Understanding Sleep Issues and Paranoia in OCD Patients
Medical inquiry Hello, Doctor: I would like to ask two questions. 1. Recently, I have been waking up at 5 or 6 AM but feel very sleepy and cannot fall back asleep, even though I had enough sleep the night before. What should I do? 2. When I am outside, I often feel a sensation li...
Dr. Lin Mianzhang Reply:
Hello: 1. It seems that you are experiencing early awakening, which is considered a type of insomnia. However, there are many potential causes for this condition, including circadian rhythm disturbances, disruptions in the sleep environment, psychological stress, mental health di...[Read More] Understanding Sleep Issues and Paranoia in OCD Patients
Understanding OCD: Coping with Intrusive Thoughts and Compulsions
Is it obsessive-compulsive disorder (OCD)? I was doing fine at work before, but then a factory dog enthusiastically jumped on me. Since that day, when I returned to my old home, I feel like my body, my scooter, and even my feet, along with the soles of my slippers, need to be was...
Dr. Lin Mianzhang Reply:
Hello, Xiaoxiao: Your symptoms seem to indicate obsessive-compulsive disorder (OCD). I recommend that you read the book "The OCD Workbook" or consider visiting a mental health professional for professional assistance.[Read More] Understanding OCD: Coping with Intrusive Thoughts and Compulsions
Understanding OCD: Are Your Intrusive Thoughts a Sign?
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. Recently, I've noticed that I have intrusive thoughts about attacking others or having discriminatory thoughts towards vulnerable individuals. Whenever these thoughts arise, I find myself constantly apologizing and fe...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you may be experiencing symptoms similar to obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) requires further evaluation. I recommend that you seek professional assistance from a mental health specialist. Wishing you peace and good...[Read More] Understanding OCD: Are Your Intrusive Thoughts a Sign?
Managing Sexual Desire Issues with Psychiatric Medications
Regarding libido and medication? Hello, Doctor: I have been diagnosed with obsessive-compulsive disorder and latent schizophrenia. Recently, due to issues with low libido/sexual impulses, my physician advised me to taper off the medication. I am currently taking 150 mg of Sertral...
Dr. Wu Kunhong Reply:
There are many factors that can affect sexual desire and sexual function. It is recommended that you consult with a specialist in psychiatry or urology. Please trust a qualified medical professional to evaluate your condition and determine the appropriate assessment and treatment...[Read More] Managing Sexual Desire Issues with Psychiatric Medications
Medications and Sexual Desire: Understanding the Impact on Mental Health
Medications and Libido Hello, Doctor: I have been diagnosed with obsessive-compulsive disorder and latent schizophrenia. Recently, due to decreased libido/sexual impulses, I have been permitted by my physician to reduce my medication. I am currently taking 10 mg of Sertraline (Zo...
Dr. Li Zhengfeng Reply:
Hello: Both Dexedrine and Strattera can have side effects that affect sexual function and libido. However, these effects can vary from person to person due to individual factors. It is advisable to consider your personal medical condition and discuss with your treating physician ...[Read More] Medications and Sexual Desire: Understanding the Impact on Mental Health
Understanding Mental Purity: Is It a Form of OCD?
Mental cleanliness obsession Hello, I have discovered that I have some serious issues. I am very strict with myself and do not allow myself to engage in impolite, uncultured, or disrespectful behaviors. If I accidentally do so, I will dwell on it for a very long time. Because of ...
Dr. Wu Enliang Reply:
Hello, this is not obsessive-compulsive disorder, but it sounds like your personality traits are causing some distress. I recommend seeking psychological therapy and consulting with a specialist for assistance. Dr. Wu En-Liang.[Read More] Understanding Mental Purity: Is It a Form of OCD?
Understanding Deep-Seated Schizophrenia Symptoms and Treatment Options
Schizophrenia It seems that the doctor previously addressed the issue of obsessive-compulsive disorder (OCD). I share similar symptoms with that person, but I have progressed to a deeply entrenched level. I have been receiving injections at a large hospital. Initially, my conditi...
Dr. Liang Sunyuan Reply:
Hello: The cognitive and affective symptoms of schizophrenia typically improve with ongoing treatment. It is recommended to collaborate patiently with your physician and adhere to the treatment plan, whether it involves oral medications or long-acting injectables, both of which a...[Read More] Understanding Deep-Seated Schizophrenia Symptoms and Treatment Options
Understanding OCD Symptoms: Distinguishing Between Reality and Perception
Regarding this condition? Hello, doctor. I have a fear of HIV and I have been diagnosed with obsessive-compulsive disorder (OCD). I experience a situation where my skin feels like it has been pricked by a syringe, even though there is no physical injury. I start to believe that I...
Dr. Wu Menghuan Reply:
Hello: You mentioned how to distinguish whether something has actually pierced you or if it is an obsessive-compulsive episode. How can one determine if the perceived threat from obsessive thoughts is real? During such times, the best approach is to seek help from a mental health...[Read More] Understanding OCD Symptoms: Distinguishing Between Reality and Perception
Understanding OCD Symptoms: Distinguishing Between Reality and Intrusive Thoughts
I'm sorry, but I need more context or specific content to translate. Please provide the text you would Hello, doctor. I have a fear of HIV and I have been diagnosed with obsessive-compulsive disorder (OCD). I have a situation where my skin feels like it has been pricked by a...
Dr. Wu Enliang Reply:
1. How can I distinguish between being genuinely pricked by something and experiencing a compulsive episode? A: Perhaps you can tell yourself that it is a compulsive episode and try to redirect that thought into something else. 2. I would like to ask, during other types of compu...[Read More] Understanding OCD Symptoms: Distinguishing Between Reality and Intrusive Thoughts
Overcoming OCD: The Struggles of Compulsive Hand Washing
Obsessive-Compulsive Disorder (OCD) with compulsive handwashing? Hello doctor, my symptoms are that I feel extremely dirty when I come into contact with a male's genital area. If a colleague I dislike is talking to me and their genital area is touching the edge of the table,...
Dr. Lin Mianzhang Reply:
Hello Ace: You are exhibiting symptoms of obsessive-compulsive disorder (OCD), which include obsessive thoughts and compulsive behaviors. These symptoms require psychological therapy or combined pharmacological treatment for improvement. You might want to read a book titled "...[Read More] Overcoming OCD: The Struggles of Compulsive Hand Washing
Understanding Medication Effects on Sexual Desire in Psychiatric Treatment
Medication Consultation Hello, Doctor: I would like to briefly introduce my background. I started receiving psychiatric treatment in Nagasaki during the 8th and 9th grades. My current diagnoses are Obsessive-Compulsive Disorder (OCD), Depersonalization/Derealization (DP/DR) sympt...
Dr. Wu Menghuan Reply:
Hello: Antidepressants can indeed have side effects related to sexual function, but abruptly discontinuing the medication may lead to instability in mental symptoms, dizziness, headaches, nausea, anxiety, mood swings, and sleep disturbances. Therefore, it is not advisable to adju...[Read More] Understanding Medication Effects on Sexual Desire in Psychiatric Treatment
Understanding OCD: Signs, Symptoms, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD). 1. When I see dirty things, such as feces or phlegm, images of these items keep recurring in my mind. I find them very disgusting, but I can't ...
Dr. Wu Enliang Reply:
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang[Read More] Understanding OCD: Signs, Symptoms, and Coping Strategies
Understanding OCD: Symptoms, Triggers, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD): 1. When I see dirty things, such as feces or phlegm, images of these things keep recurring in my mind. I find them very disgusting, but I can't...
Dr. Wu Enliang Reply:
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang.[Read More] Understanding OCD: Symptoms, Triggers, and Coping Strategies
Understanding OCD: Do Intrusive Thoughts Affect Others?
Obsessive-Compulsive Disorder (OCD) issues? I understand that obsessive-compulsive disorder (OCD) can lead to distressing thoughts, including fears of negative events happening to yourself or others. It's important to know that these intrusive thoughts are a common symptom o...
Dr. Huang Zhijia Reply:
Hello: Even if you know it's not real, or others have answered or confirmed it multiple times, intrusive thoughts can still be difficult to control. It is advisable to seek treatment.[Read More] Understanding OCD: Do Intrusive Thoughts Affect Others?
Understanding Obsessive Thoughts: Coping with Anxiety and Fear
I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...
Dr. Lin Mianzhang Reply:
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...[Read More] Understanding Obsessive Thoughts: Coping with Anxiety and Fear
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda Reply:
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding Depersonalization-Derealization Disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda Reply:
Hello. To maintain a stable condition (to prevent derealization from worsening), the approach is to consistently take medication as prescribed (currently Sertraline) and to regularly follow up with the physician for assessment.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement
Managing Derealization and Existing Mental Health Conditions: Tips for Stability
Medical issues Hello Doctor: I have been diagnosed with schizoaffective disorder and obsessive-compulsive disorder for many years. In the past couple of years, I have experienced symptoms of derealization. I have been regularly receiving treatment at a psychiatric outpatient clin...
Dr. Wu Enliang Reply:
The most important thing for patients is to consistently take their medication or receive long-acting injections daily to prevent disease recurrence. Additionally, it is crucial to manage stress levels and learn to relax in order to maintain both physical and mental health. Dr. W...[Read More] Managing Derealization and Existing Mental Health Conditions: Tips for Stability
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding depersonalization-derealization disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda Reply:
Hello. The way to maintain a stable condition is to consistently take medication as prescribed and to regularly follow up with the physician for evaluation.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement