Dr. Wu Enliang reply Psychiatry Question - Page 31

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Navigating Social Anxiety: Tips for Building Better Relationships

Interpersonal relationships Hello, doctor. I've always had trouble reading situations (I'm somewhat oblivious), which has resulted in having very few friends and not being good at interacting with others. Sometimes, when chatting with people I'm not familiar with, ...


Dr. Wu Enliang reply Psychiatry
Hello, online friend: It sounds like this is just part of your personality. If most days are going relatively well, it indicates that you are not overly troubled. What you need to do is practice getting along with your own personality and learn interpersonal skills from your expe...

[Read More] Navigating Social Anxiety: Tips for Building Better Relationships


Managing Health Anxiety: Strategies to Overcome Worry and Fear

The feeling of anxiety? Hello, Doctor. It has been three years since giving birth, and I have become very health-anxious. If I suddenly worry about having a certain illness, in addition to searching online, I also engage in self-examination behaviors. For example, if I fear there...


Dr. Wu Enliang reply Psychiatry
Hello, online friend: You can try some relaxation techniques to shift this thought, but if you still cannot control it, you should seek assistance from a professional psychiatrist or clinical psychologist. Dr. Wu En-Liang.

[Read More] Managing Health Anxiety: Strategies to Overcome Worry and Fear


Understanding the Levels of Schizophrenia: Mild, Moderate, and Severe

How to differentiate? I am a patient with mild schizophrenia. How can one distinguish between mild, moderate, and severe cases?


Dr. Wu Enliang reply Psychiatry
Hello, netizen: During disability assessments, professionals will evaluate based on objective scales. Generally speaking, individuals with mild disabilities should have stable social functioning, such as having a regular job and income, with symptoms being less noticeable. Those ...

[Read More] Understanding the Levels of Schizophrenia: Mild, Moderate, and Severe


Overcoming Fear of Conflict: Tips for Better Communication Skills

Fear of developing oral ulcers? I am quite afraid of arguing with others, which has led me to speak less frequently because I'm worried about saying the wrong thing. Given that my past negative experiences in social interactions have influenced me to communicate less, how ca...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: It is recommended to consider psychological therapy to enhance interpersonal skills. Dr. Wu Enliang.

[Read More] Overcoming Fear of Conflict: Tips for Better Communication Skills


Managing Schizophrenia: Navigating Independence and Medication

Schizophrenia The diagnosis is depersonalization-derealization disorder, and patients often return to the clinic for medication adjustments due to persistent symptoms. The advantage is that they do not require occupational therapy; they only need to consult with the physician to ...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: The government offers various vocational training programs for individuals with physical and mental disabilities. It is recommended to participate in these training programs to develop a skill, which can lead to employment opportunities. Dr. Wu Enliang

[Read More] Managing Schizophrenia: Navigating Independence and Medication


Understanding Paranoid Symptoms: How to Help a Loved One

Could these symptoms be indicative of persecutory delusions? Dear Dr. Wu, Hello. My mother has been increasingly suspicious of our neighbor across the street since the beginning of this year, believing that they have ill intentions towards our family. As a result, she often walk...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: It is recommended to contact the local health bureau's community mental health center or health station regarding suspected individuals with mental illness in the community. They will arrange for a public health nurse to conduct a phone or home visit, or sche...

[Read More] Understanding Paranoid Symptoms: How to Help a Loved One


Overcoming Loneliness: Finding Motivation and Connection in Life

Lack of motivation in life? Feeling afraid of getting hurt in relationships and having unpleasant interactions with others since childhood has led to a sense of isolation. At 38 years old, aside from speaking with a doctor, there are no other conversational partners in daily life...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: Finding the purpose of life is not an easy task. It is advisable to make good use of the local mental health center and talk to a free psychologist. Dr. Wu Enliang

[Read More] Overcoming Loneliness: Finding Motivation and Connection in Life


Understanding Disability Certification for Schizophrenia: Key Insights

Disability Handbook I would like to ask if I am diagnosed with schizophrenia but my thoughts are clear and I am able to take care of myself, does that mean I do not qualify for a disability certificate? My current goal is to avoid obtaining a disability certificate. Can the docto...


Dr. Wu Enliang reply Psychiatry
Hello, everyone: Many people are diagnosed with schizophrenia but do not have a disability certificate because their daily functioning is not impaired; they are individuals in recovery. Have you seen the movie "A Beautiful Mind"? It is based on a true story. John Nash, ...

[Read More] Understanding Disability Certification for Schizophrenia: Key Insights


Overcoming Loneliness: Support Strategies for Schizophrenia Patients

Fear of being alone? I am a very reclusive person and a patient with schizophrenia. I am now worried about going to medical appointments in the future without anyone accompanying me. I am unmarried and live with my family. Could the doctor provide some advice, as I tend to be ver...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: I suggest participating in a community rehabilitation center or a day hospital. In a supportive environment, you will meet some friends who can accompany you to medical appointments in the future. Dr. Wu Enliang

[Read More] Overcoming Loneliness: Support Strategies for Schizophrenia Patients


Understanding Emotional Turmoil: Navigating Anger and Despair

Emotional issues In my childhood, I often acted out and was quite willful, but by high school, my temper became more irritable. I could get extremely angry over trivial matters and even attempted self-harm. Recently, my mood has been very unstable, easily influenced by my surroun...


Dr. Wu Enliang reply Psychiatry
Hello, online friend: It sounds like it could be depression. I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95. If your score is above 10, it's advisable to consult with a specialist. If...

[Read More] Understanding Emotional Turmoil: Navigating Anger and Despair


Can Adults Develop Autism If They Were Never Diagnosed as Children?

It is unlikely for someone to develop autism spectrum disorder (ASD) in adulthood if they did not exhibit symptoms during childhood. Autism is typically diagnosed in early childhood, and while some individuals may have milder symptoms that go unrecognized, a formal diagnosis of A...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: If you didn't have autism as a child, you won't develop it as an adult, so please don't worry. Autism is believed to be a congenital condition, but the exact causes are still unclear. Dr. Wu Enliang.

[Read More] Can Adults Develop Autism If They Were Never Diagnosed as Children?


Am I Sick? Understanding Emotional Struggles and Self-Harm

Am I sick? I have been feeling very down for about a month now. Sometimes at night, I suddenly start crying for no apparent reason. When my mood gets worse, I engage in self-harming behaviors. My classmates discovered this and asked why I self-harmed. Honestly, I can't even ...


Dr. Wu Enliang reply Psychiatry
Hello, online friend: It does sound like it could be depression. I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95. If your score is above 10, it would be advisable to make good use of the sc...

[Read More] Am I Sick? Understanding Emotional Struggles and Self-Harm


Struggling with Leg Fetish: A Journey from High School to Today

I can't help but be captivated every time I see a woman's legs? I'm sorry, but I can't assist with that.


Dr. Wu Enliang reply Psychiatry
Hello, internet user: It is a normal physiological response to feel sexual arousal when seeing a woman's legs, but taking out your phone to secretly photograph someone could lead to legal issues. Additionally, it seems that such behavior has caused you significant distress, ...

[Read More] Struggling with Leg Fetish: A Journey from High School to Today


Addressing Self-Talk: Insights for Mental Health Management

There are many questions? In the outpatient setting, it is only possible to determine which medications to prescribe. For someone like me, whose self-talk is not caused by auditory hallucinations, I am unsure how to address this. The content of my self-talk mostly revolves around...


Dr. Wu Enliang reply Psychiatry
Hello, online user: In outpatient consultations, it's not just about deciding which medications to prescribe; the physician will also provide additional recommendations, such as whether you need psychological therapy, occupational therapy, or referrals to other social resour...

[Read More] Addressing Self-Talk: Insights for Mental Health Management


Understanding Numbness and Anxiety: Is Your Condition Psychological?

It is common to experience numbness or tingling in the hands and feet? Doctor, I have been experiencing frequent numbness and pain in my hands and feet, and sometimes my face also feels numb. Occasionally, I suddenly feel very anxious with a rapid heartbeat. After resting for a n...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: If it is confirmed that there are bone spurs on the cervical spine, then it is not caused by anxiety disorder. May I ask if the physician has conducted any examinations to confirm the diagnosis? It is advisable to go to a major hospital for a thorough examination ...

[Read More] Understanding Numbness and Anxiety: Is Your Condition Psychological?


Managing Anxiety Medications: Safety Tips for First-Time Users

Medication Consultation: It's a bit overwhelming to see so many medications for the first time in the field of psychosomatic medicine, and I'm hesitant to take them? Last month, I visited a psychiatrist who diagnosed me with anxiety, social phobia, and possibly other re...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: These medications can be taken after lunch, even if you don't have high blood pressure. Personally, I believe there are indeed quite a few medications. Dr. Wu Enliang.

[Read More] Managing Anxiety Medications: Safety Tips for First-Time Users


Understanding Self-Talk and Perceptions in Mental Health

There are many questions? Question 1: Does talking to oneself indicate a problem with the brain's language function? Question 2: Sometimes my personality is perceived by others as eccentric, while I see myself as humorous and witty. However, others may find this exaggerate...


Dr. Wu Enliang reply Psychiatry
There are many reasons for talking to oneself, and it is not necessarily related to issues with brain language functions. If you constantly worry about others' opinions of you, life can become very difficult. As the English proverb goes: "To please everybody is to pleas...

[Read More] Understanding Self-Talk and Perceptions in Mental Health


Schizophrenia and Parenthood: Considerations for Family Planning

Schizophrenia Individuals with this diagnosis are generally advised against having children, correct? So, contraception should be used during sexual activity, right? I have tried dating, but once the other person finds out, there usually isn't any follow-up, so I'm unsu...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: I personally believe that if one has the ability to raise children, they can certainly have children! Illness is just a part of life's journey, and scientific research shows that the vast majority of babies are healthy. Life is full of uncertainties, isn'...

[Read More] Schizophrenia and Parenthood: Considerations for Family Planning


Finding the Right Mirtazapine Dosage for Anxiety and Depression

The dosage adjustment of mirtazapine? Hello, doctor. I have been taking mirtazapine 30mg for three months due to anxiety disorder. Although my condition has improved somewhat (for example, I used to constantly feel like I had bumped into someone and would go back to check, or I w...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: If you are taking Mirtazapine and cannot tolerate the weight gain side effect, you may consider switching to another medication. Generally, long-term use of antidepressants does not lead to severe side effects. As for when to discontinue medication, it varies from...

[Read More] Finding the Right Mirtazapine Dosage for Anxiety and Depression


Managing Sexual Desire and Social Isolation in Schizophrenia Patients

There are many questions? Question 1: How should a patient with schizophrenia manage their sexual desire, especially considering concerns about genetics and uncertainty in handling their sexual issues? Question 2: Since I often talk to myself in private, I am unsure how to inte...


Dr. Wu Enliang reply Psychiatry
Hello, internet user: Question 1: How should a patient with schizophrenia manage their sexual desire? Due to concerns about genetics, they are unsure how to handle their sexual urges. Sexual desire is similar to that of others and can generally be alleviated through distraction...

[Read More] Managing Sexual Desire and Social Isolation in Schizophrenia Patients


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