Understanding Intrusive Thoughts: Coping with Mental Health Challenges
I have persistent absurd thoughts that I can't seem to shake off and cannot control? Hello Doctor, my husband has been experiencing these issues for a long time, but he only opened up to me about his emotional struggles after we got married. Recently, he had another episode,...
Dr. Lin Niqi Reply:
Hello, you mentioned that your husband's mental condition has significantly affected his daily life, which necessitates medical treatment. As for the cause, diagnosis, and treatment methods, these can only be confirmed through a consultation with the patient. Therefore, plea...[Read More] Understanding Intrusive Thoughts: Coping with Mental Health Challenges
Understanding the Side Effects of Zyprexa for Panic Disorder Treatment
Side effects of Xanax? Doctor, I have panic disorder, which has led to chronic headaches and digestive issues. The doctor prescribed me Xanax and stomach medication, but I am afraid of the side effects and haven't taken them yet. If I develop tolerance, how long will it take...
Dr. Dai Wanxiang Reply:
Hello, Mr. Mirror: If a diagnosis of panic disorder is confirmed, it is possible to prescribe selective serotonin reuptake inhibitors (SSRIs) or anxiolytic medications (such as Xanax) for treatment. Cognitive behavioral therapy (CBT) can also be used in conjunction with medicatio...[Read More] Understanding the Side Effects of Zyprexa for Panic Disorder Treatment
Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Anxiety Panic Disorder Hello, Doctor. I have some questions I would like to ask you. Since I had an episode of hyperventilation after a meal during a business trip last July, I experienced another episode of hyperventilation in October that made me feel scared, and I was later di...
Dr. Dai Wanxiang Reply:
Hello, Mr. Wen: Based on your description, the symptoms that appeared after changing medication could indeed be withdrawal symptoms. However, it is essential to discuss this with your treating physician to determine the best pharmacological treatment approach. Xanax is an effecti...[Read More] Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder? Recently, I have been experiencing extreme emotional fluctuations. Normally, I feel very happy and believe that nothing can defeat me. I have thoughts and behaviors that make me feel like a genius, and I often express to my family and friends how smart I am. How...
Dr. Li Zhengfeng Reply:
Hello: As mentioned in the letter, there are indeed significant emotional fluctuations; however, an online diagnosis is not possible. It is recommended to consult a specialist. I hope this is helpful to you.[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Understanding Emotional Control Issues and Violence in Relationships
Emotional regulation issues, violence? Doctor, my boyfriend is 40 years old, works in insurance sales, and grew up in a single-parent family. After his parents divorced when he was in junior high, he has lived alone, with custody granted to his father. However, his father was bus...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the description in your letter, I would like to address several aspects regarding your boyfriend that require attention, including his daily routine, work situation, emotional stability, and impulsive or violent behaviors. The medical aspect will first i...[Read More] Understanding Emotional Control Issues and Violence in Relationships
Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Soliloquy I have been asking this question for a long time. My diagnosis is unrelated to my self-talk; I enjoy speaking to myself and listening to my own voice, or I might privately discuss what I want to say to others. This could be the reason why I rarely engage in conversation...
Dr. Ding Shuyan Reply:
Hello, as you mentioned, you have been asking this question for a long time. Perhaps you can revisit the previous responses from your physician to see if they are still helpful. It seems that this issue is not very serious, and you have already adapted to its presence. Instead of...[Read More] Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Understanding Schizophrenia vs. Dissociative Identity Disorder
Schizophrenia or Dissociative Identity Disorder (formerly known as Multiple Personality Disorder) In high school, I was bullied by my classmates, going through cycles of reconciliation and exclusion. Eventually, I felt I didn't want to face them anymore, but I sensed that an...
Dr. Li Zhengfeng Reply:
Hello: According to your letter, the symptoms are neither indicative of schizophrenia nor dissociative identity disorder. It is recommended to consult a specialist for an in-person diagnosis.[Read More] Understanding Schizophrenia vs. Dissociative Identity Disorder
Understanding ADHD Diagnosis and Medication Management in Adults
ADHD Prescription Hello, doctor. Recently, I was diagnosed by a pediatric psychiatrist at a medical center in the southern region, and psychological testing indicated that I have symptoms of ADHD. The doctor prescribed me 14 tablets of Adderall 10 mg and advised me to start monit...
Dr. Liang Sunyuan Reply:
Hello, prescriptions can only be issued after an in-person evaluation by a physician. It is recommended that you bring copies of past assessment results, medical records, and other relevant information for the consulting physician's reference, which should help reduce unnece...[Read More] Understanding ADHD Diagnosis and Medication Management in Adults
Understanding Early Signs of Schizophrenia in Adolescents: A Parent's Guide
Schizophrenia Hello, Doctor: My son is 15 years old and in the ninth grade. At the end of February this year, I noticed something unusual about him. His teacher informed me that he had significantly declined in his academic performance, was unable to concentrate, had difficulty p...
Dr. Liang Sunyuan Reply:
Hello: The "giggling and the attention of passersby" you mentioned could potentially be positive symptoms of schizophrenia. This condition indeed responds better to treatment when initiated early, and maintaining the lowest effective dose is a good therapeutic approach....[Read More] Understanding Early Signs of Schizophrenia in Adolescents: A Parent's Guide
Caring for Elderly Relatives: Signs of Dementia and Seeking Help
Elderly family members showing signs of dementia? Recently, the elder in our home has been frequently forgetting things, often forgetting which bus numbers to take. They tend to ask the same question multiple times within a short span of an hour. We encourage them to seek medical...
Dr. Guo Jialun Reply:
As we age, it is indeed common to experience a decline in learning ability and memory comprehension compared to our younger years. However, if this decline severely impacts daily functioning, such as forgetting familiar bus routes from many years ago or repeatedly asking the same...[Read More] Caring for Elderly Relatives: Signs of Dementia and Seeking Help
Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Concern about children's mental health and attention? It seems like I am experiencing some cognitive disturbances, especially when I close my eyes to sleep. I sometimes hear words like "ninja," "eating," or "company," but they don't seem to...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I can sense your discomfort and distress from your message. I strongly recommend that you discuss and evaluate your situation with a psychiatrist as soon as possible. Whether you choose a large hospital or a clinic should not make much...[Read More] Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Understanding Schizoid Personality Disorder and Social Phobia Treatment Differences
Schizoid Personality Disorder I am a patient with social phobia and have been receiving treatment at a psychiatric hospital for nearly two years. In addition to medication, I have continuously forced myself to engage in cognitive behavioral therapy. Currently, I can go out to buy...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Strictly speaking, if Schizoid Personality Disorder is the correct diagnosis, it falls under the category of personality disorders. Treatment for this condition is primarily supportive therapy, as the likelihood of changing one's ...[Read More] Understanding Schizoid Personality Disorder and Social Phobia Treatment Differences
Understanding Personality Changes: Seeking Help Without Fear
Dissociative Identity Disorder. Academic issues. Consultation issues? I have quite a few friends who say that sometimes I seem like different people. I just act according to my feelings, and many people around me have mentioned this, leading them to suspect that I might have diss...
Dr. Song Chengxian Reply:
Hello: 1. Split personality is not a medical diagnosis. The formal diagnoses are Dissociative Identity Disorder or Schizophrenia. These are two completely different conditions. 2. Most online tests are just for fun and are not diagnostic tools. Their reliability is likely compara...[Read More] Understanding Personality Changes: Seeking Help Without Fear
Should I Seek Help for My Mental Health Struggles?
Should I seek medical attention for this? Hello, doctor. I have been considering seeking medical help for many years, but due to various factors, I do not want my family to know. I am also not fully capable of making decisions on my own, which has prevented me from going. In rece...
Dr. Liang Sunyuan Reply:
Hello, Xiao Nian: Most psychiatrists are very friendly. If you feel that these symptoms are troubling you, you can seek consultation. We do not require a confirmed diagnosis to see a doctor; if you have concerns, you can register for an appointment for an evaluation. It's si...[Read More] Should I Seek Help for My Mental Health Struggles?
Understanding Unspecified Emotional Disorders: Impact on Future Opportunities
Unspecified Affective Disorder Hello, Doctor: I would like to ask about my situation. I am in the second year of high school and have often been teased by my classmates. Due to academic pressure, I frequently feel down. One time, after being teased in class, I couldn't help ...
Dr. Liang Sunyuan Reply:
Hello: The diagnosis at that time can only reflect the condition at that moment. What is important is your current state. As long as you are indeed mentally and physically healthy now, there should not be a diagnosis of mental illness after evaluation. I believe if you are perfor...[Read More] Understanding Unspecified Emotional Disorders: Impact on Future Opportunities
Understanding Emotional Control Issues and Violence in Relationships
Emotional regulation issues with tendencies towards violence? My boyfriend is 40 years old and works in the insurance industry. When we first started dating, he was a polite, introverted person who appeared graceful to outsiders, had a good temper, and rarely became impatient or ...
Dr. Zhang Fangrong Reply:
Hello: It is common for individuals with mental illness to be reluctant to seek medical treatment, and this is a frequent occurrence. Based on your description of your boyfriend's situation, it seems he is experiencing early signs of social withdrawal and low mood, which may...[Read More] Understanding Emotional Control Issues and Violence in Relationships
Understanding Daytime Sleepiness in Psychiatric Medication Management
Psychiatric conditions can lead to significant drowsiness? Hello doctor, I have a history of panic disorder for a total of 10 years. My condition was stable while on medication, but last month I experienced frequent episodes (suspected to be caused by migraines, as my EEG results...
Dr. Ding Shuyan Reply:
Hello, if you have questions regarding your medical treatment, medication side effects, etc., you should discuss them with your physician, as they are most familiar with your condition and have the responsibility to clarify your concerns and adjust your medications. Asking unfami...[Read More] Understanding Daytime Sleepiness in Psychiatric Medication Management
Am I Experiencing Symptoms of Depression? Seeking Help and Understanding
Does this indicate a tendency towards depression? Hello, doctor. Last year, when I started dating a girl, my family found out and strongly opposed the relationship because she is a girl and her family background is not as good as ours. They even threatened me to break up with her...
Dr. Tang Jiahong Reply:
Hello, internet user: Based on your description, while it cannot be definitively determined whether you have depression, the presence of suicidal thoughts suggests that you should seek a medical evaluation. The focus should not be on whether you have a diagnosis of depression, bu...[Read More] Am I Experiencing Symptoms of Depression? Seeking Help and Understanding
Understanding Depression, Self-Harm, and Emotional Instability in Adolescents
Depression, self-harm, emotional instability? Hello, Doctor. When I was a child, I lived abroad with my parents and changed schools multiple times. In elementary school, a teacher once said in front of the whole class, "I've never seen someone so stupid." A classma...
Dr. Liang Sunyuan Reply:
Hello Nana: You have clearly articulated your situation and described the potential negative events that may arise, as well as your emotional changes. The past cannot be changed, but we can alter our perspective on past events and their impact on us. You have come this far, and a...[Read More] Understanding Depression, Self-Harm, and Emotional Instability in Adolescents
Understanding ADHD: Evaluation and Testing Process Explained
ADHD leads to difficulties in maintaining focus? Hello, doctor. Recently, I noticed an introduction to ADHD in the news. I find that I closely match the symptoms related to inattention. I am not inquiring whether I have this condition; I just want to know what assessments or test...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, If you are assessing adult Attention Deficit Hyperactivity Disorder (ADHD), the evaluation can include self-report scales as well as assessments conducted by a psychologist. The report will be compiled by the psychologist, and it will take approximately 1-2 weeks...[Read More] Understanding ADHD: Evaluation and Testing Process Explained