Overcoming Extreme Fear: Understanding Anxiety and Phobias
Naturally timid and very anxious overall! Hello, doctor. I have always been timid. When I was a child, I was afraid of the dark and didn't dare to sleep alone. I was also very scared of cockroaches, mice, and other creatures. Additionally, I am extremely afraid of watching h...
Dr. Cai Yunlin Reply:
Hello Amo, From your letter, it seems that you have been struggling with this fear-related anxiety for some time. The intense anxiety responses you mentioned when facing certain organisms or situations, which lead you to avoid or feel uncomfortable enduring these situations, ma...[Read More] Overcoming Extreme Fear: Understanding Anxiety and Phobias
Understanding Alcohol Dependency and Sleep Issues in Older Adults
Insufficient alcohol content prevents sleep? Hello, Doctor: My father is 59 years old. He has been drinking alcohol every day since he was young. In recent years, when he gets drunk, he tends to act erratically and has no recollection of his actions the next day. Lately, he has b...
Dr. Chen Wenyu Reply:
Hello Tina, It seems that your father has been drinking for two to three decades, and it may be time for him to face the consequences of alcohol use. Cases of alcohol addiction often lead to chronic insomnia, where individuals rely on alcohol to sleep, creating a vicious cycle t...[Read More] Understanding Alcohol Dependency and Sleep Issues in Older Adults
Struggling with Focus and Tinnitus: Seeking Solutions for Attention Issues
Inability to concentrate and tinnitus? Hello, doctor. I am a first-year university student. I have retaken my exams, but I have been unable to concentrate for about four to five years. I really want to improve my academic performance, but I cannot focus on my studies. I suspect t...
Dr. Chen Wenyu Reply:
Hello, Xiao Ou: Based on the letter, I also agree with the opinion of the psychiatrist from Chiayi. Many cases of tinnitus cannot be identified with a specific cause. Tinnitus and vertigo fall under the domain of neurology, and it would be advisable to consult a neurologist for f...[Read More] Struggling with Focus and Tinnitus: Seeking Solutions for Attention Issues
Understanding Menopause-Related Mental Health Issues and Solutions
Concerns about menopause My mother is 55 years old. According to her, last year was the most severe period for her menopausal symptoms, including menopause, night sweats, and insomnia. On the other hand, my father underwent cancer treatment last year, and during this time, my mot...
Dr. Chen Wenyu Reply:
Hello, Banfu: Your mother is likely suffering from depression, which requires medical treatment. Depression can be accompanied by delusions and other psychiatric symptoms, and it indeed necessitates pharmacological intervention. Sensitivity to medications can be discussed with th...[Read More] Understanding Menopause-Related Mental Health Issues and Solutions
Understanding and Overcoming Mental Health Challenges: Expert Insights
How to resolve this? Dear Dr. Wang, I have been experiencing persistent auditory hallucinations and self-talk, along with racing thoughts that make it difficult for me to concentrate. I also experience muscle twitching and pain throughout my body, yet medical examinations have n...
Dr. Wang Chongren Reply:
Dear Director Wang Chong-Ren of the Psychiatry Department at Tainan Hospital, I have received your letter and noticed that your main concerns are the "voices in your mind" and "unexplained fear and laughter." These phenomena appear to be symptoms related to ...[Read More] Understanding and Overcoming Mental Health Challenges: Expert Insights
Should You See a Doctor for Long-Term Insomnia and Emotional Issues?
Should I see a doctor? Doctor: I have been suffering from chronic insomnia for over a year. I had depression more than a year ago, but after feeling better, I stopped taking my medication. However, I still experience long-term insomnia and often cannot fall asleep at night, even ...
Dr. Li Zhengfeng Reply:
Hello: Thank you for your letter. Based on your description, it seems that you are still suffering from symptoms of depression. Depression is a chronic condition; although it can be treated and resolved, patients are prone to relapse due to various factors. I recommend that you r...[Read More] Should You See a Doctor for Long-Term Insomnia and Emotional Issues?
Navigating Mental Health Care for a Reluctant Parent: A Guide
Mental health disorders treatment? Hello Dr. Chang: My mother has had a difficult relationship with our neighbors for a long time. She often believes that others are trying to take advantage of her or thinks that the neighbors are all malicious. She feels that everyone else is wr...
Dr. Zhang Zhehong Reply:
Hello, our home care treatment team has extensive experience in community case management and can provide home visits for consultations and arrange subsequent treatment plans. However, if there are serious internal medical issues, it is advisable to first visit a general hospital...[Read More] Navigating Mental Health Care for a Reluctant Parent: A Guide
Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Am I sick? Hello, since April, I have been experiencing a feeling of heaviness in my chest, along with palpitations and insomnia. In May, after visiting the hospital, my family medicine doctor said that my heart and lung functions were normal and advised me to reduce work stress ...
Dr. Cai Yunlin Reply:
Hello Apple, if the family medicine physician has conducted an evaluation and examination, it should be possible to preliminarily rule out any physical ailments related to the symptoms you described. It may be necessary to further exclude stress-related or emotional issues. I rec...[Read More] Am I Sick? Understanding Anxiety and Stress-Related Symptoms
Understanding Mental Health: Overcoming Fear of Psychiatric Visits
Disease? I previously asked a question... I would like to consult a doctor. What kind of illness would require me to see a psychiatrist? If I go, will they treat me like I'm crazy? I'm so scared, and I don't dare to seek treatment. What should I do? Just thinking a...
Dr. Su Zongwei Reply:
Based on the information on the board, it is not possible to determine what illness you have, which is why further evaluation is necessary. Only by consulting a psychiatrist can you receive a proper assessment. In today's society, experiencing stress or insomnia is quite com...[Read More] Understanding Mental Health: Overcoming Fear of Psychiatric Visits
Understanding the Pros and Cons of ETC Treatment for Severe Depression
Pros and Cons of ETC Therapy 1. What are the symptoms of major depressive disorder? 2. What is the difference between major depressive disorder and dementia? 3. After 1.5 to 2 months of medication for major depressive disorder, there has been some improvement, but the conditi...
Dr. Shao Jinghan Reply:
Dear Ms. Hsiao-Min, Regarding your inquiry, I will respond in order and hope you find the information satisfactory. 1. What are the symptoms of major depressive disorder? Major depressive disorder is classified in the DSM-IV as a single episode or recurrent depressive disorder....[Read More] Understanding the Pros and Cons of ETC Treatment for Severe Depression
Understanding Cipram: Its Role in OCD and Cognitive Therapy Benefits
Cipram and Obsessive-Compulsive Disorder (OCD) Hello Doctor: I am Lao Fang. Previously, I consulted you about whether I have obsessive-compulsive disorder (OCD), as I often find myself trapped in various troubling questions about the reality of life, my existence, and the phenome...
Dr. Sun Xiaoru Reply:
An old forum user: Being able to quickly consult a psychiatrist is the first step to successful treatment. Cipram is an antidepressant, and generally, such medications require consistent use for four to six weeks before symptoms improve. Our clinic offers psychological therapy, w...[Read More] Understanding Cipram: Its Role in OCD and Cognitive Therapy Benefits
Supporting Family Members with Bipolar Disorder: A Guide for Caregivers
How to support the family members of patients with bipolar disorder? Hello doctor, my brother has been struggling since around January when our father had a stroke, which added to his work stress, leading to insomnia. By February, he started exhibiting exaggerated speech and comp...
Dr. Wang Chongren Reply:
Dear Ms. Wang, Regarding your description of your brother's manic episode, although he has completed treatment, it appears that he has not fully achieved remission after discharge from the hospital. This may be due to a longer duration of the manic episode and insufficient ...[Read More] Supporting Family Members with Bipolar Disorder: A Guide for Caregivers
Managing Bipolar Disorder: Key Considerations After One Year Off Medication
I am a patient with bipolar disorder, and my doctor has taken me off medication for a year. What should I pay attention to in the future? Hello, doctor. I had my first manic episode two years ago, and later I was hospitalized for a month due to mania. After being discharged, I be...
Dr. Chen Wenqing Reply:
1. Patients whose manic episodes are triggered by stressful life events tend to have a better prognosis. 2. A family history of bipolar disorder is of reference value, but genetics is not the sole causative factor. 3. Attempting to discontinue medication after one year is a s...[Read More] Managing Bipolar Disorder: Key Considerations After One Year Off Medication
Understanding Insomnia: Seeking Solutions for Chronic Sleep Disorders
Insomnia My mother has been experiencing insomnia for six consecutive months (waking up shortly after falling asleep). For the first five months, she consulted doctors who only prescribed sleeping pills. Later, she saw a psychosomatic medicine specialist who indicated that her sl...
Dr. Kong Fanzhong Reply:
Do you know your mother's age, personality, and health status? Are there any significant stress events in her life? Risperidone is an antipsychotic medication, and it may be time to have a thorough examination at a major hospital's family medicine or neurology departmen...[Read More] Understanding Insomnia: Seeking Solutions for Chronic Sleep Disorders
Facing Nightmares: Seeking Help for Mental Health Struggles
The nightmare has returned, please help me....? I am almost 50 years old and, like most people, I have been living under the pressures of work and family without giving it much thought. Recently, I never expected that the nightmares I had suppressed for two to three decades would...
Dr. Sun Xiaoru Reply:
Dear Mr. Lao Fang, From your description in the letter, it is clear that you are currently experiencing significant mental stress and emotional distress. I recommend that you seek a nearby psychiatrist for evaluation and assistance with your current situation. Based on your past...[Read More] Facing Nightmares: Seeking Help for Mental Health Struggles
Struggling with Fear: Coping with a Troubled Relationship with My Father
Dilemma! I don't know if it's because I was scolded by my father since childhood that has led me to fear being around him! I grew up in a household with domestic violence, and whenever my dad drank, he would start yelling at me! No matter what time it was, if he wanted ...
Dr. Yu Xie Zhao Reply:
Your depression, anxiety, and behavioral reactions have their origins. This is a conditioned response. I think you should at least accomplish the following three things: 1. Have a source of income 2. Move to a new place and adapt to the new residence 3. Find a regular psychiatris...[Read More] Struggling with Fear: Coping with a Troubled Relationship with My Father
How to Help a Troubled Young Adult Struggling with Anger and Isolation
excuse me? My younger brother is 20 years old. He has a more introverted personality, and since our mother gave birth to five daughters, he is the only son. Our father is often away from home, so he has always been solitary. He has poor health and does not like to exercise; aside...
Dr. Zhan Hongyu Reply:
Hello Xiaozhu: There are two possible ways to address this situation. The first is to assist him in managing his insomnia or other physical discomforts and encourage him to seek help at a hospital. The second is to involve more family and friends to support him in seeking medical...[Read More] How to Help a Troubled Young Adult Struggling with Anger and Isolation
Supporting a Depressed Husband: Navigating Mental Health Challenges
Husband with depression Hello Dr. Yeh, although my husband is engaged in a very professional and important role in the Middle East, I know he suffers from depression. Our relationship is very good, and I thought my care and love had healed him, as he spends at least two hours eve...
Dr. Ye Yuki Reply:
When a loved one exhibits mental health symptoms, it can be challenging to know how to encourage them to seek medical help. This is a common question we receive. I usually suggest that family members try to persuade the individual to seek treatment using reasons that they can acc...[Read More] Supporting a Depressed Husband: Navigating Mental Health Challenges
Struggling with Sleep: Understanding Anxiety and Its Impact on Rest
Difficulty falling asleep? Hello Dr. Chen: I have had poor sleep quality for many years. I am sensitive to noise, light, and even the slightest touch, making it difficult for me to fall asleep. I experience very light sleep; I can clearly hear my husband turning over several time...
Dr. Chen Wenyu Reply:
Hello Morgan: The causes of insomnia can be physiological, psychological, or environmental. Do you have any medical conditions or are you taking any medications that might be causing your insomnia? Is your home environment quiet? Are your bed and pillows comfortable? Is your dail...[Read More] Struggling with Sleep: Understanding Anxiety and Its Impact on Rest
Understanding My Mother's Mental Health: Signs and Concerns
What is the mother's condition? Hello Dr. Chen, I would like to ask if my mother has any mental health issues based on the following conditions: 1. She has poor sleep quality at night, often dreaming, and if she dreams about negative things, she starts to ruminate. 2. Sh...
Dr. Chen Wenyu Reply:
Hello Jin, Based on the symptoms described in your letter, it is evident that your mother’s level of anxiety exceeds that of an average person, which likely indicates an anxiety disorder. The treatment for anxiety disorders primarily involves medication, and cognitive behavioral...[Read More] Understanding My Mother's Mental Health: Signs and Concerns