Consultation, Psychiatry FAQ

Understanding Children's Sleep Issues and Emotional Concerns: When to Seek Help

Concerns about children's mental health? Hello, doctor: My son is currently 6 years old and in the first grade. He has been having restless sleep every night, sometimes sleepwalking or talking in his sleep. Recently, for the past two weeks, he has been asking before bed if I...

Dr. Li Jite Reply:
Hello, Mom. Seeing your child suffer like this must be very painful and worrisome for you. I believe this suffering can be viewed in two parts: 1. The child experiences restless sleep every night, often accompanied by verbal or physical behaviors. Medically, it is important to ...

Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights

Autonomic Nervous System Dysfunction Hello Doctor, I recently experienced what I suspect was a panic attack, which led to a sensation of heart palpitations (normal rate) while sitting or lying down throughout the day, affecting my sleep. I underwent an echocardiogram, a 24-hour H...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your panic disorder and sleep-related issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chron...

Feeling Unhappy: Understanding Mental Health During Exam Stress

Feeling unhappy? Recently, I've been preparing for exams and haven't interacted much with others. I've basically been acting alone and feel like I can't find happiness every day. I lack energy and spirit, and I have a negative outlook, but I can still study, e...

Dr. Qiu Junda Reply:
Hello. The issue of feeling unhappy, as you mentioned, requires further evaluation to determine whether it is a general case of negative emotions or has reached a level of illness. I'm not sure if you have any short-term or long-term sources of stress. I recommend that you c...

Understanding Memory Loss: Anxiety, Medication, and Cognitive Challenges

No memory? Hello, doctor. I really don't know what to do. I have anxiety, and for some reason, about two weeks after starting Lexapro (which caused dry mouth, so I switched to Wellbutrin), one day I woke up and my mind felt strange. I lost my ability to think and analyze, wh...

Dr. Wang Zhenbang Reply:
Hello, I understand that the current situation may be causing you discomfort. It is important to communicate these issues clearly to your physician, who can then assess your condition appropriately, including conducting necessary psychological evaluations and related tests. It’s ...

Understanding Panic Attacks and Anxiety Disorders: When to Seek Help

Anxiety Panic Disorder, Anxiety Disorder Hello, Doctor. A few nights ago, just before going to bed, I suddenly experienced dizziness and nausea, followed by a rapid succession of symptoms: abdominal pain, thirst, tension, palpitations, and chest tightness. I tend to be an anxious...

Dr. Qiu Junda Reply:
Hello. Anxiety or panic are both symptoms of anxiety. The situation you described does indeed reflect a response associated with anxiety disorders. If it persists without recovery or improvement, it is advisable to seek evaluation from a mental health professional to determine wh...

Understanding Depression and Self-Harm in Adolescents: A Guide for Parents

Depression and self-harm? Hello, doctor. I am a 13-year-old student in the second year of junior high school. Since the end of June this year, I have been experiencing emotional breakdowns and prolonged states of physical and mental exhaustion. Every day, I feel extremely tired, ...

Dr. Li Guanying Reply:
Hello: It is a brave and challenging task to express complex and painful emotions, and I appreciate you reaching out. Based on your description, my initial assessment suggests that you may be experiencing depression combined with hypothyroidism and anemia. However, it is essentia...

Understanding OCD: Coping Strategies and Treatment Options for Relief

I have some concerns? I would like to share my experience with obsessive-compulsive disorder (OCD) with my doctor: During the Mid-Autumn Festival barbecue in the year I just entered junior high, I saw a suicide prevention advertisement on the charcoal grill. At that moment, I fel...

Dr. Cai Qijin Reply:
Hello: It sounds like your condition may involve obsessive thoughts, combined with depression and psychosomatic symptoms. 1. Obsessive-compulsive disorder (OCD) is typically treated with a combination of medication and cognitive-behavioral therapy (CBT), which has shown good ef...

Understanding the Lack of Empathy in Some Psychiatric Professionals

Confusion Regarding Psychiatric Physicians Hello Dr. Li Guanying, I would like to ask you a question regarding an experience I had with a child and adolescent psychiatrist at your hospital. Perhaps you can provide some insight from a psychiatrist's perspective on why a profe...

Dr. Li Guanying Reply:
Hello: Thank you for your letter expressing your feelings. It must have been very distressing and disappointing to feel that you were not empathized with during your recent visit and to be quickly labeled with certain comments. I understand that you have been trying hard to make ...

Overcoming Workplace Bullying: Seeking Affordable Mental Health Support

Workplace bullying I have been bullied and am feeling anxious and paranoid. I hope to consult Dr. Liang, but I'm also worried about the cost of treatment. I want to spend the least amount of money possible, especially since I am already aware of my condition. I also have a f...

Dr. Liang Sunyuan Reply:
Hello: When encountering workplace bullying that cannot be resolved independently, it is advisable to report it to a supervisor, occupational safety, or the human resources department for assistance in intervention. If self-adjustment proves difficult, seeking a consultation for ...

Understanding Negative Thoughts: A Guide to Mental Health Improvement

I'm not sure what the situation is? Hello, doctor. Recently, I have been constantly thinking about negative things, such as what my teachers say and my classmates' evaluations of me, as well as small issues in my life, academic pressure, and my parents' expectation...

Dr. Tang Jiahong Reply:
Hello, the symptoms of depression and anxiety mentioned above seem to be affecting daily life. It is recommended to seek consultation with a child and adolescent psychiatrist. There's no need to worry about being labeled as crazy, as depression and anxiety are common issues ...

Addressing Medication Concerns in Psychiatry: Insights on Treatment Options

Medication issues Hello, Doctor: 1. I seek consultation due to my lax self-management and lack of motivation to get out of bed each day. Currently, I am taking 18mg of Concerta in the morning and 0.25mg of Lendormin at night. However, Concerta causes emotional fluctuations, and...

Dr. Wu Enliang Reply:
1. Seeking medical advice is due to a lack of self-management and a lack of motivation to get out of bed each day. Currently, I am taking 18mg of Concerta in the morning and 0.25mg of Lendormin at night. However, Concerta causes emotional fluctuations, and I would like to know if...

Understanding OCD: Answers to Common Questions and Treatment Options

Please help me with my questions, doctor? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I was in the first year of junior high, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal. At...

Dr. Wu Enliang Reply:
1. Can obsessive-compulsive disorder (OCD) be cured or improved? A: Yes, OCD can potentially be cured or improved. 2. The doctor has prescribed me medications called Jian De Jing and Jian Fu. Are these for OCD? A: Yes, they are. 3. Am I really suffering from OCD? A: The diagnos...

Overcoming OCD: A Journey Through Anxiety and Seeking Help

Please, doctor, help me? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I started seventh grade during the Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal grill. At that moment, I felt brea...

Dr. Yu Quanxun Reply:
Hello: It sounds like these intermittent physical discomforts and troubling thoughts are causing you significant anxiety, distress, struggle, and fatigue, which may have impacted your quality of life. It is commendable that you are willing to actively seek help for these conditio...

Overcoming OCD: Finding Relief from Intrusive Thoughts and Suicidal Ideation

What should I do if I want to find relief? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: During the Mid-Autumn Festival barbecue in my first year of junior high, I saw a suicide prevention advertisement on the charcoal. At that mome...

Dr. Wu Menghuan Reply:
Hello: Q1. Will obsessive-compulsive disorder (OCD) get better? A1: For some individuals, OCD symptoms are mild, while for others they can be more severe. It usually requires a period of medication and cognitive-behavioral therapy. It is advisable to discuss this with your ph...

Understanding OCD: Questions and Insights for Effective Treatment

Please ask your questions, and I will do my best to assist you? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I started seventh grade during the Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the char...

Dr. Liang Sunyuan Reply:
Hello, Xiao Wei: The symptoms you described are indeed consistent with obsessive-compulsive disorder (OCD). Both pharmacotherapy and cognitive-behavioral therapy (CBT) can be effective in treating OCD. If you start treatment in August, it may take up to two months to fully realiz...

Understanding OCD: Seeking Help and Finding Hope for Recovery

What are the methods? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: During the Mid-Autumn Festival when I first entered junior high school, I saw a suicide prevention advertisement while grilling. At that moment, I felt short of bre...

Dr. Xue Gengming Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you go...

Struggling with Insomnia and Excessive Sleepiness: A Common Dilemma

Insomnia and hypersomnia??? I work in the service industry, where I have to talk and move around constantly. After work, I often find that I still have a lot of energy until bedtime, and I end up falling asleep at least two hours later than my intended bedtime. The next day, I se...

Dr. Qiu Junda Reply:
Hello. It is recommended that you take the time to visit a psychosomatic medicine clinic for consultation with a physician to discuss and address your concerns.

Feeling Lost in Mental Health Care: A Patient's Struggle for Understanding

I'm really not sure what to do? Dr. Peng, I am the person who previously wrote over a thousand words to you regarding the issues with the outpatient attitude; you should know who I am. That message was quite blunt, so please don’t take it too personally; it was my genuine fe...

Dr. Peng Liyun Reply:
Hello, I sense that you are in a lot of pain. Both medication and psychotherapy require patience and cooperation to achieve the best results. I recommend that you return for a follow-up consultation or seek assistance from other mental health specialists. Wishing you well, Dr. Li...

Understanding OCD: Seeking Help and Finding Hope for Recovery

What is going on? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor. During my first year of junior high, at a Mid-Autumn Festival barbecue, I saw an advertisement for suicide prevention. At that moment, I felt short of breath, had racin...

Dr. Lin Mianzhang Reply:
Hello Ah Wei: First of all, I want to say that you are really brave! You are willing to confront your discomfort and seek help. It seems that you have many sudden thoughts that make you uncomfortable, which may be referred to as "obsessive thoughts." If a doctor diagnos...

Applying for Major Illness Card for Schizophrenia: Requirements Explained

Application for Major Illness Card for Schizophrenia Hello, doctor. I would like to ask if a patient diagnosed with schizophrenia needs to have been under treatment for more than six months before applying for a major illness card, or if a diagnosis of schizophrenia is sufficient...

Dr. Qiu Junda Reply:
Hello. A general diagnosis of schizophrenia should be eligible for application. It is necessary to have consultations for six months or longer to confirm the diagnosis. As for the chronicity of the condition, it means that the acute phase of the illness has subsided (regardless o...

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