Attention, Psychiatry FAQ - Page 34

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Understanding Chest Tightness: When Anxiety Mimics Heart Issues

Chest tightness? Last year, I visited a cardiologist due to chest tightness and difficulty breathing. All tests came back normal, and the doctor referred me to a psychiatrist. I would like to know what the symptoms of difficulty breathing, tightness in the chest, tingling in the ...


Dr. Liang Sunyuan Reply:
Hello, anxiety and panic can lead to such symptoms. Relaxation training, cognitive behavioral therapy, and medication can all help improve related symptoms. It is recommended to seek medical attention for a more detailed evaluation.

[Read More] Understanding Chest Tightness: When Anxiety Mimics Heart Issues


Understanding Serotonin Syndrome: Risks with Antidepressants and Diet

Serotonin syndrome Hello doctor, I have been diagnosed with panic disorder and have been undergoing treatment with Lexapro for two weeks. A few days ago, I came across the term "serotonin syndrome" online. I would like to ask if this means that if I am taking a new type...


Dr. Liang Sunyuan Reply:
Hello Mia, generally speaking, there are no specific dietary restrictions to consider when taking St. John's Wort. It is only when using MAOIs (monoamine oxidase inhibitors), which are rarely used nowadays, that one needs to pay special attention to food interactions and the...

[Read More] Understanding Serotonin Syndrome: Risks with Antidepressants and Diet


Am I Experiencing Dissociative Identity Disorder or Just Depression?

Hello, could you please tell me if this is a case of dissociative identity disorder or just ordinary depression? Hello, I often feel like I am not a complete person, at most just half of one. I have some memories of things I've done, but I don't know or can't recal...


Dr. Liang Sunyuan Reply:
Hello: Based on your description, it seems that you are experiencing symptoms such as depression, poor attention, low mood, decreased appetite, and weight loss, along with pessimistic thoughts and impulsivity, which are more likely indicative of a recurrence of depression. Change...

[Read More] Am I Experiencing Dissociative Identity Disorder or Just Depression?


Feeling Detached: Understanding Mental Health Challenges in Adolescents

Feeling disconnected from life? It seems that I have been experiencing this phenomenon since I was in the second year of junior high school, and it continues to this day in my third year of vocational school. During junior high, it occurred about 3 to 4 times a year, and now in v...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Based on your description of the issues you mentioned, it appears that, on the surface, there is a lack of self-confidence. However, living in this world often brings about a persistent pressure, a voice deep within that echoes feelings of inadequacy: "Not e...

[Read More] Feeling Detached: Understanding Mental Health Challenges in Adolescents


Should You Seek Help for Anxiety and Self-Image Issues?

Should I seek medical attention? Hello, doctor. Recently, my friend has been feeling anxious due to certain events, which has led to difficulty concentrating on work and a decrease in social interactions. When I asked him about the reason, he mentioned that he feels very unattrac...


Dr. Ding Shuyan Reply:
Hello, first of all, it's touching and commendable that you care about your friend's mental and physical health. Generally speaking, if someone is experiencing mental symptoms that are affecting their daily life, such as a decline in work or interpersonal relationships,...

[Read More] Should You Seek Help for Anxiety and Self-Image Issues?


Am I Experiencing Mental Illness? Understanding Your Thoughts and Feelings

Mental disorders Am I suffering from a mental illness? Sometimes I analyze other people's expressions to determine if they are good people. In class, I suspect that a girl is talking behind my back, but at times her behavior doesn't seem malicious. Additionally, I somet...


Dr. Liang Sunyuan Reply:
Hello: Based on your description, it seems you have some concerns that feel contradictory and uncertain. I suggest redirecting your attention to your studies or other personal interests, and try to avoid excessive associations to see if your situation improves. However, if your c...

[Read More] Am I Experiencing Mental Illness? Understanding Your Thoughts and Feelings


Understanding and Addressing Unusual Behavior in Mental Health Issues

Mental status My mother used to be normal and was not picky about food, but now she refuses to eat meat and has developed strange cooking habits. She insists on blanching vegetables, meat, and mung beans until they are fully cooked, and then cooking them again. When shopping, she...


