally and physically. I strongly recommend that you seek help from a mental health faci...[Read More] Understanding Compulsive Behavior: When to Seek Help for OCD Symptoms
Coping with Anxiety: Managing Worries About Health and Family Relationships
Frequently feeling anxious? When I was younger, I often had random thoughts, but as I grew up, this happened less frequently. However, I realized that I frequently worry about various things, which might be related to the current pandemic. I often worry about the possibility of b...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It is recommended to visit a mental health facility to arrange for psychotherapy. After that, you can undergo therapy to learn emotional management techniques and better coping strategies for stress. Dr. Wu Enliang.[Read More] Coping with Anxiety: Managing Worries About Health and Family Relationships