Understanding Social Anxiety and Depression: When to Seek Help
Social Anxiety Disorder, Depressive Tendencies Hello, doctor. I have a question that has been troubling me for a long time. I tend to be overly concerned about how others perceive me, and I really dislike being the center of attention. When I walk down the street, I often look do...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you may be experiencing social anxiety disorder, and you might also have symptoms of depression; however, a definitive diagnosis can only be made through an evaluation by a psychiatrist. Beyond the diagnosis, what is truly important is understanding the un...[Read More] Understanding Social Anxiety and Depression: When to Seek Help
Overcoming Anxiety: Managing Mental Health and Performance Issues
Anxiety issues Hello doctor, I used to feel that I had insufficient erection hardness. Later, I went to see a doctor who said that at my age, it's unlikely to have this issue, and even if there is, it would be psychological. It seems that it really is a psychological problem...
Dr. Lin Mianzhang Reply:
Hi there! I'm curious, which specialty did you see a doctor for before? Have you ever consulted a psychiatrist? Based on your description, it seems that psychological factors have a significant impact, such as the stress from exams possibly being one of the reasons. However,...[Read More] Overcoming Anxiety: Managing Mental Health and Performance Issues
Understanding Memory Loss in Middle-Aged Women: Is It Normal?
Mom's forgetfulness? My mother is about 53 years old and has been experiencing increasing forgetfulness over the past two years. I'm wondering if this could be related to her approaching menopause. For instance, today she suddenly searched for her EasyCard, which has be...
Dr. Peng Liyun Reply:
Hello, based on your description, your mother's declining memory requires a comprehensive evaluation and cannot be solely attributed to age, menopause, or work-related stress. It is recommended that you accompany your mother to a nearby mental health clinic for further asses...[Read More] Understanding Memory Loss in Middle-Aged Women: Is It Normal?
Overcoming Anxiety: Understanding Obsessive Thoughts and Their Impact
Obsessive thinking, anxiety, association? Hello, doctor. I apologize for the length of my message, and I appreciate your time. I have always known that I have obsessive-compulsive disorder (OCD), but I have never seen a doctor about it. It started in elementary school and has flu...
Dr. Wu Enliang Reply:
Hello, online user: If it is truly distressing and affecting your daily life, I still recommend seeking medical attention for medication or psychological therapy! Dr. Wu En-Liang[Read More] Overcoming Anxiety: Understanding Obsessive Thoughts and Their Impact
Do Mental Illnesses Heal Without Medication? Understanding the Risks
Is medication always necessary for mental illness? Is there a possibility of recovery from any mental illness without medication? My mother-in-law believes that my husband, who has not exhibited any harmful behaviors and seems to have normal thoughts, does not need to be pressure...
Dr. Wang Yaoting Reply:
Hello: The scope of mental illness is broad. According to the Mental Health Act, mental illness is defined as "abnormal manifestations of mental states such as thinking, emotions, perception, cognition, and behavior, which lead to functional impairments in adapting to life a...[Read More] Do Mental Illnesses Heal Without Medication? Understanding the Risks
Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Obsessive-Compulsive Disorder (OCD)? Anxiety? Depression? Hello, doctor. Although this issue has only been troubling me for about six months, I sincerely feel distressed and hope you can offer some guidance. I used to consider myself quite brave—someone who, despite being introve...
Dr. Lin Mianzhang Reply:
Hi there! After hearing about all the uncomfortable experiences you've been through, I truly empathize with you. It must be really tough to endure so much discomfort while also preparing for this year's major exams. I believe the doctor diagnosed you with obsessive-comp...[Read More] Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Am I Suffering from Dissociative Identity Disorder and PTSD?
Is it possible to have dissociative identity disorder and PTSD? Event 1: I remember when I was very young, I went to the creek to have a barbecue. I went down to play in the water by myself and ended up drowning. The current was too strong for me to swim back up, and I forgot wha...
Dr. Qiu Junda Reply:
Hello. Your letter reveals a long-standing expression of negative emotions since childhood, which may be related to the impact of your parents and family life events. However, there is no need to rush into a diagnosis for yourself. It seems that you have been trying to adjust thr...[Read More] Am I Suffering from Dissociative Identity Disorder and PTSD?
