How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
How to discontinue the use of Lamotrigine? Due to gastrointestinal issues that could not be resolved, I was referred to a psychiatrist. The psychiatrist diagnosed me with autonomic nervous system dysregulation and prescribed Lurasidone, which I took for over three months without ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of insomnia. 1. Facing an uncertain future, autonomic nervous system dysfunction is a common condition in modern society...[Read More] How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
Overcoming Anxiety and Appetite Issues in Social Dining Situations
Anxiety, tension, and loss of appetite? Hello Doctor, I have been experiencing a lack of appetite for a long time (over five years), especially in the mornings and afternoons. I initially thought it was due to my sleeping habits (waking up around 10 AM), but I have realized that ...
Dr. Peng Liyun Reply:
Hello: It seems that this situation has caused you significant distress. Your condition requires a comprehensive evaluation, such as understanding the origins and persistence of your thoughts about food completion, the severity of your anxiety, etc., in order to determine whether...[Read More] Overcoming Anxiety and Appetite Issues in Social Dining Situations
Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Anxiety, panic, or autonomic nervous system dysregulation? Hello, doctor. From April to June, I experienced four episodes of shortness of breath, chest tightness, and rapid heartbeat, which led me to the emergency room. After examination, the doctor concluded that these symptoms ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both anxiety and panic disorders. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires lo...[Read More] Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Symptoms of autonomic nervous system dysfunction and medication consultation? Hello, Doctor: I was previously diagnosed with autonomic nervous system dysfunction and took Escitalopram for about a year before discontinuing it as per my doctor's advice. During the medication p...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both autonomic nervous system dysregulation and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Autonomic nervous system disorders I underwent an autonomic nervous system assessment, and I was informed that my autonomic nervous system is leaning towards 2.5, with a reference value of 0-1.5, indicating that my parasympathetic nervous system function is somewhat elevated. 1...
Dr. Wu Enliang Reply:
Hello, online friend: My autonomic nervous system leans towards 2.5, with a reference value of 0-1.5, indicating slightly elevated parasympathetic nervous system function. 1. Will this affect anything? A: It suggests a tendency to feel anxious, so it's important to engage in...[Read More] Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Understanding the Struggles of OCD: A Personal Journey Through Anxiety
For several years, I have felt compelled to suppress myself? This situation has been ongoing intermittently for several years, especially increasing in frequency during times of anxiety. If I don't touch the doorknob within a few seconds, I feel like something terrible will ...
Dr. Lin Mianzhang Reply:
Hello Yixuan, it seems that you are experiencing obsessive symptoms. It must have been difficult for you to endure this situation for so many years. I recommend that you seek help from a psychiatrist to improve your symptoms through medication and psychotherapy. Wishing you a spe...[Read More] Understanding the Struggles of OCD: A Personal Journey Through Anxiety
Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, with a persistent feeling of tension throughout the day? Hello, I have been seeing a doctor for three months due to issues with autonomic nervous system dysfunction and anxiety disorder. I am currently taking medications such as Liyou and Anl...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Understanding Self-Talk: When Imagination Becomes a Concern
Soliloquy I often find myself talking to my reflection in the mirror when I'm alone, but the content of these conversations isn't about self-criticism or complaining about things. Instead, I create a scenario and become deeply engaged in it, exchanging dialogue with my ...
Dr. Liao Dinglie Reply:
Hello, internet user: You used to feel that your imagination was rich, considering it a strength, and you didn't mind spending more time talking to yourself. However, if you've noticed that this affects your time spent with others, making them perceive you as more solit...[Read More] Understanding Self-Talk: When Imagination Becomes a Concern
Should You Seek Help for Suspected Asperger's Syndrome?
If you suspect that you have Asperger's syndrome, it is advisable to seek medical attention? Hello, Doctor. I happened to come across an article describing Asperger's syndrome and found several points that resonate with me. I took the Adult Asperger Assessment Scale and...
Dr. Liao Dinglie Reply:
Hello, user: You may have noticed that you feel a significant sense of anxiety in social situations, and that you are different from others. Perhaps you wish you could be more humorous and better understand the "subtext" in social interactions, as well as grasp abstract...[Read More] Should You Seek Help for Suspected Asperger's Syndrome?
Understanding Anxiety, Depression, and Sleep Issues in High School Students
Difficulty breathing while speaking / depression / emotional regulation / insomnia Hello, doctor. I am a high school sophomore art student. My personality type is INFP. For this month, even though my eyes are tired and my head feels heavy, my mind keeps racing, making it hard to ...
Dr. Lin Mianzhang Reply:
Hi Jun, Thank you for being willing to express your feelings. It seems that school life is putting a lot of pressure on you. I'm not sure if you have any outlets for expressing yourself when you're under stress or feeling down. Do you have friends you can talk to? Are...[Read More] Understanding Anxiety, Depression, and Sleep Issues in High School Students
Understanding Major Illness Cards for Schizophrenia and Sleep Disorders
Major Illness Card Is the major illness card for schizophrenia permanently valid? Also, can someone with sleep apnea apply for the major illness card? Currently, I don't have many friends and rely heavily on my parents; I mostly help out at home and am not used to interactin...
Dr. Lin Mianzhang Reply:
Hello! The major illness card for schizophrenia is permanently valid, while sleep apnea is not classified as a major illness. If you have difficulties interacting with others, hospitalization can provide an opportunity to learn social skills. If you have such needs, you can discu...[Read More] Understanding Major Illness Cards for Schizophrenia and Sleep Disorders
Managing Emotional Turmoil: Seeking Help for Mental Health Challenges
Emotional dysregulation Hello, doctor. I would like to inquire about emotional management issues. I used to be a very cheerful person and was happy every day. However, in the past few months, I've noticed that I easily get angry over small things and can stay upset for sever...
