Understanding Persistent Throat Pain: Is It Psychological or Physical?
Feeling fearful and uncomfortable every day? Hello Doctor, I have been experiencing a sensation of a foreign body and pain in my throat and pharyngeal wall for the past four months, which has been getting progressively worse. Although I do not have difficulty swallowing, swallo...
Dr. Wu Enliang reply Psychiatry
Hello, dear user: I understand that after seeing so many doctors and undergoing surgery, your issues remain unresolved, and that must be incredibly frustrating! You've already undergone numerous tests; will additional tests truly provide you with peace of mind? I believe the...[Read More] Understanding Persistent Throat Pain: Is It Psychological or Physical?
Navigating Depression and Suicidal Thoughts: To Hospitalize or Not?
Depression is associated with a high risk of suicidal ideation? Hello Doctor, I would like your advice because I really don't know what to do (´;ω;`). I had a follow-up appointment today, and due to strong suicidal thoughts, my doctor suggested hospitalization for treatment....
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I suggest you consider hospitalization for proper treatment. Discharging before the start of school will not affect your studies, and you won't need to take a leave of absence. If you choose not to be hospitalized, it's important to have family or ...[Read More] Navigating Depression and Suicidal Thoughts: To Hospitalize or Not?
Should I Return to Psychiatric Care? Navigating Mental Health Challenges
I'm unsure whether to continue follow-up appointments with the psychiatrist? Hello, Doctor. I apologize for bothering you. I grew up in an unhealthy family environment, experiencing long-term domestic violence, my mother’s depression and suicide, and during middle school, du...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Depression is a treatable condition that is prone to relapse. It is advisable for you to seek a follow-up appointment promptly if you are experiencing signs of relapse. Dr. Wu Enliang[Read More] Should I Return to Psychiatric Care? Navigating Mental Health Challenges
Should You See a Doctor for Insomnia and Nightmares?
Do insomnia and nightmares require medical attention? Hello Doctor, my current situation is that I am almost unable to fall asleep smoothly every night, often not falling asleep until dawn. After I do fall asleep, I frequently have nightmares and get startled awake by minor noise...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Insomnia is so severe and causes so many problems, so it is definitely advisable to seek medical attention from Dr. Wu En-Liang as soon as possible.[Read More] Should You See a Doctor for Insomnia and Nightmares?
Understanding Anxiety Disorders: When Worry Becomes Overwhelming
Anxiety disorder / excessive worry Hello, doctor. I tend to overthink, worry, and get anxious easily, somewhat like a person who fears the worst. I once learned in class about rabies, which has a very high mortality rate and is almost always fatal. Since that day, my love for ani...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: According to the data from the Centers for Disease Control (https://www.cdc.gov.tw/Category/Page/iHUOIaLSAbQowJjnNGH2uQ): In July 2013, a case of rabies infection was confirmed in a wild animal (the badger) in Taiwan. On July 18 of the same year, the Council of Ag...[Read More] Understanding Anxiety Disorders: When Worry Becomes Overwhelming
Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Since the hospital started offering nasal inflammation medications containing pseudoephedrine..? Doctor, I would like to ask you something. At the beginning of May, I was diagnosed with sinusitis, and my physician prescribed medication, one of which contains a component called ps...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: If you are feeling this anxious and tense, it is certainly advisable to consult a psychiatrist (psychosomatic medicine). Dr. Wu En-liang.[Read More] Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Supporting a Boyfriend with Bipolar Disorder: Seeking Help and Understanding
I am very worried about my boyfriend who has bipolar disorder? Hello Doctor, about a month ago, my boyfriend of seven years began to show symptoms of a manic episode associated with bipolar disorder, and now he exhibits all the symptoms completely. The changes in his thoughts and...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Bipolar disorder is a treatable condition, and the earlier the treatment begins, the better the outcomes tend to be. It is advisable to encourage him to seek help, especially since he has been experiencing insomnia and emotional instability lately, which may...[Read More] Supporting a Boyfriend with Bipolar Disorder: Seeking Help and Understanding
Understanding Chest Tightness and Anxiety: A Guide to Your Symptoms
Chest tightness, sensation of a foreign body in the throat, fatigue, and low mood? Hello, Doctor. About three weeks ago, I developed shingles and recovered after taking medication. However, I soon experienced chest tightness that lasted for about a week, along with persistent fat...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: I have already seen an internist who conducted an examination, and there were no significant findings. It is indeed necessary to consider anxiety, hypochondriasis, and autonomic nervous system dysregulation. It is recommended to seek medical attention from a psych...[Read More] Understanding Chest Tightness and Anxiety: A Guide to Your Symptoms
Can Severe Bipolar Disorder Lead to Dissociative Identity Disorder?
Dissociative Identity Disorder (DID) and Bipolar Disorder? I would like to inquire whether severe bipolar disorder can lead to the development of dissociative identity disorder. I often have no memory of my actions. I am a bipolar disorder patient, and my doctor has suggested hos...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: There is no causal relationship between bipolar disorder and dissociative identity disorder; bipolar disorder does not develop into split personality. However, untreated bipolar disorder can lead to a decline in daily functioning and occupational capabilities. Dr....[Read More] Can Severe Bipolar Disorder Lead to Dissociative Identity Disorder?
Can Health Anxiety Improve? Understanding Somatic Symptom Disorder
Will hypochondria get better? Hello, Doctor. I apologize for the lengthy story... Three years ago, when I was eight months pregnant, I suddenly started experiencing severe headaches that lasted until my child was two months old (a total of four months). It's not an exaggerat...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: You have been under so much stress these past few years; it must be tough! I wonder if your psychiatrist has suggested inpatient treatment? Or recommended psychotherapy, relaxation training, or rTMS (repetitive Transcranial Magnetic Stimulation) therapy? In ...[Read More] Can Health Anxiety Improve? Understanding Somatic Symptom Disorder
Understanding Unusual Behaviors: Are They Symptoms of OCD?
Abnormal behavior Hello, doctor. I am a high school student transitioning from the first to the second year. I have noticed two peculiar symptoms that I have experienced since childhood. The first is that if an object is placed on a table and it gets nudged, I feel extremely unco...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: There is indeed a possibility of obsessive-compulsive disorder. It is recommended to seek medical attention at a mental health facility. Dr. Wu En-liang.[Read More] Understanding Unusual Behaviors: Are They Symptoms of OCD?
Understanding Sleepwalking vs. Dissociation in Mental Health
Sleepwalking or dissociation? Hello, doctor. I am a patient diagnosed with Depression, PTSD, and BPD, and I have been under the care of a primary physician (though recently the hospital assigned me a new doctor whom I dislike). I have also been inconsistent with my medication (I ...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It could be sleepwalking. First, it's important to consider that it may be caused by sleep medications, as many people experience sleepwalking after taking Zolpidem. If this is the case, it is advisable to avoid using it. I recommend finding a trusted p...[Read More] Understanding Sleepwalking vs. Dissociation in Mental Health
Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Understanding Emotional Instability: Signs, Symptoms, and Solutions
Emotional instability I've been feeling down lately, constantly afraid of losing things. I've lost my appetite and my weight has decreased. I find myself crying easily and my temper has worsened. Sometimes I prefer to be alone and don't want to be around my family,...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Have there been any stressful events recently? These symptoms could possibly indicate depression, and it is advisable to seek medical attention at a mental health facility. Wu Enliang[Read More] Understanding Emotional Instability: Signs, Symptoms, and Solutions
Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Sleep issues I don't know if it's due to the lack of choices for further education that has led to excessive stress, but my sleep quality has noticeably declined over the past month. I used to be able to sleep from 10 PM to 9 AM, but now I wake up suddenly before 6 AM a...
Dr. Wu Enliang reply Psychiatry
Hello, online user: The most common cause of short-term insomnia is anxiety due to life stress. It is recommended to avoid napping during the day, engage in regular exercise, and pay attention to sleep hygiene (which can be found online). If necessary, short-term use of sedatives...[Read More] Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Understanding the Risks of Polypharmacy in Psychiatry
Regarding the issue of drug interactions? Hello Doctor, Recently, I have been experiencing various neurological symptoms (dizziness, constipation, anxiety, etc.). Initially, I visited a psychiatrist who prescribed me Doxepin, which I took once a day. After some improvement, the...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: The mechanisms of the two are different, so there will not be significant drug interactions between them. However, it is advisable to stick with one physician to avoid confusion, as psychiatry and psychosomatic medicine are completely the same field. Dr. Wu Enlian...[Read More] Understanding the Risks of Polypharmacy in Psychiatry
Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Suspected autonomic nervous system dysfunction? Hello doctor, I would like to ask about my symptoms that have persisted for five years. The main symptom is that my head feels like it is swaying up and down while walking, with a throbbing sensation and a feeling of heat and swelli...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: It is indeed possible that you are experiencing autonomic nervous system dysfunction. Mental health issues require appropriate treatment, so I recommend visiting a nearby mental health facility. Dr. Wu Enliang[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Uncontrollable Face Picking: Understanding the Psychological Struggle
Unable to stop picking at my face? Hello, I am about to turn 22 this year. My facial skin did not have any acne issues during puberty, nor did I have any allergies. However, at some point, I started to unconsciously want to pick at my facial skin with my fingers, even though ther...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It seems that these compulsive behaviors may be related to anxiety. If this is causing significant distress, it is advisable to seek help from a nearby mental health facility. Dr. Wu En-Liang.[Read More] Uncontrollable Face Picking: Understanding the Psychological Struggle
Managing Anxiety and Insomnia After a Breakup: Medication Insights
Medication consultation/palpitations/insomnia Dear Doctor, After my breakup, I experienced significant emotional changes, such as insomnia for an entire month, and I couldn't sleep well at night due to palpitations. I also felt chest tightness and discomfort. I consulted a...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Should I immediately return to my original physician to discuss medication adjustments after experiencing improvement from this medication? A: Yes, especially if you encounter difficulties in reducing the dosage, you should definitely consult your physician. A...[Read More] Managing Anxiety and Insomnia After a Breakup: Medication Insights
Struggling with Toxic Words: A Daughter's Battle with Her Mother's Verbal Abuse
I can't stand my mother's words? I cannot accept her words, such as calling me a "slut" or "chicken." I really cannot tolerate her speech. She complains of headaches every day and goes to the hospital for check-ups, but I suspect the doctor has presc...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It can be challenging to interact with your mother, and I understand that you are going through a tough time. It's important to live your life for yourself, not just for your parents. If you find it difficult to interact with her and it affects your emo...[Read More] Struggling with Toxic Words: A Daughter's Battle with Her Mother's Verbal Abuse