Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
Autonomic Nervous System Dysregulation and Bipolar Disorder? I am 25 years old and currently a university student. I have previously been diagnosed with ADHD and depression. Over the past six months, I have been experiencing chest tightness, insomnia, gastrointestinal disturbance...
Dr. Wu Enliang Reply:
Hello, netizen: Q: I am 25 years old and currently a college student. I have previously been diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, gastrointestinal dysfunction, and poor memory for the past six months. I am unsure if t...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
How to Seek Help When Family Resists Mental Health Support?
What should I do if my family is resistant to taking me to see a psychiatrist? What is my condition? Due to family issues and friends, I learned to drink and self-harm in the second year of junior high. Every night, I find myself thinking about many things and feeling that the wo...
Dr. Wu Enliang Reply:
Hello, netizen: I suggest trying to communicate with your family again. Inform them that the brain is unwell, and that symptoms such as depression and anxiety require medical attention, just like needing to see a doctor for a fever caused by the flu. Additionally, you can seek he...[Read More] How to Seek Help When Family Resists Mental Health Support?
Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Family members have had symptoms for many years but show no awareness of their illness? Hello, Dr. Lin. I apologize for the lengthy message. My family member is a 28-year-old male who has experienced a decline in academic performance since his junior year in college and subsequen...
Dr. Lin Mianzhang Reply:
Hi, based on your description, it seems that your family member may be suffering from schizophrenia. Symptoms such as negative symptoms (deterioration in hygiene, infrequent bathing), auditory hallucinations (having conversations with multiple voices in their head), and delusions...[Read More] Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Do I need to see a doctor after a breakup? Hello doctor, I would like to know if my situation is an overreaction or if I am really unwell. Last year, on my birthday, I had an argument with my first love over something trivial, and he slapped me four times, pushed me onto the bed,...
Dr. Wu Enliang Reply:
Hello, netizen: If the anxiety is very severe, it is indeed necessary to seek medical attention and discuss with a physician whether medication or referral to psychotherapy is needed. Dr. Wu Enliang.[Read More] Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Managing Bipolar Disorder: Key Questions and Support Strategies
Bipolar disorder-related issues Hello, Doctor: I have some questions regarding bipolar disorder. Question 1: When a patient with bipolar disorder is in a manic phase and becomes angry and shouts, how can we help them calm down? Question 2: How should a caregiver interact with ...
Dr. Lin Mianzhang Reply:
Hello! Bipolar disorder is a brain condition, similar to chronic illnesses like diabetes and hypertension, that requires long-term medication management. If medication is discontinued, there is a risk of relapse. Preventive measures against relapse include adhering to medication ...[Read More] Managing Bipolar Disorder: Key Questions and Support Strategies
Unconscious Breath-Holding: Understanding Its Causes and Effects
Frequently holding one's breath unconsciously? Hello, doctor. Recently, for the past month or two, I have been experiencing episodes of breath-holding without realizing it, whether I am asleep or awake. I only notice it when I start feeling dizzy. During the day, it seems to...
Dr. Lin Mianzhang Reply:
Hello, Xuan: It sounds like you experienced a similar situation in high school. Did you seek medical attention at that time? How did your symptoms improve back then? If you have had similar issues in the past that improved, you might consider addressing it in the same way. Howeve...[Read More] Unconscious Breath-Holding: Understanding Its Causes and Effects
Understanding Anxiety and Stress: Coping with Workplace Challenges
Anxiety and Stress Hello, Doctor: I am currently in a work environment where some colleagues and supervisors are not very friendly, and they monitor my work, which makes me feel anxious and tense. I often worry about making mistakes. I am also very sensitive and care about others...
Dr. Lin Mianzhang Reply:
Hello! It seems that you are quite aware that when you feel anxious, you may resort to swearing or engaging in repetitive meaningless actions. These behaviors are actually normal expressions of emotional release. If these occurrences are infrequent and do not significantly impact...[Read More] Understanding Anxiety and Stress: Coping with Workplace Challenges
Understanding Auditory Hallucinations: When to Seek Help
Hallucination issues Hello Doctor: Three days ago in the evening, I suddenly thought I heard the sound of a garbage truck, but since it was a time when no garbage trucks would be passing by, I realized I was probably experiencing auditory hallucinations. Since that incident, I ha...
Dr. Lin Mianzhang Reply:
Hi there! The phenomenon you mentioned is known as "involuntary musical imagery," commonly referred to as an "earworm." This is actually a quite common occurrence, and most people have experienced it at some point. It is different from auditory hallucinations....[Read More] Understanding Auditory Hallucinations: When to Seek Help
Is It OCD? Understanding Repetitive Thoughts and Behaviors
Is this obsessive-compulsive disorder (OCD)? Hello, doctor! I have a relative (20 years old) who repeatedly questions whether she is her parents' biological child and frequently checks with them about certain physical traits to see if they align with dominant and recessive i...
Dr. Liang Sunyuan Reply:
Hello: It seems that she has been troubled by this uncomfortable feeling in her head for some time. It is indeed possible that it could be a symptom of obsessive-compulsive disorder (OCD), but a face-to-face evaluation is necessary for a definitive diagnosis. The technique of cog...[Read More] Is It OCD? Understanding Repetitive Thoughts and Behaviors
Understanding Chronic Insomnia and Its Impact on Mental Health
Sleep issues I have been suffering from insomnia for over ten years, averaging 3 to 5 hours of sleep. I often wake up after sleeping for just one or two hours, sometimes after 10 to 30 minutes, and I experience vivid dreams. I do not have a habit of substance or alcohol addiction...
Dr. Wu Enliang Reply:
Hello, internet user: If you suspect that your insomnia is caused by depression, I strongly recommend that you seek medical attention at a nearby mental health facility. Additionally, you can download the "Mood Temperature" app to assess your mental and physical well-be...[Read More] Understanding Chronic Insomnia and Its Impact on Mental Health
Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Obsessive-Compulsive Disorder (OCD) and Breathing Issues Hello Doctor: I have obsessive-compulsive disorder and have been on medication (taking 2 tablets of Sertraline daily for a little over six months). Many of my symptoms have improved, but recently I have been very troubled b...
Dr. Huang Zhijia Reply:
Hello: Increasing the dosage of medication may alleviate the concerns, but correspondingly, the side effects will also increase. Pharmacotherapy presents a dilemma. The more one cares, the more anxious one becomes; increased anxiety can exacerbate obsessive-compulsive disorder, l...[Read More] Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Navigating Sexual Orientation and Anxiety: A High School Student's Journey
Sexual orientation, anxiety I am the high school student who asked you about sexual orientation a few days ago. After reading your response, I reflected on it carefully and felt better. I started to wonder if it’s possible that I have been subconsciously trying to confirm whether...
Dr. Lin Mianzhang Reply:
Hi there! The influence of the subconscious that you mentioned is indeed one possible reason, but it could also simply be due to curiosity about sexuality, which can lead to such phenomena. The brain tends to operate in a way where the more you try to suppress a thought, desire, ...[Read More] Navigating Sexual Orientation and Anxiety: A High School Student's Journey
Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Side effects of Diphenylhydantoin (Phenytoin)? Hello, doctor! I have been taking 1mg of Clonazepam every night for the past five months, and I have noticed hair loss. If I continue taking it, will my hair grow back? Also, does long-term use lead to gingival hyperplasia?
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the side effects of Clonazepam. In fact, Clonazepam can cause side effects such as dizziness, drowsiness, fatigue, and muscle weakness, among others. If these symptoms are seve...[Read More] Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Am I Struggling with Avoidant Personality Disorder?
Am I suffering from Avoidant Personality Disorder? Hello, Doctor: (I apologize if my sentences are not very coherent and the content is quite long. I am not good at socializing and tend to be a conversation killer! Every time I chat with others, I think: Is what I said okay? Shou...
