Managing Anxiety: Breathing Difficulties, Numbness, and Dizziness
Shortness of breath, numbness in the limbs, and dizziness? Experiencing shortness of breath, numbness in the limbs, and dizziness several times a day can be very uncomfortable. If you've seen many doctors without relief and feel like you're suffering in silence, it'...
Dr. Chen Yuying Reply:
Hello Yi-Yung: Your description resembles symptoms of panic disorder. Here are some manifestations of panic disorder; you can see if your situation aligns with them: *Rapid heartbeat* Difficulty breathing, feeling as if you can't get enough air* Headache, dizziness, or nause...[Read More] Managing Anxiety: Breathing Difficulties, Numbness, and Dizziness
Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
I am unsure whether I have depression or anxiety disorders? Hello Doctor: I am unsure whether I have depression or anxiety. I find that I cannot tolerate continuous loud noises; for instance, if a baby is crying persistently, I feel an uncontrollable urge to stop the source of th...
Dr. Ding Shuyan Reply:
Hello, sensitivity to sound, fear of noise, insomnia, emotional fluctuations, and easy crying are indeed common manifestations of anxiety and depression. As for whether you have reached a level of illness, it is important to consider factors such as the severity of symptoms, thei...[Read More] Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
Understanding Irritability: The Impact of Sleep Deprivation on Emotions
When sleep is insufficient, emotions can become very irritable? Hello Doctor: I have a bad temper. Over the past year or two, after having a baby, I become more irritable when I haven't had enough sleep, when the baby is noisy, or when repetitive sounds, like the office phon...
Dr. Chen Yuying Reply:
Hello Rongqing: Taking care of a baby is truly a challenging task, and I want to thank every hardworking mother around the world. Regarding your mention of easily getting angry and experiencing insomnia, I suggest you first complete the "Depression Scale" at this link: ...[Read More] Understanding Irritability: The Impact of Sleep Deprivation on Emotions
Understanding Emotional Instability: Insights on Psychogenic Disorders
Psychoneurosis Hello, Doctor. I have some questions to ask you. Recently, I attended a dance performance with a female friend. During the performance, she exhibited signs of emotional instability, crying continuously, and at times, her head would involuntarily sway to the rhythm ...
Dr. Ding Shuyan Reply:
Hello, when watching movies, dramas, and various artistic performances, each person's feelings can vary greatly, which is somewhat related to individual experiences and personalities. It is difficult to determine whether your friend's reactions are unusual; some individ...[Read More] Understanding Emotional Instability: Insights on Psychogenic Disorders
Supporting a Family Member with Schizophrenia: A Sister's Concern
Family of individuals with schizophrenia? Hello Doctor, my brother is suspected to have schizophrenia, which seems to have been triggered by emotional factors and excessive work stress. Initially, he exhibited symptoms of auditory hallucinations, followed by insomnia and the feel...
Dr. Su Zongwei Reply:
If he is not eating or moving, his body won't last long. It's important to quickly call many family members to help him seek medical attention. Whether to enforce treatment will depend on the judgment of the police on-site, considering how long he has been refusing to e...[Read More] Supporting a Family Member with Schizophrenia: A Sister's Concern
Understanding Stress and Its Impact on Sleep Quality: Solutions and Insights
Stress Management Techniques Dr. Ding, I would like to ask you about my recent difficulty with light sleep. I often wake up suddenly in the middle of the night, and I personally believe it is due to stress. I would like to know if there could be other factors involved. How can I ...
Dr. Ding Shuyan Reply:
Hello, sleep disturbances such as interrupted sleep are actually common symptoms of many diseases or conditions. It can be said that most psychiatric disorders are associated with sleep issues. High levels of stress are certainly one of the contributing factors. Other common cond...[Read More] Understanding Stress and Its Impact on Sleep Quality: Solutions and Insights
Coping with Schizophrenia: Strategies for Families and Caregivers
Schizophrenic patients Hello Doctor, my father has been suffering from schizophrenia for about ten years. He has seen a psychiatrist but later rejected treatment. In the past year or two, his condition has worsened, and now he experiences episodes almost daily, often causing dist...
