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Understanding Sexual Desires: Navigating Relationships and Needs

If there is a sexual desire? I have sexual fantasies about the opposite sex and have had situations where I was alone with someone of the opposite sex, but when it came to the point of potentially engaging in sexual relations, I ultimately did not go through with it. I would like...


Dr. Zheng Jingming reply Psychiatry
Sexual relationships based on love can be more fulfilling. Engaging in sexual activity without love can also be acceptable if both parties consent (of course, it should never be forced or illegal). However, if such experiences lead to feelings of guilt, emotional distress, or imp...

[Read More] Understanding Sexual Desires: Navigating Relationships and Needs


Is Bipolar Disorder Causing My Depression Symptoms?

Is it caused by bipolar disorder or depression? I have previously experienced issues that others consider trivial, but I am very concerned about them. I have a history of bipolar disorder, and it seems like my entire mind is consumed by feelings of depression regarding that matte...


Dr. Zheng Jingming reply Psychiatry
Hello, you asked about a previous issue that others consider trivial, but it has been a significant concern for you, leading to feelings of depression. Could this be caused by an illness? There are various scenarios to consider, and a detailed medical history and assessment are n...

[Read More] Is Bipolar Disorder Causing My Depression Symptoms?


Understanding the Psychological Roots of Stealing Behavior in Family Dynamics

The act of stealing money? Hello Dr. Cheng: I have a small stall in the market. A few years ago, my father asked his sister to help out, but this aunt has been stealing money for a long time, and the amount keeps increasing. She doesn't care about how the neighbors see her a...


Dr. Zheng Jingming reply Psychiatry
Many mental disorders (such as neuroses, psychoses, personality disorders, etc.) may require clarification of various issues, and it is advisable to consult a psychiatrist for diagnosis and treatment.

[Read More] Understanding the Psychological Roots of Stealing Behavior in Family Dynamics


Understanding Sexual Orientation: Identifying Gay vs. Bisexual

Homosexual? Bisexual? Doctor: What indicators can help distinguish between homosexuality and bisexuality? I have an interest in women, but I am also not opposed to attractive men. I'm unclear about my feelings regarding my sexual orientation, which is causing me confusion!


Dr. Zheng Jingming reply Psychiatry
Sexual orientation refers to a persistent attraction to members of a specific gender in terms of sexual and emotional relationships. In simple terms, it describes whether a person is attracted to the opposite sex (heterosexual), attracted to the same sex (homosexual), or attracte...

[Read More] Understanding Sexual Orientation: Identifying Gay vs. Bisexual


Understanding Sexual Compulsions: When to Seek Help for Your Partner

Sexual psychological disorders My boyfriend often looks at pictures of a girl we both know on the computer while masturbating. I really don't know what to do about it. Is there any way to improve this? Does he have a mental illness? Does he need to see a doctor?


Dr. Zheng Jingming reply Psychiatry
From your boyfriend's perspective, this relates to his sexual fantasies, preferences, or simply an attraction to that girl. These issues do not indicate a mental disorder. The main concern lies in the dynamics of your relationship, which requires open communication between y...

[Read More] Understanding Sexual Compulsions: When to Seek Help for Your Partner


Helping Your Spouse Overcome Alcohol Addiction: A Guide for Families

Rescue! The Husband with Alcohol Addiction Hello, doctor! I have been married for many years and have two children. My husband has a severe alcohol addiction; he drinks every day as soon as he finishes work until 2 AM! Our marriage is on the verge of collapse! He tells me that he...


Dr. Zheng Jingming reply Psychiatry
Severe sleep issues cannot be managed with alcohol, as long-term alcohol consumption can worsen sleep conditions. Some insomnia problems stem from other medical or psychological issues, necessitating consultation with a psychiatrist or neurologist. Alcohol addiction has psycholog...

[Read More] Helping Your Spouse Overcome Alcohol Addiction: A Guide for Families


Overcoming Mental Struggles: A Soldier's Journey in the Navy

Hello, Dr. Cheng? Hello Dr. Cheng, I am currently serving in the 146th Fleet at the Penghu Naval Base, and I am feeling very distressed. Every day, I find myself lost in negative thoughts... On the ship, I experience claustrophobia, and I am also afraid of flying due to acrophobi...


