Understanding Side Effects and Diagnoses in Psychiatry: Your Questions Answered
Please ask your question? Hello, Doctor: After reviewing the previous consultation form, I have the following questions and hope you can take the time to respond. Thank you! 1. You mentioned that Clopran (Anafranil) has side effects such as blurred vision and urinary retention....
Dr. Chen Wenke Reply:
1. Last time I mentioned the side effects of medications, which can somewhat affect vision or the urinary system. However, there's no need to worry too much, as these side effects can still be managed. 2. Regarding the questions you asked, they are actually common issues t...[Read More] Understanding Side Effects and Diagnoses in Psychiatry: Your Questions Answered
Understanding Behavioral Challenges in Children: Insights for Educators
Is it possible that the symptoms belong to pediatric psychiatry or neurophysiology? Dear Dr. Zhang, I am an elementary school resource teacher, and I have a female student, Xiao Yi (pseudonym), whose behaviors have left both the classroom teachers and resource teachers unsure of...
Dr. Zhang Jiexin Reply:
Hello! Thank you for your letter. To address this case, it is essential to first understand the underlying causes of the child's issues and explore the formation and development of this behavioral pattern. Therefore, it is necessary to collect and clarify the following infor...[Read More] Understanding Behavioral Challenges in Children: Insights for Educators
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic Nervous System Dysfunction Dear Dr. Tang, Since I developed a neurosis, my body has been swaying back and forth. I often experience a sudden feeling of rising and then rapidly descending after taking the elevator. Even when I sleep on my stomach, my body moves involunt...
Dr. Tang Xinbei Reply:
Dear Xiao Jie, It seems that you have quite a few concerns, with one issue unresolved before another arises. This includes your relationships with your parents, interactions with your boss or colleagues, and even your relationship with your attending physician. You have been see...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Thank You for Your Help: A Note on Mental Health Support
I'm sorry! But you helped me? Dear Dr. Tang, I may have asked too many questions, but at least you have helped me. I will not forget, thank you! There's no need to reply to this letter.
Dr. Tang Xinbei Reply:
Dear Xiao Jie, I understand that you have been working hard to improve your condition, and it seems that your body has uncomfortable reactions to certain medications. Additionally, you appear to have multiple concerns, which is why you have been seeking help online. Thank you fo...[Read More] Thank You for Your Help: A Note on Mental Health Support
Understanding the Differences Between Antisocial and Passive-Aggressive Personalities
What are the differences between antisocial personality disorder and passive-aggressive personality disorder? I think these two personality types are quite similar; what are the differences between them?
Dr. Chen Wenke Reply:
According to the DSM-IV diagnostic criteria, the descriptions of Antisocial Personality Disorder and Passive-Aggressive Personality Disorder are as follows: Antisocial Personality Disorder is characterized by deceit and manipulation of others, which are core traits of this disord...[Read More] Understanding the Differences Between Antisocial and Passive-Aggressive Personalities
Understanding Severe Sexual Fantasies: How to Support Your Partner
Severity fantasy I am very sad and distressed, not knowing how to accept and help my boyfriend, who has developed a severe sexual fantasy disorder! I sincerely hope to help him, but I don't know what to do! I only discovered this when discussing marriage with him; he has bee...
Dr. Tang Xinbei Reply:
Dear Ms. Tseng, Regarding your boyfriend's issues, it seems that his internal thoughts (having had sexual experiences with many girls since elementary school) may not reflect reality. Does he often experience sexual impulses? This could potentially be a disorder. I recommen...[Read More] Understanding Severe Sexual Fantasies: How to Support Your Partner
Addressing Behavioral Issues in Adolescents: A Guide for Educators
Adolescent Issues Dear Doctor, I would like to consult you regarding a student at our school who has been experiencing various behavioral issues since he started first grade last year. Due to his poor conduct, he has been retained in the same grade and is currently still a first...
Dr. Tang Xinbei Reply:
Dear Teacher Chen, It is rare to see such concern for your students. Based on your description of the student's behavioral issues, it appears that this student is experiencing difficulties with adaptation and impulse control, as well as a low tolerance for frustration. Sinc...[Read More] Addressing Behavioral Issues in Adolescents: A Guide for Educators
Understanding Chronic Migraines: The Impact of Sleep Patterns
Chronic Migraine Hello, Doctor You. I would like to ask you about something. For the past month or two, I have been experiencing habitual migraines (on the left side) almost every day as soon as I wake up. Previously, the pain would start two to three hours after waking up, but r...
Dr. You Shunjie Reply:
Based on your letter, it seems that your habitual migraines have been troubling you for the past month or two. Common types of headaches can be classified as neurological, tension-type, or vascular, and it can be challenging to make a clear diagnosis based solely on description; ...[Read More] Understanding Chronic Migraines: The Impact of Sleep Patterns
Understanding High-Functioning Autism: Debunking Myths and Labels
Regarding autism? Hello Doctor: My cousin is in the first year of junior high school. He usually doesn't like to talk, but he responds to external stimuli. He answers when I talk to him, and he doesn't seem to avoid eye contact or physical contact with others; he just d...
Dr. Chen Meizhu Reply:
Hello: The diagnosis of autism requires careful clinical evaluation and long-term follow-up. Therefore, labeling someone with autism characteristics who does not exhibit social adaptation or functional impairment is not appropriate. Whether your cousin's situation is classif...[Read More] Understanding High-Functioning Autism: Debunking Myths and Labels
Understanding the Connection Between Autism and ADHD: Key Insights
Autism and Attention Deficit Hyperactivity Disorder (ADHD) Hello, Doctor: Recently, while searching for information on autism online, I noticed that some articles discuss autism and Attention Deficit Hyperactivity Disorder (ADHD) together. I even saw someone in the news equate au...
Dr. Chen Meizhu Reply:
Hello: The characteristics of autism have been previously described and will not be reiterated. The main core symptoms of Attention Deficit Hyperactivity Disorder (ADHD) are manifested as inattention, hyperactivity, and impulsive behavior. Autism and ADHD are two distinct disorde...[Read More] Understanding the Connection Between Autism and ADHD: Key Insights
Understanding Emotional Suppression: Signs of Depression and Coping Strategies
Inability to appropriately express emotions? Hello Dr. Zheng: I used to release my emotions by crying every few months, which would often lead me to think about many unhappy events from the past, and I would cry naturally. However, now I find that I can't cry anymore, and I ...
Dr. Zheng Jingming Reply:
Hello Amanda: You are experiencing some symptoms of low mood without knowing the cause, which could potentially be depression, personality issues, or other conditions, but a differential diagnosis is necessary. Sometimes, not being able to recall unhappy events is a normal reacti...[Read More] Understanding Emotional Suppression: Signs of Depression and Coping Strategies
Struggling to Focus: Signs of Attention Deficit Disorder
It is difficult to concentrate? When I study, I often find my mind wandering, and I feel very restless, constantly having the urge to get up from my chair. Does this count as Attention Deficit Disorder (ADD)?
Dr. Xie Yongfeng Reply:
Your description is insufficient for a diagnosis; it is recommended that you visit a psychiatric outpatient clinic for evaluation or consultation.[Read More] Struggling to Focus: Signs of Attention Deficit Disorder
Understanding Claustrophobia: Anxiety, Diagnosis, and Insurance Implications
Claustrophobia is an anxiety disorder characterized by an irrational fear of confined spaces. Individuals with claustrophobia may experience intense anxiety or panic attacks when they are in situations such as elevators, small rooms, Hello, last year around mid-year, I experience...
Dr. Chen Meizhu Reply:
Hello: Based on your description, you are experiencing significant anxiety. If your restlessness and agitation have been causing disruptions in your daily routine and affecting your work or academic performance, it is advisable to seek an evaluation and early treatment from a psy...[Read More] Understanding Claustrophobia: Anxiety, Diagnosis, and Insurance Implications
Do I Have Claustrophobia? Understanding Anxiety and Its Impact on Health
Do I have claustrophobia? Hello, last year around mid-year, I experienced an exacerbation of sinusitis, which caused breathing difficulties. Before consulting a specialist, this led to a series of symptoms including insomnia, chest tightness, and trembling. The most frightening e...
Dr. Li Junren Reply:
Hello, the situation you described may be indicative of anxiety and panic attacks. Simple anxiety and panic, if they occur only under physiological or psychological stress (for example, in your case, due to sinusitis affecting breathing and fear of surgery), can be considered a n...[Read More] Do I Have Claustrophobia? Understanding Anxiety and Its Impact on Health
Finding Meaning in Life: Overcoming Feelings of Futility and Pain
I'm sorry, but I need the specific content you would like me to translate. Please provide the text you want translated into English? In the past couple of years, I've been feeling that life is so dull and painful. I even feel like I'm living for others. How should ...
Dr. Li Haogang Reply:
Dear no hope user: Hello! From your email, it appears that you are experiencing a state of: boredom with life, decreased interest, feelings of powerlessness, disappointment/loss, guilt, negative thoughts, and a pessimistic outlook on the future with no vision. Clinically, you see...[Read More] Finding Meaning in Life: Overcoming Feelings of Futility and Pain
Is Xanax Addictive? Understanding Anxiety Medication Risks
Does Xanax cause addiction? Hello Doctor, I am currently taking the anti-anxiety medication Xanax, which was prescribed by my doctor. My main concerns are that my hands tremble involuntarily, and I experience unexplained fear and anxiety. The doctor mentioned that this medication...
Dr. Zheng Jingming Reply:
Hello, the anti-anxiety medication Xanax is indeed effective in treating symptoms such as tension and anxiety. However, long-term use can lead to dependence and may cause drowsiness. Psychiatrists will assess the patient's symptoms to determine the appropriate diagnosis and ...[Read More] Is Xanax Addictive? Understanding Anxiety Medication Risks
Understanding Patient Voices: Trust and Perception in Psychiatry
Question As a patient, are my words not trusted or considered? If I only express sensations related to my body, will they immediately be attributed to a disease? What methods are available to diagnose this condition? A patient poses the question: Horses and dogs can hear high fre...
Dr. Chen Wenke Reply:
Hello: Diseases themselves have specific definitions, and regardless of the criteria used for diagnosis, there are certain reference methods. In our assessments, besides utilizing existing diagnostic tests and examination tools, clinical interviews and physical examinations are a...[Read More] Understanding Patient Voices: Trust and Perception in Psychiatry
When Does Feeling Down Become Depression? Understanding Treatment Options
Feeling down? Hello: What circumstances indicate that feeling down has progressed to depression, and will medication help?
Dr. Lin Yanhong Reply:
Hello Lily: Everyone experiences feelings of depression and low mood due to external environmental events or internal subjective experiences. For most people, these negative emotions typically improve within a few days. However, if feelings of depression persist for more than two...[Read More] When Does Feeling Down Become Depression? Understanding Treatment Options
Do You Really Need Medication for Depression and OCD?
Is it necessary to take medication?! Hello, Dr. Chen! Recently, my sister was diagnosed with depression and has some tendencies towards obsessive-compulsive disorder. She went to see a doctor because she had thoughts of wanting to be hit by a car. Since she doesn't spend muc...
Dr. Chen Wenyu Reply:
Satir: Based on the symptoms you described, it appears that your sister's diagnosis of depression is confirmed, and it is classified as endogenous depression, meaning it is not caused by external stressors. Generally, the antidepressants commonly used in the medical field ha...[Read More] Do You Really Need Medication for Depression and OCD?
Understanding Adjustment Disorders: Symptoms and Connections to IBS
Could you please provide the content you would like me to translate "Adjustment disorder" is a psychological condition that occurs when an individual has difficulty coping with a significant life change or stressor. It can manifest as a variety of emotional or behaviora...
Dr. Tang Xinbei Reply:
Dear Little One: It seems that your body reacts to stress with symptoms such as gastrointestinal discomfort, nausea, and dizziness. The "adjustment disorder" you mentioned is defined by the American Psychiatric Association's diagnostic manual as a psychological res...[Read More] Understanding Adjustment Disorders: Symptoms and Connections to IBS