Understanding Emotional Distress: Seeking Help for Mental Health Issues
Emotional distress, issues related to seeking medical consultation? Hello Doctor, I often experience insomnia, feelings of sadness that make me want to cry, and even bouts of anger. I feel guilty that my temper affects my loved ones, and I think of myself as foolish and useless. ...
Dr. Wu Enliang Reply:
Hello, online friend: It sounds very much like depression. I recommend seeking treatment at a mental health facility. I believe you have described your situation very clearly. If you're unsure how to express your feelings, you can simply show this email to the doctor for ref...[Read More] Understanding Emotional Distress: Seeking Help for Mental Health Issues
Understanding the Struggles of Depression and Anxiety: A Personal Journey
Depressive anxiety with feelings of dissociation? Engaging in a dialogue with my inner self, even to the point of arguing, I often find myself reflecting on what I'm doing. I remember everything clearly, yet I occasionally slip into this state of mind without realizing it. I...
Dr. Wang Yaoting Reply:
Based on your description, it seems that you have been experiencing depression and anxiety over the past six months. If you have had five or more of the following symptoms in the past two weeks: 1. Depressed mood: feeling unable to be happy, irritable, or down. 2. Diminished inte...[Read More] Understanding the Struggles of Depression and Anxiety: A Personal Journey
Understanding Sleep Disturbances: Is Waking Up at Night Insomnia?
Sleep issues Hello, doctor. Recently, I often wake up in the middle of the night, about 1 to 3 times, but I can fall back asleep afterward. Does this count as insomnia? Will this affect my sleep quality in the long run? Thank you. P.S. I usually go to bed before 10:30 PM and wake...
Dr. Wu Enliang Reply:
Hello, netizen: The most important factor causing insomnia is how your quality of life is during the day. If you feel drowsy, unable to concentrate, or unable to work, then it may be a concern. If not, it should be fine. Dr. Wu Enliang[Read More] Understanding Sleep Disturbances: Is Waking Up at Night Insomnia?
Understanding Borderline Personality Disorder: Causes and Concerns
Borderline Personality Disorder (BPD) is a mental health condition characterized by unstable moods, behavior, and relationships. Individuals with BPD often experience intense emotions and have difficulty managing their feelings, leading to impulsive actions and challenges in main...
Dr. Peng Liyun Reply:
Hello, from your letter, it is evident that you are experiencing discomfort and distress. It is important to discuss your diagnosis with a physician, but equally important is to ask yourself if you have coping strategies for these situations. If you cannot find suitable ways to m...[Read More] Understanding Borderline Personality Disorder: Causes and Concerns
Understanding Intrusive Thoughts and Sleep Issues: A Mental Health Guide
I think I am sick? Hello doctor, I have been troubled by this issue for a long time. I often find myself repeatedly thinking about past events, and it happens frequently. For example, after I go out and come back, I keep wondering, "Why did I ride my bike like that?" I ...
Dr. Qiu Junda Reply:
Hello. Based on the initial review of your message, it seems that the severity of the condition may not reach a clinical level. It could be related to personality traits. I wonder if you often experience tension or anxiety, or if you tend to pursue perfection. If this is causing ...[Read More] Understanding Intrusive Thoughts and Sleep Issues: A Mental Health Guide
Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Sleep issues I previously experienced a sudden onset of insomnia, which persisted afterward. I consulted a doctor who prescribed me anti-anxiety medication and sleeping pills. Later, I visited another doctor who suggested that I could sleep without medication, advising me to stop...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your description in the letter, it is evident that you are experiencing discomfort and anxiety. While it is difficult to determine your diagnosis at this moment, it is likely related to anxiety combined with insomnia. Currently, the primary treatment option ...[Read More] Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Psychoneurosis, insomnia, stress? Hello, Doctor regarding question 153436: Today I obtained my medical records from the clinic. The primary diagnosis is F51.04, which is classified as "Psychophysiological Insomnia," and the secondary diagnosis is F43.23, which refers to...
Dr. Wu Enliang Reply:
Hello, user: This diagnosis indicates that at that time, you experienced insomnia, short-term anxiety, and depressive symptoms due to life stress. Dr. Wu En-Liang.[Read More] Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Understanding the Link Between Anxiety, Depression, and Insomnia Disorders
Psychophysiological Insomnia Hello, Doctor 153436: Does having anxiety and depression as "emotions" indicate the presence of "anxiety disorder" or "depressive disorder"?
Dr. Wu Enliang Reply:
Hello, everyone: Human beings experience seven emotions and six desires. Anxiety and depression can be normal responses to stressful events and do not necessarily indicate the presence of an "anxiety disorder" or "depressive disorder." If it is classified as a...[Read More] Understanding the Link Between Anxiety, Depression, and Insomnia Disorders
Understanding Sleep Issues: Anxiety, Medication, and Self-Management
Sleep issues A few days ago, I consulted a doctor about my sleep issues. I feel anxious before and during sleep, so the doctor prescribed me an anti-anxiety medication called aparline and a sleeping pill. He advised me to take them before bed, but I wanted to try to sleep on my o...
Dr. Cai Yunlin Reply:
Hello, anxiety related to insomnia can indeed extend to bedtime. It is advisable to discuss your situation and potential solutions with your healthcare provider. Wishing you all the best.[Read More] Understanding Sleep Issues: Anxiety, Medication, and Self-Management
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? One night in late February, I suddenly felt a bit short of breath (I wanted to take deep breaths, and after about 30 seconds, I would feel the urge to breathe deeply again). There was a slight tightness in my chest. I went to the pulmonology ...
Dr. Wang Yazhen Reply:
Hello, The cardiologist has conducted a thorough examination and ruled out any heart-related issues. Therefore, it is indeed possible that your sudden increase in heart rate is influenced by emotions. Regarding your anxiety response, if it reaches the level of an "anxiety ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Is a diagnosis of a mental disorder... depression? Hello, doctor: I would like to ask about my situation. In November 2017, due to workplace conflicts with colleagues, I experienced significant negative emotions and stress, to the point where I didn't want to go to work or s...
Dr. Wu Enliang Reply:
Hello, based on my understanding, issues with insurance denial are more likely to occur only in cases of significant mental illnesses such as schizophrenia or bipolar disorder. It is not the case that simply seeing a psychiatrist or psychologist would lead to a denial of coverage...[Read More] Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Understanding Sleep Medications: Addressing Insomnia After Surgery
Issues with sleeping pills? Hello Doctor, I recently experienced a retinal detachment and after surgery, I need to sleep face down for an extended period, which has resulted in chronic sleep deprivation and a disrupted day-night cycle. I feel mentally exhausted and anxious, and l...
Dr. Cai Yunlin Reply:
Hello, in addition to your sleep issues, there may also be postoperative discomfort and related anxiety. I recommend reviewing your current daily habits and sleep-related behaviors that may be affecting your sleep. Common suggestions include the following: 1. Regardless of how ...[Read More] Understanding Sleep Medications: Addressing Insomnia After Surgery
Overcoming Sleep Anxiety: Tips for Better Rest and Relaxation
How can I fall asleep? Hello Doctor: I used to have no sleep issues while living in the dormitory, but for some reason, after one night of not being able to sleep, I have not been able to sleep well since then. I now fear not being able to sleep, but I feel mentally alert through...
Dr. Cai Yunlin Reply:
Hello, insomnia caused by inappropriate sleep associations (such as linking sleep with anxiety, worry, and other emotions) is a common phenomenon in clinical practice. The treatment approach involves re-establishing the connection between sleep and the associated emotional contex...[Read More] Overcoming Sleep Anxiety: Tips for Better Rest and Relaxation
Understanding Postpartum Mood Swings: Navigating Emotional Turbulence in Marriage
After childbirth, my wife experiences significant mood swings and is easily angered? Currently, my wife is about a year postpartum, but she often gets angry over trivial matters and even pushes me away forcefully. In front of her family, she presents a different side of herself. ...
Dr. Peng Liyun Reply:
Hello, A-Ming. Welcoming the birth of a new life is indeed a joyous event. However, some mothers may experience symptoms of emotional distress, such as depression, after childbirth. The exact causes are not yet clear, but it has been found that changes in hormonal levels, genetic...[Read More] Understanding Postpartum Mood Swings: Navigating Emotional Turbulence in Marriage
Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Paranoia Hello doctor, I had an argument with someone before. Although the other party said they wanted to reconcile, I still feel like they want to harm me, and I even worry about being sued. It's been over a month since the incident, and there has been no progress, but I h...
Dr. Wang Yazhen Reply:
Hello Qianqian: It sounds like you have been very troubled by this situation, including thoughts of victimization, suicidal ideation, insomnia, and more. I recommend that you seek help from a psychosomatic medicine or psychiatry specialist as soon as possible, so that a physician...[Read More] Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Struggling to Sleep After Starting Fluoxetine: What to Do?
Recently, it has become more difficult to fall asleep after taking medication? I have been feeling very anxious lately, and my doctor prescribed me fluoxetine. However, I have been having trouble sleeping at night and also experiencing chest tightness. Could the medication be mak...
Dr. Huang Xiaoxian Reply:
DEAR QQ, thank you for your question! It sounds like your main symptoms recently have been anxiety and insomnia. The doctor has prescribed medication to adjust serotonin levels, which is commonly used for patients with anxiety or depression. It is recommended that you continue ta...[Read More] Struggling to Sleep After Starting Fluoxetine: What to Do?
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun Reply:
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
Understanding Emotional Instability: Insights on Depression and Coping Strategies
Emotional instability Hello, doctor. Thank you for your hard work. I am a patient with depression and I am currently seeing a doctor for mild depression. The earliest uncomfortable symptoms I experienced (stomach pain, headaches, neck and shoulder pain) appeared when I was in the...
Dr. Wu Enliang Reply:
Hello, user: I understand that you are feeling unwell, and I hope you can discuss these questions with your doctor, as they are more familiar with your situation. I will do my best to answer your questions one by one. Q: I want to ask the doctor if this is definitely depression...[Read More] Understanding Emotional Instability: Insights on Depression and Coping Strategies
Navigating Anxiety Disorders: Medication Options and Expert Advice
Generalized Anxiety Disorder (GAD) Hello, doctor. During my first visit to a mental health clinic, the physician diagnosed me with mild panic disorder, generalized anxiety disorder, autonomic nervous system dysregulation, and insomnia (as I often find myself overthinking and feel...
Dr. Wu Enliang Reply:
Hello, online user: Anxiety disorders can generally be treated with psychotherapy or pharmacotherapy. The first-line pharmacological treatments are SSRIs (commonly used antidepressants) and Venlafaxine (another type of antidepressant). Benzodiazepines are used as a short-term sol...[Read More] Navigating Anxiety Disorders: Medication Options and Expert Advice
Does Taking Strattera Affect Erectile Function? A Doctor's Insight
Taking Seroquel enhances attention, but erectile function is not sustained! Hello doctor, I have been taking one 25mg Strattera every morning to help regulate my attention. However, recently I have been experiencing issues with erectile function during sexual activity, as I find ...
Dr. Wang Yazhen Reply:
Hello Aston: If you refer to the medication leaflet for Strattera, you will find the following information: The most common side effects of STRATTERA (with an incidence of 5% or higher and at least twice the rate of placebo patients) include: constipation, dry mouth, nausea, fati...[Read More] Does Taking Strattera Affect Erectile Function? A Doctor's Insight