Understanding Uncontrollable Worry: Insights into Anxiety and OCD
Uncontrollable worry, with increasingly bizarre content? Everything started at the end of April when I was waiting for the results of the admissions process at National Taiwan University. During that time, I felt very anxious, and I began to experience unexplained pain in specifi...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, You mentioned experiencing uncontrollable worries, and that your symptoms have been fluctuating recently. Initially, your discomfort was related to waiting for the results of the National Taiwan University admission process, but now you have received good news. I...[Read More] Understanding Uncontrollable Worry: Insights into Anxiety and OCD
Understanding Intrusive Thoughts: Coping with Mental Health Challenges
I have persistent absurd thoughts that I can't seem to shake off and cannot control? Hello Doctor, my husband has been experiencing these issues for a long time, but he only opened up to me about his emotional struggles after we got married. Recently, he had another episode,...
Dr. Lin Niqi Reply:
Hello, you mentioned that your husband's mental condition has significantly affected his daily life, which necessitates medical treatment. As for the cause, diagnosis, and treatment methods, these can only be confirmed through a consultation with the patient. Therefore, plea...[Read More] Understanding Intrusive Thoughts: Coping with Mental Health Challenges
Understanding Memory Loss, Attention Issues, and Dizziness: When to Seek Help
Forgetfulness + lack of concentration + dizziness Hello Doctor: In the past year or two, I've noticed a decline in my memory. For instance, I might think about getting something or doing a task, but after walking a few steps, I forget what I was supposed to do. Sometimes, wh...
Dr. Wang Zhenbang Reply:
Hello: Based on your description and considering your age, there seems to be an anomaly. It is recommended that you visit a nearby hospital and consult with a family medicine physician to evaluate whether there are any physiological conditions causing the issues. Additionally, yo...[Read More] Understanding Memory Loss, Attention Issues, and Dizziness: When to Seek Help
Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Regarding issues related to antidepressant medications? The diagnostic symptoms are F328 and F341. The reason for the consultation is persistent self-harm, which has been ongoing for nearly a month. The patient is currently on a regimen of 0.5 mg of Lurasidone and 10 mg of Desven...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Regarding the use of medication for depression, it typically takes about one to two weeks for the drug concentration in the brain to stabilize and take effect. Therefore, you may want to continue monitoring the adjustment of your medic...[Read More] Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Do I Need Medication for Mild Depression and Self-Harm Issues?
Is medication necessary for mild depression? Hello, I have been engaging in self-harm behaviors since April (using a utility knife to cut my wrists, and later mainly my thighs, which are easier to hide). I have noticed an increase in frequency, so I sought help from a psychiatris...
Dr. Li Zhengfeng Reply:
Hello: According to your letter, there are indeed symptoms of depression. It may be worth considering treatment with antidepressant medication. It is best to be honest with your doctor about your condition during the consultation, so they can understand your situation. Suicidal t...[Read More] Do I Need Medication for Mild Depression and Self-Harm Issues?
Is My Heart Sick? Understanding Anxiety and Workplace Stress
Is my heart sick? Hello, doctor. First of all, thank you very much for reading this article. After graduating last year, I resigned from a job I held for nearly three years. The reason for leaving was that my boss often used sarcastic or belittling language towards employees. Alt...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry and for sharing your concerns. From your description, it is clear that you are experiencing workplace stress and recent changes in your physical and mental health that are causing you worry. However, I believe that your ability to maint...[Read More] Is My Heart Sick? Understanding Anxiety and Workplace Stress
Understanding Sleepwalking: Signs, Symptoms, and Treatment Options
About sleepwalking? Hello Doctor: Recently, my father has been falling out of bed at night because he dreams of walking, falling, or being chased. Could this be a sign of sleepwalking? His body moves in accordance with his dreams. If we want to improve this situation, what should...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on your description, your father's physical movements during dreams are likely indicative of "REM Sleep Behavior Disorder." Typically, individuals who experience this disorder do not remember their actions. Current...[Read More] Understanding Sleepwalking: Signs, Symptoms, and Treatment Options
Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Concern about children's mental health and attention? It seems like I am experiencing some cognitive disturbances, especially when I close my eyes to sleep. I sometimes hear words like "ninja," "eating," or "company," but they don't seem to...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I can sense your discomfort and distress from your message. I strongly recommend that you discuss and evaluate your situation with a psychiatrist as soon as possible. Whether you choose a large hospital or a clinic should not make much...[Read More] Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Understanding Weight Gain and Medication Side Effects in Psychiatry
Adverse drug reactions, pharmacotherapy, psychiatric medications? Dr. Liang: Hello, I apologize for bothering you during your busy schedule. I am a patient with trichotillomania for over a decade. I would like to ask about my recent medication change, which has led to a significa...
Dr. Liang Sunyuan Reply:
Hello Norma: Currently, taking these three medications should not cause weight gain. Weight management is recommended to focus on diet and exercise. If there are issues with the medication, it is advisable to discuss them with your physician during your follow-up visit. If you ne...[Read More] Understanding Weight Gain and Medication Side Effects in Psychiatry
Understanding Personality Changes: Seeking Help Without Fear
Dissociative Identity Disorder. Academic issues. Consultation issues? I have quite a few friends who say that sometimes I seem like different people. I just act according to my feelings, and many people around me have mentioned this, leading them to suspect that I might have diss...
Dr. Song Chengxian Reply:
Hello: 1. Split personality is not a medical diagnosis. The formal diagnoses are Dissociative Identity Disorder or Schizophrenia. These are two completely different conditions. 2. Most online tests are just for fun and are not diagnostic tools. Their reliability is likely compara...[Read More] Understanding Personality Changes: Seeking Help Without Fear
Overcoming Anxiety About the Future: A Journey Through Depression
Feeling anxious about the future? I have been suffering from depression for many years and have been seeing a doctor. Recently, I feel that even with medication, it hasn't helped much; my mood remains low. Perhaps I am putting pressure on myself, feeling that my life is a fa...
Dr. Liu Runqian Reply:
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in the limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessnes...[Read More] Overcoming Anxiety About the Future: A Journey Through Depression
Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide
Fear of physical contact with others and anxiety during medical visits? Hello, Doctor. I have two concerns I would like to consult you about. The first issue is that I have a strong aversion to physical contact with others or being touched by them. For example, in public places, ...
Dr. Ding Shuyan Reply:
Hello, first of all, I want you to know that almost no one is completely free from psychological distress. The fact that we cannot accept, or even reject, certain aspects of our personality or particular habits is often the source of our greater suffering. So, try not to feel str...[Read More] Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide
Understanding Delusional Symptoms in Patients with OCD
Delusional questioning Hello Doctor: First, I would like to thank you for taking the time to read my question amidst your busy schedule. A few days ago, while I was at the hospital for a consultation and waiting to pick up my medication, I experienced a sharp pain in my back, whi...
Dr. Dai Wanxiang Reply:
Hello, Mr. Hsu: Based on your description, it is difficult to determine if it is a delusion. A delusion refers to "a belief or thought that is inconsistent with reality and is held with conviction." The sharp pain in your back, along with the suspicion of being pricked,...[Read More] Understanding Delusional Symptoms in Patients with OCD
Should I Seek Help for My Mental Health Struggles?
Should I seek medical attention for this? Hello, doctor. I have been considering seeking medical help for many years, but due to various factors, I do not want my family to know. I am also not fully capable of making decisions on my own, which has prevented me from going. In rece...
Dr. Liang Sunyuan Reply:
Hello, Xiao Nian: Most psychiatrists are very friendly. If you feel that these symptoms are troubling you, you can seek consultation. We do not require a confirmed diagnosis to see a doctor; if you have concerns, you can register for an appointment for an evaluation. It's si...[Read More] Should I Seek Help for My Mental Health Struggles?
Is It PMS or Depression? Understanding Emotional Distress in Women
Is it premenstrual syndrome or depression? Hello, Dr. Liang. My girlfriend and I are both 25 years old and have been in the workforce for about a year. Over this past year, she has intermittently exhibited symptoms similar to depression, such as sudden, uncontrollable feelings of...
Dr. Liang Sunyuan Reply:
Hello: Typical premenstrual dysphoria begins with mood disturbances about a week before menstruation, with mood improvement occurring once menstruation starts. Depression, on the other hand, is characterized by a persistent state of sadness, where mood remains depressed even afte...[Read More] Is It PMS or Depression? Understanding Emotional Distress in Women
Managing Anxiety and Sleep Issues: Insights on Medication Adjustments
Fuanyuan tablets + issues with anxiety and restlessness? Hello doctor, I have been taking 30 mg of Mirtazapine before bed and 0.25 mg of Clonazepam in the morning and afternoon, along with 10 mg of Propranolol three times a day. For almost a month, I have been experiencing sudden...
Dr. Ding Shuyan Reply:
Hello, you should ask your attending physician about this. I do not recommend asking detailed treatment-related questions to doctors you have never met online. There are many reasons for this, including medical ethics, and there are even concerns about potential legal issues in h...[Read More] Managing Anxiety and Sleep Issues: Insights on Medication Adjustments
Understanding Dream-Like States: Are They Signs of Mental Health Issues?
Sometimes, the mind feels abnormal, as if in a dream yet not quite? In the past, I enjoyed watching horror movies or unsettling content, but now I find it extremely difficult to sleep at night due to intense anxiety, to the point of trembling. I feel paranoid and my mental state ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Regarding your inquiry, I believe we can first differentiate based on the timing of the occurrences. If they happen during sleep, the likelihood of them being dreams is the highest. There is a saying: "What you think about during the day, you dream about at ...[Read More] Understanding Dream-Like States: Are They Signs of Mental Health Issues?
Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders
Unable to control emotions, crying every day? Hello, doctor. I have searched for a lot of information and found this place, and I truly hope a doctor can help me. I appreciate your patience in reading this lengthy message. Due to family pressure, I developed mild bipolar disorder...
Dr. Dai Wanxiang Reply:
Hello Ms. D: Based on your description, you are experiencing numerous psychosomatic symptoms and struggling with life. The emotional distress and self-denial you are facing indicate that, in addition to medication, psychological therapy is also very important. I suggest discussin...[Read More] Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders
Understanding Nighttime Emotional Disturbances: Is It a Mental Health Issue?
My brother exhibited unusual emotional behavior throughout the night while sleeping? My brother is 39 years old this year. Due to work stress and family pressure, he has been in constant conflict with our father, who criticizes him whenever they meet, pointing out various aspects...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it seems that your brother was in a deep sleep during the rapid eye movement (REM) phase, which is typically associated with dreaming. However, you mentioned that this state "lasted continuously...[Read More] Understanding Nighttime Emotional Disturbances: Is It a Mental Health Issue?
Can You Visit a Psychiatrist Alone? Understanding Age and Family Requirements
Consultation issues Is it possible to visit a psychiatric hospital without a family member accompanying you? Does a family member have to be a parent? Is adulthood considered to be 18 or 20 years old?
Dr. Liang Sunyuan Reply:
Hello: The presence of a guardian during medical consultations for minors is a protective measure. I am unable to determine all the circumstances regarding whether there are hospitals where a family member's presence is not required, so I cannot provide an answer. According ...[Read More] Can You Visit a Psychiatrist Alone? Understanding Age and Family Requirements