Understanding Your Mental Health: When to Seek Help for Symptoms
I'm not quite sure what's wrong with me, so I have to ask the doctor. Thank you, doctor? Hello doctor, I would like to ask about my symptoms. I have a history of depression and have undergone psychological treatment (I have not received treatment for about two months no...
Dr. Dai Wanxiang Reply:
Hello, Miss Hiiragi: Based on your description, it can be inferred that you are experiencing insomnia, emotional distress, and possible symptoms of derealization or depersonalization (feeling that the external environment is unreal, lacking a sense of presence in relation to exte...[Read More] Understanding Your Mental Health: When to Seek Help for Symptoms
Coping with a Family Member's Mental Illness: Safety and Support Strategies
Harming others My older brother developed a mental illness over two years ago, initially diagnosed with schizophrenia. His behavior and speech were quite unusual at that time. After starting medication, he stabilized significantly, but he still experiences episodes occasionally. ...
Dr. Liang Sunyuan Reply:
Hello Mr. Zhu: If the patient regularly attends psychiatric outpatient appointments, it is advisable to inform the attending physician about the patient's current condition and discuss whether hospitalization is necessary. If the patient is unwilling to seek treatment and ex...[Read More] Coping with a Family Member's Mental Illness: Safety and Support Strategies
Understanding Antisocial Personality Disorder: Can It Be Treated?
Antisocial personality disorder (ASPD) can be challenging to treat, but it is not impossible Dr. Ding, I have dysthymic disorder and antisocial personality disorder. When I was three years old, I stood alone in a large room and suddenly realized that my life was surrounded by mon...
Dr. Ding Shuyan Reply:
Hello, individuals with antisocial personality traits typically do not possess the self-reflection and desire for change that you exhibit. Of course, the diagnosis of personality disorders is not a strict binary; everyone has certain traits to varying degrees, and it is a matter ...[Read More] Understanding Antisocial Personality Disorder: Can It Be Treated?
Struggling with Sleep and Dreams: A Journey Through Mental Health Challenges
Humility, humility, and more humility? Dear Dr. Ding, I apologize for reaching out to you again, but my condition has been quite poor lately. I previously mentioned my desire to take a civil service exam, but you were not optimistic about it. Now I can somewhat understand what y...
Dr. Ding Shuyan Reply:
Hello, each of us has dreams and hopes for a better and happier life. However, we all face certain limitations that make it challenging to achieve those dreams. Individuals with mental health conditions, despite being physically healthy, experience significant barriers due to the...[Read More] Struggling with Sleep and Dreams: A Journey Through Mental Health Challenges
Understanding Intrusive Thoughts and Compulsive Promises in Mental Health
Daydreaming and making promises? Hello, doctor. I am turning 18 this year. For the past few years, I have often found myself overthinking. In the past, my thoughts would change quickly, but for the last two years, I find myself fixating on certain thoughts. I often make vows to t...
Dr. Ding Shuyan Reply:
Hello, I have read your concerns and troubles, and I truly feel saddened and empathetic. You are still young and have been bearing these burdens alone for so many years, and perhaps you have never sought help from anyone! Since we are communicating online and not face-to-face, it...[Read More] Understanding Intrusive Thoughts and Compulsive Promises in Mental Health
Navigating Involuntary Hospitalization for Mentally Ill Patients: A Guide
Involuntary hospitalization? The patient (26 years old) has a history of domestic violence, but has only been hospitalized a few times and was discharged shortly thereafter (often without resolution, and the patient does not believe they are at fault). Recently, the patient has b...
Dr. Liang Sunyuan Reply:
Hello: If a person is classified as having a severe mental illness and exhibits self-harming or violent behavior, or poses a risk of self-harm or harm to others, they meet the criteria for involuntary treatment. The guardians of severely ill patients have the responsibility to as...[Read More] Navigating Involuntary Hospitalization for Mentally Ill Patients: A Guide
Understanding Hosiery Fetishism: Is It a Mental Health Concern?
Stocking fetishism, pantyhose fetishism? I have a strong attraction to stockings and tights, often using them for masturbation, and I even fantasize about having sexual encounters with women wearing stockings and tights. Is this considered a mental illness? I already have moderat...
Dr. Ding Shuyan Reply:
Hello, do not steal from others, do not harm others, do not spend too much money on purchases, and do not waste too much time on these matters. Close the door and express your desires privately; others cannot interfere. If you think deeply, you can observe in what situations or u...[Read More] Understanding Hosiery Fetishism: Is It a Mental Health Concern?
Dealing with Harassment from a Mentally Ill Acquaintance: A Guide
Being harassed is very distressing? I would like to ask, my friend suddenly received harassing messages from someone they knew a long time ago, with whom they had no further contact. The content of the messages mostly consisted of delusions, asking my friend to cooperate or to ex...
Dr. Ding Shuyan Reply:
Hello, I suggest maintaining a stance of not responding to the individual's messages and blocking their calls. Over time, this should reduce the frequency of contact. If there is no improvement, you may consider reaching out to the individual's family to discuss the sit...[Read More] Dealing with Harassment from a Mentally Ill Acquaintance: A Guide
How to Support a Colleague with Possible Bipolar Disorder?
How to assist a colleague with bipolar disorder? There is a colleague in the unit who seems to exhibit symptoms of bipolar disorder. He perceives ordinary conversations or actions among coworkers as targeted attacks against him, leading to increased conflict with colleagues and e...
Dr. Dai Wanxiang Reply:
1. If the colleague has trusted coworkers or friends, they can suggest seeking medical attention through a caring approach using less sensitive language (for example, citing emotional distress, insomnia, etc.). Mentioning mental illness may be difficult for the colleague to accep...[Read More] How to Support a Colleague with Possible Bipolar Disorder?
Understanding Paranoia: Insights and Strategies for Family Support
Delusional disorder and others? Hello Dr. Ding, my brother started experiencing paranoid delusions about two years ago. Initially, he often suspected relatives of speaking ill of him behind his back and believed that certain specific family members looked down on him and slandere...
Dr. Ding Shuyan Reply:
Hello, if you are experiencing paranoid delusions, medication may be particularly important for improvement, especially in the early stages of treatment. Therefore, ensuring adherence to the medication regimen is the most crucial factor for the success of treatment. The lack of i...[Read More] Understanding Paranoia: Insights and Strategies for Family Support
Understanding Schizophrenia: Coping with a Difficult Diagnosis
Life is lived with great sorrow? When I was diagnosed with schizophrenia by my doctor, I must admit that I felt a bit unhappy. The reason is that previous diagnoses had not been as severe, and at that time, I didn't feel that I was in such a serious condition. So, when I tho...
Dr. Ding Shuyan Reply:
Hello everyone, we all appreciate a healthy and youthful appearance, and no one likes to be sick. Mental illnesses, in particular, are often stigmatized, leading to the term "labeling," which reflects the discrimination faced by individuals with mental health conditions...[Read More] Understanding Schizophrenia: Coping with a Difficult Diagnosis
Understanding Obsession: When High Achievers Fall for Scams
Obsessed with being scammed? I have a relative, a highly educated male in his fifties, who has been targeted by an international scam group. He communicates with them in English all day and has even served six months in prison (I won't go into details). After his release, he...
Dr. Qiu Junda Reply:
Hello: Since the initial assessment indicates that there should be no concerns regarding mental disorders, this kind of paranoia may temporarily be considered a part of the individual's personality, which is indeed difficult to change. It is still recommended that you choose...[Read More] Understanding Obsession: When High Achievers Fall for Scams
Helping Family Accept a Loved One's Mental Illness: Tips and Strategies
How to help relatives accept that my mother has a mental illness? How can I help others, including relatives and family members, accept that my mother has a mental illness and reduce their biases against her?
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. The issues you mentioned are common challenges faced by psychiatric patients and their families, as society often holds preconceived notions and misunderstandings about mental illness. In reality, each psychiatric ...[Read More] Helping Family Accept a Loved One's Mental Illness: Tips and Strategies
How to Seek Help for a Mentally Ill Parent: A Guide to Treatment Options
Maternal mental illness My mother has a mental illness and saw a doctor a long time ago, but she no longer takes her medication. Throughout my childhood, my brother and I have been subjected to her violence, and she uses her mental illness as an excuse, showing no remorse. She ha...
