Understanding Withdrawal Symptoms After Stopping Antidepressants
Discontinuation of Antidepressants Hello, doctor. My mother has been taking a medication called Yuankang for depression for the past ten years, at a dosage of two pills a day. Towards the end, it seemed like she developed symptoms similar to bipolar disorder, becoming easily ange...
Dr. Dai Wanxiang Reply:
Ms. Tseng: Hello, Wellbutrin is an effective medication for treating depression. Since your mother has been taking it for 10 years, it is difficult to determine whether her anger, irritability, and excessive sleepiness are related to this medication. Generally, side effects do no...[Read More] Understanding Withdrawal Symptoms After Stopping Antidepressants
Understanding OCD: Signs, Symptoms, and Solutions for Students
What exactly is wrong with me? Is it obsessive-compulsive disorder? Hello, I am a student and recently I performed poorly on my exams. I often worry about not being promoted to the next grade, and since then, my behavior has become increasingly strange (I feel that if I don'...
Dr. Liang Sunyuan Reply:
Hello, the situation you described may be related to obsessive-compulsive disorder (OCD). You can try setting limits for yourself, such as washing your hands once every hour, limiting each handwashing to 20 seconds, and zipping your zipper only twice before moving on to the next ...[Read More] Understanding OCD: Signs, Symptoms, and Solutions for Students
Understanding Emotional Control Issues and Violence in Relationships
Emotional regulation issues with tendencies towards violence? My boyfriend is 40 years old and works in the insurance industry. When we first started dating, he was a polite, introverted person who appeared graceful to outsiders, had a good temper, and rarely became impatient or ...
Dr. Zhang Fangrong Reply:
Hello: It is common for individuals with mental illness to be reluctant to seek medical treatment, and this is a frequent occurrence. Based on your description of your boyfriend's situation, it seems he is experiencing early signs of social withdrawal and low mood, which may...[Read More] Understanding Emotional Control Issues and Violence in Relationships
Understanding Mental Health Struggles: Finding Hope Amidst Despair
I don't know what's wrong with me? Hello Doctor: I have been undergoing treatment for a brain condition for six months, but my doctor told me that it might relapse and cannot be cured. When I heard this, my mood plummeted, and I didn't speak for several days, feeli...
Dr. Ding Shuyan Reply:
Hello, complete normal health, whether mental or physical, is an ideal state that no one can truly achieve, and no one will go through life without ever being sick. Therefore, we must first accept that we will all get sick. Some illnesses resolve quickly, like the common cold. Ot...[Read More] Understanding Mental Health Struggles: Finding Hope Amidst Despair
Overcoming People-Pleasing: Finding Your Voice in Relationships
Interpersonal Relationships: People-Pleasing Personality Hello, Doctor. What should I do? I am someone who really cares about what others think and how they perceive me. In middle and high school, I experienced social exclusion, and the biggest issue is that I seem unable to expr...
Dr. Ding Shuyan Reply:
Hello, first of all, this is a problem that almost everyone has encountered. Some people brush it off quickly with a smile, while others repeatedly dwell on it in their minds. As you mentioned, it often stems from past experiences of feeling rejected or hurt by peers or loved one...[Read More] Overcoming People-Pleasing: Finding Your Voice in Relationships
Understanding Dreams and HIV Anxiety: What to Do Next
Dream-related issues I had a dream one night in March where I felt my anus being penetrated. Since then, I sometimes fear that I might have contracted HIV. However, I know that I have not engaged in sexual intercourse, so I shouldn't be at risk for HIV. I'm unsure why t...
Dr. Liang Sunyuan Reply:
Hello Mark: The generation of dreams usually involves people, events, or thoughts that we have recently heard, seen, or considered, which are randomly arranged during sleep. Typically, there is no need to pay special attention to them; after a period of time without recalling the...[Read More] Understanding Dreams and HIV Anxiety: What to Do Next
Is My Husband Struggling with Mental Health Issues?
I think my husband might have a mental health issue? My husband often talks to himself while working at the machine, almost every day. His colleagues find it quite strange. When I asked him why he does this, he only mentioned that he silently repeats things when he is trying to r...
Dr. Huang Weiqin Reply:
Hello: Based on your description, it is likely that your husband is experiencing symptoms of depression, bipolar disorder, or schizophrenia. It is recommended that family members encourage him to visit a nearby psychiatric clinic for an evaluation and referral for appropriate tre...[Read More] Is My Husband Struggling with Mental Health Issues?
Do You Need Psychological Counseling for These Symptoms?
Do these symptoms require additional psychological counseling? Hello Dr. Liang, I would like to ask about a person who previously had a smooth career, high emotional intelligence, was well-liked, and had good tolerance and behavior when drinking. After experiencing a series of s...
Dr. Liang Sunyuan Reply:
Hello Hanhan: Given your current situation, it is advisable to avoid drinking alcohol. The phenomenon of becoming intoxicated and losing control of behavior is a type of predisposition that can frequently recur. Although it hasn't happened in the past, it has occurred twice ...[Read More] Do You Need Psychological Counseling for These Symptoms?
Differentiating Between Cervical Spondylosis and Anxiety Symptoms
What is the difference between cervical spondylosis and anxiety disorder? Hello, doctor. I would like to ask if the symptoms of cervical spondylosis are similar to those of anxiety disorder. I wake up every day feeling dizzy, with palpitations, chest tightness, and difficulty bre...
Dr. Liang Sunyuan Reply:
Hello, on a sunny day: Physical symptoms and psychological symptoms actually influence each other. Chronic physical illnesses can affect mood, while feelings of depression and anxiety can amplify physical discomfort, sometimes creating a vicious cycle. In most cases, both physica...[Read More] Differentiating Between Cervical Spondylosis and Anxiety Symptoms
Overcoming Social Anxiety: Strategies for College Students
Social anxiety disorder Hello, doctor. I am a college student, and I believe I may have social anxiety. However, I am concerned that it might affect my current and future job opportunities, so I would like to ask if there are other ways to alleviate my symptoms or if it is really...
Dr. Liang Sunyuan Reply:
Hello Lin: The causes of social anxiety often stem from being overly concerned about one's own performance, which leads to tension. It is advisable to shift your focus away from yourself and concentrate on the task at hand; this usually results in a more natural performance ...[Read More] Overcoming Social Anxiety: Strategies for College Students
Overcoming Health Anxiety: Strategies to Break the Cycle of Worry
Could you please provide more context or details regarding your question? Hello, Doctor: I have been struggling with obsessive thoughts about illness for a long time, which leads me to self-examine, such as constantly feeling my neck for lumps, and I always end up thinking there’...
Dr. Ding Shuyan Reply:
Hello, obsessive thoughts inherently possess a strong allure, making us feel they are important and cannot be ignored; we must drop everything and address them immediately. However, this is a trick of such thoughts, as the reality is quite different. Have you ever experienced day...[Read More] Overcoming Health Anxiety: Strategies to Break the Cycle of Worry
Understanding Hallucinations in Elderly Patients: A Case Study
Regarding the frequent occurrence of hallucinations in a 91-year-old grandmother? Hello Doctor, I apologize for bothering you. My grandmother is 91 years old. This past Lunar New Year (at the end of January), she was hospitalized due to gastrointestinal bleeding. During her stay,...
Dr. Dai Wanxiang Reply:
Hello Mr. Lin: Based on your description, your grandmother is exhibiting symptoms suggestive of hallucinations and delusions, most likely due to delirium or dementia. Both conditions can affect the patient's cognitive functions (attention, memory, thinking abilities), cause ...[Read More] Understanding Hallucinations in Elderly Patients: A Case Study
Understanding Anxiety: When to Seek Help for Emotional Distress
Stress issues Hello, doctor. Recently, I have found myself repeatedly ruminating over a situation where I did not perform well and was blamed by others. This has led to intense feelings of guilt and anxiety, to the point where I often find myself biting my tongue or lips. At nigh...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. From your description, I can sense your emotions and discomfort, as well as your recent health concerns that have been causing you worry. If your anxiety and discomfort are significantly troubling you, I would recommend seeking an eval...[Read More] Understanding Anxiety: When to Seek Help for Emotional Distress
Do I Need to See a Doctor? Understanding Cognitive Changes in Young Professionals
Do I need to seek medical attention? Hello, doctor. I am a recently graduated office worker. Due to the distance, I need to ride my motorcycle for an hour to get to work. I have previously fallen asleep while riding and have been in accidents, but I felt that there was no way to ...
Dr. Liang Sunyuan Reply:
Hello: Falling asleep while riding a motorcycle is quite dangerous, and it is advisable to seek medical attention for an examination. Additionally, systemic lupus erythematosus (SLE) requires continuous medication to prevent exacerbation, as poorly controlled SLE can also affect ...[Read More] Do I Need to See a Doctor? Understanding Cognitive Changes in Young Professionals
Understanding ADHD: Evaluation and Testing Process Explained
ADHD leads to difficulties in maintaining focus? Hello, doctor. Recently, I noticed an introduction to ADHD in the news. I find that I closely match the symptoms related to inattention. I am not inquiring whether I have this condition; I just want to know what assessments or test...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, If you are assessing adult Attention Deficit Hyperactivity Disorder (ADHD), the evaluation can include self-report scales as well as assessments conducted by a psychologist. The report will be compiled by the psychologist, and it will take approximately 1-2 weeks...[Read More] Understanding ADHD: Evaluation and Testing Process Explained
Concerns About Overdosing on 54mg of Concerta: What You Need to Know
Overdose of Dexamethasone 54mg? Hello Doctor: I have been taking medication for attention deficit for four years, and my weight is 48 kg. Recently, I have been taking 36 mg of Dexedrine for the past three months, but I switched to 54 mg of Dexedrine. I take one Dexedrine on an em...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, According to current knowledge regarding drug reactions, the peak plasma concentration of the medication is reached 6-8 hours after administration, after which the plasma concentration gradually decreases. Therefore, theoretically, by the next day, the drug conce...[Read More] Concerns About Overdosing on 54mg of Concerta: What You Need to Know
Dealing with Frequent Sexual Fantasies About Others: A Mental Health Perspective
If you frequently have sexual fantasies about the opposite sex, it's important to understand that such thoughts are a normal part of human sexuality. Here are a few suggestions on how to manage these fantasies: 1. **Acknowledge Your Feelings I find myself frequently having ...
Dr. Zhang Fangrong Reply:
Hello: From your letter, I can certainly sense your stress, worries, and discomfort. Given the noticeable impact on your well-being, learning, and interpersonal interactions, I recommend considering a conversation with the school’s counseling psychologist or seeking an evaluation...[Read More] Dealing with Frequent Sexual Fantasies About Others: A Mental Health Perspective
Managing Emotional Instability: Tips for Preventing Relapse and Overdose
Emotional instability I have severe depression, and I am currently feeling more stable, but I am afraid of reverting to my previous state. How can I prevent emotional instability from harming myself and avoid medication overdose? I am currently taking my medication regularly, but...
Dr. Liang Sunyuan Reply:
Hello: It is recommended to have regular follow-up appointments and to cooperate fully with your outpatient physician. Ensure adequate sleep, maintain a regular lifestyle, and pay close attention to the beautiful aspects of life. Remind yourself to make a firm decision not to har...[Read More] Managing Emotional Instability: Tips for Preventing Relapse and Overdose
Managing Exam Anxiety: Strategies for Success in High-Stakes Testing
The pressure for the national examination is very high? Hello, doctor. I am a 26-year-old male who recently graduated from graduate school in December 2016. I will be taking the licensing exam next week. As the exam approaches, I find myself lying in bed for 1 to 2 hours each nig...
Dr. Liu Runqian Reply:
Adjustment Disorder: This condition develops within three months of a clearly identifiable stressor, characterized by an extreme inability to cope with the stress, leading to symptoms of anxiety, tension, and depressive mood. If it has caused significant distress, short-term phar...[Read More] Managing Exam Anxiety: Strategies for Success in High-Stakes Testing
Addressing Emotional and Behavioral Issues in Young Children: A Guide for Parents
Emotional and behavioral problems in young children? Hello Doctor: My daughter is almost five years old. She usually lives with her mother and grandmother, while I (the father) can only come home on weekends due to work. She has always been an introverted and cheerful child, gene...
Dr. Liang Sunyuan Reply:
Hello Mr. W: You might want to ask other caregivers and family members if they have any thoughts, as they spend more time with the child and may help identify potential factors. The fact that the school situation is normal indicates that the emotional condition has not fully impa...[Read More] Addressing Emotional and Behavioral Issues in Young Children: A Guide for Parents