Understanding Compulsive Behavior: When to Seek Help for OCD Symptoms
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. I'm not sure if my symptoms warrant a visit to a psychiatrist. When I was 17, I was subjected to semi-coerced sexual activity, and later I learned that early sexual activity can lead to cervical cancer. Since then, I ...
Dr. Wu Enliang Reply:
Hello, online friend: It doesn't necessarily sound like obsessive-compulsive disorder; it seems more like health anxiety. Regardless, it is indeed causing you significant distress both mentally and physically. I strongly recommend that you seek help from a mental health faci...[Read More] Understanding Compulsive Behavior: When to Seek Help for OCD Symptoms
Understanding Panic Disorder: Managing Anxiety Without Medication
Anxiety Panic Disorder Hello, Doctor. I would like to understand more about panic disorder. I have symptoms of anxiety and obsessive-compulsive disorder, but for over ten years, I have been able to live my daily life without medication as long as I feel secure. Recently, due to s...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you have a good understanding of the reasons behind your anxiety and know how to cope with it. If that's the case, medication may not be necessary for you. Generally, medication is considered when individuals find that their symptoms cannot be improve...[Read More] Understanding Panic Disorder: Managing Anxiety Without Medication
Understanding Unusual Behaviors: Are They Symptoms of OCD?
Abnormal behavior Hello, doctor. I am a high school student transitioning from the first to the second year. I have noticed two peculiar symptoms that I have experienced since childhood. The first is that if an object is placed on a table and it gets nudged, I feel extremely unco...
Dr. Wu Enliang Reply:
Hello, internet user: There is indeed a possibility of obsessive-compulsive disorder. It is recommended to seek medical attention at a mental health facility. Dr. Wu En-liang.[Read More] Understanding Unusual Behaviors: Are They Symptoms of OCD?
Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang Reply:
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Understanding Anxiety and Autonomic Nervous System Disorders
Anxiety, autonomic nervous system dysregulation? Hello, doctor. I am a 35-year-old office worker, and my only pleasure is playing computer games after work. However, two months ago, I became overly immersed in an adult game scenario, and I have been unable to let go of the distre...
Dr. Wang Zhenbang Reply:
Hello, regarding your condition, here are some suggestions: 1. If you already have sleep disturbances, it is not necessary to "fall asleep" during the day; simply resting with your eyes closed is sufficient. If you do fall asleep, it is recommended to limit it to no mor...[Read More] Understanding Anxiety and Autonomic Nervous System Disorders
Understanding the Risks of GERD from Antidepressants: A Patient's Perspective
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Diarrhea-predominant irritable bowel syndrome Question: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could ...
Dr. Wu Enliang Reply:
Hello, netizen: Subject Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to esophageal cancer, gastric cancer, or even worse? Yes, chronic inflammation can indeed lead to carcinogenesis, so it is advisable to seek ...[Read More] Understanding the Risks of GERD from Antidepressants: A Patient's Perspective
Should I Resume Medication for OCD? Navigating Treatment Decisions
Should I continue taking the medication? Hello Dr. Lin: Hi, doctor! I have obsessive-compulsive disorder (OCD) and I have been off medication for a month. I feel like I can't quite manage the medication's effects and side effects. I'm hesitant to take medication or...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you have been off medication for a month now. If you feel that your current symptoms are not bothering you, then you can certainly continue to stay off the medication. However, it appears that you also feel the need for medication, which indicates that the...[Read More] Should I Resume Medication for OCD? Navigating Treatment Decisions
Do Antidepressants Cause Lack of Focus in OCD Patients?
Questions about the effects of antidepressants? Hello Dr. Lin: I would like to ask if taking antidepressants for obsessive-compulsive disorder (OCD) can lead to a lack of focus or a more scattered mindset. For example, when an exam is approaching, a person may not feel anxious or...
Dr. Lin Mianzhang Reply:
Hi there! If you tend to be more anxious, taking antidepressants can help you become more open-minded and less anxious, but it won't make you careless! Wishing you peace and well-being.[Read More] Do Antidepressants Cause Lack of Focus in OCD Patients?
Concerns About Medication: Managing OCD While Pursuing Medical School
There are many concerns regarding medications? Hello, Dr. Wu. I am a repeat examinee who has always wanted to enter medical school, but I have obsessive-compulsive disorder. I want to stabilize my condition with medication, but I am concerned about the unpredictability of the dru...
Dr. Wu Enliang Reply:
Hello: 1. I am concerned that taking medication might affect my concentration or memory (for example, making me forget things easily) or make my mind feel dull, potentially impacting my IQ or making me feel less intelligent. I would like to ask the doctor if these situations ca...[Read More] Concerns About Medication: Managing OCD While Pursuing Medical School
Is Chest Tightness Related to Anxiety or Autonomic Nervous System Dysfunction?
Is chest tightness considered a disorder of the autonomic nervous system? Hello, doctor. I originally had symptoms of rapid heartbeat and chest tightness due to hyperthyroidism, but after developing a regular exercise routine and taking my medication on time, my symptoms have sig...
Dr. Wu Enliang Reply:
Hello, online friend: The symptoms of chest tightness and shallow breathing are indeed related to your anxiety disorder and can be considered a form of autonomic nervous system dysregulation. It is advisable to seek support in sharing the responsibilities of childcare to alleviat...[Read More] Is Chest Tightness Related to Anxiety or Autonomic Nervous System Dysfunction?
Understanding Sudden Breathing Awareness: Is It OCD?
