Improving Focus: Medications for Attention Issues Beyond ADHD
Regarding attention? Hello, doctor. I would like to ask, I heard that if someone does not have ADHD, taking ADHD medication will not improve attention. If a person does not have ADHD but has another mental condition that causes difficulty in concentrating, or if they are naturall...
Dr. Wu Enliang reply Psychiatry
Hello: Currently, there are no medications with sufficient evidence to improve attention. If it is not caused by anxiety, depression, or other factors, it is recommended to ensure adequate sleep, engage in regular exercise, and maintain a healthy diet, as this will naturally enha...[Read More] Improving Focus: Medications for Attention Issues Beyond ADHD
Am I Overly Anxious? Understanding Health Anxiety and Blood Pressure Monitoring
If you are measuring your blood pressure 50 times a day, it may indicate that you are experiencing significant anxiety? Hello Doctor: I am a patient with hypertension. Although I take my blood pressure medication regularly every day and my blood pressure is completely normal, I h...
Dr. Wu Enliang reply Psychiatry
Hello: It does sound like there may be symptoms of anxiety disorder. It is recommended to visit a psychiatrist for evaluation and to receive psychotherapy, behavioral therapy, relaxation training, or medication treatment.[Read More] Am I Overly Anxious? Understanding Health Anxiety and Blood Pressure Monitoring
Overcoming Sleep Issues Linked to Anxiety and Jaw Tension
Sleep issues Hello, doctor. About 20 years ago, before I graduated from graduate school, I experienced extreme panic due to concerns about completing my thesis. To muster the courage to finish it, I took deep breaths to overcome my fear. However, due to excessive inhalation, I de...
Dr. Wu Enliang reply Psychiatry
Have you visited a large hospital for dental care? Gum tightness is often caused by periodontal disease or malocclusion. Are your teeth indeed fine? If there are no issues, you might consider discussing with your prescribing physician about arranging biofeedback training or addin...[Read More] Overcoming Sleep Issues Linked to Anxiety and Jaw Tension
Struggling with Anxiety and Dark Thoughts: A High School Student's Journey
I feel like I'm losing control? I am currently a senior in high school. Since we were divided into classes in the first year, my class has become very noisy, not just because of the increasing pressure as we approach the university entrance exams. Since the first year, I hav...
Dr. Wu Enliang reply Psychiatry
Hello, Ty: I remember when I was in high school, I also felt a lot of pressure from my studies, and it was quite similar. Sometimes, the journey of life can be very frustrating, but you will get better, just like I did. When a person is under a lot of stress, they may feel irrita...[Read More] Struggling with Anxiety and Dark Thoughts: A High School Student's Journey
Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Anxiety Panic Disorder I often experience anxiety or negative thoughts, and whenever these thoughts arise, I feel chest tightness and headaches. I've noticed that the more I try to counter these thoughts with positive thinking, the more panic I feel in my body. This happens ...
Dr. Wu Enliang reply Psychiatry
Hello, Xiao Bai: If you are unable to manage your anxiety on your own, it is indeed necessary to seek medical attention. In fact, certain physical issues, such as thyroid dysfunction, can also lead to intolerable anxiety responses. Whether medication is needed should be discussed...[Read More] Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Is My Emotional Distress a Short-Term Issue or Depression?
Could you please clarify if I am experiencing a short-term emotional issue or depression? Hello Doctor, I have been experiencing feelings of depression lately. Whenever my classmates come to chat with me, I can happily engage with them, but once they leave, I become very quiet an...
Dr. Wu Enliang reply Psychiatry
Hello: It seems that your feelings of sadness are not constant, as you become very happy when classmates are around. Since you are still a student, I suggest you talk to a counselor at your school about this, and you can also discuss that frightening nightmare. If it is really tr...[Read More] Is My Emotional Distress a Short-Term Issue or Depression?
Understanding PTSD: Why Traumatic Memories Are Often Repressed
Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) can lead to the forgetting of certain memories due to psychological factors. This phenomenon can be explained by Freud's theory of repression, which suggests that individuals often unconsciously avoi...
Dr. Wu Enliang reply Psychiatry
The September 21 earthquake caused severe disasters across Taiwan, resulting in numerous casualties and the destruction of many homes. Survivors faced the devastation of their communities, the loss of loved ones, and various difficulties in daily life, housing, and transportation...[Read More] Understanding PTSD: Why Traumatic Memories Are Often Repressed
Coping Strategies for Severe Depression: Finding Hope and Support
Major Depressive Disorder I often feel very pessimistic and have thought about giving up on life. I have attempted suicide three times, and now I lack the courage to do so because I have the support and care of my family. However, sometimes when I'm feeling down, it seems li...
Dr. Wu Enliang reply Psychiatry
Hello, Zhi-Jie: Feeling down is not your fault, nor is it a sign of weakness; it is a sign of illness. Mental health issues require mental health treatment, and it is important to discuss your concerns with a trusted physician, such as Dr. Hsu. If necessary, consider seeking psyc...[Read More] Coping Strategies for Severe Depression: Finding Hope and Support
Understanding Dissociative Identity: Signs and Steps to Take
Suspecting that you have dissociative identity disorder? I suspect that I have dissociative identity disorder. One day, while traveling, I looked in the mirror while taking a shower and felt like I didn't recognize myself. I thought I looked very cute. However, when I return...
Dr. Wu Enliang reply Psychiatry
Hello: Everyone has some similar imaginations, and some people may suppress their emotions due to a repressive upbringing, leading to a conflict between their subconscious and societal moral values, resulting in feelings of guilt. This is generally normal. However, if it interfer...[Read More] Understanding Dissociative Identity: Signs and Steps to Take
Living with Atypical Bipolar Disorder: My Journey and Relationships
My bipolar disorder? When I was 23, I experienced headaches, a rush of energy, and difficulty sleeping, which led me to consult a psychiatrist. I was diagnosed with bipolar disorder. I haven't been reckless with money, seeking relationships, making impulsive investments, or ...
Dr. Wu Enliang reply Psychiatry
Hello, Wade: As long as you receive proper treatment and maintain stability, the vast majority of individuals with bipolar disorder can still pursue education, work, daily life, and relationships. It is advisable to gradually inform your partner that this is a treatable condition...[Read More] Living with Atypical Bipolar Disorder: My Journey and Relationships
Understanding Family Dynamics and Mental Health Struggles
Hello, I would like to inquire about my mental health issues? I have family members: my father, mother, younger brother, younger sister, and I am the eldest son. I have always felt that my dad favors my sister and my mom favors my brother, but my parents insist that they treat us...
Dr. Wu Enliang reply Psychiatry
Past life experiences have caused you considerable emotional distress. It is advisable to seek evaluation at a mental health facility to assess for depression or anxiety disorders. You may also consider individual psychotherapy to address these unpleasant experiences from the pas...[Read More] Understanding Family Dynamics and Mental Health Struggles
Comparing Sleep Medications: Clonazepam and Dormicum vs. Lendormin
Medications for Insomnia and Medication Switching Hello, doctor. I have a few questions: 1. How does the efficacy of one Clonazepam (CLONOPAN) combined with one Dormicum Roche Film-Coated Tablet compare to the efficacy of a single dose of Zolpidem (戀多眠)? Which one is stronger? ...
Dr. Wu Enliang reply Psychiatry
Hello Eva, 1. Dormicum has a short duration of effect but induces sleep quickly, while clonazepam is primarily an anxiolytic with a longer duration of sleep maintenance, making it difficult to compare their effectiveness directly. 2. There are many reasons for vivid dreaming,...[Read More] Comparing Sleep Medications: Clonazepam and Dormicum vs. Lendormin
Managing Depression: Finding Relief from Stressful Family Dynamics
Stay away from sources of stress? Hello Dr. Wu, I understand that I have tendencies towards depression. Sometimes I experience hand tremors, chest tightness, and difficulty breathing. During low emotional periods, I often complain and get angry about past events. I know I shouldn...
Dr. Wu Enliang reply Psychiatry
Of course, distancing oneself from stressors is a way to manage stress. Some people maintain a distance from their elders and meet occasionally, which can alleviate stress and improve relationships. However, if feelings of sadness persist and lead to ongoing depression, it may be...[Read More] Managing Depression: Finding Relief from Stressful Family Dynamics
Struggling Single Mom: Navigating Mental Health and Parenting Challenges
Am I sick? I am a single mother raising three daughters. My eldest has been taken care of by my former mother-in-law since birth and is now in her first year of high school. From a young age, my eldest has always followed her grandmother's wishes regarding everything from fo...
Dr. Wu Enliang reply Psychiatry
Hello, Jia-Fang: As a mother of three girls and a working professional, you have worked hard. For issues related to parent-child education, I suggest contacting the "Family Education Center" in your local city or county; you can find their phone number online. They have...[Read More] Struggling Single Mom: Navigating Mental Health and Parenting Challenges
Managing Withdrawal Symptoms After Discontinuing Antidepressants: Options Available
Are there medications that can alleviate the side effects after drug withdrawal? Hello, doctor! I would like to ask if there are any other medications that can help alleviate withdrawal symptoms after discontinuing "Kexin" (anxiolytic). Although I have tried to taper of...
Dr. Wu Enliang reply Psychiatry
Hello, josephy1: The principle for managing withdrawal symptoms when discontinuing short-acting antidepressants is to taper off gradually. For example, if you were taking one pill, you would reduce it to three-quarters of a pill. If you feel stable after a week, you can then decr...[Read More] Managing Withdrawal Symptoms After Discontinuing Antidepressants: Options Available
Coping with Painful Memories: Finding Help for Mental Health Struggles
I suddenly feel very sad, remembering bad memories, and it's hard for me to stop crying? Sometimes I suddenly feel very sad, as if my mind is stuck in bad memories. I force myself to recall the times when my family treated me poorly during my childhood. Several years ago, I ...
Dr. Wu Enliang reply Psychiatry
Hello Lin, Your situation resembles post-traumatic stress disorder (PTSD) and depression. I still recommend seeking treatment at a mental health facility. I'm not sure why you are hesitant to see a doctor. In fact, mental health issues are similar to physical illnesses lik...[Read More] Coping with Painful Memories: Finding Help for Mental Health Struggles
Managing Emotional Instability: Navigating Depression and Medication Challenges
Emotional instability I suffer from depression, and my medication treatment has not been effective. I started taking antidepressants and antipsychotic medications in March of this year, and I have been on them for over six months. The suicidal impulses still persist. A few weeks ...
Dr. Wu Enliang reply Psychiatry
Hello Tang Tang, I suggest that you bring this letter to your next appointment to show it to your attending physician. You have described everything in great detail. Wishing you a speedy recovery.[Read More] Managing Emotional Instability: Navigating Depression and Medication Challenges
Understanding Duloxetine Withdrawal Symptoms: What to Expect
Duloxetine withdrawal symptoms? Hello, I have been taking Duloxetine (30 mg) for the treatment of autonomic nervous system disorder, one capsule before bedtime for a year. My doctor has advised me to start tapering the dosage, so now I take one capsule every other day, still befo...
Dr. Wu Enliang reply Psychiatry
Hello Mr. Y: Yes, that is the withdrawal symptom from Duloxetine. Generally, it will subside within a week, but it varies from person to person. For some individuals, if the symptoms are severe, it may be necessary to resume the medication and reduce the dosage more gradually, su...[Read More] Understanding Duloxetine Withdrawal Symptoms: What to Expect
Facing Depression in Military Service: Coping with Increased Stress and Isolation
Military Depression Hello, doctor. I am a conscript, and I have less than three months left until my discharge. Recently, I have been feeling depressed mainly because the number of personnel in my unit has decreased significantly (about one-third of what it used to be), and every...
Dr. Wu Enliang reply Psychiatry
Hello, Xiao Huang: It is recommended to call the "Military 24-Hour Psychological Consultation Hotline" at 0800-395-995 (Help me, please help me) for telephone consultation services. The "Military 24-Hour Psychological Consultation Hotline" is staffed by profes...[Read More] Facing Depression in Military Service: Coping with Increased Stress and Isolation
Understanding Self-Worth: Navigating Mental Health and Patient Care
Doubts about self-worth..? Hello, Doctor: I would like to ask if doctors have preferences for their patients. No one in my life is willing to talk to me about my feelings, and the doctor seems eager to finish my appointment. I just want a little proactive concern; is that too muc...
Dr. Wu Enliang reply Psychiatry
Hello, Benben: Please discuss this with your doctor during your follow-up appointment this week. Thank you for your efforts.[Read More] Understanding Self-Worth: Navigating Mental Health and Patient Care