Understanding Diagnosis and Medication Guidance for Delusional Disorder
Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...
Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...[Read More] Understanding Diagnosis and Medication Guidance for Delusional Disorder
Understanding the Fine Line of Illness Awareness in Mental Health
The boundary of insight into illness? Hello, I have been diagnosed with schizophrenia. During my middle school years, I stayed in a rehabilitation center, but there wasn't a specific diagnosis given. My family didn't tell me much, but it was likely related to depressive...
Dr. Lin Mianzhang Reply:
Hello Alu: It seems that your condition is relatively mild and you are responding well to treatment, which is why you appear to be like a normal person. However, it is still recommended that you continue taking your medication to prevent relapse. Each relapse can cause harm to th...[Read More] Understanding the Fine Line of Illness Awareness in Mental Health
Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
What is this considered? Hello, Doctor! This is my first time using this website, and I'm not quite sure which specialty to consult for my issues. I apologize if I haven't expressed myself clearly. I find it challenging to describe the problems I'm experiencing bec...
Dr. Huang Zhijia Reply:
Hello, the diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. Please seek medical attention.[Read More] Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Cerebral perfusion computed tomography (CT perfusion) I was diagnosed with suspected atypical schizophrenia in the psychiatric department, and then I was referred to the neurology department. The neurologist arranged for me to undergo a brain CT scan. I would like to know if a br...
Dr. Wu Enliang Reply:
Online users have noted that this examination cannot detect schizophrenia, but it can identify other brain lesions. A brain perfusion CT scan utilizes lipophilic tracers that can penetrate the blood-brain barrier, allowing assessment of blood flow perfusion in the frontal lobe, p...[Read More] Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Understanding Reading Disabilities: Diagnosis and Testing for Adults
Diagnosis-related issues concerning dyslexia? Hello, I would like to inquire about issues related to reading disabilities. Since childhood, I have often seen letters in reverse, experienced difficulty in reading fluently, required repeated viewing for text comprehension, and enco...
Dr. Wu Menghuan Reply:
Dyslexia, also known as reading disorder, is classified under Specific Learning Disorder in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Individuals with dyslexia experience difficulties in literacy, reading comprehension...[Read More] Understanding Reading Disabilities: Diagnosis and Testing for Adults
Do I Have Depression? Understanding Symptoms and Self-Doubt
Do I have depression? My family does not have a history of depression, but I often find it difficult to focus on completing my academic goals due to excessive thinking about my existence lacking substantial value, my inability to feel motivated to continue experiencing the future...
Dr. Wang Zhenbang Reply:
First of all, I commend you for bravely sharing your feelings and concerns. The emotional fluctuations and mental state you are experiencing are worthy of attention, and seeking professional help is a very important step. Based on the symptoms you described, including low self-wo...[Read More] Do I Have Depression? Understanding Symptoms and Self-Doubt
Understanding Anxiety, Panic, and Depression: A Student's Struggle
Is this obsessive-compulsive disorder (OCD), anxiety disorder, panic disorder, or depression? I am a fifth-year design student in college, and I have been experiencing significant academic pressure lately. About two weeks ago, I had an emotional outburst due to stress, which led ...
Dr. Qiu Junda Reply:
Hello. Currently, it seems that we should maintain the diagnosis of Adjustment Disorder with Anxiety and Depressed Mood. This means that the emotional responses arising from stress (Stress-Related Adjustment Disorder) can include symptoms such as compulsions, anxiety, panic, and ...[Read More] Understanding Anxiety, Panic, and Depression: A Student's Struggle
Understanding Depression in Teens Facing Bullying: Signs and Support
Depressive tendencies and bullying? My girlfriend is 15 years old. Recently, she has been bullied by her same-sex classmates at school. I asked her if it was just exclusion or if she was also being hit or verbally abused. She said sometimes it happens, but she hasn't told me...
Dr. Wu Enliang Reply:
Netizens are concerned that there is a difference in severity between depression and short-term adjustment issues. It is recommended to seek medical attention at a mental health facility for a diagnosis by a specialist physician. Dr. Wu Enliang.[Read More] Understanding Depression in Teens Facing Bullying: Signs and Support
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda Reply:
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Overcoming Dependence on Xanax: Steps to Safely Taper Off
Drug withdrawal from Xanax? Hello, doctor. In April of this year, I was diagnosed with a thyroid issue, and at that time, the doctor prescribed me Zolpidem to take one tablet before bed. My thyroid levels have mostly returned to normal, and I am close to being able to stop the me...
Dr. Wu Enliang Reply:
It is generally recommended to switch to a longer-acting medication with a lower potential for habit formation before tapering off. If your internist is unable to manage this, consider consulting a psychiatrist. Dr. Wu En-Liang.[Read More] Overcoming Dependence on Xanax: Steps to Safely Taper Off
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...
Dr. Li Zhengfeng Reply:
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Potential Borderline Personality Disorder in Young Adults
I have discovered that I may have been struggling with borderline personality disorder all along? Hello Doctor, I am a 20-year-old college student who has been dealing with obsessive-compulsive disorder since middle school and have been under psychiatric care and medication ever ...
Dr. Lin Mianzhang Reply:
Hello, Xiao Meng: It seems that you easily oscillate between two extremes regarding others' opinions, which aligns with some characteristics of borderline personality disorder (BPD). However, to be diagnosed with BPD, other criteria must also be met, including emotional inst...[Read More] Understanding Potential Borderline Personality Disorder in Young Adults
Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Schizophrenia Hello, doctor. I have a question. When I read sentences, my mind often feels sluggish, and I occasionally add unnecessary words automatically, which causes me to reread. Does this count as a form of cognitive disorder? What would be the best treatment for this? Than...
Dr. Xue Gengming Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another mental health facility. Thank you. Wishing you good health![Read More] Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Risks of Long-Term Use of ADHD Medications: A Patient's Perspective
ADHD-related issues What are the risks of long-term use of Concerta 36mg and Sertraline 10mg? I feel that the side effects include some restlessness and discomfort, as well as increased numbness in my legs. When the medication wears off, I experience some confusion and a tendency...
Dr. Wu Enliang Reply:
Hello, I would like to ask about the long-term risks of taking 36mg of Concerta and 10mg of Sertraline. A: If taken as prescribed by a physician, long-term use should generally be fine, and there shouldn't be significant long-term risks. I think the side effects might includ...[Read More] Risks of Long-Term Use of ADHD Medications: A Patient's Perspective
Understanding Depression and ADHD: Insights from a Patient's Journey
Depression and ADHD-related issues? Hello Dr. Li, I would like to ask for your help in reviewing my information below: This is some data from my childhood. The doctor only mentioned that I had significant attention deficit and noted that my math skills were decent. I don't...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about the pressures of your family members dealing with depression and ADHD. 1. Facing an uncertain future, mental health disorders are common in modern society. These are chronic conditions that require long-term treatment f...[Read More] Understanding Depression and ADHD: Insights from a Patient's Journey
Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Schizophrenia Hello Dr. Lin! I would like to ask you a question. If a person only exhibits positive symptoms (such as hallucinations and delusions) and shows no negative symptoms at all, can this still be classified as schizophrenia? Thank you!
Dr. Lin Mianzhang Reply:
Hello: The diagnostic criteria for schizophrenia include delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. At least two of these five symptoms must be present (with at least one of the first three) for a duration of one month, along wit...[Read More] Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Diagnosis and Definition of Delusions I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing distress due to concerns about psychiatric symptoms such as delusions. 1. Facing an uncertain future, psychiatric disorders are common in modern society. These are chronic conditions that require long-term treatment for ...[Read More] Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students