Understanding OCD: When Perfectionism Affects Your Daily Life
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. I am currently a high school junior preparing to advance to senior year. However, since the beginning of my sophomore year (I didn't have this issue in freshman year), I've been experiencing a peculiar phenomenon...
Dr. Wang Yazhen Reply:
Hello Xiao Ming: The situation you described indeed resembles obsessive thoughts and behaviors, and these behaviors have started to affect your time management. It is advisable to seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible for dia...[Read More] Understanding OCD: When Perfectionism Affects Your Daily Life
Understanding Social Anxiety: Signs, Symptoms, and Solutions
Whether one is ill..? I used to feel uncomfortable in crowded places and was always conscious of others' opinions. Sometimes I would try to hide my feelings. For several years now, I have been staying in my in-laws' house, hiding in my room and afraid to go downstairs. ...
Dr. Huang Xiaoxian Reply:
Thank you for your question. It sounds like this situation has been ongoing for many years. I'm not sure if it was initially related to a specific stressful event, but there seem to be some symptoms of anxiety as well. I recommend that you visit a psychosomatic medicine clin...[Read More] Understanding Social Anxiety: Signs, Symptoms, and Solutions
Understanding Unexplained Anger: Is It a Psychological Issue?
I would like to ask the doctor if my behaviors indicate that I have some psychological issues? To be honest, this behavior has troubled me for a long time, and I've been wanting to understand why these actions occur. I searched online with some keywords but couldn't fin...
Dr. Huang Xiaoxian Reply:
Dear Taro, It sounds like this issue has been troubling you for a long time, and I empathize with your struggles. Everyone experiences emotions and has moments when they feel their rationality is about to break down. Emotions often stem from our unique perspectives on situation...[Read More] Understanding Unexplained Anger: Is It a Psychological Issue?
Struggling with Cross-Dressing Desires: Understanding the Psychological Impact
The inability to control the desire for cross-dressing is not illegal, but it is not socially accepted by the public? Hello Doctor: Over time, I have gradually realized that I have a particular fondness for certain styles of women's clothing. However, I am not homosexual, no...
Dr. Huang Xiaoxian Reply:
Dear A-Dian, thank you for your question. It sounds like this is quite troubling and challenging for you. You've mentioned that you don't have an attraction to men and that you don't wish to become a woman, but rather you feel joy when cross-dressing. Everyone has ...[Read More] Struggling with Cross-Dressing Desires: Understanding the Psychological Impact
Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
"#157730 Adult Attention Deficit Disorder and Anxiety Disorder?" Follow-up? Hello, doctor. Thank you very much for your previous response. After reading your reply, I went to the pediatric psychiatry department at a regional hospital, but I encountered the following iss...
Dr. Wang Yazhen Reply:
Hello, Chen: Diagnosing adult ADHD is indeed challenging. 1. Even if someone had ADHD in childhood, most cases tend to improve with age. Therefore, it is difficult to retrospectively diagnose it in adulthood. 2. Regarding medication, there are specific regulations under the ...[Read More] Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
Am I Experiencing Bipolar Disorder? Understanding Emotional Control Issues
Do I have bipolar disorder in this situation? Hello, doctor. I would like to ask if my situation can be considered a medical issue. I have no problem controlling my emotions when I am working or interacting with others, even when work is busy or stressful; at most, I might mutter...
Dr. Huang Xiaoxian Reply:
Dear Mr. Zhang, thank you for your inquiry. The situation you described does not closely resemble typical bipolar disorder, but it does seem to involve some mood instability, which appears to be related to multiple life stressors. In fact, people's emotions are often influen...[Read More] Am I Experiencing Bipolar Disorder? Understanding Emotional Control Issues
Navigating Interpersonal Conflicts: Tips for Better Relationships
There are many questions? I have had poor interpersonal relationships since childhood, often getting into conflicts with others in various groups. Recently, while working in a public office, I was reprimanded by my supervisor, which has affected my mood. I’ve noticed that I often...
