Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Negative thoughts and anxiety? Thank you for taking the time to address my concerns! My background and current living environment are quite normal. However, I have been struggling with psychological issues: 1. Recently, I have experienced some **minor physical ailments**. Since I...
Dr. Chen Wenyu Reply:
Hello, Fuwek: 1. During outpatient visits, many people purchase books about mental illnesses to better understand themselves, only to find that they resonate with what is described in the texts, which deepens their feelings of unease. In reality, even psychiatric textbooks can ...[Read More] Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Am I Sick? Understanding Mental Health Struggles and Seeking Help
Unsure if I have an illness? I often feel very depressed and weary of this world. I have had several experiences with suicidal thoughts, but I was unsuccessful due to insufficient medication. I constantly fear that others will harm me, which has led to having very few friends. I ...
Dr. Zhang Hongjun Reply:
Dear Esteemed Sir, From your letter, I can sense that you are experiencing considerable distress. However, it is indeed difficult to determine "whether there is an illness?" or "what the illness might be?" based solely on brief written communication. I sincer...[Read More] Am I Sick? Understanding Mental Health Struggles and Seeking Help
Understanding Mental Health: Seeking Help for Suicidal Thoughts
Mental health issues? Hello, doctor. I am a recent college graduate, and I have been serving in the military for three months now. I suspect that I may have a mental illness, so I would like to seek your advice. I remember that during high school, I never had such thoughts, but a...
Dr. Chen Wenke Reply:
Hello, First of all, I want to say sorry for the delayed response. I truly do not understand why it took until today to receive your letter. After carefully reviewing your message, I can clearly see your thought process, which indeed reflects a lot of negative emotions and diff...[Read More] Understanding Mental Health: Seeking Help for Suicidal Thoughts
Understanding Mental Health: Diagnosing Depression and Treatment Insights
excuse me? Hello, doctor: I have a question for you. If a psychiatrist who has previously treated a patient prescribes some medication (the specific names of the medications are unknown) for the patient's reported feelings of "unhappiness" or "wanting to cry,&...
Dr. Chen Wenke Reply:
Hello Tracy, regarding your questions, I would like to address them as follows: 1. I think it is not entirely appropriate to directly diagnose depression and prescribe medication based solely on mentions of feeling unhappy or wanting to cry. Mental illnesses have specific diagno...[Read More] Understanding Mental Health: Diagnosing Depression and Treatment Insights
Understanding Schizophrenia Medications: Causes of Drowsiness and Treatment Options
Schizophrenia Hello, doctor: I have been taking medication for schizophrenia, but I find it difficult to get up in the morning. I sleep until 11 or 12 a.m. The medications and dosages I am taking are as follows: Seroquel (100 mg), Solian (400 mg), Geodon (80 mg), Risperdal (2 mg)...
Dr. Chen Wenyu Reply:
Hello Chen: Most antipsychotic medications have a strong sedative effect. If you are experiencing excessive sleep or daytime drowsiness, you should communicate more with your attending physician and ask them to adjust your medication (including type, dosage, frequency, etc.). The...[Read More] Understanding Schizophrenia Medications: Causes of Drowsiness and Treatment Options
Understanding the Link Between Depression and Suicide Risk
Depression and Suicide Issues I would like to ask about the relationship between depression and suicide.
Dr. Chen Wenyu Reply:
Hello puredevil: In cases of suicide, the majority are associated with depression. Symptoms of depression include feelings of helplessness, hopelessness, worthlessness, and guilt, among others. Individuals often blame themselves for the events happening around them, believing the...[Read More] Understanding the Link Between Depression and Suicide Risk
Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Schizophrenia Can schizophrenia (auditory hallucinations) be completely cured? Is it possible to fully recover and stop medication?
Dr. Chen Wenyu Reply:
Hello Chen: In cases of schizophrenia, a small percentage may only experience a single episode in their lifetime. However, if there are recurrent episodes or persistent hallucinations and delusions, lifelong medication may be necessary. Hallucinations can be managed, but if the c...[Read More] Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Managing Anxiety and Medication: A Guide for Mental Health Patients
Overthinking!!! Hello Doctor: Thank you for your previous response! I have been seeing a psychiatrist for three weeks now, but I feel like there hasn't been much change. My lower back continues to hurt, my neck is still uncomfortable, my sleep is not very stable, and I somet...
