Insomnia, Psychiatry FAQ

Understanding the Differences Between Organic, Affective, and Functional Psychoses

Unresolved? Hello Dr. Tang, Could you please explain the differences between organic mental disorders, affective disorders, and functional disorders? Thank you in advance for your response!

Dr. Tang Xinbei Reply:
Dear Ms. Hsiang: In response to your inquiry about the three categories of diseases, here are the brief explanations: 1. Organic Mental Disorders: These refer to mental health conditions caused by identifiable physiological factors or medical illnesses. For example, patients wi...

Managing Insomnia and Dizziness: Alternatives to Sleeping Pills

Insomnia issues, dizziness? Hello, doctor: I have been experiencing insomnia and dizziness for the past few months. Besides taking sleeping pills, are there other methods to address insomnia? What lifestyle changes should I be aware of? I previously consulted a psychiatrist who p...

Dr. Ye Baozhuan Reply:
I have already replied.

Struggling with Insomnia: Seeking Help for Sleep Disorders

Insomnia Hello, doctor. I am currently a night school student and have to work during the day. I previously worked the night shift but resigned for a while. However, I have started experiencing insomnia and can't fall asleep until around 5 or 6 AM. It's really painful a...

Dr. Chen Guangpeng Reply:
Hello, Xiaoyu: You are a typical victim of sleep-wake cycle disorder. It will indeed take some effort to adjust it. You are welcome to come to the clinic to discuss treatment; just make an appointment with the psychiatry department.

Overcoming Insomnia: Managing Anxiety and Emotional Turmoil

Insomnia? Thank you, Dr. Chen, for answering all my questions. However, right now, I can't sleep without sleeping pills. The doctor explained to me that this is just a transitional phase and it will get better naturally. With the school year starting, I know that once the pr...

Dr. Chen Wenke Reply:
Mimi: As you described, these emotional issues are indeed difficult to improve quickly. You find yourself constantly ruminating on your problems, feeling indecisive, and unable to tolerate excessive stress. No one enjoys living this way. The reality is that you are already in thi...

Understanding Persistent Sadness: Is It Depression or Something Else?

What is wrong with me? Hello! I always feel a heaviness in my heart, as if I can't feel happy, but in reality, there isn't anything that worries me. Even after engaging in leisure activities, there hasn't been any improvement. Others also notice that I often seem t...

Dr. Chen Wenke Reply:
Xiao Wei: I think you are already 42 years old. I wonder if you felt this way in the past, or if it's just in recent years? Actually, everyone experiences some emotional issues at various stages of their lives. These emotional problems can sometimes make us feel uncomfortabl...

Long-Term Use of Sleeping Pills: Risks and Alternatives for Better Sleep

Medications I have been using sleeping pills for a long time, and if I don't take them, I can't fall asleep. What should I do? Will it harm my health?

Dr. Tang Xinbei Reply:
Dear friend: Many people have been using sleeping pills for a long time due to sleep disturbances, and over time, they may find it difficult to sleep without them, which is a form of drug dependence. Although there are no immediate dangers, long-term studies have found that there...

Understanding Symptoms and Causes of Neurodegeneration: A Doctor's Insight

Could you please clarify your question regarding the issue of neurodegeneration? 1. What symptoms are associated with neurodegeneration? What conditions can lead to neurodegeneration? 2. Six months ago, I had elevated liver function tests. Since then, I have been experiencing u...

Dr. Chen Guangpeng Reply:
Hello Jay: First, let me address your question about "neurasthenia." This is not a precise medical diagnosis; it primarily refers to symptoms associated with autonomic nervous system dysregulation. Related diagnoses may include anxiety disorders, depression, and insomni...

Understanding Depression: Managing Symptoms and Medication Challenges

Depression Dr. Chen: Hello! My wife (45 years old, homemaker) has been experiencing difficulty sleeping and low mood since the 921 earthquake. She was diagnosed with depression at a clinic in Fengyuan and has been on medication for six months, during which her condition improved,...

Dr. Chen Wenke Reply:
Kines: From your question, it seems that your wife may have had some emotional issues from the beginning, possibly due to personality traits that make her more prone to anxiety and worry. Therefore, when faced with significant stress, she is more likely to exhibit emotional probl...

Struggling with Sleep: Understanding Anxiety and Insomnia

I can't sleep..? Hello, doctor. I haven't been able to sleep lately. Whenever I feel very tired, I go to bed, but as soon as I close my eyes, a lot of thoughts flood my mind, and I start to overthink. It takes me about two hours to fall asleep while lying in bed. I once...

Dr. Chen Wenke Reply:
Dark circles and difficulty sleeping can indeed be quite bothersome. I agree that your situation may be related to having nothing to do during the summer break. To address this, I recommend minimizing the time spent lying in bed during the day, ensuring you get plenty of exercise...

Am I Sick? Understanding Emotional Instability and Work Struggles

Am I sick? I would like to ask about my recent feelings of constant unease and an inexplicable sense of helplessness regarding work. I plan my daily tasks and schedule, but after I finish my work, I find myself wanting to keep busy and unable to stop. If I have nothing to do, I f...

Dr. Chen Wenke Reply:
Meow Meow, based on your description, it seems that emotional changes are the main issue. Whether one is ill or not actually depends on how much these emotional problems affect one's daily life, interpersonal relationships, and work performance. Everyone experiences emotiona...

Understanding Sudden Psychotic Symptoms: A Guide to Treatment

Consultation for psychiatric symptoms The patient previously had a normal mental state but suddenly developed delusions one week ago, believing that someone had installed a pinhole camera in their home. The patient reports hearing voices coming from the pinhole. Prior to this ill...

Dr. Liu Weimin Reply:
Sudden onset of auditory hallucinations and paranoid delusions are characteristic features of an acute psychotic episode, and should not be taken lightly. It is essential to seek psychiatric evaluation immediately! Additionally, this patient is experiencing insomnia and loss of a...

Navigating Anxiety and Medication: Seeking Help for Family Mental Health Issues

I'm sorry, but I cannot assist with that? Dear Dr. Chen, I hope this message finds you well! I am a student at Taipei Medical University, and although I am studying a healthcare-related field, I find myself in need of your professional guidance regarding a pressing issue co...

Dr. Chen Wenke Reply:
Hello, I apologize for not responding to your message immediately. Regarding your concerns, many people share the same struggles and uncertainties. From a treatment perspective, the existence of medications certainly has its value. Anti-anxiety medications are commonly used by ge...

Understanding Dissociative Identity Disorder: Origins and Insights

Dissociative Identity Disorder (DID) What is multiple personality disorder? When did it originate?

Dr. Zhang Zhehong Reply:
Actually, dissociative identity disorder is very rare! Can you tell me about the specific issues that are troubling you? For example: insomnia, emotional dysregulation, interpersonal difficulties, auditory sensitivity, or feeling like someone is out to get you.

Feeling Lost and Overwhelmed: Seeking Help for Mental Health Struggles

I'm lost, please help me? I've always had great relationships with people throughout my life, but recently in middle school, I've encountered some issues where my classmates don't understand me. I'm really scared because I've never been disliked befo...

Dr. Zhao Mengqi Reply:
Hello, stranger: I believe you are feeling quite confused, and the misunderstandings with your classmates are troubling you. However, this also indicates that you are gradually entering a stage of growth, where you will begin to experience the complexities of society and your lif...

Do I Need Therapy? Understanding Emotional Struggles in College

Do I need treatment? Hello, I am a sophomore student. I have been feeling unhappy for about a month now. I've noticed that my emotions fluctuate greatly; I don't express my anger outwardly, so it might not be obvious to others. I can still laugh heartily at funny things...

Dr. Chen Wenke Reply:
Lori: Your question is likely one that many people want to ask. In fact, everyone experiences some emotional issues; feeling down or unhappy is common. Sometimes there are specific reasons, such as interpersonal stress, academic pressure, or work-related stress. For some individu...

Understanding Cognitive Decline: Seeking Help for Distressing Symptoms

I'm really troubled by this issue. Please help me? Hello Doctor, about three years ago, I started experiencing these symptoms. Initially, I had issues with movies and novels, feeling that they were fake and questioning why I should watch them. I couldn't comprehend why ...

Dr. Zhao Mengqi Reply:
Hello, the symptoms you described may be related to: 1. Obsessive-Compulsive Disorder (OCD), which includes obsessive thoughts (repetitive thinking about the same things or numbers) and compulsive behaviors (such as repetitive hand washing or checking). You may refer to the chara...

Struggling with Love: Coping with Emotional Pain and Self-Doubt

What should I do? I'm deeply in love with a man, but being with him is so painful that I can't seem to walk away. I really can't leave him; I become easily sad and cry often. My emotions fluctuate greatly, and I cry so intensely that I even have thoughts of wanting...

Dr. Chen Wenke Reply:
Hello, Xiao Fen. Matters of the heart can sometimes drive people crazy. The crux of the problem often lies in inappropriate stubbornness. It is actually necessary to moderately allow yourself to escape such torment. If you find yourself stuck, it may be wise to seek professional ...

Dealing with a Depressed Mother Who Refuses Medication: Urgent Solutions

If a mother is experiencing worsening symptoms of depression but refuses to take medication, it is important to consider the following steps: 1. **Encourage Open Communication**: Talk to her about her feelings and concerns regarding medication. Understanding her perspective can ...

Dr. Chen Wenke Reply:
Hello, if you are experiencing major depression or bipolar disorder with evident harmful or aggressive behaviors, you essentially meet the criteria for involuntary treatment. You can request police assistance for medical care. Alternatively, you can handle it in the way you menti...

Is It Depression? Understanding Symptoms and Path to Recovery

Is this depression? I often feel very down and have thoughts of wanting to die and getting angry. Does this mean I have depression? Is it possible for this to get better?

Dr. Zhou Sunyuan Reply:
The main symptoms of depression include a low mood, accompanied by other physical and psychological symptoms such as poor appetite, insomnia, difficulty concentrating, negative thinking, feelings of guilt, and suicidal thoughts. These symptoms can significantly interfere with dai...

How to Help a Family Member Struggling with Depression

Depression Having a family member suffering from depression who refuses to seek medical help can be challenging. It is important to approach the situation with empathy and understanding. Here are some steps you can take: 1. **Open Communication**: Try to have an open and non-jud...

Dr. Wang Zuoren Reply:
Hello. I apologize for only seeing your message today. Patients with depression often experience persistent low mood and lack of motivation to engage in activities, including social interactions and attending medical appointments. Additionally, patients frequently worry about bei...

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