Understanding Inpatient Treatment for Bipolar Disorder: Key Concerns and Insights
Inpatient treatment The patient sought medical attention for bipolar disorder but has not seen any improvement after nearly three months of medication. After some persuasion from the physician, the patient finally agreed to hospitalization. However, now the patient's family ...
Dr. Zhang Jiafen Reply:
Hello, I appreciate your hard work during this time. At least your family is no longer resistant to psychiatric treatment, which is a positive development. Regarding your questions, here are some suggestions: 1. If you have been taking medication for almost three months without ...[Read More] Understanding Inpatient Treatment for Bipolar Disorder: Key Concerns and Insights
Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Loss of therapeutic efficacy of the medication? The patient has been diagnosed with bipolar disorder and is experiencing hallucinations and delusions, leading to compulsive shopping and frequent self-talk. After one and a half months of medication, there was a brief improvement i...
Dr. Zhang Jiafen Reply:
Hello, actually, bipolar disorder can fluctuate due to many factors such as climate, sleep, physical discomfort, medication adherence, and psychosocial stress. Additionally, medications for mental health conditions typically require several weeks to months of consistent use to ac...[Read More] Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Overcoming Death Anxiety: Navigating Mental Health After Trauma
Death anxiety Dear Dr. Liang, Last July, shortly after completing my postpartum confinement, my mother underwent surgery due to a ruptured cerebral aneurysm, which caused me significant worry and anxiety. About a week later, one evening, I suddenly experienced shortness of breat...
Dr. Liang Sunyuan Reply:
Hello, during the process of pregnancy, childbirth, and postpartum recovery, women undergo significant changes physically, psychologically, and hormonally. Therefore, the postpartum period is a time of increased vulnerability and sensitivity, where the impact of negative events m...[Read More] Overcoming Death Anxiety: Navigating Mental Health After Trauma
Finding Balance in Special Education: Navigating Challenges and Stress
Seeking balance? Hello, Doctor: I am an elementary school special education teacher, but I have been struggling to find a balance and often feel anxious after work. For example, when a child with autism is in the classroom, it can significantly impact the class dynamics, especial...
Dr. Liang Sunyuan Reply:
Hello: For helpers, it is essential to prioritize one's own physical and mental health in order to effectively assist others. A rubber band that is constantly stretched will quickly become fatigued; if you feel too tense, it is advisable to take breaks and engage in other le...[Read More] Finding Balance in Special Education: Navigating Challenges and Stress
Understanding Anxiety: Can It Cause Frequent Urination?
Constantly paying attention to the bladder can lead to frequent urination? Doctor, I have been experiencing frequent urination recently, but it improves at night. I went to a clinic for blood tests to check for diabetes. My hemoglobin A1c was 5.41, and there was no glucose or pro...
Dr. Ding Shuyan Reply:
First of all, I encourage you for taking care of your body and your desire for knowledge; these are signs of a responsible person. Secondly, our bodies are dynamic living organisms that constantly experience changes in sensations and fluctuations in function. As time passes, with...[Read More] Understanding Anxiety: Can It Cause Frequent Urination?
Is Your Child's Poor Academic Performance a Sign of a Mental Disorder?
Are you being lazy and playful? Or is there an underlying issue? My child is already 20 years old and is attending university, but his academic performance is very poor. He hardly studies, and as a result, he does not do well on exams. I have told him that in college, it is essen...
Dr. Zhang Jiafen Reply:
Hello, it sounds like your child may be inclined towards what is known as Attention Deficit Hyperactivity Disorder (ADHD). Children with ADHD can focus and complete tasks that interest them, which often leads to misunderstandings where they are perceived as disobedient or intenti...[Read More] Is Your Child's Poor Academic Performance a Sign of a Mental Disorder?
Activities to Support Loved Ones with Bipolar Disorder: A Guide
Activities that can help with bipolar disorder? Thank you very much, Dr. Chiu, for your thoughtful responses to the family's concerns! The family member has no prior history of mental illness but recalls feeling as though someone was following him about eight years ago, whic...
