Diagnosis, Psychiatry FAQ - Page 31

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Struggling with Mental Health: Seeking Help for Eating Disorders and Depression

I don't know the reason, but I don't want to feel this way right now? I wear a mask, and people I don't know often think I'm cheerful, but in reality, I'm not happy and frequently feel down. I tend to eat a lot to cope with my emotions, but then I gain we...


Dr. Chen Wenyu Reply:
Hello K: Based on your description, it seems that you meet the criteria for a diagnosis of "binge eating disorder." It is urgently necessary to seek assistance from a mental health professional team for treatment, and it is important to be patient and cooperate with the...

[Read More] Struggling with Mental Health: Seeking Help for Eating Disorders and Depression


Understanding Intrusive Thoughts: Are They a Sign of Mental Illness?

Please provide the content you would like me to translate? I often find myself thinking about various things while at work, including events that haven't happened yet. During this process, I sometimes speak out loud as if I'm talking to myself. For example, while I'...


Dr. Chen Meizhu Reply:
Hello: Regarding the issues you mentioned in your letter, it is difficult to determine whether there is a mental illness. However, if these symptoms are affecting your work, interpersonal relationships, and academic performance, I recommend that you seek an evaluation from a psyc...

[Read More] Understanding Intrusive Thoughts: Are They a Sign of Mental Illness?


Understanding Depression: Signs and Solutions for Isolation in Young Adults

Depression? My sister just graduated from college (studying art) and loves the big city of Taipei. Our home is in the countryside, in a standalone house with no neighbors, and there is no pressure for her to find a job right away since we are not in a financial bind. She has neve...


Dr. Chen Wenyu Reply:
Hello, Ping Ping: Based on the description in your letter, it is clear that your younger sister is experiencing significant issues, and the situation seems quite serious. A range of unusual behaviors has emerged, such as locking herself in her room, staying awake at night, feelin...

[Read More] Understanding Depression: Signs and Solutions for Isolation in Young Adults


Overcoming Shoe Fetishism: Treatment Options and Success Stories

Fetishism I have had a shoe fetish for over 10 years (I am currently trying to resist the urge to look, but I still can't manage it), and it's really frustrating. I am thinking about getting married in the future, and I wonder if this condition will completely go away i...


Dr. Chen Wenyu Reply:
Hello, Xiao Hua: The diagnosis of "fetishism" is classified as a "paraphilic disorder," which involves achieving sexual gratification through objects, such as clothing items like women's underwear. However, if one merely glances at someone else's sho...

[Read More] Overcoming Shoe Fetishism: Treatment Options and Success Stories


Am I Depressed? Understanding Your Emotional Struggles

Is this considered depression? Hello Dr. Wang: I often feel extremely restless, almost every day, but I don't know what I'm actually troubled by. Recently, a friend asked me if I might be suffering from depression. To be honest, I'm not sure if this is depression; ...


Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Ren of the Department of Psychiatry at Tainan Hospital, Executive Yuan Health Department: Experiencing depression or unhappiness does not necessarily indicate major depressive disorder. However, if these feelings persist for more than one or two weeks and sig...

[Read More] Am I Depressed? Understanding Your Emotional Struggles


Understanding Delusional Disorders: Recovery, Treatment, and Medication Effects

Delusional disorder issues Hello Dr. Wang: 1. Can jealousy delusion disorder recover (after approximately 6 months)? 2. If a patient shows reluctance to seek medical treatment, does this indicate a worsening of their condition? What methods can be used to encourage them to seek...


Dr. Wang Wushi Reply:
The patient exhibits symptoms of jealousy delusion and requires further evaluation to determine if there are additional psychiatric symptoms; a comprehensive consideration is necessary to establish a diagnosis. Patients presenting with delusional symptoms may be considered for an...

[Read More] Understanding Delusional Disorders: Recovery, Treatment, and Medication Effects


Understanding the Effects and Risks of Combining Psychiatric Medications

Medication consultation Hello Dr. Tang: I was originally taking only Stilnox (10mg) and Rivotril (2mg). Recently, it seems that these two medications have gradually lost their effectiveness, so my doctor has prescribed two additional medications for me: Prozac (20mg) and Scrcnal ...


Dr. Tang Xinbei Reply:
Dear Xiang-er, Among the four medications you are taking, Rivotril (2mg) and Serenal (10mg) belong to the benzodiazepine class of sedative-hypnotics. Long-term and high-dose use can lead to tolerance (meaning the medication gradually loses its effectiveness). When suddenly disco...

