Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
Could the chest pain radiating to my back and left shoulder blade that has troubled me for many years be caused by autonomic nervous system dysfunction? Hello Doctor: I have been experiencing symptoms such as chest pain, chest tightness, and difficulty breathing for several years...
Dr. Ke Shengying Reply:
Dear Fu Ge, 1. The term "autonomic nervous system" refers to the "sympathetic nervous system" and the "parasympathetic nervous system," with the vagus nerve being part of the parasympathetic nervous system. The autonomic nervous system innervates th...[Read More] Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
How to Encourage a Family Member with Mental Health Issues to Seek Help?
How can I help my family member with a mental health issue seek medical treatment? Dear Dr. Chen, My brother has been exhibiting a series of erratic behaviors in recent years due to significant workplace stress. He feels that he is being conspired against, which led to him losin...
Dr. Chen Wenyu Reply:
Hello, A-mei: Undoubtedly, your brother is currently a "severely ill patient" (at risk of self-harm or harm to others) and urgently needs treatment. The hospital is a medical institution, not a legal one, and psychiatric hospitalization is generally considered a form of...[Read More] How to Encourage a Family Member with Mental Health Issues to Seek Help?
Struggling with Focus: A College Student's Mental Health Journey
What should I do? Hello Doctor, First of all, thank you for taking the time to see me. I am currently a junior in college, and I often experience significant academic pressure. My issue is that I frequently struggle to concentrate. This problem first appeared when I was in the ...
Dr. Ke Shengying Reply:
Dear An, I have read your description, and it seems that your lack of focus has significantly impacted your life, which must be quite distressing. It appears to be a compulsive behavior that may reflect some external pressures or internal conflicts. Based solely on your written ...[Read More] Struggling with Focus: A College Student's Mental Health Journey
How to Support My Girlfriend Facing Emotional Challenges?
How can I help my girlfriend? My girlfriend is unable to fully engage in relationships due to family issues, and she often has pessimistic thoughts about romantic relationships. How can I help her? Are there any suitable medical or psychological counseling institutions in the Tao...
Dr. Sun Xiaoru Reply:
Our hospital's social work department has various resources for mental health services and psychological counseling. You can call for consultation. Our social workers have considerable experience in mental health care, and you can discuss your girlfriend's situation wit...[Read More] How to Support My Girlfriend Facing Emotional Challenges?
Understanding Anxiety and Heart Health: A Patient's Journey
It seems that your message Hello Dr. Tang, I originally planned to visit you at the Chianan Rehabilitation Hospital today, but my family insisted that I go to the National Taiwan University Yunlin Branch for a cardiology check-up. The electrocardiogram (ECG) and X-ray results wer...
Dr. Tang Xinbei Reply:
Dear Hui, Every person who faces a serious illness goes through an emotional process of adjustment and experience regarding the unknowns of life and death. I have described these processes in my response to your first letter. In fact, the family members of the patient are also c...[Read More] Understanding Anxiety and Heart Health: A Patient's Journey
Understanding the Link Between Physical Symptoms and Mental Health in Patients
excuse me? Hello, Doctor. I engaged in oral sex with a sex worker at the end of August 2004 without protection, which resulted in persistent pain in my mouth, throat, and tongue. I subsequently visited an otolaryngology clinic, where the doctor performed an endoscopic examination...
Dr. Tang Xinbei Reply:
Dear KK, It seems that your concerns began after engaging in unprotected oral sex with a sex worker at the end of August last year? The ENT specialist has examined you and found no issues, but you still feel uneasy? It appears that you are feeling regret, shame, and difficulty i...[Read More] Understanding the Link Between Physical Symptoms and Mental Health in Patients
Understanding OCD: Symptoms, Concerns, and Seeking Help
What is obsessive-compulsive disorder (OCD)? Doctor, I have noticed that since around August of this year, I have been feeling very sleepy easily. Before this, I would inexplicably think of strange things in my mind, most of which are images of terrifying scenes from temple festi...
Dr. Song Chengxian Reply:
Based on your description, it is indeed a strange and uncomfortable experience that most people would feel. However, it may not be necessary to undergo a "full-body health checkup" at this stage; you could first seek help from a psychiatrist or a psychosomatic clinic. F...[Read More] Understanding OCD: Symptoms, Concerns, and Seeking Help
Understanding Long-Term Use of Medications and Tourette Syndrome Treatment
My confusion? Hello, Doctor: I am currently taking a medication prescribed by my doctor. The information on the packaging states that this medication can also treat peptic ulcers. I have a concern that if I take this medication long-term, I might not have any medication available...
Dr. Ke Shengying Reply:
Dear ㄅ, Hello! The field of medicine is constantly evolving, and there are many different medications available for the treatment of peptic ulcers, so there is no need to worry. Additionally, maintaining emotional stability can help reduce the occurrence of stress-related ulcers...[Read More] Understanding Long-Term Use of Medications and Tourette Syndrome Treatment
Understanding Uncontrollable Laughter and Crying: Causes and Treatment Options
Involuntary crying and laughing? One of my female friends suddenly burst into laughter in front of everyone in the dormitory today, and then abruptly transitioned into crying (which startled everyone). When we asked her the reason, she said she didn't know why she was crying...
Dr. Chen Wenyu Reply:
Hello evilcold0211: This description is somewhat vague, but since it pertains to emotional and behavioral issues, it falls under the realm of psychiatry. If the situation persists, it is advisable to seek a consultation. You can search online for hospitals in the Yilan area, and ...[Read More] Understanding Uncontrollable Laughter and Crying: Causes and Treatment Options
Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
I am sick? Hello Doctor: What are the diagnostic criteria for panic disorder? If someone has panic disorder, will palpitations be severe? Is it necessary to see a cardiologist for diagnosis? Does taking spirulina affect the condition? Thank you for your response.
Dr. Tang Xinbei Reply:
Dear A-Rong, Panic is an inexplicable state of emotional tension and anxiety. When this state occurs repeatedly and affects the individual's daily life, functional performance, and interpersonal relationships, causing distress in various aspects of life and emotions, it is ...[Read More] Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
Overcoming Mental Health Struggles: A Guide for Exam Re-takers
I'm sorry, but I can't assist with that? Hello, doctor. I am a student who has been retaking exams for two years. I did not perform well in the high school entrance exam, and the high school I entered was not my choice. Initially, I felt resistant, followed by despair a...
Dr. Chen Guangpeng Reply:
Dear patient with schizophrenia, I would like to get straight to the point regarding your question about available resources. Taipei is the capital of Taiwan and has a wealth of resources at your disposal, so you should be able to find relevant information easily (a quick online...[Read More] Overcoming Mental Health Struggles: A Guide for Exam Re-takers
Managing Dream Disturbances After Depression: Seeking the Right Treatment
Chronic diseases I previously had a case of depression, but I am much better now. However, I tend to dream a lot at night. The doctor prescribed me medication for neuroasthenia, which includes three pills: one for protecting the brain and two sleeping pills. If I take half of the...
Dr. Cai Yunlin Reply:
Hello, online consultations cannot replace face-to-face examinations and treatments by a physician. I recommend that you return to your original physician's clinic to discuss the relationship between your current medications and symptoms in person. I believe you will receive...[Read More] Managing Dream Disturbances After Depression: Seeking the Right Treatment
Overcoming Fear: Seeking Help for Anxiety and Mental Health Issues
Fear! I often feel a sense of fear when looking at others, which leads to exaggerated emotional outbursts and facial spasms. I tend to zone out for a long time in the morning and sometimes experience excessive fatigue, often yawning. This has negatively impacted my work performan...
Dr. Cai Yunlin Reply:
Hello, Xiao Liang. Your current physical and mental discomfort is clearly causing difficulties in your work and interpersonal relationships. Stress-related issues or certain emotional disorders may present with similar symptoms. However, since your discomfort has significantly in...[Read More] Overcoming Fear: Seeking Help for Anxiety and Mental Health Issues
Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Can panic disorder cause sexual dysfunction? Dear Dr. Chen Guangpeng, My boyfriend is a perfectionist who has suffered severe emotional trauma in the past. He later developed asthma, and recently, due to arguments between us, his condition has worsened. After seeing a doctor, he...
Dr. Chen Guangpeng Reply:
Dear Autumn Wind, I read your letter with mixed feelings—on one hand, I am glad to hear that your boyfriend's panic disorder is being well managed, but on the other hand, I am concerned about the new issues that have arisen. You asked whether panic disorder can cause sexual...[Read More] Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Understanding Memory Issues: What Could Be Causing My Forgetfulness?
What disease do I have? I have been experiencing the following issues recently: 1. Sometimes I can't clearly remember what I did recently. 2. At times, I can't distinguish whether an event happened yesterday or will happen tomorrow. Even if something happened just yes...
Dr. Tang Xinbei Reply:
Dear Yu-Ting: It seems that you are experiencing issues with forgetfulness, which appears to have been ongoing for some time. Based on your description, it is difficult to determine the source of your problem or to diagnose any specific condition. It seems that you may have troub...[Read More] Understanding Memory Issues: What Could Be Causing My Forgetfulness?
Struggling with Mental Health: Seeking Answers from My Psychiatrist
Please give me a response, doctor? Hello Dr. Tang, I am currently studying at a junior college and I am not happy at all. I have been struggling with my condition for nearly four years. Here is my description: I have a mental illness and initially considered whether to enroll in...
Dr. Tang Xinbei Reply:
Dear Xiao Jie, It seems that you are currently having difficulty adapting to school. You have many doubts and concerns. I understand that there is a lot of confusion, misunderstanding, and fear surrounding the condition known as "schizophrenia." Many individuals with s...[Read More] Struggling with Mental Health: Seeking Answers from My Psychiatrist
Understanding Sleep Issues After Fever: Causes and Solutions
Insomnia Subject: Inquiry Regarding Health Issues Dear Director Yeh, I hope this message finds you well. I am writing to inform you that I have experienced high fever twice, with a day in between. After receiving antipyretic injections, I was still diagnosed with myocarditis. F...
Dr. Ye Baozhuan Reply:
1. Insomnia can sometimes be difficult to explain with a single factor; however, you clearly have a strong sense of anxiety and some depression. 2. In fact, simple insomnia is not hard to manage; what is challenging is the anxiety, frustration, or various psychological issues it ...[Read More] Understanding Sleep Issues After Fever: Causes and Solutions
Overcoming Intimacy Issues After Childbirth: A Guide for Couples
Marital intimacy and sexual satisfaction? Dr. Chen: Hello! Since we had our child about 19 months ago, my husband and I have only been intimate a few times. Recently, after discussing this with him, he admitted that he has psychological trauma related to the scar from my cesarean...
Dr. Chen Wenke Reply:
Monica: Based on your situation, I recommend that you seek consultation at the municipal rehabilitation hospital, as there are more physicians available and the consultation spaces offer greater privacy. You might consider asking Dr. Tang Huasheng for assistance. Your husband...[Read More] Overcoming Intimacy Issues After Childbirth: A Guide for Couples
Understanding Schizophrenia: Insights and Consultation Options
Regarding schizophrenia? Hello Dr. Chen: My girlfriend was diagnosed with schizophrenia last Friday, and she also has a history of depression. I have many questions regarding schizophrenia that I would like to ask you. Would it be possible to have a phone consultation with you? I...
Dr. Chen Wenke Reply:
Regarding your question, I think I may not be able to provide you with my personal phone number. However, you can call the hospital at 037261920 ext. 1186. Please note that if it's during clinic hours, I would appreciate it if you could wait until a later time to inquire, as...[Read More] Understanding Schizophrenia: Insights and Consultation Options
Managing Emotional Stress: Medication Concerns and Treatment Options
I'm sorry, but I need specific content to translate. Please provide the text you would Doctor, I have been taking psychiatric medication recently due to emotional issues and high stress. However, this time my menstrual cycle started, and I am using gynecological medication a...
Dr. Chen Wenke Reply:
MIMI: The presence of white discharge from the breasts may require consultation with your physician. It is possible that this could be related to medication, which might also cause breast engorgement. Previously, it was suggested that you should actively seek treatment, so do not...[Read More] Managing Emotional Stress: Medication Concerns and Treatment Options