Emotional distress, Psychiatry FAQ

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Should You Consult a Mental Health Professional for Your Struggles?

Should I consult a mental health specialist? Hello, doctor. Over the past year, I have been focusing on studying for exams, but I find it difficult to concentrate. I often think thoughts like "Why am I still alive?" and "This has no meaning," which distracts m...


Dr. Wu Enliang Reply:
It is advisable for individuals experiencing significant emotional distress, along with obvious psychosomatic symptoms, to seek medical attention from a psychiatrist. Dr. Wu Enliang.

[Read More] Should You Consult a Mental Health Professional for Your Struggles?


Is Cassandra Syndrome Exclusively a Female Condition? Exploring Gender Perspectives

Is Cassandra syndrome exclusive to women? Hello, doctor. I recently started dating a girlfriend with autism (Asperger's syndrome), but she often struggles to provide appropriate emotional responses in our relationship. Although I directly communicate my needs to her, I can&#...


Dr. Wu Menghuan Reply:
Hello: Asperger's disorder is classified under Autism Spectrum Disorder in the latest fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). According to the latest survey by the Autism and Developmental Disabilities Monitoring Network (ADDM) in ...

[Read More] Is Cassandra Syndrome Exclusively a Female Condition? Exploring Gender Perspectives


Understanding Depression: When to Seek Help for Mental Health Issues

Depressive mood I'm sorry to hear that you're feeling this way. It sounds like you're experiencing significant emotional distress, possibly related to exam stress and family trauma. The symptoms you're describing, such as palpitations, dizziness, feelings of h...


Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both depression and stress-related issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for rec...

[Read More] Understanding Depression: When to Seek Help for Mental Health Issues


Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle

Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...


Dr. Yan Congyou Reply:
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...

[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle


How to Encourage a Family Member to Seek Mental Health Treatment?

How to persuade family members to seek medical attention? My sister has had communication issues since childhood, but we used to think it was just a phase of childhood stubbornness that our parents overlooked. However, now that she is an adult (20 years old), she remains indiffer...


Dr. Qiu Junda Reply:
Hello. You might consider the possibility that you are experiencing emotional distress and would like to visit a psychosomatic clinic to consult with a physician or therapist. However, you may feel hesitant to go alone and hope that your sister can accompany you. During your appo...

[Read More] How to Encourage a Family Member to Seek Mental Health Treatment?


Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent

Father's emotional fluctuations? My dad often explodes over trivial matters. I try to ask him to calm down and talk things over, but it usually doesn't help; he ends up saying hurtful and extremely vulgar things. Once, in a fit of rage, he threw a box at home, which sca...


Dr. Qiu Junda Reply:
Hello. You can explain to your dad that seeking medical help is just for consultation and not necessarily for treatment. You can express that you are experiencing mental and emotional distress and would like to see a psychiatrist. It might help to suggest that you would like him ...

[Read More] Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent


Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health

Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...


Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...

[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health


Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects

Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...


Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...

[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects


Understanding Possible Bipolar Symptoms in a Family Member

Family member suspected of bipolar disorder? Hello: Mr. A is currently 22 years old. He has been relatively passive and lacking in ideas since childhood, and due to family factors, his parents have been quite tolerant of him. Later, it was discovered that he faced difficulties in...


Dr. Qiu Junda Reply:
Hello. 1. Bipolar disorder is considered a more severe condition in terms of psychopathology. Sometimes, alcohol or substance abuse, as well as poor emotional regulation (EQ), can present similar symptoms. It is essential to conduct a careful assessment and not jump to conclusion...

[Read More] Understanding Possible Bipolar Symptoms in a Family Member


Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges

Can my condition, bipolar disorder, be cured? I previously took Lurasidone, Lamotrigine, and Zolpidem. The clinic didn't have Lamotrigine and said Lurasidone wasn't effective, so I switched to Perphenazine, Lithium (2 tablets), and Mirtazapine. As a result, I felt depre...


Dr. Qiu Junda Reply:
Hello. The symptoms mentioned seem to be primarily negative emotions. The medication mainly consists of antidepressants and mood stabilizers, which is appropriate. If there are any side effects, you can discuss with your physician whether to adjust the medication. With patience i...

[Read More] Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges


Understanding Borderline Personality Disorder: Signs and When to Seek Help

Is it possible to have borderline personality disorder? Hello doctor, I have noticed that I often uncontrollably burst into anger and tears over very minor issues. I frequently feel extremely irritable and distressed. When I experience this irritability and pain, I resort to self...


Dr. Wu Enliang Reply:
Dear netizen, it sounds like you are going through a lot. If you are experiencing such emotional distress, it is indeed advisable for you to talk to a counselor at your school or have your parents (or other family members) accompany you to see a child and adolescent psychiatrist....

[Read More] Understanding Borderline Personality Disorder: Signs and When to Seek Help


Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms

Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...


Dr. Qiu Junda Reply:
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...

[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms


Exploring Treatment Options for Social Anxiety and Emotional Distress

What kind of treatment should I seek? (What should I do?) Since childhood, I have felt uncomfortable interacting with everyone except my mother and sister, suppressing my true thoughts. Now that I'm in high school, this issue has become increasingly severe. My life is misera...


Dr. Liang Sunyuan Reply:
Hello: The symptoms you described may indicate social anxiety disorder. Seeking medical treatment or psychological counseling could improve the situation, but it requires more patience, as alleviating anxiety takes time. If you are considering hypnosis as a treatment option, it i...

[Read More] Exploring Treatment Options for Social Anxiety and Emotional Distress


Managing Sleep Disturbances and Anxiety After Medication Changes

It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...


Dr. Tian Xinqiao Reply:
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...

[Read More] Managing Sleep Disturbances and Anxiety After Medication Changes


Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety

Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...


Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...

[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety


Struggling with Body Image: Understanding Self-Hatred and Mental Health

Dislike the way I look right now? Hello, doctor. I have been troubled by this issue since puberty. I hate my breasts, pubic hair, and underarm hair; I feel like they shouldn't exist on my body. While I can remove hair through depilation methods, I really wish my breasts woul...


Dr. Wu Enliang Reply:
If you are feeling emotional distress due to dissatisfaction with your body image, it is recommended to seek help from a mental health facility. If you have mentioned that you are experiencing emotional issues, it is also advisable to discuss these concerns with your physician. D...

[Read More] Struggling with Body Image: Understanding Self-Hatred and Mental Health


How to Support a Boyfriend Struggling with Depression and Relationship Issues

My boyfriend seems to be suffering from depression and constantly wants to break up with me. What should I do? Hello, in the past week, my boyfriend has been experiencing a lot of negative emotions. This is mainly due to the fact that this year he has repeatedly lost or broken hi...


Dr. Wu Enliang Reply:
Netizens often make an analogy with patients: depression is like having a fever in the brain. Just as a physical fever often requires medication for recovery, so does emotional distress. You can also recommend good doctors you know or share information about depression, such as t...

[Read More] How to Support a Boyfriend Struggling with Depression and Relationship Issues


Understanding Anxiety: Coping with Fear of Death and Emotional Distress

Daydreaming Hello Doctor: I recently read an article about death, and since then, I have become very afraid of dying. I also worry that I might have a serious illness. When my parents suggest seeing a doctor, I feel too scared to go. Sometimes, I can be happy one moment and sudde...


Dr. Qiu Junda Reply:
It seems that, as you mentioned, it is easier to have intrusive thoughts, which can lead to distress. I recommend that you seek evaluation at a mental health clinic. If that is not convenient, you can first utilize the 1925 hotline for counseling, which should help improve your s...

[Read More] Understanding Anxiety: Coping with Fear of Death and Emotional Distress


Understanding Mental Health Records and Their Impact on Police Academy Aspirations

Psychiatric Consultation Record Hello, doctor. I have been experiencing depressive feelings for a while and have had suicidal tendencies in the past. I have been wanting to see a doctor but have delayed it due to financial difficulties. I am now compelled to take the police exam,...


Dr. Yu Quanxun Reply:
Hello: It sounds like your current emotional state has been quite distressing for you and may be affecting your daily life. Additionally, the external environment seems to be contributing to your stress. In such challenging circumstances, it is commendable that you are taking the...

[Read More] Understanding Mental Health Records and Their Impact on Police Academy Aspirations


Is My Relationship Anxiety a Sign of Mental Health Issues?

Is this not quite normal? I have had two boyfriends and, due to various factors such as pressure from family and friends and a desire to experience the emotions that come with love, I agreed to enter into relationships. However, after starting to date, I often feel disgusted or e...


Dr. Qiu Junda Reply:
Hello. Although issues related to gender are not my specialty, it seems that this situation is not unusual and does not necessarily indicate that you have a mental illness, as you may be concerned. However, this situation can indeed cause you mental and emotional distress. I reco...

[Read More] Is My Relationship Anxiety a Sign of Mental Health Issues?


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