Struggling with Focus and Communication: Understanding Mental Health Challenges
Inability to concentrate with a sense of distortion? Since kindergarten, I have been slower to react than my peers and have difficulty concentrating. When communicating with others, I take some time to think about how to respond. People have pointed out that sometimes what I say ...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to visit a psychiatric outpatient clinic for differential diagnosis to determine whether the issue is Attention Deficit Hyperactivity Disorder (ADHD) or anxiety and depression. Appropriate treatment can then be administered based on the diagn...[Read More] Struggling with Focus and Communication: Understanding Mental Health Challenges
Can I Take Attention Deficit Medication with OCD Treatment?
Can Seroquel be taken together with medications for obsessive-compulsive disorder? Hello Doctor: I have been diagnosed with ADD (Attention Deficit Disorder) and OCD (Obsessive-Compulsive Disorder) by a physician. The OCD diagnosis was made recently. After the diagnosis, my doctor...
Dr. Liang Sunyuan Reply:
Hello, Xiao En: The use of Strattera should be continued for three to six weeks before significant improvements in attention are observed. If it is not taken consistently and regularly, the effects may not be noticeable. Additionally, there are several types of medications for ob...[Read More] Can I Take Attention Deficit Medication with OCD Treatment?
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello, doctor. Recently, I have been feeling fatigued, sometimes I want to sleep but can't, and I occasionally experience shortness of breath, palpitations, dizziness, and occasional muscle cramps. Could this be autonomic nervous system d...
Dr. Lin Mianzhang Reply:
Hello Ming: Autonomic nervous system dysfunction is actually a broad term. Since the autonomic nervous system regulates functions such as breathing, heart rate, blood pressure, gastrointestinal activity, and sweating, any abnormalities in these functions can be referred to as aut...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding the Impact of Prednisolone on Mental Health Disorders
Steroids and Mental Illness Hello, Doctor. Recently, I sought treatment from an otolaryngologist due to a persistent cough following a cold that did not improve despite using various cough suppressants and expectorants (with normal X-ray and auscultation results). The doctor pres...
Dr. Wu Enliang Reply:
Hello, online user: Taking such a low dose of steroids for a short period will not have any significant impact on your mood, so you can take them with peace of mind. Wishing you a speedy recovery. Dr. Wu En-Liang[Read More] Understanding the Impact of Prednisolone on Mental Health Disorders
Navigating ADHD Diagnosis and Treatment Options for Adults
ADHD-related issues Hello Dr. Liu, I am currently 20 years old. Since childhood, my mother has mentioned that I might have mild symptoms of ADHD, but I have never been formally diagnosed. My general symptoms include significant mood swings, hitting walls, and being unable to con...
Dr. Liu Shikai Reply:
Dear Mr. A-Tian, I appreciate your observations and detailed descriptions, and I can sense your inner turmoil and confusion. Regarding your questions, here are my responses: 1. Diagnosing ADD (Attention Deficit Disorder) or ADHD (Attention Deficit Hyperactivity Disorder) in adu...[Read More] Navigating ADHD Diagnosis and Treatment Options for Adults
Coping with Paranoia: Non-Medication Strategies for Relief
Paranoid delusions? Doctor, I have some symptoms of paranoia. I constantly feel worried about various things, such as whether the packages I receive from online shopping are poisoned, if my drinks have been tampered with, and I feel like some people on the street might want to ha...
Dr. Wu Enliang Reply:
Hello, internet user: This situation may not necessarily be a case of paranoid delusions; it could also be due to other conditions. It is advisable to seek medical attention for a differential diagnosis as soon as possible to determine the best treatment approach (which may not n...[Read More] Coping with Paranoia: Non-Medication Strategies for Relief
Does ADHD Medication Enhance Brain Development? Understanding BDNF Effects
Is there a concern that ADHD stimulant medications may affect brain development? Hello, doctor! I previously read an article stating that taking Seroquel increases the production of BDNF (Brain-Derived Neurotrophic Factor) in the brain, stimulating neurotransmission and the growt...
Dr. Liao Dinglie Reply:
Hello, netizen: I reviewed the link you provided. This article is written by a senior psychiatrist, and the information it contains is accurate. Many parents and patients are concerned about the potential side effects of medications used to treat Attention Deficit Hyperactivity D...[Read More] Does ADHD Medication Enhance Brain Development? Understanding BDNF Effects
Understanding Anxiety from Compulsive Thoughts and Coincidences
Obsessive thinking about coincidences leads to feelings of anxiety? Hello, Dr. Lin. I apologize for the length of my message. Recently, I've started to fear whether I truly have the ability to foresee events due to various coincidences in my life. For instance, I suddenly th...
Dr. Lin Mianzhang Reply:
Hi there! Thank you for your hard work! Many obsessive thoughts are like this; you clearly know that these thoughts are irrational, yet you can't resist thinking about them. Often, when others tell you how things should be, you might not be able to accept it. However, since ...[Read More] Understanding Anxiety from Compulsive Thoughts and Coincidences
Understanding Depression's Impact on Sexual Desire and Function
Comorbid symptoms of depression (desire, function) disorders? Hello, doctor. I recently visited a mental health specialist but did not discuss certain related issues at that time. I find these problems to be very private and personal, and there is also the concern of "face&q...
Dr. Lin Mianzhang Reply:
Hello, thank you for your question. I can sense your concern about your health, and you have described your situation clearly. Depression can indeed affect a person's interest in various aspects of life, including libido and sexual function. Therefore, a decrease in interest...[Read More] Understanding Depression's Impact on Sexual Desire and Function
Is Your Medication Causing Bradycardia? What to Do Next
Medication-induced bradycardia? Due to work-related sleep issues, I sought help from a psychiatrist who prescribed Remeron, Mirtazapine, and Buspirone. Recently, I underwent surgery and discovered that I have bradycardia (heart rate around 40, with normal blood pressure). After r...
Dr. Lin Mianzhang Reply:
Hello Mr. Hsieh: There are many causes of bradycardia. If you have not experienced this condition before, it is indeed more likely to be caused by medication. If you only have bradycardia without any other discomfort, you may consider discontinuing Mirtazapine and observe for a f...[Read More] Is Your Medication Causing Bradycardia? What to Do Next
Is Repetitive Song Playback a Sign of Obsessive-Compulsive Disorder?
Repetitive playback of musical melodies? Hello Dr. Lin, I would like to ask, sometimes after listening to a song, the melody keeps playing in my mind and won't stop. Does this count as obsessive-compulsive disorder? Thank you~
Dr. Lin Mianzhang Reply:
Hello, Xiao Nan: The phenomenon you mentioned is known as "involuntary musical imagery," commonly referred to as an "earworm." This is actually a very common occurrence, and most people have experienced it at some point, so it is not considered obsessive-compu...[Read More] Is Repetitive Song Playback a Sign of Obsessive-Compulsive Disorder?
Understanding Anxiety from Intrusive Thoughts: A Mental Health Perspective
Anxiety generated by obsessive thinking? Hello, doctor. I apologize for the length of the following message, and I appreciate your patience in reading it. As the title suggests, I have been struggling with anxiety caused by obsessive thoughts. I first experienced these symptoms i...
Dr. Lin Mianzhang Reply:
Hi there! Indeed, obsessive thoughts can be quite bothersome, and it's clear that you're feeling distressed and trying hard to suppress them. However, attempting to suppress such thoughts often leads to the opposite effect. The more you focus on them, the greater their ...[Read More] Understanding Anxiety from Intrusive Thoughts: A Mental Health Perspective
Understanding Alexithymia: Signs, Symptoms, and When to Seek Help
Affective Disorder Hello, Doctor: About a year ago, I started to realize that I am different from others, and upon reflection, I think the signs began about eight years ago. I find it difficult to understand when others cry, even during family funerals, which doesn't surpris...
Dr. Wang Yaoting Reply:
Hello: "Alexithymia" refers to the inability to express emotions verbally, rather than a lack of emotional experience, although it is often interpreted more broadly. Based on your description, it seems that this may be more related to personality traits, typically assoc...[Read More] Understanding Alexithymia: Signs, Symptoms, and When to Seek Help