Understanding Chronic Fatigue: Beyond Anxiety and Sleep Disorders
Fatigue, fatigue, fatigue? Hello, doctor. The patient experiences chronic fatigue and has mild sleep apnea. They do not suffer from insomnia and have a good appetite, but they still feel unrefreshed after sleep. Their anxiety levels are low. Upon reviewing medical information, ca...
Dr. Liang Sunyuan Reply:
Hello: It is recommended to first address the treatment for sleep apnea and observe if there are improvements in other symptoms. If symptoms do not improve, it is indeed possible to experience loss of interest, emotional numbness, inability to feel joy, as well as decreased energ...[Read More] Understanding Chronic Fatigue: Beyond Anxiety and Sleep Disorders
Finding Dignity in Mental Health: A Journey of Acceptance and Struggle
Dignity of Survival Hello Dr. Wu: Since childhood, I have been humiliated by my mother in various ways. Now that I am older, I only have the thought of living happily, but others do not understand me. It feels like I am constantly being held underwater; living seems more painful ...
Dr. Wu Enliang Reply:
Hello, Miss: Your question is quite serious, and I recommend discussing it with your outpatient physician who understands your situation. In fact, I suggest you come back for a consultation with me. Dr. Wu Enliang[Read More] Finding Dignity in Mental Health: A Journey of Acceptance and Struggle
Understanding Mental Health: A Teen's Struggle with Anxiety and Gaming
I think I am sick? Hello doctor, I am a third-year junior high school student. I often feel unwell and want to go home or don’t want to go to school; I just want to sleep and rest. However, every time I’m at home, I only think about playing video games. Every morning before class...
Dr. Song Chengxian Reply:
Hello, junior high school student. Your analysis of the psychological motivations behind your refusal to attend school and your obsession with video games is quite insightful. However, you mentioned that you do not want to bring up the issue of seeking medical help because you do...[Read More] Understanding Mental Health: A Teen's Struggle with Anxiety and Gaming
Understanding Social Anxiety Disorder: Signs, Symptoms, and Solutions
Social Anxiety Disorder Hello Doctor: I seem to have been afraid of social interactions since childhood. I hesitate to talk to strangers and even struggle to place an order with store clerks. Any situation that requires me to engage in conversation makes me feel anxious. In eleme...
Dr. Su Zongwei Reply:
Q1: It's possible. A medical consultation is necessary to confirm. Q2: If it is true, medical attention is definitely required.[Read More] Understanding Social Anxiety Disorder: Signs, Symptoms, and Solutions
Coping with a Loved One's Alcohol Addiction: A Guide for Family Members
Dealing with individuals who have alcohol addiction? He is my closest family member, and at home, it's just me and this elder. Every time I remind him, he really dislikes me telling him not to drink alcohol. However, I am very afraid that he will revert to his old ways. I am...
Dr. Ding Shuyan Reply:
Hello, in such situations, my experience suggests finding a way to encourage him to see a doctor, allowing the doctor to address the issue. When persuading him to visit a doctor, it is crucial not to mention alcohol cessation. Instead, look for any problems he may have related to...[Read More] Coping with a Loved One's Alcohol Addiction: A Guide for Family Members
Understanding Asperger's vs. Autism: A Personal Journey to Self-Discovery
Asperger's syndrome or autism? Since childhood, relatives have said that I have autism, and during college, friends suggested that I might have Asperger's syndrome. However, I have never been diagnosed by a doctor. I want to know if I really have these conditions and wh...
Dr. Ding Shuyan Reply:
Hello, online consultations are not suitable for diagnosing patients without a personal examination by a doctor, so we can only discuss some general medical knowledge related to your issues. Regarding your situation, I cannot determine what the problem is, but I can assure you th...[Read More] Understanding Asperger's vs. Autism: A Personal Journey to Self-Discovery
Supporting Family Members with Depression and Bipolar Disorder
Family issues related to depression and bipolar disorder? Hello Dr. Dai, last year my wife committed suicide. I believe she had issues with emotional instability and mental health. After that, I asked you (through the Linkou Health Center) to see her at Linkou Hospital, but she w...
Dr. Dai Wanxiang Reply:
Hello Mr. Jan: Regarding your wife's emotional distress and her reluctance to seek medical treatment, current laws emphasize human rights. According to the Mental Health Act, two criteria must be met for involuntary hospitalization: (1) Severe patients: individuals exhibitin...[Read More] Supporting Family Members with Depression and Bipolar Disorder
How to Encourage a Family Member with Panic Disorder to Seek Help?
If a family member has panic disorder and is unwilling to seek medical attention, can a family member make an appointment on their behalf? My mother has had an autoimmune disease for many years. This year, after reducing her steroid medication, she began experiencing dizziness an...
Dr. Ding Shuyan Reply:
Hello, you can encourage her by saying that nowadays, many people with insomnia seek help from psychosomatic medicine specialists, just like how surgical procedures work: the more surgeries a doctor performs, the more skilled they become, leading to higher success rates and lower...[Read More] How to Encourage a Family Member with Panic Disorder to Seek Help?
Understanding Social Anxiety Disorder: Symptoms, Diagnosis, and Treatment Options
Social Anxiety Disorder Since around the second year of middle school, I have gradually felt a sense of inexplicable anxiety in social situations, wanting to hide away, feeling as if someone is always watching me, or constantly thinking that others are criticizing me. This feelin...
Dr. Ding Shuyan Reply:
Hello, first of all, I want to mention that without seeing you in person and without interactive consultation, it is not appropriate to definitively say whether you have social anxiety disorder. This online platform has good intentions, but it has its limitations and cannot repla...[Read More] Understanding Social Anxiety Disorder: Symptoms, Diagnosis, and Treatment Options
Understanding Unusual Behaviors: Is It OCD or Something Else?
What exactly is this disease? My boyfriend's family has a mother who talks to herself. I've observed her in the kitchen, where she mutters and curses at the walls and laughs at the air, which I find quite frightening. Today, I heard her cursing, and she said, "You ...
Dr. Xiao Minghong Reply:
Hello Ms. Chen, Based on the behaviors exhibited by your boyfriend's mother, she seems to display signs of soliloquy, rigidity, and inflexibility, as well as an early retirement and possibly inadequate ability to perform household tasks. These behaviors differ from typical ...[Read More] Understanding Unusual Behaviors: Is It OCD or Something Else?
Managing Anxiety and Emotional Stress During Exam Preparation
Anxiety and the urge to cry? I am currently a senior in high school, preparing for the university entrance exam, but I have been feeling very anxious and distressed lately. I often find myself crying while studying at home, and I feel like I might have some sleep disturbances. I ...
Dr. Qiu Junda Reply:
Hello: It seems that your message may be related to the stress response associated with preparing for the academic proficiency test. I understand that you have high self-expectations, but I hope that this pressure does not lead to the development of psychosomatic symptoms. The se...[Read More] Managing Anxiety and Emotional Stress During Exam Preparation
Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support
What are the consequences of patients with schizophrenia discontinuing their medication? How should one respond to the auditory hallucinations and delusions experienced by a loved one with schizophrenia? Hello Director Ding. Thank you for taking the time to answer my questions am...
Dr. Ding Shuyan Reply:
Hello, as you mentioned in your letter, discussing the reality of hallucinations or delusions with individuals experiencing mental illness often presents a dilemma between providing a sense of reality and fostering distrust in relationships. Although family members are the ones w...[Read More] Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support
Am I Depressed? Understanding Emotional Turmoil and Childhood Trauma
Do I have depression? I'm sorry to hear that you're feeling this way. It's really important to talk to someone who can help you, such as a mental health professional.
Dr. Wang Chongren Reply:
The sudden outbursts you described in your letter may require further evaluation to understand their underlying causes. Generally, it is important to identify both remote and immediate factors, as well as the extent to which they affect your daily life, in order to establish a di...[Read More] Am I Depressed? Understanding Emotional Turmoil and Childhood Trauma
Understanding Psychiatric Consultation Time Limits and Cost-Effective Options
Conversation time The National Health Insurance regulations state that if the consultation time between the physician and the patient exceeds a certain limit, the patient must pay out of pocket. If the consultation time is limited to 15 minutes, how can we adjust the content of y...
Dr. Ding Shuyan Reply:
Hello, the National Health Insurance does not specify a limit on the duration of consultations during outpatient visits that would require out-of-pocket payment. Engaging in discussions on online platforms cannot replace an in-person medical consultation. This has been discussed ...[Read More] Understanding Psychiatric Consultation Time Limits and Cost-Effective Options
Understanding Automatic Negative Associations in Mental Health
Automatic association in the brain Hello: I can't remember when it started (or if it has always been this way), but it seems like my brain has an automatic mechanism that easily associates certain things with negative or even violent scenarios. For example, when I see boilin...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on your description, it seems that this situation has been ongoing for some time. Although we cannot draw any definitive conclusions at this moment, since you mentioned experiencing discomfort several times a day, I recommend that you take the opportunity t...[Read More] Understanding Automatic Negative Associations in Mental Health
Follow-Up on Psychiatric Inquiry: Awaiting Response from Dr. Ding
Inquiry about the status of the letter? Dear Doctor, Last month, I sent you a letter and requested Dr. Ding to reply to my email. May I ask about the status? Has there been no response? I have not received a reply from Dr. Ding in my email.
Dr. Ding Shuyan Reply:
Hello, I haven't received anything! Alternatively, you can ask your questions here anonymously. Additionally, this is a public platform where everyone can see the information, which contributes to the growth of knowledge and serves as a social good. In private messages, phys...[Read More] Follow-Up on Psychiatric Inquiry: Awaiting Response from Dr. Ding
Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Potential stress Hello, doctor. I have been diagnosed with severe sleep apnea and am currently waiting for surgical treatment. I often feel fatigued and mentally drained, which affects my work and social life. As a result, I face many misunderstandings, with people frequently sug...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on your description, I believe the most important step is to effectively treat your sleep-disordered breathing, which should significantly benefit both your physical and mental health. I recommend reassessing your condition three months after the surgery. ...[Read More] Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Understanding Why Honest People Are More Likely to Be Bullied
Will be bullied? During the consultation, the doctor asked if I had been bullied in the past, and then he said I was too honest. Could you explain why doctors might be bullied? I only know that my parents say I am an honest person, which makes me easy to deceive. Please provide a...
Dr. Ding Shuyan Reply:
Hello, if you are being bullied, you should bravely seek help and not hide in the shadows, crying and blaming yourself. Those who bully others may do so out of a misguided sense of humor or may genuinely harbor malice. In any case, someone needs to tell them that we do not apprec...[Read More] Understanding Why Honest People Are More Likely to Be Bullied
Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
There are some questions? Hello, doctor. During high school, I always felt the urge to go to the bathroom whenever there was an assembly. At that time, the strict environment at school made me feel like I was just there to avoid punishment. In college, I reached a breaking point ...
Dr. Ding Shuyan Reply:
Hello, based on your concerns, I cannot conclude whether your discomfort is due to excessive stress. Since you are still young, theoretically, there shouldn't be any major issues with your health, and you have already consulted a psychiatrist. My response may be that autonom...[Read More] Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
Overcoming Butterfly Phobia: Understanding Cognitive Behavioral Therapy
Fear of butterflies - Cognitive Behavioral Therapy Hello, doctor. I have had an inexplicable fear of butterflies since elementary school, which is an intense fear that comes from within. Whenever a butterfly gets close, I instinctively jump back and my heart races. There have bee...
Dr. Huang Weiqin Reply:
User question: Hello! Your issue seems to be a phobia of butterflies, while others may have fears of spiders, snakes, blood, heights, and various other objects. The exact causes of these phobias are generally unknown, but they may be related to past negative or traumatic experien...[Read More] Overcoming Butterfly Phobia: Understanding Cognitive Behavioral Therapy