Overcoming Trust Issues in Mental Health Treatment: A Personal Journey
Emotional instability I regret some actions I took during a period of severe depression. Now that my depression is not as severe, I worry about my doctor's lack of trust in me. I tried therapy at another hospital but felt it wasn't a good fit, so I returned to my origin...
Dr. Liang Sunyuan Reply:
Hello Ning: Trust is a two-way street; you must first trust your physician and cooperate with them in order to gradually build a mutual trust relationship. A physician's inquiries usually indicate a desire to understand and are not necessarily a sign of distrust, so it'...[Read More] Overcoming Trust Issues in Mental Health Treatment: A Personal Journey
Understanding Depression and Family Dynamics: A Personal Journey
Depression and Family Issues Hello, Doctor. I have three questions I'd like to ask, and I apologize for the length. Two months ago, I visited a psychiatrist and asked the doctor, "I want to know if I have depression." However, the doctor did not respond directly an...
Dr. Liang Sunyuan Reply:
Hello: The diagnosis in psychiatry typically requires multiple follow-up assessments before it can be established. The diagnosis entered in outpatient medical records may only be a provisional diagnosis and could be modified based on subsequent evaluations. The diagnosis on the f...[Read More] Understanding Depression and Family Dynamics: A Personal Journey
Understanding My Mother's Mental Health: Signs and Treatment Options
Does my mother have a mental health issue, and how should it be treated? 1. My mother has always wanted to have complete control over my life, insisting that I must comply with her wishes in everything I do. If I don't, she throws tantrums and becomes upset! We have communic...
Dr. Qiu Junda Reply:
Hello: Your mother's condition is indeed causing you significant distress, but the situation mentioned in the text, where suspicion has reached the level of delusion, still needs clarification and requires further evaluation. If your mother is unwilling to seek treatment, yo...[Read More] Understanding My Mother's Mental Health: Signs and Treatment Options
Understanding Dementia: Symptoms, Diagnosis, and Treatment Options
Dementia in the elderly? Hello Doctor: I would like to ask about my grandmother, who underwent surgery for cancer two months ago. Initially, she seemed to be doing well, but later during her recovery, she suddenly became rapidly weak one day. Now, she calls out names of people sh...
Dr. Qiu Junda Reply:
Hello: Although Grandma's symptoms may suggest the possibility of dementia, given her existing cancer issues and that the symptoms have developed over the past two months, further evaluation is necessary for differential diagnosis. It is recommended that you take Grandma to ...[Read More] Understanding Dementia: Symptoms, Diagnosis, and Treatment Options
Understanding Mood Disorders: Bipolar, Anxiety, or Delusional Symptoms?
Bipolar disorder, anxiety disorder, or delusional disorder? Hello Doctor: My mother previously worked night shifts and needed to drink alcohol. Last July, she was imprisoned for four months due to drunk driving. When she returned, there were no significant issues, but she often c...
Dr. Qiu Junda Reply:
Hello: Regarding my mother's condition, it appears that she is indeed experiencing emotional difficulties, primarily exhibiting negative behaviors. Whether this is due to depression, bipolar disorder, or other potential causes still requires further evaluation. Additionally,...[Read More] Understanding Mood Disorders: Bipolar, Anxiety, or Delusional Symptoms?
Overcoming Social Anxiety and OCD: Seeking Help Without Fear
I feel helpless. These issues have been troubling me for a long time. Thank you for your help? Hello, Doctor: I would like to describe my current symptoms. 1. In certain situations or unfamiliar environments, I become hypersensitive when there are people nearby. I feel tense an...
Dr. Su Zongwei Reply:
Please feel free to seek medical attention; your medical records are confidential and will not affect your employment. For any other concerns, please discuss them with your outpatient physician.[Read More] Overcoming Social Anxiety and OCD: Seeking Help Without Fear
Understanding Skin Picking: Is It a Sign of OCD?
Skin picking issue Hello doctor, I have developed a habit of picking at the skin of my ears over the past two years. I have sensitive skin, which has caused the skin on my ears to become rough. I have seen a dermatologist and used medication, and it was getting better, but I can&...
Dr. Zhong Mingxun Reply:
Based on your description, it does not seem to align with the diagnosis of obsessive-compulsive disorder; however, the habitual picking of ear skin may likely stem from your anxiety. It might be a good idea to seek an evaluation from a mental health professional.[Read More] Understanding Skin Picking: Is It a Sign of OCD?
Understanding Unexplained Anger: A Journey Through Mental Health Struggles
Uncontrollable anger I want to know what is wrong with me... Am I still normal? Since I was young, I have been thinking about suicide, often contemplating how wonderful it would be if I were not in this world; yet I also calmly know that I cannot do that. I only recognized "...
Dr. Liu Runqian Reply:
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, a...[Read More] Understanding Unexplained Anger: A Journey Through Mental Health Struggles
Do I Have Social Anxiety? Understanding Your Feelings and Fears
Do I have social anxiety disorder? I have had difficulty making friends since I was young because I am not very proactive in starting conversations. Now, I want to make friends, but whenever someone initiates a conversation with me, I often feel nervous and don't know what t...
Dr. Su Zongwei Reply:
It may or may not be the case; please consult a physician in person for an accurate diagnosis.[Read More] Do I Have Social Anxiety? Understanding Your Feelings and Fears
Understanding Post-Trauma Mental Health: A Sister's Struggle After an Accident
Mental and physical labor? Hello, Dr. Liang. My 36-year-old sister, who has become increasingly strange since a car accident last year, was diagnosed with only a mild concussion in the emergency room. She has started to hear sounds, sometimes of brakes and sometimes of collisions...
Dr. Liang Sunyuan Reply:
Hello, Jun-Min: If the physician has not seen the patient's condition prior to the car accident, it is difficult to assess the causal relationship based on the post-accident condition. Diagnosing a disease requires a period of follow-up treatment to confirm, so determining t...[Read More] Understanding Post-Trauma Mental Health: A Sister's Struggle After an Accident
Is It a Relapse of Bipolar Disorder or Depression?
Is it a recurrence of bipolar disorder or depression? Hello, Dr. Liang. Twenty years ago, I experienced a suicidal crisis due to depression, and my family forced me to seek treatment, which led to improvement. Five years later, my wife noticed that my mental state was off and tha...
Dr. Liang Sunyuan Reply:
Hello: Depression can indeed relapse, and your current symptoms may indicate a recurrence of depression. It is advisable to return for a follow-up appointment for an in-person evaluation by a physician. If your previous treatment was effective, appropriate treatment usually leads...[Read More] Is It a Relapse of Bipolar Disorder or Depression?
Feeling Down: Is It Depression or Just Stress from Exams?
Feeling inexplicably downcast, could it be depression? Hello, doctor. I am a senior high school student facing the pressure of the college entrance exam. Although I don't feel much, I have recently been experiencing anxiety and often feel like crying during class, thinking t...
Dr. Tang Jiahong Reply:
Hello: First of all, the pressure from the university entrance exam, family stress, and some symptoms seem to be causing you significant distress. Please remember that this is not your fault. To conclude, I recommend visiting a pediatric psychiatrist. Regarding whether this is &q...[Read More] Feeling Down: Is It Depression or Just Stress from Exams?
Coping with Emotional Turmoil After a Loved One's Cancer Diagnosis
Emotional instability Last Tuesday, my mom went to the hospital for a check-up without telling me and had a biopsy done. This Tuesday, after reviewing the results, it was confirmed that she has stage 1 to 2 breast cancer. When I found out, I felt very sad and angry. I quietly cri...
Dr. Zhong Mingxun Reply:
It's understandable that you're feeling very sad after your mother has been diagnosed with stage 1 or 2 breast cancer. Crying is a normal reaction, and expressing your emotions in a healthy way can be beneficial for you. Your mother's condition does have a high cha...[Read More] Coping with Emotional Turmoil After a Loved One's Cancer Diagnosis
Addressing Medication and Diagnosis Concerns in Psychiatry
Examination and medication issues? Due to a few questions being lost in the system, I would like to ask again regarding my diagnosis. The family medicine doctor diagnosed me with autonomic nervous system dysfunction based solely on judgment and prescribed Lexapro and Lysteda. I h...
Dr. Liang Sunyuan Reply:
Hello: Your condition is more suitable for an in-person consultation with a physician. If you still have concerns, it is recommended to visit a psychiatrist or a mental health specialist for a face-to-face discussion. In-person evaluations and examinations are generally more accu...[Read More] Addressing Medication and Diagnosis Concerns in Psychiatry
Am I Really Experiencing Autonomic Nervous System Dysfunction?
Doctor, could you please tell me if I really have autonomic nervous system dysfunction? In June 2014, I experienced a left-sided migraine. When I lay down to rest, I felt a sudden sensation of dizziness, which was very uncomfortable (I thought I was going to die). After sitting u...
Dr. Liang Sunyuan Reply:
Hello Mr. Hsu: Anxiety often occurs alongside physical discomfort. Sometimes, excessive anxiety can lead to physical symptoms or exacerbate existing discomfort. If you have concerns regarding a diagnosis of anxiety or autonomic nervous system dysfunction, you may consider visitin...[Read More] Am I Really Experiencing Autonomic Nervous System Dysfunction?
Struggling with Binge Eating: Seeking Help for Emotional Eating Issues
Inability to control binge eating? Hello doctor, usually after I have lunch in the afternoon, I soon feel the urge to eat again. Sometimes I can suppress it, but other times I can't and end up overeating. Just this afternoon, I suddenly craved something to eat, so I had a fe...
Dr. Huang Weiqin Reply:
To the inquiring netizen: Based on your described situation, you may be experiencing symptoms related to binge eating disorder. However, a diagnosis requires ruling out any endocrine or metabolic issues first. It is advisable to be accompanied by friends or family and visit a psy...[Read More] Struggling with Binge Eating: Seeking Help for Emotional Eating Issues
Should I Continue My Mental Health Treatment?
Should I continue seeking medical treatment? Hello Dr. Zhong, Please forgive me for not being able to disclose my real name. I am currently in my fourth year of a five-year vocational program and began seeing a psychiatrist in early January. I was hospitalized for over ten days ...
Dr. Zhong Mingxun Reply:
Classmate: I was very concerned to see your letter. Based on your description, you may be experiencing auditory hallucinations, visual hallucinations, and delusions of reference, which are psychiatric symptoms. However, it is also possible that these are just transient phenomena....[Read More] Should I Continue My Mental Health Treatment?
Overcoming Anxiety and Obsessive Thoughts About Health Risks
Anxiety, Obsessive-Compulsive Disorder (OCD) Hello Doctor, I experienced something a couple of weeks ago on Saturday, August 20th. I was at home gathering laundry, but my hands weren't very clean at the time, and I accidentally touched the inside of my 72-year-old grandmothe...
Dr. Qiu Junda Reply:
Hello: Although obsessive-compulsive disorder (OCD) has specific diagnostic criteria, if you are experiencing repetitive thoughts that you do not wish to continue and that are causing you psychological distress, it is indeed indicative of obsessive thinking tendencies. I hope you...[Read More] Overcoming Anxiety and Obsessive Thoughts About Health Risks
Understanding Asperger's: Navigating Complex Social Interactions
He says he has Asperger's syndrome, but I don't think so! Hello Doctor, I live in Kaohsiung and I am studying at Kun Shan University. I would like to ask you a question! There is a classmate who is 27 years old and claims to have Asperger's syndrome on our class fo...
Dr. Wang Xiumei Reply:
Hello: I can sense your distress. Based on the content, it appears that only inappropriate interaction behaviors can be observed, and a remote diagnosis is not possible. The key point is that when there are harmful behaviors or the potential for harm in real life or online, pleas...[Read More] Understanding Asperger's: Navigating Complex Social Interactions
Understanding Major Depression: A Patient's Journey Through Crisis
Major Depressive Disorder I am a patient with severe depression. The first time was a spontaneous drug overdose, and the second time was during the treatment process with a drug overdose. My attending physician was aware and referred me to a psychiatric hospital. My family is rel...
Dr. Liang Sunyuan Reply:
Hello Wenwen: It seems that your doctor is not refusing to treat you, but rather believes that given your current condition, it would be safer for you to receive inpatient treatment.[Read More] Understanding Major Depression: A Patient's Journey Through Crisis