Dr. Wang Yazhen Reply:
Hello K: It's a great start that you've noticed your condition! Since interpersonal interactions involve various situations, it's important to clarify and discuss them carefully. I recommend that you consider psychological counseling or therapy to gain insight into...[Read More] Navigating Interpersonal Conflicts: Tips for Better Relationships
Overcoming Social Anxiety: Strategies for Better Interpersonal Relationships
The way of getting along with others? I have had difficulty interacting with others since childhood, which has led to my reluctance to go out and seek employment due to a fear of conflict. Additionally, I have a very passive personality. Could you please provide your advice, doct...
Dr. Wu Enliang Reply:
Hello, netizen: Actually, you can still engage in work that allows for more solitary efforts without needing to interact much with others! Dr. Wu Enliang[Read More] Overcoming Social Anxiety: Strategies for Better Interpersonal Relationships
Understanding Generalized Anxiety Disorder: Symptoms and Coping Strategies
Generalized Anxiety Disorder (GAD) can lead to increased fatigue and difficulty sleeping? Hello, currently I am feeling anxious about my performance at work and in life, which has been unsatisfactory. Since February of this year, I have experienced a loss of appetite, and startin...
Dr. Huang Xiaoxian Reply:
Hello, Shui Yan. Thank you for your question. Based on your description, it seems that you have been experiencing a significant amount of stress recently. In such situations, it is possible to develop imbalances in mood-related neurotransmitters, which can lead to depression and ...[Read More] Understanding Generalized Anxiety Disorder: Symptoms and Coping Strategies
Navigating Sexual Orientation Doubts: Understanding Your Feelings
Sexual orientation issues Hello, Doctor! Recently, I've been constantly questioning my sexual orientation. Until now, I believed I was heterosexual, but about a month before my major exams, I started to think of myself as homosexual. However, in more relaxed situations, I do...
Dr. Wang Yazhen Reply:
Dear student, You are taking your situation very seriously, which is commendable, and I understand that it can be quite concerning for you. First of all, the notion of having a "boyish personality" inherently categorizes personality traits as male or female. In realit...[Read More] Navigating Sexual Orientation Doubts: Understanding Your Feelings
What to Do If You Encounter Police While Carrying Xanax?
Encountering Police While Carrying Medication Hello, I have generalized anxiety disorder and I take Xanax. I carry a few pills with me, and I'm wondering what would happen if I encounter a police checkpoint and they find it. It is a Schedule IV controlled substance; will I b...
Dr. Liang Sunyuan Reply:
Hello: If the doctor prescribes it for treatment use and it is not sold to others, there will be no issues, so please do not worry.[Read More] What to Do If You Encounter Police While Carrying Xanax?
Is It Just Sadness or Signs of Depression and Anxiety?
Is it depression or major depressive disorder? Hello, I have been feeling inexplicably low and irritable for about four months, possibly due to the upcoming exams. I feel like there is something weighing on my mind. My classmates say I look unhappy and don't smile, which has...
Dr. Wu Enliang Reply:
Hello, online user: If you are experiencing persistent depression and a lack of interest in everything, it is indeed possible that you may be suffering from depression. It could be that the pressure from the academic exams is too overwhelming for your brain to handle. I recommend...[Read More] Is It Just Sadness or Signs of Depression and Anxiety?
Managing Depression and Anxiety: Medication Interactions and Sleep Guidelines
Depression and Anxiety Disorders Psychiatry: Leeyo 10mg*2 (Escitalopram) Eurodin 2mg (for depression and anxiety) Dermatology: Doxepin 25mg*2 Lyrica 75mg*2 (for skin itching) Metabolism: Metformin 500mg Tamsulosin 0.2mg (for diabetes) Gastroenterology: Take medication before brea...
Dr. Lin Mianzhang Reply:
Hello, Xiao Lu: Doxepin is a tricyclic antidepressant, and the dermatologist may hope to alleviate your itching symptoms through its antihistaminic effects. However, since it also has other psychiatric effects (such as sedation and sleep induction), it is advisable to ask the der...[Read More] Managing Depression and Anxiety: Medication Interactions and Sleep Guidelines
Managing Panic and Anxiety: When to Seek Medical Help Again
Panic and Anxiety Hello, doctor! I was diagnosed with panic disorder and anxiety during high school, and I underwent medication treatment at that time, even experiencing severe episodes that required emergency care. For the first one to two years of college, I felt normal and had...
Dr. Wang Yaoting Reply:
Hello Ms. Fang: The condition that was originally well-controlled has suddenly worsened without any specific events. It may be necessary to consider whether this is caused by endocrine or other bodily factors, such as thyroid dysfunction or mitral valve prolapse, among others. If...[Read More] Managing Panic and Anxiety: When to Seek Medical Help Again
Navigating Mental Health Medications: Confusion and Concerns
Regarding pharmacotherapy? If I could, I would wish I had never seen a psychiatrist, as I feel my life has become a mess because of it. Each doctor has a different diagnosis; some say it's depression, others say generalized anxiety disorder, some mention ADHD, and others cla...
Dr. Liang Sunyuan Reply:
Hello: A multi-faceted approach is most effective for treating psychiatric symptoms. Regular routines, adequate sleep, balanced nutrition, consistent exercise, and healthy leisure activities all contribute positively. When seeking medical care and undergoing pharmacotherapy, it i...[Read More] Navigating Mental Health Medications: Confusion and Concerns
Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Withdrawal symptoms from Yuankang? Hello Dr. Wang, I have been taking medication for depression for about 10 years. Initially, I was on a heavy regimen with multiple medications, but over time, I gradually reduced it to just taking Wellbutrin (Bupropion). About six months ago, a...
Dr. Wang Yaoting Reply:
The mechanism of action of "Yuekang 75mg" is to enhance the effects of central serotonin and norepinephrine. Withdrawal symptoms may occur upon discontinuation of the medication, such as dizziness, nausea, fatigue, and headaches. There have also been case reports of sym...[Read More] Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Understanding Long-Term Negative Emotions and Thoughts of Death
Prolonged negative emotions and thoughts of death? Hello, Doctor: As the title suggests, I actually don't know how to explain my situation. I feel that many aspects of my past, including my family, have contributed to my current state, but I often struggle to articulate it. ...
Dr. Wu Enliang Reply:
Hello, Ziyin: After reading your difficult life story, I can see that you are truly exhausted. I am also concerned that long-term stress may have led to physical and mental fatigue, possibly resulting in depression. Mental health issues require appropriate treatment, so I suggest...[Read More] Understanding Long-Term Negative Emotions and Thoughts of Death
Overcoming Mental Stress: A Journey from Isolation to Healing
Psychological stress I am 26 years old. Last August, I interned as a part-time worker at 7-11, but my boss recently said that there are too many part-time workers and asked me to find another job. My parents keep asking why I need to find work again, constantly reminding me that ...
Dr. Lin Mianzhang Reply:
Hello, Yaya: It seems that you are facing quite a few challenges at work, and the psychological stress is really significant. It’s tough to bear so much pressure alone, especially without a channel to express your feelings. Considering seeing a psychologist is a very positive ste...[Read More] Overcoming Mental Stress: A Journey from Isolation to Healing
How to Encourage a Friend Showing Signs of Depression to Seek Help
How to encourage a friend who may be suffering from depression to seek medical help? Hello, a colleague and friend of mine started exhibiting significant behavioral changes about four months ago. He was originally humorous and considerate, but suddenly became tense all day, irrit...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. According to what you mentioned, your friend seems to be struggling with mental health issues, but it is unclear whether she is experiencing depression. Currently, she is feeling down and under a lot of stress. The Ministry of Health and W...[Read More] How to Encourage a Friend Showing Signs of Depression to Seek Help
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives