Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Lower esophageal sphincter relaxation gastroesophageal reflux disease (GERD) Hello Doctor: I experienced a panic attack at the end of December two years ago, which led to a diagnosis of anxiety disorder, and I have been continuously using psychiatric medication since then. Later,...
Dr. Qiu Junda Reply:
Hello. Patients with anxiety disorders often experience various physiological symptoms, which can occur in different parts of the body. Gastrointestinal issues, including gastroesophageal reflux disease (GERD), are also commonly observed. It is advisable for you to seek consultat...[Read More] Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Navigating Relationships and Schizophrenia: Seeking Guidance for Life Decisions
Schizophrenia I am often asked why I am not married yet, as I am approaching 40 years old. However, I have been diagnosed with schizophrenia, and I am unsure how to handle this situation. My mother also expresses uncertainty about how to inform others, so I am at a loss regarding...
Dr. Wang Yazhen Reply:
Hello, regarding marriage, it is still related to one's life planning. Although there is a diagnosis of schizophrenia, the government still ensures that everyone has the freedom to marry. However, before deciding whether to enter into marriage, one should carefully assess wh...[Read More] Navigating Relationships and Schizophrenia: Seeking Guidance for Life Decisions
Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Anxiety Panic Disorder I often experience anxiety or negative thoughts, and whenever these thoughts arise, I feel chest tightness and headaches. I've noticed that the more I try to counter these thoughts with positive thinking, the more panic I feel in my body. This happens ...
Dr. Wu Enliang Reply:
Hello, Xiao Bai: If you are unable to manage your anxiety on your own, it is indeed necessary to seek medical attention. In fact, certain physical issues, such as thyroid dysfunction, can also lead to intolerable anxiety responses. Whether medication is needed should be discussed...[Read More] Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Understanding Intrusive Thoughts: Symptoms and Solutions for Mental Health Issues
Please help me? Hello, doctor. I have some questions that I couldn't find answers to online. I don't know when it started, but I find myself repeatedly thinking certain words in my mind after seeing them. When I try to control the repetition, I end up forgetting where I...
Dr. Wang Yazhen Reply:
Hello Ms. Wu, regarding your condition, it resembles the obsessive-compulsive symptoms, particularly the compulsive mental activities (such as feeling the need to strictly adhere to certain rules to alleviate anxiety or distress, or fearing that serious or painful consequences wi...[Read More] Understanding Intrusive Thoughts: Symptoms and Solutions for Mental Health Issues
Understanding PTSD: Why Traumatic Memories Are Often Repressed
Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) can lead to the forgetting of certain memories due to psychological factors. This phenomenon can be explained by Freud's theory of repression, which suggests that individuals often unconsciously avoi...
Dr. Wu Enliang Reply:
The September 21 earthquake caused severe disasters across Taiwan, resulting in numerous casualties and the destruction of many homes. Survivors faced the devastation of their communities, the loss of loved ones, and various difficulties in daily life, housing, and transportation...[Read More] Understanding PTSD: Why Traumatic Memories Are Often Repressed
Understanding Depression: Signs, Symptoms, and When to Seek Help
Is there a tendency towards depression? Hello, doctor. I apologize for the lengthy message. Since childhood, my father has often joked about wanting to commit suicide and would sometimes not come home. Although he has never actually harmed himself, witnessing this behavior throug...
Dr. Wang Junnian Reply:
Dear Sir/Madam, Based on your description, it appears that you are indeed troubled by emotional issues. However, to determine whether you have depression, it would be necessary to meet with you in person for a detailed assessment before making a diagnosis. During your elementary...[Read More] Understanding Depression: Signs, Symptoms, and When to Seek Help
Am I Experiencing Health Anxiety? Understanding Symptoms and Solutions
Is it hypochondriasis? Since last year, I have often felt sudden anxiety, which led me to visit the emergency room two or three times. The doctors said it was autonomic nervous system dysregulation, but I seem to have become more neurotic. Whenever I experience pain in any part o...
Dr. Qiu Junda Reply:
Hello. The situation described in the text can be considered as symptoms of autonomic nervous system dysfunction. For now, it is not necessary to differentiate whether it is a case of illness anxiety disorder, as it falls within that category. There is often anxiety, negative emo...[Read More] Am I Experiencing Health Anxiety? Understanding Symptoms and Solutions
Understanding Anxiety-Related Physical Symptoms: A Comprehensive Guide
Anxiety-related physical discomfort? Hello, Doctor: A year ago, due to my living environment, the people around me, and work-related stress, I found myself getting angry easily, almost every day. Initially, I thought it was not a big deal, but later on, I started experiencing fee...
Dr. Wang Yazhen Reply:
Hello, Anxiety-related disorders include anxiety disorders, obsessive-compulsive disorder (OCD), and panic disorder. In simple terms, these conditions are characterized by significant physical and mental disturbances that affect daily life and functioning for an extended period...[Read More] Understanding Anxiety-Related Physical Symptoms: A Comprehensive Guide
Is My Struggle with Social Situations Social Anxiety Disorder?
Do I have social anxiety disorder? Hello, doctor. I've been a slow-moving person since childhood, and my communication skills are poor, making social interactions quite challenging for me. Whenever there are three or more people gathered, I hardly ever speak. I experienced b...
Dr. Wang Yazhen Reply:
Hello, Caiyun: Based on your description, it seems that your nervousness and even physical discomfort when presenting or interacting with others may indicate a tendency towards social anxiety, although it may not necessarily reach the level of "social anxiety disorder."...[Read More] Is My Struggle with Social Situations Social Anxiety Disorder?
Understanding Music Hallucinations and Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, musical hallucinations? A female elder in the household, approximately 60 years old, has been experiencing symptoms of depression and insomnia. Four years ago, she sought treatment at a mental health clinic and was prescribed Cymbalta (duloxe...
Dr. Dai Wanxiang Reply:
Hello: Since I have not examined the patient, it is difficult to accurately respond to your specific questions regarding the case. I can only provide a brief response regarding general conditions. 1. If the medication (such as Sertraline) was effective in the past but is no lon...[Read More] Understanding Music Hallucinations and Autonomic Nervous System Disorders
Understanding Emotional Instability and Fetishism: Seeking Help and Solutions
Psychiatric aspects Recently, I have been experiencing emotional instability, negative thoughts, and a persistent inner dialogue that I can't shake off. My mood fluctuates throughout the day, sometimes good and sometimes bad. Does this qualify as a mental illness? Regarding ...
Dr. Wang Yazhen Reply:
Hello MIN, regarding your two questions: First, the degree of emotional instability must reach a certain duration and significantly impact daily functioning before it can be considered a mental disorder. Therefore, I recommend that you consult a psychiatrist or a mental health sp...[Read More] Understanding Emotional Instability and Fetishism: Seeking Help and Solutions
Understanding Anxiety Medications: Seronal and Chronic Throat Issues
Anxiolytic medication I often feel a sensation of something stuck in my throat when swallowing, and it has recently flared up. I went to see a doctor, who said this is caused by stress. When I am busy, I don't notice it, but once I have free time, I feel the sensation in my ...
Dr. Qiu Junda Reply:
Thank you for your message. 1. Side effects do not occur in everyone. Serenal is an anxiolytic that has sedative and drowsiness effects. If it interferes with your work or daily life, please discuss switching medications with your physician. 2. For abnormal throat sensations,...[Read More] Understanding Anxiety Medications: Seronal and Chronic Throat Issues
Understanding Anxiety: Am I Overthinking What Others Think of Me?
I'm very worried..? I feel like I might be seriously ill. 😭 I often think that others might not like me. For example, recently when I was training new employees, I found myself wondering if they thought I was impressive for knowing these things. Or when I go out, I am very c...
Dr. Wang Yazhen Reply:
Hello, from your description, it seems that you often have excessive worries or are particularly concerned about how others perceive you. Whether the level of your anxiety has reached the point of an anxiety disorder or other conditions needs to be assessed through a personal eva...[Read More] Understanding Anxiety: Am I Overthinking What Others Think of Me?
Understanding Social Anxiety: Seeking Professional Guidance
Social Anxiety Disorder: Request for Doctor's Assessment Hello, doctor. Actually, I've been thinking about this issue since middle school. Ever since I was bullied back then, I feel an inexplicable fear or anxiety when I see strangers, making it difficult for me to enga...
Dr. Wang Yazhen Reply:
Hello Wayne, based on your description, it closely aligns with the symptoms of social anxiety disorder. Indeed, this social anxiety can be triggered by experiences of bullying. Given that you are troubled by this condition, I recommend seeking an evaluation from a psychiatrist to...[Read More] Understanding Social Anxiety: Seeking Professional Guidance
Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
Issues related to autonomic nervous system dysfunction? I apologize for the inconvenience, but I would like to ask the doctor a few questions: Currently, I am experiencing symptoms of intermittent anxiety, which makes it difficult for me to concentrate. I often change my mind and...
Dr. Qiu Junda Reply:
Hello: The symptoms described in the text indeed align with what is commonly referred to as autonomic nervous system dysfunction. I'm not sure if your clinic is a psychosomatic medicine clinic; generally, there is a distinction between neurology and the terminology used in c...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Autonomic Nervous System Dysregulation Hello doctor, I experience daily headaches, dizziness, a feeling of pressure in my head, along with facial flushing and gastrointestinal discomfort, including constipation and other symptoms. I've been feeling very anxious and tense sin...
Dr. Wang Yazhen Reply:
Hello Amy, your symptoms need to be clarified in more detail. These atypical discomfort symptoms suggest that you should first consult a family medicine physician to rule out any general physiological issues. Only after that should we consider the possibility of autonomic dysregu...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Your Girlfriend's Emotional Response: Is It PTSD?
Is this a condition similar to post-traumatic stress disorder (PTSD)? Hello, Doctor. First, I want to apologize because the question I have is not about my own issue, but rather about my girlfriend. We have been dating for about two months; she is 30 years old, and I am currently...
Dr. Wang Yazhen Reply:
Hello Alex, typically, the experience of feeling detached or having an out-of-body sensation in certain situations, such as during kissing, may likely trigger a dissociative state related to past trauma. Dissociative states are often a defense mechanism that occurs when an indivi...[Read More] Understanding Your Girlfriend's Emotional Response: Is It PTSD?
Understanding Symptoms of Autonomic Nervous System Dysfunction
What are the symptoms of autonomic nervous system dysfunction? Hello doctor, I am a high school student. Due to frequent breath-holding during weight training, I have developed mild mitral valve regurgitation. I heard that this condition is often associated with autonomic nervous...
Dr. Song Chengxian Reply:
Hello Peter, Mitral valve insufficiency is a cardiology condition, while autonomic dysregulation is a type of psychosomatic disorder. The former requires evaluation by a cardiologist, while the latter may present symptoms related to anxiety, such as chest tightness, tremors, an...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding and Managing Fetishism: Seeking Help and Guidance
The fetishism is becoming increasingly severe? Hello, doctor. I have had a fetish since elementary school, often wearing tight clothing like stockings. Later, it developed into cross-dressing, and I frequently feel the urge to buy women's clothing, which I can't resist,...
Dr. Wang Yazhen Reply:
Hello, regarding fetishism or cross-dressing disorder, these behaviors involve the use of objects or dressing as the opposite sex to stimulate sexual arousal (including fantasies, impulses, or actions). Generally, initially, these behaviors may evoke sexual desire, but as one age...[Read More] Understanding and Managing Fetishism: Seeking Help and Guidance
Understanding Memory Loss, Dizziness, and Fatigue in Teens
Forgetfulness + dizziness + weakness + sudden lapses in consciousness + difficulty concentrating? I am a senior in high school, and due to school activities, I often feel mentally and physically exhausted. Over the past four to five months, my physical condition has worsened sign...
Dr. Wang Zhenbang Reply:
Hello, the issues you raised need to be addressed comprehensively: 1. If thalassemia is confirmed to be the primary cause of your dizziness, please discuss further treatment options with your internist, and a balanced diet is also essential. 2. Depression can affect cognitive fun...[Read More] Understanding Memory Loss, Dizziness, and Fatigue in Teens