Overcoming Health Anxiety: Strategies for a Peaceful Mind
The suffering of illness anxiety? Hello, Doctor. Since a family member fell ill years ago, I have become a hypochondriac and often feel overly anxious. I constantly overthink and pay excessive attention to my body. I have been in counseling for two years and have improved signifi...
Dr. Lin Mianzhang Reply:
Hello, Simin: Thank you for your hard work. It seems that this anxiety about your health is quite troubling for you. You mentioned several important points. First, your health anxiety symptoms appeared after a family member fell ill. May I ask who that family member is? What is y...[Read More] Overcoming Health Anxiety: Strategies for a Peaceful Mind
Understanding OCD: Coping with Contamination Fears and Anxiety
Obsessive-Compulsive Disorder (OCD) with a focus on cleanliness? Hello, doctor: Four years ago, I had gastroenteritis and experienced diarrhea, which caused some fecal matter to accidentally get on my pants. I washed them in the washing machine along with my clothes, and since th...
Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! Being troubled by such symptoms can be very distressing. Your symptoms seem to indicate a high possibility of obsessive-compulsive disorder (OCD), but a definitive diagnosis can only be made through an in-person evaluation by a physician. It a...[Read More] Understanding OCD: Coping with Contamination Fears and Anxiety
Understanding Emotional Instability: Signs, Causes, and Solutions
Emotional instability I am an optimistic person and live a happy life without any special circumstances. However, I often feel very sad, sometimes for no reason and sometimes influenced by others or external events. Regardless of the cause, I find myself immersed in sadness for a...
Dr. Wu Enliang Reply:
Hello, online friend: It seems that this emotional distress is significantly affecting your life. It is indeed possible that you may be experiencing depression or anxiety. I recommend that you seek medical attention at a nearby mental health facility. If you're unsure where ...[Read More] Understanding Emotional Instability: Signs, Causes, and Solutions
Understanding Emotional Instability: Insights into Mental Health Challenges
Emotional instability I am an optimistic person and live a happy life without any special circumstances. However, I often feel very sad, sometimes without any reason, and at other times influenced by others or external events. Regardless of the cause, I find myself immersed in sa...
Dr. Wu Enliang Reply:
Hello, online friend: It seems that this emotional distress is significantly affecting your life. It is indeed possible that you may be experiencing depression or anxiety. I recommend that you seek medical attention at a nearby mental health facility. If you're unsure where ...[Read More] Understanding Emotional Instability: Insights into Mental Health Challenges
Managing Intrusive Thoughts: Coping Strategies for OCD Symptoms
Obsessive-Compulsive Disorder (OCD) Doctor, every time I see a religious figure or a funeral, I inexplicably start having disrespectful thoughts. The more I try not to think about it, the more these intrusive thoughts come to mind. I'm very afraid of offending the deities or...
Dr. Lin Mianzhang Reply:
Hello, Miss Liao: Your situation resembles obsessive thinking. Typically, when such thoughts arise, trying to suppress them can often lead to a counterproductive effect. A better approach is to allow these thoughts to surface without being carried away by them, and not to blame y...[Read More] Managing Intrusive Thoughts: Coping Strategies for OCD Symptoms
When to Seek Medical Help Again for Depression Symptoms
Under what circumstances should one seek medical attention again? About seven months ago, I was diagnosed with persistent depressive disorder and generalized anxiety disorder. My physical symptoms included weight loss and irritable bowel syndrome. I was on medication and showed i...
Dr. Lin Mianzhang Reply:
Hello Y: You've worked hard preparing for your exam! I'm not sure if you've finished your exam yet. If your mood and appetite return to normal after the exam stress is relieved, then you may not need to seek medical attention; however, if the stress persists or if ...[Read More] When to Seek Medical Help Again for Depression Symptoms
Is Irregular Sleep Schedule Causing My Health Issues?
Is it a matter of sleep schedule? Hello, doctor. A few days ago, I asked you about my symptoms of dizziness, nausea, and rapid heartbeat. You inquired about my irregular sleep schedule. For the past couple of months, I have been going to bed around 3 or 4 AM, and by the time I ac...
Dr. Lin Mianzhang Reply:
Hello Mingming: It seems that you are going to bed quite late, which may not align with the body's natural circadian rhythms and could potentially lead to discomfort. If you find that the discomfort is infrequent and manageable, you might try adjusting your schedule to a mor...[Read More] Is Irregular Sleep Schedule Causing My Health Issues?
Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
I'm not sure if it's mitral valve prolapse or panic disorder? I often feel short of breath and have the sensation that I'm not getting enough oxygen when I breathe. I constantly want to take deep breaths, but I can't. Sometimes, this leads me to feel the urge ...
Dr. Wang Yaoting Reply:
Hello, Xiaoxian: When experiencing discomfort in the body, it is important to first examine the symptoms that have arisen. For instance, regarding your concerns about shortness of breath and suspected mitral valve prolapse, you should first seek medical attention from a cardiolog...[Read More] Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?
Symptoms related to adult ADHD? Hello, doctor. In 2018, I visited the psychiatry department at Far Eastern Memorial Hospital primarily because I was unable to focus at work. At that time, I was diagnosed with ADHD - unspecified type, but no medication was prescribed. The doctor t...
Dr. Liu Shikai Reply:
Dear Miss Hsiao-Hua, There are many factors that can affect concentration. In addition to the medical factors associated with Attention Deficit Hyperactivity Disorder (ADHD), it is also important to consider the impact of other medical conditions, as well as the interplay of fac...[Read More] Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?
Understanding Bupropion for Smoking Cessation in Depression Patients
Using Bupropion for Smoking Cessation I would like to consult a physician. I have been suffering from depression for many years and have also been a long-term smoker. The medication prescribed by my doctor includes Bupropion, which I found out can also be used for smoking cessati...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to smoking. In fact, the process of quitting smoking can exacerbate various complex psychological and emotional responses, such as anxiety, depression, panic, denial, anger, and...[Read More] Understanding Bupropion for Smoking Cessation in Depression Patients
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is it autonomic nervous system dysfunction? Hello, doctor. About a month ago, I experienced muscle twitching for the first time around my eye socket and left calf, which made me very anxious and I frantically searched for information online, fearing it might be a motor neuron dis...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems that your body is experiencing many atypical discomforts. It is recommended to first visit a family medicine or general internal medicine clinic. If the basic examination results are normal, then anxiety-related autonomic nervous system ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is This Obsessive-Compulsive Behavior? Understanding Your Concerns
Is this obsessive-compulsive disorder? Doctor, when I need to throw something away, like product boxes or packaging, I find myself overly concerned about the printed production dates, expiration dates, batch numbers, or barcodes. I often feel compelled to memorize these numbers, ...
Dr. Lin Mianzhang Reply:
Hello Tsai: It seems that you have many symptoms similar to obsessive-compulsive disorder (OCD). To differentiate whether it is OCD, the most important factor is how you feel when performing these actions. Do you ever feel "forced" to do these actions while checking? Do...[Read More] Is This Obsessive-Compulsive Behavior? Understanding Your Concerns
Overcoming Anxiety: Understanding Health Fears and Seeking Help
Excessive anxiety Hello doctor, I am 20 years old. In August 2020, I sought medical attention due to breast discharge, and since then, I have been worried about whether I have breast cancer or other types of cancer. The blood test results indicated elevated prolactin levels, but ...
Dr. Qiu Junda Reply:
Hello. Your situation is similar to the subject of your question: excessive anxiety that has affected your daily life. Picking at your toes may also be related to a similar condition. There are effective treatment options available for anxiety symptoms today. I recommend that you...[Read More] Overcoming Anxiety: Understanding Health Fears and Seeking Help
Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Recently, my mental state has been increasingly abnormal? I have recently started experiencing both unconscious and conscious sleepwalking. The frequency of talking in my sleep is about once or twice a week. Recently, while playing a game with a friend, he suddenly said, "Wh...
Dr. Guo Jialun Reply:
Sleepwalking may be related to certain psychosocial stressors or genetic factors, but it generally occurs during sleep. The example you mentioned involves unconscious behaviors during waking activities, which may resemble a dissociative state or lack of attention, potentially lin...[Read More] Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Understanding Bipolar Disorder Medications and Family Support Strategies
Bipolar disorder medication issues and consultation information? Hello, doctor. Thank you very much for your patient reading and professional response. My family member has bipolar disorder and has been visiting a clinic for about one to two years. However, a little over a month ...
Dr. Huang Xiaoxian Reply:
Hello! At first glance, the symptoms of your family member do resemble those of mania or hypomania, and indeed, there are no mood stabilizers specifically for the treatment of mania included in the medication regimen. Regarding counseling, our institution does provide services on...[Read More] Understanding Bipolar Disorder Medications and Family Support Strategies
Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...
Dr. Liang Sunyuan Reply:
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...[Read More] Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Understanding Self-Harm: Seeking Help for Emotional Distress
Self-harm related issues Hello Doctor, I have been feeling very down lately. When I get angry, I tend to scratch my hands, feet, and face with my nails, hit walls, pull my hair, and binge eat. After these actions, I feel terrible about myself. I also struggle with insomnia and of...
Dr. Wu Enliang Reply:
Hello: It is recommended to use a mood thermometer (link below, and there is also an app available for download) to assess your emotional state over the past week. If your score is above 10, it is advisable to seek help. If it exceeds 15, it is definitely time to consult a psychi...[Read More] Understanding Self-Harm: Seeking Help for Emotional Distress
Understanding Sexual Orientation Confusion: A Mental Health Perspective
Sexual orientation issues Hello, doctor. Last summer, while I was taking a nap at my relative's house, I accidentally saw my cousin in an erect state (it was my cousin, not me). After that, I felt strange for a while, and I couldn't quite describe the feeling. I started...
Dr. Wang Zhenyang Reply:
Hello A-Cheng: Regarding sexual orientation, from a psychoanalytic perspective, everyone has varying degrees of bisexuality. The extremes of heterosexuality and homosexuality represent the endpoints of a spectrum, and most people fall somewhere along this continuum. Furthermore, ...[Read More] Understanding Sexual Orientation Confusion: A Mental Health Perspective
Understanding Medication Side Effects in Pediatric Psychiatry
Drug side effect issues? My child is currently taking Strattera 25mg. Recently, I've noticed that he has been easily prone to explosive anger, crying, and shouting. Afterwards, he collapses and presents with stiff limbs and a vacant stare, and it takes a long time to get his...
Dr. Liu Shikai Reply:
Dear Ms. Fish, Thank you for your inquiry. Based on your description, it seems that your child may be experiencing a state of epilepsy. As for the causes, current medical knowledge indicates that most cases remain idiopathic, while other potential causes are numerous and varied,...[Read More] Understanding Medication Side Effects in Pediatric Psychiatry
Managing Family Mental Health: Coping with Delusions and Panic Disorders
My father has delusional disorder, and my mother has panic disorder? Hello, Doctor, I have some questions to ask you. My father has been experiencing delusional thoughts for the past few years, and it has become particularly severe in the last two years. We suspect he may have je...
Dr. Yan Congyou Reply:
Hello TT: After a stroke, mental symptoms such as delusions and depression are very common and can lead to tension and issues among family members. It is advisable to seek treatment at a psychiatric department in the hospital, and you should also return to the neurology departmen...[Read More] Managing Family Mental Health: Coping with Delusions and Panic Disorders