Understanding Psychiatric Medications: Duration, Side Effects, and Solutions
Psychiatric medications Hello, Doctor: 1. How many years do psychiatric medications need to be taken for improvement? 2. If psychiatric medications cause irregular menstrual cycles, how can this be addressed? 3. If past physical and mental trauma has resulted in psychological st...
Dr. Xie Dicheng reply Psychiatry
Hello: 1. The timing of medication intake is related to the disease and symptoms, and it needs to be discussed with the attending physician. 2. It is important to first confirm whether the medication is indeed the cause. If there is a strong suspicion that it is related to the me...[Read More] Understanding Psychiatric Medications: Duration, Side Effects, and Solutions
How to Get Diagnosed with Adult Asperger's Syndrome: A Guide
How to be diagnosed with Adult Asperger's Syndrome? Since the end of last year, I have been exposed to a lot of information about Asperger's syndrome, and I feel that I might have it. Initially, I thought I needed an MRI to understand if there were any issues with my br...
Dr. Xie Dicheng reply Psychiatry
Hello: Although you are already an adult, you can still seek assistance from a child and adolescent psychiatrist, as this condition is related to mental development. To make a diagnosis, it is necessary to provide information regarding your mental development from childhood, such...[Read More] How to Get Diagnosed with Adult Asperger's Syndrome: A Guide
Understanding Mental Health: Common Questions About Psychiatric Disorders
Medical issues 1. If we put it bluntly, are mental patients just considered "crazy"? 2. How can auditory hallucinations be completely cured? If a person hears voices coming from the sky, is it inspiration or a sign of illness? Do individuals with auditory hallucinatio...
Dr. Xie Dicheng reply Psychiatry
Hello: Here are the brief answers to your questions: 1. Patients with mental illness should not be referred to as "crazy." 2. It is difficult to clearly explain whether experiencing auditory hallucinations indicates a mental illness. If hearing voices significantly disr...[Read More] Understanding Mental Health: Common Questions About Psychiatric Disorders
Understanding Mental Health: Distinguishing Between Trauma and Psychosis
Head issues Hello, doctor. I would like to ask about some issues related to my head. 1. I have been experiencing persistent memories of past events for several days, which are all painful recollections. This phenomenon occurred after I went through many setbacks and difficultie...
Dr. Xie Dicheng reply Psychiatry
Hello: Thank you for your question. Here are the responses in order: 1. If you have already moved past those painful memories and returned to a normal state of life, then you are likely considered to be back to normal. 2. Indeed, individuals who claim to have psychic abilities or...[Read More] Understanding Mental Health: Distinguishing Between Trauma and Psychosis
Am I Sick? Understanding Mental Health Struggles and Solutions
Hello doctor, am I sick? Hello! I have been experiencing significant life stress for a while now, which often leads to feelings of sadness, insomnia, irritability, a need for personal space, depression, a desire to withdraw from social interactions, and frequent thoughts of self-...
Dr. Xie Dicheng reply Psychiatry
Hello: Based on your description, we cannot make a direct diagnosis at this time. We need more information, such as: How long does your low mood last? How often do you experience low mood? What situations trigger your low mood? What circumstances improve your mood? What is the fr...[Read More] Am I Sick? Understanding Mental Health Struggles and Solutions
Understanding Depression: Recovery Possibilities and Patient-Doctor Dynamics
Depression Hello, doctor. 1. Is it possible for depression to fully recover? Or is it that there is no such thing as complete recovery, but rather fluctuations between better and worse states, with differences between latent and manifest symptoms? Every time I visit the doctor,...
Dr. Xie Dicheng reply Psychiatry
The treatment of depression aims to achieve "full symptom remission." Furthermore, even after achieving "full symptom remission," it is necessary to continue medication for 9 to 12 months to prevent relapse. Therefore, after symptom improvement, patients must ...[Read More] Understanding Depression: Recovery Possibilities and Patient-Doctor Dynamics
Overcoming Anxiety: A Nursing Student's Struggle with Fear and Isolation
I have been feeling unhappy lately? Hello, Doctor: I am a nursing student. Since I started studying nursing, I have felt that people are very fragile and that it seems easy to develop cancer. These thoughts have shifted to myself since last November. Whenever I feel a little unwe...
Dr. Xie Dicheng reply Psychiatry
Hello: I'm not sure if you have spoken with the counseling and guidance teacher at your school, but if you have many concerns in your life that you don't know who to talk to, it might be a good idea to try discussing them with a counselor. It can be really tough under t...[Read More] Overcoming Anxiety: A Nursing Student's Struggle with Fear and Isolation
Understanding Anxiety and Trauma: Seeking Help for Mental Health Issues
It has been bothering me for a long time? I often experience sudden heart palpitations, hyperventilation, a sensation of heat in my skin, and overall discomfort. Sometimes, my hands shake, and these episodes usually occur after I think about unhappy events from my past, leading t...
Dr. Xie Dicheng reply Psychiatry
Hello: The physical discomfort you are experiencing is a type of stress response, which can also be referred to as "autonomic nervous system dysregulation," caused by excessive activation of the sympathetic nervous system. Anxiety or depression commonly exhibit these re...[Read More] Understanding Anxiety and Trauma: Seeking Help for Mental Health Issues
Understanding Health Anxiety: Can Stress and Worry Lead to Cancer?
Hypochondriasis Hello, Doctor Hsieh: I am an anxiety disorder patient; I often fear that I will develop cancer. Whenever I notice any symptoms on my body, I become very afraid that it might be cancer, leading to feelings of depression and hopelessness. I have also become very neu...
Dr. Xie Dicheng reply Psychiatry
Hello: "Getting cancer" is very frightening, and "constantly worrying about getting cancer" is even more painful. The fundamental approach is not to focus on whether you will get cancer, but rather to first alleviate your anxiety and concerns. Seeing that your...[Read More] Understanding Health Anxiety: Can Stress and Worry Lead to Cancer?
Understanding and Managing Anxiety Disorders: A Personal Journey
Anxiety Disorder Since high school, I have experienced anxiety when traveling alone on trains, feeling the urge to get off at every stop. At that time, it only occurred when I was physically unwell while riding the train. Now, as a senior in college, I faced significant anxiety o...
Dr. Xie Dicheng reply Psychiatry
Hello, I apologize for the late response. Indeed, your "anxiety symptoms" are quite pronounced and have a significant impact. At this stage, pharmacotherapy would be a more rapid and effective approach—besides anxiolytics like ERA, it is also important to consider other...[Read More] Understanding and Managing Anxiety Disorders: A Personal Journey
Understanding Care Options for Patients with Mental Health Issues
Regarding the target population of nursing homes? Hello, I would like to inquire about the target population for your nursing home services. In my family, there is a patient with a mental illness who experienced an incident last year, resulting in lower limb paralysis and bowel f...
Dr. Xie Dicheng reply Psychiatry
Hello, Although our institution is named a "rehabilitation hospital," our primary focus is on providing services for individuals with "depression, various psychosomatic disorders, acute episodes of mental illness, or post-episode mental rehabilitation treatment.&...[Read More] Understanding Care Options for Patients with Mental Health Issues
Why Some Depression Patients Resist Therapy: Understanding the Barriers
Patients with depression are reluctant to accept psychological counseling? Hello Doctor: My mother has been suffering from depression for over seven years. During this time, she has been regularly attending outpatient psychiatric appointments and taking her medication as prescrib...
Dr. Xie Dicheng reply Psychiatry
Dear Mr. Infinite Deep Blue, 1. If there is no improvement in the symptoms of depression, it may be necessary to first assess whether there has been any improvement in the symptoms (usually there is some partial improvement, but overall it may feel like "not better yet"...[Read More] Why Some Depression Patients Resist Therapy: Understanding the Barriers