Am I Sick? Understanding Anxiety and Avoidance in Daily Life
Am I sick? Hello, I have recently noticed that I have a strong fear of going out. In the past, I would check what time would have fewer people and choose that time, but in the last few months, I feel very strange. I can go out with friends and family, but when it comes to going o...
Dr. Ding Shuyan Reply:
Hello, the fear of going out can stem from various reasons. Some individuals may experience agoraphobia, which is the fear of being in crowded places where escape might be difficult. Others may suffer from depression, leading to decreased interest, energy levels, and self-confide...[Read More] Am I Sick? Understanding Anxiety and Avoidance in Daily Life
Understanding Bipolar Disorder: Signs, Symptoms, and Next Steps for Care
Dad may have bipolar disorder? Hello, doctor. I would like to ask a question. My father has always had a rather impatient personality and a strong sense of masculinity. In recent years, those around him have noticed that his temper has become more irritable, easily angered, and s...
Dr. Wu Enliang Reply:
Hello, Xiao Di: My father is clearly not suffering from bipolar disorder, as he does not exhibit the manic and depressive episodes characteristic of the condition. Many people mistakenly believe that feeling irritable equates to bipolar disorder, but this is not the case. Bipolar...[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Next Steps for Care
Understanding the Signs: Do I Have Schizophrenia?
Am I suffering from schizophrenia? 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 or a trusted person in your life.
Dr. Liang Sunyuan Reply:
Hello: When a person is under stress or feeling down, they often recall negative events from the past. Negative memories from childhood may resurface during difficult times, but if symptoms such as hallucinations, delusions, withdrawal, and pessimistic thoughts occur, it indicate...[Read More] Understanding the Signs: Do I Have Schizophrenia?
Understanding the Risks and Effects of Sleep Medications
The severity of sleeping pills? Hello, doctor: I recently checked the sleep medication I am currently taking, which is called "Shu Meng Mian" in Chinese. It seems to be associated with sleepwalking and amnesia, and it appears to be classified as a drug on the internet. ...
Dr. Wu Enliang Reply:
Hello, this medication is known as Zolpidem, which is a prescription drug and not classified as a controlled substance. It must be prescribed by a physician. The dosage for adults under 65 years of age is one tablet per day. For adults over 65 years or those with hepatic impairme...[Read More] Understanding the Risks and Effects of Sleep Medications
Understanding the Right Mental Health Care for Paranoia Issues
What type of medical care is needed? I often have paranoid thoughts and worry that I might be stabbed while eating or drinking hot soup. Today, while trying to eat, these paranoid images appeared. I continued to eat and drink, and later realized that looking upward helped, so I c...
Dr. Ding Shuyan Reply:
Hello, you can describe these symptoms to your physician. If he is a qualified psychiatrist, I believe he should be able to adjust your medication. Discussions online are not very helpful for these delusions of persecution. Wishing you all the best, Dr. Ding Shuo-Yan.[Read More] Understanding the Right Mental Health Care for Paranoia Issues
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
Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia
Dissociative Identity Disorder (DID) Hello, I would like to ask if this could be considered dissociative identity disorder or schizophrenia. My friend suddenly changes his manner of speaking and has a blank expression. He can respond to very emotional topics without any expressio...
Dr. Dai Wanxiang Reply:
Hello, based on your description, it is difficult to determine what issue your friend is experiencing. Generally speaking, schizophrenia (formerly known as split personality) typically presents with hallucinations, delusions, or thought disorders. The term "split personality...[Read More] Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia
Seeking Help for My Mother's Unusual Behavior: A Psychiatric Concern
Hello Doctor, I hope you can respond. This is my mother, thank you? Hello, doctor. I would like to ask about my mother. She graduated with a master's degree from a prestigious university and is 45 years old. She does not smoke or drink, but she often engages in strange behav...
Dr. Ding Shuyan Reply:
Hello, based on the symptoms described in your letter regarding your mother, it is quite evident that she is experiencing delusions. The best course of action in this situation is to take her to see a doctor and consider medication. Attempting to rationally discuss and change her...[Read More] Seeking Help for My Mother's Unusual Behavior: A Psychiatric Concern
How Antipsychotic Medications Work During Sleep
After taking it The use of antipsychotic medications before bedtime can have several effects on the body during the sleep process. These medications primarily work by modulating neurotransmitter activity in the brain, particularly dopamine and serotonin pathways. When taken bef...
Dr. Zhang Zhehong Reply:
Antipsychotic medications act on the brain to reduce hallucinations, delusions, stabilize mood, and improve sleep.[Read More] How Antipsychotic Medications Work During Sleep
Latest Advances in Antipsychotic Medications: What You Need to Know
Latest Sleep Medications The latest antipsychotic medication is called "Lumateperone," which is marketed under the brand name Caplyta. It was approved by the FDA for the treatment of schizophrenia in adults.
Dr. Zhang Zhehong Reply:
Hello, Yijian enteric-coated tablets 200 mg contain the active ingredient QUETIAPINE, which belongs to the second-generation antipsychotics. Indications include schizophrenia and the manic episodes of bipolar disorder. It is used to treat hallucinations, delusions, and mood sympt...[Read More] Latest Advances in Antipsychotic Medications: What You Need to Know
Struggling with Inner Darkness: Understanding Mental Health Challenges
I'm really sorry to hear that you're feeling this way. It's very important that Hello, doctor. Everyone says I am the life of the party, kind to others, and have a good temperament. Although I appear cheerful in front of people, I actually prefer to keep my distanc...
Dr. Ding Shuyan Reply:
Hello, you asked whether you have an illness. Another common question is, what exactly does it mean to be "normal" and free of disease? Is there such a person in the world? Each of us has certain aspects that are significantly different compared to most people. This can...[Read More] Struggling with Inner Darkness: Understanding Mental Health Challenges
Understanding the Latest Antipsychotic: Benefits of Membrane-Coated Medications
Some questions? Is the extended-release antipsychotic medication Yijian the latest drug? How does this medication differ from traditional antipsychotic medications?
Dr. Zhang Zhehong Reply:
Hello, Yi-Jian film-coated tablets 200 mg contain the active ingredient QUETIAPINE. Indications include schizophrenia and the manic episodes of bipolar disorder. It is used to treat hallucinations, delusions, and mood symptoms, with relatively fewer side effects. Dosage should be...[Read More] Understanding the Latest Antipsychotic: Benefits of Membrane-Coated Medications
Is Talking to Yourself a Sign of Mental Illness or Just Independent Thinking?
Soliloquy Is talking to oneself considered a mental illness? Different physicians have varying opinions on this matter. Some believe it is a sign of an overly introverted personality, while others suggest that self-talk during solitude serves as an emotional release. However, if ...
Dr. Ding Shuyan Reply:
Hello, yes, sometimes talking to oneself does not necessarily indicate a mental health issue. It is important to consult with a physician to assess if there are other underlying conditions, such as insomnia, delusions, hallucinations, reality distortion, emotional problems, etc. ...[Read More] Is Talking to Yourself a Sign of Mental Illness or Just Independent Thinking?
Understanding Co-occurring Depression and OCD: A Student's Journey
Questions regarding the comorbidity of depression and obsessive-compulsive disorder (OCD)? Dear Dr. Ding, I am currently a junior in college. I have no prior history of mental illness or hospital visits. This semester, due to a heavier course load and a research assistant positi...
Dr. Ding Shuyan Reply:
Hello, I must commend your meticulous description of your psychological distress and the process of seeking medical help. I believe you have already asked your questions to your physician and counselor. However, as I mentioned in previous responses, if you are already seeing a do...[Read More] Understanding Co-occurring Depression and OCD: A Student's Journey
Can She Return to Work? Understanding Mental Health Challenges in the Workplace
Can he still go to work? Hello, I hired a female employee who initially showed no signs of issues, as she was not given any high-pressure tasks. However, after sending her on a business trip, she had a conflict at the factory and was reprimanded. While staying at a hotel, the sta...
Dr. Qiu Junda Reply:
Hello! Due to incomplete information, I may not be able to fully answer your question. Some mental disorders can indeed manifest abnormalities related to specific themes, but whether the unusual behavior reaches the level of a disorder still needs clarification. It is also import...[Read More] Can She Return to Work? Understanding Mental Health Challenges in the Workplace
Understanding Delusions in Mixed-Use Residential Settings: A Psychiatric Perspective
Mixed-use development I often worry about living in a mixed-use residential area and the possibility of someone invading my home. I am concerned that after having dinner, I might sweat excessively while going to my store, which could lead to something bad happening. I fear that w...
Dr. Ding Shuyan Reply:
Hello, it seems that you have many concerns and you also feel that they might be delusions. Based on my understanding, it would be best to see a doctor for a quicker improvement regarding delusions. Both psychosomatic medicine and psychiatry can help. Discussing online may provid...[Read More] Understanding Delusions in Mixed-Use Residential Settings: A Psychiatric Perspective
Understanding the Transition from Depression to Schizophrenia: Key Insights
I'm not sure if it was successfully submitted? 1. It has been noted that the negative symptoms of schizophrenia can sometimes be misdiagnosed as depression in the early stages. However, these are distinct types of mental disorders. If a patient has been diagnosed with depres...
Dr. Zhang Jiafen Reply:
Hello, regarding your concerns, I have the following suggestions: 1. Since the diagnosis of psychiatric disorders requires long-term observation and assessment, it is true that some symptoms of psychiatric disorders can be similar. Therefore, close collaboration between family ...[Read More] Understanding the Transition from Depression to Schizophrenia: Key Insights
Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Loss of therapeutic efficacy of the medication? The patient has been diagnosed with bipolar disorder and is experiencing hallucinations and delusions, leading to compulsive shopping and frequent self-talk. After one and a half months of medication, there was a brief improvement i...
Dr. Zhang Jiafen Reply:
Hello, actually, bipolar disorder can fluctuate due to many factors such as climate, sleep, physical discomfort, medication adherence, and psychosocial stress. Additionally, medications for mental health conditions typically require several weeks to months of consistent use to ac...[Read More] Why Isn't My Loved One Responding to Bipolar Disorder Medication?
Maximizing Medication Efficacy in Treating Bipolar Disorder with Psychosis
Maximum therapeutic effect of a medication? A family member has been diagnosed with bipolar disorder with psychotic symptoms (delusions) and has been undergoing medication treatment for three weeks (Depakene 500mg twice daily and Seroquel 200mg twice daily, both taken at bedtime)...
Dr. Qiu Junda Reply:
Hello: The treatment course for patients with bipolar disorder can be quite flexible. Some symptoms may respond to treatment relatively quickly, while others may persist for a longer duration. It is important for you to assist your family member in coordinating with the attending...[Read More] Maximizing Medication Efficacy in Treating Bipolar Disorder with Psychosis
The Haunting of Number Nine: A Journey Through Mental Health Struggles
The ghost of the number 9 is haunting me? In 2004, after being pinched by a classmate, I thought I had damaged my kidneys and went to see a doctor (the doctor said one kidney is sufficient to live). From then on, I began a life filled with paranoia. Additionally, after being hit ...
Dr. Zhang Jiafen Reply:
Hello, I believe what you need is to adhere to a consistent treatment plan in mental health care. However, mental health treatment is quite unique and requires regular and long-term visits to achieve the best therapeutic outcomes. In your letter, you mentioned that over the past ...[Read More] The Haunting of Number Nine: A Journey Through Mental Health Struggles