[Read More] Understanding the Effects and Risks of Combining Psychiatric Medications


Accessing Effexor XR in Taiwan: Prescription Guidelines for Foreign Patients

Regarding medications for mental disorders? Hello, Doctor: A foreign friend is being dispatched to Taiwan for service. He has a history of anxiety and depression due to a car accident in the United States, and Effexor XR has been effective for him. His American psychiatrist has a...


Dr. Kong Fanzhong Reply:
Effexor XR is a new type of antidepressant, and most psychiatric clinics in Taiwan have this medication or its equivalents. Your friend can register at a hospital or psychiatric clinic and explain their current condition (having a medical summary or prescription from a foreign ph...

[Read More] Accessing Effexor XR in Taiwan: Prescription Guidelines for Foreign Patients


Am I Suffering from Depression? Understanding Fear and Anxiety Symptoms

Could you please tell me if I have depression? About two months ago, I started experiencing a fear of darkness, feeling unable to be alone in dark places. Whenever I see the sky gradually darkening, I feel a sense of fear. Initially, I could fall asleep around 1 or 2 AM with some...


Dr. Wang Chongren Reply:
Dear Sylvia, According to the symptoms you described, it seems that your primary issue may be a fear of darkness. You may need to seek medical attention for an evaluation and diagnosis by a psychiatrist, who can provide appropriate treatment. Wishing you good health and all th...

[Read More] Am I Suffering from Depression? Understanding Fear and Anxiety Symptoms


Navigating Teen Behavioral Issues: When to Seek Medical Help

Adolescent Issues Dear Dr. Jan, My child is 14 years old and has been exhibiting irritability, mood instability, and disrespect towards parents since the age of 12. He is very picky with food and shows a similar attitude towards his studies; he is very focused in subjects he is ...


Dr. Zhan Hongyu Reply:
Hello: Since we are uncertain about your child's diagnosis, we cannot provide recommendations regarding the need for medication treatment. From your description, many mental disorders may present with similar symptoms. If you could provide the current diagnosis made by the p...

[Read More] Navigating Teen Behavioral Issues: When to Seek Medical Help


Understanding Irritable Bowel Syndrome: Is It Linked to Autonomic Nervous Dysfunction?

Irritable Bowel Syndrome (IBS) Autonomic nervous system dysfunction can disrupt the body's balance mechanisms, and patients often feel unwell without a clear diagnosis. Currently, the Guo Yu-Hsiang Clinic has introduced "HRV (Heart Rate Variability) testing," which...


Dr. Cai Yunlin Reply:
Hello, Colorectal Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder that often accompanies anxiety and other psychological symptoms in addition to gastrointestinal symptoms. It is important to rule out related conditions such as lactose intolerance during diagn...

[Read More] Understanding Irritable Bowel Syndrome: Is It Linked to Autonomic Nervous Dysfunction?


How to Help a Classmate Struggling with Anxiety and Mental Health Issues

Please help my classmate? Hello Dr. Tsai, please help my classmate. His symptoms include irritability, anxiety, tension, difficulty concentrating, unexplained physical aches, and loss of motivation. Today at work, he felt disoriented and accidentally dropped a wrench on a battery...


Dr. Cai Yunlin Reply:
Hello, Xiao Weng. The literal description alone cannot determine the diagnosis of your classmate's illness, but it is clear that his symptoms have caused difficulties in his interpersonal relationships and daily life. It is recommended that he visit the nearest hospital'...

[Read More] How to Help a Classmate Struggling with Anxiety and Mental Health Issues


Understanding Your Psychiatric Medications: A Guide to Common Prescriptions

Medication Consultation Hello Doctor: Recently, I often feel anxious, under a lot of stress, experience unexplained fear, cry, and have difficulty sleeping. The doctor prescribed me six medications but did not inform me of their main uses or possible side effects, so I am seeking...


Dr. Wang Chongren Reply:
Dear [Recipient's Name], I hope this message finds you well. Based on your letter, I am unable to provide a definitive diagnosis. However, the symptoms you described, such as fear and unexplained crying, if they occur frequently and impact your daily life, work, or interper...

[Read More] Understanding Your Psychiatric Medications: A Guide to Common Prescriptions


Can You Apply for Disability Benefits with Depression?

Could you please provide more details or specify your question about depression? Can I apply for a disability certificate for depression? I saw online that it might be possible, but I just want to understand a bit more about it.


Dr. Cai Yunlin Reply:
Hello, regarding the evaluation procedures for individuals with disabilities, the assessment of chronic mental illness patients should be based on the impact of their condition on occupational, social, and daily functioning, as well as the degree of dependence on others for care ...

[Read More] Can You Apply for Disability Benefits with Depression?


Feeling Overwhelmed: Coping with Depression and Anxiety in School

I'm feeling frustrated... I've had enough... I really want to jump down? I don't like talking to my classmates, I can't sleep, and I often feel low. I cry for no reason. Sometimes I talk to my teachers at school, but recently I don't want to talk to them....


Dr. Song Chengxian Reply:
Hello, this student: Based on your description, I would recommend that your parents take you to a pediatric psychiatry or child and adolescent mental health clinic for evaluation. Many of the discomforts you are experiencing are symptoms of adolescent depression. Early diagnosis ...

[Read More] Feeling Overwhelmed: Coping with Depression and Anxiety in School


Understanding Violence and Anger Disorders: A Case Study

Violence and Aggression Disorders I met a male friend in Hualien who exhibits violent and aggressive behavior. He often speaks loudly to his girlfriend or relatives, whether intentionally or unintentionally, causing his girlfriend to experience mental stress, insomnia, and autono...


Dr. Tang Xinbei Reply:
Dear Limey, Your question is somewhat complex, so I will try to clarify a few points: 1. Your friend, who is only twenty years old, seems to be troubled by her boyfriend's issues. Her boyfriend has been using drugs, specifically methamphetamine, which appears to have alte...

[Read More] Understanding Violence and Anger Disorders: A Case Study


Can My Sister Apply for a Major Illness Card Due to Mental Health Issues?

Can I apply for a major illness card under these circumstances? Hello Dr. Chou: My sister is 31 years old and has previously been diagnosed with suspected depression by a psychiatrist. Recently, she secretly signed contracts for three properties with three different real estate a...


Dr. Zhou Sunyuan Reply:
Your question is viewed as follows: Your sister has a past diagnosis of suspected depression. Now, she is exhibiting behavior involving significant financial expenditures. To understand whether your sister's behavior is related to a psychiatric diagnosis, it is essential to ...

[Read More] Can My Sister Apply for a Major Illness Card Due to Mental Health Issues?


Understanding the Symptoms of Depression and Bipolar Disorder

請提供 Sure! Here are the symptoms of depression and bipolar disorder: **Depression Symptoms:** 1. Persistent feelings of sadness or emptiness. 2. Loss of interest or pleasure in activities once enjoyed. 3. Changes in appetite or weight (either weight loss or gain). 4. Sleep distur...


Dr. Lin Yanhong Reply:
The diagnostic criteria for depression include nine conditions: 1. A depressed mood nearly every day. 2. A significant loss of interest or pleasure in most activities of daily life. 3. A weight change of more than 5% without intentional dietary changes. 4. Insomnia or hypersomnia...

[Read More] Understanding the Symptoms of Depression and Bipolar Disorder


Assessing ADHD in Children: A Guide for Parents Seeking Evaluation

Assessment of Attention Deficit Hyperactivity Disorder (ADHD) Doctor, my child was evaluated by a psychologist a year ago and was found to have attention deficit issues. Currently, he is regularly attending sensory integration therapy and speech therapy. Can I take him for a psyc...


Dr. Chen Meizhu Reply:
Hello: The diagnostic assessment for Attention Deficit Hyperactivity Disorder (ADHD) should be conducted by a multidisciplinary team of child and adolescent mental health professionals. Additionally, input from the school regarding the child's behavior in the classroom is es...

[Read More] Assessing ADHD in Children: A Guide for Parents Seeking Evaluation


Overcoming Social Anxiety: Managing Persistent Throat Sensations

A strange question? Hello Dr. Lin: When I talk to people, I often feel like there is something in my throat (it feels like phlegm) that I need to swallow. However, after I swallow (sometimes I force myself to do so), it feels like another phlegm comes up, which makes it very diff...


Dr. Lin Yanhong Reply:
Hello, your symptoms initially suggest a sensation of a "foreign body" in the throat. Some individuals with anxiety disorders or obsessive-compulsive disorder may experience similar symptoms. It is advisable to obtain an accurate diagnosis before starting any medication...

[Read More] Overcoming Social Anxiety: Managing Persistent Throat Sensations


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