Should You See a Doctor for Insomnia and Nightmares?
Do insomnia and nightmares require medical attention? Hello Doctor, my current situation is that I am almost unable to fall asleep smoothly every night, often not falling asleep until dawn. After I do fall asleep, I frequently have nightmares and get startled awake by minor noise...
Dr. Wu Enliang Reply:
Hello, internet user: Insomnia is so severe and causes so many problems, so it is definitely advisable to seek medical attention from Dr. Wu En-Liang as soon as possible.[Read More] Should You See a Doctor for Insomnia and Nightmares?
Understanding Sleep Disruptions: Why Am I Waking Up at Night?
Unable to sleep through the night? Hello Doctor: Recently, I have been staying up very late (going to bed around one or two in the morning) due to playing on my phone. I realized this is not good, so I started to adjust my schedule and now aim to sleep before 11:30 PM. However, I...
Dr. Lin Mianzhang Reply:
Hello Liz: Your difficulty with interrupted nighttime sleep may indeed be due to staying up late recently. Additionally, looking at your phone screen before bed can affect the secretion of melatonin, thereby impacting sleep quality. Therefore, I recommend that you observe your sl...[Read More] Understanding Sleep Disruptions: Why Am I Waking Up at Night?
Understanding Sudden Suicidal Thoughts: A Guide for Mental Health Support
Life can suddenly bring about inexplicable suicidal thoughts? Hello Doctor: Six months ago, I left home due to domestic violence and have been experiencing insomnia. I was previously afraid of being found by my family, living in constant fear. I am currently seeing a doctor, and ...
Dr. Lin Mianzhang Reply:
Hello, Xiaoguang: Facing such a difficult situation alone is truly challenging, and you are very brave! I wonder if the doctor you are seeing is a psychiatrist? If not, I recommend that you consult a psychiatrist; if it is a psychiatrist, you can ask them to refer you for psychot...[Read More] Understanding Sudden Suicidal Thoughts: A Guide for Mental Health Support
Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Obsessive-Compulsive Disorder (OCD)? Anxiety? Depression? Hello, doctor. Although this issue has only been troubling me for about six months, I sincerely feel distressed and hope you can offer some guidance. I used to consider myself quite brave—someone who, despite being introve...
Dr. Lin Mianzhang Reply:
Hi there! After hearing about all the uncomfortable experiences you've been through, I truly empathize with you. It must be really tough to endure so much discomfort while also preparing for this year's major exams. I believe the doctor diagnosed you with obsessive-comp...[Read More] Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Can Calcium and Vitamins Help Improve Sleep Quality?
Can calcium supplements and vitamins be taken together? Since taking care of a sick family member until their passing, I have been experiencing nightmares and crying every night as the primary caregiver. I am also unwell myself. During the time I was caring for my family member, ...
Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! It sounds like you have made a lot of efforts regarding your current insomnia situation. However, there is currently insufficient evidence to support that B vitamins, calcium supplements, or tryptophan are effective in improving insomnia. Ther...[Read More] Can Calcium and Vitamins Help Improve Sleep Quality?
Understanding Sleep Disturbances: Twitches, Nightmares, and Talking in Sleep
Involuntary movements of the limbs and sleep talking during sleep? Hello, doctor. For the past three to four years, I have experienced involuntary movements of my limbs while sleeping (my partner says this usually occurs within the first 15 minutes of falling asleep). During time...
Dr. Lin Mianzhang Reply:
Hello Joanne: The human brain does not fully mature until the mid-20s, and at 27 years old, you are not yet in the stage of neurodegeneration, so there is no need to worry. The symptoms of twitching in the limbs during the initial stages of sleep may be related to hypnic jerks, w...[Read More] Understanding Sleep Disturbances: Twitches, Nightmares, and Talking in Sleep
Understanding Sleep Issues: Insights into Mental Health Challenges
Sleep issues I have been feeling increasingly drowsy lately, especially during the day or when I'm about to sleep. My entire body, including my face, jaw, and shoulders, feels like it's about to collapse. Sometimes I fall asleep without realizing it, but I wake up sudde...
Dr. Zhang Fangrong Reply:
Dear Ms. You, Based on your description, we can sense your discomfort and the issues you're experiencing with sleep. We are also concerned about how this sleep disturbance may affect your daytime academics, work, and daily life. You have also noted that, in addition to chan...[Read More] Understanding Sleep Issues: Insights into Mental Health Challenges
Understanding Nightmares: Anxiety, Performance Fear, and Treatment Options
Frequent nightmares? Hello, doctor. Due to my field of study, I often have to perform in front of others. In the past, I felt slightly anxious about public speaking, but recently, for some reason, my fear has intensified. It's no longer limited to just the fear of speaking; ...
Dr. Lin Mianzhang Reply:
Hello Jasmine: Thank you for your hard work! Regarding your recent frequent nightmares, if you visit a psychiatrist, the doctor will likely want to understand when this situation began and what changes occurred in your life prior to these experiences. For example, they may inquir...[Read More] Understanding Nightmares: Anxiety, Performance Fear, and Treatment Options
Do I Need to Consult a Doctor for My Mental Health Concerns?
I'm not sure if I need to consult or see a doctor? Hello, doctor. I would like to know if my situation requires consulting a physician. It’s a bit lengthy, so I appreciate your patience in reading through it. Thank you for taking the time to help me! Since childhood, I have...
Dr. Wu Enliang Reply:
Hello, online friend: It is recommended to first use the Mood Thermometer (https://www.tsos.org.tw/web/page/bsrs) to assess your emotional state over the past week. If your score is indeed above 10, it is advisable to talk to a professional, such as a mental health center at the ...[Read More] Do I Need to Consult a Doctor for My Mental Health Concerns?
Understanding Self-Harm: Seeking Help for Emotional Distress
Self-harm related issues Hello Doctor, I have been feeling very down lately. When I get angry, I tend to scratch my hands, feet, and face with my nails, hit walls, pull my hair, and binge eat. After these actions, I feel terrible about myself. I also struggle with insomnia and of...
Dr. Wu Enliang Reply:
Hello: It is recommended to use a mood thermometer (link below, and there is also an app available for download) to assess your emotional state over the past week. If your score is above 10, it is advisable to seek help. If it exceeds 15, it is definitely time to consult a psychi...[Read More] Understanding Self-Harm: Seeking Help for Emotional Distress
Understanding Death Anxiety: A Common Mental Health Challenge
Thanatophobia is more common? Hello, doctor. Since childhood (starting from elementary school or kindergarten), I have often experienced an overwhelming fear of death when lying in bed. It is a profound and indescribable fear that comes from deep within. I understand that healthy...
Dr. Wang Zhenyang Reply:
Hello Lin, The fear of death is a common experience shared by many people. Most individuals can confront this fear and continue to live their lives peacefully. However, if this fear has begun to affect your daily life, it may be linked to other underlying fears or negative past...[Read More] Understanding Death Anxiety: A Common Mental Health Challenge
Understanding Paranoia: Nightmares and Medication Effects Explained
Paranoid delusions Hello, Doctor: 1. I have nightmares almost every night (earthquakes, tsunamis, plane crashes, being chased, being pursued by ghosts, brake failure... and I usually remember most of them upon waking). I recall feeling fear since elementary school, such as feel...
Dr. Wu Enliang Reply:
Hello, netizen: Experiencing nightmares consistently is not necessarily a sign of paranoia; it may be related to concerns or worries you have during the day that manifest in your dreams at night. Dreaming about having weak legs is not related to medication. Wishing you a speedy r...[Read More] Understanding Paranoia: Nightmares and Medication Effects Explained
Daytime Sleepiness and Nightmares: Understanding Mental Health Issues
Feeling sleepy during the day and dreaming every night while sleeping? Hello, doctor. I would like to ask for your advice regarding my girlfriend. Since we met, she has been expressing concerns about certain issues, and recently her symptoms seem to be worsening. She experiences ...
Dr. Wang Zhenyang Reply:
Hello, sir: I apologize for the late response. Dreams are related to the subconscious and are often connected to the stress we experience in our daily lives, which can trigger inner worries or fears. If you are experiencing frequent insomnia or symptoms of depression that interfe...[Read More] Daytime Sleepiness and Nightmares: Understanding Mental Health Issues
Struggling with Sleep: Understanding Nightmares and Daytime Fatigue
Poor sleep with frequent nightmares? Hello, doctor. Since I can remember, probably since elementary school, I have been having nightmares up until now, and I feel just as fatigued whether I sleep or not. I am very tired during the day. I previously saw a doctor who tested me for ...
