Understanding Emotional Instability: Coping with Anxiety, Depression, and Sleep Issues
Emotional instability, stress issues, anxiety, depression, sleep problems, negative thoughts, insomnia? Since starting high school, I've been feeling down almost every day, and nothing seems to go right. Every time I change jobs (part-time work), the adjustment to the new po...
Dr. Qiu Junda Reply:
Hello. The content indicates long-term emotional issues that have affected daily life and interpersonal interactions. Your inquiries suggest a desire for improvement in your mental and physical well-being. I recommend considering telephone counseling (by calling the 1925 Mental H...[Read More] Understanding Emotional Instability: Coping with Anxiety, Depression, and Sleep Issues
Understanding Compulsive Behaviors: What Could Be Wrong?
What illness do I have? Based on your description, it sounds like you may be experiencing symptoms related to Obsessive-Compulsive Disorder (OCD). The behaviors you mentioned, such as feeling the need to wash your hands multiple times after contact with strangers and cleaning ite...
Dr. Lin Mianzhang Reply:
Hello, Xiaoyu: May I ask what your reasons are for rubbing your body or objects? Do you feel dirty? How do you feel after rubbing? What happens if you don't rub? Additionally, when you talk to yourself and repeatedly insult others, what are you actually saying? Why do you fe...[Read More] Understanding Compulsive Behaviors: What Could Be Wrong?
Coping with Intrusive Thoughts: Understanding OCD and Its Effects
Obsessive-Compulsive Disorder (OCD) Issues If a patient suddenly experiences intrusive thoughts, such as saying disrespectful things about deities or the deceased, it's important to understand that these are often symptoms of obsessive-compulsive disorder (OCD). While these ...
Dr. Cai Qijin Reply:
Hello: Obsessive thoughts are not easily overcome by willpower. Even though one knows that negative events will not occur due to irrational thinking, it is difficult to stop the intrusive thoughts and worries. If this causes significant distress in daily life, it is advisable to ...[Read More] Coping with Intrusive Thoughts: Understanding OCD and Its Effects
Coping with Grief and Mental Health Challenges in the Workplace
Grief and sorrow? Hello, doctor. I am a frequent visitor to the Taiwan e-Hospital. Besides seeking consultation for my mental health issues, I sometimes share my problems with the Taiwan e-Hospital. (1) Recently, due to my ongoing issue with tardiness, my company has assigned me ...
Dr. Lin Mianzhang Reply:
Hello Jason: Your slow pace and lack of efficiency may be related to your disease symptoms, medications, or lifestyle. Some conditions can lead to cognitive decline, certain medications can affect mental responsiveness, and irregular sleep patterns or insufficient sleep can also ...[Read More] Coping with Grief and Mental Health Challenges in the Workplace
Understanding Severe Hand Speed Issues: When to Consult a Neurologist
Regarding severe hand speed? Hello Doctor: The current occupational report indicates severe hand speed issues. Would you recommend seeing a neurologist for an MRI or brain imaging to identify which area may be causing this slow speed? I've observed that even walking doesn&#x...
Dr. Wu Enliang Reply:
Currently, medical imaging examinations such as PET scans or functional MRI can identify the location of lesions, but they cannot provide further treatment, so spending money on these tests may not be necessary. As for issues like motor skill impairment and emotional blunting, ac...[Read More] Understanding Severe Hand Speed Issues: When to Consult a Neurologist
Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Initial consultation summary of the patient's condition? Hello Doctor: My brother was diagnosed with schizophrenia in May 2019. Before his diagnosis, he had been taking excessive amounts of non-psychiatric prescribed sedatives and sleeping pills, around 200 pills a month for...
Dr. Dai Wanxiang Reply:
Hello, A-Zuo: Based on your description, your brother's issue should prioritize managing the symptoms of schizophrenia while also addressing the problem of rhabdomyolysis. After that, it would be advisable to discuss with a psychiatrist about handling substance abuse through...[Read More] Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Inquiry related to symptoms of autonomic nervous system dysfunction? Hello, doctor. I was hospitalized for a month two months ago due to bone marrow suppression caused by medication side effects. After my blood cell counts improved, I was discharged. However, half a month after d...
Dr. Wang Yaoting Reply:
Hello: Autonomic nervous system dysfunction is merely a syndrome and not a diagnosis. It is important to identify the underlying causes of your autonomic dysfunction, which may include health anxiety, physical discomfort, environmental factors, or psychological stress. It is reco...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Is this a disease? When I am feeling down, my mind is sometimes filled with negative energy, but when I am happy, I feel more joyful than anyone else. However, I sometimes experience insomnia late at night, and my emotions seem to be in turmoil, often leading to breakdowns where ...
Dr. Qiu Junda Reply:
Hello. Regardless of whether it constitutes a condition such as depression, the text indeed indicates long-term negative emotions that are causing physical and mental distress. I recommend that you make time to visit a mental health clinic for counseling (you don't have to t...[Read More] Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Understanding Sleep Disorders: Anxiety and Its Impact on Rest
Sleep issues A few days ago, I experienced some anxiety due to an upcoming exam, which led to insomnia every night. Initially, I would suddenly experience sleep paralysis while trying to sleep, and this would happen two to three times in one night. I got used to it, but after a f...
Dr. Wu Enliang Reply:
It is possible that the symptoms may be caused by some anxiety issues. It is recommended to follow up with a consultation for further treatment. Dr. Wu Enliang.[Read More] Understanding Sleep Disorders: Anxiety and Its Impact on Rest
Understanding and Managing Respiratory Compulsions After Vaccination
Treatment for Respiratory Compulsion Disorder After receiving my third vaccine dose, I became concerned about potential side effects, which led me to continuously monitor my blood pressure, heart rate, blood oxygen levels, and other vital signs. After some time, I noticed symptom...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about side effects and the pressure of obsessive-compulsive disorder (OCD). 1. Anxiety disorders are common in modern society, especially when facing an uncertain ...[Read More] Understanding and Managing Respiratory Compulsions After Vaccination
Managing Medication Withdrawal: Risks and Alternatives for Mental Health
Drug withdrawal I am currently taking Fluoxetine. Some time ago, I read "Crazy for Drugs." Although the author's views on side effects are somewhat exaggerated, I did experience suicidal thoughts when I took Paroxetine in my youth. It's been about thirty-five ...
Dr. Xue Gengming Reply:
Regarding issues related to medication reduction, drowsiness, and gastroesophageal reflux, it is advisable for you to discuss these matters further with your attending physician to determine if further examinations or consultations with relevant specialties are necessary. Thank y...[Read More] Managing Medication Withdrawal: Risks and Alternatives for Mental Health
Understanding OCD and People-Pleasing Personality Traits
Obsessive-Compulsive Disorder and People-Pleasing Personality? Hello, Doctor. 1. I often have obsessive thoughts about certain numbers (for example, I believe 8 represents good, so I feel compelled to reach that number, while 4 represents bad, and I try to avoid it). 2. I frequ...
Dr. Wu Enliang Reply:
It is indeed possible that the internet user may be experiencing obsessive-compulsive disorder (OCD), and it is advisable to seek consultation at a mental health facility. Dr. Wu En-liang.[Read More] Understanding OCD and People-Pleasing Personality Traits
Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Feeling fatigued and experiencing headaches, suspecting that I might have bipolar disorder? Since March 20, I have been feeling easily fatigued, no matter how much I sleep, I still feel tired. Normally, I feel refreshed after about 6 hours of sleep, but recently I often wake up a...
Dr. Tang Jiahong Reply:
For headaches, it is recommended to consult a neurologist. If organic brain issues are ruled out as the cause of the headache, then assistance from a psychiatrist may be sought. Regarding the manic aspect of bipolar disorder, the description provided is insufficient for a diagnos...[Read More] Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Understanding Anxiety: Coping with Sleep Issues and Emotional Distress
Hello, doctor? I am experiencing difficulty falling asleep, waking up early, and having frequent dreams, which led me to seek medical attention. Currently, I take one capsule of Yongkang and Shubilang with each meal, and before bed, I take two capsules of Fanduo, two capsules of ...
Dr. Wu Enliang Reply:
Hello, I believe you are experiencing severe depression and anxiety. It’s concerning that after two years of consultations, you have never asked your doctor what is wrong with you. It’s important to discuss your issues with your physician to ensure the right treatment is prescrib...[Read More] Understanding Anxiety: Coping with Sleep Issues and Emotional Distress
Managing Health Anxiety: Tips for Overcoming Worry and Fear
Health anxiety and anxiety can be very distressing? Hello Doctor, I am 22 years old and have been very concerned about my health for a long time, to the point where it has caused significant anxiety that affects my daily life. For example, two years ago, I was informed at the hos...
Dr. Wang Yaoting Reply:
Hello: Based on what you've written, it seems that you may be experiencing significant distress. Your condition could be related to anxiety disorder, hypochondriasis, obsessive-compulsive disorder, or other issues, and it may be advisable to seek evaluation from a psychiatri...[Read More] Managing Health Anxiety: Tips for Overcoming Worry and Fear
Current Usage of Prozac in Taiwan: Insights from Mental Health Consultations
Medication consultation I would like to ask how many people in Taiwan are currently taking Prozac? Thank you, doctor.
Dr. Xue Gengming Reply:
If you need to take this type of medication, it is recommended that you first consult with a physician for evaluation. Thank you, and wishing you good health![Read More] Current Usage of Prozac in Taiwan: Insights from Mental Health Consultations
Can Outpatient Referrals Lead to Admission at Rehabilitation Centers?
Can patients directly schedule an admission to the rehabilitation center at your hospital through outpatient services? I have been receiving treatment at the Tao Therapy Clinic for the past three months. Previously, I was hospitalized at Shin Kong, Chang Gung, and Songde for acut...
Dr. Wang Yaoting Reply:
Hello: Our rehabilitation center is primarily managed by the social work department. You can start with an initial consultation at the outpatient clinic, where a physician will assess your condition. It is best to bring along your past medical records. After that, a social worker...[Read More] Can Outpatient Referrals Lead to Admission at Rehabilitation Centers?
Understanding and Addressing Stealing Behavior in Elementary School Children
Elementary school children with a stealing addiction? My son is in the fourth grade this year. During the summer after he graduated from first grade to second grade, I discovered for the first time that he had stolen snacks from a convenience store. I took him to apologize to the...
Dr. Wang Yaoting Reply:
Hello: If your child is repeatedly struggling with stealing and there has been no improvement, it is understandable that you, as a caregiver, may feel a significant sense of helplessness. I recommend that you first manage your own emotions to avoid letting them affect your intera...[Read More] Understanding and Addressing Stealing Behavior in Elementary School Children
Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Drug withdrawal Hello, doctor. I am currently taking 0.75 mg of Clonazepam, half a tablet of Melatonin F1 (reduced from one tablet to half), and one tablet of Buspirone. I stopped taking the medication on April 1. Is this okay? I have been on medication for 4 to 5 months.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress; however, discontinuing your medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulat...[Read More] Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Understanding Anxiety and Social Withdrawal: Seeking Help for Mental Health
Unsure if there is an illness? Hello, Doctor. I would like to ask you something. During my school years, I was very sociable, but after graduating and moving to northern Taiwan to work in Taipei without any friends or family, I experienced emotional setbacks and job changes. Grad...
Dr. Wang Yaoting Reply:
Hello: You don't need to worry about making a big deal out of your situation when scheduling an appointment with a mental health specialist. If you feel the need, go for a consultation, just like you would for a cold. Poor mental and physical health may be caused by hormonal...[Read More] Understanding Anxiety and Social Withdrawal: Seeking Help for Mental Health