Understanding Anxiety: The Impact of Stress on Breathing Awareness
I suddenly started to pay constant attention to my breathing? Thank you, doctor, for your previous response. Regarding your mention of whether there has been increased life stress causing my anxiety, I believe there are two main points: 1. Due to the impact of the pandemic, my pe...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Self-awareness is very important; it is the first step towards change. It seems that you have already analyzed your situation well. I suggest downloading the Mood Meter app to assess your emotions at any time. It also includes e-books and videos that teach r...[Read More] Understanding Anxiety: The Impact of Stress on Breathing Awareness
Understanding Emotional Instability: Coping with Anger and Self-Harm
Emotional instability I had depression and anorexia in the past three years, but I no longer have significant symptoms. However, recently I've been getting extremely angry over small issues, which causes my heart to race, my breathing to quicken, and I experience severe head...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Could it be a recurrence of depression? It is recommended to return for a follow-up and discuss with your physician. Dr. Wu Enliang[Read More] Understanding Emotional Instability: Coping with Anger and Self-Harm
Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Hypersomnia, dissociation, depression? Hello Doctor: I have been diagnosed with depression, dissociative disorder, panic disorder, and anxiety disorder. Before bed, I take half a tablet of Zolpidem, one tablet of Alprazolam, one tablet of Quetiapine, two tablets of Buspirone, and...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It is also possible that the medication taken before bed is too strong. As your condition improves, you may gradually need less of this medication. I suggest discussing this with your physician. Dr. Wu Enliang[Read More] Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Understanding Sudden Breathing Awareness: Is It OCD?
Suddenly becoming overly aware of breathing (obsessive-compulsive disorder?)? 1. Hello, doctor. I apologize for bothering you. Since last week, I have suddenly found myself overly focused on my breathing. Although I know that the body naturally breathes without needing to control...
Dr. Wu Enliang reply Psychiatry
Hello, online user: 1. Doctor, I apologize for bothering you. Since last week, I have suddenly found myself focusing excessively on my breathing. Although I know that the body naturally breathes without needing to control it, I can't help but consciously try to manipulate ea...[Read More] Understanding Sudden Breathing Awareness: Is It OCD?
Managing Relapses of Autonomic Nervous System Disorders: Key Insights
Recurrence of autonomic nervous system dysfunction? Hello, Doctor: I previously experienced symptoms of autonomic nervous system dysfunction (dizziness, tightness in the head, shoulders, and neck, high intraocular pressure, etc.). I took the SSRI medication Escitalopram for 13 mo...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: 1. After taking medication for a year, is the likelihood of relapse of autonomic nervous system disorders high, or is it more related to short-term stress symptoms? A: The likelihood of relapse is related to individual constitution and life stress, and there is ...[Read More] Managing Relapses of Autonomic Nervous System Disorders: Key Insights
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
Autonomic Nervous System Dysregulation and Bipolar Disorder? I am 25 years old and currently a university student. I have previously been diagnosed with ADHD and depression. Over the past six months, I have been experiencing chest tightness, insomnia, gastrointestinal disturbance...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Q: I am 25 years old and currently a college student. I have previously been diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, gastrointestinal dysfunction, and poor memory for the past six months. I am unsure if t...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
How to Seek Help When Family Resists Mental Health Support?
What should I do if my family is resistant to taking me to see a psychiatrist? What is my condition? Due to family issues and friends, I learned to drink and self-harm in the second year of junior high. Every night, I find myself thinking about many things and feeling that the wo...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: I suggest trying to communicate with your family again. Inform them that the brain is unwell, and that symptoms such as depression and anxiety require medical attention, just like needing to see a doctor for a fever caused by the flu. Additionally, you can seek he...[Read More] How to Seek Help When Family Resists Mental Health Support?
Do I Need Counseling? Coping with Anxiety from Being Watched
Brief psychological counseling Recently, I was followed and monitored. As a victim, I have managed to maintain my composure, and it seems that the situation has temporarily subsided. However, even though I open the windows for ventilation, I dislike drawing the curtains because I...
Dr. Wu Enliang reply Psychiatry
Hello, online user: If you are experiencing difficulties, it is certainly advisable to visit a mental health facility for an evaluation to determine if further medication or psychotherapy is needed. Dr. Wu En-Liang.[Read More] Do I Need Counseling? Coping with Anxiety from Being Watched
Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Do I need to see a doctor after a breakup? Hello doctor, I would like to know if my situation is an overreaction or if I am really unwell. Last year, on my birthday, I had an argument with my first love over something trivial, and he slapped me four times, pushed me onto the bed,...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: If the anxiety is very severe, it is indeed necessary to seek medical attention and discuss with a physician whether medication or referral to psychotherapy is needed. Dr. Wu Enliang.[Read More] Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Sleep apnea? Hello doctor, I have anxiety disorder and often search for information on Google, which ends up scaring me. Whenever I feel unwell, I want to see a doctor for reassurance. However, due to the recent outbreak of the pandemic and seeing news about sudden deaths from hy...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: This is likely caused by anxiety rather than sleep apnea. If someone has a more sensitive personality, their reaction to the stress of the pandemic may be more intense. The invisibility and harmfulness of the virus, along with the uncertainty of transmission, can ...[Read More] Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Managing Autonomic Nervous System Disorders: Tips for Relief and Recovery
Autonomic Nervous System Dysregulation Hello, doctor. I have been experiencing autonomic nervous system dysfunction for over two months now. Recently, I have been taking medication to manage these symptoms. At night, after taking the medication, I notice that I have fewer episode...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: If the known source of stress is "fear of other ailments," why does such fear exist? It is advisable to discuss this source and coping strategies with your physician or a mental health therapist. Dr. Wu En-Liang[Read More] Managing Autonomic Nervous System Disorders: Tips for Relief and Recovery
Understanding Anxiety: Coping with Pest-Related Fears and Obsessions
What is wrong with me...? Hello, doctor: About 1.2 weeks ago, we had a pest problem in our room (mostly ants, along with other insects). After addressing the issue, a problem arose. Since the day the pest issue occurred, I feel compelled to check the room repeatedly at intervals ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It seems that your anxiety is quite severe, and you may need to consider short-term treatment with some anxiolytic medications along with relaxation training. It is advisable to consult a psychiatrist (or a psychosomatic specialist). You can download the Moo...[Read More] Understanding Anxiety: Coping with Pest-Related Fears and Obsessions
Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Can anxiety cause difficulty in urination? Hello, doctor. Recently, while I was walking, I suddenly experienced palpitations, a rapid heartbeat, chest tightness, chest pain, and difficulty breathing. I went to the emergency room, where the doctor diagnosed me with gastroesophagea...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Difficulty in urination is considered a rare side effect of this medication. If you are concerned, you should discuss with your physician whether to switch medications; otherwise, it generally improves over time. Dr. Wu Enliang[Read More] Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Understanding Extreme Anger and Breakdown in ADHD Patients
Often becomes extremely irritable and experiences mental breakdowns over trivial matters? Dear Doctor, I am a second-year junior high school student. Three months ago, I was diagnosed with ADHD and have been taking medication (Strattera). Initially, I thought it was just my inab...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: One characteristic of ADHD is poor impulse control, which may be related to ADHD. It is recommended to discuss this further with your child and adolescent psychiatrist. Dr. Wu En-Liang.[Read More] Understanding Extreme Anger and Breakdown in ADHD Patients
Embracing Self-Forgiveness: Navigating Mental Health Challenges
Forgive yourself? Hello, doctor. I am the university student who was previously worried about ALS. After undergoing tests, the doctor concluded that there were no issues and advised me not to return for follow-up visits. However, I still went back a few times and consulted differ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: If you are still feeling troubled, it is recommended that you seek psychological therapy with the assistance of a professional psychologist. Dr. Wu Enliang.[Read More] Embracing Self-Forgiveness: Navigating Mental Health Challenges
Understanding Dissociative Identity Disorder: Signs and Seeking Help
Dissociative Identity Disorder (DID) Hello Dr. Wu, during my school years, I experienced bullying. If I remember correctly, it started in elementary school when I began to have conversations in my mind with people who either truly exist or do not exist at all. This has been the c...
Dr. Wu Enliang reply Psychiatry
Hello, online user: It is indeed possible that this could be dissociative identity disorder. Dr. Cheng Ying-Chih serves in the psychiatry department at the Hsinchu branch of China Medical University in Zhubei, Hsinchu. Dr. Wu En-Liang.[Read More] Understanding Dissociative Identity Disorder: Signs and Seeking Help
Understanding Dissociative Identity Disorder: Signs and Seeking Help
Dissociative Identity Disorder (DID) Hello Dr. Wu, during my school years, I was bullied. If I remember correctly, it started in elementary school when I began to have conversations in my mind with people who either really existed or didn't exist at all. This has been the ca...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: It is indeed possible that it is Dissociative Identity Disorder. Dr. Cheng Ying-Chih serves in the Psychiatry Department at the Hsinchu Branch of China Medical University in Zhubei, Hsinchu. Dr. Wu En-Liang.[Read More] Understanding Dissociative Identity Disorder: Signs and Seeking Help
Managing Severe Medication Side Effects and Insomnia in Psychiatry
Side effects and insomnia issues? Hello, doctor. I have two questions to ask: 1. I experience severe nausea as a side effect of my medication. Several times after taking the medication, I vomited everything, and there have even been instances where I vomited into a drainage dit...
Dr. Wu Enliang reply Psychiatry
Hello, I have a serious issue with nausea as a side effect of my medication. Several times after taking the medication, I have vomited everything, and there have even been instances where I vomited into a gutter while walking. I have confirmed that it is not a stomach issue, but ...[Read More] Managing Severe Medication Side Effects and Insomnia in Psychiatry
Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective
Recently, I keep thinking about someone I lost contact with, which is causing emotional distress? Hello, doctor. In recent weeks, I have been frequently thinking about my elders, colleagues, friends, and classmates from the past. These individuals are essentially completely out o...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: There are medications available that can alleviate such anxiety. It is also recommended to learn relaxation techniques, change your mood, engage in activities you enjoy, and exercise regularly. If the anxiety persists for more than a month, it is advisable to seek...[Read More] Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective