Overwhelming Exam Pressure: When to Seek Help for Mental Health
Feeling overwhelmed by stress to the point of wanting to commit suicide? I am a student preparing for the exam this year, and when I see my unsatisfactory grades, I feel like crying. Whether it's a major or minor exam, I come home and avoid using my phone, but I constantly f...
Dr. Lin Mianzhang Reply:
Hello, Xia: It seems that you are experiencing significant anxiety, irritability, insomnia, suicidal thoughts, and self-harming behaviors. It must be very distressing for you to take over three hours to fall asleep each night. Lack of sleep not only affects your mood but also imp...[Read More] Overwhelming Exam Pressure: When to Seek Help for Mental Health
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Understanding Self-Harm and Mental Health: Is It a Disorder?
I'm not sure if this is a medical condition? I have been suffering from severe depression, and throughout three years of treatment, my emotions have fluctuated repeatedly. Currently, I feel that my depression is not as severe, yet I also hope that it will never completely go...
Dr. Wu Enliang Reply:
If online interactions are causing significant disruptions in your life, it is indeed a form of illness. It is advisable to continue collaborating with your physician and psychologist to receive the necessary treatment. Dr. Wu En-Liang[Read More] Understanding Self-Harm and Mental Health: Is It a Disorder?
Understanding Emotional Conflicts: The Paradox of Anger and Laughter
Emotional issues There have been several instances where I got into arguments with someone, feeling so angry that I wanted to hurt myself or break something to vent my emotions. In the middle of the argument, I suddenly felt an uncontrollable urge to laugh—not just a smile, but a...
Dr. Wu Enliang Reply:
The psychological state of a good-natured internet user is quite complex, and as long as it does not cause any disturbance, there is no need to worry too much about it. Wu Enliang[Read More] Understanding Emotional Conflicts: The Paradox of Anger and Laughter
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Adult Attention Deficit Disorder (ADD) As I grow older, I find myself forgetting more and more things. I can completely forget what I just heard a second ago, and I often forget to execute the goals I set for myself or become restless during the process. In class, I constantly lo...
Dr. Wu Enliang Reply:
Netizens suggest seeking consultation at the Department of Psychiatry (Psychosomatic Medicine). Dr. Wu Enliang.[Read More] Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Switching from Lurasidone 40 mg to Risperidone 1 mg, what are the related side effects? The patient started medication for schizophrenia on July 22, taking Lurasidone 40 mg for nearly a year. They sleep approximately 9 hours a day but often feel fatigued and lack interest in acti...
Dr. Huang Zhijia Reply:
Hello: If you are not the physician who issued this prescription, please consult the prescribing physician.[Read More] Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Experiencing heightened energy during the day and extreme low mood at night? Hello, I would like to inquire about the following situation: During the day, I feel particularly euphoric, with an increased tendency to talk more than usual, heightened emotions, and a boost in self-co...
Dr. Qiu Junda Reply:
Hello. Due to a history of depression and a seeming interruption in follow-up care, it is advisable for you to schedule an appointment as soon as possible for the physician to assess any recent changes in your mood. This will help facilitate improvements in your condition.[Read More] Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Understanding Sudden Feelings of Sadness and Focus Issues
Feeling like you want to cry all the time? Hello, doctor. Recently, I've been experiencing sudden feelings of depression, but I don't cry completely; I just have the urge to cry. Additionally, while preparing for exams, I've been struggling to concentrate on my stu...
Dr. Qiu Junda Reply:
Hello. The content reveals negative emotions and has caused distress. It is unclear if there is known stress. I recommend that you seek consultation at a psychosomatic medicine clinic for improvement. Additionally, you can utilize the 1925 mental health hotline for similar teleph...[Read More] Understanding Sudden Feelings of Sadness and Focus Issues
Can Medication Help Control Negative Symptoms in Mental Health?
Can medication help control these negative situations? Ten years ago, I started experiencing hallucinations and auditory delusions. Later, I found it difficult to understand emotions, such as crying or laughing. I can hardly remember past events. A few months ago, I began to feel...
Dr. Wu Enliang Reply:
Online friends can improve, but mental illnesses still require mental treatment! - Dr. Wu Enliang[Read More] Can Medication Help Control Negative Symptoms in Mental Health?
Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Judgment in patients with delusions? Sometimes when I'm bored, I think of unrealistic images, sounds, or plots. However, I came across an article online about the symptoms of delusions and started to wonder if I might also have delusional symptoms. But if what I experience c...
Dr. Yan Congyou Reply:
The definition of delusion is more stringent than simply having unrealistic thoughts or scenarios; it typically involves behaviors or emotions that are significantly impacted by these beliefs, affecting daily life (such as work, academics, and interpersonal relationships). The co...[Read More] Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Managing Intermittent Anger: Medication Insights and Emotional Balance
Medication Consultation Hello Doctor, I have been experiencing sudden outbursts of anger. I searched online and found information about intermittent explosive disorder, but I believe my situation varies depending on the circumstances. I often lose my temper with family members or...
Dr. Tang Jiahong Reply:
Hello, assuming that mood stabilizers are helpful for you. Lamotrigine has mood-stabilizing effects, and its side effects are relatively fewer compared to antipsychotic medications. You can discuss with your physician whether irritability/restlessness is a side effect of Lamotrig...[Read More] Managing Intermittent Anger: Medication Insights and Emotional Balance
Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey
Medication issue: Withdrawal reactions from the discontinuation of methylphenidate? Hello, doctor. This issue has been troubling me for a long time. I am a patient with ADHD combined with depression, and the medications I am currently taking include Strattera, Ritalin, Vyvanse, a...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about potential interactions between lithium and antipsychotic medications may not be beneficial for your condition. As for the possibility of co-o...[Read More] Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey
Understanding Complex Symptoms in Menopausal Depression: A Guide for Families
I am not sure what the symptoms are? Hello Doctor: My mother is in menopause and is taking medication for depression. She experiences full-body pain daily, including tooth pain, spine pain, and rib pain (doctors have said there are no issues with these). She also continuously pro...
Dr. Qiu Junda Reply:
Hello. I'm not sure why your mother is taking antidepressant medication, how long she has been on it, whether there have been any interruptions, or how effective it has been. Initially, if general health checks have not revealed any significant findings, your mother's c...[Read More] Understanding Complex Symptoms in Menopausal Depression: A Guide for Families
Confronting Inner Demons: Healing from Childhood Trauma
How to dispel darkness? Yesterday, in a state between wakefulness and dreams, I saw a half-human, half-beast creature frantically stabbing the classmates who bullied me in fifth grade with a dagger. Its upper body was gone, leaving only two legs behind, yet this creature continue...
Dr. Qiu Junda Reply:
Please discuss medical consultation.[Read More] Confronting Inner Demons: Healing from Childhood Trauma
Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...[Read More] Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Understanding Self-Talk: Navigating Emotional Turmoil and Mental Health
Soliloquy I experience intense emotions and often feel the urge to harm myself or others (though I only think about it and do not intend to act on it). I once used a utility knife to scare someone; I know it’s dangerous, but I never intended to hurt anyone. The pressure is overwh...
Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex feelings you've expressed, reflecting your experiences and various pains from childhood to the present. I recommend that you continue seeking care from a mental health specialist and arrange for regular psychotherapy...[Read More] Understanding Self-Talk: Navigating Emotional Turmoil and Mental Health
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
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 Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda Reply:
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues