Understanding Health Anxiety: Coping Strategies for OCD Symptoms
Is it obsessive-compulsive disorder or hypochondriasis? Hello, Doctor. Since my mother was diagnosed with cancer eight years ago, I accompanied her through five years of treatment. Now she no longer needs follow-up visits and is living a normal life, but my emotions have changed....
Dr. Tian Xinqiao Reply:
Hello, thank you for your letter. From your message, it is evident that after caring for your mother during her illness, you have become particularly concerned about your own health status. It is completely normal to worry about one's health; many people still feel some anxi...[Read More] Understanding Health Anxiety: Coping Strategies for OCD Symptoms
Understanding Paroxetine and Metformin: Safety, Side Effects, and Interactions
Drug Information Previously, I experienced shortness of breath, weakness, and felt faint, so I visited a nearby clinic where the doctor diagnosed me with hyperventilation syndrome. Recently, the symptoms have become more frequent, and I consulted a psychiatrist at a large hospita...
Dr. Huang Jiabin Reply:
Hello, I would like to ask if Paroxetine and Metformin can be taken together? (Metformin is taken at bedtime) -> There is no conflict in their treatment. May I ask if Paroxetine causes weight gain? (My obstetrician has advised me to lose weight, and I am concerned it may affec...[Read More] Understanding Paroxetine and Metformin: Safety, Side Effects, and Interactions
Overcoming Fear of Outside Noises: A Guide for Anxiety Sufferers
I am very afraid of sounds from outside the space? I feel very anxious about the sounds outside when I'm in a certain space. For example, when I'm in a room, I become very aware of the noises coming from outside the door. Faint sounds from a distance might be okay, but ...
Dr. Huang Jiabin Reply:
Hello: This is a typical fear response; however, some specific phobias are less common and may not have readily available information online. It seems that this heightened state of alertness is significantly affecting your life. I recommend seeking medical attention as soon as po...[Read More] Overcoming Fear of Outside Noises: A Guide for Anxiety Sufferers
Managing Schizophrenia Relapse: Concerns After Medication Discontinuation
Issues of Psychiatric Relapse Hello, doctor. Two years ago, I was diagnosed with the prodromal phase of schizophrenia by a physician at Chang Gung Memorial Hospital. I was told that I have delusional thoughts, and psychological tests indicated that I have dependent and paranoid p...
Dr. Dai Wanxiang Reply:
Xiao Yu: Because your question involves a complete understanding of your personal medical history, it is advisable to discuss it with your attending physician. Even if you stop taking medication, you should still monitor any changes in your thoughts, emotions, and behaviors. Regu...[Read More] Managing Schizophrenia Relapse: Concerns After Medication Discontinuation
Overwhelmed by Worries: When to Seek Mental Health Support
A lot of worries? Hello Doctor, I am obese and have been suffering from sleep apnea for a long time. I didn't know about this condition before, so I didn't pay much attention to my loud snoring, but my blood pressure has been quite high. I have undergone some surgeries ...
Dr. Huang Jiabin Reply:
Hello: Yes, I would recommend that you see a psychiatrist. Why? It sounds like you are currently experiencing anxiety due to various physical issues, and this anxiety is likely affecting your daily life. If you tend to be an anxious person by nature, a physician can discuss with ...[Read More] Overwhelmed by Worries: When to Seek Mental Health Support
Signs of Delusional Disorder: Understanding Abnormal Behavior in Young Adults
A 23-year-old family member, my younger brother, is exhibiting abnormal behavior and showing signs of delusions? Hello, doctor! I apologize for the difficulty in describing the situation. My husband's brother has been exhibiting some strange behaviors, and I suspect it might...
Dr. Huang Jiabin Reply:
Hello: Your uncle's condition seems to have significantly impacted his normal daily functioning, and he indeed needs treatment. The challenge is how to get him into the healthcare system. 1. Persuading him to seek medical attention may be difficult, especially since he lacks...[Read More] Signs of Delusional Disorder: Understanding Abnormal Behavior in Young Adults
Understanding OCD: The Struggle with Compulsive Promises and Fears
Obsessive-Compulsive Disorder (OCD) Since high school, I have been experiencing strange thoughts where I feel compelled to make promises to myself to do things I don't want to do, or else something bad will happen. It feels similar to making a vow (for example, I might promi...
Dr. Tian Xinqiao Reply:
Dear User, Thank you for your message. It is clear from your letter that you are experiencing significant distress due to obsessive-compulsive symptoms. The symptoms you described do indeed resemble those of obsessive-compulsive disorder (OCD). The intrusive thoughts (such as fe...[Read More] Understanding OCD: The Struggle with Compulsive Promises and Fears
Understanding Hand Tremors: When to Seek Medical Advice
About hand tremors? Hello, I am the person who inquired about hand tremors a few days ago. Over the past couple of days, I have gathered some information for your reference. As I mentioned the other day, my fingers tremble when maintaining a "turtle" position (it occurs...
Dr. Huang Jiabin Reply:
Hello: It seems that your previous question was not directed specifically to me, and the team did not provide me with your last question or the response from another physician. I can only respond to the question you have posed this time, and I apologize for any inconvenience this...[Read More] Understanding Hand Tremors: When to Seek Medical Advice
Is Your Loved One Showing Early Signs of Dementia? Key Symptoms to Watch
I would like to ask if these symptoms are precursors to dementia? Hello, doctor. My grandmother is 74 years old and has high blood pressure. Two years ago, we noticed that her lips and hands would tremble involuntarily, but she seemed unaware of it. Later, she visited a general c...
Dr. Huang Jiabin Reply:
Hello, sir: Based on what you have described, your grandmother is currently experiencing significant decline in her cognitive abilities, particularly in language and memory. It is advisable to take her to a psychiatrist or neurologist for an evaluation as soon as possible. The se...[Read More] Is Your Loved One Showing Early Signs of Dementia? Key Symptoms to Watch
Understanding My Mental and Physical Health Struggles: A Personal Journey
I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...
Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey
Understanding Anxiety and Panic Disorders: A College Student's Journey
Depression, anxiety, and panic disorder? Hello Doctor: I am currently a freshman in college. At the beginning of the next semester, I occasionally experience sharp pain in my chest, and after an examination, I was diagnosed with mitral valve prolapse. Initially, I didn't pay...
Dr. Liang Sunyuan Reply:
Hello: Your symptoms may be related to anxiety. It is recommended to try to distract yourself; past experiences should reassure you that nothing is wrong. If there is no improvement, consider consulting a psychosomatic medicine or psychiatry specialist for assistance. Wishing you...[Read More] Understanding Anxiety and Panic Disorders: A College Student's Journey
Understanding Health Anxiety: Is It OCD or Hypochondria?
The pain of emotional fluctuations? Hello, doctor. I have symptoms of health anxiety. I often check my throat (by poking or looking), examine my stool (by touching while wearing gloves), and observe moles on my body (by measuring and recording them), and I always feel very worrie...
Dr. Liang Sunyuan Reply:
Hello: The symptoms you described are more indicative of health anxiety and anxiety disorders. It is recommended to try to shift your focus to other positive people and things, and to accept that it is natural to still feel worried at times. You can remind yourself, "I am wo...[Read More] Understanding Health Anxiety: Is It OCD or Hypochondria?
Is It Possible That My Mother's Behavior Indicates a Mental Illness?
Could it be a mental illness? Hello doctor, my mother has had a bad temper for the past three months. She starts yelling at us over minor inconveniences and has even threatened to kill our whole family. Recently, she has taken a knife and tried to attack us, and she looks at us w...
Dr. Liang Sunyuan Reply:
Hello: It is advisable to pay attention to sleep and dietary habits, as mental disorders often coexist with sleep disturbances. If there are indeed sleep issues, consider asking other friends or family members to encourage her to seek medical evaluation under the pretext of insom...[Read More] Is It Possible That My Mother's Behavior Indicates a Mental Illness?
