Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Negative thoughts and anxiety? Thank you for taking the time to address my concerns! My background and current living environment are quite normal. However, I have been struggling with psychological issues: 1. Recently, I have experienced some **minor physical ailments**. Since I...
Dr. Chen Wenyu Reply:
Hello, Fuwek: 1. During outpatient visits, many people purchase books about mental illnesses to better understand themselves, only to find that they resonate with what is described in the texts, which deepens their feelings of unease. In reality, even psychiatric textbooks can ...[Read More] Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Understanding Nightmares: Is Your Girlfriend Experiencing Sleep Disorders?
I want to help my girlfriend but I'm not sure if she has a parasomnia? My girlfriend has heard that dreaming a lot at night can lead to poor sleep. Recently, it has become more severe; no matter how long she sleeps, she still feels tired, as if she hasn't slept at all. ...
Dr. Chen Guangpeng Reply:
Dear Little Treasure Online Friend: Regarding your girlfriend's condition, it seems to involve more than just a simple sleep issue; there may be personality problems combined with emotional disturbances and sleep disorders. A detailed diagnosis, etiology, and treatment plan ...[Read More] Understanding Nightmares: Is Your Girlfriend Experiencing Sleep Disorders?
Understanding Withdrawal Headaches: A Patient's Journey with Psychiatric Medications
Discontinuing medication can cause headaches? Hello: On August 6 of this year, my doctor said I could stop taking my medication. However, after stopping for a week, I started experiencing headaches, and during the pain, I sometimes found it hard to concentrate. I thought, the doc...
Dr. Tang Xinbei Reply:
Dear Weiwei, I apologize for the delayed response due to my busy schedule with reports before the New Year. Regarding the issues you mentioned, some of them may be side effects of medications. For example, Dogmatyl can cause irregular menstrual cycles in women, and certain medic...[Read More] Understanding Withdrawal Headaches: A Patient's Journey with Psychiatric Medications
Understanding Depression: Symptoms, Treatment, and Medication Compliance
Depression Not talking much, sometimes standing, sometimes sitting. Not listening to others when they speak, and repeating actions. Has undergone treatment at our hospital before, but has not been taking medication regularly. Will this worsen the condition? Please provide an answ...
Dr. Chen Wenyu Reply:
Hello Ms. Tsai: Based on what you described, it seems that a diagnosis of depression has been confirmed, and you have also been treated by a specialist. Have you considered what might be the reason for not following the prescribed medication? Your symptoms have not resolved, corr...[Read More] Understanding Depression: Symptoms, Treatment, and Medication Compliance
How to Apply for Disability Certification and Benefits for Schizophrenia Patients
Application How can a patient with schizophrenia who holds a major illness card apply for a physical and mental disability handbook? How can they apply for disability assistance?
Dr. Chen Wenyu Reply:
Hello Chen: Please ask your specialist physician to issue a diagnostic certificate. Take it to the local government office in your registered residence to apply for a "Disability Assessment Form." Ensure that your basic information and required documents are complete, t...[Read More] How to Apply for Disability Certification and Benefits for Schizophrenia Patients
Understanding the Risks of Stopping Medication for Schizophrenia
If the medication is discontinued? If a patient with schizophrenia (auditory hallucinations) stops medication and experiences a relapse, the situation may involve a return of symptoms such as hallucinations, delusions, disorganized thinking, and impaired functioning. The severity...
Dr. Chen Wenyu Reply:
Hello Chen: If the diagnosis is confirmed and it is the first episode, the treatment should continue for at least 1-2 years after all symptoms have resolved before considering discontinuation of medication (the criteria for stopping medication is not fixed; based on my knowledge ...[Read More] Understanding the Risks of Stopping Medication for Schizophrenia
Medications for Schizophrenia: Dosage and Timing for Hallucinations
Medications For schizophrenia with auditory hallucinations, the typical medications prescribed are antipsychotics. Common options include: 1. **Risperidone**: Starting dose is usually 1-2 mg per day, which can be adjusted based on response and tolerability. 2. **Olanzapine**: St...
Dr. Chen Wenyu Reply:
Hello Chen: The diagnosis is confirmed, and treatment will certainly involve antipsychotic medications. The dosage varies from person to person and may be administered once, twice, three times, or four times a day depending on the situation. Thank you for your message![Read More] Medications for Schizophrenia: Dosage and Timing for Hallucinations
Understanding Dual Perspectives in Mental Health: A Father's Plea for Help
"Can doctors have two sides to their story?" The girl's response: "My father's perspective!" Hello Dr. Lin, I am the father of the girl titled "Can Doctors Have Two Sides?" (30 years old). Both my wife and I are public servants; my wife is ...
Dr. Lin Yanhong Reply:
Hello: This is the first time I encountered two parties asking me questions simultaneously in an online clinic—one is a child filled with resentment towards their parents, and the other is a helpless father unsure of how to interact with their child. Each has their own perspectiv...[Read More] Understanding Dual Perspectives in Mental Health: A Father's Plea for Help
Signs You Might Be Suffering from Depression: Recognizing the Symptoms
Whether one is suffering from depression? I am unsure if I am suffering from depression... I just know that my mental state is deteriorating day by day... I often find myself overthinking... constantly lost in thoughts... fantasizing about various things... The thought of suicide...
Dr. Chen Wenyu Reply:
Hello Xiaomi, Based on the situation described in your letter, it appears that you meet the criteria for a diagnosis of depression, such as: intrusive thoughts, suicidal ideation (negative thinking); low mood, lack of energy, unhappiness; insomnia; loss of appetite, etc. It is i...[Read More] Signs You Might Be Suffering from Depression: Recognizing the Symptoms
Understanding Psychiatric Medications: Uses and Side Effects Explained
Psychiatric medications Hello Dr. Chen, I would like to ask you about my recent health condition. I went to the hospital to have my thyroid function tested due to some physical issues, and the doctor informed me that I might be experiencing autonomic nervous system dysregulation...
Dr. Chen Guangpeng Reply:
Dear patient, Thank you for your email inquiring about the indications and side effects of your medications. This is indeed an important question; however, such inquiries can be somewhat broad. The reason is that each medication typically has multiple indications, and providing...[Read More] Understanding Psychiatric Medications: Uses and Side Effects Explained
Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
I would like to ask questions regarding mental illnesses? Hello, doctor... I would like to ask you about mental health issues. My brother graduated from National Cheng Kung University with good abilities and talents, but since he started working a year ago after completing his mi...
Dr. Chen Guangpeng Reply:
Dear Jenny, From your description of your brother, a picture of a paranoid delusion emerges. The question is, does he have a mental illness? What is the diagnosis? Your brother indeed exhibits clear symptoms of delusion, and there are several possibilities to consider: First, ...[Read More] Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
Understanding Anxiety Disorders: Symptoms, Treatments, and Concerns
Anxiety disorder Hello Doctor: I would like to ask what symptoms (both psychological and physiological) are associated with anxiety disorders. What are the treatment methods, how long does the treatment last, and are there any side effects? Is long-term medication harmful to the ...
Dr. Tang Xinbei Reply:
Dear A-Rong, It seems that you are experiencing a lot of discomfort, but there doesn't appear to be any specific issues identified through examination. Generally speaking, anxiety refers to a persistent and nonspecific feeling of mild to moderate fear, a sense of panic or t...[Read More] Understanding Anxiety Disorders: Symptoms, Treatments, and Concerns
Understanding and Addressing Paranoia in Family Dynamics
What disease is this? Hello Doctor: My father has been frequently arguing with my mother for over a year, believing that she is unfaithful. He becomes suspicious whenever he sees other men, or even men who have contact with my mother (like vegetable vendors), thinking that she is...
Dr. Chen Guangpeng Reply:
Hello Annie, After reading your detailed account, I deeply empathize with the pain your mother, family, and even your father are experiencing. I hope the following response can be of assistance. Although there isn't much basic and related information about your father, base...[Read More] Understanding and Addressing Paranoia in Family Dynamics
Understanding OCD Symptoms: Is It More Than Just Obsessive Thoughts?
Obsessive-Compulsive Disorder (OCD)? Hello, doctor. I have been experiencing some symptoms for over three years, with fluctuations in severity. The symptoms are as follows: I seem to have a diminished ability for abstract thinking, such as understanding simple probabilities. At o...
Dr. Ye Baozhuan Reply:
You only refer to yourself as "little brother," and I don't know your actual age, which is an important factor in assessing your condition. However, I believe you are likely young. Although you complain about a decrease in abstract thinking ability, your organizati...[Read More] Understanding OCD Symptoms: Is It More Than Just Obsessive Thoughts?
Understanding Your Partner's Fetish: Is It a Sign of Deeper Issues?
I'm sorry, but I cannot assist with that? My boyfriend really likes women wearing stockings, which I can accept! But recently I discovered that he actually bought second-hand stockings online??? And he specifically wanted to buy ones that had been "worn" by someone...
Dr. Chen Wenke Reply:
Hello, Ms. Chidia! Thank you for your inquiry. Regarding your questions, I will address them as follows: 1. About your question, "Is it a fetish for my boyfriend to buy used stockings worn by women online?" People often engage in certain behaviors because they fulfill ...[Read More] Understanding Your Partner's Fetish: Is It a Sign of Deeper Issues?
Understanding the Aftermath of Ecstasy: Symptoms and Recovery
What are the side effects of ecstasy? I am a patient who accidentally ingested ecstasy. On April 20th of this year, I first consumed ecstasy, initially taking two pills, after which I lost consciousness for two hours. I then took another pill, and subsequently experienced physiol...
Dr. Tang Xinbei Reply:
Dear Xiao Rui, Many young individuals, like yourself, have previously misused or accidentally ingested ecstasy. Are your symptoms indicative of acute amphetamine toxicity? Although ecstasy is classified as a substance similar to amphetamines, it possesses both central nervous sy...[Read More] Understanding the Aftermath of Ecstasy: Symptoms and Recovery
Is My Aunt Experiencing a Mental Health Crisis?
Is my aunt sick? I'm concerned that my aunt might be unwell. Ever since she lost her job, she has been staying at home and sleeping every day. Recently, she suddenly started watching TV, reading, and watching movies. Initially, I was happy for her, but then she began to talk...
Dr. Wang Zhenyang Reply:
It is evident that you are very worried and anxious about your aunt's situation, and you feel helpless. As you described, your aunt seems to be unwell; she may be experiencing symptoms such as paranoid delusions or relational delusions. However, a definitive diagnosis can on...[Read More] Is My Aunt Experiencing a Mental Health Crisis?
Is Changing Hospitals a Good Option for My Sister's Delusional Disorder?
My family member has delusional disorder? My sister has delusional disorder and is being treated at Chang Gung Memorial Hospital, but her condition is not improving. The doctor mentioned that she has been treated with high-dose medication. Our family is considering switching her ...
Dr. Chen Guangpeng Reply:
Dear family member of the patient, Thank you for your letter, which raises a common concern regarding treatment efficacy, prognosis, and strategies. First, mental illnesses are chronic conditions, and it is ideal to maintain a stable and continuous doctor-patient relationship; s...[Read More] Is Changing Hospitals a Good Option for My Sister's Delusional Disorder?
Am I Suffering from Depression? Understanding Your Symptoms and Next Steps
Am I sick? Doctor, why do I often feel so irritable? Sometimes I even feel like crying for no reason, and I don't understand why this happens suddenly. Sometimes I experience insomnia and have nightmares, and I feel a sense of helplessness. I have no goals in life and don&#x...
Dr. Lin Yanhong Reply:
Hello: Below are eighteen questions. If you have frequently experienced these phenomena in the past two weeks, there is a high possibility of depression. However, a definitive diagnosis should be made by a physician; it cannot be determined solely by this questionnaire. If you do...[Read More] Am I Suffering from Depression? Understanding Your Symptoms and Next Steps
Understanding Cognitive Decline and Learning Difficulties in Young Adults
Cognitive Decline in Learning Ability and Intelligence Hello Doctor: Recently, some difficult-to-understand issues have arisen with my friend, who is in their twenties. At the end of June this year, around the end of the semester, my friend began to experience some learning and d...
Dr. Lin Yanhong Reply:
Hello: Your friend's issues include cognitive decline in learning and intelligence, emotional blunting, and social withdrawal. The functional impairments in daily life indicate that there may be problems with his brain. However, to ascertain the exact issue, it is essential ...[Read More] Understanding Cognitive Decline and Learning Difficulties in Young Adults