Anxiety, Psychiatry FAQ

Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma

Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...

Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...

Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey

Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...

Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...

Struggling with Chronic Mental Health Issues: A Personal Journey

I have been troubled by psychological issues for over ten years? My first visit to a psychiatrist is a bit hazy now; I only remember feeling that my family favored my younger brother over me. This started from fifth grade until the first year of junior high school, and I was diag...

Dr. Tang Jiahong Reply:
Hello. Individuals with chronic mental illnesses, like everyone else, deserve to have a happier and more fulfilling life. Based on your description, you may be experiencing depressive symptoms and anxiety. However, if you feel that the medication is not effective, you should disc...

Can 5-HTP Help Boost Serotonin for Mental Health Maintenance?

Can taking 5-HTP regularly help boost serotonin levels as a form of supplementation? I previously took Liyou to treat mild depression and anxiety, and my condition has improved. I stopped taking the medication a month ago, but I've noticed that I can't sleep deeply at n...

Dr. Cai Qijin Reply:
Hello: 5-Hydroxytryptophan (5-HTP) is an amino acid that serves as an intermediate step in the conversion of tryptophan to serotonin, and can be considered a precursor to serotonin. To increase serotonin levels, it is important to first assess your own condition: difficulty sleep...

Managing Medication Side Effects in Psychiatry: Seeking Solutions

Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...

Understanding Sexual Orientation Anxiety: A Personal Journey

Sexual orientation issues Hello doctor, I searched for same-sex nudity online to test my sexual orientation, and after seeing the images, I instantly became aroused (which has never happened before). Now I am terrified that I might be gay, but aside from the arousal, I have no se...

Dr. Wu Enliang Reply:
The online community understands your anxiety and suggests discussing it more with your physician. Dr. Wu Enliang.

Understanding Your Mental Health Diagnosis: Should You Ask Your Doctor?

I would like to know my diagnosis? Hello, doctor. I have been seeing a psychiatrist for over a year, and I feel that I have a good rapport with my doctor. However, during this time, the doctor has not explained to me what exactly my condition is; I only see the diagnosis written ...

Dr. Lin Mianzhang Reply:
Hello, 月: Patients have the right to understand their medical condition, and physicians have the obligation to inform patients about their health status. It is advisable for you to ask your doctor. If you are concerned about taking too much time, you can write down the questions ...

Overcoming Intrusive Thoughts: Strategies for Managing Anxiety

Worrying and obsessive thinking? Hello doctor, I am the person who asked you a question on May 4th. After seeing your response, my anxiety has eased, but I still find it hard to control my thoughts. I often wake up suddenly when I am about to fall asleep, and I find myself stoppi...

Dr. Wu Enliang Reply:
You can try to shift such thoughts to things you are interested in and regularly practice relaxation techniques like diaphragmatic breathing. If it still doesn't help, it is advisable to consult your physician. Dr. Wu Enliang

Overcoming Anxiety: Finding Balance Between Safety and Normal Life

Excessive worry leading to some anxious behaviors? Hello, Doctor. Since the pandemic worsened in 2022, I have been increasingly worried about contracting the virus. I've heard many negative experiences from those who tested positive, and everyone says it's better to avo...

Dr. Wu Enliang Reply:
Hello everyone: It is recommended to maintain a regular lifestyle, as the benefits include not having to worry about unpredictable or uncontrollable events. Engage in activities you enjoy, such as exercising, listening to music, taking baths, practicing yoga, doing stretching exe...

Understanding OCD: Coping with Intrusive Thoughts About Sexuality

Concern about compulsive behavior? Hello Doctor, this is Derek, who asked you a question a few days ago. I'm quite sure that I do not have an attraction to the same sex, but I am wondering why these thoughts are occurring. My anxiety was at its worst in April, and it has bee...

Dr. Lin Mianzhang Reply:
Hello Derek: What you are experiencing is compulsive thinking, which is one of the symptoms of obsessive-compulsive disorder (OCD). OCD is often triggered by factors such as anxiety and stress, and having a predisposition to this condition can also be a contributing factor. If yo...

Understanding Anxiety and Confusion About Sexual Orientation in College Students

Worry and anxiety? I am a first-year college student. In March, when I started a part-time job, I noticed a male colleague and felt a strange sensation. At that moment, I began to fear that I might be gay. I even tried watching gay pornography to confirm my sexual orientation, bu...

Dr. Lin Mianzhang Reply:
Hello Derek: You may not have feelings for that male colleague that indicate a desire for an intimate relationship, but because you are uncertain about what those feelings are, you might feel worried and scared. If this situation continues, it is advisable to seek counseling from...

Understanding Intrusive Thoughts: OCD vs. Delusional Disorder

Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...

Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...

Understanding OCD and Sexual Orientation Anxiety: A Personal Journey

Obsessive-Compulsive Disorder (OCD) and concerns about sexual orientation? Hello doctor, in March of this year, I noticed a strange feeling towards a male colleague while going to my part-time job. After that, I started to question whether I might be homosexual, even though I am ...

Dr. Wu Enliang Reply:
If you continue to experience anxiety that affects your daily life, it is recommended to seek treatment at a mental health facility. Dr. Wu Enliang.

Understanding Anxiety About Sexual Orientation: A Student's Journey

Worried about becoming homosexual? Hello doctor, I am currently a freshman in college. Two months ago, when I went to work (part-time), I noticed a male colleague and felt a strange sensation. I was really scared that I might be gay. The more I thought about it, the more anxious ...

Dr. Wu Enliang Reply:
Dear netizens, please rest assured that sexual orientation is innate and does not change later. Dr. Wu Enliang.

Understanding Anxiety and Panic: Heart Symptoms and Treatment Options

Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...

Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...

Is Vyvanse Effective for Treating Attention Deficit Issues?

Medication Inquiry Is the medication Vyvanse effective for attention deficit disorder?

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing distress, particularly regarding attention deficit issues. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are common ailments in modern society. T...

Understanding ADHD: Medication Effects and Attention Challenges

ADHD-related issues Hello Dr. Wu, I am currently visiting the hospital for ADHD. I have been taking Strattera 25mg for 28 consecutive days, and I feel that there has been no improvement in my attention. I only feel that my heart is racing, which makes me uncomfortable, and my sex...

Dr. Wu Enliang Reply:
If you or your child experiences discomfort or insufficient effects from medication, please be sure to communicate this with your child and adolescent psychiatrist. There are many reasons for poor attention, such as depression, anxiety, and insomnia, which can all contribute to a...

Overcoming Stress and Anxiety: A Journey Through Bullying and Pressure

Stress issues Hello, Doctor. I would like to ask for your advice. I have suffered from the pain of long-term bullying during my middle and high school years, which has made me more introverted and prone to overthinking. I don't have many close friends and lack social activit...

Dr. Cai Qijin Reply:
Hello: Based on your description, the trauma experienced during adolescence continues to have an impact on both your physical and mental health, affecting interpersonal relationships and social interactions, making it more difficult to cope with stress in daily life. Many physiol...

Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace

How can I stop being overly anxious and worrying about the worst-case scenarios? Fearing car accidents while riding a bike or driving, worrying about my 900-degree myopia leading to retinal detachment or macular degeneration, seeing numerous news stories about gang violence and t...

Dr. Qiu Junda Reply:
Hello. In modern society, life moves quickly and stress is ever-present. Many people experience some level of anxiety in their daily lives. To improve this, you already have some good ideas: engaging in conversations with friends and family or cultivating hobbies to help normaliz...

Overcoming Social Anxiety: Tips for Better Communication Skills

Not accustomed to talking to people? I still don't have the habit of talking to people in middle age. Sometimes when someone talks to me, I feel uncomfortable and want to quickly end the conversation. I'm okay with talking on the phone, but face-to-face interactions fee...

Dr. Lin Mianzhang Reply:
Hello: If you are not accustomed to speaking with others but wish to communicate face-to-face, it is recommended that you participate in courses focused on learning communication skills. Practicing how to interact with others can help alleviate your concerns. Wishing you peace an...

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