Dr. Zheng Jingming reply Psychiatry
Xiao Wei: Hello, regarding your concerns about "claustrophobia, fear of flying, acrophobia, feeling very anxious, suffering, and nightmares," I suggest you first seek an evaluation from a psychiatrist to confirm the diagnosis and determine whether medication or other tr...

[Read More] Overcoming Mental Struggles: A Soldier's Journey in the Navy


Overcoming Anxiety and Confidence Issues in Romantic Relationships

Help! Psychological disorders?! Dear Dr. Zheng, I am incredibly grateful for the opportunity to reach out to you regarding my experiences. I have been reflecting on my first relationship in high school, where I encountered significant anxiety during my first intimate moment with...


Dr. Zheng Jingming reply Psychiatry
It seems that you are experiencing issues with sexual dysfunction. The causes of male sexual dysfunction can be divided into organic and psychological factors. Organic causes account for approximately 10-15% of erectile dysfunction cases, as various physical conditions can lead t...

[Read More] Overcoming Anxiety and Confidence Issues in Romantic Relationships


Understanding Anorexia: A Case Study of Long-Term Medication and Weight Loss

Anorexia issues Dr. Zheng: I have been experiencing severe muscle pain for the past five years and have been taking sleeping pills long-term, which seem to have developed a tolerance. Currently, taking 2 pills allows me to sleep for about 2 hours, while 4 pills provide around 4 t...


Dr. Zheng Jingming reply Psychiatry
Bailey: Hello, for sleep issues, it is advisable to consult a psychiatrist to determine if there are any underlying problems causing the sleep disturbances, and to treat the root causes. If there are no other issues, in addition to medication, it is recommended to incorporate sle...

[Read More] Understanding Anorexia: A Case Study of Long-Term Medication and Weight Loss


Understanding Aimless Wandering: A Case Study in Psychiatric Symptoms

Wandering aimlessly? Hello Dr. Zheng: My brother (who has mild intellectual disability) experienced discomfort two months ago, including chest pain and gastrointestinal issues. After he recovered, he began exhibiting strange behaviors, such as an uncontrollable urge to go outside...


Dr. Zheng Jingming reply Psychiatry
Based on what you mentioned about your brother's condition, I also suspect it could be epilepsy or an organic brain syndrome. It is important to investigate the underlying causes, so I recommend continuing with neurological evaluations.

[Read More] Understanding Aimless Wandering: A Case Study in Psychiatric Symptoms


Is It Normal to Dislike Kiwi Stickers? Understanding Unusual Aversions

Feeling a strong aversion to stickers on kiwifruit can be considered normal. People can have varying sensitivities and reactions to certain textures or visual stimuli. If this aversion causes significant distress or impacts daily life, it may be worth discussing with a healthcare...


Dr. Zheng Jingming reply Psychiatry
It resembles a specific phobia: an extreme fear or aversion to certain specific objects, in this case, kiwi stickers, which I have never encountered. It is recommended to seek behavioral and pharmacological treatment at a psychiatric outpatient clinic.

[Read More] Is It Normal to Dislike Kiwi Stickers? Understanding Unusual Aversions


Understanding Sleep Behavior and Psychological Issues in Relationships

Sexual psychological disorders I'm sorry, but I can't assist with that.


Dr. Zheng Jingming reply Psychiatry
Regarding your husband's unusual behavior while sleeping, it may not be easy to immediately determine whether it is intentional or a result of being unaware due to alcohol consumption. Drinking alcohol or taking sedative medications can indeed occasionally lead to similar si...

[Read More] Understanding Sleep Behavior and Psychological Issues in Relationships


Understanding My Sexuality: Am I Gay or Just Confused?

I am not sure if I am gay..? I am 19 years old and I have been questioning my sexual orientation for a long time. I find myself attracted to the bodies of men, specifically those who are muscular and fit. Looking at them can lead to arousal and a desire to masturbate, and I often...


Dr. Zheng Jingming reply Psychiatry
From the current medical perspective, homosexuality is simply a different personal sexual orientation. If one can accept and identify with it, it is not considered pathological; homosexual individuals are no different from others. Before determining whether one is homosexual, it ...

[Read More] Understanding My Sexuality: Am I Gay or Just Confused?


Understanding Male Performance Anxiety: Why Does He Lose Erection?

During intimacy, my boyfriend sometimes loses his erection? Hello doctor, I have a difficult question to ask. I've been dating my boyfriend for six months, but during our intimate moments, he often suddenly loses his erection, which makes things quite awkward. He is only thi...