Dr. Qiu Junda Reply:
Hello: The primary treatment for bipolar disorder is medication. During the treatment period, how family members cope is important. I believe that support and care are indeed crucial, but there is no need to put too much pressure on oneself. Following the physician's advice ...[Read More] Activities to Support Loved Ones with Bipolar Disorder: A Guide
Overcoming Irritability: Strategies for Managing Workplace Frustration
Easily irritable? Hello Dr. Liang: I often feel frustrated at work. Even though it's my interest, the longer I do it, the more I dislike it. To be honest, my job is much simpler and easier compared to my colleagues. Sometimes, I tend to overthink even the simplest tasks, whi...
Dr. Liang Sunyuan Reply:
Hello, if you feel that your job aligns with your interests and is relatively straightforward, but you tend to become easily anxious, I recommend paying attention to whether you experience similar symptoms on your days off. If you do have the same symptoms, it may be necessary to...[Read More] Overcoming Irritability: Strategies for Managing Workplace Frustration
Can Acute Psychosis Be Cured? Understanding Recovery and Support
Can acute psychosis be cured? Doctor, my boyfriend has been unemployed for two months due to a failed business venture this year. A couple of weeks ago, he started experiencing symptoms of waking up shortly after falling asleep and then being unable to sleep for the rest of the n...
Dr. Qiu Junda Reply:
Hello, Xiao Ting: This issue is quite complex and may not be easily addressed in a brief response, but please do not worry. You have already taken excellent action by promptly bringing your boyfriend in for evaluation, and there has been improvement with treatment. I want to clar...[Read More] Can Acute Psychosis Be Cured? Understanding Recovery and Support
Overcoming Anxiety-Induced Nausea After Gastroenteritis: A Guide
Easily anxious and feeling nauseous? Since the severe gastroenteritis at the beginning of the year, I seem to have developed a psychological barrier that makes me very anxious. Just the thought of going out to eat causes my appetite to decrease, and even when I'm very hungry...
Dr. Qiu Junda Reply:
Hello: From your letter, it appears that your symptoms have persisted for over six months, which is beyond the normal range and likely causing you considerable distress. I wonder if you have sought medical attention during this time. The description in your letter does suggest th...[Read More] Overcoming Anxiety-Induced Nausea After Gastroenteritis: A Guide
Am I Experiencing Panic Disorder, Depression, or Something Else?
Do I have panic disorder? Or depression? Or...? Hello, doctor. I currently have mitral valve prolapse and a benign fibroma in my chest. Recently, I felt unwell and wasn't sure which specialist to see, so I first visited a family medicine doctor. After discussing my symptoms,...
Dr. Song Chengxian Reply:
Hello, it seems that many of your physical discomfort symptoms indeed resemble those of panic disorder. Panic disorder is often accompanied by physical manifestations related to autonomic nervous system dysregulation. If previous medical examinations have shown no abnormalities, ...[Read More] Am I Experiencing Panic Disorder, Depression, or Something Else?
How to Overcome Constant Anxiety and Find Inner Peace
I have been feeling very anxious? If a doctor feels constantly anxious and others around them sense this tension, it may seem like there is always something to worry about, making it difficult to relax. What can be done to alleviate this anxiety? Although you have tried diaphragm...
Dr. Zhang Jiafen Reply:
Hello: It is evident that this ongoing anxiety and tension is significantly impacting your life. While anxiety is a normal emotion that everyone experiences, if any emotion persists for a duration or intensity that exceeds what you can tolerate or what is acceptable to others, it...[Read More] How to Overcome Constant Anxiety and Find Inner Peace
Overcoming Excessive Attachment to Success: Finding Balance in Self-Worth
Excessive attachment to gains and losses? How can I avoid being overly concerned about gains and losses, as it causes me to focus too much on others and prevents me from fully realizing my potential and being the best version of myself? It feels almost like an obsession; I find m...
Dr. Zhang Jiafen Reply:
Hello, it is normal for everyone to wish to be the center of attention, and feeling envy or jealousy towards others' outstanding performances is a common reaction. I hope you can first accept this fact. Additionally, you mentioned that your strong desire for how others perce...[Read More] Overcoming Excessive Attachment to Success: Finding Balance in Self-Worth
Understanding the Psychological Roots of Stealing Behavior in Family Dynamics
The act of stealing money? Hello Dr. Cheng: I have a small stall in the market. A few years ago, my father asked his sister to help out, but this aunt has been stealing money for a long time, and the amount keeps increasing. She doesn't care about how the neighbors see her a...
Dr. Zheng Jingming Reply:
Many mental disorders (such as neuroses, psychoses, personality disorders, etc.) may require clarification of various issues, and it is advisable to consult a psychiatrist for diagnosis and treatment.[Read More] Understanding the Psychological Roots of Stealing Behavior in Family Dynamics
Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Long-term use of autonomic nervous system (anxiolytic) medications? Hello Dr. Wang, I have been taking medication for autonomic nervous system disorder for one year and three months. The medications I am taking are Kinax (alprazolam) and venlafaxine (Easyfor) 37.5 mg. Over the p...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, Regarding the two medications you mentioned in your letter, Kinax is an anxiolytic, while Easyfor is an antidepressant. Discontinuing these medications suddenly after long...[Read More] Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Understanding Major Illness Criteria for Bipolar Disorder: A Patient's Inquiry
Issues related to major illnesses - Bipolar Disorder Dr. Su: Hello! I am a patient with bipolar disorder and would like to know how the criteria for major illness related to bipolar disorder are determined. Here is a brief description of my medical history: My first episode was a...
Dr. Su Zongwei Reply:
If it is clearly diagnosed as Type I Bipolar Disorder, it qualifies as a major illness. However, if it is Type II or another type, it does not qualify. As for whether it meets the criteria, please consult your treating physician.[Read More] Understanding Major Illness Criteria for Bipolar Disorder: A Patient's Inquiry
Is It OCD or Something Else? Understanding Obsessive-Compulsive Symptoms
Is this obsessive-compulsive disorder or something else? I only feel that my belongings are clean. When I go out, I wear a set of clothes, and when I come back, I take them off and hang them up. I only dare to sit in the living room, and I can only enter my bedroom after taking a...
Dr. Lin Junyuan Reply:
Hello, you have provided a clear description of the related symptoms. Indeed, the aforementioned are common "signs" of obsessive-compulsive disorder (OCD). However, whether these symptoms are solely caused by OCD or if there may be other physical and mental health condi...[Read More] Is It OCD or Something Else? Understanding Obsessive-Compulsive Symptoms
Breaking Free from Parental Influence: Finding Your Own Identity
How to overcome the influence of parents? I don't know if I'm just making excuses or what, but I feel that many aspects of who I am now are influenced by my parents. I easily become concerned about how others respond to me, often feeling anxious and insecure, even with ...
Dr. Liang Sunyuan Reply:
From the perspective of personality development, the relationship between parents and children is mutually influential. Parents can impact their children, and a child's traits can also evoke changes in their parents' emotional behaviors. Therefore, any changes made by e...[Read More] Breaking Free from Parental Influence: Finding Your Own Identity
Understanding Cognitive Distortions and Dehydration Effects on Mental Health
About 7 years? During the Lunar New Year period in 2005, I was helping my family with their market business. Due to the pressure of transferring to university exams and lack of sleep, I noticed one day at the market that my mental calculation ability had declined. Specifically, t...
Dr. Liang Sunyuan Reply:
Hello, it seems that you have been troubled by the thought of "9" in recent years, and this concern has caused you distress. It is more challenging to command your brain not to worry about something, but it is usually better to redirect your attention to things that int...[Read More] Understanding Cognitive Distortions and Dehydration Effects on Mental Health
Understanding Misophonia: Coping with Annoying Sounds and Its Effects
Hearing certain sounds can be very irritating? Hello, Doctor. This has been a problem for me since childhood. Whenever I hear others eating and making sounds (like chewing noises and various other sounds), my ears feel very itchy, as if there are many bugs crawling inside. I also...
Dr. Qiu Junda Reply:
Hello, Soft Soft: At first glance, it does not seem to reach a pathological level. It appears that your sensitivity to auditory stimuli differs from that of others. I wonder if you had any unpleasant experiences related to sound during your childhood that may have contributed to ...[Read More] Understanding Misophonia: Coping with Annoying Sounds and Its Effects