Dr. Wu Enliang Reply:
Hello: It is recommended to visit a comprehensive hospital with a sleep center, specifically the psychiatry or neurology department, for a sleep study to confirm the diagnosis and provide targeted treatment. Dr. Wu En-Liang.[Read More] Struggling with Sleep: Understanding Nightmares and Daytime Fatigue
Understanding Sleep Issues: Coping with Insomnia and Nightmares
Sleep issues Hello Doctor, thank you for taking the time to address my issue. I have been experiencing difficulty falling asleep for 1.2 years. At night, I often feel very low emotionally and cannot control my mind from racing with thoughts. Once I do fall asleep, I sometimes wak...
Dr. Peng Liyun Reply:
Hello~ Based on your description, there are many possibilities. A comprehensive assessment of your emotions, thoughts, physical condition, sleep hygiene, and lifestyle arrangements is necessary to provide appropriate and effective recommendations. I suggest you seek a nearby psyc...[Read More] Understanding Sleep Issues: Coping with Insomnia and Nightmares
Understanding Sleep Disorders: Tips for Better Rest and Recovery
Sleep issues Hello Doctor: Recently, I find myself falling asleep easily but I always wake up after about three hours, and then I stay awake for another 2-3 hours. Sometimes I wake up early, and I always feel tired in the morning. I often have nightmares with very clear details, ...
Dr. Huang Xiaoxian Reply:
Dear yy: Thank you for your question. There are actually many factors that contribute to insomnia, and since you have a tendency for unstable sleep, you may need to pay closer attention to potential influencing factors. You mentioned that your condition has worsened recently and ...[Read More] Understanding Sleep Disorders: Tips for Better Rest and Recovery
Understanding Panic, Anxiety, and Depression: A Guide to Your Symptoms
Do I have panic disorder, anxiety disorder, or depression? Hello Doctor, I would like to ask what condition my symptoms might indicate and whether I should seek medical attention. Ever since the passing of a family member three to four years ago, I have been experiencing hyperven...
Dr. Qiu Junda Reply:
Hello. The situation described in the text primarily seems to be related to symptoms of anxiety (panic is also a type of anxiety). Memory impairment is one of the symptoms as well, and it may be accompanied by depressive moods. It is recommended that you consult a mental health p...[Read More] Understanding Panic, Anxiety, and Depression: A Guide to Your Symptoms
Understanding PTSD: Why Traumatic Memories Are Often Repressed
Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) can lead to the forgetting of certain memories due to psychological factors. This phenomenon can be explained by Freud's theory of repression, which suggests that individuals often unconsciously avoi...
Dr. Wu Enliang Reply:
The September 21 earthquake caused severe disasters across Taiwan, resulting in numerous casualties and the destruction of many homes. Survivors faced the devastation of their communities, the loss of loved ones, and various difficulties in daily life, housing, and transportation...[Read More] Understanding PTSD: Why Traumatic Memories Are Often Repressed
Overcoming Insomnia and Nightmares: Seeking Solutions Beyond Medication
Sleep issues Hello Dr. Chiu, I have been struggling with insomnia and nightmares for over three years. It takes me at least one to two hours to fall asleep, and even after exercising, when I lie down in bed, I feel completely awake. As a result, I feel very anxious every night be...
Dr. Qiu Junda Reply:
Hello. The sleep issues mentioned in the text can be addressed by gathering information on stress management and sleep hygiene. Learning some methods from this may be beneficial. You can also consult with a mental health clinic. Medication is not always necessary, but sometimes s...[Read More] Overcoming Insomnia and Nightmares: Seeking Solutions Beyond Medication
Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide
Fear of physical contact with others and anxiety during medical visits? Hello, Doctor. I have two concerns I would like to consult you about. The first issue is that I have a strong aversion to physical contact with others or being touched by them. For example, in public places, ...
Dr. Ding Shuyan Reply:
Hello, first of all, I want you to know that almost no one is completely free from psychological distress. The fact that we cannot accept, or even reject, certain aspects of our personality or particular habits is often the source of our greater suffering. So, try not to feel str...[Read More] Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide