Struggling with Attention: When Focus Issues Affect Learning
Inattention Hello, doctor: I have noticed that I often have difficulty concentrating. When I am at home doing things I enjoy, such as watching videos, I can focus very well. However, once I leave home, my attention tends to wander. I often forget what my teachers and classmates s...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on your description, it can be initially determined that the main issue is not attention deficit, as this problem typically presents itself in a generalized manner. If attention were truly an issue, one would not be able to focus well on activities they enj...[Read More] Struggling with Attention: When Focus Issues Affect Learning
Understanding Dreaming Disorders: When Sleep Isn't Restful
Sleep issues Hello Doctor: I have been dreaming every night since I was a child, even during naps or short sleep sessions of just five minutes. Despite getting a full eight hours of sleep, I often wake up feeling tired and unrested due to the dreaming. I frequently feel drowsy in...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, I can sense the distress this situation has caused you both in your daily life and mentally. Considering your subjective discomfort, I recommend that you visit a hospital for a comprehensive evaluati...[Read More] Understanding Dreaming Disorders: When Sleep Isn't Restful
Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Lack of slow-wave sleep? Hello Doctor, I have undergone polysomnography (PSG) for obstructive sleep apnea (OSA), and the results consistently show no slow-wave sleep. Initially, I thought this was due to hypoxia caused by OSA, but even when the CPAP pressure was adjusted to maint...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on the process you described, it is evident that this issue has caused you considerable distress in your daily life. Considering your physiological condition and sleep disturbances, I recommend that you continue treatment and evaluation at the hospital. Fol...[Read More] Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Understanding Automatic Negative Associations in Mental Health
Automatic association in the brain Hello: I can't remember when it started (or if it has always been this way), but it seems like my brain has an automatic mechanism that easily associates certain things with negative or even violent scenarios. For example, when I see boilin...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on your description, it seems that this situation has been ongoing for some time. Although we cannot draw any definitive conclusions at this moment, since you mentioned experiencing discomfort several times a day, I recommend that you take the opportunity t...[Read More] Understanding Automatic Negative Associations in Mental Health
Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Potential stress Hello, doctor. I have been diagnosed with severe sleep apnea and am currently waiting for surgical treatment. I often feel fatigued and mentally drained, which affects my work and social life. As a result, I face many misunderstandings, with people frequently sug...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on your description, I believe the most important step is to effectively treat your sleep-disordered breathing, which should significantly benefit both your physical and mental health. I recommend reassessing your condition three months after the surgery. ...[Read More] Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Understanding Sleepiness as a Symptom of Depression: Key Characteristics
Hypersomnia caused by depression? Hello, doctor. Due to issues with fatigue, excessive sleepiness, and poor mental state, I previously consulted a physician (not a psychiatrist). The doctor mentioned that the diagnosis of depression cannot be made solely based on these symptoms, ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on your description, the typical sleep duration for the general population is between 6 to 8 hours, which is considered normal. The concern you mentioned regarding needing more than 12 hours of sleep should be evaluated in the context of your usual sleep pa...[Read More] Understanding Sleepiness as a Symptom of Depression: Key Characteristics
Understanding Auditory Hallucinations and Anxiety in Social Situations
Mass panic and auditory hallucinations? Hello Doctor: I have a few questions I would like to ask you. For the past few years, I have been experiencing auditory hallucinations, where I hear voices calling my name, or sometimes when I am taking a shower, I hear friends or classmate...
Dr. Zhang Fangrong reply Psychiatry
Hello: Regarding the symptoms you mentioned in your letter, I can clearly sense your discomfort. I recommend that you visit the outpatient clinic for further examination and evaluation, as well as discussion. This will also allow for the assessment of certain physiological condit...[Read More] Understanding Auditory Hallucinations and Anxiety in Social Situations
Navigating Sexual Orientation Doubts: A Guide for Young Adults
Sexual orientation疑慮 Hello, doctor. I am 24 years old and currently serving in the military. At the end of September, I had a dream at night where I saw a man's lower body, though it was very vague. The dream lasted only about five seconds, but I immediately woke up feeling ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir, From your letter, I can certainly sense your stress, worries, and discomfort. First, let me clarify an important point regarding sexual orientation. Sexual orientation is generally recognized early in life (often before adolescence). If this is not the case, individual...[Read More] Navigating Sexual Orientation Doubts: A Guide for Young Adults
Managing Anxiety and Dizziness: Tips for a Happier Work-Life Balance
Feeling very dizzy and anxious? Hello Dr. Chang: I often feel dizzy and anxious while at work, and I can no longer tolerate criticism from others. What should I do? Is it normal for my unhappy feelings at work to affect my mood during my time off? How can I avoid overthinking dur...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, I am writing on behalf of the hospital in response to your message. You mentioned experiencing dizziness, anxiety, and a low mood. First, it is important to consider whether there are any other physical discomforts or underlying issues. If there are significant p...[Read More] Managing Anxiety and Dizziness: Tips for a Happier Work-Life Balance
Struggling with Insomnia: Daytime Sleepiness and Mental Exhaustion
Insomnia at night and feeling sleepy during the day? Hello Doctor: I have been unable to fall asleep at night, which often affects my work. In the morning, I struggle to get up, and when I do manage to sleep, I have frequent dreams. I have tried going to bed early and clearing my...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on your description, it is clear that this issue has been significantly affecting your daily life and mental well-being. You mentioned the need for sleeping medication. Considering the duration and severity of your sleep disturba...[Read More] Struggling with Insomnia: Daytime Sleepiness and Mental Exhaustion
Understanding Mental Chaos: Navigating Choices and Adaptation in Therapy
A jumble of thoughts in the mind? Hello, Doctor: I have been seeing a psychiatrist, but the doctor shared that he does not believe in fatalism; he is certain that people have choices. He told me that every situation involves a choice, but I find this hard to understand. How could...
Dr. Zhang Fangrong reply Psychiatry
Hello, regarding what you mentioned, I have a few suggestions: 1. If you are receiving long-term psychological counseling at a mental health clinic, I recommend trying to express your feelings at an appropriate time, as this aspect can be addressed and discussed. 2. If your vi...[Read More] Understanding Mental Chaos: Navigating Choices and Adaptation in Therapy
Navigating Feelings of Attraction Towards Your Psychiatrist: What to Do?
The feeling of enjoyment? Hello Doctor: I have been visiting a general psychiatry clinic, but recently I've encountered a problem. I tend to be attracted to intelligent people, and I find doctors to be very smart, which leads to feelings of affection. However, this creates d...
Dr. Zhang Fangrong reply Psychiatry
Hello, regarding what you mentioned, I have a few suggestions: 1. If you are undergoing long-term psychological counseling at a mental health clinic, I recommend trying to express your feelings at an appropriate time, as this aspect can be addressed and discussed. 2. If your ...[Read More] Navigating Feelings of Attraction Towards Your Psychiatrist: What to Do?
Understanding Diazepam: Dosage and Effects for Panic Attacks
Diazepam I have panic attacks, and my doctor prescribed "diazepam." I feel an immediate effect, and it seems to help. I would like to know what is the maximum dosage I can take, and how long I should wait after taking the medication before it takes effect. Thank you, do...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, thank you for your inquiry. Diazepam is indicated for conditions such as anxiety, insomnia, and muscle spasms, and it can also be effective for panic attacks. Since this medication comes in various dosages, please first confirm the milligram amount of the medicati...[Read More] Understanding Diazepam: Dosage and Effects for Panic Attacks
Can You Crush Quetiapine Extended Release Tablets Safely?
Quetiapine Can Quetiapine (fumarate) Extended Release be crushed? I have been threatened by a social worker who keeps saying that this medication cannot be crushed and that I need to switch medications. However, I have been taking this medication for over a year and have not expe...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. I have researched the relevant information. This medication has an outer coating to achieve its long-acting, extended-release effect, so it is not recommended to chew or crush it. However, if it is chewed or crushed, it can still be e...[Read More] Can You Crush Quetiapine Extended Release Tablets Safely?
Finding a Qualified Psychiatrist: Tips and Considerations
Qualified Psychiatrist Hello, Doctor. I would like to ask you the following questions: 1. Where can I find a qualified psychiatrist? 2. Can a physician with a foreign medical degree be considered a qualified psychiatrist? Thank you very much. Wishing you good health and all the b...
Dr. Zhang Fangrong reply Psychiatry
Your questions are as follows: 1. Where can I find qualified psychiatrists? Psychiatrists in general hospitals and psychiatric specialty hospitals are generally qualified psychiatrists, and they should have a psychiatric specialist license number. 2. Can a physician with foreign ...[Read More] Finding a Qualified Psychiatrist: Tips and Considerations
Understanding Mental Health and Public Service Eligibility in Taiwan
Psychiatric issues Hello, Doctor. I would like to ask: 1. Does seeing a psychiatrist disqualify someone from being a public servant? The regulations for civil service examinations state that individuals with psychiatric disorders cannot hold public office. I would like to verif...
Dr. Zhang Fangrong reply Psychiatry
1. Does seeing a psychiatrist disqualify someone from holding a public office? Certainly not. In fact, the government conducts special examinations for individuals with disabilities annually. For more information, please refer to the Civil Service Examination website and other re...[Read More] Understanding Mental Health and Public Service Eligibility in Taiwan
Understanding Mental Illness: Diagnosis, Misconceptions, and Social Stigma
Assessment of Mental Illness 1. How is the assessment of mental illness conducted? How can we determine if a person has a mental disorder? 2. If a female has a name that resembles a male's, could she be perceived as having a mental illness? Some people tend to label others...
Dr. Zhang Fangrong reply Psychiatry
Thank you for your question. 1. Mental disorders are diagnosed based on symptomatology, and in Taiwan, the primary diagnostic criteria are derived from the diagnostic manuals published in the United States. Although there may be slight variations in diagnoses among different ph...[Read More] Understanding Mental Illness: Diagnosis, Misconceptions, and Social Stigma
Understanding Self-Talk: Is It Normal and What Causes It?
Soliloquy Hello, doctor. I have a question to ask you. Is it normal for a person to talk to themselves? What are the causes of self-talk? What are the psychological issues associated with it? How can it be effectively treated? Thank you for your response. Wishing you good health.
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Due to regulations, this operating system must respond to your inquiry, so I am resending a new question. A response will be provided shortly. Thank you. Self-talk can be simply divided into two parts. Normal individuals may engage in self-talk when they are foc...[Read More] Understanding Self-Talk: Is It Normal and What Causes It?