Diagnosis, Psychiatry FAQ - Page 19

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Managing Severe Depression: Addressing Oral Discomfort and Insomnia

Patients with severe depression may experience discomfort in the teeth and tongue, as well as issues with insomnia? Hello Dr. Lin, I am here to ask on behalf of my mother. She has a history of severe depression for over twenty years (with a diagnosis) and has been on psychiatric ...


Dr. Lin Niqi Reply:
The discomfort described by the patient's mother may not only be physical but could also be attributed to psychological symptoms, potentially indicating a psychosomatic disorder. Emotional distress may lower the tolerance for physical discomfort, making it more challenging t...

[Read More] Managing Severe Depression: Addressing Oral Discomfort and Insomnia


Coping Strategies for Families of Patients with Bipolar Disorder

How to approach patients with bipolar disorder? Hello, Doctor. My sister has not been in a good mental state recently; she is experiencing symptoms such as paranoia, grandiosity, and aggression. She is currently being involuntarily hospitalized for treatment, and her diagnosis is...


Dr. Qiu Junda Reply:
Hello: If it is confirmed that your sister is in a manic phase, due to poor insight, she may believe that she does not need treatment and wish to be discharged. Since she is currently under involuntary hospitalization, the focus should be on treatment for now, and the physician w...

[Read More] Coping Strategies for Families of Patients with Bipolar Disorder


How to Address Potential Mental Health Issues in Relatives?

How to handle it? Hello, doctor: Relative A does not live in the old home but is registered there. Whenever other relatives return to the old home, he calls the police to report that someone has emptied his house. This has happened several times. The local police are aware that h...


Dr. Wang Yixiang Reply:
Hello, it is not possible to determine the presence of a mental illness solely based on these judgments, as conditions such as dementia, delusional disorder, schizophrenia, and substance abuse can exhibit similar symptoms. It is recommended that you take your relative to a psychi...

[Read More] How to Address Potential Mental Health Issues in Relatives?


How to Help a Loved One Refusing Mental Health Treatment?

The individual is unwilling to seek medical treatment? Hello Doctor, my brother has been exhibiting violent behavior. When he disagrees with family members or his partner, he becomes emotionally agitated. Initially, he would slam doors and throw things, but now he has started phy...


Dr. Qiu Junda Reply:
Hello: It seems that your brother's behavior may indicate issues with emotional regulation. Whether this is a manifestation of bipolar disorder still needs further clarification. If your brother is unwilling to seek medical attention, I recommend that you consult a physician...

[Read More] How to Help a Loved One Refusing Mental Health Treatment?


Understanding My Inner Turmoil: A Journey Through Anxiety and Guilt

I feel lost. What is wrong with me? Last night while reading a novel, I initially felt fine. As I continued, I inexplicably began to feel a sense of agitation. I tried to ignore it, but by around 10 PM (I had started reading around 7 PM), the feeling of restlessness intensified, ...


Dr. Liu Runqian Reply:
Based on the symptoms you described, they seem to be a mix of depression and anxiety, though not typical. Symptoms of major depressive disorder include a depressed mood, loss of interest, psychomotor retardation, difficulty concentrating, appetite changes, insomnia, fatigue, feel...

[Read More] Understanding My Inner Turmoil: A Journey Through Anxiety and Guilt


Struggling with Binge Eating and Anxiety: A College Student's Journey

I'm not sure if I have binge eating disorder or anxiety disorder? Recently, I felt that going to college was meaningless, thinking that what I learn every day may not be applicable to my future job. However, I am only a freshman, and this feeling was particularly strong on M...


Dr. Wu Enliang Reply:
It seems that your life is indeed filled with a lot of stress, leading to significant anxiety. Your parents' divorce during your childhood is not your fault, and worrying about family or not wanting to go to school are also common sources of life stress. It is important to t...

[Read More] Struggling with Binge Eating and Anxiety: A College Student's Journey


Understanding the Struggles of Mental Health: A Personal Journey

I don't know what's wrong with me? I have been feeling fatigued and weak for the past two months. Every day, I lie in bed and don't want to get up; I either feel sleepy or just can't muster the energy to get up, wanting to lie there motionless. I feel like lif...


