Dr. Wu Enliang reply Psychiatry Question - Page 32

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Understanding Numbness and Appetite Loss: Is Anxiety the Cause?

Numbness in the hands and feet, loss of appetite? Hello, doctor. I have not had much of an appetite since the morning of the day before yesterday. By yesterday, I could only eat a few bites of breakfast before feeling nauseous. Last night, I suddenly experienced tinnitus, and sin...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: May I ask if the symptoms have persisted after the exam today? If they have disappeared, then it is indeed likely that they were caused by stress-related psychosomatic issues. Dr. Wu Enliang

[Read More] Understanding Numbness and Appetite Loss: Is Anxiety the Cause?


Talking to Yourself: Understanding Its Impact on Mental Health

Soliloquy Should I wear a mask when going outside? Sometimes, I have been seen talking to myself while working, and my classmates have told the teacher that I often talk to myself alone. I know this is not caused by auditory hallucinations, so medication has been ineffective. Can...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: Wearing a mask outdoors is sometimes necessary to avoid the discomfort of others' strange looks. Talking to oneself may also be a manifestation of anxiety or obsessive-compulsive symptoms, and it is not necessarily caused by auditory hallucinations. If the si...

[Read More] Talking to Yourself: Understanding Its Impact on Mental Health


Understanding Self-Talk: When Talking to Yourself Becomes a Habit

Soliloquy Although the individual does not experience auditory hallucinations, they have developed a habit of talking to themselves and have become uncomfortable with conversing with others. This behavior has been present since childhood. What should a person who talks to themsel...


Dr. Wu Enliang reply Psychiatry
Hello, internet user: Talking to oneself is not inherently a disorder; the concern lies in how it affects others' perceptions of you. You can gradually practice shifting your self-talk to internal dialogue. If you find this challenging, it is advisable to seek behavioral the...

[Read More] Understanding Self-Talk: When Talking to Yourself Becomes a Habit


Is Your Parent Showing Signs of Cognitive Decline? Understanding the Symptoms

Cognitive decline? Hello, my mother is 60 years old. She has always been a housewife and has not worked, but about 20 years ago, most household tasks were handed over to a maid. Now, she only occasionally takes on simple tasks for some companies. In recent years, I have noticed t...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: The deterioration of language comprehension and expression abilities can indeed be a form of dementia. It is recommended to seek further diagnosis and treatment from a neurologist or psychiatrist. Dr. Wu Enliang

[Read More] Is Your Parent Showing Signs of Cognitive Decline? Understanding the Symptoms


Struggling with Sleep: Understanding Nightmares and Daytime Fatigue

Poor sleep with frequent nightmares? Hello, doctor. Since I can remember, probably since elementary school, I have been having nightmares up until now, and I feel just as fatigued whether I sleep or not. I am very tired during the day. I previously saw a doctor who tested me for ...


Dr. Wu Enliang reply Psychiatry
Hello: It is recommended to visit a comprehensive hospital with a sleep center, specifically the psychiatry or neurology department, for a sleep study to confirm the diagnosis and provide targeted treatment. Dr. Wu En-Liang.

[Read More] Struggling with Sleep: Understanding Nightmares and Daytime Fatigue


Overcoming Conflicted Thoughts: Managing Emotional Turmoil with Family

Mental confusion It is common to be affected by thoughts of the past, often leading to feelings of resentment towards one's father. At times, there may be fantasies of inflicting violence on him, but rationality helps in exercising self-restraint. I hope to receive some advi...


Dr. Wu Enliang reply Psychiatry
Hello, netizen. Are you unsure if this affects your emotions significantly? You can first measure your mood using a mood thermometer (as per the link below, or by using a mobile app) and follow the suggestions below… https://www.cgh.org.tw/tw/content/depart/CGHPHD/DL/C.pdf 0-5 p...

[Read More] Overcoming Conflicted Thoughts: Managing Emotional Turmoil with Family


Managing Menopausal Symptoms: Concerns About Medication Side Effects

Fear of side effects or addiction? From the age of 52 to 59, due to menopause, I have been experiencing head pressure and pain, particularly in the forehead area, often accompanied by neuralgia. I also hear sounds while sleeping, have photophobia, and experience a grinding noise ...


Dr. Wu Enliang reply Psychiatry
Hello, the dosage of the medication is quite low, so it should not cause side effects. These two medications are also not addictive. However, the previous medication, Stinose, has a high potential for addiction. Dr. Wu Enliang.

[Read More] Managing Menopausal Symptoms: Concerns About Medication Side Effects


Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress

Anxiety Panic Disorder Hello Doctor, I have been working at a Japanese company for almost two years now. Since I joined this company, I have frequently experienced dizziness and headaches. In the past six months, my workload has increased, and working overtime has become the norm...


Dr. Wu Enliang reply Psychiatry
Hello, Xiao Zi: There are many ways to improve the situation. When facing stressors, one can *avoid, reduce, or modify the stressors.* *Develop stress management techniques.* *Practice positive thinking and self-affirmation.* *Implement effective time management.* *Engage in comp...

[Read More] Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress


Coping Strategies for Adult Virgins: Navigating Relationships and Self-Acceptance

How to handle it? I am 38 years old and still a virgin. Doctor, what should I do? How should I face this situation, and what methods can I use to cope?


Dr. Wu Enliang reply Psychiatry
Hello, if this is really troubling you, a healthier approach would be to learn how to establish relationships with the opposite sex first, as this may lead to a potential intimate relationship later on. However, I can't claim to be an expert in this area. I recommend utilizi...

[Read More] Coping Strategies for Adult Virgins: Navigating Relationships and Self-Acceptance


Understanding Impulsive Violence: Is It a Mental Health Issue?

Having an impulse to hit someone? Hello, doctor. Since my middle school years, I have experienced an impulse to hit teachers whenever I have one-on-one conversations or lessons with them. This continued into high school and college, and now that I am in the workforce, I feel the ...


Dr. Wu Enliang reply Psychiatry
Hello, this is not a mental illness, but if you have impulses to hit others, particularly targeting elders or superiors, there must be a reason behind it. This often occurs in individuals who grew up in authoritarian environments. It is advisable to seek individual psychotherapy....

[Read More] Understanding Impulsive Violence: Is It a Mental Health Issue?


Navigating Schizophrenia: How to Discuss Your Condition with Others

Please provide your content for translation? Due to schizophrenia, I am unsure whether to let people know about my condition. This diagnosis is often perceived negatively, and when asked about marriage, I hesitate to reveal the true reason. Recently, during the New Year celebrati...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: Being ill is considered a personal matter and does not need to be disclosed to others. The crime rate among individuals with schizophrenia is not higher than that of those without schizophrenia, and this is supported by scientific data. Dr. Wu Enliang.

[Read More] Navigating Schizophrenia: How to Discuss Your Condition with Others


Understanding Drug Interactions: Managing Medications for Mental Health

Autonomic Nervous System Dysregulation - Medication Consultation Hello, I would like to ask about my current medications. I am taking the following psychiatric medications: Surin Tab 200mg (Sulpiride 200mg), Alprazolam 0.5mg (Alprazolam), and Leeyo Tab 10mg (Escitalopram). Yester...


Dr. Wu Enliang reply Psychiatry
Hello, user: Your medication does not contain the aforementioned ingredients, so you can take it with confidence. Dr. Wu En-Liang

[Read More] Understanding Drug Interactions: Managing Medications for Mental Health


Should I Take Medication for Anxiety and Depression?

Should I take medication? Due to family discord and my father's constant verbal abuse, I experienced significant weight loss of 5.6 kilograms for a period of time. The added pressure of upcoming exams made me feel like crying at any moment; just thinking about it brings me t...


Dr. Wu Enliang reply Psychiatry
Hello, I understand that you are experiencing multiple stressors and emotional instability. I recommend seeking someone to talk to, such as a school teacher or a counselor, as they can be valuable resources. You may also consider asking your physician for a referral to a mental h...

[Read More] Should I Take Medication for Anxiety and Depression?


Navigating Employment and Relationships with Schizophrenia: Expert Advice

Please provide more context or specific information so I can assist you better? Is there a limitation on job choices for individuals with schizophrenia, or does it depend on whether others are willing to hire them? I tend to take what others say to heart, and since I am quite rec...


Dr. Wu Enliang reply Psychiatry
Hello, regarding the employment choices for individuals with schizophrenia, it largely depends on whether they still have symptoms and the extent to which those symptoms affect their daily life. For those who are in recovery (with symptoms alleviated or not interfering with daily...

[Read More] Navigating Employment and Relationships with Schizophrenia: Expert Advice


Understanding Schizophrenia: Genetic Risks and Relationship Guidance

Please provide more context or specific information so I can assist you better? Schizophrenia can have a genetic component, meaning it may be inherited by the next generation. Physicians often advise patients to consider their personal circumstances and relationships, suggesting ...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: The causes of schizophrenia are diverse and are not solely related to genetics; they are also associated with life stressors. Research conducted abroad has indicated that if one parent has schizophrenia, there is about a 10% chance that their child will develop th...

[Read More] Understanding Schizophrenia: Genetic Risks and Relationship Guidance


Understanding Sleep Jerks: Causes and Solutions for Nighttime Disruptions

Experiencing involuntary muscle twitching or jerking movements while falling asleep at night? Hello doctor, this year I started experiencing a phenomenon where, when I feel sleepy and try to fall asleep, I notice that one part of my body (such as my hand or foot) will involuntari...


Dr. Wu Enliang reply Psychiatry
Hello, Huang. In this situation, the conditions to consider are Periodic Limb Movement Disorder (PLMD) or Restless Legs Syndrome (RLS), which are commonly seen in individuals with anemia or renal dysfunction. Improvement can often be achieved after treating the underlying medical...

[Read More] Understanding Sleep Jerks: Causes and Solutions for Nighttime Disruptions


Understanding Emotional Turmoil: Seeking Help for Mental Health Struggles

Psychological counseling I don't know what's wrong with me. One moment I'm smiling, and the next I can't seem to smile at all. Even when I'm having a good time chatting with my family, colleagues, or friends, and my mouth is smiling and my words are funny...


Dr. Wu Enliang reply Psychiatry
Hello, the entanglement in your family relationships can also be a form of life stress. If you are experiencing such discomforting situations, it is advisable to seek further psychological counseling or visit a mental health facility. Remember to bring this information for the th...

[Read More] Understanding Emotional Turmoil: Seeking Help for Mental Health Struggles


Should I Seek Help for Ongoing Emotional Distress as a Student?

I have been troubled by these emotions for nearly 7 months. Should I seek medical attention or counseling? I am currently a student, and I have been under a lot of stress due to school-related issues. This emotional state seems to have started around that time. I tried to cope us...


Dr. Wu Enliang reply Psychiatry
Hello, it has been over seven months and you are struggling to feel happy, even experiencing suicidal thoughts and behaviors. This could indicate that you may be suffering from a mental health condition. Psychological issues are just like physical illnesses; it's important t...

[Read More] Should I Seek Help for Ongoing Emotional Distress as a Student?


Understanding Family Dynamics: Is Hatred Towards In-Laws Normal?

How to get along? It is not uncommon for individuals to experience negative feelings towards family members due to interpersonal dynamics, such as disagreements or differing opinions during discussions. This reaction can stem from various factors, including stress, anxiety, or fe...


Dr. Wu Enliang reply Psychiatry
Hello Ms. Lin, it is common for family members to have differing opinions, especially during recent election periods when many households experience arguments due to supporting different candidates. However, don't forget to reconcile in the end; this cannot be classified as ...

[Read More] Understanding Family Dynamics: Is Hatred Towards In-Laws Normal?


Coping with Health Anxiety: Understanding Hypochondria and Its Effects

Hypochondriasis? I am a very pessimistic and negative person. I usually suppress my feelings in front of others. During my high school years, I lost three relatives to illness, including my father, which caused me significant emotional trauma. Five years have passed, and while I ...


Dr. Wu Enliang reply Psychiatry
Hello Ms. Hsu, your condition often coexists with anxiety and depression, causing significant disruptions in your daily life. It is recommended that you seek treatment at a mental health facility for medication or psychotherapy as soon as possible. Dr. Wu En-Liang

[Read More] Coping with Health Anxiety: Understanding Hypochondria and Its Effects


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