Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Involuntary tension and auditory hallucinations? Hello, doctor! I am currently retaking my university entrance exams. I have always excelled academically since childhood, which has made my parents proud, and I have a good relationship with my family. However, after entering a pre...
Dr. Huang Xiaoxian Reply:
Dear Bonnie, From your description, it sounds like you are experiencing a lot of stress and worries in your life. I'm sorry to hear that! If your family does not allow you to seek medical help, perhaps you can try reaching out to mental health centers in various counties fo...[Read More] Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Is It OCD? Understanding and Overcoming Obsessive Behaviors
Is it obsessive-compulsive disorder (OCD)? How can it be resolved? Two years ago, a family member was hospitalized, and due to their weakened immune system, we had to maintain a very clean environment. This made me more concerned about another family member's athlete's ...
Dr. Wang Zhenyang Reply:
Hello, Miss: Based on your description, it seems that your repetitive cleaning activities, which consume a lot of your time, are causing you significant distress, indicating that you may be experiencing obsessive-compulsive disorder (OCD). I recommend that you consult a psychiatr...[Read More] Is It OCD? Understanding and Overcoming Obsessive Behaviors
Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Whether a medication causes weight gain as a side effect? Hello Doctor, I am a patient with obsessive-compulsive disorder (OCD) characterized by intrusive thoughts. The physician mentioned that I am on the verge of experiencing delusions of persecution, so I have been prescribed ...
Dr. Huang Xiaoxian Reply:
Dear Xiao You, I can see that you are quite anxious about the side effects of weight gain. However, generally speaking, Sulpiride is not an antipsychotic medication that typically causes weight gain. You are taking a low dosage of the medication (50 mg), while the standard dosa...[Read More] Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Is it a delusion? Hello, doctor. I have been suffering from generalized anxiety disorder for a long time, and for the past two years, my biggest worry has been whether I might develop schizophrenia. I constantly worry about this, so I often search online for information about the...
Dr. Lin Mianzhang Reply:
Hello, based on your description, it seems possible that you are experiencing symptoms of obsessive thinking. However, whether it is obsessive-compulsive disorder (OCD) requires a comprehensive evaluation of other factors, such as any underlying physiological issues or effects fr...[Read More] Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Understanding Obsessive Thoughts: Personality vs. Serotonin Deficiency
Obsessive thinking Hello, I often experience compulsive thoughts where I worry about whether an afterlife exists after death. I continuously think about what a reasonable depiction of the afterlife might be, but I fear it may not align with my own thoughts! I would like to ask wh...
Dr. Huang Xiaoxian Reply:
Dear Tommy, First of all, thank you for your question. You mentioned symptoms that have led you to worry about the world ending. I'm wondering if there have been any recent events that might be related to this? You also mentioned that you find it difficult not to share thi...[Read More] Understanding Obsessive Thoughts: Personality vs. Serotonin Deficiency
Am I Experiencing Anxiety or OCD? Understanding Compulsive Thoughts
I'm not sure if this is anxiety disorder or obsessive-compulsive disorder? Hello, doctor. I often find myself unable to control certain urges or thoughts, such as a strong desire to tell someone something. I feel that if I don't share it, I will be very uncomfortable. I...
Dr. Huang Xiaoxian Reply:
Dear Tommy, Thank you for your question. The symptom you mentioned, which is the inability to refrain from telling others things, is not a common manifestation of obsessive-compulsive disorder (OCD). Typical symptoms include excessive handwashing due to fear of contamination, r...[Read More] Am I Experiencing Anxiety or OCD? Understanding Compulsive Thoughts
Overcoming OCD: Strategies to Manage Obsessive Thoughts and Behaviors
The distress of obsessive-compulsive disorder (OCD)? Hello Doctor: I would like to ask about my situation. Initially, I would frequently turn around to check if I had dropped something. However, it has now escalated to the point where, while riding my bike, any sound I hear makes...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are experiencing symptoms of obsessive-compulsive disorder (OCD). If the symptoms are mild, medication may not be necessary; cognitive-behavioral therapy (CBT) can be an effective approach. This involves practicing "exposure and response prevention&q...[Read More] Overcoming OCD: Strategies to Manage Obsessive Thoughts and Behaviors
Managing Health Anxiety: Overcoming the Urge to Self-Check
Please provide the content you would like me to translate? Hello, Doctor. I have been experiencing health anxiety for several years, constantly worrying about whether something will develop in my throat. I have seen doctors who have assured me that everything is normal, but I can...
Dr. Liang Sunyuan Reply:
Hello W: You have worked very hard and have done well; don't be too hard on yourself. Most people do experience some relapses during the process of change, but your frequency has significantly decreased, indicating that your efforts are effective. I suggest maintaining patie...[Read More] Managing Health Anxiety: Overcoming the Urge to Self-Check
Understanding Intrusive Thoughts: Is It OCD or Something Else?
I wonder if it could be obsessive-compulsive disorder (OCD)? Hello Doctor: I often experience disrespectful thoughts or images related to deities or the deceased (usually involving profanity or sexual content), especially when I am writing or pressing a switch. I then feel compel...
Dr. Wu Enliang Reply:
Hello, it does seem like you might be experiencing obsessive-compulsive disorder. I recommend seeking treatment at a mental health facility. Wishing you a speedy recovery. Wu Enliang[Read More] Understanding Intrusive Thoughts: Is It OCD or Something Else?
Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Please help me, doctor? Hello, doctor. I would like to ask if health anxiety is a form of obsessive thinking. A few years ago, I started experiencing excessive worry about my health. For example, if my heart rate increases slightly, I check my blood pressure. My blood pressure ha...
Dr. Wang Yazhen Reply:
Dear Wendy, Health anxiety is an anxious response that generally reflects a feeling of losing control over potential issues, leading to repetitive checking behaviors to reduce worry and increase a sense of control. However, when it becomes excessive, it can interfere with daily...[Read More] Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Concerns About Long-Term Effects of Fluoxetine on Brain Function
Medication Consultation: Medication Side Effects Hello, doctor! I would like to ask about my previous history of obsessive-compulsive disorder. I was taking Sinzac capsules (20 mg) containing Fluoxetine, two capsules daily for nine months. After that, I stopped taking the medicat...
Dr. Wang Zhenbang Reply:
Hello, when using antidepressants under a physician's guidance, even with long-term use, there will not be permanent damage to brain function. If you discontinue the medication on your own, you may experience withdrawal symptoms in the short term (within two weeks), but it w...[Read More] Concerns About Long-Term Effects of Fluoxetine on Brain Function
Understanding Medication Side Effects and Consultation for OCD Treatment
Drug side effects Drug consultation Hello, doctor! 1. I previously took Inderal (propranolol), Sinzac (fluoxetine), and Rivotril (clonazepam) for my obsessive-compulsive disorder, with each medication at a dosage of two pills daily for nine months. After that, I stopped taking ...
Dr. Huang Jiabin Reply:
Hello: It's great that you have done your homework on your treatment options; keep it up and continue discussing with your outpatient physician. Here are my attempts to answer your questions: 1. After discontinuing medication for a period, the serotonin receptors in your bod...[Read More] Understanding Medication Side Effects and Consultation for OCD Treatment
Can OCD Symptoms Improve Without Professional Help?
Is it possible for obsessive-compulsive disorder (OCD) to improve on its own? During high school, I often felt anxious and worried about unreasonable things, such as: 1. If I lightly bumped into someone, I would be extremely worried and sneak back to check if they were okay, alwa...
Dr. Lin Mianzhang Reply:
Hello. The symptoms you mentioned from elementary school to high school do resemble obsessive thoughts. However, many psychiatric disorders, other medical conditions, or certain medications and substances can also cause similar symptoms. Therefore, it is necessary to discuss this...[Read More] Can OCD Symptoms Improve Without Professional Help?
Understanding OCD: The Struggle with Compulsive Promises and Fears
Obsessive-Compulsive Disorder (OCD) Since high school, I have been experiencing strange thoughts where I feel compelled to make promises to myself to do things I don't want to do, or else something bad will happen. It feels similar to making a vow (for example, I might promi...
Dr. Tian Xinqiao Reply:
Dear User, Thank you for your message. It is clear from your letter that you are experiencing significant distress due to obsessive-compulsive symptoms. The symptoms you described do indeed resemble those of obsessive-compulsive disorder (OCD). The intrusive thoughts (such as fe...[Read More] Understanding OCD: The Struggle with Compulsive Promises and Fears
Understanding OCD: A Student's Struggle and the Path to Healing
Obsessive-Compulsive Disorder (OCD) distress? I am a ninth-grade student who has been struggling with obsessive-compulsive disorder (OCD) since elementary school (I am afraid of swallowing pen tips, so I constantly rinse my mouth). When I entered junior high, I began to worry abo...
Dr. Wu Enliang Reply:
It does sound like it could be obsessive-compulsive disorder (OCD), which has caused significant disruptions in daily life. Some psychological treatments, such as cognitive-behavioral therapy or medication, can be effective for OCD. It is advisable to seek an appointment with a c...[Read More] Understanding OCD: A Student's Struggle and the Path to Healing
Understanding Health Anxiety: Is It OCD or Hypochondria?
The pain of emotional fluctuations? Hello, doctor. I have symptoms of health anxiety. I often check my throat (by poking or looking), examine my stool (by touching while wearing gloves), and observe moles on my body (by measuring and recording them), and I always feel very worrie...
Dr. Liang Sunyuan Reply:
Hello: The symptoms you described are more indicative of health anxiety and anxiety disorders. It is recommended to try to shift your focus to other positive people and things, and to accept that it is natural to still feel worried at times. You can remind yourself, "I am wo...[Read More] Understanding Health Anxiety: Is It OCD or Hypochondria?
Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Struggling with Cross-Dressing: Seeking Help for Compulsive Behavior
Enjoys wearing women's clothing and skirts? I really enjoy wearing women's clothing, especially skirts. I love buying skirts and have almost 200 of them now. I still want to buy more, and I think about wearing women's clothing every day, often opting for skirts. I&...
Dr. Wang Yixiang Reply:
The desire to wear women's clothing and to purchase women's clothing can sometimes be linked to emotional symptoms, such as episodes of mania; at other times, it may be associated with psychiatric symptoms; and sometimes it resembles anxiety disorders similar to obsessi...[Read More] Struggling with Cross-Dressing: Seeking Help for Compulsive Behavior
Struggling with Overthinking: How It Affects Mental Clarity and Mood
Constantly thinking about the same thing makes me feel like my mind is becoming dull? Three years ago, I began to force myself to think about the same things repeatedly (not emotional matters), and this has continued until now. I find myself constantly ruminating on various aspec...
Dr. Lin Mianzhang Reply:
Hello, Lala: Your situation may simply be a case of ruminating on the same thought, but it could also be related to depression, anxiety, or obsessive-compulsive disorder. Since additional information is needed for differential diagnosis, I cannot provide you with a definitive ans...[Read More] Struggling with Overthinking: How It Affects Mental Clarity and Mood
Understanding the Link Between OCD and Dementia: What You Need to Know
Obsessive-Compulsive Disorder and Dementia Hello, doctor. As far as I know, dementia and obsessive-compulsive disorder (OCD) are associated with abnormalities in the hippocampus. Is it possible for someone with OCD to develop dementia? Thank you.
Dr. Qiu Junda Reply:
Hello. The causes of dementia are multifaceted, and abnormalities in the hippocampus are rarely mentioned. There is no significant association between dementia and obsessive-compulsive disorder. There is no need to worry about whether individuals with obsessive-compulsive disorde...[Read More] Understanding the Link Between OCD and Dementia: What You Need to Know