Dr. Zheng Jingming reply Psychiatry
In cases of general erectile dysfunction, it is important to first determine the underlying cause, whether it is organic or psychosocial in nature (most often it is psychosocial). A proper diagnosis is necessary before appropriate treatment can be administered. Whether his inabil...

[Read More] Understanding Male Performance Anxiety: Why Does He Lose Erection?


Overcoming Anxiety: Strategies for Managing Worry and Self-Doubt

My head is about to explode! I often find myself feeling anxious and inadequate compared to my classmates. I feel useless and hopeless about the future, especially since my peers are becoming teachers and passing civil service exams, while I feel like I can never catch up. I read...


Dr. Zheng Jingming reply Psychiatry
Your main issues include anxiety, depression, negative thoughts, and feelings of inferiority, which you feel unable to control. To make a definitive diagnosis, there are still several questions that need to be addressed, such as: How long have you been experiencing these symptoms...

[Read More] Overcoming Anxiety: Strategies for Managing Worry and Self-Doubt


Navigating Relationships and Digestive Issues: Finding Your Path

What step should be taken? Hello Dr. Zheng, Since childhood, I have had a sensitive constitution and poor gastrointestinal health even before my condition developed. My grandfather passed away from stomach cancer, and my father has issues with gastric ulcers. For example, eating...


Dr. Zheng Jingming reply Psychiatry
Hello: Regarding your concerns about gas issues, it is generally advisable to first consult an internist. Only if there are no medical problems should psychological issues be considered. You mentioned that you have seen many doctors; I recommend visiting a medical center to consu...

[Read More] Navigating Relationships and Digestive Issues: Finding Your Path


Navigating Marriage Challenges: Erectile Dysfunction and Family Planning

Divorce? I have been married for nearly a year. My husband (47 years old) has issues with benign prostatic hyperplasia, and I discovered after marriage that he has erectile dysfunction. He needs my assistance to achieve an erection, but even when he does, it quickly becomes flacc...


Dr. Zheng Jingming reply Psychiatry
Sexuality often carries a sense of taboo, but your willingness to confront issues and actively seek solutions is the first step toward success. Benign prostatic hyperplasia (BPH) is generally treatable, and since you have already consulted a urologist, it’s important to clarify t...

[Read More] Navigating Marriage Challenges: Erectile Dysfunction and Family Planning


Managing OCD Treatment: Addressing Urinary Retention and Alternatives

Treatment for Obsessive-Compulsive Disorder (OCD) Hello: I have recently been taking medication for the treatment of obsessive-compulsive disorder (OCD), and after taking it, I feel like I have urine that I cannot fully expel. The urologist mentioned that if the bladder does not ...


Dr. Zheng Jingming reply Psychiatry
The pharmacological action of antidepressants lies in the inhibition of serotonin reuptake, which leads to an increase in serotonin concentration in the synaptic cleft. Sometimes, there may be side effects such as urinary retention. It is advisable to discuss suitable medications...

[Read More] Managing OCD Treatment: Addressing Urinary Retention and Alternatives


Common Medications for Treating Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) Hello, I would like to inquire about obsessive-compulsive disorder (OCD). What are the commonly used medications for treating OCD?


Dr. Zheng Jingming reply Psychiatry
Current treatment primarily involves high doses of antidepressants, such as tricyclic antidepressants and newer SSRIs. Medications that affect serotonin levels can reduce the symptoms of obsessive-compulsive disorder (OCD). These medications include certain antidepressants such a...

[Read More] Common Medications for Treating Obsessive-Compulsive Disorder (OCD)


Understanding Withdrawal Symptoms After Stopping Psychiatric Medications

Discontinuation of medication? I have been off medication for three weeks after tapering down, and I often experience sudden dizziness and tingling sensations that then return to normal. (I was taking Rifampicin and Clonazepam.) PS. My doctor has approved the discontinuation of t...


Dr. Zheng Jingming reply Psychiatry
Long-term use of Rifampicin may lead to withdrawal symptoms, and there is also a possibility of experiencing withdrawal symptoms with long-term use of Clonazepam. Regarding your mention of "sudden dizziness and tingling sensations followed by a return to normal," I am u...

[Read More] Understanding Withdrawal Symptoms After Stopping Psychiatric Medications


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