Understanding Mixed Anxiety-Depressive Adjustment Disorder: A Patient's Journey
Adjustment Disorder Hello, doctor. I have been seeing a psychiatrist for almost a year, and my diagnosis is mixed anxiety-depressive emotional adjustment disorder. Initially, I sought help due to relationship issues, and the doctor conducted interviews regarding this matter. Even...
Dr. Lin Mianzhang Reply:
Hello, Yue: Your willingness to write such a lengthy article to express your situation suggests that you have been accumulating a lot of pressure for a long time. I'm sorry to hear that! Your situation includes fear and distrust of others, a loss of direction and meaning in ...[Read More] Understanding Mixed Anxiety-Depressive Adjustment Disorder: A Patient's Journey
Understanding Premorbid Schizophrenia: What You Need to Know
What is schizoaffective disorder? The term "schizophrenia spectrum and other primary psychotic disorders" refers to a group of mental health conditions characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions. The...
Dr. Qiu Junda Reply:
Hello. The diagnosis of atypical schizophrenia is generally rare. The term "atypical" suggests that a particular case's condition and symptoms are similar to, but not quite reaching, the criteria for schizophrenia. Careful evaluation and observation are necessary t...[Read More] Understanding Premorbid Schizophrenia: What You Need to Know
Understanding Negative Thoughts: Are They Signs of Depression or Anxiety?
Negative thoughts Hello, Doctor. A few months ago, I visited a psychiatrist due to autonomic nervous system dysregulation. Recently, I've noticed that I have some negative thoughts, and at times, I even have thoughts of self-harm. However, I believe that I am not depressed; ...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are experiencing some obsessive thoughts. If you do not have other symptoms of depression, such as low mood, loss of interest, insomnia or increased sleep, decreased or increased appetite, it may not reach the level of depression. However, whether it is d...[Read More] Understanding Negative Thoughts: Are They Signs of Depression or Anxiety?
Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?
Could you please tell me if I have dissociative identity disorder or just forgetfulness? Recently, I found a piece of paper on my desk with my handwriting, but it contained very strange questions that I have no memory of writing. I live alone, and this made me reflect on some odd...
Dr. Qiu Junda Reply:
Hello. The diagnosis of dissociative identity disorder or multiple personality disorder is not common and requires careful evaluation. The same goes for amnesia. I wonder if you have a habit of using alcohol or drugs, as this could also contribute to the symptoms you described. I...[Read More] Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?
Understanding Compulsive Behaviors: What Could Be Wrong?
What illness do I have? Based on your description, it sounds like you may be experiencing symptoms related to Obsessive-Compulsive Disorder (OCD). The behaviors you mentioned, such as feeling the need to wash your hands multiple times after contact with strangers and cleaning ite...
Dr. Lin Mianzhang Reply:
Hello, Xiaoyu: May I ask what your reasons are for rubbing your body or objects? Do you feel dirty? How do you feel after rubbing? What happens if you don't rub? Additionally, when you talk to yourself and repeatedly insult others, what are you actually saying? Why do you fe...[Read More] Understanding Compulsive Behaviors: What Could Be Wrong?
The Effects of Taking Bipolar Medication Without a Diagnosis
Taking medication without having a medical condition? What happens if someone without a mental illness takes medication for bipolar disorder?
Dr. Qiu Junda Reply:
Hello. There are many types of medications for bipolar disorder, each with its own side effects. Some may cause drowsiness (excessive sedation) and other effects. I'm not sure which specific medication you are referring to. It's best to avoid taking these medications if...[Read More] The Effects of Taking Bipolar Medication Without a Diagnosis
Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Bipolar disorder with anxiety disorder? I have a height of 164 cm and a weight of 44 kg. Last summer, I lost weight down to 39 kg, sleeping over ten hours a day and having no desire to eat. A recent doctor mentioned that I was in a depressive phase at that time. In December, I wa...
Dr. Qiu Junda Reply:
Hello. If the diagnosis is bipolar disorder, stopping antidepressants is a concern because they may trigger manic symptoms. Whether the symptoms you described are manifestations of bipolar disorder should be discussed with your treating physician. You can also discuss when to inc...[Read More] Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Initial consultation summary of the patient's condition? Hello Doctor: My brother was diagnosed with schizophrenia in May 2019. Before his diagnosis, he had been taking excessive amounts of non-psychiatric prescribed sedatives and sleeping pills, around 200 pills a month for...
Dr. Dai Wanxiang Reply:
Hello, A-Zuo: Based on your description, your brother's issue should prioritize managing the symptoms of schizophrenia while also addressing the problem of rhabdomyolysis. After that, it would be advisable to discuss with a psychiatrist about handling substance abuse through...[Read More] Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Understanding Sleep Disorders: When Talking and Moving in Sleep Becomes a Concern
Sleep disorders Hello Doctor: Since I was young, I have often talked in my sleep, and what I say is usually either cursing or crying out (my mom frequently comes to my room to check on me because of the volume of my sleep talking). Recently, since I started living with my boyfrie...
Dr. Lin Mianzhang Reply:
Hello Grace: Your condition is likely what is known as "REM Sleep Behavior Disorder." Normally, during dreaming, a person's muscles relax; however, individuals with REM Sleep Behavior Disorder maintain muscle tone during dreams, which can lead to acting out their d...[Read More] Understanding Sleep Disorders: When Talking and Moving in Sleep Becomes a Concern
Understanding Depression: Common Concerns and Recovery Insights
Some issues related to depression? Hello Doctor: I am currently studying (I have a first-degree relative with a history of depression that was diagnosed after my birth). In March of this year, I was diagnosed with adjustment disorder and depression. The trigger was my preparation...
Dr. Wu Enliang Reply:
1. Can depression be cured? Can I return to my pre-illness state? I've heard many people say that depression doesn't get better, and I'm worried that I might not recover either. A: It varies from person to person, but most individuals can recover through treatment ...[Read More] Understanding Depression: Common Concerns and Recovery Insights
Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Obsessive-Compulsive Disorder (OCD), Schizophrenia, Emotional Disturbance? Hello, doctor. I have a few questions to ask you: 1. If a patient with obsessive-compulsive disorder (OCD) undergoes exposure and response prevention (ERP) therapy, what kind of results can typically be ...
Dr. Lin Mianzhang Reply:
Hello Tom: 1. The effectiveness of exposure and response prevention therapy is related to the severity of the condition and the frequency of practice. If the symptoms are relatively mild and you consistently practice at home, it is possible to see improvement of more than half ...[Read More] Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Inquiry related to symptoms of autonomic nervous system dysfunction? Hello, doctor. I was hospitalized for a month two months ago due to bone marrow suppression caused by medication side effects. After my blood cell counts improved, I was discharged. However, half a month after d...
Dr. Wang Yaoting Reply:
Hello: Autonomic nervous system dysfunction is merely a syndrome and not a diagnosis. It is important to identify the underlying causes of your autonomic dysfunction, which may include health anxiety, physical discomfort, environmental factors, or psychological stress. It is reco...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Medication Effects and Concerns in ADHD Treatment
Medication Consultation Hello Doctor, I have some questions I would like to ask you. Q1: About a month ago, I sought treatment for attention deficit issues, and the doctor prescribed me Adderall (10mg). Initially, I felt a significant effect from the medication, but after a few...
Dr. Wu Menghuan Reply:
Hello: 1. There are many causes of attention problems, and it is important to clarify a wide range of possible differential diagnoses and comorbidities, as well as consider psychological, social, or environmental factors that may affect attention. Since I am not fully aware of yo...[Read More] Understanding Medication Effects and Concerns in ADHD Treatment
Seeking Guidance: A Journey Through Mental Health Challenges
I would like to ask the doctor? Hello, doctor. I have been seeing a psychiatrist for over 20 years. After experiencing trauma in my youth, I developed a mental illness and have been in treatment ever since. I am a frequent visitor to the e-hospital in Taiwan, where I seek advice ...
Dr. Wu Enliang Reply:
As we accumulate life experiences, we all continue to grow together. Keep it up! Dr. Wu En-Liang[Read More] Seeking Guidance: A Journey Through Mental Health Challenges
Understanding Conversion Disorder and Autonomic Nervous System Dysfunction
What is conversion disorder? Is it considered a type of autonomic nervous system dysfunction? Hello, doctor. I have been experiencing chronic pain for nearly two years, and the pain intensity is quite high. I have consulted various specialties and undergone numerous tests, but mo...
Dr. Cai Qijin Reply:
Hello: Conversion disorder often involves deep-seated psychological trauma or stress, which may originate from childhood, and typically presents with more dramatic neurological symptoms such as hemiplegia or inability to speak, rather than pain. Autonomic dysregulation can manife...[Read More] Understanding Conversion Disorder and Autonomic Nervous System Dysfunction
Understanding the Link Between Schizophrenia and Dementia Symptoms
Schizophrenia and dementia? Hello Doctor, my relative is 50 years old and has had hearing impairment requiring a hearing aid, but it was not severe enough to be classified as hearing loss. Recently, she has been experiencing symptoms similar to auditory hallucinations, often hear...
Dr. Wu Enliang Reply:
Hello, online friends: My relative is 50 years old and has had symptoms of hearing loss requiring a hearing aid, but it hasn't reached the level of deafness. Recently, she has experienced symptoms similar to auditory hallucinations, often hearing a buzzing sound in her ears....[Read More] Understanding the Link Between Schizophrenia and Dementia Symptoms
Understanding Mental Health Emergencies: Which Specialty to Consult?
Inquire about the disease condition and the appropriate department for registration? Hello, doctor. When my friend was admitted to the emergency department, the doctor noted the reason for the emergency as "T424X2A poisoning due to self-harm with phenylhydrazine salts, initi...
Dr. Peng Liyun Reply:
Hello: I understand your concern for your friends and family regarding their health conditions. However, it is not possible to assess a case solely based on a diagnosis. I recommend that you communicate with your loved ones to understand their situation better. It may be advisabl...[Read More] Understanding Mental Health Emergencies: Which Specialty to Consult?
Understanding F4323: Mixed Anxiety and Depressive Disorder Explained
F4323/Adjustment disorder with mixed anxiety and depressed mood? I would like to ask, because a little over a year ago, the doctor said I was diagnosed with depression, but I recently found that the records indicate F43.23 / Adjustment disorder with mixed anxiety and depressed mo...
Dr. Wang Yaoting Reply:
Hello: "Adjustment disorder" refers to a condition that develops within three months following a clearly identifiable stressor, characterized by an extreme inability to adapt to the stress, resulting in symptoms such as anxiety, tension, and depressive moods. Once the s...[Read More] Understanding F4323: Mixed Anxiety and Depressive Disorder Explained
Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Feeling fatigued and experiencing headaches, suspecting that I might have bipolar disorder? Since March 20, I have been feeling easily fatigued, no matter how much I sleep, I still feel tired. Normally, I feel refreshed after about 6 hours of sleep, but recently I often wake up a...
Dr. Tang Jiahong Reply:
For headaches, it is recommended to consult a neurologist. If organic brain issues are ruled out as the cause of the headache, then assistance from a psychiatrist may be sought. Regarding the manic aspect of bipolar disorder, the description provided is insufficient for a diagnos...[Read More] Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Managing Health Anxiety: Tips for Overcoming Worry and Fear
Health anxiety and anxiety can be very distressing? Hello Doctor, I am 22 years old and have been very concerned about my health for a long time, to the point where it has caused significant anxiety that affects my daily life. For example, two years ago, I was informed at the hos...
Dr. Wang Yaoting Reply:
Hello: Based on what you've written, it seems that you may be experiencing significant distress. Your condition could be related to anxiety disorder, hypochondriasis, obsessive-compulsive disorder, or other issues, and it may be advisable to seek evaluation from a psychiatri...[Read More] Managing Health Anxiety: Tips for Overcoming Worry and Fear