Dr. Wang Xiumei Reply:
You can first clarify your concerns regarding her sleep issues and express your care for her health. Emphasize the impact of sleep on overall health and encourage her to seek help from a nearby psychiatric clinic to address her sleep problems. Once at the clinic, the physician sh...

[Read More] Understanding and Addressing Unusual Behavior in Mental Health Issues


Daily Dreaming for a Decade: Is It a Mental Health Concern?

Dreaming every day for ten years? Hello, doctor. I am someone whose mind is constantly active, and I have been dreaming every day for the past ten years. Is this a bad thing? Could it affect my mental and physical health? Should I seek medical attention? If so, should I see a psy...


Dr. Liang Sunyuan Reply:
Hello Mr. Hsu: Dreaming at night is a normal physiological response and shouldn't be a cause for concern. During dreaming, the brain typically reorganizes the information received throughout the day, often resulting in illogical connections. Generally, there is no need to wo...

[Read More] Daily Dreaming for a Decade: Is It a Mental Health Concern?


Understanding Mental Health: Signs and Solutions for Caregivers

Is there a mental illness? I have a cousin who suffered a stroke two years ago that affected his mobility, so he returned to Taiwan for rehabilitation treatment in early November last year. However, he has no immediate family in Taiwan, so he asked for my help with his National H...


Dr. Zhang Zhehong Reply:
Hello, stroke and brain injury can be associated with various mental disorders. It is necessary to seek medical attention for an evaluation by a psychiatrist to assess physiological and psychological functions, emotions, behaviors, cognition, and motivation, and then develop a co...

[Read More] Understanding Mental Health: Signs and Solutions for Caregivers


Strategies for Managing Attention Deficit and Memory Issues

Inattention Hello Doctor: I have serious issues with attention and poor memory. Here are three examples to illustrate my situation. First, during conversations with friends, I often forget what just happened in the previous moment. For instance, my friend might say, "You jus...


Dr. Lin Niqi Reply:
Hello, regarding the issue of "difficulty concentrating" that seems to be affecting your life, it's important to note that everyone experiences distractions to some extent. Distraction occurs when your attention becomes disengaged from what requires focus, often un...

[Read More] Strategies for Managing Attention Deficit and Memory Issues


Understanding Sleep: When Resting Isn't Truly Sleeping

I'm not sure what this is considered? Hello: I lay in bed for eight hours tonight, but I didn't actually fall asleep. It feels like I experienced insomnia the entire night. Even though I closed my eyes for eight hours, does that count as rest? I'm not sure if I sho...


Dr. Liang Sunyuan Reply:
Hello Mr. Chang: Lying in bed, even if you are not asleep, still provides some rest for the body and brain. It is advisable to pay attention to your overall energy levels throughout the day after getting up, as well as any improvements in your sleep patterns thereafter. If you ex...

[Read More] Understanding Sleep: When Resting Isn't Truly Sleeping


Do I Have Anxiety? Understanding Symptoms and Concerns

Do I have an anxiety disorder? In the past, my mother ran a business and had to go to the store every day. However, she would worry about whether the gas at home was turned off or if the door was locked. This situation became increasingly severe, and she also worried about the po...


Dr. Zhong Mingxun Reply:
Based on your description, it seems that your anxiety level is quite high. There are many situations that can lead to anxiety, but your condition may be related to obsessive-compulsive disorder (OCD) characterized by intrusive thoughts. It is recommended that you seek medical att...

[Read More] Do I Have Anxiety? Understanding Symptoms and Concerns


Understanding Antisocial Personality Disorder: Can It Be Treated?

Antisocial personality disorder (ASPD) can be challenging to treat, but it is not impossible Dr. Ding, I have dysthymic disorder and antisocial personality disorder. When I was three years old, I stood alone in a large room and suddenly realized that my life was surrounded by mon...


Dr. Ding Shuyan Reply:
Hello, individuals with antisocial personality traits typically do not possess the self-reflection and desire for change that you exhibit. Of course, the diagnosis of personality disorders is not a strict binary; everyone has certain traits to varying degrees, and it is a matter ...

[Read More] Understanding Antisocial Personality Disorder: Can It Be Treated?


Understanding Recurring Dream-Like Symptoms in Athletes: A Medical Perspective

It recurs once a year and makes it difficult to distinguish between dreams and reality? Hello, doctor. I am an athlete, and I started experiencing these symptoms two years ago after a cold. Typically, they recur when I have been staying up late for nearly a month, and it usually ...


Dr. Liang Sunyuan Reply:
Hello: This situation is indeed quite unique. If a recurrence occurs, it is advisable to seek medical attention and inform the physician of your detailed medical history and symptoms. This will enable the physician to arrange appropriate examinations and treatments for you. Wishi...

[Read More] Understanding Recurring Dream-Like Symptoms in Athletes: A Medical Perspective


Struggling with Binge Eating and Purging: Seeking Help Discreetly

Binge eating and purging? Hello, I am a student from the Dance Department in Taichung. I have been struggling with obesity for a long time, and since November 2014, I developed a habit of self-induced vomiting. I feel an immense sense of guilt about what I eat. Although I managed...


Dr. Su Zongwei Reply:
The only but most important advice: Please make sure to seek medical attention, it is essential.

[Read More] Struggling with Binge Eating and Purging: Seeking Help Discreetly


Excessive Dreaming and Its Impact on Mental Health: When to Seek Help

Frequent dreaming is causing me mental fatigue? Hello doctor, I have been experiencing vivid dreams at night that lead to poor mental clarity during the day. I also sometimes wake up suddenly feeling like I'm falling. In my dreams, I even have experiences that connect with r...


Dr. Liang Sunyuan Reply:
Hello: It is advisable to reflect on whether there have been any stressful events recently, or if there are any feelings of anxiety, fear, or worry regarding certain situations. Dreams are often related to recent psychological or physiological stress. You might try to identify th...

[Read More] Excessive Dreaming and Its Impact on Mental Health: When to Seek Help


Understanding and Managing Head Bumping Anxiety: Tips for Relief

Frequently feel like I might hit my head? I often feel as if I've bumped my head when I'm close to something, even though I haven't actually hit it, and I feel this way regardless of whether I have any sensation. What should I do to adjust to this?


Dr. Liang Sunyuan Reply:
Hello Lin, if this is a recent phenomenon, consider whether you have experienced any stress or trauma lately. If it is related to stress causing heightened sensitivity, it should gradually improve over time. Diverting your attention, focusing on hobbies, and exercising may also h...

[Read More] Understanding and Managing Head Bumping Anxiety: Tips for Relief


Understanding Mental Health: Symptoms of Anxiety and Sleep Issues in Students

What exactly is going on? I am a candidate who goes to bed before 11 PM and often dreams. However, I experience daily brain fog (sometimes my head unconsciously sways from side to side while sitting), dizziness, frequent yawning, and a vacant stare, which prevents me from calming...


Dr. Liang Sunyuan Reply:
Hello Amy: When studying becomes too exhausting, it's advisable to take a short break before resuming. Sufficient sleep is crucial for attention and memory. If your abdomen shakes during diaphragmatic breathing, it indicates that the muscles are still tense and not relaxed. ...

[Read More] Understanding Mental Health: Symptoms of Anxiety and Sleep Issues in Students


Understanding Your Child's Anger: Causes and Solutions for Parents

The child is throwing things in anger over trivial matters at home? Hello Dr. Song, I have a son who is in the third grade. Since kindergarten, we have noticed that he often exhibits explosive anger when we reprimand him for mistakes at home, and this has been happening multiple ...


Dr. Song Chengxian Reply:
Dear Parents, It is indeed perplexing that your child frequently exhibits anger over minor issues at home while performing exceptionally well outside. This behavior may stem from family interactions or could be related to an inherent temperament that predisposes them to impulsiv...

[Read More] Understanding Your Child's Anger: Causes and Solutions for Parents


Overthinking After Events: How to Manage Your Thoughts Effectively

Constant thoughts racing through the mind? Is it normal to keep thinking about gatherings or significant events hours or even the next day? Is it because I care too much, or should I try to relax? How can I stop dwelling on meaningless past events? Sometimes I find myself imagini...


Dr. Liang Sunyuan Reply:
Hello Mr. Huang: It is normal for past events to resurface in your mind, and if you do not pay attention to them, they usually fade away. However, if you become overly concerned about these thoughts and images, they may persist longer. It is advisable to adopt a mindset of indiff...

[Read More] Overthinking After Events: How to Manage Your Thoughts Effectively


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