Understanding Self-Centered Behavior in Young Children: A Guide for Parents
Self-centered children A first-grade child believes that if they can share their belongings, then others should also share theirs. This leads them to take things from others directly. For example, if a friend says something is delicious, the child will prepare it for them, but if...
Dr. Zhang Jiafen reply Psychiatry
Hello, based on your letter, it seems that your child's behaviors are mostly positive, such as wanting to make friends and share things they enjoy. However, it appears that they may struggle to see things from others' perspectives, which affects their ability to express...[Read More] Understanding Self-Centered Behavior in Young Children: A Guide for Parents
How to Stop Overthinking Annoying Thoughts and Find Peace
Annoying thoughts keep swirling in my mind? Hello Dr. Chang: Sometimes, even after work hours or on days off, I find that annoying and frustrating thoughts keep resurfacing in my mind. Even when I engage in leisure activities that I enjoy, these thoughts intrude and significantly...
Dr. Zhang Jiafen reply Psychiatry
Hello, I believe you are a very competent employee in your workplace. Everyone encounters challenges at work, but how to cope with them is indeed an important issue. Regarding your confusion, I have the following suggestions: Should you change jobs? Changing jobs may not fundamen...[Read More] How to Stop Overthinking Annoying Thoughts and Find Peace
How Panic Attacks Affect Blood Sugar, Blood Pressure, and Liver Function
Panic Disorder and Health Examination Values Can physician-induced panic lead to elevated test values such as blood sugar, blood pressure, liver function, and triglycerides? Thank you.
Dr. Zhang Jiafen reply Psychiatry
Hello, panic disorder is generally not directly related to common modern ailments known as "the three highs" (high blood lipids, high blood sugar, etc.). However, panic disorder may lead to changes in lifestyle, such as overeating when feeling down or experiencing poor ...[Read More] How Panic Attacks Affect Blood Sugar, Blood Pressure, and Liver Function
Understanding the Transition from Depression to Schizophrenia: Key Insights
I'm not sure if it was successfully submitted? 1. It has been noted that the negative symptoms of schizophrenia can sometimes be misdiagnosed as depression in the early stages. However, these are distinct types of mental disorders. If a patient has been diagnosed with depres...
Dr. Zhang Jiafen reply Psychiatry
Hello, regarding your concerns, I have the following suggestions: 1. Since the diagnosis of psychiatric disorders requires long-term observation and assessment, it is true that some symptoms of psychiatric disorders can be similar. Therefore, close collaboration between family ...[Read More] Understanding the Transition from Depression to Schizophrenia: Key Insights
Managing Intrusive Thoughts: Insights and Solutions for Mental Health
Thinking insertion Is there a way to treat this symptom? My thoughts come one after another, and I completely lack self-control. Doctor, how do ordinary people think and process their thoughts? I am currently taking Risperdal 2. I used to think it was just random thinking, but ev...
Dr. Zhang Jiafen reply Psychiatry
Hello, based on your letter, it is not entirely clear what specific issues you are experiencing. However, I believe that in addition to medication, incorporating behavioral therapy could be more effective in addressing your concerns. For instance, you might try writing down your ...[Read More] Managing Intrusive Thoughts: Insights and Solutions for Mental Health
Overcoming Family Pressure: Coping with Mental Health Challenges
Family issues I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional or a trusted person in your life.
Dr. Zhang Jiafen reply Psychiatry
Hello, I believe the reasons you are experiencing these negative emotions are quite diverse. Perhaps it is due to spending more time at home, which can naturally lead to increased friction with family members. However, I trust that family members care for each other; sometimes, t...[Read More] Overcoming Family Pressure: Coping with Mental Health Challenges
Oral Medications vs. Injections: Choosing the Best Treatment for Psychiatric Patients
Oral medications or injectable treatments? The patient has been hospitalized for six weeks, and the physician recently asked us to decide whether to administer oral medication or injections for final adjustments. I have the following questions for the doctor: 1. Is there a diff...
Dr. Zhang Jiafen reply Psychiatry
Hello, regarding the questions you raised, here are a few suggestions: Essentially, long-acting injectable medications, when administered on schedule, should have effects comparable to oral medications. Moreover, newer generations of long-acting injectables exhibit less fluctuati...[Read More] Oral Medications vs. Injections: Choosing the Best Treatment for Psychiatric Patients
Navigating Difficult Relationships with Aging Fathers: A Mental Health Perspective
Challenges in Interacting with Father? Hello Doctor, when I was young, my family had a good relationship. We still live together, but my brother and I have grown up and started our own lives. However, my relationship with my father has gradually become distant, while my relations...
Dr. Zhang Jiafen reply Psychiatry
Hello, although every family has its own challenges, I want to help you understand your father's heart. It may seem difficult, but it really comes down to one word: heart. However, it’s not as simple as it sounds because you first need to empathize with your father's fa...[Read More] Navigating Difficult Relationships with Aging Fathers: A Mental Health Perspective
Why Do We Constantly Compare Ourselves to Others on Social Media?
Always love to compare with others? Hello, doctor. My life is not bad; I have a very caring husband who is considerate and financially stable. However, when I see things my friends post on Facebook, I feel like they are showing off. Whether it's food or items, I never post a...
Dr. Zhang Jiafen reply Psychiatry
Hello, comparison is one of the driving forces behind human progress. Everyone has experienced this to some extent. As the saying goes, "Comparing oneself to others can lead to dissatisfaction," because no one is perfect. However, this imperfection motivates us to striv...[Read More] Why Do We Constantly Compare Ourselves to Others on Social Media?
How Long Does Medication Adjustment Take During Psychiatric Hospitalization?
How long does it take to adjust medication during hospitalization? The patient was diagnosed with bipolar disorder during an outpatient visit; however, due to poor medication response, they were admitted for inpatient treatment. They have now been hospitalized for almost a month,...
Dr. Zhang Jiafen reply Psychiatry
Hello, from your letter, I can sense your deep concern for your family. I believe that with such care and support, your family member will surely regain their health. Regarding your questions, here are some suggestions: 1. Is it possible to be diagnosed with bipolar disorder in ...[Read More] How Long Does Medication Adjustment Take During Psychiatric Hospitalization?
Understanding Bipolar Disorder and Borderline Personality Disorder: Key Concerns and Treatment
Bipolar disorder with borderline personality disorder? I'm sorry to bother you again. I researched my condition online, which made me feel uncertain, but my doctor doesn't explain everything, making me more scared. I have been diagnosed with bipolar disorder and borderl...
Dr. Zhang Jiafen reply Psychiatry
Hello, from your letter, I can sense your enthusiasm for improving your emotional well-being. Although this feeling may sometimes increase your anxiety, I believe it is just a temporary transitional phase. You can view this feeling as a motivation for change, giving you the coura...[Read More] Understanding Bipolar Disorder and Borderline Personality Disorder: Key Concerns and Treatment
Struggling with Mental Health: Seeking Help for Emotional Turmoil
I'm about to go crazy? Doctor, I have been seeking medical care, but my doctor doesn't seem to appreciate me asking questions online, so I gathered the courage to ask you. Recently, my dog chewed up my shoes, and while I was searching for them, I yelled and cried. In my...
Dr. Zhang Jiafen reply Psychiatry
Hello: You mentioned that it seems like you have been taking medication for over a year without much help, but from your letter, I can see the progress you have made during this time. For example, your self-harm incidents should have decreased over the past year. Although there m...[Read More] Struggling with Mental Health: Seeking Help for Emotional Turmoil
Understanding the Connection Between Stomach Issues and Throat Discomfort
Discomfort in the stomach and throat? Hello, Doctor: Since around October of last year, I have been experiencing bloating due to excessive lemon water consumption and anxiety. In late October, I underwent an endoscopy, and the doctor informed me that I had inflammation and some m...
Dr. Zhang Jiafen reply Psychiatry
Hello, from your letter, it is clear that you are very concerned about your physical and mental health. However, there are a few questions that you may want to consider first: 1. You mentioned that the anxiety from last October is still affecting your daily life. For example, i...[Read More] Understanding the Connection Between Stomach Issues and Throat Discomfort
Understanding Inpatient Treatment for Bipolar Disorder: Key Concerns and Insights
Inpatient treatment The patient sought medical attention for bipolar disorder but has not seen any improvement after nearly three months of medication. After some persuasion from the physician, the patient finally agreed to hospitalization. However, now the patient's family ...
