OCD, Psychiatry FAQ

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Understanding Adult Asperger Syndrome: Diagnosis, Challenges, and Support

Adult Asperger syndrome I am actually quite confused about whether I have Asperger syndrome or simply high-functioning autism, and whether I also have ADHD. Or could it be that I have Asperger syndrome, high-functioning autism, and ADHD as comorbid conditions in different proport...


Dr. Liang Sunyuan Reply:
Hello: Q1: Asperger's syndrome is also classified as high-functioning autism, and there is currently a tendency not to differentiate it further, as the intervention methods are similar and it is not possible to confirm the diagnosis based on the aforementioned descriptions. ...

[Read More] Understanding Adult Asperger Syndrome: Diagnosis, Challenges, and Support


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?


Understanding OCD and Toilet Anxiety: Overcoming Fear of Germs

Obsessive-Compulsive Disorder (OCD) with a focus on cleanliness / Toilet Phobia (Paruresis) Recently, I have started to develop a fear of bacteria and viruses. I believe that when I use the toilet, my buttocks and thighs come into contact with the toilet seat, making them dirty. ...


Dr. Yu Quanxun Reply:
Hello: In daily life, we inevitably come into contact with bacteria and other microorganisms, and generally, a healthy adult's immune system is sufficient to resist them. However, if concerns about contracting dirty germs are affecting your daily routine or causing you ongoi...

[Read More] Understanding OCD and Toilet Anxiety: Overcoming Fear of Germs


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 Derealization: Managing Symptoms and Treatment Challenges

Derealization refers to a dissociative symptom where an individual experiences a sense of Hello, doctor. I would like to ask about my derealization. How can I prevent it from worsening? Additionally, why is derealization not a primary focus of research? There is still no treatmen...


Dr. Wu Menghuan Reply:
Hello! Derealization refers to the experience of feeling unreal or detached from one's surroundings and is currently classified as a dissociative symptom. Individuals with Depersonalization/Derealization Disorder experience persistent or recurrent episodes of depersonalizati...

[Read More] Understanding Derealization: Managing Symptoms and Treatment Challenges


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 and Managing Intrusive Thoughts in OCD: A Guide

Obsessive-Compulsive Behaviors Hello Doctor: I have obsessive-compulsive behaviors! I'm not sure when it started, but I often have intrusive thoughts in my mind, thinking negative things about people I know and even strangers (like if I don't do certain things, somethin...


Dr. Lin Mianzhang Reply:
Hello: Your situation falls under obsessive thinking, which can indeed be difficult to control with willpower alone. Even if I tell you that your thoughts are irrational, you will still continue to dwell on them. However, this can be improved through medication and psychotherapy....

[Read More] Understanding and Managing Intrusive Thoughts in OCD: A Guide


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?


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


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