Dr. Wu Enliang Reply:
Hello, everyone: Each person has their own personality. Those who prefer not to socialize can enjoy their time alone or interact with family members or colleagues they frequently meet, which can be fulfilling. However, if this leads to difficulties in daily life, it may indicate ...[Read More] Am I Struggling with Avoidant Personality Disorder?
Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Will long-term use of sleeping pills lead to dementia? Hello Doctor, I previously sought medical attention for my insomnia. After taking Stilnox, my insomnia has improved, but I am very concerned about the long-term use and whether it could lead to dementia. I would like to consu...
Dr. Lin Mianzhang Reply:
Hello, Wen: Because you are relatively young, if you are experiencing insomnia at such a young age, it is important to consider whether there are any underlying conditions, such as depression, anxiety, or post-traumatic stress disorder. If any of these are present, they should be...[Read More] Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
When facing a patient who is unaware of their illness and unwilling to seek medical attention, how can we, as family members, provide support? Hello, Doctor. I apologize for taking up your valuable time! My mother is an emotionally expressive person who often brings up past sorro...
Dr. Wu Enliang Reply:
Hello, online friend: Is it possible to persuade her to seek medical attention using reasons that are more acceptable to the elderly, such as "insomnia," "autonomic nervous system disorder," "neurasthenia," or "undergoing a physical examination&...[Read More] Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
Understanding Depression, Sleep Issues, and Attention Deficits
Depression, Sleep, Attention Hello, doctor: Last year, I dropped out of school due to emotional, behavioral, and environmental factors. I have depression and bipolar tendencies. I used to self-harm frequently with blades or overdose on medication to aid in self-harm (starting wit...
Dr. Liang Sunyuan Reply:
Hello: Self-harm and drug overdose are indeed harmful to both the mind and body. However, as long as you stop these behaviors from now on, your mental and physical state can gradually recover. Therefore, the most important thing at this stage is to stop harming yourself and patie...[Read More] Understanding Depression, Sleep Issues, and Attention Deficits
Understanding Severe Emotional Disorders: When to Seek Psychiatric Help
Severe Emotional Disturbance Outpatient Clinic Is the mentioned condition a professional medical diagnosis? Should one see a specialist if experiencing emotional instability?
Dr. Lin Mianzhang Reply:
Hello: Emotional disorders encompass a wide range and are not specific medical diagnoses. If there are significant signs of emotional instability, it is recommended to seek medical attention from a psychiatrist. Wishing you health and safety![Read More] Understanding Severe Emotional Disorders: When to Seek Psychiatric Help
Struggling with Depression: The Dangers of Sleep Medications
Depression and self-harm after taking sleeping pills? I often find myself trapped in inexplicable feelings of sadness. Perhaps others can't notice it during work, but once I'm off the clock and alone, feelings of depression, crying, and negative thoughts constantly aris...
Dr. Wu Enliang Reply:
Hello, user: This is somnambulism caused by Zolidem (the chemical name for Zipsoon, which is produced by various manufacturers in Taiwan with the same active ingredient). This indicates that your body is not suited for this type of medication. Regarding your feelings of sadness, ...[Read More] Struggling with Depression: The Dangers of Sleep Medications
Managing Side Effects of Lofepramine: When to Stop Medication?
If the side effects of Lofepramine are intolerable, can I stop taking the medication on my own? I have been undergoing treatment for depression for many years, and my previous primary medication was Venlafaxine. On the 17th, my doctor switched my medication to Lofepramine due to ...
Dr. Peng Liyun Reply:
Hello, the half-life of Lofepramine is approximately 11 hours, and the side effects of the medication typically resolve within two days. The situation you described should still consider the possibility of withdrawal symptoms or drug interactions. It is recommended that you consu...[Read More] Managing Side Effects of Lofepramine: When to Stop Medication?