Understanding and Overcoming Mental Health Challenges: Expert Insights
How to resolve this? Dear Dr. Wang, I have been experiencing persistent auditory hallucinations and self-talk, along with racing thoughts that make it difficult for me to concentrate. I also experience muscle twitching and pain throughout my body, yet medical examinations have n...
Dr. Wang Chongren Reply:
Dear Director Wang Chong-Ren of the Psychiatry Department at Tainan Hospital, I have received your letter and noticed that your main concerns are the "voices in your mind" and "unexplained fear and laughter." These phenomena appear to be symptoms related to ...[Read More] Understanding and Overcoming Mental Health Challenges: Expert Insights
Understanding PTSD After a Traumatic Car Accident: Symptoms and Treatments
Post-Traumatic Stress Disorder (PTSD) Hello, Doctor: I was involved in a car accident on February 26, 2005. At that time, the driver was under the influence of alcohol and crashed into a median. I was seated in the left rear seat (behind the driver) and suffered severe impact to ...
Dr. Wang Chongren Reply:
Dear Xiao Jin, Based on the symptoms and the course of your illness that you described, it is indeed necessary to consider the possibility of Post-Traumatic Stress Disorder (PTSD). If the recurrent re-experiencing of traumatic events and anticipatory anxiety persist, you should ...[Read More] Understanding PTSD After a Traumatic Car Accident: Symptoms and Treatments
Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Am I sick? Hello, since April, I have been experiencing a feeling of heaviness in my chest, along with palpitations and insomnia. In May, after visiting the hospital, my family medicine doctor said that my heart and lung functions were normal and advised me to reduce work stress ...
Dr. Cai Yunlin Reply:
Hello Apple, if the family medicine physician has conducted an evaluation and examination, it should be possible to preliminarily rule out any physical ailments related to the symptoms you described. It may be necessary to further exclude stress-related or emotional issues. I rec...[Read More] Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Feeling Depressed? Understanding Symptoms and Seeking Help
I think I might have depression? Doctor, I'm sorry, but I think I might be suffering from depression. No matter what I do, I can only think of the negative aspects. Whenever I'm unhappy, I tend to hurt myself. I've even attempted suicide before, and I get angry ver...
Dr. Sun Xiaoru Reply:
Hello, X: Based on your letter, it is uncertain whether you may be suffering from depression. However, the diagnosis of mental disorders requires an in-person evaluation. Therefore, I recommend that you visit the psychiatric outpatient department at any medical institution. Our o...[Read More] Feeling Depressed? Understanding Symptoms and Seeking Help
Understanding Unexplained Sadness: Is It Depression?
Unexplained sadness? Hello Doctor: My girlfriend just finished a large international conference, and she still dreams about the meeting every night. Because of the conference, she has been hurt by rumors from colleagues, and sometimes she feels sad without knowing why, leading he...
Dr. Sun Xiaoru Reply:
Hello, Based on your message, it is still uncertain whether your girlfriend may be suffering from depression or a stress-related reaction. However, the diagnosis of mental disorders requires an in-person evaluation. Therefore, I recommend encouraging your girlfriend to visit a ...[Read More] Understanding Unexplained Sadness: Is It Depression?
Why You Need a Doctor's Consultation for an IQ Test
Why is it necessary to have a consultation with a physician for an intelligence test? Why is it necessary to have a consultation with a physician for an intelligence test?
Dr. Chen Meizhu Reply:
Hello: Currently, the intelligence tests arranged by our hospital are aimed at assessing the intellectual capabilities of patients with mental disorders who meet the criteria for health insurance coverage. Therefore, only cases that have been evaluated by a physician, confirmed w...[Read More] Why You Need a Doctor's Consultation for an IQ Test
Facing Nightmares: Seeking Help for Mental Health Struggles
The nightmare has returned, please help me....? I am almost 50 years old and, like most people, I have been living under the pressures of work and family without giving it much thought. Recently, I never expected that the nightmares I had suppressed for two to three decades would...
Dr. Sun Xiaoru Reply:
Dear Mr. Lao Fang, From your description in the letter, it is clear that you are currently experiencing significant mental stress and emotional distress. I recommend that you seek a nearby psychiatrist for evaluation and assistance with your current situation. Based on your past...[Read More] Facing Nightmares: Seeking Help for Mental Health Struggles
Understanding Neurological Disorders: Coping with Memory Loss and Behavior Changes
Regarding neuropathy? Doctor, I would like to ask about my father. About fifteen years ago, when I was a child, he had a high fever that became severe. After he woke up from sleeping, he seemed to have lost his mind to the extent that family members did not recognize him. He was ...
Dr. Chen Qixiang Reply:
Hello, Little White Rabbit: We need to understand more about your father's condition, such as how he has been functioning at work or in other aspects of life since that abnormal incident. Is he functioning just like a normal person? You also mentioned that he has had "a...[Read More] Understanding Neurological Disorders: Coping with Memory Loss and Behavior Changes
How to Order Modipanol for Reactive Psychosis Treatment?
Inquiry Hong En Hospital Long An Branch Diagnosis Certificate Disease: Reactive Psychosis Patient has been hospitalized in the Department of Psychiatry from April 12, 2005, to April 28, 2005, for treatment. Long-term follow-up is recommended for this patient. Diagnosis ma...
Dr. Chen Wenyu Reply:
Hello, Zhiwei: This is a Schedule III controlled substance. Both purchasing and selling it are illegal. If there is a genuine need, please consult a psychiatrist for evaluation. Thank you for your message![Read More] How to Order Modipanol for Reactive Psychosis Treatment?
Understanding Your Girlfriend's Mental Health: Signs and Support Strategies
Could you please provide more details about your girlfriend's condition? Hello, I would like to ask some questions regarding my girlfriend. She is 20 years old and has been under a lot of stress due to family issues (debt problems). Before the winter break, everything seemed...
Dr. Zheng Jingming Reply:
Some symptoms suggest a feeling of detachment from reality, and there are many symptoms that need clarification: Are there occasional issues with memory or orientation? Are there perceptual disturbances? It is essential to rule out any organic mental disorders, as this could pote...[Read More] Understanding Your Girlfriend's Mental Health: Signs and Support Strategies
Understanding Auditory Hallucinations: When Patients Refuse Treatment
Patients with hallucinations are unwilling to seek medical treatment? I have a friend who has been hearing threatening or critical voices for the past six months. He firmly believes that someone is watching him, but those around him cannot hear the voices he hears. After his fami...
Dr. Zheng Jingming Reply:
This patient presents symptoms similar to schizophrenia, but a definitive diagnosis must be made by a psychiatrist. There are many hospitals in Kaohsiung, such as Kaohsiung Municipal Hospital, the Department of Psychiatry led by Dr. Fan Lequn at the Kaohsiung Union Hospital, Kaoh...[Read More] Understanding Auditory Hallucinations: When Patients Refuse Treatment
Understanding Amphetamine Addiction and Its Long-Term Effects on Mental Health
Substance abuse Hello Dr. Cheng, I have reviewed your physician profile and noted that your specialty is in substance addiction science. I would like to ask you a few questions. I have been struggling with substance abuse, specifically methamphetamine, for nine years. I have been...
Dr. Zheng Jingming Reply:
Differential diagnosis between amphetamine-related psychosis and schizophrenia is often a challenge for psychiatrists, as there are no reliable diagnostic tools available to distinguish between the two. Physicians must rely on the patient's history and symptoms for different...[Read More] Understanding Amphetamine Addiction and Its Long-Term Effects on Mental Health
Understanding Abnormal Behavior in Classmates: A Guide for Students
Abnormal behavior of classmates? Hello: During my specialty training, I encountered a classmate whose behavior was different from others. When the teacher announced my high score, he suddenly hit me and cursed at me. Later, he would often give me a fierce look, which felt very un...
Dr. Chen Mingzhe Reply:
Dear Tom, many types of mental disorders are prevalent among adolescents aged 15 to 20. The specialist classmate you described is indeed unique and somewhat eccentric. However, psychiatry places great emphasis on clinical observation over a period of time (approximately one month...[Read More] Understanding Abnormal Behavior in Classmates: A Guide for Students
Understanding Panic Disorder: Physical Symptoms and Effective Coping Strategies
Is it related to panic disorder? About 7 to 8 months ago, I started experiencing various discomforting symptoms such as dizziness, palpitations, shortness of breath, and stomach pain. For six months, I visited numerous hospitals near my home, addressing each symptom as it arose. ...