Dr. Wu Menghuan Reply:
You mentioned that you have been experiencing stress related to preparing for exams, but due to the pandemic, you have no other place to study and can only stay at home. Over the past few months, you have been easily angered, crying for no reason, hitting walls, throwing things, ...[Read More] Managing Emotional Turmoil: Seeking Help for Mental Health Challenges
Understanding Sibling Dynamics: Is My Brother Struggling with Mental Health?
Family interaction issues - Does the older brother have mental health problems? My parents did not manage their emotions well during my upbringing, but it was mostly limited to verbal expressions without any tendencies toward violence. My brother mentioned that when I was one yea...
Dr. Wang Zhenbang Reply:
Hello, based on your description, here are a few points to consider: 1. The diagnostic range for mental disorders is quite broad, and it requires evaluation from multiple perspectives to determine if diagnostic criteria are met. One important criterion is whether the individual&#...[Read More] Understanding Sibling Dynamics: Is My Brother Struggling with Mental Health?
Understanding the Habit of Talking to Yourself: A Guide for Improvement
The habit of talking to oneself? I have been talking to myself since I was a child, and I still do so to this day. I feel like I have become unaccustomed to speaking with others; I always prefer to express myself alone. As a result, I often don't communicate with others and ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the issues and descriptions you provided, I can sense your discomfort and concern. The phenomenon of self-talking, referred to in professional terminology as "self-talk," can have multiple underlying causes. It is im...[Read More] Understanding the Habit of Talking to Yourself: A Guide for Improvement
Struggling with Punctuality and Career Challenges: Seeking Solutions
Comprehensive issues? Hello, doctor. Before I ask my question, I want to mention that I have previously inquired about this issue on the Taiwan e-hospital platform, but since the problem remains unresolved, I am seeking your advice again. I understand that the issue lies with me....
Dr. Tang Jiahong Reply:
I believe you are feeling quite troubled by these setbacks. You've worked hard. (1) Regarding the reasons for your tardiness, if it is due to waking up too late, you might consider methods to advance your circadian rhythm, such as taking melatonin before bed or exposing your...[Read More] Struggling with Punctuality and Career Challenges: Seeking Solutions
Should I Return to Psychiatric Care? Navigating Mental Health Challenges
I'm unsure whether to continue follow-up appointments with the psychiatrist? Hello, Doctor. I apologize for bothering you. I grew up in an unhealthy family environment, experiencing long-term domestic violence, my mother’s depression and suicide, and during middle school, du...
Dr. Wu Enliang Reply:
Hello, internet user: Depression is a treatable condition that is prone to relapse. It is advisable for you to seek a follow-up appointment promptly if you are experiencing signs of relapse. Dr. Wu Enliang[Read More] Should I Return to Psychiatric Care? Navigating Mental Health Challenges
Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Auditory hallucinations occur when lying flat? Hello, doctor. My mother just turned 80 years old. Since she was young, she often mentioned that a devil has been following her, whether she is outside or at home. Occasionally, she complains that the devil appears intentionally for ...
Dr. Wang Yaoting Reply:
Hello: Auditory hallucinations occur when there are no obvious external sounds, yet the individual's cerebral cortex is firing, leading them to perceive sounds. Auditory hallucinations can indeed manifest in certain mental illnesses, such as schizophrenia and dementia, but t...[Read More] Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Helping a Loved One Overcome Alcohol Addiction: Options and Strategies
Chronic alcoholism Hello, doctor. My younger brother has been hospitalized multiple times due to alcohol abuse, and recently we found out that he is drinking again. He claims he wants to quit on his own, but our family has noticed that he secretly buys alcohol and stays locked in...
Dr. Wu Menghuan Reply:
Hello: Substance addiction is a chronic and relapsing disorder; the process of recovery is very lengthy and can generally be divided into several stages: Precontemplation, Contemplation, Preparation, Action, Maintenance, and Relapse. In the early stages of recovery, such as when ...[Read More] Helping a Loved One Overcome Alcohol Addiction: Options and Strategies
Overcoming the Need for Approval: Understanding Emotional Disconnect
Excessive craving for attention from others? Based on evaluations from teachers and classmates, my usual personality is described as lively and extroverted. When I am happy, I can feel joy, but it typically lasts only one to two seconds before I no longer experience any happy emo...
Dr. Lin Mianzhang Reply:
Hello Xiao Chen: It seems that your sense of self-worth is based on others' recognition of you. To change this situation, in addition to encouraging and praising yourself daily, you should also make some adjustments in your interpersonal relationships. Try to show your authe...[Read More] Overcoming the Need for Approval: Understanding Emotional Disconnect
Understanding Confusion: Navigating Anxiety and Sexual Orientation Questions
Frustration, anxiety, and uncertainty? Hello, doctor. I would like to ask you a question and express what’s been on my mind. Here’s the situation: some time ago, I started to question my sexual orientation. During my middle school years, I had no feelings for boys at all, but I h...
Dr. Liao Dinglie Reply:
Hi there, it's great to see you making an effort to communicate more and understand yourself better regarding your emotions. In your message, you mentioned "sexual orientation," which refers to whether you are attracted to "other males," "females,&qu...[Read More] Understanding Confusion: Navigating Anxiety and Sexual Orientation Questions