Can Minors Seek Mental Health Care Alone? Understanding the Process
Consultation Issues Other Thank you for taking the time to answer my questions. I'm not sure if it's appropriate to ask here (but I really have no other way to inquire, and I don't mean to waste medical resources). Can a minor go to see a psychiatrist alone? Will t...
Dr. Liang Sunyuan Reply:
Hello, Zhou: Emotional symptoms are influenced by the family environment, so seeking treatment alone during adolescence may be less effective. It is recommended that parents accompany their children to appointments, as this allows professionals to assist in communication. Wishing...[Read More] Can Minors Seek Mental Health Care Alone? Understanding the Process
Understanding Misophonia: When Everyday Sounds Trigger Anger and Distress
Aversion or rage towards sounds? Hello, Doctor: I would like to ask you, if hearing certain sounds causes feelings of disgust or rage, does that indicate a personal emotional issue? I am very sensitive to noise and prefer quiet environments, whether in personal or public spaces. ...
Dr. Wang Zhenbang Reply:
Hello, based on the situation you described, it seems to be causing you some distress in your life. Regardless of whether it is phonophobia, you may want to ask yourself if you have any coping strategies for these situations. If you cannot find suitable ways to manage it, or if t...[Read More] Understanding Misophonia: When Everyday Sounds Trigger Anger and Distress
Obsessive-Compulsive Disorder: Navigating Thoughts of Life and Death
Obsessive-Compulsive Disorder (OCD), suicide or no suicide? Dear Doctor: I apologize for the interruption, and I appreciate your willingness to read the following content. I suffer from obsessive-compulsive disorder (OCD), primarily characterized not by frequent cleaning behavior...
Dr. Huang Xiaoxian Reply:
Dear Happy, First of all, thank you for your question, and I want to commend you for being willing to express your concerns! From what you’ve described, your obsessive symptoms are causing you significant distress, and you also have many worries related to interpersonal interac...[Read More] Obsessive-Compulsive Disorder: Navigating Thoughts of Life and Death
Understanding the Emotional Struggles of Solitude: Is It a Mental Disorder?
When a person experiences significant distress while being alone, it may be associated with conditions such as social anxiety disorder, depression, or avoidant personality disorder? I am currently taking antidepressants for anxiety disorder. As a university student, I have just s...
Dr. Huang Xiaoxian Reply:
Dear dandkoesi, thank you for your question. You mentioned that you are currently undergoing medication treatment for anxiety and that you often feel down and gloomy when alone. From a psychological perspective, most people desire to establish good relationships with others. I...[Read More] Understanding the Emotional Struggles of Solitude: Is It a Mental Disorder?
Am I Sick? Understanding Emotional Struggles and Self-Harm
Am I sick? I have been feeling very down for about a month now. Sometimes at night, I suddenly start crying for no apparent reason. When my mood gets worse, I engage in self-harming behaviors. My classmates discovered this and asked why I self-harmed. Honestly, I can't even ...
Dr. Wu Enliang Reply:
Hello, online friend: It does sound like it could be depression. I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95. If your score is above 10, it would be advisable to make good use of the sc...[Read More] Am I Sick? Understanding Emotional Struggles and Self-Harm
Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Involuntary tension and auditory hallucinations? Hello, doctor! I am currently retaking my university entrance exams. I have always excelled academically since childhood, which has made my parents proud, and I have a good relationship with my family. However, after entering a pre...
Dr. Huang Xiaoxian Reply:
Dear Bonnie, From your description, it sounds like you are experiencing a lot of stress and worries in your life. I'm sorry to hear that! If your family does not allow you to seek medical help, perhaps you can try reaching out to mental health centers in various counties fo...[Read More] Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Navigating Workplace Sensitivity: Tips for Introverts to Thrive
Fragile heart syndrome Because I am introverted and quiet, I often become the one who is left out in the office. I just want to do my job well, but it seems that my seriousness sets me apart from others. Perhaps my colleagues prefer a relaxed and enjoyable work environment where ...
Dr. Liang Sunyuan Reply:
Hello: Being serious and responsible is not a fault, and not being good at chatting is not a crime. It is advisable to maintain a friendly demeanor and accept the reality of being unable to let go. Occasionally, you can also view your inability to let go with a sense of humor. Ma...[Read More] Navigating Workplace Sensitivity: Tips for Introverts to Thrive
Should I See a Doctor for My Possible Depression and Insomnia?
A friend suggested that it might be depression. Should I see a doctor? Hello Doctor: I apologize for the lengthy question, as I want to make sure I explain everything clearly. Thank you for your help. I have been experiencing insomnia for about two years now. I often cry and have...
Dr. Liang Sunyuan Reply:
Hello: Persistent feelings of wanting to cry, low mood, and lack of motivation can indeed be symptoms of depression. During depressive episodes, physical pain may be amplified or recovery may take longer. Outside of work hours, it is advisable to schedule time for leisure activit...[Read More] Should I See a Doctor for My Possible Depression and Insomnia?
Understanding Intrusive Thoughts: Coping Strategies for Mental Clarity
Frequently ruminating on a particular thought or image? Hello, doctor! Recently, I often find that certain thoughts and images automatically come to my mind. Sometimes, I wake up in the morning and immediately think of them, and throughout the day, no matter what I'm doing, ...
Dr. Huang Xiaoxian Reply:
Dear Saku, thank you for your question. You mentioned that you find yourself involuntarily thinking about a certain issue. I believe this matter holds some significance for you. Generally speaking, it is reasonable to repeatedly think about things that are important to us. Howeve...[Read More] Understanding Intrusive Thoughts: Coping Strategies for Mental Clarity
Understanding Self-Talk: Emotional Release Without Hallucinations
No hallucinations? Having no hallucinations but still talking to oneself or mumbling can indicate that the individual is experiencing emotional release or venting through private verbal expression. This behavior may have become a habit, leading to infrequent conversations with ot...
Dr. Huang Xiaoxian Reply:
Hello Mr. A, regarding your inquiry and considering the information you previously provided, it seems that talking to oneself may be more like a habitual pattern you use to cope with problems. This behavior is often influenced by your mood and perspective on things. If you wish t...[Read More] Understanding Self-Talk: Emotional Release Without Hallucinations
Coping with Self-Talk: Overcoming Social Anxiety and Isolation
Schizophrenia How to cope with self-talk that is not caused by hallucinations? I tend to talk to myself in private but refrain from doing so in front of others due to fear of being judged. This has led to a reluctance to face crowds and, as a result, I rarely engage in conversati...
Dr. Huang Xiaoxian Reply:
Dear Mr. A, thank you for your question. You mentioned that you engage in conversations with yourself or your thoughts when you are alone, but it is not clearly auditory hallucinations. This behavior, similar to children talking to themselves, can also occur in adults and may not...[Read More] Coping with Self-Talk: Overcoming Social Anxiety and Isolation
Understanding Self-Talk and Perceptions in Mental Health
There are many questions? Question 1: Does talking to oneself indicate a problem with the brain's language function? Question 2: Sometimes my personality is perceived by others as eccentric, while I see myself as humorous and witty. However, others may find this exaggerate...
Dr. Wu Enliang Reply:
There are many reasons for talking to oneself, and it is not necessarily related to issues with brain language functions. If you constantly worry about others' opinions of you, life can become very difficult. As the English proverb goes: "To please everybody is to pleas...[Read More] Understanding Self-Talk and Perceptions in Mental Health
Overcoming Anxiety and Sleep Issues: Finding Comfort in Uncertainty
Difficulty falling asleep due to anxiety and fear? I feel like I have always lacked a sense of security since I was young, so I need to be in a comfortable state before I take action on anything. If I sense any danger or the possibility of something I dislike happening, I won...
Dr. Wang Zhenyang Reply:
Hello, Miss: It seems that you are experiencing anxiety, which is affecting your sleep, mood, and interpersonal relationships. I recommend that you consult a psychiatrist or a psychosomatic specialist. Medication, psychotherapy, or some relaxation training should be beneficial fo...[Read More] Overcoming Anxiety and Sleep Issues: Finding Comfort in Uncertainty
Finding the Right Mirtazapine Dosage for Anxiety and Depression
The dosage adjustment of mirtazapine? Hello, doctor. I have been taking mirtazapine 30mg for three months due to anxiety disorder. Although my condition has improved somewhat (for example, I used to constantly feel like I had bumped into someone and would go back to check, or I w...
Dr. Wu Enliang Reply:
Hello, netizen: If you are taking Mirtazapine and cannot tolerate the weight gain side effect, you may consider switching to another medication. Generally, long-term use of antidepressants does not lead to severe side effects. As for when to discontinue medication, it varies from...[Read More] Finding the Right Mirtazapine Dosage for Anxiety and Depression
Managing Sexual Desire and Social Isolation in Schizophrenia Patients
There are many questions? Question 1: How should a patient with schizophrenia manage their sexual desire, especially considering concerns about genetics and uncertainty in handling their sexual issues? Question 2: Since I often talk to myself in private, I am unsure how to inte...
Dr. Wu Enliang Reply:
Hello, internet user: Question 1: How should a patient with schizophrenia manage their sexual desire? Due to concerns about genetics, they are unsure how to handle their sexual urges. Sexual desire is similar to that of others and can generally be alleviated through distraction...[Read More] Managing Sexual Desire and Social Isolation in Schizophrenia Patients
Talking to Yourself: Understanding Its Impact on Mental Health
Soliloquy Should I wear a mask when going outside? Sometimes, I have been seen talking to myself while working, and my classmates have told the teacher that I often talk to myself alone. I know this is not caused by auditory hallucinations, so medication has been ineffective. Can...
Dr. Wu Enliang Reply:
Hello, netizen: Wearing a mask outdoors is sometimes necessary to avoid the discomfort of others' strange looks. Talking to oneself may also be a manifestation of anxiety or obsessive-compulsive symptoms, and it is not necessarily caused by auditory hallucinations. If the si...[Read More] Talking to Yourself: Understanding Its Impact on Mental Health
Managing Anger in a Single-Parent Household: Tips for Teens
Family issues Hello, doctor. I am a high school student from a single-parent family. At school, I am a cheerful person and treat others well, but when I return home, my emotions towards my family are not good. I easily get angry and impatient; if my family does not do things my w...
Dr. Liu Shikai Reply:
Hello Qian, Regarding what you mentioned about often taking out your anger on your family and feeling guilty about it, I suggest you first consider whether you are transferring the pressure from school or interpersonal relationships onto your family. Can you identify the source...[Read More] Managing Anger in a Single-Parent Household: Tips for Teens
How to Cope with Self-Talk and Others' Perceptions in the Workplace
Soliloquy Since middle school, my classmates have often thought I was crazy. Now, at work, I fear being seen talking to myself, but it's not auditory hallucinations. How should I face the judgment of others?
Dr. Wang Zhenyang Reply:
Hello, sir: If your self-talk has caused you difficulties in interpersonal relationships, it is recommended that you consult a psychiatrist or a psychosomatic specialist for assistance. Dr. Wang Zhen-Yang, Attending Physician and Director, Community Psychiatry Department, Taoyuan...[Read More] How to Cope with Self-Talk and Others' Perceptions in the Workplace
Understanding Self-Talk: When Talking to Yourself Becomes a Habit
Soliloquy Although the individual does not experience auditory hallucinations, they have developed a habit of talking to themselves and have become uncomfortable with conversing with others. This behavior has been present since childhood. What should a person who talks to themsel...
Dr. Wu Enliang Reply:
Hello, internet user: Talking to oneself is not inherently a disorder; the concern lies in how it affects others' perceptions of you. You can gradually practice shifting your self-talk to internal dialogue. If you find this challenging, it is advisable to seek behavioral the...[Read More] Understanding Self-Talk: When Talking to Yourself Becomes a Habit
Is It OCD? Understanding and Overcoming Obsessive Behaviors
Is it obsessive-compulsive disorder (OCD)? How can it be resolved? Two years ago, a family member was hospitalized, and due to their weakened immune system, we had to maintain a very clean environment. This made me more concerned about another family member's athlete's ...
Dr. Wang Zhenyang Reply:
Hello, Miss: Based on your description, it seems that your repetitive cleaning activities, which consume a lot of your time, are causing you significant distress, indicating that you may be experiencing obsessive-compulsive disorder (OCD). I recommend that you consult a psychiatr...[Read More] Is It OCD? Understanding and Overcoming Obsessive Behaviors