Dr. Liu Runqian Reply:
The symptoms you described are more similar to depression. The symptoms of depression include a depressed mood, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessne...

[Read More] Understanding the Struggles of Mental Health: A Personal Journey


Understanding Emotional Instability: Causes and Coping Strategies

Emotional instability I have been prone to anxiety and nervousness since childhood, and my emotional reactions have always been intense. However, in recent years, my mood swings have become even more exaggerated; I often go from being angry one moment to happy the next, and I can...


Dr. Liu Runqian Reply:
Symptoms of depression include depressed mood, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and suicidal thoughts or attempts, lasting for more than two ...

[Read More] Understanding Emotional Instability: Causes and Coping Strategies


Understanding Strange Thoughts: Are They Signs of Paranoia or Just Doubts?

Strange thoughts I have recently been experiencing strange thoughts and I'm unsure if I have a tendency towards delusions. For instance, when others are talking, I sometimes wonder if they are speaking ill of me, or I think about whether the sound of birds might be revealing...


Dr. Zhang Zhehong Reply:
Hello: If you are experiencing some strange thoughts and emotional fluctuations, please seek medical attention as soon as possible. A psychiatrist will evaluate your physiological and psychological functions, emotions, behaviors, cognition, and motivation. The doctor will discuss...

[Read More] Understanding Strange Thoughts: Are They Signs of Paranoia or Just Doubts?


Understanding Canine Phobia and Boundaries in Psychiatric Relationships

Anxiety Disorders 1. Since I can remember, I have always been very afraid of dogs. Once, while I was riding my bicycle to school, I was chased by a dog. I stopped my bike and tried to run, but the dog continued to chase me, and I ended up falling and getting injured. Because of t...


Dr. Liu Runqian Reply:
1. Based on the symptoms you described, they are more similar to trauma and stress-related disorders; however, the severity as currently stated does not meet the criteria for a formal diagnosis. If there are alternative coping strategies (such as taking a different route or avoid...

[Read More] Understanding Canine Phobia and Boundaries in Psychiatric Relationships


Managing Anxiety: Understanding Post-Exercise Fatigue and Weakness

Anxiety disorder, fatigue, and generalized weakness after mild exercise? I am a college re-examinee this year, and I feel a lot of pressure regarding further education. Previously, I experienced palpitations after exercising and consulted a cardiologist. Both the exercise electro...


Dr. Zhong Mingxun Reply:
Stress can lead to sympathetic nervous system activation, which affects most organs in the body. Therefore, whenever there is anxiety, it can result in generalized discomfort. Many individuals seek medical attention due to this physical discomfort, but often fail to find a cause,...

[Read More] Managing Anxiety: Understanding Post-Exercise Fatigue and Weakness


Understanding Emotional Distress: Is It a Personality Issue or a Medical Condition?

Emotional issues Hello, doctor. I have always been prone to anxiety, which often leads to gastrointestinal inflammation. I frequently feel discomfort in my head. Since high school, I have been very pessimistic, prone to tears, and struggle to find meaning in life. I have a strong...


Dr. Liu Runqian Reply:
Based on your description, your symptoms resemble those of depression, including feelings of sadness, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and su...

[Read More] Understanding Emotional Distress: Is It a Personality Issue or a Medical Condition?


Do I Have Dissociative Identity Disorder? Seeking Help and Support

Do I have dissociative identity disorder? I have known since childhood that I am different from others. I can communicate with other aspects of my personality in another place, and this has continued to grow over time. However, it hasn't affected my daily life. Some friends ...


Dr. Li Zhengfeng Reply:
Hello: Dissociative Identity Disorder typically affects daily life and functioning, and requires treatment. It is recommended that you first consult a physician to confirm the diagnosis before considering informing your family. I hope this helps resolve your concerns. Thank you f...

[Read More] Do I Have Dissociative Identity Disorder? Seeking Help and Support


Understanding ADD: Diagnosis, Treatment, and Management Options

ADD (Attention Deficit Disorder) Hello, doctor. Can Attention Deficit Hyperactivity Disorder (ADHD) be diagnosed at the hospital? If there is no hyperactivity and it is Attention Deficit Disorder (ADD), which department should I consult? Aren't those symptoms more common in ...


Dr. Song Chengxian Reply:
Hello: Attention deficit, whether with or without hyperactivity, is treated in mental health or psychiatric clinics. Individuals as young as 16 can seek treatment. Whether medication or non-medication therapy is needed should be assessed and recommended by a physician. Sincerely,...

[Read More] Understanding ADD: Diagnosis, Treatment, and Management Options


Fears of Schizophrenia: Understanding Anxiety and Delusions

Fear of developing schizophrenia? Hello doctor, I previously heard someone online say that they had schizophrenia and believed they were possessed, as well as having apocalyptic thoughts. After hearing them talk, I've recently been thinking a lot about whether I am also poss...


Dr. Zhang Zhehong Reply:
Hello: Among anxiety disorders, there is a condition known as illness anxiety disorder, which involves exaggerating physical and mental symptoms and excessively worrying about having a disease. It may also be a secondary condition related to depression or generalized anxiety diso...

[Read More] Fears of Schizophrenia: Understanding Anxiety and Delusions


Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help

Issues in 4-Year-Old Children Hello, doctor! I have a four-year-old grandson who is in kindergarten. Recently, he has been biting his nails, throwing tantrums and breaking things, and he can't sit still during activities and runs around. I'm wondering if I should take h...


Dr. Song Chengxian Reply:
Hello, regarding your grandson's condition, it is important to determine whether it is an adaptation issue, a temperament issue, or if there are other emotional or behavioral problems. I recommend taking your grandson to a pediatric psychologist or child psychiatrist for a c...

[Read More] Understanding Behavioral Issues in 4-Year-Olds: When to Seek Help


Managing Mental Health Issues After Drug Abuse: Seeking Effective Solutions

Psychotic disorders caused by drug use? I'm sorry to hear about your sister's situation. It's important to approach this with care. Given her history of substance abuse and the current mental health issues, it would be advisable to seek a comprehensive evaluation f...


Dr. Huang Weiqin Reply:
Hello, user: Based on your description of your sister's emotions and behaviors, it is indeed possible that she may be affected by drug-related harm or drug-induced mental illness. It is advisable for family members to accompany her to a psychiatric evaluation and treatment t...

[Read More] Managing Mental Health Issues After Drug Abuse: Seeking Effective Solutions


Is Nighttime Anger and Cursing a Symptom of Depression?

Is nighttime rage and outbursts a symptom of depression? My son is 26 years old and has been exempted from military service due to a diagnosis of severe depression. He has had a more anxious and impatient personality since childhood and claims he was bullied by classmates in midd...


Dr. Wu Enliang Reply:
"Nighttime outbursts of anger" can have many causes, and it is common for individuals to react this way when under significant stress; it should not necessarily be considered a symptom of depression. What is "Anbifu"? Is it "Otsuka Anrifu Tablets"? I...

[Read More] Is Nighttime Anger and Cursing a Symptom of Depression?


Understanding Atypical Memory Obsession: A Journey Through Anxiety

Memory compulsions (though considered atypical) Hello, doctor. The onset of my symptoms has been ongoing for about 5 to 6 years. Initially, I didn't pay much attention to it and even thought it was just laziness, but the real issue has been severely impacting my daily life. ...


Dr. Ding Shuyan Reply:
Hello, it is difficult to definitively say whether you have obsessive-compulsive disorder (OCD) based solely on information found online. According to regulations, a physician cannot confirm a diagnosis without a personal examination. The distressing thoughts you mentioned do exh...

[Read More] Understanding Atypical Memory Obsession: A Journey Through Anxiety


Understanding Depression: Signs, Symptoms, and Seeking Help

Depression? Decreased concentration and memory, along with poor efficiency in tasks. Significant reduction in appetite, to the point of almost not being able to eat. At specific times, I start to feel very anxious, tremble, have the urge to grab things, and cry for a long time wh...


Dr. Wang Zhenbang Reply:
Hello QN: It seems that you have not been feeling happy lately. The symptoms you described are consistent with those of depression; however, experiencing depressive symptoms does not necessarily mean that you have depression. It is important to consider the severity, duration, fr...

[Read More] Understanding Depression: Signs, Symptoms, and Seeking Help


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