Suddenly becoming overly aware of breathing (obsessive-compulsive disorder?)? 1. Hello, doctor. I apologize for bothering you. Since last week, I have suddenly found myself overly focused on my breathing. Although I know that the body naturally breathes without needing to control...
Dr. Wu Enliang Reply:
Hello, online user: 1. Doctor, I apologize for bothering you. Since last week, I have suddenly found myself focusing excessively on my breathing. Although I know that the body naturally breathes without needing to control it, I can't help but consciously try to manipulate ea...[Read More] Understanding Sudden Breathing Awareness: Is It OCD?
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Overcoming Obsessive Checking: Managing Anxiety Around Electronics
I often find myself endlessly checking the switches of electronic devices around me. Could this be a sign of obsessive-compulsive disorder? Since the outbreak of the pandemic, I have been studying at home, but I have recently noticed that I uncontrollably keep checking the electr...
Dr. Lin Mianzhang Reply:
Hello You-Yan: Your description seems to indicate symptoms of obsessive-compulsive disorder (OCD). You mentioned a key point: feeling trapped in an endless cycle. This is actually crucial for treating OCD, which involves breaking this vicious cycle. How can this be done? When you...[Read More] Overcoming Obsessive Checking: Managing Anxiety Around Electronics
Understanding Intrusive Thoughts: Is It OCD? Insights from Psychiatry
Obsessive thinking Hello, Doctor. Recently (since early May), it seems like I've activated some sort of switch (before that, I was staying up late for assignments and exams). Certain thoughts have become significantly disruptive to me. In fact, I've experienced them bef...
Dr. Lin Mianzhang Reply:
Hi there! Your situation is likely related to obsessive-compulsive disorder (OCD), which may be associated with your recent lack of sleep and high levels of stress. I recommend that you try to adjust your daily routine, ensure you get enough sleep, and find appropriate ways to re...[Read More] Understanding Intrusive Thoughts: Is It OCD? Insights from Psychiatry
Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Medication Issue - I was prescribed Abilify by my doctor for panic and anxiety disorders, but it has made my anxiety worse? Hello, Doctor. I have a severe panic disorder and health anxiety, which seems to be hereditary as some of my cousins have obsessive-compulsive disorder and ...
Dr. Lin Mianzhang Reply:
Hello Ah-Heng: I can sense that your anxiety level is quite high, and I empathize with you! Abilify can be used to treat schizophrenia (previously referred to as psychosis), bipolar disorder, and other major mental illnesses. Additionally, it can serve as an adjunct treatment for...[Read More] Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Is It OCD? Understanding Repetitive Thoughts and Behaviors
Is this obsessive-compulsive disorder (OCD)? Hello, doctor! I have a relative (20 years old) who repeatedly questions whether she is her parents' biological child and frequently checks with them about certain physical traits to see if they align with dominant and recessive i...
Dr. Liang Sunyuan Reply:
Hello: It seems that she has been troubled by this uncomfortable feeling in her head for some time. It is indeed possible that it could be a symptom of obsessive-compulsive disorder (OCD), but a face-to-face evaluation is necessary for a definitive diagnosis. The technique of cog...[Read More] Is It OCD? Understanding Repetitive Thoughts and Behaviors
Is It OCD? Understanding Intrusive Thoughts and Anxiety
Is it obsessive-compulsive disorder? Hello, Doctor! I would like to ask if having intrusive thoughts about whether I am my parents' biological daughter is considered obsessive thinking. Whenever I feel anxious, I search online for information, such as whether dimples are dom...
Dr. Lin Mianzhang Reply:
Hi there! Thank you for your hard work! Your situation seems to align quite well with obsessive-compulsive disorder (OCD). If you want to gain a deeper understanding of OCD, I recommend reading the book "The Myth of Sisyphus." Additionally, I suggest seeking help from a...[Read More] Is It OCD? Understanding Intrusive Thoughts and Anxiety
Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions
Schizophrenia (Medication Consultation) I previously sent you a message regarding my feelings of guilt and self-blame. Despite the uncertainty of the situation, I have an overwhelming sense of energy that convinces me I have done something wrong. I feel an intense need to compens...
Dr. Lin Mianzhang Reply:
Hello Han Han: For this type of delusion, if there are no accompanying symptoms of depression, anxiety, or obsessive-compulsive disorder, the primary treatment would still be antipsychotic medications. If neither Seroquel (quetiapine) nor Abilify (aripiprazole) is effective, it m...[Read More] Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions
Managing Side Effects of Antidepressants: Understanding Hypomania Risks
Medication Consultation: Ubiquinone for Mild Mania Hello Dr. Wang, I have obsessive-compulsive disorder and take two tablets of Ubiquinone daily. Recently, I have noticed that after taking the medication, I experience heightened excitement, increased energy, elevated confidence,...
Dr. Wang Yaoting Reply:
Hello: 1. There are numerous case reports of antidepressants triggering mania or hypomania, but there is still some controversy surrounding this issue. While it may be caused by the medication, it could also be a result of the disease's progression. However, current research...[Read More] Managing Side Effects of Antidepressants: Understanding Hypomania Risks
Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Obsessive-Compulsive Disorder (OCD) and Breathing Issues Hello Doctor: I have obsessive-compulsive disorder and have been on medication (taking 2 tablets of Sertraline daily for a little over six months). Many of my symptoms have improved, but recently I have been very troubled b...
Dr. Huang Zhijia Reply:
Hello: Increasing the dosage of medication may alleviate the concerns, but correspondingly, the side effects will also increase. Pharmacotherapy presents a dilemma. The more one cares, the more anxious one becomes; increased anxiety can exacerbate obsessive-compulsive disorder, l...[Read More] Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions