Diagnosis, Psychiatry FAQ - Page 20

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Managing Insomnia and Anxiety: Tips for Better Mental Health

Insomnia and anxiety? Recently, I've been feeling low on energy, easily distracted, and experiencing dizziness. I have trouble focusing and lack motivation. I visited a Western medicine doctor who said my blood pressure is slightly high. How can I establish a normal routine?...


Dr. Qiu Junda Reply:
Hello: I wonder if you have been experiencing significant stress recently that may have led to these symptoms. Since you have prior experience with medical care, I recommend visiting a nearby healthcare facility's psychiatry department, as this will aid in the diagnosis and ...

[Read More] Managing Insomnia and Anxiety: Tips for Better Mental Health


Understanding Anxiety: When to Seek Help for Mental Health Issues

Nervousness - Fear - Wanting to cry - Nausea Hello, I would like to ask for advice regarding a friend of mine. She has suffered emotional and psychological harm due to poor social choices, which has led her to develop a fear of going out, increased anxiety, and nervousness when s...


Dr. Zhong Mingxun Reply:
I'm not sure what type of injury your friend has sustained, but it seems to be very serious, to the point where it has severely affected her basic sense of personal safety. As a result, she is experiencing extreme anxiety and may need to seek medical attention from a psychia...

[Read More] Understanding Anxiety: When to Seek Help for Mental Health Issues


Understanding Mental Exhaustion: When to Seek Help for Hallucinations

Physical and mental fatigue? Hello doctor, when I was 16 years old, I experienced a traumatic event. I would wake up at night feeling scared. Later, during my military service, I had a minor conflict with a fellow soldier, and during training, I constantly heard threats from him ...


Dr. Qiu Junda Reply:
Hello: It is unclear what the initial diagnosis was when you were ill and taking medication. If you are experiencing persistent auditory hallucinations, it may indicate a more serious mental disorder that needs to be clarified. If the original hospital (is it 818?) is too far, yo...

[Read More] Understanding Mental Exhaustion: When to Seek Help for Hallucinations


Understanding Severe Depression: Seeking Help When Financial Barriers Exist

Major Depressive Disorder Hello, Doctor: I have been seeing a psychiatrist at Chang Gung Memorial Hospital since high school due to self-harm, for at least one to two years. The doctor conducted psychological assessments and stated that I needed psychotherapy. However, due to the...


Dr. Huang Weiqin Reply:
Dear inquirer, regarding your situation, it may be advisable to pursue both medication and psychotherapy simultaneously. As for whether you can apply for major illness status, you will need to discuss this with your regular physician. Additionally, the approval for the major illn...

[Read More] Understanding Severe Depression: Seeking Help When Financial Barriers Exist


Understanding Unusual Movements in Classmates: Possible Neurological Insights

A male classmate who is different from others? In class, there is a male student who sometimes suddenly shakes vigorously at irregular intervals. Occasionally, he makes a strange facial expression for a moment (then it goes back to normal; it's just a brief twitch). Sometime...


Dr. Liang Sunyuan Reply:
Hello, involuntary movements or sounds during this period may be indicative of Tourette syndrome or tic disorders. It is a condition that is not intentional, somewhat akin to the sensation of coughing or sneezing; it can be temporarily suppressed, but will eventually reappear ove...

[Read More] Understanding Unusual Movements in Classmates: Possible Neurological Insights


Understanding a Friend's Struggle with Dissociative Identity Disorder

A friend seems to have schizophrenia? Hello, doctor: I first learned about this situation when she told me herself, and she provided a detailed introduction to her personalities 1 (the original), 2, and 3. However, she mentioned that during the time she switches personalities, sh...


Dr. Liu Runqian Reply:
1. Based on your description, it is difficult to assess your friend's condition. Given the symptoms you mentioned, it is essential to differentiate whether it is schizophrenia. Individuals with schizophrenia may experience symptoms such as auditory hallucinations, delusions,...

[Read More] Understanding a Friend's Struggle with Dissociative Identity Disorder


Should You Choose a Hospital or Clinic for Depression Treatment?

It is recommended to seek treatment for depression at a large hospital or a specialized clinic? Should I go to a large hospital or a clinic for depression? What are the differences in treatment between a large hospital and a clinic?


Dr. Liang Sunyuan Reply:
Both hospital and clinic physicians can provide diagnosis and treatment. However, if there is a risk of suicide and inpatient treatment is necessary, a visit to the hospital is required.

[Read More] Should You Choose a Hospital or Clinic for Depression Treatment?


Understanding Antisocial Personality Disorder: Can It Be Treated?

Antisocial personality disorder (ASPD) can be challenging to treat, but it is not impossible Dr. Ding, I have dysthymic disorder and antisocial personality disorder. When I was three years old, I stood alone in a large room and suddenly realized that my life was surrounded by mon...


Dr. Ding Shuyan Reply:
Hello, individuals with antisocial personality traits typically do not possess the self-reflection and desire for change that you exhibit. Of course, the diagnosis of personality disorders is not a strict binary; everyone has certain traits to varying degrees, and it is a matter ...

[Read More] Understanding Antisocial Personality Disorder: Can It Be Treated?


Understanding Social Anxiety: Overcoming Fear in Familiar Settings

Social Anxiety Disorder? Hello, Doctor: When I engage in general social activities alone, I usually don't feel too anxious because I know they are just strangers I've met once and will forget quickly. I don't have to be responsible for them. However, when it comes ...


Dr. Ding Shuyan Reply:
Hello, regarding your inquiry about disease diagnosis, it is actually not permissible to conduct remote consultations online. However, let's share some medical knowledge for your reference. If someone exhibits the behaviors you described, they may be experiencing social anxi...

[Read More] Understanding Social Anxiety: Overcoming Fear in Familiar Settings


Understanding Your Father's Mental Health: Panic Disorder or Something Else?

Panic disorder!? Depression? Or something else? Hello Doctor: My father had a panic disorder ten years ago, which was treated successfully, but it has relapsed in the past two to three years. However, I am uncertain if he is experiencing panic disorder again, as he does not seem ...


Dr. Qiu Junda Reply:
Hello: Based on your letter, it seems that your father's symptoms cannot lead to an immediate diagnosis, but he may be experiencing psychological (emotional) distress. Since he is considering seeking medical help and has a history of overcoming panic disorder, it would be be...

[Read More] Understanding Your Father's Mental Health: Panic Disorder or Something Else?


Understanding Withdrawal Symptoms After Stopping Antidepressants

Discontinuation of Antidepressants Hello Doctor: Two weeks ago, I experienced symptoms related to health anxiety (palpitations, a desire to see a doctor for various health checks, and anxiety). After visiting a cardiologist, the doctor prescribed me a pink medication for palpitat...


Dr. Qiu Junda Reply:
Hello: It is true that abruptly discontinuing general anxiolytics after taking them for a period of time can lead to withdrawal symptoms. If the dosage is not high, these symptoms should gradually alleviate within a few days. However, if gastrointestinal symptoms persist after so...

[Read More] Understanding Withdrawal Symptoms After Stopping Antidepressants


Understanding Schizophrenia: Coping with a Difficult Diagnosis

Life is lived with great sorrow? When I was diagnosed with schizophrenia by my doctor, I must admit that I felt a bit unhappy. The reason is that previous diagnoses had not been as severe, and at that time, I didn't feel that I was in such a serious condition. So, when I tho...


Dr. Ding Shuyan Reply:
Hello everyone, we all appreciate a healthy and youthful appearance, and no one likes to be sick. Mental illnesses, in particular, are often stigmatized, leading to the term "labeling," which reflects the discrimination faced by individuals with mental health conditions...

[Read More] Understanding Schizophrenia: Coping with a Difficult Diagnosis


Addressing Concerns About Asperger's and ADHD in Young Adults

Questions related to my younger brother (suspected Asperger's syndrome and ADHD) - I hope the doctor can provide answers? Hello Doctor: My younger brother, when he was around 7-8 years old, was diagnosed with Asperger's syndrome and tendencies towards attention deficit ...


Dr. Liang Sunyuan Reply:
Hello, the military service aspect must be assessed based on the recent condition. A confirmed diagnosis of autism qualifies for exemption from service. If there were suspicions of Asperger's syndrome in childhood, a detailed evaluation of the current level of social impairm...

[Read More] Addressing Concerns About Asperger's and ADHD in Young Adults


How to Help Reluctant Family Members Seek Mental Health Treatment?

What should the family members of patients who refuse to seek medical treatment do? Hello, doctor! In the previous discussion, I saw your suggestion for family members to encourage the patient to seek medical treatment for her psychiatric symptoms, but my daughter is very resista...


Dr. Liang Sunyuan Reply:
Hello, if you consult her previous physician, the medical records will contain her past symptoms and treatment history. Along with your description and the supplementary video, discussing treatment options with the physician should be a viable approach.

[Read More] How to Help Reluctant Family Members Seek Mental Health Treatment?


Understanding Your Symptoms: Dysautonomia, Depression, or Bipolar Disorder?

Is it autonomic nervous system dysfunction, depression, or bipolar disorder? Hello Dr. Jan, I really don't know what my condition is. I have trouble sleeping at night, my throat hurts, my whole body aches, and I often feel like I have a terminal illness. I'm losing moti...


Dr. Zhan Jiaxiang Reply:
Dear Ms. Chen: Based on the symptoms you described, it seems that you may be experiencing issues related to depression and anxiety, which are also accompanied by physical discomfort. These symptoms could be related to various factors such as life stress and changes in your enviro...

[Read More] Understanding Your Symptoms: Dysautonomia, Depression, or Bipolar Disorder?


Understanding Simple Schizophrenia: A Personal Journey and Insights

I would like to understand patients with schizophrenia? Hello doctor, I am 26 years old and was diagnosed with simple schizophrenia at the age of 16. I initially sought help from a psychiatrist because I felt that I had certain issues that were different from others, which led my...


Dr. Liang Sunyuan Reply:
Hello, Miss Jiang: One of the most common symptoms of schizophrenia is indeed delusions of reference (the belief that many things are related to oneself), where the brain involuntarily makes excessive associations. Medication treatment can improve symptoms for most individuals, b...

[Read More] Understanding Simple Schizophrenia: A Personal Journey and Insights


Understanding Anxiety: Its Impact on Heart Health and Treatment Options

Anxiety issues? Thank you for your previous response. I have already followed up with the cardiology department to review my report. The diagnosis is autonomic dysfunction causing benign arrhythmia. The cardiologist informed me that this is due to emotional tension and stress. Ho...


Dr. Ding Shuyan Reply:
Hello, if there are no issues with your heart but rather with your emotions and autonomic nervous system, I believe it would be better to consult a psychiatrist or a psychosomatic medicine specialist. This is not to say that your cardiologist is not good; rather, different specia...

[Read More] Understanding Anxiety: Its Impact on Heart Health and Treatment Options


Understanding Emotional Instability: Signs of Depression and Solutions

Emotional instability Hello! Recently, I've been experiencing significant emotional instability, often getting angry and shouting. I find myself losing my temper easily when talking to family and friends, which is quite frustrating. I've even had thoughts of self-harm. ...


Dr. Wang Xiumei Reply:
It is possible. You can visit a nearby psychiatric or psychosomatic clinic for evaluation, differential diagnosis, and counseling on the next steps for treatment.

[Read More] Understanding Emotional Instability: Signs of Depression and Solutions


Psychological Factors Behind Chronic Gastrointestinal Discomfort

Psychological factors can lead to gastrointestinal discomfort? Hello Dr. Ding, my wife has been experiencing gastrointestinal discomfort that may be related to psychological factors. She has been vomiting frequently and has no appetite. She often feels bloated and has episodes of...


Dr. Ding Shuyan Reply:
Hello, if gastrointestinal examinations have shown no issues, it is indeed important to consider psychiatric problems. Conditions such as anxiety disorders, depression, and some stress-related physical symptoms may be involved. Although the duration has been several years, it doe...

[Read More] Psychological Factors Behind Chronic Gastrointestinal Discomfort


Understanding Psychiatric Diagnoses: When to Question Medication Prescriptions

Is there definitely a problem? Hello Doctor, the patient's symptoms have many possibilities. After consulting with the psychosomatic department several times, I noticed that the doctors always seem to find some diagnoses (for example, there is no insomnia, yet the diagnosis ...


Dr. Liang Sunyuan Reply:
Hello: Many medications indeed have multiple indications. When a physician prescribes a certain medication to you, it does not mean they believe you have all the diseases associated with that medication. The best approach is to consult your physician in person; most doctors are w...

[Read More] Understanding Psychiatric Diagnoses: When to Question Medication Prescriptions


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