Dr. Zhang Jiafen reply Psychiatry
Hello, I appreciate your hard work during this time. At least your family is no longer resistant to psychiatric treatment, which is a positive development. Regarding your questions, here are some suggestions: 1. If you have been taking medication for almost three months without ...[Read More] Understanding Inpatient Treatment for Bipolar Disorder: Key Concerns and Insights
Understanding Anxiety: The Struggle Between Perception and Reality
Cyclical conditions Sometimes, I feel okay and not very anxious (in contrast to my previous state where I couldn't control my discomfort), but people around me say, "Don't worry, take it easy." I wonder why I care so much about what others say, to the point wh...
Dr. Zhang Jiafen reply Psychiatry
Hello, actually, personality traits often have their unique advantages that are worth preserving. For example, the trait of perfectionism can lead to meticulous work, alleviating concerns for others. However, it can also cause anxiety when one struggles to determine how to effect...[Read More] Understanding Anxiety: The Struggle Between Perception and Reality
Understanding Lymph Node Issues in Mental Health: Medication Insights
The issue of lymph nodes that should not be present? Hello Doctor: I have previously visited a psychiatric clinic, and the physician prescribed me the following medications: UXETINE (20 mg) 1 tablet, AMPRAZO (0.5 mg) 1 tablet, and SUSINE (200 mg) 0.5 tablet. I would like to ask: ...
Dr. Zhang Jiafen reply Psychiatry
Hello, regarding your current condition, it may be necessary to discuss with your treating physician which medication therapy is most suitable for you. Essentially, the medications you are currently using are primarily antidepressants and anxiolytics, which may indicate that you ...[Read More] Understanding Lymph Node Issues in Mental Health: Medication Insights
Understanding Medication Levels and Treatment Options for Bipolar Disorder
What should I do? The patient has been on medication for bipolar disorder for two months. After a few days of improvement, their condition has rapidly declined again. During this week's follow-up appointment, the patient informed the doctor, who mentioned that the previously...
Dr. Zhang Jiafen reply Psychiatry
Hello, based on the content of your letter, it seems that your family member is currently taking mood stabilizers. Some mood stabilizers require a certain level in the body to achieve the desired effect, which is why regular blood tests are necessary to monitor drug concentration...[Read More] Understanding Medication Levels and Treatment Options for Bipolar Disorder
Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Loss of therapeutic efficacy of the medication? The patient has been diagnosed with bipolar disorder and is experiencing hallucinations and delusions, leading to compulsive shopping and frequent self-talk. After one and a half months of medication, there was a brief improvement i...
Dr. Zhang Jiafen reply Psychiatry
Hello, actually, bipolar disorder can fluctuate due to many factors such as climate, sleep, physical discomfort, medication adherence, and psychosocial stress. Additionally, medications for mental health conditions typically require several weeks to months of consistent use to ac...[Read More] Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Can You Stop Psychiatric Medication on Your Own? Understanding Risks and Alternatives
Can I stop taking the medication on my own? Hello Dr. Chang: I previously experienced insomnia due to stress from illness, so I went to see a psychiatrist. The doctor prescribed me medication for depression and bipolar disorder, which really helped me sleep. However, I'm not...
Dr. Zhang Jiafen reply Psychiatry
Hello, I can sense your distress from your message. It's normal for everyone to experience emotional fluctuations; the key is the duration of these fluctuations and their impact on daily life. If your emotional ups and downs have exceeded your ability to cope, I recommend se...[Read More] Can You Stop Psychiatric Medication on Your Own? Understanding Risks and Alternatives
Understanding Health Anxiety: Coping with Fear of Serious Illness
What is wrong with me? This situation has persisted for over a year now. Initially, I experienced rectal bleeding, and the doctor diagnosed it as internal hemorrhoids. After undergoing a ligation procedure, my condition improved, but I still occasionally have mild bleeding, which...
Dr. Zhang Jiafen reply Psychiatry
Hello, actually caring for your own physical and mental health is a manifestation of self-love. However, since physical and mental changes can be rapid and vary depending on time, place, and circumstances, they naturally come with fluctuations in function. Regardless of social st...[Read More] Understanding Health Anxiety: Coping with Fear of Serious Illness