Understanding Concentration Issues and Stress in Mental Health
Attention Deficit and Stress Issues Hello, doctor. I am a university student currently interning and I have two questions I would like to ask. Due to being bullied by someone I thought was a friend when I was younger, I have developed a strong aversion to school. Just seeing my c...
Dr. Qiu Junda Reply:
Hello. The text reveals a long-term expression of negative emotions. Unpleasant experiences from early years (such as being bullied) and current life stressors may be significant factors. It seems that this has also led to a lack of trust in others and a lack of self-confidence (...[Read More] Understanding Concentration Issues and Stress in Mental Health
How to Help a Girlfriend Struggling with Depression Symptoms
My girlfriend seems to have tendencies towards depression? Hello Doctor: My girlfriend and I are studying in Taipei and Chiayi, and I recently learned that her mental and physical condition is not very good. She said, "I get anxious easily and often feel very down. If I acci...
Dr. Huang Jiabin Reply:
Hello: Accompanying someone with long-term depression is not an easy task, as you may also absorb negative energy at times. The caregiver often feels drained, so it's important to pay attention to their own mental and physical well-being. Currently, your girlfriend is not re...[Read More] How to Help a Girlfriend Struggling with Depression Symptoms
Overcoming Aquaphobia: A High School Student's Struggle with Fear of Water
Aquaphobia I am a high school sophomore, and I only encountered swimming as a subject in high school. With no prior experience, during my first time in the water, I didn't clearly hear the teacher's instructions and ended up floating like a jellyfish with my classmates,...
Dr. Huang Jiabin Reply:
Hello, classmate: It sounds like you have had a few experiences of swallowing water during swimming lessons in physical education class. Such negative experiences can certainly lead to unpleasant feelings associated with swimming, even fear or anxiety. However, it’s not that you ...[Read More] Overcoming Aquaphobia: A High School Student's Struggle with Fear of Water
Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Schizophrenia with severe delusions? The patient originally self-administered injections but unexpectedly refused to return for a follow-up appointment with the doctor three months ago, stating that after so many years of treatment, there has been no improvement. Family members h...
Dr. Ding Shuyan Reply:
Hello, there are different types of tinctures, and for this part, it's best to consult your physician. The doctor will consider the previous reactions and side effects experienced by patients to decide whether to increase the dosage. Generally, tinctures do not degrade when ...[Read More] Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Understanding the Delayed Effects of Fluoxetine: A Patient's Perspective
Medication consultation I am taking fluoxetine, and I have been on it for five days. Although I know that the medication needs to be taken for more than two weeks to take effect, I still find myself thinking, "I've already taken the medication, so why am I still having ...
Dr. Liang Sunyuan Reply:
Hello: Treating depression requires a lot of patience. When feeling impulsive or restless, it is advisable to redirect your attention to other activities (such as exercising, listening to music, walking, creating, or reading). In addition to pharmacotherapy, psychological adjustm...[Read More] Understanding the Delayed Effects of Fluoxetine: A Patient's Perspective
Am I Experiencing Dissociative Identity Disorder?
Am I experiencing a delusional disorder? Hello, I am unsure if I have a dissociative disorder. Biologically, I am female and identify as bisexual. I feel that I have another persona, which is male. Sometimes I "switch modes," experiencing either my female persona or my ...
Dr. Liang Sunyuan Reply:
Hello, Xiao Mo: It is difficult to determine the condition without an in-person evaluation. If you are feeling confused and troubled by your current situation, it is advisable to seek medical assistance.[Read More] Am I Experiencing Dissociative Identity Disorder?
Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Anxiety and autonomic nervous system dysregulation? Hello, doctor. I previously experienced anxiety during the summer vacation, but it improved later. However, it relapsed during this winter vacation, and I feel very frustrated. The reason for the relapse was due to gastritis, wh...
Dr. Liang Sunyuan Reply:
Hello, Xiao Lan: The medications for anxiety require patience. If the current treatment is effective, it is advisable to maintain stability for a period before discussing the possibility of gradually tapering off the medication with your physician. Getting enough sleep, exercisin...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey