Understanding Potential Borderline Personality Disorder in Young Adults
I have discovered that I may have been struggling with borderline personality disorder all along? Hello Doctor, I am a 20-year-old college student who has been dealing with obsessive-compulsive disorder since middle school and have been under psychiatric care and medication ever ...
Dr. Lin Mianzhang Reply:
Hello, Xiao Meng: It seems that you easily oscillate between two extremes regarding others' opinions, which aligns with some characteristics of borderline personality disorder (BPD). However, to be diagnosed with BPD, other criteria must also be met, including emotional inst...[Read More] Understanding Potential Borderline Personality Disorder in Young Adults
Overcoming Social Anxiety and OCD: A Path to Confidence and Independence
Social anxiety, fear of riding, obsessive-compulsive disorder (OCD)? Dear Dr. Wu, My son is nearly 30 years old and belongs to a vulnerable group. He has poor expressive abilities and social difficulties. At the age of four, his developmental assessment showed that his "env...
Dr. Wu Enliang Reply:
Online users may consider pharmacological treatment to reduce anxiety. If medication is not acceptable, they may also consider seeking psychological therapy or relaxation training at a hospital or mental health clinic. Dr. Wu Enliang.[Read More] Overcoming Social Anxiety and OCD: A Path to Confidence and Independence
Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery
Medication-induced anxiety disorder Due to previous relationship issues, I experienced some sudden mental health problems and sought help from a psychiatrist. It seems I have symptoms of obsessive thinking and anxiety. For example, I would say some morally questionable things to ...
Dr. Lin Mianzhang Reply:
Hello Ms. Hsieh: It seems that you have recently started experiencing symptoms of anxiety and possible obsessive thoughts again. I recommend that you return for a follow-up appointment with your physician to discuss whether to continue medication or consider therapy as a treatmen...[Read More] Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery
Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang Reply:
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Issues related to the effects of benzodiazepines? Hello, Doctor. I am a patient with obsessive-compulsive disorder (OCD) and have been undergoing treatment for six months, during which my symptoms have significantly improved. The medications prescribed to me are Zoloft (Sertralin...
Dr. Qiu Junda Reply:
Hello. 1. Clonazepam 1mg is metabolized in the body and excreted through urine, and it does not remain in the body (or brain) long-term, which alleviates your concern about irreversible cognitive impairment. 2. The dosage of Zoloft at 150mg, while not low, is still within the the...[Read More] Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Occupational therapy issues related to obsessive-compulsive disorder and anxiety disorders? Hello, doctor. I am a patient with obsessive-compulsive disorder (OCD) and anxiety disorder. I was discharged from the psychiatric ward at the hospital at the end of April and am currently...
Dr. Lin Mianzhang Reply:
Hello, Xiao Chen: The treatment for obsessive-compulsive disorder (OCD) and anxiety disorders primarily involves medication and psychotherapy. Occupational therapy aims to enhance your ability to adapt to daily life and can be used as an adjunct, but it is not the primary treatme...[Read More] Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
It may have been misdiagnosed in the past..? Hello, doctor. I am the patient who has been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. Recently, I recalled something: throughout these years, every psychiatrist I have seen has only diagnosed me with OCD...
Dr. Lin Mianzhang Reply:
Hello Ayue: First of all, being prescribed medication for schizophrenia (formerly known as schizophrenia) does not necessarily mean that you have the disorder. To understand why the previous physician informed you that way, you may need to ask him directly. Additionally, insuranc...[Read More] Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
Understanding OCD: When to Seek Help and Common Symptoms Explained
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I would like to ask a few questions about obsessive-compulsive disorder (OCD). 1. I have been suffering from OCD for many years. Due to my family's guidance and my understanding of certain causes and effects...
Dr. Wu Enliang Reply:
1. I have been suffering from obsessive-compulsive disorder (OCD) for many years. Due to my family's guidance and my understanding of certain causes and effects, I still experience low-frequency obsessions daily, sometimes good, sometimes bad, but they no longer affect my li...[Read More] Understanding OCD: When to Seek Help and Common Symptoms Explained
Understanding OCD: When to Seek Help and Its Persistent Nature
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...
Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...[Read More] Understanding OCD: When to Seek Help and Its Persistent Nature
Understanding OCD: Coping with Intrusive Thoughts About Sexuality
Concern about compulsive behavior? Hello Doctor, this is Derek, who asked you a question a few days ago. I'm quite sure that I do not have an attraction to the same sex, but I am wondering why these thoughts are occurring. My anxiety was at its worst in April, and it has bee...
Dr. Lin Mianzhang Reply:
Hello Derek: What you are experiencing is compulsive thinking, which is one of the symptoms of obsessive-compulsive disorder (OCD). OCD is often triggered by factors such as anxiety and stress, and having a predisposition to this condition can also be a contributing factor. If yo...[Read More] Understanding OCD: Coping with Intrusive Thoughts About Sexuality
Distinguishing Between Obsessive Thoughts and Delusions: A Guide
How to distinguish between delusions and obsessive thoughts? How to stop worrying? Hello, doctor. I am the patient with obsessive-compulsive disorder who was very worried about having delusions or a mental illness a few days ago. I would like to ask you how to differentiate betwe...
Dr. Lin Mianzhang Reply:
Hello Ah Yue: This is a typical case of obsessive thinking, and just like other forms of obsessive thoughts, no matter how much reassurance others provide, you will still worry about "what if...". Therefore, the best approach is to redirect your attention and engage in ...[Read More] Distinguishing Between Obsessive Thoughts and Delusions: A Guide
Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Understanding Medication for Anxiety and OCD: Key Considerations
Medication consultation Hello Doctor, I have been experiencing symptoms of panic, anxiety, and obsessive thoughts for 20 years. I received treatment 10 years ago, during which the doctor prescribed Lexapro along with exercise. After about a year, I was able to work and socialize ...
Dr. Lin Mianzhang Reply:
Hello: This medication does not conflict with cold medications. Does the note on your prescription indicate that you have had an allergy to cold medications in the past? The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (S...[Read More] Understanding Medication for Anxiety and OCD: Key Considerations
Understanding OCD: Can Symptoms Evolve Over Time?
Obsessive-Compulsive Disorder (OCD) Hello, doctor. I would like to ask the following questions: 1. Is it possible for obsessive-compulsive disorder (OCD) to change over time? For example, I initially had fears of harming others, but later my obsessions shifted to concerns relat...
Dr. Lin Mianzhang Reply:
Hello Ah-Gui, In response to your questions: 1. The symptoms of obsessive-compulsive disorder (OCD) can indeed change over time. 2. Yes. 3. Yes. It seems that you are working hard to overcome your OCD, and I commend your efforts! If you still feel that your progress is not a...[Read More] Understanding OCD: Can Symptoms Evolve Over Time?
Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Is this considered obsessive-compulsive disorder (OCD)? Hello doctor, I used to live a normal life, but ever since certain events occurred, I have developed the impression that my living room is very dirty, as if cockroaches have crawled through. Therefore, whenever I touch cloth...
Dr. Qiu Junda Reply:
Hello. The situation you described may not necessarily be a symptom of obsessive-compulsive disorder; rather, it resembles a phobia related to dirt. However, both obsession and fear of dirt fall under anxiety symptoms. Although your condition, as you mentioned, has not yet become...[Read More] Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence
Medication issues Hello Doctor: My psychiatrist prescribed me one tablet of Clomipramine and half a tablet of Sertraline to treat the symptoms of obsessive thoughts associated with obsessive-compulsive disorder (OCD). I would like to ask if the role of Sertraline is to assist Clo...
Dr. Yan Congyou Reply:
Hello, Ms. Hsieh; during the medication period, the physician will discuss your mental state with you and how to overcome previous symptoms. If necessary, they may also refer you to a psychologist for therapy. Under the premise of complementary care, if you persist, I believe you...[Read More] Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence
Understanding OCD Symptoms: When to Seek Help and Managing Triggers
Obsessive-Compulsive Disorder (OCD) Symptoms Hello, doctor. 1. I have been suffering from obsessive-compulsive disorder (OCD) for many years. However, with the guidance of my family and my own gradual acceptance of past events, I am now willing to confront them. When I recall s...
Dr. Wu Enliang Reply:
Hello, it is indeed possible that this is obsessive thinking, but if it does not affect daily life, there may not be a need for medical treatment. Dr. Wu En-Liang.[Read More] Understanding OCD Symptoms: When to Seek Help and Managing Triggers
Understanding Anxiety: Symptoms and Solutions for Everyday Challenges
Anxiety and restlessness? 1. Hello Doctor, my previous symptoms included a rapid heartbeat and a feeling of intense nervousness as soon as I stepped outside, as if I were about to faint. However, I have improved significantly. Currently, my symptoms occur only when I go out to ea...
Dr. Qiu Junda Reply:
Hello. 1. How have your previous symptoms improved? If you have sought medical attention, please return for follow-up treatment. If you have not sought medical care, I still recommend that you take the time to consult a healthcare professional regarding your current symptoms to e...[Read More] Understanding Anxiety: Symptoms and Solutions for Everyday Challenges