Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is there autonomic nervous system dysfunction? Hello, doctor. I have been living a reversed day-night schedule since I was around 18 years old, which has lasted for about 7 to 8 years now. Gradually, I have started to feel some issues with my body. In the past two years, I have w...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, In your letter, you mentioned experiencing persistent insomnia due to a disrupted day-night cycle, along with various physical symptoms for which no underlying medical con...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Sleep Disorders: Is It Depression or Autonomic Dysfunction?
Sleep disorders Hello, Dr. Fan... Previously, I had a night where I couldn't sleep at all after taking five doses of Seroquel. Later, I sought help from a psychiatrist for sleep disorders, and the female doctor mentioned that I had mild postpartum depression and mild bipolar...
Dr. Fan Tingwei Reply:
Dear Sir/Madam, Due to Dr. Fan's departure in August, he has currently opened a wellness clinic in Tainan City. On behalf of the hospital, I would like to respond to your message. Depression primarily manifests with mood-related symptoms, while autonomic nervous system dy...[Read More] Understanding Sleep Disorders: Is It Depression or Autonomic Dysfunction?
Sudden Dizziness: Understanding Potential Causes and Solutions
Sudden dizziness? Hello, Doctor. This morning, I was fine until around noon after having lunch. However, around 2 PM, while I was sitting in a chair doing some crafts, a colleague came over to chat with me. I felt a bit tongue-tied but managed to speak. After that, when I turned ...
Dr. Xie Yongfeng Reply:
Hello, Xiao Guo: Based on your inquiry, which is more related to otolaryngology, your question will be answered by Dr. Yang Miao-Jun from the ENT department. According to your description, it may be related to inner ear imbalance and is associated with changes in posture. It is r...[Read More] Sudden Dizziness: Understanding Potential Causes and Solutions
Understanding Mental Health: Symptoms and Challenges in Young Adults
Mental disorders Gender: Male Age: 23 Onset: Last few months Symptoms: 1. Sleeps for long periods but still feels unrefreshed; feels sleepy throughout the day but sometimes struggles to fall asleep! Occasionally has a poor appetite, feels weak, and sometimes feels like fa...
Dr. Su Zongwei Reply:
These symptoms are all non-specific. A diagnosis cannot be made based on this description alone. If there is a real concern, please seek medical attention at an outpatient clinic.[Read More] Understanding Mental Health: Symptoms and Challenges in Young Adults
Understanding Mental Illness: Do Hallucinations Indicate a Psychiatric Condition?
Assessment of Mental Illness Hello Doctor: 1. If there have been occurrences of auditory hallucinations in the brain, specifically related to images of past trauma, and I have consulted a neurologist who did not clarify whether medication from the neurology or psychiatry depart...
Dr. Liang Sunyuan Reply:
Hello, the psychiatric symptoms are actually caused by an imbalance of neurotransmitters in the brain, so the appearance of these symptoms is fundamentally a phenomenon resulting from neurological dysregulation. Current pharmacological treatments aim to stabilize these dysregulat...[Read More] Understanding Mental Illness: Do Hallucinations Indicate a Psychiatric Condition?
Managing Military Stress: When to Seek Help for Mental Health
Stress is ever-present? Hello, doctor: I am currently serving in the military and have been for over two months. The pressure in the military comes in waves; I worry about not performing well or not learning things properly, and so on. Every time I have a day off, I feel a sense ...
Dr. Lin Junyuan Reply:
Hello, based on your letter, your situation appears to be related to environmental adaptation issues. Your ability to describe your emotional fluctuations accurately indicates that you are caring for yourself and engaging in introspection, which is a positive sign! Generally, adj...[Read More] Managing Military Stress: When to Seek Help for Mental Health
Overcoming the Burden of Comparison: Finding Self-Acceptance and Joy
Severe weakness? I feel like I've tried many ways, but I still can't escape the curse of "comparison." It's so natural to see others shining brightly and easily notice their strengths and good qualities, which ends up making me envious. "The wisdom o...
Dr. Lin Junyuan Reply:
Hello Spur, it's indeed quite distressing to have such repetitive thoughts every day! However, your struggles are not unique! In fact, the people we know or even those we don't often evoke feelings of envy in us. You mentioned that you tend to focus on the strengths of ...[Read More] Overcoming the Burden of Comparison: Finding Self-Acceptance and Joy
Managing Mental Stress: Tips for Coping with Life Changes
Mental stress issues Hello: Recently, due to military service, I have been experiencing many difficulties in my daily life, leading to increased stress and feelings of sadness. Could this indicate a mental health issue? What methods can help alleviate the stress?
Dr. Gao Jingling Reply:
Hello: The stress and adjustment issues caused by military service are related to environmental adaptation. If you can express your feelings through friends and family, and maintain good interactions with peers in the military, it can help alleviate stress in a timely manner. It ...[Read More] Managing Mental Stress: Tips for Coping with Life Changes
Struggling with Mental Health: Seeking Help for Self-Harm and Anxiety
Hello, I don't know what to do? Hello doctor, I visited you over two years ago. After taking medication, I self-harmed, and my family decided to dispose of all my medication. As a result, I often feel very distressed. Initially, I experienced sleepwalking, and later I became...
Dr. Lin Junyuan Reply:
Hello MM, you mentioned, "I know there is something wrong, but I don't know what to do." Recognizing that there is a problem is the first step towards improving your situation! While I cannot remember all the cases I have seen, I am glad that you are willing to con...[Read More] Struggling with Mental Health: Seeking Help for Self-Harm and Anxiety
Am I Experiencing Anxiety, Depression, or Panic Disorder?
Am I suffering from anxiety disorder or depression? Sometimes at home, I feel an inexplicable sense of unease, fear, helplessness, and fatigue. It seems like nothing I do feels right, and I have a hollow feeling in my body, which is very uncomfortable (these are symptoms of anxie...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, From your letter, it is evident that you are experiencing significant anxiety, primarily concerning whether your symptoms will persist. It seems you have many uncertaintie...[Read More] Am I Experiencing Anxiety, Depression, or Panic Disorder?
Struggling with Phone Anxiety and Social Isolation: A Personal Journey
I'm not sure what to do..? I don't know when I developed this habit, but I have become very uncomfortable, dislike, or even hate answering phone calls. This isn't directed at any specific person or group (though I definitely won't answer calls from unknown num...
Dr. Fan Tingwei Reply:
Dear Ms. CW, Your situation indeed seems to have impacted your life, affecting your work, relationships, and daily routine. The changes you are experiencing are causing you distress, and it appears that you feel trapped. Despite participating in various group courses, the improv...[Read More] Struggling with Phone Anxiety and Social Isolation: A Personal Journey
Understanding Delusional Disorders in the Elderly: A Case Study
Fantasy insecurity Hello, recently my uncle (91 years old) has been feeling that someone is trying to harm him. He often talks to himself, expressing that we are not treating him well. This has escalated to the point where he keeps a knife by his bedside and frequently recounts e...
Dr. Ding Shuyan Reply:
Hello, there is a risk of violence in this situation! Although your uncle is already ninety-one years old, it is difficult to say when it comes to delusions. Sometimes, when pushed to the limit by these delusions, individuals may exert all their strength to retaliate or act preem...[Read More] Understanding Delusional Disorders in the Elderly: A Case Study
Overcoming Social Anxiety: Finding Motivation to Work and Connect
If you're afraid of social interactions and lack motivation to work, consider the following steps: 1. **Seek Professional Help**: Consulting a mental health professional can provide you with strategies to cope with social anxiety and lack of motivation. 2. **Set Small Goal...
Dr. Ding Shuyan Reply:
Hello, most people actually cannot tell if someone else is experiencing depression unless the symptoms are very severe. You mentioned that you appear normal most of the time; I believe that even a psychiatrist might not be able to notice unless you disclose it. Depression is a ve...[Read More] Overcoming Social Anxiety: Finding Motivation to Work and Connect
Overcoming Obsessive Thoughts: Strategies for Mental Well-Being
How to address obsessive thinking? In high school, I would constantly ask people, "What did you just say?" or "What was that sentence you just mentioned?" I wanted to know every word clearly, even going so far as to say, "I'll pay for dinner if you t...
Dr. Ding Shuyan Reply:
Hello, actually the title of your question has already pointed out the essence of these issues, which are compulsive thoughts. Sometimes, they can stick to you like strong glue, and using various methods to combat them often proves futile. My suggestion is that once you determine...[Read More] Overcoming Obsessive Thoughts: Strategies for Mental Well-Being
How to Improve Sleep Quality and Reduce Disturbing Dreams
Head issues Hello, Doctor: 1. I have many dreams every night, with the most vivid ones occurring around six in the morning. In these dreams, it feels like someone is talking to me, and the conversations revolve around issues that are important to me. I find myself wanting to re...
Dr. Wang Zhenyang Reply:
Hello: Dreaming is a normal physiological phenomenon, and the content of dreams is often related to our daily concerns and subconscious thoughts. If the content of your dreams is causing you distress, it may indicate that there are troubling issues in your daily life as well. Wak...[Read More] How to Improve Sleep Quality and Reduce Disturbing Dreams
Understanding Intrusive Thoughts: Why We Struggle to Control Negative Thinking
Why is it that rationally knowing a thought is harmful does not prevent the thought from arising? I am currently a fourth-year student, and I feel that I study very hard. However, I also feel a lot of pressure and am constantly tense in everything I do. I hope to achieve good gra...
Dr. Ding Shuyan Reply:
Hello! First of all, I want to encourage you; you are a good person with a delicate mindset and the ability for self-reflection. The competitive mentality is something everyone experiences and is not pathological. The struggle between opposing thoughts is the source of our suffer...[Read More] Understanding Intrusive Thoughts: Why We Struggle to Control Negative Thinking
How to Support a Friend Struggling with Emotional Turmoil?
How can I help my friend? Hello, Dr. Wang. My boyfriend has been struggling with emotional regulation for some time. He is a humorous and talkative person, but once he gets home or is alone, he becomes quiet and withdrawn. It's like a switch; he is active and engaged in fron...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, Your letter regarding your boyfriend's issues and personality description suggests a clear connection between his current distress and his personality and interperson...[Read More] How to Support a Friend Struggling with Emotional Turmoil?
Understanding Emotional Outbursts After Trauma: A Guide for Families
Shock can lead to emotional instability? 1. The symptoms described may be referred to as an acute stress reaction or adjustment disorder with dissociative symptoms, which can manifest as temporary memory loss and emotional distress following a traumatic event. 2. In terms of tre...
Dr. Ding Shuyan Reply:
Hello! It is crucial to take your sister to see a doctor as soon as possible; there is no time to waste! There are several possible diagnoses, and the treatment methods vary, so it is essential for a physician to make the determination. Generally, acute episodes have a good progn...[Read More] Understanding Emotional Outbursts After Trauma: A Guide for Families
Navigating Your First Psychiatric Appointment: What to Expect and How to Prepare
Medical issues? Hello, doctor. Thank you for your detailed response to my concerns. Since I have never visited a psychiatrist before, I have some worries. If I have multiple mental health issues, how should I explain them? Should I provide a detailed account of each one? Addition...
Dr. Ding Shuyan Reply:
Hello, it's definitely best to share all your concerns with the doctor. If you feel too nervous and forget to mention something, or if time is limited, you can always provide additional information during your next visit. It's normal to feel anxious about seeing a psych...[Read More] Navigating Your First Psychiatric Appointment: What to Expect and How to Prepare
Signs Your Teen May Need Mental Health Support After a Loss
A first-year junior high school girl refuses to attend school? Your daughter (born in 1997) has recently started exhibiting concerning behaviors following the passing of her grandmother on January 20th. She has stopped attending classes, is crying frequently, experiencing constip...
Dr. Liang Sunyuan Reply:
Hello, Mrs. Jiang. The loss of a loved one can be a significant source of stress for both adults and children. Most people experience a period of emotional low following such a loss, but with time, they gradually recover. Adolescents may be reluctant to attend school for various ...[Read More] Signs Your Teen May Need Mental Health Support After a Loss