Dr. Yu Xie Zhao reply Psychiatry Question

Share to:
Feeling Overwhelmed: Seeking Help for Mental Health Struggles

I'm emotionally exhausted! I'm not sure if I'm sick, but I feel afraid to go home, avoid answering family calls, and even dislike them. My grandmother used to stay with us, and I thought I could gradually adjust my mindset to face my dad without fear. However, once...


Dr. Yu Xie Zhao reply Psychiatry
I think I may have answered your question before. In any case, it seems like fate! I believe you do not have a mental illness, at least not a severe one. Your reactions are greatly influenced by your environment. If you feel trapped, please calmly and honestly express your feelin...

[Read More] Feeling Overwhelmed: Seeking Help for Mental Health Struggles


Understanding the Genetic Links to Psychosis and Family Dynamics

Regarding the issues of mental illness and genetics! Hello Doctor, I would like to ask you a question. My mother has a history of dementia and has been managing it with medication for over a decade, but she occasionally experiences more severe episodes (e.g., outbursts of anger, ...


Dr. Yu Xie Zhao reply Psychiatry
Most mental illnesses have unclear causes. Although many studies show that schizophrenia, bipolar disorder, and even alcoholism and certain personality disorders are related to genetics, there have not been any groundbreaking discoveries. In families with individuals who have del...

[Read More] Understanding the Genetic Links to Psychosis and Family Dynamics


Struggling with Fear: Coping with a Troubled Relationship with My Father

Dilemma! I don't know if it's because I was scolded by my father since childhood that has led me to fear being around him! I grew up in a household with domestic violence, and whenever my dad drank, he would start yelling at me! No matter what time it was, if he wanted ...


Dr. Yu Xie Zhao reply Psychiatry
Your depression, anxiety, and behavioral reactions have their origins. This is a conditioned response. I think you should at least accomplish the following three things: 1. Have a source of income 2. Move to a new place and adapt to the new residence 3. Find a regular psychiatris...

[Read More] Struggling with Fear: Coping with a Troubled Relationship with My Father


Overcoming Fear: Finding the Right Psychiatrist for Your Mental Health

What should I do? Doctor, regarding what you said, "I think you need to have a thorough discussion with a psychiatrist to understand if there are any personality issues and whether there are any discrepancies in your self-awareness," what does that mean? I am afraid to ...


Dr. Yu Xie Zhao reply Psychiatry
Although the information is insufficient, I suspect you may have a Cluster B personality disorder. Recently, theories related to Self Psychology have become more popular. You can refer to books available in the market for more information. As for the issue of physician attitudes,...

[Read More] Overcoming Fear: Finding the Right Psychiatrist for Your Mental Health


Struggling with Self-Harm: Seeking Help for Depression and Pain

If you have harmed yourself again, it is important to seek help immediately. Please reach out to a mental health professional, a trusted friend, or a family member. You can also contact a crisis hotline for immediate support. Your safety and well-being are I'm sorry to hear ...


Dr. Yu Xie Zhao reply Psychiatry
Ahao, I understand that kind of involuntary and uncontrollable pain. I believe you may indeed have depression, and in addition, you might have personality issues. Besides medication (such as SSRIs or SNRIs), I think you need to have a thorough discussion with a psychiatrist to un...

[Read More] Struggling with Self-Harm: Seeking Help for Depression and Pain


Understanding Paranoia: How to Help a Loved One with Delusional Disorder

Delusional disorder, also known as paranoia, is a mental health condition characterized by the presence of one or more delusions that persist for at least one month. These delusions are false beliefs that Over the past year, my family member has been acting strangely, frequently ...


Dr. Yu Xie Zhao reply Psychiatry
Based on your description, your suspicions are indeed plausible. It is a long journey for him to transition from voluntary medical treatment to developing insight into his condition. I think it is important to honestly and gently inform him that it is necessary to undergo some br...

[Read More] Understanding Paranoia: How to Help a Loved One with Delusional Disorder


Understanding Facial Sensation Disorders: When to See a Specialist

If you have abnormalities in facial sensation, you should consult a neurologist? My mother has always believed that her face is about to sag, so she feels more secure when she uses tape to pull her face from her chin to above her ears. Sometimes, she even needs to use a cloth to ...


Dr. Yu Xie Zhao reply Psychiatry
Facial sensory nerve abnormalities fall under the domain of neurology, but your mother's behavior is indeed related to psychiatry.

[Read More] Understanding Facial Sensation Disorders: When to See a Specialist


Understanding the Efficacy of Medications for Bipolar Disorder After 4 Years

Bipolar disorder has been treated with medication for 4 years, but episodes still occur frequently. What is the efficacy of the medication? I am a patient with bipolar disorder, currently being treated with lithium and Seroquel for the past four years. Except for periods of depre...


Dr. Yu Xie Zhao reply Psychiatry
In summary, if your diagnosis of bipolar disorder is accurate, the commonly used mood stabilizers during the acute phase include lithium, valproate (VPA), carbamazepine (CBZ), and lamotrigine. Among these, VPA is becoming increasingly mainstream. Depending on the situation, antip...

[Read More] Understanding the Efficacy of Medications for Bipolar Disorder After 4 Years


Can Talking to Yourself Be Improved Through Outpatient Therapy?

Soliloquy Can the habit of talking to oneself be improved through outpatient treatment?


Dr. Yu Xie Zhao reply Psychiatry
Talking to oneself is not necessarily a mental illness, but it is advisable to have a psychiatric evaluation.

[Read More] Can Talking to Yourself Be Improved Through Outpatient Therapy?


Struggling with Medication: Can Depression Really Be Cured?

I have a question I would like to ask? I currently have to take nine pills a day, which makes me feel very anxious. I'm even worried that this will harm my kidneys, but without the medication, I'm afraid I won't be able to sleep! Just before bed, I need to take thr...


Dr. Yu Xie Zhao reply Psychiatry
I am not aware of the specific classes of medications you are taking, but I suspect that the medication you take at bedtime includes sedatives. Generally speaking, these medications can lead to dependence and tolerance, meaning that you may feel unable to function without them an...

[Read More] Struggling with Medication: Can Depression Really Be Cured?


Understanding Autonomic Nervous System Disorders and Mental Health

Autonomic Nervous System Dysregulation and Dizziness? After puberty, I have been experiencing tremors in my hands and frequent numbness in my limbs. Recently, due to work-related issues, my day-night schedule has been irregular, with late nights, alcohol consumption, and poor sle...


Dr. Yu Xie Zhao reply Psychiatry
Antidepressant medications can enhance stress resilience, suppress impulsivity, improve mood, and even have analgesic effects (as serotonin acts on spinal nerves). However, excessive various forms of "stress" disrupt the body's self-regulatory functions (including ...

[Read More] Understanding Autonomic Nervous System Disorders and Mental Health


Understanding the Side Effects of Stilnox and Alternatives Like Ativan for Insomnia

Insomnia My wife has poor sleep quality, and the doctor prescribed Stilnox. However, she has heard about its side effects and is reluctant to take it. What are the actual side effects of this medication? How safe is Ativan? Can it be used as a substitute?


Dr. Yu Xie Zhao reply Psychiatry
Stinox is a new type of sleeping pill that has gained popularity in recent years, claiming to be less addictive and to increase deep sleep duration. However, the response to any medication varies from person to person. Ativan is an older medication belonging to the benzodiazepine...

[Read More] Understanding the Side Effects of Stilnox and Alternatives Like Ativan for Insomnia


Can Major Depression Be Cured? Insights on Long-Term Management

I'm sorry Can major depression be completely cured? I was diagnosed with this condition ten years ago, and the acute symptoms have subsided, but I still feel uncomfortable at times, such as when I go shopping. Sometimes I feel uneasy, and while driving, I often find myself u...


Dr. Yu Xie Zhao reply Psychiatry
Can major depression be cured? The answer likely varies from person to person. It is currently widely accepted that major depressive disorder is a multifactorial illness, meaning it is associated with social, psychological, and physiological factors. While there is increasing evi...

[Read More] Can Major Depression Be Cured? Insights on Long-Term Management


Understanding OCD: Coping Strategies for Your Partner's Struggles

Obsessive-Compulsive Disorder (OCD) Hello, Doctor: My girlfriend initially didn't seem to have any issues, although I sometimes thought she was a bit anxious. Recently, she started working in a beauty-related job at my cousin's company, but my cousin later mentioned tha...


Dr. Yu Xie Zhao reply Psychiatry
The exact causes of obsessive-compulsive disorder (OCD) are not fully understood, but its pathophysiology is significantly related to an imbalance of neurotransmitters in the brain. Some believe it to be a hyperglutamatergic disease. In summary, there are various opinions, and st...

[Read More] Understanding OCD: Coping Strategies for Your Partner's Struggles


Caring for My Mom's Bipolar Disorder: Tips for Support and Recovery

My mother's illness? My mother has mild bipolar disorder. After I completed my military service, I brought her home. How can I help her manage her condition and show my support? If her condition improves, does she still need to continue taking medication? Will she adapt to t...


Dr. Yu Xie Zhao reply Psychiatry
If you are certain that your mother has bipolar disorder, we generally believe that there is a close relationship with her constitution, meaning genetics, but this is not the only cause. From a psychosocial perspective, various types of stress are significant triggers that can ex...

[Read More] Caring for My Mom's Bipolar Disorder: Tips for Support and Recovery


Understanding Antidepressant Medications: Safety, Dosage, and Alternatives

Antidepressant medications Hello, I recently discovered that my friend has been suffering from depression for a long time. The doctor has prescribed the following medications: Xanax XR (alprazolam extended-release), Esilgan (escitalopram), Sulpin (sulpiride), and Effexor XR (venl...


Dr. Yu Xie Zhao reply Psychiatry
Hello, almost the vast majority of depression cases are accompanied by anxiety, so doctors often prescribe medications that also alleviate anxiety. The most common are benzodiazepines (BZD), which are generally addictive. These medications can relieve anxiety and may also provide...

[Read More] Understanding Antidepressant Medications: Safety, Dosage, and Alternatives


Understanding Sudden Dizziness: Causes and Solutions

Annoying dizziness? Doctor: I would like to ask a question. Recently, I've been feeling fine in the mornings, but then suddenly I experience dizziness, nausea, and overall weakness. Why is this happening? I feel very upset. Could you please answer me, doctor? Thank you!


Dr. Yu Xie Zhao reply Psychiatry
I apologize for the long delay! Your issue is quite complex and may be psychosomatic. However, it is more likely due to other reasons, such as dysfunction of the brainstem vestibular system, anemia, etc. What you need to do now is to find a neurologist and provide them with detai...

[Read More] Understanding Sudden Dizziness: Causes and Solutions


Struggling with Sleep: Understanding Insomnia and Its Effects

Poor sleep? I take at least half an hour to an hour to fall asleep every night, and during that time, various thoughts often come to mind, making it difficult to focus. After I do fall asleep, I frequently have dreams and do not sleep well.


Dr. Yu Xie Zhao reply Psychiatry
Hello, Xiao Qin. I apologize for the delay! Sleep disorders are a very common issue, and their origins can range from physiological to psychological factors, as well as individual constitution. Many people practice sleep hygiene, such as avoiding vigorous exercise before bedtime ...

[Read More] Struggling with Sleep: Understanding Insomnia and Its Effects


Understanding Mental Health: Your Questions About Seeing a Psychiatrist

I have many questions that I've been putting off for a long time! I appreciate your help, doctor! Last year, I visited the hospital due to severe stomach pain. However, gastrointestinal pain is not something new for me; it has been occurring for about ten years. After underg...


Dr. Yu Xie Zhao reply Psychiatry
Hello, your issue is both complex and simple! The complex part is that your personality traits combined with depressive symptoms require a psychiatrist who specializes in psychotherapy. The simple part is: just go find one! They will guide you.

[Read More] Understanding Mental Health: Your Questions About Seeing a Psychiatrist


Understanding Burnout Syndrome: Causes, Symptoms, and Solutions

Burnout syndrome? Burnout syndrome is a psychological condition characterized by chronic physical and emotional exhaustion, cynicism, and a sense of reduced personal accomplishment, often resulting from prolonged stress and overwork, particularly in the workplace.


Dr. Yu Xie Zhao reply Psychiatry
First of all, the term "burnout" is not universally accepted by all physicians as a medical term. We can discuss it from two perspectives. In the common understanding, often referred to as "burnout syndrome," it typically describes a state of physical and ment...

[Read More] Understanding Burnout Syndrome: Causes, Symptoms, and Solutions