Attention, Psychiatry FAQ

Overcoming Intrusive Thoughts: A Journey Through Mental Health Challenges

Obsessive thinking The situation is as follows: I am 26 years old and serving as a diplomatic substitute abroad. I took English classes with a local teacher who used agricultural pesticides with food-grade utensils. I was horrified and kept checking whether her kitchen utensils w...

Dr. Ding Shuyan Reply:
Hello, the characteristic of obsessive thinking is that it tends to self-reinforce. When we notice this thought in that moment, before we attach any value judgment of good or bad, there is actually no fear associated with it. It is only when we have a fleeting thought that this i...

Overcoming Anxiety: How to Trust Your Judgment and Live in the Moment

How to assess situations and live in the present moment? Hello Dr. Ding, I apologize for bothering you. Although I have previously asked other doctors about this issue, I still have some extended questions, and since I have mostly consulted you in the past, I would like to discus...

Dr. Ding Shuyan Reply:
Hello, I am not aware of your situation. There may still be room for rational cognitive behavioral therapy. If so, it might be worth considering again. Life is unpredictable, and there are countless possibilities that can harm us. For example, car accidents can happen while drivi...

Do I Need to See a Psychologist for My Worrying Thoughts?

Do these symptoms require a medical consultation? Hello, doctor. I have heard of persecutory delusions, which involve constantly worrying that others will harm oneself. However, my symptoms are different; I often feel that something bad will happen to others. For example, when my...

Dr. Liang Sunyuan Reply:
Hello, Yi Hsiu: Based on your description, it seems more likely that you are experiencing symptoms of excessive worry. Please pay attention to whether you also have symptoms of low mood or loss of interest. If these symptoms are present and persist for a long time, it may indicat...

Understanding Chronic Fatigue: Is It Psychological or Physiological?

Easily fatigued? Hello Doctor, I have been troubled by a physiological issue for a long time and would like to consult you. I am a national exam candidate currently studying at home and not working. I have noticed that since I grew up, I have become easily fatigued. I sleep eight...

Dr. Liang Sunyuan Reply:
Attention is influenced by multiple factors, including physiological and psychological aspects. Allergic rhinitis, if it affects breathing, can indeed impact attention and mental clarity. Additionally, consider what activities engage your attention the most; they are usually thos...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system dysfunction I have been experiencing a tight sensation in my head for several months, which often becomes painful. I also feel tension in my teeth and have noticed symptoms of dry eye syndrome. Occasionally, I experience pain in various areas of my abdome...

Dr. Liang Sunyuan Reply:
Hello: I suggest you pay attention to whether there are times when your symptoms alleviate. If your symptoms are milder during holidays, it may be related to stress. Identifying the sources of stress and addressing those stressors may be helpful. If there are no specific periods ...

Understanding Obsessive Thoughts: Coping with Music Distractions During Exams

Obsessive thinking (musical melodies) Hello, doctor. I am a student preparing for a major exam. My sleep schedule has often been irregular, and recently, while studying, I have been experiencing persistent intrusive thoughts of music, often accompanied by sounds from TV shows. Th...

Dr. Liang Sunyuan Reply:
Hello, based on your description, the melodies that appear in your mind are causing you distress, especially during exam preparation. It is difficult to control the emergence of these melodies; however, we can train our attitude towards them once they occur. It is advisable to ac...

Understanding Social Anxiety: Misconceptions of Pride and Isolation

Social anxiety and reluctance to speak are often misunderstood as pride or being aloof? I am a patient with social anxiety. Since childhood, I have not liked to talk and dislike group living, but others often misunderstand me as being proud and unwilling to interact, which has le...

Dr. Ding Shuyan Reply:
Hello, social anxiety is quite common among us Easterners. However, the presence of outgoing and lively individuals in social settings often dominates the interactions, which can increase our pressure and make us feel unique and strange. In reality, many people share the same str...

Seeking Validation: Navigating Mental Health and Self-Worth

Life has been very tragic? After several letters being deleted, I feel that my content is not being valued. Although the true reasons are unknown, I have realized that I want to be acknowledged. I discovered that I enjoy discussing topics that are attention-grabbing; it seems tha...

Dr. Ding Shuyan Reply:
Hello, the question you asked has been deleted, possibly due to a communication issue, meaning that the person responding may not fully understand the key points of your inquiry, or there may have been similar topics asked previously. I believe the difficulty in answering your qu...

Understanding Paranoia: A Daughter's Struggle with Her Father's Mental Illness

Father has a mental illness? Hello Doctor: My father's condition has persisted for several years. He is in his fifties and believes that my mother has conspired with his boss and the boss's wife to record him. He thinks that the boss's wife gave my mother a recordi...

Dr. Liang Sunyuan Reply:
Hello, based on your description, it seems that your father is exhibiting some symptoms of delusion but lacks insight and is unwilling to seek medical attention. Generally, individuals in this situation are less likely to seek help due to psychological factors. However, many pati...

Sudden Confusion in Seniors: Understanding Causes and When to Seek Help

Elderly individuals suddenly speaking nonsensically? Sudden nonsensical speech and poor mental status in an elderly person, especially with a history of hypertension and diabetes, could be indicative of several underlying issues. These may include a stroke, transient ischemic att...

Dr. Qiu Junda Reply:
Hello: Based on the content of your letter, if an elderly person has no significant history of mental illness and suddenly exhibits symptoms such as delirium or incoherence, the primary consideration should be whether this is due to unstable control of pre-existing medical condit...

Am I Experiencing Autonomic Nervous System Dysfunction?

Am I experiencing autonomic nervous system dysfunction? Hello, doctor. I am a third-year junior high school student. Sometimes I experience shortness of breath, dizziness, pain, and chest tightness. I would like to ask if this could be due to autonomic nervous system dysregulatio...

Dr. Liang Sunyuan Reply:
Hello: Difficulty breathing, dizziness, headaches, chest tightness, and chest pain can indeed be related to stress, anxiety, or autonomic nervous system dysregulation. When experiencing discomfort, it is advisable to shift your focus to activities that promote relaxation or are m...

Understanding Sudden Personality Changes in Friends: A Mental Health Perspective

Friends often change into different people? Hello, Doctor: My classmate has been acting very strangely lately. One day, she suddenly messaged me on Line saying: "I want to disappear, I want to be gone, I want to be replaced..." I kept asking her what was wrong, and she ...

Dr. Zhang Zhehong Reply:
If your friend is experiencing dissociative symptoms, you should assist her in seeking medical attention as soon as possible to arrange for a psychological and physiological evaluation and to develop a treatment plan.

Understanding Unexplained Anger and Suicidal Thoughts: A Guide

I have been feeling angry for no apparent reason lately. Could you please advise, Dr. Ding? I have been feeling angry for no reason lately. I get upset with my family over just one comment (which didn't use to bother me), and I find myself thinking about killing someone and ...

Dr. Ding Shuyan Reply:
Hello, you must be in middle school! During this stage leading up to high school, we often experience significant changes and emotional challenges, but usually, we manage to get through them successfully. However, when situations become more difficult, it's important to lear...

Understanding Intrusive Thoughts and Impulses: A Mental Health Perspective

It feels like there is another thought in my head? Hello, doctor. Actually, I don't quite understand my issue; I just know that I seem to have some symptoms of attention deficit, so I came to consult you. I apologize if I'm mistaken. As a child, I was someone who found ...

Dr. Song Chengxian Reply:
Hello Kai-Hsuan, based on your description, it seems that you have been experiencing persistent obsessive thoughts, poor concentration, and involuntary movements. I recommend that you seek evaluation from a psychiatrist or a mental health specialist to assess whether you may have...

Coping with Mental Health Issues in Elderly Family Members

Issues with Elderly Family Members My grandmother at home has bipolar disorder and is suspected of having paranoid delusions. She acts like a ticking time bomb, causing chaos in the house from time to time, which also affects the family business. Every time there is an argument, ...

Dr. Wu Enliang Reply:
Is your grandmother receiving medical care at home? It is important to discuss the situation further with her doctor, and hospitalization may be necessary if required. If she is not currently receiving care, she should seek treatment at a nearby mental health facility. Our instit...

Understanding Derealization: Coping with Feelings of Unreality

Derealization Hello doctor, about a year ago I suddenly started feeling strange, as if the things around me or even myself weren't real. Why is this happening...? I’m afraid to go to the hospital and haven't told my family about it. What should I do...? It feels so unre...

Dr. Liang Sunyuan Reply:
Hello, it is recommended to maintain a regular and healthy lifestyle, ensure adequate sleep, and allocate some time in your life to engage in activities that you are interested in and passionate about. Monitor your condition to see if there is any improvement. If the situation re...

Overcoming Social Anxiety: Tips for Highly Sensitive Individuals

Highly sensitive and lacking confidence? I seem to be an introverted and highly sensitive person who tends to remain silent in the presence of authority. However, I am currently facing a dilemma where I feel increasingly unsure about how to speak in social situations, as if I...

Dr. Ding Shuyan Reply:
Hello, it is common to feel nervous in social situations and hesitate to express opinions, especially in our Eastern culture. Of course, being introverted and the reminders from adults during our childhood have made us more reserved about self-disclosure. If this develops into so...

Am I Suffering from Depression? Understanding the Signs and Seeking Help

Do I have depression? When I was in the fourth grade, I was bullied by my close friend. She inexplicably told other classmates to ignore me. It was the first time I faced such a situation, and when I got home, I completely broke down. I even thought about suicide, but then I woul...

Dr. Liang Sunyuan Reply:
Meng Meng: You have a good understanding of your own situation. The initial experience of relational bullying can be very difficult for a fourth-grade girl to endure, and it can be hard to comprehend why negative events happen to oneself. However, as we grow older, we can choose ...

Poor Sleep Quality Leading to Mental Exhaustion: When to Seek Help?

Poor sleep quality leads to mental fatigue? Hello, doctor. I am someone who is very sensitive to sound. I can't sleep at all if there is even a slight noise while I'm trying to sleep at night. However, the soundproofing in my rental place is not very good, and I can cle...

Dr. Liang Sunyuan Reply:
Hello, long-term poor sleep quality can indeed affect mood and mental health. If possible, changing your living environment might help improve the situation. If changing the environment is not feasible, some people try listening to relaxing music through headphones before bed to ...

Understanding Anxiety and Heart Palpitations: A Patient's Journey

Anxiety issues? Every time I visit the cardiology department, I feel a sense of nervousness and anxiety when the doctor measures my blood pressure, which causes my heart rate to spike to 120 beats per minute. My emotions fluctuate greatly every day. During a 24-hour heart monitor...

Dr. Ding Shuyan Reply:
Hello, based on your description of the issues, it seems you have not yet returned to the cardiology department to discuss the results of your 24-hour Holter monitor. I recommend that you first listen to what the cardiologist has to say to determine if there are any cardiac issue...

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