Understanding Emotional Outbursts in Young Adults with Autism
In childhood, the physician diagnosed mild autism? I am asking for a friend—he is now 21 years old. He was diagnosed with mild autism as a child. Recently, he has been experiencing some issues after a phone argument with his girlfriend, which led to a breakup. As a result, he sud...
Dr. Zhang Jiexin Reply:
It is recommended to seek evaluation from a pediatric psychologist or child psychiatrist to: 1. further confirm the diagnosis, 2. understand the contributing factors related to emotional dysregulation and behavior, 3. determine the frequency of visits based on the severity of the...[Read More] Understanding Emotional Outbursts in Young Adults with Autism
Should I Return to the Doctor for My Anxiety and Sleep Issues?
excuse me? Hello Doctor: I previously underwent treatment for panic disorder for about two months, but since there was no significant improvement, I stopped taking medication on my own for about six months. During this time, my symptoms remained the same, but I feel somewhat bett...
Dr. Tang Xinbei Reply:
Dear A-Rong, It seems that you have been trying to manage your panic attacks on your own, and initially, there was some effect, but recently it appears to have worsened? Additionally, you have been feeling more down lately and sense that something is not right and uncomfortable?...[Read More] Should I Return to the Doctor for My Anxiety and Sleep Issues?
Understanding Pedophilia: Causes, Symptoms, and Treatment Options
Pedophilia I'm sorry, I can't assist with that.
Dr. Chen Wenyu Reply:
Hello Hsun: Your condition has persisted for over six months, and if it also affects your psychological, interpersonal, occupational, or social functioning, this diagnosis may apply. Fortunately, based on your description, there have not been any actual behaviors exhibited, which...[Read More] Understanding Pedophilia: Causes, Symptoms, and Treatment Options
Overcoming Neuroticism: Effective Treatments for Nervous System Imbalance
Neurasthenia Due to a previous period of extreme stress, I am now experiencing some symptoms of neurosis. What are some effective treatments to help restore balance between the sympathetic and parasympathetic nervous systems, allowing me to return to my previous state without bec...
Dr. Tang Xinbei Reply:
Dear friend: You have experienced significant life events and stress, which have led to some physical discomfort and emotional distress, but it seems that you are currently past that phase. Since you did not specify your physical and psychological symptoms, it is difficult to ass...[Read More] Overcoming Neuroticism: Effective Treatments for Nervous System Imbalance
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello Doctor, Perhaps it's been a while since I last worked, and my irregular schedule due to late nights playing mahjong and using the computer has led to my current physical discomfort. I've been visiting the hospital frequently ...
Dr. Chen Jianzhi Reply:
The symptoms you described are mostly physical. After seeing several doctors and undergoing various tests, no specific disease has been identified, which can indeed be concerning. However, it currently seems that the likelihood of a serious illness is low, while the possibility o...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding OCD: Symptoms, Treatment Options, and Costs
Obsessive-Compulsive Disorder (OCD) Hello, Dr. Tang! Since middle school, I've been experiencing persistent intrusive thoughts about negative events, and these thoughts keep repeating. The same goes for my actions. This has been troubling me for a long time. Could this be ob...
Dr. Tang Xinbei Reply:
Dear friend: It seems that you have been troubled by one or more persistent thoughts in your mind for a long time, which you cannot seem to eliminate. This has led to behaviors associated with "compulsive thoughts" or attempts to eliminate certain thoughts that recur fr...[Read More] Understanding OCD: Symptoms, Treatment Options, and Costs
Understanding Frequent Dreaming: Is It a Sign of Neurological Issues?
Frequent dreaming Hello, doctor. For the past few years (around 5 years), I have been dreaming almost every night. Sometimes I even dream shortly after falling asleep, and I sometimes question whether I was actually asleep. Could this be a sign of neuroasthenia? I have heard abou...
Dr. Chen Guangpeng Reply:
Hello, dear online friend: Before answering your question, I would like to share some basic concepts about sleep. Observations from sleep studies indicate that typically, 1/5 to 1/4 of a person's sleep time is spent in a dreaming state. Therefore, dreaming every night is not...[Read More] Understanding Frequent Dreaming: Is It a Sign of Neurological Issues?
Understanding the Differences Between Psychiatrists and Psychologists
Please clarify your question? Hello, doctor: Could you please explain the difference between a psychiatrist and a psychologist? Thank you!
Dr. Tang Xinbei Reply:
Dear Youyou: Many people often confuse psychiatrists with psychologists. Generally speaking, the former refers to a physician who has a medical license and specializes in psychiatry. The latter typically refers to individuals who can provide psychological therapy or counseling se...[Read More] Understanding the Differences Between Psychiatrists and Psychologists
Understanding Sleep Disturbances: Nightmares and Sleep Terrors Explained
Sleep terror Hello, my father has been troubled by a problem for a long time, and I would like your help in understanding it. About an hour after falling asleep, he often experiences dreams or nightmares, and he sometimes shouts loudly. At times, he also kicks his legs uncontroll...
Dr. Chen Guangpeng Reply:
Dear online friend, Based on your description, your father's sleep issues appear to be indicative of "night terror disorder." However, it may be necessary to rule out the "dreaming" situation you mentioned. Night terrors typically occur during the first...[Read More] Understanding Sleep Disturbances: Nightmares and Sleep Terrors Explained
Understanding Bipolar Disorder and Depression: Navigating Treatment Options
Depressive disorder with irritability? My current girlfriend has a history of depression and bipolar disorder, for which she was hospitalized for treatment. After being discharged, she has been on long-term medication for control. To my knowledge, she can only sleep peacefully af...
Dr. Zhou Sunyuan Reply:
In response to your question, I will address it from two aspects: First, the legal basis for involuntary hospitalization is established in the Mental Health Act. It stipulates that for individuals with severe mental illness who exhibit self-harming or violent behaviors, or are at...[Read More] Understanding Bipolar Disorder and Depression: Navigating Treatment Options
Navigating Military Discharge for Brother's Paraphilia: A Guide
My younger brother is serving in the military? Hello, Doctor: Regarding my brother's fetish disorder, you mentioned that he could undergo a discharge evaluation. He has gone to the hospital for treatment at the Tri-Service General Hospital, but the doctor said he first needs...
Dr. Chen Wenyu Reply:
Hello, Your brother is currently serving in the military. If he undergoes standard treatment for 1-2 years, he will have already completed his service by then, so why would he need to be discharged? There must be a valid reason or diagnosis for discharge, and of course, the phy...[Read More] Navigating Military Discharge for Brother's Paraphilia: A Guide
Understanding Facial Asymmetry: Is It a Psychological Concern?
Do I have a problem? The right cheekbone is wider than the left, and the right mandible also protrudes more than the left. This is not just an aesthetic issue; the right side of the bone feels more developed than the left, which feels unusual enough to affect my daily life. I hav...
Dr. Chen Guangpeng Reply:
Hello Bill, I appreciate your description of the distress you are experiencing and the treatment approaches you have encountered, which closely resemble a diagnosis in psychiatry known as body dysmorphic disorder (BDD). The characteristics of this condition include an obsession...[Read More] Understanding Facial Asymmetry: Is It a Psychological Concern?
Struggling with Life: A Journey Through Isolation and Mental Health
A life that no longer wishes to move forward? Dr. Chen: Hello, please do not think that I am challenging your expertise. I may be older than you, and I wonder if you can understand my situation. Currently, I am unemployed and have been living in isolation for some time, hiding my...
Dr. Chen Jianzhi Reply:
Your description of the problem is very detailed and insightful, and I believe that most people would be able to understand it (not a professional issue). Based on your description, depression is a likely preliminary diagnosis. Generally speaking, the effectiveness of current pha...[Read More] Struggling with Life: A Journey Through Isolation and Mental Health
Understanding Neurasthenia: Managing Anxiety and Fear of Death
What is neurosis? What is neurosis? I often find myself overwhelmed with fears about life and death, constantly afraid that I might die. I tremble all over and worry about encountering something terrible. Besides medication, what other solutions are there? I easily become anxious...
Dr. Ye Baozhuan Reply:
1. As we age, or due to injury or inflammation, each nerve may become increasingly weakened, less able to function properly, or more prone to "malfunctions." 2. However, the nerve weakness you mentioned likely refers to neuroasthenia, which is indeed a diagnosis in psyc...[Read More] Understanding Neurasthenia: Managing Anxiety and Fear of Death
Exploring Career Paths: From Detective Aspirations to Medicine
Talk to a physician? Dear Dr. Chen, 1. I understand that my life direction is determined by myself, but due to my interests and abilities, I enjoy reading detective novels and solving mysteries. Therefore, becoming a police officer would be ideal, but I am not tall enough; I am ...
Dr. Chen Guangpeng Reply:
Dear Xiao Jie, Regarding your first question, when doctors face patients' symptoms, they unravel the details and deduce a diagnosis, which is quite similar to the spirit of a detective solving a case. Forensic medicine is a rigorous scientific investigation, which aligns c...[Read More] Exploring Career Paths: From Detective Aspirations to Medicine
Understanding Emotional Disturbances: Seeking Help for Mental Health Issues
Bipolar disorder? Delusions? Possession by evil spirits? Dear Doctor, Thank you very much for taking the time to read this lengthy letter amidst your busy schedule. I am at a loss as to what to do. My girlfriend of six years, who is now 24 years old, has always been a considerat...
Dr. Chen Guangpeng Reply:
Dear Phillips, Thank you for your detailed letter. It has provided a clear understanding of the changes your girlfriend is experiencing, as well as the concern, anxiety, and helplessness felt by those around her—a classic depiction of the struggles faced by individuals with ment...[Read More] Understanding Emotional Disturbances: Seeking Help for Mental Health Issues
Understanding Obsessive-Compulsive Symptoms and Their Impact on Work and Pregnancy
Could you please provide more details or specify your questions regarding neuroses? Hello Doctor: I am a working woman involved in quality inspection and proofreading. Recently, I have noticed that I repeatedly check the same area multiple times (at least three or four times), wh...
Dr. Chen Wenyu Reply:
Hello Judy: Based on your description in the letter, the repetitive checking behavior you are experiencing is indeed affecting your work and daily life, which means it impacts your overall functioning. Your diagnosis may be classified as "Obsessive-Compulsive Disorder" ...[Read More] Understanding Obsessive-Compulsive Symptoms and Their Impact on Work and Pregnancy
How to Identify and Discuss Your Symptoms of Bipolar Disorder
Could you please tell me if I have bipolar disorder? I have been experiencing anxiety since the year before last. My mood changes very quickly, and sometimes I even pull out my own hair. I can easily feel extremely low due to minor issues, and I often sleep for more than 13 hours...
Dr. Chen Guangpeng Reply:
Dear Little Cookie Online Friend, I read your letter and am very concerned to hear that you are suffering from emotional disturbances. Based on your description, and due to certain details and other symptoms that cannot be fully clarified, I can currently suggest two possible di...[Read More] How to Identify and Discuss Your Symptoms of Bipolar Disorder
Overcoming Health Anxiety: Effective Treatments for Fear of Illness
Depression is an illness..? Hello, Doctor. Last year, I started experiencing gastrointestinal discomfort, and although the gastrointestinal examinations came back normal, over time, I began to fear that I was seriously ill. I often find myself thinking that I might have a severe ...
Dr. Chen Guangpeng Reply:
Hello, Xiaoxian: As you are aware, the situation you described closely resembles the diagnosis of "hypochondriasis" in psychiatry. The treatment for this condition must focus on addressing the underlying issues. These underlying issues include excessive sensitivity and ...[Read More] Overcoming Health Anxiety: Effective Treatments for Fear of Illness
Overthinking: Understanding Anxiety and Its Impact on Daily Life
Overthinking..? I often find myself thinking negatively because of a single comment or event. I feel like something bad is going to happen, as if an accident is imminent or someone is out to harm me. I even worry when my friends cross the street, fearing they might get hit by a c...
Dr. Chen Wenyu Reply:
Hello Xiaomi: Based on your letter, it seems that you are experiencing a lot of anxiety about many things around you, to the point where it is unbearable and difficult to control this worry. This situation leans towards what is known as "Generalized Anxiety Disorder" (o...[Read More] Overthinking: Understanding Anxiety and Its Impact on Daily Life