Dr. Tang Xinbei Reply:
Dear A-Rong, It seems that your distress is due to taking many medications without noticeable improvement. With your current medications, it generally takes more than ten days to see significant effects. Are you concerned that continuing this way might lead to dependence or addi...[Read More] Managing Anxiety and Medication: A Guide for Mental Health Patients
Finding a Psychiatrist After Clinic Relocation: Tips and Resources
Chen Chia-Hsiang Neurology and Psychiatry Clinic Hello Doctor, I would like to ask for your help. My girlfriend's mother has a mental illness and used to receive treatment at the Chen Chia-Hsiang Neurology and Psychiatry Clinic, located at No. 1, Section 2, Wenhua Road, Ba...
Dr. Wang Zhenyang Reply:
Hello Win: After inquiring with the Taiwan Psychiatric Association, we found that the information for this psychiatric clinic is outdated and no new data is available to provide, so we are unable to respond to you. If your girlfriend's mother needs to see a doctor, I believe...[Read More] Finding a Psychiatrist After Clinic Relocation: Tips and Resources
Understanding Schizophrenia: Medication Adherence and Prevalence in Taiwan
Schizophrenia The doctor's recommendation is not to discontinue medication. The prevalence of schizophrenia in Taiwan is approximately how many? Most patients are on long-term medication, right? What medications do they primarily take?
Dr. Chen Guangpeng Reply:
Dear patient, The question of whether you should or can stop your medication depends on your clinical condition (including your current status and medical history), and it should be decided through thorough communication and careful consideration among your family, your attendin...[Read More] Understanding Schizophrenia: Medication Adherence and Prevalence in Taiwan
Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
I would like to ask questions regarding mental illnesses? Hello, doctor... I would like to ask you about mental health issues. My brother graduated from National Cheng Kung University with good abilities and talents, but since he started working a year ago after completing his mi...
Dr. Chen Guangpeng Reply:
Dear Jenny, From your description of your brother, a picture of a paranoid delusion emerges. The question is, does he have a mental illness? What is the diagnosis? Your brother indeed exhibits clear symptoms of delusion, and there are several possibilities to consider: First, ...[Read More] Understanding Your Brother's Mental Health: Signs of Paranoia or Adjustment Issues?
Understanding and Addressing Paranoia in Family Dynamics
What disease is this? Hello Doctor: My father has been frequently arguing with my mother for over a year, believing that she is unfaithful. He becomes suspicious whenever he sees other men, or even men who have contact with my mother (like vegetable vendors), thinking that she is...
Dr. Chen Guangpeng Reply:
Hello Annie, After reading your detailed account, I deeply empathize with the pain your mother, family, and even your father are experiencing. I hope the following response can be of assistance. Although there isn't much basic and related information about your father, base...[Read More] Understanding and Addressing Paranoia in Family Dynamics
Understanding Schizophrenia: Medication, Genetics, and Treatment Options
Schizophrenia I have read a book about schizophrenia that mentions long-term use of psychiatric medications can lead to birth defects, and that schizophrenia is hereditary. How credible is this information? I have been taking my medication regularly for three months without any r...
Dr. Chen Guangpeng Reply:
1. Some psychiatric medications may cause fetal malformations, especially during the first trimester of pregnancy (for example, long-term use of Valium may lead to cleft lip and palate). Therefore, if you are pregnant or planning to become pregnant, you should discuss your medica...[Read More] Understanding Schizophrenia: Medication, Genetics, and Treatment Options
Is My Aunt Experiencing a Mental Health Crisis?
Is my aunt sick? I'm concerned that my aunt might be unwell. Ever since she lost her job, she has been staying at home and sleeping every day. Recently, she suddenly started watching TV, reading, and watching movies. Initially, I was happy for her, but then she began to talk...
Dr. Wang Zhenyang Reply:
It is evident that you are very worried and anxious about your aunt's situation, and you feel helpless. As you described, your aunt seems to be unwell; she may be experiencing symptoms such as paranoid delusions or relational delusions. However, a definitive diagnosis can on...[Read More] Is My Aunt Experiencing a Mental Health Crisis?
Navigating Mental Health Challenges in College: Seeking Guidance and Support
May I ask a question? Hello, Dr. Tang. It's been a long time! I have some questions that I really don't know how to handle. 1. I am currently studying in a technical program for electrical engineering. In my class, I have come to realize that there is always someone b...
Dr. Tang Xinbei Reply:
Dear Xiao Jie, Long time no see! I'm glad to hear that you are currently attending school and interacting with people. It seems that you are having some difficulties and unpleasant experiences with your classmates? Living in a school dormitory means you have to share space ...[Read More] Navigating Mental Health Challenges in College: Seeking Guidance and Support
Is Changing Hospitals a Good Option for My Sister's Delusional Disorder?
My family member has delusional disorder? My sister has delusional disorder and is being treated at Chang Gung Memorial Hospital, but her condition is not improving. The doctor mentioned that she has been treated with high-dose medication. Our family is considering switching her ...
Dr. Chen Guangpeng Reply:
Dear family member of the patient, Thank you for your letter, which raises a common concern regarding treatment efficacy, prognosis, and strategies. First, mental illnesses are chronic conditions, and it is ideal to maintain a stable and continuous doctor-patient relationship; s...[Read More] Is Changing Hospitals a Good Option for My Sister's Delusional Disorder?
Effective Treatment Strategies for Panic Disorder in a 67-Year-Old Woman
Treatment for a 67-year-old woman with a long-standing history of panic disorder? Treatment for a 67-year-old woman with a long-standing history of panic disorder.
Dr. Chen Wenke Reply:
Panic disorder is a common and unique mental illness encountered in psychiatric outpatient clinics. Patients often suffer for years without realizing that their distress is due to a treatable condition known as panic disorder. Here’s a brief overview of panic disorder: 1. **Char...[Read More] Effective Treatment Strategies for Panic Disorder in a 67-Year-Old Woman
Understanding My Unseen Friends: A Journey Through Mental Health
Would it be strange for me to be like this? When I was a child—perhaps due to always being alone—I often heard voices speaking to me, yet I could not see anyone. It wasn't until I reached middle school that I could barely see shadows. As time passed, I did not fear them as t...
Dr. Chen Wenke Reply:
Hello, Yinxing: Based on your description of yourself, it is possible that you are exhibiting symptoms of a mental illness that requires more proactive treatment. I believe this will help improve your concerns.[Read More] Understanding My Unseen Friends: A Journey Through Mental Health
Understanding the Connection Between Depression, Anemia, and Chronic Fatigue
Extremely uncomfortable? I have been feeling very unwell for about 4 to 5 years and have been regularly visiting the hospital for treatment. Recently, the psychiatrist diagnosed me with Mediterranean anemia. Can you please tell me if depression really has countless symptoms, such...
Dr. Zhang Xuncheng Reply:
Hello, the body and mind often influence each other; positive aspects can have a beneficial effect, while negative aspects can be detrimental. Mental fatigue or mental illness can lead to a weakened immune system, making the body more susceptible to fatigue and exacerbating exist...[Read More] Understanding the Connection Between Depression, Anemia, and Chronic Fatigue
Can Vaccines Prevent Mental Illness in High-Risk Individuals?
Is there a vaccine for mental illness? Is it possible to have preventive treatment for individuals in high-risk groups with a genetic predisposition to mental illness who have not yet manifested symptoms? This could include long-term corrective education in terms of medication or...
Dr. Tang Xinbei Reply:
Dear Ms. Kuan, Your question addresses a significant challenge in medicine today. Due to the varying types of diseases and their different etiologies, there are substantial differences in their management and prevention. For instance, diseases like cholera, which are caused by a...[Read More] Can Vaccines Prevent Mental Illness in High-Risk Individuals?