Managing Sundown Syndrome and Dementia in Stroke Patients
Restlessness The grandmother is 77 years old and had a stroke affecting her right side three years ago. After recovery, she did not experience mobility issues or other complications, although her right side functions a bit slower. She has diabetes (insulin-dependent) and hyperten...
Dr. Su Zongwei Reply:
This is indeed dementia. It cannot be treated solely with sleep medications; please seek treatment from a psychiatrist to improve the symptoms.[Read More] Managing Sundown Syndrome and Dementia in Stroke Patients
Understanding Sudden Loss of Focus: Mental Health Insights
Recently, I've been experiencing frequent moments of distraction and a loss of focus? Hello, Doctor! Since I was young, I have been someone who tends to overthink. Recently, I have become aware that many of my issues stem from my focus, which often leads to feelings of being...
Dr. Liang Sunyuan Reply:
Hello Catherine: People who tend to overthink may be easily distracted, but on the bright side, they are often more creative. Occasionally daydreaming or having interrupted thoughts can be normal, as long as one can quickly regain focus. However, if the frequency of these occurre...[Read More] Understanding Sudden Loss of Focus: Mental Health Insights
Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety
Time Anxiety Disorder Dear Dr. Ding, Thank you for patiently answering my questions last time. However, I have a few more inquiries: 1. I have difficulty maintaining sleep and often wake up twice during the night, which makes it hard for me to fall back asleep (sleep disturbanc...
Dr. Ding Shuyan Reply:
Hello, the difference between sleep and being awake during the day lies in the level of alertness of the brain. Ideally, before sleeping, the brain's level of arousal should gradually decrease, and it is best to minimize cognitive activities to create an environment conduciv...[Read More] Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety
Struggling with Mental Clarity: Overcoming Emotional Suppression
Unable to think clearly, feeling mentally suppressed? Previously, when I went to work in another place, I felt very suppressed. When I returned to my original living environment, I suddenly realized that I couldn't think clearly; I was constantly overthinking everything, whi...
Dr. Chen Wenke Reply:
Hello: Based on your information, it seems that you are experiencing significant emotional distress, which is affecting your daily life and routines. You may find it difficult to concentrate on various tasks, and you are also experiencing physical discomfort, leading to unhappine...[Read More] Struggling with Mental Clarity: Overcoming Emotional Suppression
Understanding Symptoms of Anxiety: Chest Tightness, Dizziness, and Rapid Heartbeat
Chest tightness, dizziness, and rapid heartbeat? I have been experiencing chest tightness and a rapid heartbeat (around 110 beats per minute) for the past week or two, which makes me feel dizzy and like my brain is lacking oxygen, almost to the point of not being able to breathe....
Dr. Chen Wenke Reply:
Hello, based on your description, I have a few observations for your reference. Your numerous physiological symptoms seem to be causing you significant discomfort and are clearly affecting your emotions, leading to heightened anxiety. Even though initial examinations did not reve...[Read More] Understanding Symptoms of Anxiety: Chest Tightness, Dizziness, and Rapid Heartbeat
Finding Hope: Navigating the Journey Through Depression and Healing
Depressive episode Sometimes I don't understand why I suddenly fall into depression, and I ask myself what I'm living for. I've seen doctors and undergone medication treatment, but the results show that I have to rely on myself to overcome the lows of depression. I...
Dr. Liang Sunyuan Reply:
Hello, You-Zhen: In depression, the brain tends to lean towards pessimism and negativity, but it won't remain that way forever. Leaving a stressful environment can help you feel better; traveling and exercising can also bring you joy. You have the motivation to improve, the ...[Read More] Finding Hope: Navigating the Journey Through Depression and Healing
Understanding Amphetamine Abuse: Managing Anger and Mental Health Concerns
Substance abuse Hello, doctor. Recently, my family discovered that my husband has been using methamphetamine for about 2 to 3 years. He has lost control of his temper and becomes enraged under pressure. We are concerned that he may have sustained brain damage, but he claims he do...
Dr. Zhan Jiaxiang Reply:
Hello, 米粒: For patients who have been using (meth)amphetamine long-term and frequently, withdrawal symptoms are quite common, and the duration of these symptoms may last up to 3 to 4 weeks. Depression, anxiety, and irritability are symptoms that can easily occur during the withdr...[Read More] Understanding Amphetamine Abuse: Managing Anger and Mental Health Concerns
Understanding Dizziness: Is Anxiety the Hidden Cause?
Regarding issues related to dizziness? Hello, doctor. For the past six months, I have been experiencing dizziness and lightheadedness, which become particularly pronounced after meals or when I am tired from lack of sleep. The symptoms are intermittent. I have visited several maj...
Dr. Wu Enliang Reply:
It is indeed possible that anxiety disorders can cause dizziness. Psychological conditions can affect physical health, which is known as psychosomatic disorders. Obsessive-compulsive disorder (OCD) is also a type of anxiety disorder. It is recommended to seek treatment at a nearb...[Read More] Understanding Dizziness: Is Anxiety the Hidden Cause?
Managing Medication and Symptoms in Mental Health: Key Questions Answered
Please consult regarding medication? Hello, doctor. Thank you for your previous response on https://adoctor.tw/article/106772 regarding the heart skipping a beat after every ten beats, which may indicate arrhythmia. The cardiologist said there was nothing to worry about, but I sh...
Dr. Wu Enliang Reply:
Hello, Xiao Bi: 1. Why is it that after experiencing autonomic nervous system dysfunction, I feel more dizzy and have chest tightness when using a computer or smartphone compared to before I got sick? Is it due to factors in the brain? The concept of psychosomatic disorders sugg...[Read More] Managing Medication and Symptoms in Mental Health: Key Questions Answered
Can Relaxation Techniques Mitigate the Effects of Insomnia?
Methods to Combat Insomnia Hello, Doctor: When I experience insomnia, I lie in bed, relax all my muscles, close my eyes, and enter a state of mental blankness, even though I know I’m not asleep and can still hear the sounds of cars outside. This state feels quite comfortable, and...
Dr. Zhong Mingxun Reply:
When experiencing insomnia, lying in bed and allowing the entire body to relax while closing the eyes and clearing the mind can lead to a state of mental emptiness. Although the mind is aware that sleep has not yet occurred and can still hear the sounds of cars outside, this stat...[Read More] Can Relaxation Techniques Mitigate the Effects of Insomnia?
Should You See a Psychiatrist? Understanding Mental Health Concerns
Should I see a psychiatrist? Since childhood, there have been various conflicts at home, sometimes escalating into hysterical arguments with my mother. After each fight, I feel terrified, as if the person who was yelling and throwing things is not really me. Normally, I smile and...
Dr. Zhong Mingxun Reply:
I only experience excessive sweating, rapid heartbeat, dizziness, and nausea when I am in crowded places. This is likely a symptom of anxiety or panic, but it could also be a physiological issue. I recommend that you first visit an internal medicine specialist for an evaluation. ...[Read More] Should You See a Psychiatrist? Understanding Mental Health Concerns
Does Depression Impact Cognitive Decline? Understanding Recovery and Brain Health
Does depression affect brain deterioration afterwards? During my freshman year, I experienced depression for six months. I went to see a doctor and took medication. When I recovered, it was quite miraculous; I woke up one day and realized I was better. I didn't know the reas...
Dr. Liang Sunyuan Reply:
Hello, little one: Depression may improve over time, but sometimes when it is more severe, symptoms can persist for a longer duration. Be patient and don't give up; most cases of depression eventually lead to recovery. The pain you are experiencing is only temporary, and you...[Read More] Does Depression Impact Cognitive Decline? Understanding Recovery and Brain Health
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
Will Bipolar Disorder Treatment Affect Memory of Past Events?
Will individuals forget events that occurred before the onset of bipolar disorder after completing treatment? Hello doctor, I would like to ask about my mother. She has bipolar disorder along with a history of alcohol addiction, and she is currently receiving treatment in the hos...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your message. Addiction disorders are not only a type of brain disease but have also been confirmed as a highly heritable physiological condition, with a genetic coefficient higher than that of Parkinson's disease or asthma. Treatment is the mo...[Read More] Will Bipolar Disorder Treatment Affect Memory of Past Events?
Struggling with Mental Health: Seeking Help for Daily Challenges
Please help me? Hello Dr. Ding, I am Jason. I have reviewed the results of our previous consultations and have kept them in mind, although I sometimes forget! However, last Friday during my outpatient visit, I noticed that other patients had an appointment time of one hour, whi...
Dr. Ding Shuyan Reply:
Hello, I remember that you often stay busy late into the night, which might be why you find it hard to get up in the morning. Have you considered setting a specific time to rest, putting aside your tasks to go to sleep, so that you can wake up to your alarm in the morning? Also, ...[Read More] Struggling with Mental Health: Seeking Help for Daily Challenges
Navigating Trust Issues in Severe Depression Treatment: A Patient's Dilemma
Major Depressive Disorder, Single Episode I am a patient with severe depression, and every time I enter the consultation room, I experience an inexplicable fear. Initially, I was willing to cooperate with the doctor because I wanted to recover. However, when I noticed that the me...
Dr. Liang Sunyuan Reply:
Hello, Xiao Wen: I believe your attending physician has not given up on you, and his explanation regarding the medication is not misleading. The medication you are currently taking does have the effects described, but drugs that act on the brain typically take a bit longer to sho...[Read More] Navigating Trust Issues in Severe Depression Treatment: A Patient's Dilemma
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 Poor Sleep Quality: Impact of Snoring and Sleep Environment
Poor sleep quality? Hello, doctor. My current situation is that I sleep normally and wake up, but I look tired almost every day. I usually go to bed around 11:20 PM and wake up around 6:30 AM. However, I always feel fatigued upon waking, and many people ask if I stayed up late or...
Dr. Li Zhengfeng Reply:
Hello: If you are experiencing poor sleep and there are noticeable environmental factors, such as excessive heat or noise, you should first consider improving your sleep environment. Wishing you restful nights.[Read More] Understanding Poor Sleep Quality: Impact of Snoring and Sleep Environment
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
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