Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming
Anxiety disorders can lead to significant disruptions in daily life, and treatment may often feel ineffective? Hello, Doctor. Thank you for taking the time to answer my questions. I am a university student, and during high school, I put a lot of pressure on myself regarding my st...
Dr. Wu Enliang Reply:
A netizen would like to ask the doctor if it is normal to still feel no relief from symptoms after taking medication for over a month. A: The medication may need to be adjusted. Is this issue simply anxiety disorder? Besides medication, what other methods can help resolve this? A...[Read More] Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming
Understanding Anxiety-Related Physical Symptoms in College Students
Anxiety-related physical symptoms Hello, doctor. Since I started university last September, I've been feeling uncomfortable with the school environment and the food. I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty b...
Dr. Qiu Junda Reply:
Hello. Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety). Some may not even know the underlying cause. However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress th...[Read More] Understanding Anxiety-Related Physical Symptoms in College Students
Understanding School Bullying and Its Impact on Mental Health
School bullying Hello, doctor. I am a middle school student who has been bullied since the sixth grade and continues to be a victim of bullying in the eighth grade. Specifically, the bullying I experience is mainly relational bullying (exclusion) and verbal bullying. I hear class...
Dr. Lin Mianzhang Reply:
Hello Afa: Living under the dual pressures of family and school can be really tough for you! I suggest that you seek assistance from the psychiatric department at a hospital, where there are doctors, psychologists, and social workers available to help you address your concerns. A...[Read More] Understanding School Bullying and Its Impact on Mental Health
Do I Need to See a Mental Health Specialist as a Teen?
Do I need to see a psychiatrist? Hello, Doctor: I am a 17-year-old high school senior. I have seen online that there are some restrictions for minors seeking psychiatric care, and I want to avoid wasting medical resources, so I would like to consult online first. My situation is ...
Dr. Lin Mianzhang Reply:
Hello, student: Given your age, your sleep duration is a bit short. Ideally, it would be better to aim for over 8 hours of sleep, unless you feel refreshed and well-rested every morning, in which case you might need less sleep. Regarding your emotional state, it appears that you ...[Read More] Do I Need to See a Mental Health Specialist as a Teen?
Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Gradually worsening sleep issues? Hello Doctor, I have been experiencing sleep issues for the past six months, often lying in bed for two hours without being able to fall asleep. Even after I do fall asleep, I sometimes have nightmares or experience sleep paralysis, waking up fee...
Dr. Lin Mianzhang Reply:
Hello Mr. Lee: It seems that you are experiencing the following sleep issues: difficulty falling asleep, nightmares, and sleep paralysis. Sleep paralysis, often referred to as "ghost pressing," is actually a phenomenon that occurs during the REM (Rapid Eye Movement) sta...[Read More] Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...
Dr. Yan Congyou Reply:
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Medication consultation Hello doctor... I have a sleep disorder and usually take sleep aids before bed. Recently, I've been having frequent nightmares, so the doctor prescribed enteric-coated antidepressants to take before sleep. Could you please tell me what side effects I ...
Dr. Wu Enliang Reply:
Hello, if there are side effects, they are generally gastrointestinal, such as nausea, vomiting, and diarrhea. It is advisable not to take the medication on an empty stomach and to start with a low dose to generally avoid side effects. As for sexual dysfunction, it can also occur...[Read More] Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Sleep issues Hello Doctor, I often have nightmares during sleep, and whenever I do, my heart races significantly. However, I'm not sure if this is related to the nightmares. I consulted a cardiologist, and after examination, the doctor said my heart is normal and referred me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery. ...[Read More] Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Navigating Mental Health Challenges: A Personal Journey of Resilience
Living conditions Hello, Doctor. This is Jason, who previously asked you some questions. Do you remember me? I forgot when my last follow-up appointment was. I apologize; I live in the Northeast Coast area, which is considered the eastern part of Taiwan. I only remember that duri...
Dr. Tang Jiahong Reply:
Hello: Regarding the difficulties you are currently facing, it is important to prioritize the sources of stress and address them one by one. Additionally, frequently recalling past traumas can be addressed by referring to articles written by professionals online, such as "Ho...[Read More] Navigating Mental Health Challenges: A Personal Journey of Resilience
Understanding Anxiety: Can Sleep Habits Affect Your Health?
Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...
Dr. Wu Enliang Reply:
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...[Read More] Understanding Anxiety: Can Sleep Habits Affect Your Health?
Understanding the Rise of Mental Health Issues in Modern Society
I'm not sure what theme title to use? Hello, doctor. I'm back to visit the Taiwan e-Hospital, a community for patients like me. Why is it that despite the continuous advancement of technology and society, there are more and more individuals suffering from psychosomatic ...
Dr. Tang Jiahong Reply:
Hello. Based on the information you provided, it may be beneficial for you to find a trusted physician to discuss the impact of perceived enemies on your well-being and explore treatment options for your mental and physical health conditions. Perhaps after a more in-depth discuss...[Read More] Understanding the Rise of Mental Health Issues in Modern Society
Managing Academic Pressure: A High School Student's Mental Health Journey
Academic pressure Hello, doctor. I am a second-year high school female student. Since childhood, I have had high expectations for my academic performance (not influenced by my parents or teachers). However, I experienced a significant setback during the high school entrance exami...
Dr. Liang Sunyuan Reply:
Xiao Xuan: You've worked hard. Exams and studying are like a marathon; there's no need to rush, just adjust your pace and continue to accumulate knowledge. Emotional and stress-related issues often prevent us from focusing on our studies; the inability to study further ...[Read More] Managing Academic Pressure: A High School Student's Mental Health Journey
Understanding Sleep Issues: Tips for Better Sleep Quality and Patterns
Sleep issues Doctor, I would like to ask a few questions. 1. If I usually go to bed at 1 AM and wake up at 9 AM, but accidentally stay up late, should I A) go to bed at the usual time and wake up at 9 AM, B) start counting from when I go to bed to ensure I get a full 8 hours of...
Dr. Wu Enliang Reply:
1. If I usually sleep at 1 AM and wake up at 9 AM, but accidentally stay up late, should I A) go to sleep at the same time and force myself to wake up at 9 AM, B) start counting from when I fall asleep and ensure I get a full 8 hours, or C) go to sleep at 3 AM and follow a 1.5-ho...[Read More] Understanding Sleep Issues: Tips for Better Sleep Quality and Patterns
Overcoming Anxiety and Intrusive Thoughts in Teenagers
Intrusive thoughts and anxiety? Hello Doctor, I am currently a high school student. When I was in middle school, I constantly worried about having health issues and frequently visited doctors, which left me feeling fatigued every day. However, that eventually improved. Now that I...
Dr. Qiu Junda Reply:
Hello. In addition to your studies, engaging in leisure activities can help you relax. Chatting with friends, shopping, and exercising are all effective methods. If you still feel anxious and uneasy, consider making an appointment with a mental health specialist to facilitate imp...[Read More] Overcoming Anxiety and Intrusive Thoughts in Teenagers
Understanding My Mental Health Struggles: A Journey Through Trauma
Regarding my mental health status? On July 7, 2019, I was assaulted by my boss (when I was 16 and 17 years old). On April 11, 2020, I experienced domestic violence and was scammed. From July 7, 2019, to April 11, 2020, I lived in a haze, enduring a six-month nightmare (mostly rel...
Dr. Wu Enliang Reply:
It is highly recommended by netizens to seek medical attention, as it may be post-traumatic stress disorder (PTSD). Dr. Wu Enliang.[Read More] Understanding My Mental Health Struggles: A Journey Through Trauma
Understanding Sleep Disorders and Memory Issues: When to Seek Help
Sleep and memory issues? I have several questions and I'm not sure which specialty to consult, so I'll start with the memory issues. Since high school, I have noticed a significant decline in my memory. I struggle to remember vocabulary and texts, and I often forget wha...
Dr. Qiu Junda Reply:
Hello. The issues of sleep and memory described in the text require further evaluation to determine the underlying causes and whether medical intervention is necessary. It is recommended to consult a mental health clinic for assessment. Thank you.[Read More] Understanding Sleep Disorders and Memory Issues: When to Seek Help
Understanding Sleep Violence: When Dreams Turn into Nightmares
I tend to hit my bed partner while sleeping? Hello Doctor, I am a college student and have experienced sleep issues such as vivid dreaming and bruxism since puberty, which continue to this day. I also had episodes of sleepwalking, which were more common in elementary school but h...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is more likely to be "REM Sleep Behavior Disorder." However, most sleepwalkers do not remember what happened. First, it is important to rule out whether any medications, including cold m...[Read More] Understanding Sleep Violence: When Dreams Turn into Nightmares
Understanding ICU Syndrome: The Psychological Impact of Critical Care
ICU syndrome Hello Dr. Liao, at the end of last year, I underwent major surgery and experienced significant blood loss during the procedure, which led to my transfer to the ICU for monitoring. During that time, I developed DIC, resulting in hypovolemic shock and necessitating a s...
Dr. Liao Dinglie Reply:
Hello, dear netizen: Your heart must be wounded. From your description, one can sense the harrowing experience of surgery and the intensive care unit, where you were in a tug-of-war with death. Such profound pain and helplessness are deeply felt. Sometimes, these intense feelings...[Read More] Understanding ICU Syndrome: The Psychological Impact of Critical Care
Overcoming Stage Fright: Understanding Anxiety in Performers
Issues with ascending the stage? Hello, doctor. My problem is that whenever I perform on stage or take an exam, I experience symptoms such as temporary vision loss, weakness in my hands making it difficult to hold things, and weakness in my legs causing me to almost fall. I even ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to anxiety and potential performance pressure, which may require medical treatment. 1. Anxiety and tension in the face of an uncertain future are common issues in modern life....[Read More] Overcoming Stage Fright: Understanding Anxiety in Performers
Understanding Sleep Issues: Fast Sleep Onset and Early Awakening Concerns
Could you please provide more details about the sleep issues? Hello, doctor. Here's the situation: I used to dream a lot, including having nightmares. Recently, due to some health issues, I sought medical advice, and the doctor suggested that I adjust my lifestyle and exerci...
Dr. Peng Liyun Reply:
Hello! Here is my response. Question 1: Not necessarily! Falling asleep within half an hour of lying down is considered normal, and many factors can influence the duration of time it takes to fall asleep. Question 2: No. Most people actually envy such a sleep state! Questio...[Read More] Understanding Sleep Issues: Fast Sleep Onset and Early Awakening Concerns