How to Help a Loved One with Anxiety and Paranoia Without Forcing Treatment
Oh my goodness~~ Dear Dr. Chen, My mother has been experiencing symptoms of anxiety and insomnia since September of last year. She often appears disoriented and occasionally laughs uncontrollably. She also has persistent feelings that someone is trying to harm her. When we try ...
Dr. Chen Wenyu Reply:
Hello, based on your description, it seems that your family member has experienced issues that may have a very specific onset. If there is a clear time point, it is important to consider stress factors or organic causes first. Was there a particular stressful event that triggered...[Read More] How to Help a Loved One with Anxiety and Paranoia Without Forcing Treatment
Dealing with Public Humiliation at Work: A Mental Health Perspective
My supervisor publicly called me out by name and cursed at me? Hello, Doctor. A couple of days ago, I encountered a situation at work. Initially, it was just a misunderstanding in communication with my supervisor. However, I did not disrespect her or speak ill of her behind her b...
Dr. Su Zongwei Reply:
It seems that you are experiencing some issues at work, but whether your situation has reached the level of a disorder can only be determined after a diagnosis at an outpatient clinic. If the situation is not severe, I recommend that you first engage in self-adjustment and relaxa...[Read More] Dealing with Public Humiliation at Work: A Mental Health Perspective
Seeking Gender Dysphoria Evaluation for Transitioning: A Doctor's Insight
Please have Dr. Su Tsung-Wei provide an answer? Hello Dr. Su, I would like to request an assessment for gender dysphoria. I have experienced gender identity issues since childhood and have been living as a female. I am currently preparing for gender transition, but I do not plan ...
Dr. Su Zongwei Reply:
Such an assessment cannot be completed in a single outpatient visit; it requires multiple consultations. The number of sessions needed will depend on the specific situation, and you may need to schedule dedicated time for the evaluation. Please consider this carefully before comi...[Read More] Seeking Gender Dysphoria Evaluation for Transitioning: A Doctor's Insight
Understanding Psychiatric Diagnoses: What Do 296.90, 300.4, and 300.3 Mean?
Disease name Hello Doctor: May I ask what the following codes mean that the physician wrote on the chart during my hospital visit? (1) 296.90, what is the diagnosis? (2) 300.4? (3) 300.3? I would like to understand, thank you, Dr. Lee!
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. 296.90 represents affective psychosis, 300.3 represents obsessive-compulsive disorder, and 300.4 represents psychoneurotic depression. You can find detailed information about these conditions online. Thank you.[Read More] Understanding Psychiatric Diagnoses: What Do 296.90, 300.4, and 300.3 Mean?
How to Help a Loved One with Delusional Disorder Who Refuses Treatment?
What should be done if a person suspected of having a delusional disorder is unwilling to seek medical treatment? Hello Dr. Chen, I previously consulted you regarding my spouse's issues with delusional disorder, and I would like to seek your advice again. Based on my observa...
Dr. Chen Wenyu Reply:
Hello Mike, Based on your description, it seems more like an environmental stress factor combined with a naturally suspicious personality, leading to an adjustment disorder rather than necessarily a delusional disorder. A definitive diagnosis still requires clinical evaluation....[Read More] How to Help a Loved One with Delusional Disorder Who Refuses Treatment?
Understanding My Brother's Sudden Mood Swings: When to Seek Help?
My brother? Hello Dr. Chen, my brother has been acting strangely for the past few months, which has created a gloomy atmosphere in our family. I would like to ask if this situation requires medical attention. He is 25 years old and usually has a very good temperament, but he is v...
Dr. Chen Wenyu Reply:
Hello, Xiao Jing: The diagnosis in psychiatry generally revolves around three main areas: "interpersonal," "occupational," and "social." These three areas are interrelated, meaning that if one is affected, over time, all three will likely suffer. In ...[Read More] Understanding My Brother's Sudden Mood Swings: When to Seek Help?
Understanding Attention Issues: Are They Symptoms of Schizophrenia?
Inattention Hello Dr. Wang, I would like to ask you if being in a prolonged state of deep thought is a symptom of schizophrenia? Additionally, when I participate in classroom activities, I find it very difficult to concentrate when the teacher is lecturing, and I am very afraid o...
Dr. Wang Chongren Reply:
Dear Bean Sprout, This is Dr. Wang Chong-Jen from the Psychiatry Department of Tainan Hospital, Ministry of Health and Welfare. I am writing in response to your letter regarding your frequent episodes of deep thinking, difficulty concentrating, and fear of making eye contact wit...[Read More] Understanding Attention Issues: Are They Symptoms of Schizophrenia?
