Diagnosis, Psychiatry FAQ

Facing Mental Health Challenges: Seeking Help and Understanding Your Journey

Inquire about mental health disorders? Hello, Doctor: Since I became ill at the age of 20, I have been on medication until now. To be honest, being sick has made me realize certain things, while also leaving me confused about others. There is a doctor online who says that treatin...

Dr. Liao Dinglie Reply:
Hello, dear reader: From your letter, I can sense the immense pressure you are feeling. You are facing a situation where almost all your relatives and friends are not on your side, and your interactions with others are either filled with conflicts or completely disconnected. Inde...

Understanding the Desire for Solitude: Is It Related to Schizophrenia?

My feelings? Sometimes I feel a strong desire to be alone, wishing that there is no one around me at that moment. Occasionally, I wonder if it’s related to needing to use the restroom, but it’s not quite that; it’s more of a feeling that I just want to be the only person present ...

Dr. Lin Mianzhang Reply:
Hello, Enjoying solitude can be related to personality traits or the negative symptoms of schizophrenia. However, the key point is why you are asking this question. Are you feeling troubled by this situation? If so, I recommend discussing it with your physician. Through face-to...

Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders

Is this sleepwalking? In the past month, I have experienced two similar incidents where I woke up in the morning to find that my clothes were different from what I was wearing when I fell asleep. It seems that I walked to the wardrobe to change. (I wonder if this is related to th...

Dr. Peng Liyun Reply:
Dear Sir/Madam, From your description, it is evident that the issue has caused you considerable concern. The areas of the brain involved in memory formation are quite extensive and complex; it is not solely the hippocampus that is responsible, and this situation has not yet invo...

Understanding Autonomic Nervous System Disorders After Infection

Autonomic nervous system dysfunction Hello Doctor: I was infected with Mycoplasma last year, and after treatment, I have been experiencing persistent discomfort in my heart. I went to a cardiology clinic for an echocardiogram, which revealed "mitral valve prolapse and autono...

Dr. Lin Mianzhang Reply:
Hello, Bai: Thank you for your hard work! These symptoms must be quite troubling for you. The symptoms you've been experiencing since September of last year are quite broad, involving the head, throat, heart, stomach, and urinary system, which likely indicate what is known a...

Understanding Xanax: Dosage, Diagnosis, and Mental Health Insights

Medication issues 1. I was prescribed Xanax 0.25 mg by my psychiatrist for the past two days, but I feel like the dosage might be too low since I haven't noticed much difference. I've heard that the medication takes effect quickly, or does it typically take two weeks to...

Dr. Lin Mianzhang Reply:
Hello, 1. Xanax has a rapid onset of action, typically taking about half an hour to take effect. If you do not feel its effects, it may be due to an insufficient dosage. 2. Xanax is used for the quick relief of anxiety symptoms. Because of its fast-acting nature, patients oft...

Am I Suffering from Dissociative Identity Disorder and PTSD?

Is it possible to have dissociative identity disorder and PTSD? Event 1: I remember when I was very young, I went to the creek to have a barbecue. I went down to play in the water by myself and ended up drowning. The current was too strong for me to swim back up, and I forgot wha...

Dr. Qiu Junda Reply:
Hello. Your letter reveals a long-standing expression of negative emotions since childhood, which may be related to the impact of your parents and family life events. However, there is no need to rush into a diagnosis for yourself. It seems that you have been trying to adjust thr...

Struggling with Focus and Communication: Understanding Mental Health Challenges

Inability to concentrate with a sense of distortion? Since kindergarten, I have been slower to react than my peers and have difficulty concentrating. When communicating with others, I take some time to think about how to respond. People have pointed out that sometimes what I say ...

Dr. Wu Enliang Reply:
Hello, online user: It is recommended to visit a psychiatric outpatient clinic for differential diagnosis to determine whether the issue is Attention Deficit Hyperactivity Disorder (ADHD) or anxiety and depression. Appropriate treatment can then be administered based on the diagn...

Can I Take Attention Deficit Medication with OCD Treatment?

Can Seroquel be taken together with medications for obsessive-compulsive disorder? Hello Doctor: I have been diagnosed with ADD (Attention Deficit Disorder) and OCD (Obsessive-Compulsive Disorder) by a physician. The OCD diagnosis was made recently. After the diagnosis, my doctor...

Dr. Liang Sunyuan Reply:
Hello, Xiao En: The use of Strattera should be continued for three to six weeks before significant improvements in attention are observed. If it is not taken consistently and regularly, the effects may not be noticeable. Additionally, there are several types of medications for ob...

Navigating ADHD Diagnosis and Treatment Options for Adults

ADHD-related issues Hello Dr. Liu, I am currently 20 years old. Since childhood, my mother has mentioned that I might have mild symptoms of ADHD, but I have never been formally diagnosed. My general symptoms include significant mood swings, hitting walls, and being unable to con...

Dr. Liu Shikai Reply:
Dear Mr. A-Tian, I appreciate your observations and detailed descriptions, and I can sense your inner turmoil and confusion. Regarding your questions, here are my responses: 1. Diagnosing ADD (Attention Deficit Disorder) or ADHD (Attention Deficit Hyperactivity Disorder) in adu...

Coping with Paranoia: Non-Medication Strategies for Relief

Paranoid delusions? Doctor, I have some symptoms of paranoia. I constantly feel worried about various things, such as whether the packages I receive from online shopping are poisoned, if my drinks have been tampered with, and I feel like some people on the street might want to ha...

Dr. Wu Enliang Reply:
Hello, internet user: This situation may not necessarily be a case of paranoid delusions; it could also be due to other conditions. It is advisable to seek medical attention for a differential diagnosis as soon as possible to determine the best treatment approach (which may not n...

Do I Really Need Hospitalization for My Mental Health Issues?

Is hospitalization necessary? Will a follow-up appointment be needed? Hello, doctor. I am reaching out because I have been in a lot of pain lately. I previously had depression and was hospitalized due to a suicide attempt, but shortly after being discharged, I stopped taking my m...

Dr. Qiu Junda Reply:
Hello. The diagnosis of depression or bipolar disorder requires long-term assessment and cannot be addressed here. The physician's recommendation for hospitalization is likely a suggestion. You have the right to make choices. However, your condition should be monitored throu...

Struggling with Social Interaction: Understanding Anxiety and Dependence

Struggling to adapt to social interactions? I am very dependent on my parents. I have attended classes to learn workplace skills, but I always end up leaving early during the final sessions. I feel uncomfortable interacting with others and often fear when people talk to me. Somet...

Dr. Lin Mianzhang Reply:
Hello, Your situation indeed resembles social anxiety disorder; however, a definitive diagnosis must be made by a physician after a consultation with you. If it is social anxiety disorder, both pharmacotherapy and psychotherapy can be effective, and studies have shown that comb...

Am I Gay? Understanding Sexual Attraction and Identity at 21

Is my behavior homosexual? I am 21 years old and have been questioning my sexual orientation for some time. I find myself attracted to the bodies of men, specifically those who are muscular and fit. Sometimes looking at them makes me aroused, but other times it doesn’t. Occasiona...

Dr. Qiu Junda Reply:
Hello. Issues related to gender identity are quite complex and require professional assessment and diagnosis. The information provided in your message is insufficient for confirmation. I recommend that you take the time to visit a mental health clinic for evaluation and consultat...

Understanding Anxiety and OCD: When to Seek Professional Help

Anxiety Obsessive-Compulsive Disorder (OCD) Hello, I am a 19-year-old college student. I have a few questions to ask you: 1. I have a habit of checking doors and windows before going to bed, but this only happens when I sleep in my own room; I don't do it when I'm els...

Dr. Lin Mianzhang Reply:
Hi there! Your situation resembles the symptoms of Obsessive-Compulsive Disorder (OCD), which includes obsessive thoughts (recurrent thoughts or impulses that are unwanted and distressing, which you may want to ignore or suppress) and compulsive behaviors (repetitive actions perf...

Feeling Dirty: Understanding OCD and Anxiety in Mental Health

Feeling very dirty? Dr. Lin: Thank you for your patient response to my questions; I really appreciate it. Additionally, I would like to ask if feeling excessively dirty all the time indicates a mental health issue. Is this meaningless cleaning a sign of obsessive-compulsive disor...

Dr. Lin Mianzhang Reply:
Hello, little fish: If you find yourself washing for an extended period of time despite knowing it’s unnecessary, and you experience a reduction in anxiety afterward, it is very likely that you may be dealing with obsessive-compulsive disorder (OCD). However, a definitive diagnos...

Understanding Atypical Depression: Key Questions and Insights for Patients

Atypical Depression Hello, doctor. I have a few questions I would like to ask: 1. Is Wellbutrin considered an early-stage medication or a late-stage medication? 2. Does F32.8 Other depressive episodes classify as major depression, or is it mild or moderate depression? 3. How is...

Dr. Lin Mianzhang Reply:
Hello, Qing: 1. I'm not quite clear on what you mean by "early stage" and "late stage." Are you referring to the early stage as the initial phase of the illness when symptoms are not as severe? And the late stage as the advanced phase of the illness whe...

Struggling with Feelings of Dirtiness After STD Diagnosis: Seeking Help

Feeling dirty about oneself? Hello, doctor: I previously had a very chaotic relationship with a boyfriend, and we haven't been together for many years. Recently, I went for a sexually transmitted infection (STI) test, and despite being a person who values cleanliness and doe...

Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: Thank you for your hard work! Although being infected with herpes can be quite distressing, I hope you understand that herpes is actually a very common condition. Many people carry the herpes virus, but it typically becomes active when a person's immune syste...

Overcoming Anxiety About Physical Health: A Guide for Patients

Anxiety about one's body? Hello, doctor. Recently, I feel that my anxiety has been getting worse, and I don't know what to do. Since mid-September this year, I have seen doctors more than twenty times for issues related to breast lactation, gastrointestinal problems, an...

Dr. Lin Mianzhang Reply:
Hello: Your situation is similar to illness anxiety disorder, previously known as hypochondriasis (although strictly speaking, based on diagnostic criteria, your condition has not yet lasted for more than six months, so this diagnosis cannot be made). You mentioned that you start...

Understanding Compulsive Questioning: A Guide for Families

Family members often keep asking the same questions or bringing up the same issues repeatedly? Hello, doctor. My sister has some obsessive symptoms. In addition to washing her hands multiple times a day, she often repeatedly asks the same questions, regardless of whether she has ...

Dr. Wu Enliang Reply:
Hello, netizen: Her condition may not necessarily be obsessive-compulsive disorder. It is recommended to seek early medical attention at a mental health facility for a proper differential diagnosis, and then receive appropriate treatment. Dr. Wu Enliang

Understanding Sleep Disturbances: Twitches, Nightmares, and Talking in Sleep

Involuntary movements of the limbs and sleep talking during sleep? Hello, doctor. For the past three to four years, I have experienced involuntary movements of my limbs while sleeping (my partner says this usually occurs within the first 15 minutes of falling asleep). During time...

Dr. Lin Mianzhang Reply:
Hello Joanne: The human brain does not fully mature until the mid-20s, and at 27 years old, you are not yet in the stage of neurodegeneration, so there is no need to worry. The symptoms of twitching in the limbs during the initial stages of sleep may be related to hypnic jerks, w...

Previous｜Page ｜Next