Fear, Psychiatry FAQ

Struggling with Asperger's: Seeking Help Amid Parental Dismissal

Suspected of having autism, but the parents do not take it seriously? Since I was young, I have noticed that I am different from others. Recently, I took the "Adult Asperger's Syndrome Scale" and scored 33 out of a possible 50. Perhaps I am making a big deal out of...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an evaluation and testing to determine the underlying issues. Our clinic is open Monday to Friday, both in the morning and aftern...

Understanding Potential Borderline Personality Disorder in Young Adults

I have discovered that I may have been struggling with borderline personality disorder all along? Hello Doctor, I am a 20-year-old college student who has been dealing with obsessive-compulsive disorder since middle school and have been under psychiatric care and medication ever ...

Dr. Lin Mianzhang Reply:
Hello, Xiao Meng: It seems that you easily oscillate between two extremes regarding others' opinions, which aligns with some characteristics of borderline personality disorder (BPD). However, to be diagnosed with BPD, other criteria must also be met, including emotional inst...

Overcoming Mental Health Struggles: Finding Hope and Connection

I'm not sure what to do? Hello, doctor. I'm sorry to trouble you again! Ever since I was diagnosed with a mental illness at the age of 20, this condition has been haunting me. Whether it's the stigma or the exemption from military service, it has become a shadow th...

Dr. Tang Jiahong Reply:
Everyone has the right to pursue love, and many individuals with mental health conditions have found partners; happiness or the ability to give happiness does not necessarily depend on having a high-paying job or a government position. Additionally, being able to maintain a job d...

Overcoming Social Anxiety and OCD: A Path to Confidence and Independence

Social anxiety, fear of riding, obsessive-compulsive disorder (OCD)? Dear Dr. Wu, My son is nearly 30 years old and belongs to a vulnerable group. He has poor expressive abilities and social difficulties. At the age of four, his developmental assessment showed that his "env...

Dr. Wu Enliang Reply:
Online users may consider pharmacological treatment to reduce anxiety. If medication is not acceptable, they may also consider seeking psychological therapy or relaxation training at a hospital or mental health clinic. Dr. Wu Enliang.

Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks

Obsessive thinking Hello, doctor. I always worry and fear about contracting sexually transmitted diseases, especially HIV. Whenever I see blood or anything red, I become particularly anxious! About 3 to 4 years ago, I visited a psychiatrist who said I might be experiencing obsess...

Dr. Qiu Junda Reply:
Hello. Your condition still requires medical attention. Seeking medical care does not necessarily mean you need medication; sometimes, psychological therapy can be arranged. You can discuss this with your physician during your visit. If you still have concerns or find it inconven...

Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives

Insomnia, anxiety, and medication issues? Hello, I have been taking Xanax for nearly six months due to insomnia caused by anxiety. However, I only take it the night before I have to go to school; if I don’t take it, I can’t sleep all night and my heart races. In short, when it’s ...

Dr. Wu Enliang Reply:
Hello, I have been experiencing insomnia due to anxiety, so I have been taking Zolpidem for almost half a year. However, I only take it on the nights before school; if I don’t take it, I can’t sleep all night and my heart races. In short, I feel very anxious and scared when it’s ...

Managing Anxiety and Depression: Coping with Chronic Pain and Loss

Anxiety and Depression Treatment Initially, it was due to work-related stress, followed by a period of rest, which resulted in issues with my lumbar and cervical spine, leading to frequent pain. I couldn't find a cure, and any slight discomfort would make me feel like I had ...

Dr. Qiu Junda Reply:
Hello. Anxiety and depression are treatable conditions, but they require patience. Please consult a mental health clinic and cooperate with the treatment plan. Continuous follow-up is necessary, as improvements may not be immediate, to facilitate a quicker recovery.

Navigating Grief and Mental Health: A Personal Journey of Loss and Reflection

Regarding personal issues? Hello, doctor. I'm not sure if my inquiries in the Taiwan e-Hospital's Q&A database have been documented, so I want to avoid redundancy. I apologize for bothering the doctors at Taiwan e-Hospital again. Since my mother passed away, I often...

Dr. Wu Enliang Reply:
There is always a way out, even in difficult times. If you are facing challenges, reach out to your loved ones, friends, or doctors to discuss your concerns and find direction in life. Keep going! Dr. Wu Enliang

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...

Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness

Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and did not dare to take medication. I only took a small dose of "Sertraline" occasionally during unp...

Dr. Wu Enliang Reply:
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing persistent palpitations? A: It is likely not the case. 2. Should I transfer to a psychosomatic specialist and follow medical advice to properly take my medication while gradually r...

Managing Anxiety and Heart Palpitations: A Journey to Recovery

Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and didn't dare to take medication. I only took a small dose of "Xanax" during occasional panic ...

Dr. Wu Enliang Reply:
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing continuous palpitations? A: It should not be the case. 2. Should I consider transferring to a psychosomatic specialist and follow medical advice to properly take my medication whil...

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...

Understanding OCD: Seeking Help and Navigating Mental Health Concerns

Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...

Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...

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...

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...

Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears

Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...

Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...

Understanding OCD: Common Concerns and Treatment Insights for Students

Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...

Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...

Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety

Hello Dr. Lin, I have some questions regarding swallowing disorders? Hello Dr. Lin, I have been suffering from swallowing difficulties (dysphagia) and related anxiety for a long time. I have already undergone throat examinations at the hospital and have seen a rehabilitation spec...

Dr. Lin Mianzhang Reply:
Hi there! If you are experiencing difficulty swallowing, it is generally recommended to visit an otolaryngologist for an examination. If the examination results are normal, it is advisable to seek care from a psychiatrist. Your condition may likely be what is known as "globu...

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....

Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma

Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...

Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...

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