Managing Long-Term Depression: Medication Adjustments and Safety Concerns
Feeling down? I have been suffering from depression for over ten years and have been managing it with medication. However, a couple of years ago, I saw a news report on television stating that Ativan could cause cancer, which triggered a relapse in my condition. Previously, my do...
Dr. Lin Niqi Reply:
The inquiry did not clearly explain the past medication history (including whether other medications were used simultaneously with antidepressants and sedatives), your physiological condition at that time, and what the side effects of the mentioned medications were. The dosage of...[Read More] Managing Long-Term Depression: Medication Adjustments and Safety Concerns
Should We Take Dad to a Mental Health Specialist?
Should I take them to see a psychiatrist? Hello, my father is in his sixties. In the past year or two, my mother has made some new friends and has been going out on weekends. Occasionally, she invites my father to join her, but after a few outings together, he suddenly became ver...
Dr. Qiu Junda Reply:
Hello: Dad's emotional reactions seem to be related to his interactions with Mom and others. Whether it has reached a level of illness still needs to be assessed. If Dad is willing to visit a mental health specialist, that would be best (you can tell him it's for consul...[Read More] Should We Take Dad to a Mental Health Specialist?
Understanding Intrusive Thoughts: Seeking Help for Mental Health Concerns
Mental health issues Hello, I have been experiencing frequent thoughts of cursing and harming my family. I have tried many methods to distract myself, but nothing seems to work. I am very afraid that these thoughts might eventually lead to actions. Do I have a mental health issue...
Dr. Qiu Junda Reply:
Hello: Due to the limited information provided, it is difficult to assess the situation. However, it is not uncommon for individuals to experience some negative thoughts. If attempts to redirect these thoughts are unsuccessful and they cause physical and mental distress, it would...[Read More] Understanding Intrusive Thoughts: Seeking Help for Mental Health Concerns
Understanding Emotional Challenges and Self-Harm in Young Children
Children's Emotional and Self-Harm Issues Hello, due to my desire to return to work, I asked my mother to come up north to help take care of my youngest daughter starting from when she was 1 year old. Initially, to help my daughter get familiar with her grandmother, my mothe...
Dr. Song Chengxian Reply:
Dear hardworking mother, First of all, I apologize for the delayed response as I have been out of the country on vacation. Your letter conveys a lot of information, and I would like to summarize the key points: 1. Your parenting philosophy differs significantly from your moth...[Read More] Understanding Emotional Challenges and Self-Harm in Young Children
Obsessive Thoughts or Delusions? Understanding Your Mental Health
Obsessive-Compulsive Disorder (OCD) or Delusions? Hello, doctor. I don't know when it started, but after reading about delusional disorders and hearing others talk about many symptoms of schizophrenia, I've been feeling strange. For example, I found information about de...
Dr. Qiu Junda Reply:
Hello: The discussion of symptoms can be quite complex and requires some time to clarify. Here, I will briefly mention that delusions refer to false beliefs that are firmly held despite evidence to the contrary. Your doubts and counterarguments may not reach the level of delusion...[Read More] Obsessive Thoughts or Delusions? Understanding Your Mental Health
Understanding Your Symptoms: Depression or Bipolar Disorder?
I am not sure if I have depression or bipolar disorder? In recent years, my temper has been getting worse. Whenever I encounter something upsetting, I feel like yelling at people or even wanting to harm them (though I have never acted on it). I've noticed that I sometimes ge...
Dr. Qiu Junda Reply:
Hello: It seems that you are indeed troubled by some emotional issues. I wonder if you have been experiencing long-term stress over the years. Since you have previously sought treatment for irritable bowel syndrome, I encourage you to also address your emotional concerns by visit...[Read More] Understanding Your Symptoms: Depression or Bipolar Disorder?
Understanding Sleep Disorders: Why Am I Sleeping Too Much or Not Enough?
What should I do? I have trouble falling asleep at night and often end up sleeping only when it’s almost dawn. Otherwise, I can sleep for more than 12 hours, sometimes even up to 20 hours. During class, I am always dozing off. Is there something wrong with me?
Dr. Wang Yixiang Reply:
Hello, based on your description, it seems that your sleep rhythm may be affected, possibly due to a delayed sleep phase (habitually sleeping late and waking up late). It is also important to rule out other issues such as hypersomnia. The best approach is to visit a hospital for ...[Read More] Understanding Sleep Disorders: Why Am I Sleeping Too Much or Not Enough?
Rediscovering Myself: A Journey Through Trauma and Mental Health
I feel like I've completely become a different person? I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional or a trusted person in your life.
Dr. Su Zongwei Reply:
Thank you for your hard work. Please seek a nearby psychiatric outpatient clinic for consultation, where the physician can understand your situation and provide appropriate assistance.[Read More] Rediscovering Myself: A Journey Through Trauma and Mental Health
Is This Anxiety? Understanding OCD Symptoms and Their Impact
Is this anxiety disorder? Hello, Doctor. I have been experiencing symptoms of obsessive-compulsive disorder (OCD) for over a decade, but recently, when interacting with others or joking around, I constantly feel uneasy. I worry about whether something is inappropriate or if the j...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort. The depiction of obsessive-compulsive disorder (OCD) has appeared in classic literature, such as in Shakespeare's "Macbeth," where Lady Macbeth...[Read More] Is This Anxiety? Understanding OCD Symptoms and Their Impact
Understanding Impulse Control Issues in Mental Health: A Family's Journey
Mother is unable to control herself? Hello Dr. Song, I left a message for you on March 29th this year. My mother, whose last name is Hu, has her next appointment on June 27th. Previously, we discussed her stealing money to gamble and lying. There has been some improvement since s...
Dr. Song Chengxian Reply:
Hello, concerned friend of your mother: Based on your description, it is currently difficult to determine whether this behavior is part of a medical condition or if there are other reasons causing your mother to be unable to let go. You or your father are welcome to accompany you...[Read More] Understanding Impulse Control Issues in Mental Health: A Family's Journey
Managing Emotional Turmoil: A High School Student's Struggle
I want to quickly resolve this issue? I am currently a sophomore in high school. The pace at school is very fast, and the workload is heavy, but I can generally manage it. Occasionally, I feel like I'm not doing anything right, but those thoughts don't last long. What b...
Dr. Dai Wanxiang Reply:
Hello, based on your description, it seems that due to the stress in your life lately, your emotional distress is becoming increasingly severe and difficult for you to control. Since it is already affecting your daily life, it is likely that you are experiencing adjustment disord...[Read More] Managing Emotional Turmoil: A High School Student's Struggle
Finding Inner Peace as a School Counselor: Navigating Emotional Challenges
Desire for inner peace? As a school counselor, I often feel a sense of guilt when I encounter children from extremely complicated family backgrounds. At times, I experience feelings of hopelessness, especially when faced with unmotivated and pessimistic parents, leading me to que...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, The current social environment often places high expectations on those who work diligently, leading to increased stress that can activate the sympathetic nervous system. Since the sympathetic nervous system affects most organs in the body, any feelings of anxiety...[Read More] Finding Inner Peace as a School Counselor: Navigating Emotional Challenges
Overcoming Anxiety and Shyness in New Environments: A Mental Health Perspective
Excessive shyness and anxiety in unfamiliar environments? I often feel anxious when facing strangers or new environments, and I am very concerned about others' opinions. When guests come to my home, I tend to shyly retreat to my room. During my college years, I dreaded the s...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, The issue you mentioned seems, on the surface, to be a lack of self-confidence. However, living in this world often brings about a persistent pressure that echoes a voice deep within, saying, "Not enough, not enough; you haven't done enough." I hop...[Read More] Overcoming Anxiety and Shyness in New Environments: A Mental Health Perspective
Understanding Panic Disorder: Overcoming Fear and Anxiety
Uncertain if you are ill? Two years ago, something frightening happened to me. "After that incident, I was afraid to work and go out." I spent several months at home, even waiting for my boyfriend to bring food when I was hungry. I knew that if I continued like this, I ...
Dr. Zhang Gengjia Reply:
These symptoms can significantly impact your daily life. In recent years, the prevalence of anxiety disorders has been on the rise, leading to an increasing number of patients seeking professional medical or pharmacological treatment. There is no need for you to worry. In fact, a...[Read More] Understanding Panic Disorder: Overcoming Fear and Anxiety
Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Mood disorders (with cases of suicide) Cai Congyu is a 16-year-old student currently on a temporary leave from the second semester of high school (Taipei Private Yuda Commercial and Vocational School). He has interests in playing the piano and board games. Since childhood, he has...
Dr. Song Chengxian Reply:
Dear Mr. Jiang, The current situation of the case is concerning. Dangerous items at home should be carefully secured, and the guardian should promptly take the case to a psychiatrist or mental health specialist for evaluation. If the case is resistant to visiting a hospital or s...[Read More] Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Fears of Schizophrenia: Understanding Anxiety and Delusions
Fear of developing schizophrenia? Hello doctor, I previously heard someone online say that they had schizophrenia and believed they were possessed, as well as having apocalyptic thoughts. After hearing them talk, I've recently been thinking a lot about whether I am also poss...
Dr. Zhang Zhehong Reply:
Hello: Among anxiety disorders, there is a condition known as illness anxiety disorder, which involves exaggerating physical and mental symptoms and excessively worrying about having a disease. It may also be a secondary condition related to depression or generalized anxiety diso...[Read More] Fears of Schizophrenia: Understanding Anxiety and Delusions
Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help
Issues in 4-Year-Old Children Hello, doctor! I have a four-year-old grandson who is in kindergarten. Recently, he has been biting his nails, throwing tantrums and breaking things, and he can't sit still during activities and runs around. I'm wondering if I should take h...
Dr. Song Chengxian Reply:
Hello, regarding your grandson's condition, it is important to determine whether it is an adaptation issue, a temperament issue, or if there are other emotional or behavioral problems. I recommend taking your grandson to a pediatric psychologist or child psychiatrist for a c...[Read More] Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help
Do I Need to See a Doctor for My Anxiety and Social Fears?
Do I need to see a doctor for this? Hello, Doctor: 1. When I get nervous, my hands shake and I tend to speak until my face turns red, but this doesn't happen around people I'm familiar with. As a result, others often misunderstand that I have a crush on someone, but I...
Dr. Qiu Junda Reply:
Hello: The symptoms you described, although not many, suggest that you may have a more anxious and sensitive personality. Whether this reaches the level of social anxiety disorder or what is referred to as neurasthenia requires further evaluation. If the symptoms are severe, medi...[Read More] Do I Need to See a Doctor for My Anxiety and Social Fears?
Managing Emotional Turmoil: When to Seek Help for Mental Health
Irritability and inability to control emotions? Two years ago, when I was alone, I often had intrusive thoughts and would frequently engage in self-harming behaviors. However, I haven't done that in a long time. Recently, due to some circumstances, I've been feeling a l...
Dr. Liu Runqian Reply:
Based on your description, symptoms resembling depression include low mood, loss of interest, weight loss or gain, hypersomnia or insomnia, psychomotor retardation, easy fatigue or loss of energy, feelings of worthlessness or excessive guilt, difficulty concentrating or indecisiv...[Read More] Managing Emotional Turmoil: When to Seek Help for Mental Health
Understanding Compulsive Sexual Behavior: A Mental Health Perspective
Peeping at someone while they are bathing, sexual fantasies, and publicly masturbating in an alley? Hello Doctor, I have been troubled by a problem for many years and I don’t know what to do! I have been living with my boyfriend for ten years. In the second year of our relation...
Dr. Ding Shuyan Reply:
Hello, having an excessively strong libido may simply be a matter of personal disposition; however, it is often influenced by other mental health conditions that affect judgment and impulse control, leading to more direct expressions of sexual desire. The content mentions that du...[Read More] Understanding Compulsive Sexual Behavior: A Mental Health Perspective