Compulsive behavior, Psychiatry FAQ

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Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms

Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...


Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...

[Read More] Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms


Overcoming OCD: The Struggles of Compulsive Hand Washing

Obsessive-Compulsive Disorder (OCD) with compulsive handwashing? Hello doctor, my symptoms are that I feel extremely dirty when I come into contact with a male's genital area. If a colleague I dislike is talking to me and their genital area is touching the edge of the table,...


Dr. Lin Mianzhang Reply:
Hello Ace: You are exhibiting symptoms of obsessive-compulsive disorder (OCD), which include obsessive thoughts and compulsive behaviors. These symptoms require psychological therapy or combined pharmacological treatment for improvement. You might want to read a book titled "...

[Read More] Overcoming OCD: The Struggles of Compulsive Hand Washing


Understanding and Managing Intrusive Thoughts in OCD: A Guide

Obsessive-Compulsive Behaviors Hello Doctor: I have obsessive-compulsive behaviors! I'm not sure when it started, but I often have intrusive thoughts in my mind, thinking negative things about people I know and even strangers (like if I don't do certain things, somethin...


Dr. Lin Mianzhang Reply:
Hello: Your situation falls under obsessive thinking, which can indeed be difficult to control with willpower alone. Even if I tell you that your thoughts are irrational, you will still continue to dwell on them. However, this can be improved through medication and psychotherapy....

[Read More] Understanding and Managing Intrusive Thoughts in OCD: A Guide


Managing Medication and Mental Health: Preparing for Pregnancy After Recovery

Medication consultation: After taking Lofepramine and Duloxetine for treatment, it is expected to discontinue medication for pregnancy preparation after recovery? Hello Doctor, I am currently experiencing severe obsessive-compulsive behaviors, anxiety, and depression that I canno...


Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: It seems that you are responding well to the medication, and the tapering process is going smoothly, which is a good start. Here are the responses to your questions: 1) There is a possibility of discontinuing the medication, but it is recommended to continue wit...

[Read More] Managing Medication and Mental Health: Preparing for Pregnancy After Recovery


Understanding OCD: Common Concerns and Treatment Insights for Students

Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...


Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...

[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students


Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey

Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...


Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...

[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey


Understanding OCD: When to Seek Help and Its Persistent Nature

Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...


Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...

[Read More] Understanding OCD: When to Seek Help and Its Persistent Nature


Understanding Intrusive Thoughts: OCD vs. Delusional Disorder

Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...


Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...

[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder


Understanding OCD and Sexual Orientation Anxiety: A Personal Journey

Obsessive-Compulsive Disorder (OCD) and concerns about sexual orientation? Hello doctor, in March of this year, I noticed a strange feeling towards a male colleague while going to my part-time job. After that, I started to question whether I might be homosexual, even though I am ...


Dr. Wu Enliang Reply:
If you continue to experience anxiety that affects your daily life, it is recommended to seek treatment at a mental health facility. Dr. Wu Enliang.

[Read More] Understanding OCD and Sexual Orientation Anxiety: A Personal Journey


Daydreaming and Compulsive Behaviors: When to Seek Help?

Daydreaming all day long? I often find myself pacing back and forth while listening to music through headphones, and I start to imagine various vivid and detailed fantasies. Sometimes, I walk so much that I develop blisters on my feet, and while turning back, I touch the walls of...


Dr. Wu Enliang Reply:
It is highly recommended to seek medical attention from a psychiatrist. Dr. Wu En-Liang.

[Read More] Daydreaming and Compulsive Behaviors: When to Seek Help?


Understanding Intrusive Thoughts: Managing OCD During Recovery

Strange obsessive thinking? Hello Doctor, I am a patient who has been suffering from obsessive-compulsive disorder (OCD) for ten years and have been undergoing medication treatment. When my condition is stable, I experience almost no symptoms and my life is quite normal. Even w...


Dr. Lin Mianzhang Reply:
Hello Ayue: Your concerns about the meaning of words, whether your speech is correct, and even the fear of losing your ability to speak and read are indeed symptoms of obsessive thinking. These obsessive thoughts can become more severe when you interrupt your medication or have i...

[Read More] Understanding Intrusive Thoughts: Managing OCD During Recovery


Understanding Panic Attacks and Anxiety Disorders: When to Seek Help

Anxiety Panic Disorder, Anxiety Disorder Hello, Doctor. A few nights ago, just before going to bed, I suddenly experienced dizziness and nausea, followed by a rapid succession of symptoms: abdominal pain, thirst, tension, palpitations, and chest tightness. I tend to be an anxious...


Dr. Qiu Junda Reply:
Hello. Anxiety or panic are both symptoms of anxiety. The situation you described does indeed reflect a response associated with anxiety disorders. If it persists without recovery or improvement, it is advisable to seek evaluation from a mental health professional to determine wh...

[Read More] Understanding Panic Attacks and Anxiety Disorders: When to Seek Help


Is This Obsessive-Compulsive Behavior? Seeking Help for Compulsive Questions

Is this obsessive-compulsive disorder? Hello Doctor, one day when my dad drove to see me, I waved goodbye to him from outside the car. At that moment, I noticed four people sitting outside a neighbor's house about 50 meters away, chatting and facing us. I thought they must h...


Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Patients with obsessive-compulsive disorder (OCD) often experience recurring thoughts or behaviors that cause significant distress. Treatment primarily involves a combination of medication and individual psychotherapy. It is advisable to d...

[Read More] Is This Obsessive-Compulsive Behavior? Seeking Help for Compulsive Questions


Understanding Bathroom Anxiety: Coping Strategies for Mental Health

Feeling anxious about the sink? Hello Doctor: I am currently seeing a physician, and recently I have realized that my anxiety stems from the bathroom. Whenever I use the bathroom, I feel compelled to scrub the floor. I also have a strong aversion to the sink that has been used to...


Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! You are exhibiting symptoms of obsessive-compulsive disorder (OCD). Medication and psychotherapy can lead to significant improvement. If your physician has already prescribed medication for you, it is advisable to ask them for a referral for p...

[Read More] Understanding Bathroom Anxiety: Coping Strategies for Mental Health


Understanding Compulsive Behaviors: What Could Be Wrong?

What illness do I have? Based on your description, it sounds like you may be experiencing symptoms related to Obsessive-Compulsive Disorder (OCD). The behaviors you mentioned, such as feeling the need to wash your hands multiple times after contact with strangers and cleaning ite...


Dr. Lin Mianzhang Reply:
Hello, Xiaoyu: May I ask what your reasons are for rubbing your body or objects? Do you feel dirty? How do you feel after rubbing? What happens if you don't rub? Additionally, when you talk to yourself and repeatedly insult others, what are you actually saying? Why do you fe...

[Read More] Understanding Compulsive Behaviors: What Could Be Wrong?


Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights

Obsessive-Compulsive Disorder (OCD), Schizophrenia, Emotional Disturbance? Hello, doctor. I have a few questions to ask you: 1. If a patient with obsessive-compulsive disorder (OCD) undergoes exposure and response prevention (ERP) therapy, what kind of results can typically be ...


Dr. Lin Mianzhang Reply:
Hello Tom: 1. The effectiveness of exposure and response prevention therapy is related to the severity of the condition and the frequency of practice. If the symptoms are relatively mild and you consistently practice at home, it is possible to see improvement of more than half ...

[Read More] Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights


Managing OCD and Anxiety: Natural Remedies and Supplements

I'm sorry, but I need specific content to translate. Please provide the text you would like me to translate into English? Hi Dr. Wang: I previously had obsessive-compulsive disorder and stopped my medication for about two months. 1. Recently, I've been experiencing gast...


Dr. Wang Yaoting Reply:
Hello: Obsessive-Compulsive Disorder (OCD) can involve intrusive thoughts and accompanying compulsive behaviors, leading to significant anxiety. It's important not to dismiss pharmacological treatment; serotonin-based medications have been shown to be the most effective in c...

[Read More] Managing OCD and Anxiety: Natural Remedies and Supplements


Managing OCD Symptoms During the Pandemic: Finding Balance in Hygiene

Obsessive-compulsive disorder (OCD) has worsened during the pandemic? Hello, I would like to ask a question about obsessive-compulsive disorder (OCD): I started seeing a doctor for OCD in October 2018, primarily with symptoms of fear of dirt. During this time, the doctor graduall...


Dr. Wang Yaoting Reply:
Hello: Obsessive-Compulsive Disorder (OCD) involves obsessions, which are intrusive thoughts, and compulsions, which are repetitive behaviors. There are many types of obsessive thoughts, and they can lead to significant anxiety. It's important not to dismiss medication; sero...

[Read More] Managing OCD Symptoms During the Pandemic: Finding Balance in Hygiene


Overcoming OCD: Seeking Help for Intrusive Thoughts and Anxiety

How to treat obsessive-compulsive disorder (OCD)? Hello, doctor. I’m not sure how to seek help, so I’m asking here first. I often find that when I think of one word, I immediately associate it with another meaning, usually related to sexuality. It has become so severe that I stru...


Dr. Lin Mianzhang Reply:
Hello, Labrador: It seems that this is indeed a very distressing situation. These symptoms are indicative of compulsive behavior; however, compulsive symptoms do not necessarily mean that it is obsessive-compulsive disorder (OCD). There are many other potential causes. I recommen...

[Read More] Overcoming OCD: Seeking Help for Intrusive Thoughts and Anxiety


Is It Just OCD or Something More Serious? Understanding Mental Health Concerns

Is it pure obsessive-compulsive disorder or another issue? Hello Dr. Lin, I have been diagnosed with obsessive-compulsive disorder (OCD) since I was 17 years old, and it has been several years now. In recent years, I have not experienced much in the way of compulsive behaviors, ...


Dr. Lin Mianzhang Reply:
Hello Mr. Paul: The fact that you are concerned about whether you have schizophrenia actually indicates that you likely do not have it, as individuals with schizophrenia often believe they are normal and do not recognize that they are ill. The worries you have mentioned are more ...

[Read More] Is It Just OCD or Something More Serious? Understanding Mental Health Concerns


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