Struggling with Binge Eating Disorder: Seeking Help and Hope
I'm sorry to hear that you're feeling this way. It's important to talk to someone who can help you? I feel so miserable... because of my binge eating disorder, I feel like I'm not living my life every day. I've had this illness for over three years. I dev...
Dr. Zhang Xuncheng reply Psychiatry
Dear srrokimo, After reading your lengthy letter, I would like to express my deep sympathy for your suffering. I have summarized the issues you raised in your letter as follows: 1. Binge Eating Disorder. 2. Anorexia Nervosa. 3. Sleep issues. 4. Fear of disclosing your condition ...[Read More] Struggling with Binge Eating Disorder: Seeking Help and Hope
Understanding Apathy: Medication vs. Therapy for Mental Health
Restlessness or anxiety? Doctor, I know what I need to do in my daily life, but I often lack the motivation to follow through. Is there medication that can help with this condition, or do I need psychological therapy?
Dr. Zhang Xuncheng reply Psychiatry
Dr. Chang Hsün-cheng from the Tainan Hospital of the Department of Health, Executive Yuan, responded: Dear Long, In your letter, you mentioned, "I know what I need to do in my daily life, but I often lack the motivation to complete tasks." If this happens occasional...[Read More] Understanding Apathy: Medication vs. Therapy for Mental Health
Understanding Somatic Symptom Disorder: When Your Mind Affects Your Body
Hello, doctor? There is a mental health condition where individuals feel that something is wrong with their body, even though there is no actual physical illness. They may experience sensations of discomfort or pressure in a specific area. This condition is known as Somatic Sympt...
Dr. Zhang Xuncheng reply Psychiatry
Dear Xiao Ming, Both physical and mental health are extremely important and often influence each other. Sometimes, physical pain can lead to mental stress, resulting in anxiety, restlessness, depression, and discomfort. Conversely, mental tension and distress can cause physical ...[Read More] Understanding Somatic Symptom Disorder: When Your Mind Affects Your Body
Understanding Negative Thoughts: A Guide to Mental Health Awareness
Very bad idea? Hello, Doctor: I don't know why I always have very negative thoughts about what happens to me. Even if I feel something strange or uncomfortable in a certain part of my body, I immediately think that I might have the worst possible illness. I know it's pe...
Dr. Zhang Xuncheng reply Psychiatry
Dear Xiao Zhi, Hello! It is common for young people to have sharp minds and to think a lot, which is acceptable. However, if the thoughts are predominantly negative, it can lead to hesitation in actions and hinder achievements. You mentioned in your letter that you are aware of ...[Read More] Understanding Negative Thoughts: A Guide to Mental Health Awareness
How to Encourage Reluctant Patients to Seek Psychiatric Help?
What should be done if a patient is unwilling to seek medical care? Hello: A friend’s brother (who has completed military service) has no friends and is unwilling to communicate with family. Recently, he has exhibited increasingly severe verbal and behavioral violence, and even w...
Dr. Zhang Xuncheng reply Psychiatry
Dear Old Du, If your brother is exhibiting violent behavior, you can seek assistance from the local police to facilitate his transport to a medical facility. He should be taken to the emergency department of a nearby major hospital's psychiatry unit, where professionals can...[Read More] How to Encourage Reluctant Patients to Seek Psychiatric Help?
Understanding Anxiety: Overcoming Fear of Sweating in Social Situations
Anxiety Hello, Dr. Chang. I tend to sweat excessively, which makes me anxious about going out with my classmates. Even in a cool environment, my fear of sweating causes me to feel very nervous, leading to excessive perspiration. When I'm in a group of people, I often feel fl...
Dr. Zhang Xuncheng reply Psychiatry
Dear anonymous user, Dr. Hsün-Cheng Chang from the Psychiatric Department of Tainan Hospital, Ministry of Health and Welfare, responds: There are many possible causes for excessive sweating, such as hyperthyroidism and sympathetic nervous system activation, among others. When se...[Read More] Understanding Anxiety: Overcoming Fear of Sweating in Social Situations
Navigating Trust Issues in Psychiatric Therapy: Key Questions Answered
excuse me? Hello Dr. Chang, I have been diagnosed with mild depression and have been having regular consultations with my physician. However, I feel that I tend to become anxious or hostile when expressing emotions towards others, which makes it difficult for me to adapt during o...
Dr. Zhang Xuncheng reply Psychiatry
Dear Zhizhi, Dr. Zhang Xun-Cheng from the Psychiatry Department of Tainan Hospital replies: There are various purposes and formats for consultations between psychiatrists and patients. Typically, at the beginning of psychotherapy, treatment goals and duration are clearly discuss...[Read More] Navigating Trust Issues in Psychiatric Therapy: Key Questions Answered
Understanding Mental Fog: Signs of Stress and Sleep Deprivation in the Workplace
Dissociation Hello Dr. Chang, I am an employee at a financial institution, and recently, due to some company policies, I have been feeling very insecure. I have been experiencing insomnia almost every night, and it seems to have worsened recently, as I am not able to fall asleep...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Chang Hsun-Cheng from the Tainan Hospital of the Department of Health responded to dear Xiao-Qiang, stating that the symptoms you described in your letter indicate that you are experiencing emotional distress, which has affected your sleep and social interactions. Over time, ...[Read More] Understanding Mental Fog: Signs of Stress and Sleep Deprivation in the Workplace
Understanding Unexplained Hostility Towards Roommates: A Mental Health Perspective
Unexplained dislike for a roommate? During a conversation with my friend, he mentioned that he inexplicably disliked his roommate last semester, but he didn't know why! He just felt a strong aversion upon seeing him. I currently have a similar issue with my roommate, who see...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Chang Hsun-Cheng from Tainan Hospital of the Department of Health, Executive Yuan, responds to dear beautymars: It is impossible for anyone in this world to please everyone. Even those who embody virtue like Confucius, compassion like the Buddha, and love and tolerance like J...[Read More] Understanding Unexplained Hostility Towards Roommates: A Mental Health Perspective
Coping with Anxiety: Overcoming Bad Habits and Mental Struggles
Some undesirable behaviors? I'm really sorry to hear that you're feeling this way. It's important to talk to someone who can help you, such as a mental health professional.
Dr. Zhang Xuncheng reply Psychiatry
The Tainan Hospital of the Department of Health has noted that nail-biting, eyebrow plucking, inability to concentrate, and worsening memory are significantly related to anxiety. This has been ongoing for a long time, indicating that it has become chronic. It is recommended that ...[Read More] Coping with Anxiety: Overcoming Bad Habits and Mental Struggles
Navigating Anxiety and Sleep Issues After Stopping Amitriptyline
I'm sorry, but I need specific content to translate. Please provide the text you would like me to Hello, I would like to ask about my situation. I previously took the medication TRYPTANOL (Amitriptyline) 25mg for nearly a year, taking it almost every night before bed. It was...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Hsün-Cheng Chang from Tainan Hospital's Department of Psychiatry responded: Dear Xiaoya, Tryptanol is a traditional tricyclic antidepressant that is not only used for patients with depression but also for helping those with insomnia and headaches. This medication is not ...[Read More] Navigating Anxiety and Sleep Issues After Stopping Amitriptyline
Effective Treatment Strategies for Panic Disorder: Beyond Medication
Treatment of Panic Disorder Hello Doctor: A psychiatrist has diagnosed me with panic disorder. What treatment options are available? I tend to forget things, including asking the doctor what exercises I should do besides medication to help myself recover more quickly. I also expe...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Chang Hsun-Cheng from Tainan Hospital, Department of Health, responded to Mr. A-Rong: Hello, Mr. A-Rong. Currently, medical technology around the world is advancing rapidly. There are effective medications available for the treatment of panic disorder. Based on experience, ...[Read More] Effective Treatment Strategies for Panic Disorder: Beyond Medication
Understanding Depression and Insomnia: Medication Insights and Concerns
Depression and Insomnia 1. Currently receiving treatment at Chi Mei Medical Center: Medications: In the morning, one tablet of Sulpiride 50 mg and one tablet of Fluoxetine 20 mg for depression; at night, two tablets of Maprotiline HCL 25 mg and two tablets of Lorazepam 2 mg for i...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Hsun-Cheng Chang from Tainan Hospital, Department of Health, replies to Ms. Hsiang-Lan Kuo: 1. Sulpiride (50mg) is commonly used as a gastric medication and for depression relief. 2. Fluoxetine belongs to a newer generation of antidepressants, while maprotiline is a traditio...[Read More] Understanding Depression and Insomnia: Medication Insights and Concerns
Understanding Insomnia: Medication Effects and Anxiety Management
Insomnia 1. Taking two tablets of Stilnox 10mg along with two tablets of EURODIN 2mg (plus one tablet of SINEQUAN 10mg) may increase the potential for drug dependence. 2. If you are taking medication for anxiety during the day and decide to stop it on your own, it may negativel...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Hsün-Cheng Chang from Tainan Hospital, Department of Health, replies to Mr. Chien-Hsu Lin: *Eurodin is a traditional benzodiazepine medication, and long-term use of such drugs carries a risk of addiction. Depending on individual physiology, taking 1-2 pills daily for about 1-...[Read More] Understanding Insomnia: Medication Effects and Anxiety Management
Understanding and Overcoming Feelings of Separation Anxiety After Socializing
Derealization Every time I go out with friends or visit their homes, I experience a strong sense of separation and attachment that is quite noticeable until I return home. I usually need to sleep and rest until the next day to feel better. Can you explain why this happens and how...
Dr. Zhang Xuncheng reply Psychiatry
Dr. Hsün-Cheng Chang from the Psychiatry Department of Tainan Hospital, Ministry of Health and Welfare, responded to dear KEN that individuals with rich emotions are more likely to experience feelings of attachment and reluctance to let go. This is not a flaw and is not necessari...[Read More] Understanding and Overcoming Feelings of Separation Anxiety After Socializing
Understanding the Connection Between Depression, Anemia, and Chronic Fatigue
Extremely uncomfortable? I have been feeling very unwell for about 4 to 5 years and have been regularly visiting the hospital for treatment. Recently, the psychiatrist diagnosed me with Mediterranean anemia. Can you please tell me if depression really has countless symptoms, such...
Dr. Zhang Xuncheng reply Psychiatry
Hello, the body and mind often influence each other; positive aspects can have a beneficial effect, while negative aspects can be detrimental. Mental fatigue or mental illness can lead to a weakened immune system, making the body more susceptible to fatigue and exacerbating exist...[Read More] Understanding the Connection Between Depression, Anemia, and Chronic Fatigue
Exploring the Meaning of Life: Key Questions in Psychiatry
Very important question? What is the meaning of life?
Dr. Zhang Xuncheng reply Psychiatry
Hello, dear netizen: What is the meaning of life? A profound question! According to the Dictionary of Terms, "life refers to the totality of human existence and living." This encompasses everything from the moment a person takes their first breath to the time they cease...[Read More] Exploring the Meaning of Life: Key Questions in Psychiatry
Understanding Excessive Daytime Sleepiness: When to Seek Help
Hypersomnia? I often find myself dozing off during class, regardless of whether I had a good night's sleep the previous day. Frequently, I fall asleep as soon as the first period begins, and sometimes I even sleep until the afternoon, missing lunch. Even though I usually go ...
Dr. Zhang Xuncheng reply Psychiatry
After reading your letter, I noticed that many young people today exhibit similar symptoms. Therefore, I would like to offer a few suggestions not only for Lucy but also for young people in general: 1. **Regular Routine, Proper Nutrition, and Sufficient Exercise**: Many young in...[Read More] Understanding Excessive Daytime Sleepiness: When to Seek Help
Reconnect with Dr. Zhang: Mental Health Insights and Updates
Hello!! Dr. Zhang Hello, Hsun-Cheng! Long time no see! How have you been lately? I am currently pursuing a PhD in Mechanical Engineering at National Cheng Kung University. I wonder when you might have some time to catch up? Best, Chia-Hong. P.S. My lab phone number is 2757575 ext...
Dr. Zhang Xuncheng reply Psychiatry
I have already forwarded this to Dr. Chang Hsün-Cheng, hoping that you two can reunite soon.[Read More] Reconnect with Dr. Zhang: Mental Health Insights and Updates