Dr. Liang Sunyuan Reply:
Hello, if diagnosed with a severe mental illness and exhibiting self-harm or violent behavior due to the condition, it may meet the criteria for involuntary treatment and hospitalization. If you have difficulty bringing your mother to seek medical care, it is advisable to first c...[Read More] How to Seek Help for a Mentally Ill Parent: A Guide to Treatment Options
Understanding Paranoia: A Daughter's Struggle with Her Father's Mental Illness
Father has a mental illness? Hello Doctor: My father's condition has persisted for several years. He is in his fifties and believes that my mother has conspired with his boss and the boss's wife to record him. He thinks that the boss's wife gave my mother a recordi...
Dr. Liang Sunyuan Reply:
Hello, based on your description, it seems that your father is exhibiting some symptoms of delusion but lacks insight and is unwilling to seek medical attention. Generally, individuals in this situation are less likely to seek help due to psychological factors. However, many pati...[Read More] Understanding Paranoia: A Daughter's Struggle with Her Father's Mental Illness
Sudden Confusion in Seniors: Understanding Causes and When to Seek Help
Elderly individuals suddenly speaking nonsensically? Sudden nonsensical speech and poor mental status in an elderly person, especially with a history of hypertension and diabetes, could be indicative of several underlying issues. These may include a stroke, transient ischemic att...
Dr. Qiu Junda Reply:
Hello: Based on the content of your letter, if an elderly person has no significant history of mental illness and suddenly exhibits symptoms such as delirium or incoherence, the primary consideration should be whether this is due to unstable control of pre-existing medical condit...[Read More] Sudden Confusion in Seniors: Understanding Causes and When to Seek Help
Is It Split Personality? Understanding Your Friend's Struggles
Is this considered dissociative identity disorder? I have a friend who recently told me that he feels like he has two selves. He often finds himself unable to control his anger, and he believes that this is not his true intention. However, he still cannot control it, and when he ...
Dr. Ding Shuyan Reply:
Hello, this cannot be classified as dissociative identity disorder. Each of us has multiple facets to our personality, and we express different behaviors and attitudes in various situations. For example, at 18 years old, your tone, patience, and considerations when speaking to yo...[Read More] Is It Split Personality? Understanding Your Friend's Struggles
How to Help My Father with His Mental Health Struggles
How can I help my father? Hello, Doctor. My father's situation is quite complex. He has been suspicious and has a volatile temper, often lashing out and verbally abusing my mother, which led to their divorce when I was three years old. Due to work commitments, he has been li...
Dr. Liang Sunyuan Reply:
Hello Mengmeng: It is advisable to encourage your father to quit drinking from the perspective of caring for his health. If he has difficulty quitting, you can accompany him to seek medical assistance to alleviate the discomfort during the withdrawal process. Typically, withdrawa...[Read More] How to Help My Father with His Mental Health Struggles
Understanding Anxiety and Heart Palpitations: A Patient's Journey
Anxiety issues? Every time I visit the cardiology department, I feel a sense of nervousness and anxiety when the doctor measures my blood pressure, which causes my heart rate to spike to 120 beats per minute. My emotions fluctuate greatly every day. During a 24-hour heart monitor...
Dr. Ding Shuyan Reply:
Hello, based on your description of the issues, it seems you have not yet returned to the cardiology department to discuss the results of your 24-hour Holter monitor. I recommend that you first listen to what the cardiologist has to say to determine if there are any cardiac issue...[Read More] Understanding Anxiety and Heart Palpitations: A Patient's Journey
Coping with a Family Member's Relapse in Long-Term Depression
Regarding a family member who is a long-term patient of depression, there has been a recent recurrence of symptoms? Hello, Doctor: My mother has been a long-term depression patient and is on regular medication. During my high school and college years, her condition improved signi...
Dr. Ding Shuyan Reply:
Hello, I am very touched by your filial piety, especially for us men, which is truly commendable. First of all, for inpatient treatment of depression, you need to check if the hospital where your mother is seeking treatment has available beds for admission. Additionally, consider...[Read More] Coping with a Family Member's Relapse in Long-Term Depression