Understanding Emotional Instability: Coping with Family Conflict and Trauma
Emotional instability? Hello, doctor. I am reaching out because I have experienced this situation many times. I have a younger brother in fifth grade, but he does not have these issues. My parents often argue, and it has become increasingly severe since I was in elementary school...
Dr. Qiu Junda Reply:
Hello. The described situation of unstable emotional control is a response to external stimuli (such as the father's behavior). While it may be somewhat intense, it can also be considered a form of emotional release. If you feel troubled by this reaction, you may seek evalua...[Read More] Understanding Emotional Instability: Coping with Family Conflict and Trauma
Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Students are hesitant about whether to visit a clinic for medical care. Can they really recover without seeing a doctor? I previously visited a mental health specialist with my mother twice. After the first visit, I was diagnosed with anxiety disorder and prescribed medication, b...
Dr. Lin Mianzhang Reply:
Hello, classmate: Your anxiety, panic, depression, and insomnia have severely impacted your daily life and have caused you significant stress about attending school. This situation requires professional help. Through consultations with a physician, psychological counseling, and m...[Read More] Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...
Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...[Read More] Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Struggling with Dark Thoughts: Seeking Help for Violent Impulses
I have wanted to kill someone since I was young, and I have been involuntarily hospitalized several times? I'm 13 years old and have been hospitalized several times. After that, due to my responsibility for paying for my tuition and living expenses without support from my fa...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to issues with impulse control and stress. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for ...[Read More] Struggling with Dark Thoughts: Seeking Help for Violent Impulses
Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Anxiety causes insomnia? Hello Dr. Wu, I have a personal constitution that makes me prone to anxiety and overthinking. During my consultation, the doctor diagnosed me with autonomic nervous system dysfunction, which causes discomfort whenever I experience anxiety or life stress. ...
Dr. Wu Enliang Reply:
1. The doctor said that Xin Jie can be taken once daily and can be taken for a lifetime. Will this cause a burden on the body? A: No. 2. I have been feeling good mentally and physically and have stopped taking medication for half a month, but I suddenly have insomnia again. Can ...[Read More] Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Understanding Social Anxiety: When to Seek Help for Your Symptoms
Social Anxiety Disorder I can engage in normal conversations, but I struggle to actively integrate into groups and feel resistant to participating in social activities. Descriptions of social anxiety found online, such as negative thoughts about myself and fear of making mistakes...
Dr. Qiu Junda Reply:
Hello. You can seek consultation in the Department of Psychiatry and Behavioral Science. With appropriate treatment, improvement is possible.[Read More] Understanding Social Anxiety: When to Seek Help for Your Symptoms
Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances
Is it a visual hallucination or an illusion? Hello Doctor, I am a patient with health anxiety. I started medication in April of last year because I was experiencing persistent dizziness and was afraid it was a brain tumor. However, after a CT scan, the results were normal. Later ...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing distress due to your concerns about anxiety disorder (hypochondriasis). 1. Facing an uncertain future, anxiety disorder (hypochondriasis) is a common condition in modern society. It is a chronic illness that requires long-...[Read More] Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances
Can I Switch from A Hospital to B Hospital for Mental Health Care?
Transfer issues Hello doctor, is it possible to switch to a closer hospital, Hospital B, for my medication (one month) during my treatment at Hospital A? (Hospital B is my first visit, and the reason for the switch is that I have graduated from the school near Hospital A and want...
Dr. Qiu Junda Reply:
Hello. Yes, this makes it convenient for the consultation.[Read More] Can I Switch from A Hospital to B Hospital for Mental Health Care?
Overcoming Health Anxiety: Coping with Hypochondria and Self-Doubt
I have always suspected that I have a disease? Hello, doctor. I think I might have a tendency towards hypochondria. Previously, I experienced muscle twitching all over my body and felt weakness in my legs, which led me to suspect that I might be developing amyotrophic lateral scl...
Dr. Qiu Junda Reply:
Hello. The described situation mostly falls under the category of anxiety symptoms and has caused physical and mental distress. It is recommended to seek consultation at a psychosomatic medicine clinic. With proper treatment, improvement should be seen relatively quickly.[Read More] Overcoming Health Anxiety: Coping with Hypochondria and Self-Doubt
Understanding Light Sensitivity and Mental Health: Solutions and Insights
Strangely bright? After being discharged from a psychiatric hospitalization, my friend experiences anxiety and fear whenever they see any light. Everything appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel tense and uneasy. Howev...
Dr. Wu Enliang Reply:
A netizen previously hospitalized for mental health issues experiences anxiety and fear whenever exposed to any light after discharge. Everything they see appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel anxious and fearful. How...[Read More] Understanding Light Sensitivity and Mental Health: Solutions and Insights
Understanding Anxiety Symptoms During Travel: A Teen's Experience
Feeling short of breath while riding in a vehicle and needing to use the restroom? Hello Doctor, I am in the first year of junior high school. Every time I go out with my family or participate in school outdoor activities, I have to take transportation. However, as soon as I get ...
Dr. Qiu Junda Reply:
Hello. It seems that getting into the car triggers anxiety symptoms for you. Trying a few deep and slow breaths may help a bit. If that doesn't work well, you might consider asking a family member to take you for a consultation and evaluation at a pediatric mental health cli...[Read More] Understanding Anxiety Symptoms During Travel: A Teen's Experience
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder, negative thoughts? Hello Dr. Chiu, I suspect that I might have bipolar disorder or intermittent explosive disorder. I have been experiencing the following symptoms for over three years. I have always wanted to seek a professional evaluation, but being a minor an...
Dr. Qiu Junda Reply:
Hello. You can first seek assistance from your school teacher or use the 1925 mental health hotline for online counseling. You may also ask a family member to take you to a pediatric mental health clinic for a consultation (not for treatment) to help address your concerns.[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Mental tension Hello, I apologize for the interruption. I would like to ask about issues related to mental tension in specific situations. I tend to feel fatigued and anxious in crowded places, and sometimes I even experience anger, muscle tension, and involuntary irritation, whi...
Dr. Qiu Junda Reply:
Hello. Your concerns mostly relate to anxiety responses. It seems to be an anxious reaction to stress (such as crowded places). I recommend gathering some educational articles on stress management. You can learn various techniques from them (such as muscle relaxation training, et...[Read More] Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...
Dr. Yan Congyou Reply:
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Understanding Abnormal Learning and Living States in Adolescents
Abnormal learning and living conditions? Hello Doctor: I am a high school freshman, and since the start of school in September, I have frequently noticed some abnormal conditions that I didn't experience in middle or elementary school. 1. I have difficulty concentrating; I o...
Dr. Wu Enliang Reply:
It is advisable for netizens to first discuss with the school counselor to hear professional advice. If the counselor also believes that medical intervention is necessary, one can visit a child and adolescent psychiatrist for consultation. Dr. Wu Enliang.[Read More] Understanding Abnormal Learning and Living States in Adolescents
Medication Consultation for Psychiatric Concerns: Dosage and Side Effects
Medication consultation Dear Dr. Wu, I have the following questions: Q1. My mother is currently taking Alpraline (Alprazolam), with a fixed dose of 0.5 mg before bedtime. Could you please advise on the maximum number of tablets she can take in a day? Additionally, what are the ...
Dr. Wu Enliang Reply:
Q1. My mother is currently taking Alpraline, one tablet (0.5mg) before bed. Dr. Wu, what is the maximum number of tablets of Alpraline that can be taken in a day? Also, will taking too much cause side effects? A: It is recommended not to take too many; usually, just one tablet ...[Read More] Medication Consultation for Psychiatric Concerns: Dosage and Side Effects
Understanding Sleep Sensitivity: Tips for Overcoming Sleep Disturbances
Difficulty falling asleep Hello, doctor. I am very sensitive to sleep, and whenever I try to fall asleep, even the slightest noise can startle me awake. In recent months, as I attempt to sleep, my brain feels like it's being shocked or experiences involuntary jerks, causing ...
Dr. Qiu Junda Reply:
Hello. 1. The tendency to experience neck and shoulder tightness may be related to muscle tension or poor posture. It is advisable to set a reminder on your phone (e.g., every 30 minutes) to relax your shoulders and neck. This should help improve the situation. 2. Sleep issues ha...[Read More] Understanding Sleep Sensitivity: Tips for Overcoming Sleep Disturbances
Are You Overthinking? Understanding High Sensitivity and Anxiety
Are you worried too much or overthinking? Is it just high sensitivity? Hello, recently I experienced a lot of academic pressure which led to an emotional outburst. It affected my physical condition, and since it was my first time encountering such a situation, I became easily wor...
Dr. Lin Mianzhang Reply:
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability. To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that low...[Read More] Are You Overthinking? Understanding High Sensitivity and Anxiety
Can You Take Sleep Medications and B12 Together? Expert Advice
Is it necessary to stagger the timing of taking sleep medications and vitamin B12? Hello, doctor. My mother is getting older and has been experiencing poor sleep quality in recent years. During a recent consultation, the doctor prescribed Uledin, which is a sleeping medication. S...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Can You Take Sleep Medications and B12 Together? Expert Advice
Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Emotional issues Hello, doctor. Recently, I've been experiencing sudden mood swings where I start hitting my own head and slapping my face, even though there's nothing specific making me unhappy. When others see this, they just laugh, which makes me feel even worse. I w...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have appeared suddenly, it is important to consider whether they are related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) defines...[Read More] Understanding Sudden Mood Swings and Self-Harm: When to Seek Help