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?
Managing Anxiety and Medication Withdrawal: A Patient's Journey
Drug withdrawal Hello Doctor: I have been taking "Duloxetine 30 mg" for about 4 to 5 months due to long-term anxiety issues. This may stem from the six months I spent caring for my father, who had cancer, until his passing about six or seven years ago. I am unsure why I...
Dr. Wu Enliang Reply:
1. Should I continue taking the medication or reduce the dosage after some time? A: Given your current level of anxiety, it's best not to stop the medication for now. 2. If I want to reduce the dosage, how should I do it? One pill every two days, one every three days, or c...[Read More] Managing Anxiety and Medication Withdrawal: A Patient's Journey
Understanding and Supporting a Family Member with Mental Health Issues
My brother's condition? Thank you for taking the time, Doctor. Today, I would like to discuss my brother's condition. I have observed that his mental state has been deteriorating for some time. He has become increasingly irritable; for example, when my mother mentioned ...
Dr. Wu Enliang Reply:
Netizens should identify the reasons for irritability (such as anxiety, depression, etc.) and address them. If improvement is not achieved, it is advisable to seek medical attention. Dr. Wu Enliang.[Read More] Understanding and Supporting a Family Member with Mental Health Issues
Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming
Anxiety disorders can lead to significant disruptions in daily life, and treatment may often feel ineffective? Hello, Doctor. Thank you for taking the time to answer my questions. I am a university student, and during high school, I put a lot of pressure on myself regarding my st...
Dr. Wu Enliang Reply:
A netizen would like to ask the doctor if it is normal to still feel no relief from symptoms after taking medication for over a month. A: The medication may need to be adjusted. Is this issue simply anxiety disorder? Besides medication, what other methods can help resolve this? A...[Read More] Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming
Overcoming Paranoia: Seeking Help for Persistent Anxiety Issues
Paranoia These issues have been troubling me and occurring repeatedly, affecting my daily life. I find myself constantly overthinking and feeling anxious. For example, I worry about my drinks being tampered with or poisoned, I am concerned that my helmet left outdoors (when parki...
Dr. Wu Enliang Reply:
Netizens really need to seek medical attention from a psychiatrist! Dr. Wu En-Liang.[Read More] Overcoming Paranoia: Seeking Help for Persistent Anxiety Issues
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 Confidentiality in Mental Health Evaluations: Key Questions Answered
Counseling-related issues? Hello, Doctor: After graduating from high school, I received treatment at the psychiatric department of Hospital A and underwent a psychological evaluation there (the report has been uploaded to the National Health Insurance system). I am currently atte...
Dr. Wu Enliang Reply:
1.) If the psychological evaluation report conducted by the clinical psychologist hired by the school is uploaded to the National Health Insurance system, will the psychiatrist at Hospital A be able to see my psychological evaluation report from the school? A: The school-employed...[Read More] Understanding Confidentiality in Mental Health Evaluations: Key Questions Answered
Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Diagnostic issues Hello, Doctor: After my consultation at a certain hospital's psychiatry department, the physician diagnosed me with F34.9, unspecified persistent mood disorder (persistent affective disorder). I would like to ask: (1) Does this mean I have depression? The d...
Dr. Qiu Junda Reply:
Hello. 1. F349 refers to unspecified persistent mood disorder, which is similar to depression. These conditions can be considered as issues related to negative emotions. The symptoms and overall treatment approach are similar, so there is no need to demand precise diagnostic term...[Read More] Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections
Issues related to schizophrenia? Hello, doctor. From the moment I discovered this issue at the Chinese Medicine Hospital in Hsinchu, I have been prescribed over 20 different medications for the past three years, but none have been effective. I am very certain that this is not cau...
Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex emotions you are experiencing, as well as the detailed experiences and various painful feelings you've expressed. I recommend that you continue to seek treatment from a psychosomatic specialist and arrange for regula...[Read More] Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections
Understanding Auditory Hallucinations: A Patient's Experience and Insights
Continuation #205880 issue? Hello Dr. Lin! Regarding the incident on the train, let me explain in detail: It was around 10 PM, and my father and I were on our way home. The train carriage wasn't too crowded, but it wasn't empty either. As I mentioned to you before, some...
Dr. Lin Mianzhang Reply:
Hello: It seems that your experiences feel very real and are difficult to distinguish from reality. Therefore, I recommend discussing with your physician whether to adjust your medication to improve your auditory hallucinations. You might consider trying clozapine. Wishing you pe...[Read More] Understanding Auditory Hallucinations: A Patient's Experience and Insights
Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
What is happening to me? Is it dissociation? Thought disorder? Am I just overthinking? Since last November, I have been experiencing self-harm behaviors that have become increasingly intense and deeper. Self-harm provides me with a sense of calm and a feeling of clarity, and I fi...
Dr. Liang Sunyuan Reply:
Hello, Huiwu: Self-harm is often associated with depression, high stress, and difficulty in coping with irritability. In your description, you mentioned symptoms such as depression, anxiety, and dissociation, along with a background that has experienced considerable stress. Your ...[Read More] Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide
Sudden mood swings, insomnia, chest tightness, feelings of wanting to cry, and binge eating? Hello, doctor. Recently, over the past two to three weeks, I've suddenly felt very strange. First, I've been experiencing inexplicable feelings of sadness. I initially thought t...
Dr. Qiu Junda Reply:
Hello. The described situation often involves negative physical and mental reactions. It may be helpful to clarify whether there has been any recent stress contributing to this. This way, you can address the stress or improve stress management (you can refer to educational resour...[Read More] Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide
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 the Impact of a Parent's Mental Illness on Family Dynamics
My father's mental illness has driven the whole family crazy? Hello Doctor, my father is 62 years old this year. He has had numerous issues since childhood. He often belittles family members to highlight his own superiority, calling his children, wife, or even his siblings f...
Dr. Yu Quanxun Reply:
"Hello, thank you for your inquiry. If your relative is exhibiting behaviors that are severely disruptive or harmful to themselves or others, you can first contact the local health department or clinic for assistance; they will help you with emergency medical procedures. Add...[Read More] Understanding the Impact of a Parent's Mental Illness on Family Dynamics
Understanding Learning Disabilities: Seeking Help and Support in the Workplace
Learning disabilities Hello, Doctor. I have been diagnosed with a learning disability since middle school and hold a "learning disability certificate." Throughout middle school to university, the school's recommendation was to attend resource classes, and there was...
Dr. Qiu Junda Reply:
Hello. You can first consult with a psychiatrist for an evaluation. If necessary, the physician will also assist in arranging for an intelligence test.[Read More] Understanding Learning Disabilities: Seeking Help and Support in the Workplace
Understanding Emotional Instability: Coping with Family Conflict and Trauma
Emotional instability? Hello, doctor. I am reaching out because I have experienced this situation many times. I have a younger brother in fifth grade, but he does not have these issues. My parents often argue, and it has become increasingly severe since I was in elementary school...
Dr. Qiu Junda Reply:
Hello. The described situation of unstable emotional control is a response to external stimuli (such as the father's behavior). While it may be somewhat intense, it can also be considered a form of emotional release. If you feel troubled by this reaction, you may seek evalua...[Read More] Understanding Emotional Instability: Coping with Family Conflict and Trauma
Should I See a Psychiatrist? Understanding My Mental Health Struggles
Should I see a psychiatrist? Hello, Dr. Lin! I apologize for bothering you. I haven't been doing well these past few years. During my student days, I often took leave due to my menstrual cycle, and when I returned to school, I frequently felt like I was falling behind everyo...
Dr. Lin Mianzhang Reply:
Hello, it seems that you have been experiencing symptoms of depression and anxiety for a long time, including feelings of sadness, difficulty sleeping, trouble concentrating, fatigue, and a lack of desire to go out, which can severely impact your ability to maintain a normal life...[Read More] Should I See a Psychiatrist? Understanding My Mental Health Struggles
Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Having nothing to say to family members? Due to family circumstances, I was raised by my uncle. People around me always say to listen to him because he has made many sacrifices to take care of me. However, during our conversations, he often imposes his own beliefs on me, and if I...
Dr. Yan Congyou Reply:
Hello: It sounds like your situation at home is quite oppressive and unhappy, which is a major source of your distress and unhappiness. Family issues are often the most challenging problems for individuals to handle and are something that everyone is forced to confront. These sit...[Read More] Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Navigating Mental Health: Coping with Hallucinations and Life Goals
Continuation #205884 issue I am not unable to interact normally with others; in fact, I understand how to make friends and how to win a girl's affection. However, I do experience auditory hallucinations, delusions, and possible visual hallucinations, which can be quite distr...
Dr. Lin Mianzhang Reply:
Hello: It seems that you have a good understanding of how to interact with people, which is great! I hope you achieve your goals soon, and I wish you peace and good health![Read More] Navigating Mental Health: Coping with Hallucinations and Life Goals
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder issues Hello, my father is in his 60s, and after observing his behavior for several months, we suspect he may have bipolar disorder. Below is a detailed description of his condition, and I would appreciate your response. Thank you. Around August of last year, h...
Dr. Lin Mianzhang Reply:
Hello: 1. The medication your father took, Meishuyu tablets, is typically used as a sleep aid, and the dosage is generally low, making it unlikely to trigger manic episodes. Additionally, since your father has not taken this medication since March or April of last year, and the...[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help