Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Confronting Inner Demons: Healing from Childhood Trauma
How to dispel darkness? Yesterday, in a state between wakefulness and dreams, I saw a half-human, half-beast creature frantically stabbing the classmates who bullied me in fifth grade with a dagger. Its upper body was gone, leaving only two legs behind, yet this creature continue...
Dr. Qiu Junda Reply:
Please discuss medical consultation.[Read More] Confronting Inner Demons: Healing from Childhood Trauma
Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...[Read More] Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Do I Need Medical Help for Social Anxiety and Introversion?
Regarding your social situation, I would like to know if I need to seek medical assistance? This is a question regarding social energy and anxiety, and I would like to ask the doctor whether my situation requires medical attention. I have read a lot of articles but still don'...
Dr. Qiu Junda Reply:
Hello. At first glance, the issue does not seem to require medical attention. As the saying goes, "each mountain has its own characteristics," everyone has a unique personality. Please do not underestimate yourself. However, it is a good thing that you want to improve y...[Read More] Do I Need Medical Help for Social Anxiety and Introversion?
Understanding Self-Talk: Navigating Emotional Turmoil and Mental Health
Soliloquy I experience intense emotions and often feel the urge to harm myself or others (though I only think about it and do not intend to act on it). I once used a utility knife to scare someone; I know it’s dangerous, but I never intended to hurt anyone. The pressure is overwh...
Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex feelings you've expressed, reflecting your experiences and various pains from childhood to the present. I recommend that you continue seeking care from a mental health specialist and arrange for regular psychotherapy...[Read More] Understanding Self-Talk: Navigating Emotional Turmoil and Mental Health
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang Reply:
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Do I Need to See a Psychiatrist Again? Understanding My Mental Health
I would like to ask if I need to see a psychiatrist based on my current condition? Hello Doctor, I am currently 18 years old and graduated from high school. Over a year ago, I went to see a psychiatrist without my family's knowledge due to symptoms like persistent sadness an...
Dr. Lin Mianzhang Reply:
Hello Ms. U: I believe you are here to inquire because you are somewhat troubled by your situation, yet unsure of its severity. There is no definitive standard for whether one needs to seek medical attention. I have encountered individuals who come for consultations simply to det...[Read More] Do I Need to See a Psychiatrist Again? Understanding My Mental Health
Managing Emotional Outbursts After Waking Up: Tips and Insights
Loss of emotional control upon waking up? I sometimes fall asleep in the evening, and when I wake up, I start to lose control of my emotions, regretting that I fell asleep and feeling overwhelmed by my academic responsibilities. In severe cases, I might hit my head or my limbs, b...
Dr. Qiu Junda Reply:
Hello. At first glance, it seems that certain pressures are leading to negative emotional behaviors. I recommend that you promptly discuss this with your family and teachers and seek consultation with a pediatric mental health specialist for improvement. If it's not convenie...[Read More] Managing Emotional Outbursts After Waking Up: Tips and Insights
Navigating School Policies for Children with Depression: A Parent's Guide
The child has experienced depression and has had suicidal thoughts? The school has requested that the child engage in home study due to a previous incident of jumping from a height. They require us to provide a certificate from a public hospital in order to grant an extended leav...
Dr. Lin Mianzhang Reply:
Hello, Ms. Chi: If your child's condition is not good and you cannot get an appointment at an outpatient clinic, you can go to the emergency department for medical care. However, if a public hospital is fully booked, have you considered looking for other public hospitals? At...[Read More] Navigating School Policies for Children with Depression: A Parent's Guide
Understanding and Managing Toddler Biting Behavior: Tips for Parents
Toddlers have a habit of biting? My son is currently 2 years and 2 months old, and his language and physical development are both normal. His teachers say he is very smart and learns quickly, and he has a sociable personality. Since he was about 18 months old, he has frequently b...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of having a young child who has a habit of biting. However, the aspect of child development requires a personal evaluation. Please bring your child to see a doctor and discuss this...[Read More] Understanding and Managing Toddler Biting Behavior: Tips for Parents
Managing Medication Side Effects in Psychiatry: Seeking Solutions
Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...[Read More] Managing Medication Side Effects in Psychiatry: Seeking Solutions
Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace
How can I stop being overly anxious and worrying about the worst-case scenarios? Fearing car accidents while riding a bike or driving, worrying about my 900-degree myopia leading to retinal detachment or macular degeneration, seeing numerous news stories about gang violence and t...
Dr. Qiu Junda Reply:
Hello. In modern society, life moves quickly and stress is ever-present. Many people experience some level of anxiety in their daily lives. To improve this, you already have some good ideas: engaging in conversations with friends and family or cultivating hobbies to help normaliz...[Read More] Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace
Can I Get My Original Sleep Medication Refilled?
Can the medication be refilled? Today, when I visited the doctor, I mentioned that I still wake up at night after taking Stinoss. The doctor immediately suggested switching my medication. I was originally taking Stinoss 2 times a day, but now I have to take Lendormin 1 time a day...
Dr. Xue Gengming Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health![Read More] Can I Get My Original Sleep Medication Refilled?
Could Your Symptoms Indicate Depression? Understanding the Signs
Could it be depression? Hello, doctor. Recently, I have been feeling very down and crying often (even without any specific reason). After this has continued for a while, I have started experiencing frequent dizziness, nausea, chest tightness, and loss of appetite. I have previous...
Dr. Xue Gengming Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health![Read More] Could Your Symptoms Indicate Depression? Understanding the Signs
Understanding the Interaction Between Methylphenidate and Paliperidone
The issue of co-administration of Methylphenidate and Paliperidone? Hello, doctor. I have been diagnosed with depression and ADHD. Before receiving the long-acting injection of Strattera, I found the effects of Ritalin (both short-acting and long-acting formulations) to be effect...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about the interaction between L-theanine and antipsychotic medications may not be beneficial for your condition. 1. Facing an uncertain future, ps...[Read More] Understanding the Interaction Between Methylphenidate and Paliperidone
Understanding Medication for Anxiety and OCD: Key Considerations
Medication consultation Hello Doctor, I have been experiencing symptoms of panic, anxiety, and obsessive thoughts for 20 years. I received treatment 10 years ago, during which the doctor prescribed Lexapro along with exercise. After about a year, I was able to work and socialize ...
Dr. Lin Mianzhang Reply:
Hello: This medication does not conflict with cold medications. Does the note on your prescription indicate that you have had an allergy to cold medications in the past? The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (S...[Read More] Understanding Medication for Anxiety and OCD: Key Considerations
Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Is this considered obsessive-compulsive disorder (OCD)? Hello doctor, I used to live a normal life, but ever since certain events occurred, I have developed the impression that my living room is very dirty, as if cockroaches have crawled through. Therefore, whenever I touch cloth...
Dr. Qiu Junda Reply:
Hello. The situation you described may not necessarily be a symptom of obsessive-compulsive disorder; rather, it resembles a phobia related to dirt. However, both obsession and fear of dirt fall under anxiety symptoms. Although your condition, as you mentioned, has not yet become...[Read More] Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
What are the issues related to stopping medication after eight days? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping the medication, I experienced insomnia for two years. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking ...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 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] Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
Can You Donate Blood While Taking Medication for Bipolar Disorder?
Can individuals taking medication for bipolar disorder donate blood? Hello, I am a nurse. Due to a long period of not communicating with my husband and having no common ground, I have developed thoughts of wanting a divorce and have already considered my path after the divorce. H...
Dr. Tang Jiahong Reply:
Hello, it is currently difficult to determine a diagnosis. In my personal opinion, medication can be considered a tool; if it is effective and has no side effects, why not use it? Regarding blood donation, although the "Taiwan Blood Services Foundation > Medication Guidel...[Read More] Can You Donate Blood While Taking Medication for Bipolar Disorder?