Is Living Alone Suitable for Patients with Bipolar Disorder?
Is it suitable for individuals with bipolar disorder to live alone? Hello Dr. Ding, I would like to ask about a patient with bipolar disorder who has a 9-year history, a 37-year-old single female. Is it suitable for her to live alone? If she decides to live alone, what should the...
Dr. Ding Shuyan Reply:
Hello, the most important considerations are the stability of the condition and the ability for self-care. Adherence to medication regimens is also directly related to the first two factors. Living with family is, in my opinion, the best option, unless there are very specific rea...[Read More] Is Living Alone Suitable for Patients with Bipolar Disorder?
Managing Anxiety and Medication: Insights for Patients with Lumps
Inquiries about emotional and medication issues? Hello Doctor, about a month and a half ago, I noticed a lump under my left neck near the clavicle. Its size hasn't changed significantly, remaining less than one centimeter, and it feels somewhat flat (it seems to fluctuate in...
Dr. Liang Sunyuan Reply:
Hello, Xiao Ke: Since you have already seen three doctors who all believe it is a lymph node issue, you should not worry too much about it. It is advisable to accept that you tend to be anxious and not to focus too much on whether you are touching that lymph node. Remind yourself...[Read More] Managing Anxiety and Medication: Insights for Patients with Lumps
Should I Resume Antidepressants for Anxiety and Stress Relief?
Should I resume taking antidepressant medication? Hello Doctor: I used to be a patient with panic disorder and took Xanax and Cymbalta for over ten years. However, I gradually stopped taking the medication around last year's Lunar New Year after feeling stable. Initially, th...
Dr. Liang Sunyuan Reply:
Hello Josephy: It is inevitable to experience anxiety when encountering new changes or stressful situations in life. It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal. Then, focus on the tasks that requ...[Read More] Should I Resume Antidepressants for Anxiety and Stress Relief?
Understanding Sleep Talking: When to Seek Help for Sleep Disorders
Sleep talking I have been talking in my sleep frequently since I was quite young, and I occasionally sleepwalk and kick or punch. Now, I only talk in my sleep (almost every day), and the content usually involves cursing. I am not aware of it, but my sister, who sleeps next to me,...
Dr. Zhan Jiaxiang Reply:
Dear Sir/Madam, Talking in one's sleep occurs because certain areas of the brain remain active during deep sleep. Occasional sleep talking is generally considered a normal physiological phenomenon, as long as you feel well-rested, have sufficient energy during the day, and ...[Read More] Understanding Sleep Talking: When to Seek Help for Sleep Disorders
Dealing with Anorexia and Alcohol Abuse in Family Dynamics
Anorexia and secretive alcohol consumption? For over a decade, our family has struggled during mealtimes. She refuses to eat with us, and even when we force-feed her fish, meat, or rice, she finds ways to induce vomiting. No matter how we try to communicate with her—whether calml...
Dr. Huang Xiaoxian Reply:
Anorexia treatment typically requires medication and psychotherapy, as well as the understanding and support of family members. It is recommended to approach the situation from a non-critical perspective, avoiding confrontation with the individual, which may make them more willin...[Read More] Dealing with Anorexia and Alcohol Abuse in Family Dynamics
Understanding ADHD Medications: Efficacy, Duration, and Side Effects
Medication issues related to Attention Deficit Hyperactivity Disorder (ADHD)? Dear Dr. Song, I am engaged in academic research. Although my educational background appears impressive, my academic journey has been fraught with challenges, and I have had my share of struggles. It w...
Dr. Song Chengxian Reply:
Hello, in response to your question, the current scientific research has not yet determined whether there is a permanent therapeutic effect. However, since each individual's attention span is influenced by personal neurological development, life requirements, and adaptation ...[Read More] Understanding ADHD Medications: Efficacy, Duration, and Side Effects
Understanding ADD: Coping with Compulsive Thoughts and Sleep Issues
Mental health issues In January of this year, I was diagnosed with Attention Deficit Disorder (ADD) and am currently taking Ritalin. The issue is that I often experience a feeling of "compulsion to do something." I frequently check at home to ensure that the faucet is t...
Dr. Xiao Minghong Reply:
Hello Mr. I, Ritalin can be very effective for attention deficit and hyperactivity disorder (ADHD). Due to its ability to enhance attention, using it in the evening may affect your sleep quality. Additionally, it seems you are experiencing some repetitive thoughts, which you hav...[Read More] Understanding ADD: Coping with Compulsive Thoughts and Sleep Issues
Understanding Family Rights in Schizophrenia Care and Communication
The right of family members to be informed about the condition of a patient with schizophrenia? Hello, my brother (32 years old) is suspected of having schizophrenia. He has stated that he was diagnosed with schizophrenia by a psychiatrist, and he argued that he is being stigmati...
Dr. Xiao Minghong Reply:
Dear Ms. S, In order to reduce stigma, schizophrenia is now referred to as schizophrenia spectrum disorder. One of the most common symptoms is lack of insight, where patients believe they are not ill and therefore do not see the need for treatment, which can sometimes cause dist...[Read More] Understanding Family Rights in Schizophrenia Care and Communication
Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Panic disorder relapse issues? Hello Doctor, about two years ago, I experienced rapid heartbeat and difficulty breathing. After a check-up that showed everything was normal, I was referred to a psychiatrist and diagnosed with panic disorder. To be honest, I still don't fully...
Dr. Qiu Junda Reply:
Hello. The situation mentioned in the text mostly pertains to symptoms of panic and anxiety. Since you have already consulted a psychiatrist and have shown improvement, it is recommended that you continue your follow-up appointments. If you wish to discontinue treatment, please d...[Read More] Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Is It Anxiety or Hypochondria? Understanding Your Symptoms
Is this situation related to anxiety or hypochondria? Hello Dr. Liang, two years ago, I suddenly woke up in the middle of the night during winter, feeling a heat in my chest and a rapid heartbeat, as if my heart was about to jump out. This had never happened to me before, and it ...
Dr. Liang Sunyuan Reply:
Hello Lia: It is advisable to first accept the fact that you have mild arrhythmia. When discomfort occurs, reassure yourself that you have safely navigated through this multiple times before and that you will be fine. Then, shift your focus to other things. Even if worries return...[Read More] Is It Anxiety or Hypochondria? Understanding Your Symptoms
Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
I don't know what's wrong with me? Hello doctor, while I am organizing things or handling company affairs, I often forget things that others have reminded me of or taught me after a while. Keeping a journal or notebook hasn’t helped (sometimes I even forget to bring the...
Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions, which seem to be affecting your physical and mental health as well as your social and occupational functioning. I recommend that you consult a mental health professional (what you referred to as a psychologist) as soon as possi...[Read More] Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
Am I Suffering from Depression, Anxiety, or Panic Disorder?
Am I experiencing depression, anxiety, or panic stemming from worry? I don't know when I started to feel increasingly unhappy. My low mood has persisted for a long time (over three months now), and I've begun to feel weary of the world. Sometimes I feel like I can'...
Dr. Li Zhengfeng Reply:
Ms. Huang: Hello, based on the information provided, you may be experiencing symptoms of depression. However, depression often coexists with anxiety and panic symptoms. If the medication is effective, it is recommended to continue for a period of time before discussing with your ...[Read More] Am I Suffering from Depression, Anxiety, or Panic Disorder?
Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Do I have bipolar disorder? Hello, Dr. Chiu. These are the symptoms of bipolar disorder that I found online: 1. Mood swings or irritability. 2. Decreased need for sleep. 3. Uncontrollable talking. 4. Flight of ideas. 5. Distractibility. 6. Inflated self-esteem. 7. Increased goal-...
Dr. Qiu Junda Reply:
Hello. The diagnosis of bipolar disorder in psychiatry requires a comprehensive assessment, including symptoms, duration, and severity of impact, among other factors. Based on your description, I personally believe that your situation appears to be within the normal range and doe...[Read More] Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Recently, I have been tossing and turning in my sleep and talking in my sleep? Since I started college, my roommates often tell me that I toss and turn a lot during the night, and that I move quite vigorously. I usually go to bed around midnight to 1 AM, but my roommates say they...
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Some individuals may have a predisposition to sleep talking or sleepwalking, especially when they have a lot going on during the day or are under significant stress. Certain medications can indeed cause sleep disturbances; however, if these issues were present ...[Read More] Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Overcoming Health Anxiety: Coping with Worries About Skin Lesions
I want to change the current situation? I am very fearful of getting sick and often pay close attention to my body. Recently, I discovered a mole on my skin (I’m not sure if it has been there for a long time) and I am very anxious about it possibly growing or changing. I have see...
Dr. Ding Shuyan Reply:
From a rational perspective, if we have consulted more than three different physicians regarding our health issues, the chances of being misdiagnosed are significantly reduced. We lack medical training and the extensive clinical experience that physicians possess, so it is illogi...[Read More] Overcoming Health Anxiety: Coping with Worries About Skin Lesions
Understanding Panic Attacks: Symptoms and Self-Harm Concerns
Is it panic disorder? Hello doctor, on December 29th while I was at work, I suddenly felt very upset and wanted to cry. Later, I felt like I couldn't breathe. I was taking deep breaths forcefully, and before long, I seemed to lose control, biting and pinching the back of my ...
Dr. Liang Sunyuan Reply:
Hello Abby: Typical panic attacks usually do not involve thoughts of self-harm. At that moment, you may feel very agitated, but it is advisable to calm yourself down and slowly reflect on what events or thoughts are making you feel uncomfortable. Both depression and panic can man...[Read More] Understanding Panic Attacks: Symptoms and Self-Harm Concerns
Coping with Elderly Dementia: Understanding Symptoms and Seeking Help
Regarding dementia in the elderly? Hello Doctor, my grandmother has been showing symptoms similar to dementia for about five years (forgetting things, repeatedly asking the same questions, not remembering if she has eaten, forgetting to bathe). However, after testing at the hospi...
Dr. Qiu Junda Reply:
Hello. My grandmother may be experiencing what you refer to as dementia, which has been gradually causing difficulties in her daily life and with family over the past five years. Please take her to the hospital for an evaluation and treatment at the dementia clinic as soon as pos...[Read More] Coping with Elderly Dementia: Understanding Symptoms and Seeking Help
Managing Mental Health: Should I See a Specialist or Self-Treat?
What should I do? Hello, doctor. I am the person who asked question #131783. Should I follow your advice for a week, or should I first see a psychiatrist or a similar specialist? I feel that my symptoms are worsening, but I am afraid that if I see a doctor and get prescribed medi...
Dr. Liang Sunyuan Reply:
Hello: If you are concerned, you can seek medical attention first. A visit does not necessarily mean that medication will be prescribed; even if medication is prescribed, most situations do not lead to dependency. The best way to interrupt anxiety is to break the negative cycle w...[Read More] Managing Mental Health: Should I See a Specialist or Self-Treat?
Improving Focus: Medications for Attention Issues Beyond ADHD
Regarding attention? Hello, doctor. I would like to ask, I heard that if someone does not have ADHD, taking ADHD medication will not improve attention. If a person does not have ADHD but has another mental condition that causes difficulty in concentrating, or if they are naturall...
Dr. Wu Enliang Reply:
Hello: Currently, there are no medications with sufficient evidence to improve attention. If it is not caused by anxiety, depression, or other factors, it is recommended to ensure adequate sleep, engage in regular exercise, and maintain a healthy diet, as this will naturally enha...[Read More] Improving Focus: Medications for Attention Issues Beyond ADHD
Understanding OCD Symptoms in Young Children: Coping Strategies for Parents
Obsessive-compulsive symptoms Hello, doctor. A young child in the lower grades is experiencing anxiety about writing. Even though their handwriting is already beautiful, they feel the need to erase everything if there is even one mistake. Despite the adults around them saying it&...
Dr. Liang Sunyuan Reply:
Hello: A better approach is to try to understand the child's thoughts and concerns, and then gently and rationally discuss any unreasonable worries. At the same time, it is important to acknowledge the child's other strengths and provide sufficient positive attention to...[Read More] Understanding OCD Symptoms in Young Children: Coping Strategies for Parents