Dr. Zhang Zhehong Reply:
Patients with schizophrenia often lack insight into their condition, and arguments may exacerbate their delusions and mask symptoms. I will persuade the patient to accept treatment by addressing issues such as insomnia, anxiety, depression, and bipolar disorder. If the patient in...[Read More] Coping with Schizophrenia: Strategies for Families and Caregivers
Understanding the Long-Term Effects of Depression: Symptoms and Solutions
Does depression have any long-term effects? Hello Dr. Li, I switched careers over seven years ago and experienced some adjustment issues, which eventually evolved into symptoms of depression, including insomnia, a sense of hopelessness, and lack of motivation. I visited a psychia...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Depression can indeed manifest as unexplained pain or discomfort. However, clinically, it is essential to rule out other physiological factors to avoid misdiagnosis. If no cause for the pain can be found, the use of antidepressants may yie...[Read More] Understanding the Long-Term Effects of Depression: Symptoms and Solutions
Managing Blood Pressure Fluctuations Linked to Emotional Instability
Blood pressure often fluctuates due to emotional instability? Dear Doctor, In mid-March of this year, I visited the hospital for a check-up due to feeling unwell. The doctor informed me that my heart is larger than normal, and I also have high blood pressure and elevated cholest...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. According to your message, it seems that you are currently suffering from psychosomatic disorder. The causes of psychosomatic disorders are not solely psychological; it is a condition characterized by the interaction between physica...[Read More] Managing Blood Pressure Fluctuations Linked to Emotional Instability
Can Happiness Cure Mental Health Issues? Exploring Medication vs. Positive Mindset
excuse me? Hello, Doctor: In today's society, there are many psychological issues. I often see various problems on television, and I would like to ask whether general psychological disorders can be fundamentally treated with medication or if maintaining a happy mood and stay...
Dr. Ding Shuyan Reply:
Hello, finding the correct solution to a problem indeed requires starting from the causes that lead to it. Mental illnesses or broadly defined psychological issues are not caused by a single factor. In simple terms, there are three levels of causes to consider: 1. Genetic predisp...[Read More] Can Happiness Cure Mental Health Issues? Exploring Medication vs. Positive Mindset
Signs She Needs Psychiatric Help: How to Encourage a Visit to the Doctor
Does she need to see a doctor? How should I take her there? From April 28 to June 7, I worked at a relative's house. I described these past two months as the most painful days of my life. On June 7, I had no issues during the day, but at night, I started sitting alone and cr...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Based on what you described, the patient may be suffering from severe depression. However, a face-to-face consultation with a specialist is necessary for an accurate diagnosis. If the patient exhibits hallucinations or self-harming ...[Read More] Signs She Needs Psychiatric Help: How to Encourage a Visit to the Doctor
Understanding the Link Between Rheumatism and Depression in Teens
Rheumatoid Arthritis and Depression Hello Dr. Su, I am consulting for a friend’s child, a male student in the second year of a private high school. He is 163 cm tall and weighs 48 kg. He wakes up at 6 AM and finishes evening study at 9:30 PM. He works hard to prepare for exams bu...
Dr. Su Zongwei Reply:
The extent of side effects varies depending on the individual patient and their suitability for the medication, and it cannot be generalized. If a patient experiences adverse reactions to a medication, they should return to the clinic to discuss with their physician about adjusti...[Read More] Understanding the Link Between Rheumatism and Depression in Teens
Understanding and Addressing Paranoia in Aging Parents: A Family's Struggle
The father is suspected to have a delusional disorder? Hello, Doctor. My father is about 60 years old and has been experiencing delusional mental health issues for the past ten years (possibly even longer). Initially, he believed that someone wanted to kill him, and later he deve...
Dr. Fan Tingwei Reply:
Hello Kila: From your description, it seems that your father may have a mental disorder and needs medical treatment. To confirm the diagnosis, he must be evaluated by a physician in person. However, the challenge you are facing is how to get your father to seek medical care, whic...[Read More] Understanding and Addressing Paranoia in Aging Parents: A Family's Struggle
Addressing Dependence on Stinose: A Guide for Families
The issue of addiction to Stinose sleeping pills! Hello Doctor: My mother has long-term insomnia issues and is very dependent on Stynox. The dosage has been increasing, and when she doesn't take it, she becomes noisy and agitated. In the past six months, she has even been ta...
Dr. Wu Peijun Reply:
Thank you for your letter. I believe that you and your family have had a difficult time over the past six months due to this issue. Insomnia is a common problem in modern society, and there are many causes for it. Typically, identifying the underlying cause is necessary for effec...[Read More] Addressing Dependence on Stinose: A Guide for Families
Understanding Insomnia: Navigating Sleep Challenges and Anxiety
About Insomnia Hello Dr. Chen, About four weeks ago, I started experiencing insomnia, and since then, I have been struggling to sleep well. There have been nights where I couldn't sleep for 2 to 3 days in a row, and during the day, I often feel drowsy. My family took me to ...
Dr. Chen Yuying Reply:
Hello: Insomnia is a complex issue that can be primary or secondary (caused by other factors). You mentioned a specific date "four weeks ago" when your insomnia began; was there anything significant that happened on that day? For example, if someone experienced a breaku...[Read More] Understanding Insomnia: Navigating Sleep Challenges and Anxiety
Managing Anxiety and Sleep Issues After Brain AVM Treatment
excuse me? Hello, Dr. Ding! At the end of December last year, I experienced a hemorrhage due to an arteriovenous malformation, and I underwent Gamma Knife treatment in March of this year. However, since I need to be monitored for one to two years, I worry about my condition every...
Dr. Ding Shuyan Reply:
Hello, insomnia is a symptom caused by many different factors, and stress and worry are among them. Your psychiatrist will conduct a comprehensive assessment of your mental and physical condition to prescribe appropriate medication for you. Currently, psychiatric medications are ...[Read More] Managing Anxiety and Sleep Issues After Brain AVM Treatment
Understanding Chest Tightness: Is It Anxiety or Something Else?
Chest tightness? Hello Doctor: Since I started experiencing insomnia in early January, I have been feeling very anxious and fearful about not being able to sleep at night. My chest has also been feeling increasingly tight. After seeing a doctor, my insomnia issue was resolved, bu...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your message. Anxiety disorders can indeed cause symptoms such as chest tightness and feelings of unease. However, it is essential to rule out other potential causes of chest discomfort. I recommend that you consult a specialist in internal medi...[Read More] Understanding Chest Tightness: Is It Anxiety or Something Else?
Understanding Mental Health: Common Questions About Psychiatric Conditions
Psychiatric Medical Record Hello, doctor. I would like to ask the following questions: 1. Does having a psychiatric history automatically classify someone as having a mental illness? 2. If I forget what I have read all at once, could it be due to brain hypoxia, aging, or brain ...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Greetings. Question 1: Mental disorders include insomnia, headaches, psychosomatic disorders, adjustment disorders, somatoform disorders, depression, and personality disorders, ...[Read More] Understanding Mental Health: Common Questions About Psychiatric Conditions
Understanding Insomnia: When Sleep Medications Stop Working
Severe insomnia Dear Doctor, I have been taking sleeping pills for a long time and they are no longer effective. Is this a case of tolerance? I have been on sleeping medication for ten years. My heart is racing and I am unable to work! Please, Doctor, I need your advice. What sho...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Chronic insomnia can indeed be very distressing, and long-term use of the same sedative can lead to tolerance. However, since there are many types of sleep medications available, each with different mechanisms of action, you can try...[Read More] Understanding Insomnia: When Sleep Medications Stop Working
Understanding Insomnia: Seeking Solutions for Persistent Sleep Issues
Insomnia issues Hello Doctor: My mother is about 54 years old and has been experiencing insomnia in recent years. Her symptoms include difficulty falling asleep at night, an inability to quiet her mind, and persistent thoughts. She has seen a neurologist and has been taking medic...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. The causes of insomnia can generally be divided into three main categories: 1. Insomnia caused by psychological factors, such as depression and anxiety; 2. Insomnia caused by physiological factors, such as patients with heart diseas...[Read More] Understanding Insomnia: Seeking Solutions for Persistent Sleep Issues