Overcoming Internship Anxiety: Coping Strategies for Medical Trainees
Internship stress Hello Doctor: I am currently in an internship. I have had a weak adaptability since childhood and am afraid of facing crowds. Now that I am approaching the third week of my internship, I find that I am not adapting better; instead, I am experiencing a sense of r...
Dr. Wu Enliang Reply:
Have you talked to your supervisor about the difficulties you're facing during your internship and how to adjust? I remember when I was interning in certain departments, I also found it quite challenging. If it's really unmanageable, you could consider returning to scho...[Read More] Overcoming Internship Anxiety: Coping Strategies for Medical Trainees
Navigating Medical Documentation for Tourette's and Bipolar Disorders
I would like to inquire about the section regarding the doctor's certificate? The symptoms of Tourette syndrome began in elementary school, and later a hospital examination confirmed the diagnosis of Tourette syndrome. I have been receiving medication treatment continuously....
Dr. Huang Jiabin Reply:
Hello: I understand that you may be concerned about being turned away by the doctor after not having a follow-up appointment for a while. However, you have the right to request the physician to issue the necessary documentation, and they cannot refuse you. Matters related to mili...[Read More] Navigating Medical Documentation for Tourette's and Bipolar Disorders
Managing Health Anxiety: Therapy vs. Medication for Recovery
Feeling very anxious? Hello, doctor. I often feel anxious about my health and am very tense, deeply fearing serious illnesses. Recently, I visited a doctor for sinusitis, and although the doctor performed an endoscopic examination and only mentioned that there was a lot of mucus,...
Dr. Huang Jiabin Reply:
Hello: Of course, there is a chance of recovery with psychotherapy alone. Research shows that the effects of psychotherapy tend to last longer after treatment compared to medication alone. However, if the condition is more severe, it is advisable to consider a combination of medi...[Read More] Managing Health Anxiety: Therapy vs. Medication for Recovery
Understanding Hand Tremors: When to Seek Medical Advice
About hand tremors? Hello, I am the person who inquired about hand tremors a few days ago. Over the past couple of days, I have gathered some information for your reference. As I mentioned the other day, my fingers tremble when maintaining a "turtle" position (it occurs...
Dr. Huang Jiabin Reply:
Hello: It seems that your previous question was not directed specifically to me, and the team did not provide me with your last question or the response from another physician. I can only respond to the question you have posed this time, and I apologize for any inconvenience this...[Read More] Understanding Hand Tremors: When to Seek Medical Advice
Understanding Dementia: Signs, Symptoms, and Next Steps for Care
Dementia Hello, doctor. I apologize for bothering you again. I previously asked about my father, who started experiencing headaches after using facial cleanser to clean the bathroom. He has also been making frequent wrong phone calls, and his behavior became more exaggerated on t...
Dr. Huang Jiabin Reply:
Hello, sir: Although I am not the physician who responded previously, I believe your father's current issues are related to behavioral disturbances and impaired judgment, and the situation is changing rapidly. What concerns me more is the potential impact of physiological fa...[Read More] Understanding Dementia: Signs, Symptoms, and Next Steps for Care
Understanding My Mental and Physical Health Struggles: A Personal Journey
I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...
Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey
Understanding Depression: Symptoms, Treatment, and Family Support
Could you please provide more details or specify what you would like to know about depression? Hello Doctor: My father suddenly lost control of his emotions one day a year ago and had an argument with my mother. The argument was about unpleasant experiences from the past. My fath...
Dr. Wu Enliang Reply:
1. Does my father have depression? To determine if he has depression, it is best to consult his psychiatrist, as a diagnosis requires a detailed interview, physical examination, and psychological testing. I have attached an educational article about depression for your reference....[Read More] Understanding Depression: Symptoms, Treatment, and Family Support
Managing Anxiety: When to Seek Help for Health-Related Fears
Feeling extremely anxious? Hello, doctor. A few days ago, I came across a term called "hypochondriasis," and I wanted to ask you about it. About four months ago, I felt an enlarged lymph node in my neck, and after researching online, I became anxious thinking it might b...
Dr. Liang Sunyuan Reply:
Hello, the likelihood of misdiagnosis by ten different doctors is truly low. It is advisable to shift your focus and concentrate on other aspects of daily life. Try to approach your excessive worries with a sense of detachment. If that proves difficult, it is recommended to seek ...[Read More] Managing Anxiety: When to Seek Help for Health-Related Fears
Understanding Anxiety and Panic Disorders in Mothers: Seeking Help
Anxiety Panic Disorder Hello Dr. Wu: I have two sons who are both adults and have stable jobs, but I find the role of "mother" to be overwhelming. I am constantly worried about them, and recently it has become very severe. I have thought countless times about using deat...
Dr. Wu Enliang Reply:
Hello, life is very precious. There are many people in Taiwanese society (including myself) who are willing to help you through difficult times. I wonder if you might be suffering from depression? Depression is not a sign of weakness; it is a condition caused by a decrease in bra...[Read More] Understanding Anxiety and Panic Disorders in Mothers: Seeking Help
Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Use of sleeping pills 1. The article states that medications containing Zolpidem, Zopiclone, or Zaleplon may indicate underlying issues if increasing doses are needed to achieve sleep. The most common underlying condition is depression, while physiological issues often include fo...
Dr. Qiu Junda Reply:
Hello. It is true that sleeping pills can lead to addiction and drug tolerance, resulting in the need for increasing doses to achieve sleep. However, not everyone experiences this, and it is not limited to individuals with specific body types. Importantly, as you mentioned, (coll...[Read More] Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Erectile dysfunction, ejaculation difficulties? I have been taking sleeping pills for a while, and I have noticed that erectile dysfunction and difficulty with ejaculation are becoming more pronounced. I would like to know which of these medications might be causing it: Anbaining...
Dr. Qiu Junda Reply:
Hello. Some psychiatric medications do indeed have side effects related to sexual function. The medication mentioned in your letter, such as escitalopram, may have such side effects (you can find this information through a quick Google search). However, issues with sexual functio...[Read More] Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Understanding Dissociative Identity Disorder: My Journey with Five Personalities
Dissociative Identity Disorder (DID) I have five personalities. The first one is my younger brother; he is very cute and childlike. The second one is Ayou; he has depression, hates himself, and often thinks about suicide. The third one is nameless; he is very perverse and can do ...
Dr. Qiu Junda Reply:
Hello. The diagnosis of dissociative identity disorder is relatively rigorous and complex in medicine. It may not be possible to make a definitive judgment based solely on the description provided in your letter. I recommend that you take the time to consult with a psychiatrist a...[Read More] Understanding Dissociative Identity Disorder: My Journey with Five Personalities
Understanding Anxiety and Trauma: Navigating Mental Health Challenges
Anxiety Disorder/Panic Disorder/Post-Traumatic Stress Disorder (PTSD)/Social Anxiety Disorder/Depression The content is quite extensive, and I appreciate your efforts, doctor. I want to confirm whether I am unwell... First part: I have a boyfriend whom I met when I was 18 years...
Dr. Huang Xiaoxian Reply:
Thank you for your question. From your story, it is evident that the pressure and psychological impact you have experienced in this relationship over the years have been significant. Overall, from a third-party perspective, the conflict seems to stem from both you and your boyfri...[Read More] Understanding Anxiety and Trauma: Navigating Mental Health Challenges
Do I Have Depression? Understanding Symptoms and Seeking Help
Do I have depression? Hello, doctor. I am a first-year high school student in a culinary program. For the past few months, I have been experiencing a loss of appetite; after taking the first bite of food, I have no desire to eat any more, and I often feel nauseous afterward, regr...
Dr. Tang Jiahong Reply:
Dear Miss Lin, Your article describes many distressing mental and physical conditions you are experiencing. Seeing so many painful situations, we believe there are many better and more effective coping strategies than self-harm that can alleviate your suffering. The specific dia...[Read More] Do I Have Depression? Understanding Symptoms and Seeking Help
Struggling with Overthinking: How It Affects Mental Clarity and Mood
Constantly thinking about the same thing makes me feel like my mind is becoming dull? Three years ago, I began to force myself to think about the same things repeatedly (not emotional matters), and this has continued until now. I find myself constantly ruminating on various aspec...
Dr. Lin Mianzhang Reply:
Hello, Lala: Your situation may simply be a case of ruminating on the same thought, but it could also be related to depression, anxiety, or obsessive-compulsive disorder. Since additional information is needed for differential diagnosis, I cannot provide you with a definitive ans...[Read More] Struggling with Overthinking: How It Affects Mental Clarity and Mood
Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Panic disorder caused by autonomic nervous system dysregulation? About a year ago, I was diagnosed with autonomic nervous system dysfunction. However, after taking the first dose of medication the next day, I experienced hand tremors and an accelerated heartbeat, which caused me ...
Dr. Tang Jiahong Reply:
Hello, sir: Among your current medications, bromazin (generic name bromazepam) belongs to the benzodiazepine class of anxiolytics, which provides an immediate sense of relaxation upon ingestion. Sertraline is a medication that enhances serotonin levels and improves anxiety over t...[Read More] Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Understanding Your Mental Health: Questions About Diagnosis and Treatment
I would like to inquire about a disease name? Hello, doctor 🤗. I previously visited a psychiatric clinic a few times, and the doctor prescribed me antidepressants. I haven't asked what exactly my condition is, but I remember the doctor asked if I still feel fearful. If I ask...
Dr. Tang Jiahong Reply:
Hello, ma'am: Your most urgent situation seems to be the risk of self-harm. I recommend that you approach this with an open mind and seek help from healthcare professionals you feel most comfortable with. If you encounter a physician who makes you feel hesitant, awkward, or ...[Read More] Understanding Your Mental Health: Questions About Diagnosis and Treatment
Understanding Your Mental Health: Am I Diagnosed with Depression?
I want to know if I am actually diagnosed? Hello Doctor, I started visiting the psychiatric outpatient clinic on December 13th of last year. In the past, I was bullied in middle school, which led to the habit of cutting my arms with a utility knife. In high school, due to my emot...
Dr. Wu Enliang Reply:
Hello: It must be very difficult for you to deal with long-term emotional distress. I recommend that before your appointment, you take notes and write down the questions you want to ask so you can discuss them with your doctor during the visit. You should also share your concerns...[Read More] Understanding Your Mental Health: Am I Diagnosed with Depression?
Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Do I have bipolar disorder? Hello, Dr. Chiu. These are the symptoms of bipolar disorder that I found online: 1. Mood swings or irritability. 2. Decreased need for sleep. 3. Uncontrollable talking. 4. Flight of ideas. 5. Distractibility. 6. Inflated self-esteem. 7. Increased goal-...
Dr. Qiu Junda Reply:
Hello. The diagnosis of bipolar disorder in psychiatry requires a comprehensive assessment, including symptoms, duration, and severity of impact, among other factors. Based on your description, I personally believe that your situation appears to be within the normal range and doe...[Read More] Do I Have Bipolar Disorder? Understanding Symptoms and Self-Assessment
Navigating Family Conflicts and Mental Health Challenges
When talking to family members? I have always been busy with my career development and have a habit of engaging in outdoor sports. Let me clarify that my following statements are not fictional and should not be distorted. I just returned from abroad, and since both my mother and ...
Dr. Xiao Minghong Reply:
Dear Miss A, I am sorry to hear about the many painful experiences you have encountered, and I understand that the difficulties you face are multifaceted. Based on the information provided, I can offer the following responses: 1. Communication Issues with Family: It seems that ...[Read More] Navigating Family Conflicts and Mental Health Challenges