Is It Just OCD or Something More Serious? Understanding Mental Health Concerns
Is it pure obsessive-compulsive disorder or another issue? Hello Dr. Lin, I have been diagnosed with obsessive-compulsive disorder (OCD) since I was 17 years old, and it has been several years now. In recent years, I have not experienced much in the way of compulsive behaviors, ...
Dr. Lin Mianzhang Reply:
Hello Mr. Paul: The fact that you are concerned about whether you have schizophrenia actually indicates that you likely do not have it, as individuals with schizophrenia often believe they are normal and do not recognize that they are ill. The worries you have mentioned are more ...[Read More] Is It Just OCD or Something More Serious? Understanding Mental Health Concerns
Do You Need Ongoing Appointments for Autism Disability Certification?
The issue of disability certification for autism? Recently, my doctor referred me for a mental disability assessment due to autism. I understand that for chronic mental illnesses, I must continue seeing a physician until the next disability certification expires before I can be r...
Dr. Liang Sunyuan Reply:
Hello: It is recommended to seek re-evaluation for autism from the same physician to ensure a clearer assessment. Whether continuous follow-up appointments are necessary generally depends on the medical needs of the patient. However, each physician may have different approaches, ...[Read More] Do You Need Ongoing Appointments for Autism Disability Certification?
Understanding Oedipus Complex and Its Impact on Mental Health
Oedipus complex Hello, doctor. I have a problem! Sometimes I feel like I'm going crazy; I admit I'm mentally unstable. I have a mild disability certificate. My primary doctor has diagnosed me with schizophrenia! Since childhood, I haven't had many friends, especial...
Dr. Liang Sunyuan Reply:
Hello: Being ill is an unavoidable situation, but you can still face reality, collaborate with your physician, and adhere to treatment protocols to minimize the impact of the illness on your life. Reflecting on your past experiences, you may have some insights, and continuing to ...[Read More] Understanding Oedipus Complex and Its Impact on Mental Health
Understanding Latent Schizophrenia: Symptoms, Misconceptions, and Severity
Latent schizophrenia Hello, I would like to ask the doctor about latent schizophrenia (latent psychotic disorder). What does it mean? Does it refer to an overly sensitive personality, etc.? Is it an old term? Is it different from schizophrenia? Is it considered a serious mental i...
Dr. Tang Jiahong Reply:
This disease is an outdated diagnostic term. In English, it is referred to as latent schizophrenia, and it is coded as 295.5 in the International Classification of Diseases, Ninth Revision (ICD-9), which aligns with major illnesses in this version. However, in the subsequent vers...[Read More] Understanding Latent Schizophrenia: Symptoms, Misconceptions, and Severity
Understanding the Genetic Risks of Asperger's Syndrome and Related Disorders
Asperger's syndrome If the female partner and her siblings all have Autism Spectrum Disorder (ASD), with the brother also having Attention Deficit Hyperactivity Disorder (ADHD) and the sister having epilepsy, while the male partner has no history of ASD, ADHD, or epilepsy in...
Dr. Liao Dinglie Reply:
Hello, internet user: It seems you are quite concerned about the hereditary nature of Asperger's syndrome. Having a child with a condition can be disheartening; however, conversely, the birth of a new life often brings excitement and joy. Like all mental illnesses, the proba...[Read More] Understanding the Genetic Risks of Asperger's Syndrome and Related Disorders
Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Auditory hallucinations occur when lying flat? Hello, doctor. My mother just turned 80 years old. Since she was young, she often mentioned that a devil has been following her, whether she is outside or at home. Occasionally, she complains that the devil appears intentionally for ...
Dr. Wang Yaoting Reply:
Hello: Auditory hallucinations occur when there are no obvious external sounds, yet the individual's cerebral cortex is firing, leading them to perceive sounds. Auditory hallucinations can indeed manifest in certain mental illnesses, such as schizophrenia and dementia, but t...[Read More] Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Understanding Family Mental Health: Signs of Possible Disorders
Regarding whether family members have mental illnesses? Hello, doctor. I am a patient with mild depression, and my family environment has greatly affected me, being a major factor in my emotional instability. My family has a certain aversion to mental illness and lacks insight in...
Dr. Wang Zhenbang Reply:
Hello, based on your description, here are several points to consider: 1. The diagnostic range for mental disorders is quite broad, and it requires evaluation from multiple perspectives to determine if the diagnostic criteria are met. One important criterion is whether the indi...[Read More] Understanding Family Mental Health: Signs of Possible Disorders
Navigating Emotional Trauma: Living with Chronic Illness and Misunderstanding
Traumatic emotions I was diagnosed at the age of 23 with atypical Crohn's disease. Within a month, I lost over thirty kilograms. I visited numerous hospitals and was only diagnosed with gastric and duodenal ulcers. My condition worsened, and one day I woke up unable to walk....
Dr. Wu Enliang Reply:
Hello, online friend: As a fellow patient with chronic autoimmune diseases, I completely understand the pain of living with a chronic illness, and the added suffering of being misunderstood or accused of faking it. I recommend that such traumatic experiences be addressed through ...[Read More] Navigating Emotional Trauma: Living with Chronic Illness and Misunderstanding
Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?
Am I experiencing anxiety, Munchausen syndrome, or another condition? Or am I just normal? I have a very stubborn and extreme personality, and I struggle with reading social cues; I tend to speak very directly. I was severely reprimanded by a teacher for two years, and later, fol...
Dr. Wu Enliang Reply:
Hello: It's not Munchausen syndrome, but there are indeed issues with anxiety and depression. It seems to have significantly affected your life. Just as you would see a doctor for a physical fever, it's important to address emotional distress as well! I recommend discus...[Read More] Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?
Struggling with Grief: Living in the Shadow of Loss and Regret
Living in the past? Hello, doctor. I have been suffering from a mental illness for over 20 years, starting from when I was 20 years old. My mother passed away in 2007, and I have been unable to move on! Over a decade has passed, and I am still living in the past, especially durin...
Dr. Wu Enliang Reply:
Hello, internet user: These feelings of guilt, anger, and resentment can cause significant disruptions in your life. It is advisable to discuss these issues with a psychiatrist or psychologist who has been caring for you long-term. Clinically, I have seen many individuals improve...[Read More] Struggling with Grief: Living in the Shadow of Loss and Regret
Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Auditory hallucinations and insomnia? I have been ill for a long time, for four years. My condition has not improved during this time, especially my memory has deteriorated significantly. Since my girlfriend committed suicide by carbon monoxide poisoning, my auditory hallucinatio...
Dr. Xue Gengming Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Navigating Care for Schizophrenia: A Caregiver's Dilemma
Confusion Among Caregivers of Individuals with Schizophrenia Hello Dr. Lin, thank you for your previous response. I would like to continue discussing the care of patients with schizophrenia. After discussing with my family, we have reached a consensus to "maintain the status...
Dr. Lin Mianzhang Reply:
Hi there! 1. This condition may potentially be maintained for a lifetime; however, it is also possible that your family member's functioning may gradually decline, eventually requiring assistance with basic activities such as bathing and using the restroom. This is one rea...[Read More] Navigating Care for Schizophrenia: A Caregiver's Dilemma
How to Seek Help When Family Resists Mental Health Support?
What should I do if my family is resistant to taking me to see a psychiatrist? What is my condition? Due to family issues and friends, I learned to drink and self-harm in the second year of junior high. Every night, I find myself thinking about many things and feeling that the wo...
Dr. Wu Enliang Reply:
Hello, netizen: I suggest trying to communicate with your family again. Inform them that the brain is unwell, and that symptoms such as depression and anxiety require medical attention, just like needing to see a doctor for a fever caused by the flu. Additionally, you can seek he...[Read More] How to Seek Help When Family Resists Mental Health Support?
Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Family members have had symptoms for many years but show no awareness of their illness? Hello, Dr. Lin. I apologize for the lengthy message. My family member is a 28-year-old male who has experienced a decline in academic performance since his junior year in college and subsequen...
Dr. Lin Mianzhang Reply:
Hi, based on your description, it seems that your family member may be suffering from schizophrenia. Symptoms such as negative symptoms (deterioration in hygiene, infrequent bathing), auditory hallucinations (having conversations with multiple voices in their head), and delusions...[Read More] Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Medication Issue - I was prescribed Abilify by my doctor for panic and anxiety disorders, but it has made my anxiety worse? Hello, Doctor. I have a severe panic disorder and health anxiety, which seems to be hereditary as some of my cousins have obsessive-compulsive disorder and ...
Dr. Lin Mianzhang Reply:
Hello Ah-Heng: I can sense that your anxiety level is quite high, and I empathize with you! Abilify can be used to treat schizophrenia (previously referred to as psychosis), bipolar disorder, and other major mental illnesses. Additionally, it can serve as an adjunct treatment for...[Read More] Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Understanding the Habit of Talking to Oneself: Insights from Psychiatry
The habit of talking to oneself? Since elementary school, I have been talking to myself. When I turned 21, I felt emotionally unstable and sought medical help. At that time, I asked the doctor about my condition, but I did not mention that I was experiencing a mental illness. Now...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint.[Read More] Understanding the Habit of Talking to Oneself: Insights from Psychiatry
Understanding Overdiagnosis in Psychiatry: When Medication Isn't Enough
Frequent visits to the doctor? Generally, those who seek medical consultation and medication are often diagnosed with neuroses or psychosis. Conditions outside of these, such as autism and personality disorders, are typically not treatable with medication alone. I have undergone ...
Dr. Wang Yaoting Reply:
Hello: In clinical practice, many conditions in the field of psychosomatic medicine require physicians to prescribe medications to assist in treatment. Some more severe mental illnesses, such as autism and schizophrenia, indeed require long-term medication management, as current ...[Read More] Understanding Overdiagnosis in Psychiatry: When Medication Isn't Enough
Balancing Work and Exam Preparation: A Guide for Mental Health Patients
Regarding learning and examinations? Hello, Doctor: I am a working individual who is also preparing for the national examination while dealing with a mental illness. I apologize for asking questions that may not be directly related to mental health! I am unsure of my specific dia...
Dr. Lin Mianzhang Reply:
Hello Yoyo: I can sense your anxiety and frustration. You may need to clarify one thing first: what is your purpose for taking the national exam? Is it for a better job? If so, you should strive to achieve that goal. If your current job does not allow you enough time to study, yo...[Read More] Balancing Work and Exam Preparation: A Guide for Mental Health Patients
Navigating Long-Term Mental Health Care: Seeking New Solutions After 20 Years
I have been seeking medical care for over ten years? I have been seeing a psychiatrist for nearly 20 years due to emotional instability, which causes me to talk to myself and isolate myself, often laughing alone. Although I have been treated at a specialized hospital, the doctors...
Dr. Liao Dinglie Reply:
Hello, dear netizen: Over the past 20 years, there have been significant advancements in the pharmacological treatment of mental illnesses, particularly in the improvement of medication side effects. I believe you have had considerable communication with your physician regarding ...[Read More] Navigating Long-Term Mental Health Care: Seeking New Solutions After 20 Years
Navigating Forced Treatment for Mental Health: A Mother's Dilemma
Involuntary treatment in psychiatry? Hello, doctor. I am a single mother, and my son has developed a habit of taking sleeping pills. I was not aware of this until recently; he has been taking 10 mg of Zolpidem. About three to four months ago, he lost his job, and I later found ou...
Dr. Wu Enliang Reply:
Hello, netizen: Thank you for your hard work. I suggest you first contact the local community mental health center or health station for assistance. Call and inform the mental health caseworker about your son's situation; a public health nurse will come to assess him. In som...[Read More] Navigating Forced Treatment for Mental Health: A Mother's Dilemma