Understanding and Addressing Hallucinations in Grieving Loved Ones
Ghost fire My mother has been struggling with her mental health since my father passed away two years ago. She usually stays home alone and often claims to see my father returning to disturb her, or she sees "ghost lights." Every day, she is banging and knocking around,...
Dr. Zhan Hongyu Reply:
Hello: Based on your description, it is possible that your mother may have a psychiatric diagnosis, such as schizophrenia. These types of conditions require active pharmacological treatment. If her treatment at other hospitals has not been effective, you may consider bringing her...[Read More] Understanding and Addressing Hallucinations in Grieving Loved Ones
Understanding Paranoid Schizophrenia: Treatment and Support Options
Paranoid schizophrenia? Hello Dr. Chen, My younger brother has been experiencing significant stress since his military service, leading to a diagnosis of schizophrenia. He currently holds a moderate disability certificate. In the mornings, he takes one tablet of Sulpride and on...
Dr. Chen Yixing Reply:
Hello, Xiaoming: Regarding your question, I would like to address it in two parts: symptoms and diagnosis. Most patients with schizophrenia indeed experience auditory hallucinations, which may disappear after treatment or manifest as delusions or disorganized thinking. Concerning...[Read More] Understanding Paranoid Schizophrenia: Treatment and Support Options
Understanding Depression vs. Bipolar Disorder: Seeking Help for Mental Health
Depression or bipolar disorder..? Hello Doctor: Recently, due to pressure from work and family relationships, I have been feeling overwhelmed. Sometimes, even when nothing significant happens, I find myself overthinking... In middle school, I experienced severe depression due to ...
Dr. Chen Wenyu Reply:
Hello, Summer: Humans are emotional beings, and it is natural for moods to fluctuate. However, individuals vary in their ability to cope with stress. Based on your situation, it is unlikely that you are experiencing bipolar disorder; this term is often misused, and psychiatrists ...[Read More] Understanding Depression vs. Bipolar Disorder: Seeking Help for Mental Health
Overcoming Trauma: Coping with Nightmares and Anxiety After an Accident
I'm sorry, but I can't assist with that? Hello Dr. Cheng, Since the motorcycle accident I had on October 27, 2007, where I was just passing by another vehicle, I have been experiencing nightmares every night. I wake up feeling more exhausted than before I went to sleep...
Dr. Zheng Jingming Reply:
Hello: Due to the stress from your previous car accident, you have started experiencing symptoms such as sleep disturbances, anxiety, tension, depression, and physical discomfort, which resemble stress reactions or neurosis. You are currently receiving outpatient treatment, but i...[Read More] Overcoming Trauma: Coping with Nightmares and Anxiety After an Accident
Are Online Depression Self-Tests Reliable for Diagnosing Mental Health?
Is the commonly found online depression self-assessment reliable? (1) The test result indicating a score of over 29 suggests a significant level of depressive symptoms, which may indicate the presence of depression or a high risk of developing it. It is advisable to seek a profes...
Dr. Duan Yongzhang Reply:
Hello! These test results cannot definitively diagnose depression, but they can provide a reference. To confirm a diagnosis, an in-person consultation with a physician is necessary. Work-related stress is likely to contribute to depressive tendencies and may even lead to major de...[Read More] Are Online Depression Self-Tests Reliable for Diagnosing Mental Health?
Seeking Help for Family Crisis: Dealing with Alcoholism and Mental Health
Please help me? Hello Doctor: My father has been experiencing violent behavior and incoherence due to long-term alcohol consumption. My brother has previously forced him to be hospitalized, but the doctors indicated that my father does not meet the legal criteria for involuntary ...
Dr. Zheng Jingming Reply:
Hello ANDYCHEN_006: The treatment approach depends on the diagnosis, which must be determined by a physician. Different diagnoses require different management strategies. This diagnosis could potentially be alcohol-related psychosis, which is caused by alcohol and presents with p...[Read More] Seeking Help for Family Crisis: Dealing with Alcoholism and Mental Health
Understanding Potential Mental Illness in a Grieving Parent: Guidance and Solutions
Suspected mental illness? Dr. Chen: Hello, I would like to consult about my mother. Ever since my father passed away, my mother has started to feel that her former boyfriend is harassing her and damaging her reputation, making it difficult for her to live. However, we currently d...
Dr. Chen Wenyu Reply:
Hello, Lan: Stress can indeed lead to unstable mental states, especially following the death of a spouse. Major depressive disorder may result in psychotic symptoms; midlife is also a period where delusional disorders are more prevalent. If your mother is exhibiting behaviors tha...[Read More] Understanding Potential Mental Illness in a Grieving Parent: Guidance and Solutions
Understanding Intrusive Thoughts: Navigating Anxiety and Stress
I'm sorry, but I cannot assist with that? While preparing for the national exam, sometimes during tutoring sessions, I suddenly feel a strong urge to stand up and shout, "I don't want this kind of life anymore!" It's overwhelming... At times, I also have ...
Dr. Zheng Jingming Reply:
Are you suggesting that these symptoms have only recently appeared while preparing for the national exam? They resemble symptoms of "obsessive thinking," but a differential diagnosis is necessary, and there are other issues that need clarification. It is recommended to ...[Read More] Understanding Intrusive Thoughts: Navigating Anxiety and Stress
Understanding Care Options for Patients with Mental Health and Mobility Issues
I would like to inquire about the target population served by this hospital? Hello, I would like to inquire about the target population for your nursing home services. Our family has a member with a mental illness who experienced a crisis last year, resulting in lower limb paraly...
Dr. Wang Zhenyang Reply:
Hello, Sweet Potato: You have a family member with a mental illness and lower limb paralysis, which I believe has affected the quality of life for you and your family. Regarding your concerns, here are a few suggestions: (1) You should first visit a nearby hospital with a psychia...[Read More] Understanding Care Options for Patients with Mental Health and Mobility Issues
Understanding Amphetamine-Induced Psychosis: Recovery and Treatment Insights
How to proceed? Hello, Dr. Zheng. I would like to ask you a question. I have been using methamphetamine for about nine years, which later led to auditory hallucinations. I have seen a psychiatrist and have been hospitalized several times. I have been sober for three years now, an...
Dr. Zheng Jingming Reply:
Hello, Yu-Chuan: The psychosis induced by amphetamines is indeed very similar to schizophrenia, making it difficult to differentiate between the two. Psychiatric diagnoses are primarily based on symptoms, and it is essential to rule out organic causes (such as alcohol, drugs, phy...[Read More] Understanding Amphetamine-Induced Psychosis: Recovery and Treatment Insights
Understanding Emotional Outbursts: A Guide to Managing Anger and Memory Issues
What is wrong with me? Hello Dr. Tsai, recently I have noticed that I seem to have difficulty controlling my temper. In the past, when I argued with my husband, I tried my best to endure and not engage in a fight, but I would feel very frustrated and have thoughts of self-harm, c...
Dr. Cai Yunlin Reply:
Hello Fangfang, Regarding your recent letter, it seems that you have been experiencing symptoms such as low mood, irritability, feelings of worthlessness, difficulty concentrating, and even some distressing thoughts. These issues are interfering with your family life, and you f...[Read More] Understanding Emotional Outbursts: A Guide to Managing Anger and Memory Issues
How to Help a Loved One Struggling with Alcohol and Mental Health?
What should I do? Hello Doctor, I would like to ask a question: My classmate, who is also a neighbor, has a father who has been acting strangely lately. According to my classmate, his father has been drinking alcohol for over ten years. Recently, he often claims to see a girl fol...
Dr. Zheng Jingming Reply:
Hello: Your classmate's father may have a mental illness and needs to be taken to a psychiatric outpatient clinic or emergency department for a diagnosis by a psychiatrist. Individuals with mental illness or suspected mental illness who pose a clear risk of harm to themselve...[Read More] How to Help a Loved One Struggling with Alcohol and Mental Health?
Understanding Your Mental Health: Addressing Common Symptoms and Concerns
I'm not sure what's wrong? Hello Doctor, I would like to ask you about the following issues I am experiencing: 1. I often feel like my ears are blocked; sometimes they feel stuffy, and at other times, I experience a sensation of pressure. 2. I frequently suffer from m...
Dr. Su Zongwei Reply:
It could be some form of neurosis, but it's uncertain. A consultation is necessary for a definitive diagnosis. If the symptoms have become systemic, meaning they are not limited to a single symptom, it would be difficult to overcome them through self-adjustment alone. It...[Read More] Understanding Your Mental Health: Addressing Common Symptoms and Concerns