Dr. Zhou Sunyuan Reply:
"Panick attacks" are a state of extreme anxiety, where patients often experience various physical symptoms, including chest tightness, shortness of breath, palpitations, numbness, and a feeling of impending doom. Many people find this to be a terrifying experience. &quo...[Read More] Understanding Panic Disorder: Physical Symptoms and Effective Coping Strategies
Exploring Sexual Identity: A College Student's Journey of Self-Discovery
I am a gay mom? Hello doctor~~ I am a college student who has never had a girlfriend due to my introverted personality~~ My roommate, Aqi, is a lively and outgoing guy who has had numerous girlfriends~~ One day, he got drunk and suddenly started touching me~~ Surprisingly, I didn...
Dr. Chen Mingzhe Reply:
Hello, it is not possible to make a diagnosis based on the description provided; you should go to a specialized hospital for further evaluation.[Read More] Exploring Sexual Identity: A College Student's Journey of Self-Discovery
How to Support a Friend Struggling with Depression Without Overstepping
How can I help her..? My friend has mild depression, but her condition seems to have worsened recently. Initially, she only expressed thoughts of wanting to die verbally, but a few days ago, we discovered scars on her arms from cutting. Additionally, her grandmother passed away l...
Dr. Chen Meizhu Reply:
Hello: Based on your description, your friend is indeed experiencing a worsening of depression and may currently be at risk of self-harm. It is crucial to provide immediate and effective assistance by facilitating medical help. If accessing medical care is difficult, it would be ...[Read More] How to Support a Friend Struggling with Depression Without Overstepping
How to Support a Classmate with Mild Depression?
How to help patients with depression? I have a classmate who has been sitting quietly in her seat after class, not laughing much, and often staring into space. When friends gather to chat, she doesn't participate. Last week, she went to the hospital for an examination and wa...
Dr. Chen Meizhu Reply:
1. People with depression do not typically have strange thoughts or behaviors, so there is no need to be overly fearful. They may experience low mood, pessimistic and negative thoughts, and exhibit passive and slow behaviors. It is important to pay attention to whether they have ...[Read More] How to Support a Classmate with Mild Depression?
Understanding Dementia: Signs, Symptoms, and When to Seek Help
Consultation My mother is 80 years old and is experiencing memory decline; she sometimes fails to recognize our home and continues to walk past it. She frequently has hallucinations and often feels chest tightness and discomfort. However, when I accompany her for a walk, she can ...
Dr. Zhou Sunyuan Reply:
Memory decline is a significant manifestation of dementia, but it is often mistakenly perceived as merely a sign of aging, leading to delayed treatment. Elderly individuals with dementia frequently present with severe symptoms (such as the hallucinations you mentioned) before the...[Read More] Understanding Dementia: Signs, Symptoms, and When to Seek Help
Does My Father's Behavior Indicate a Need for Mental Health Care?
In this situation, is it necessary to seek medical attention? Hello Doctor: My father has been experiencing difficulties in his career recently, which has caused him to worry about money. Two months ago, for unknown reasons, he started ignoring my mother. Later, he had misunderst...
Dr. Sun Xiaoru Reply:
Karen: I apologize for the delay in responding to your question! The various phenomena your father is experiencing under significant stress have indeed caused distress for both him and those around him who care about him. I recommend encouraging him to seek medical attention, as ...[Read More] Does My Father's Behavior Indicate a Need for Mental Health Care?
Understanding the Efficacy of Medications for Bipolar Disorder After 4 Years
Bipolar disorder has been treated with medication for 4 years, but episodes still occur frequently. What is the efficacy of the medication? I am a patient with bipolar disorder, currently being treated with lithium and Seroquel for the past four years. Except for periods of depre...
Dr. Yu Xie Zhao Reply:
In summary, if your diagnosis of bipolar disorder is accurate, the commonly used mood stabilizers during the acute phase include lithium, valproate (VPA), carbamazepine (CBZ), and lamotrigine. Among these, VPA is becoming increasingly mainstream. Depending on the situation, antip...[Read More] Understanding the Efficacy of Medications for Bipolar Disorder After 4 Years