Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Soliloquy I have been asking this question for a long time. My diagnosis is unrelated to my self-talk; I enjoy speaking to myself and listening to my own voice, or I might privately discuss what I want to say to others. This could be the reason why I rarely engage in conversation...
Dr. Ding Shuyan Reply:
Hello, as you mentioned, you have been asking this question for a long time. Perhaps you can revisit the previous responses from your physician to see if they are still helpful. It seems that this issue is not very serious, and you have already adapted to its presence. Instead of...[Read More] Understanding Self-Talk: Insights and Guidance for Mental Health Concerns
Understanding Compulsive Behaviors: Coping with Anxiety and Doubt
Compulsive conditions Recently, I've noticed that I have been checking whether electrical appliances are turned off. When I return home, I find myself wondering if I turned off the air conditioner. After work, I check if the fan is off, even though I know it should be. I oft...
Dr. Ding Shuyan Reply:
Hello everyone, many of us may experience this situation to varying degrees, which purely depends on the intensity of obsessive thinking and the frequency of repetitive behaviors. I recommend that you see a doctor, as these issues seem to significantly impact your life, and overc...[Read More] Understanding Compulsive Behaviors: Coping with Anxiety and Doubt
Understanding Schizophrenia: Cognitive Decline and Treatment Challenges
Schizophrenia I have been taking Risperidone 2mg for two years and ten months. Initially, I was concerned about others' attention, and I had delusions without hallucinations. However, during the medication process, I gradually experienced a decline in judgment, emotional fla...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on your description, I can sense your discomfort and concern. There are several aspects of your symptoms and changes that need to be considered. Your worry about "cognitive decline leading to ignorance akin to that of a newb...[Read More] Understanding Schizophrenia: Cognitive Decline and Treatment Challenges
Am I Really the Problem? Understanding Feelings of Isolation and Depression
Am I really having serious issues? About two to three months ago, something happened (related to a friend's betrayal) that made me very sad and often negative. Initially, I shared my thoughts with them, but after about a week, I stopped. I couldn't eat and even had thou...
Dr. Liu Runqian Reply:
Depression not only affects emotional well-being but also impacts physical functioning and cognitive processes. For example, symptoms may include insomnia, hypersomnia, decreased appetite, fatigue, difficulty concentrating, feelings of worthlessness, helplessness, hopelessness, a...[Read More] Am I Really the Problem? Understanding Feelings of Isolation and Depression
Caring for Elderly Relatives: Signs of Dementia and Seeking Help
Elderly family members showing signs of dementia? Recently, the elder in our home has been frequently forgetting things, often forgetting which bus numbers to take. They tend to ask the same question multiple times within a short span of an hour. We encourage them to seek medical...
Dr. Guo Jialun Reply:
As we age, it is indeed common to experience a decline in learning ability and memory comprehension compared to our younger years. However, if this decline severely impacts daily functioning, such as forgetting familiar bus routes from many years ago or repeatedly asking the same...[Read More] Caring for Elderly Relatives: Signs of Dementia and Seeking Help
Understanding Schizophrenia: Treatment Challenges and Options for Families
Schizophrenia A family member has been diagnosed with schizophrenia and has been undergoing treatment for over six months. The medications have been changed frequently, and the dosage has increased. Currently, they are taking 30 mg of Aripiprazole, 20 mg of Ziprasidone, and one t...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the medication information you provided, the dosage your family member is taking is indeed high. It is occasionally observed in clinical practice that patients may have a poor response to medication treatment, leading to gradu...[Read More] Understanding Schizophrenia: Treatment Challenges and Options for Families
Understanding Unexplained Crying: Signs of Emotional Distress and Depression
Crying for no apparent reason? I have been feeling emotionally unstable lately and have been crying a lot. I initially thought it was just premenstrual syndrome, but after my period ended, I found myself crying uncontrollably. I feel like I can't enjoy food, and I want to cr...
Dr. Tang Jiahong Reply:
Hello. It sounds like this situation is making you feel quite uncomfortable. If "frequent crying" is affecting your daily life or work, we recommend seeking medical attention to clarify whether there are any underlying mental or physical conditions. Please note that men...[Read More] Understanding Unexplained Crying: Signs of Emotional Distress and Depression
Overcoming OCD: Dealing with the Fear of Broken Promises
Obsessive-Compulsive Disorder (OCD) Vows I once made a vow to the universe but didn't follow through, and now I'm very worried that the vow might come true. What should I do? I'm extremely anxious.
Dr. Ding Shuyan Reply:
Hello, whenever you think about that matter, you can make more positive affirmations that you can definitely achieve. For example: smile at others, encourage yourself that you are a good person, praise the strengths of others, if you encounter a beggar, give him a dollar, pray fo...[Read More] Overcoming OCD: Dealing with the Fear of Broken Promises
Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Concern about children's mental health and attention? It seems like I am experiencing some cognitive disturbances, especially when I close my eyes to sleep. I sometimes hear words like "ninja," "eating," or "company," but they don't seem to...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I can sense your discomfort and distress from your message. I strongly recommend that you discuss and evaluate your situation with a psychiatrist as soon as possible. Whether you choose a large hospital or a clinic should not make much...[Read More] Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Overcoming Workplace Anxiety: A Journey from Fear to Confidence
Fear of going to work? The story begins in elementary school. In the first semester of first grade, I really enjoyed going to school and found it fun and exciting. At that time, I had no obstacles and was even able to go on stage to receive awards. However, in the second semester...
Dr. Dai Wanxiang Reply:
Hello, based on your description, it seems that you are troubled by significant anxiety symptoms. There are many potential causes for anxiety, which may relate to inherent temperament, past upbringing experiences, life history, and life stressors. With the assistance of medicatio...[Read More] Overcoming Workplace Anxiety: A Journey from Fear to Confidence
Understanding Persistent Unhappiness: How to Cope with Emotional Fatigue
Feeling down or depressed? I have been feeling fatigued lately without knowing why. Although I have not been truly happy for over ten years, it hasn't significantly affected my daily life or work; I just feel a sense of heaviness. Sometimes, I naturally find myself without a...
Dr. Liang Sunyuan Reply:
Hello: I suggest that you fully accept yourself; being honest and true to yourself is the most comfortable and effortless way to live. At this moment, it's perfectly fine not to smile or feel happy; that is also a personal freedom, as long as it doesn't harm yourself or...[Read More] Understanding Persistent Unhappiness: How to Cope with Emotional Fatigue
Understanding Weight Gain and Medication Side Effects in Psychiatry
Adverse drug reactions, pharmacotherapy, psychiatric medications? Dr. Liang: Hello, I apologize for bothering you during your busy schedule. I am a patient with trichotillomania for over a decade. I would like to ask about my recent medication change, which has led to a significa...
Dr. Liang Sunyuan Reply:
Hello Norma: Currently, taking these three medications should not cause weight gain. Weight management is recommended to focus on diet and exercise. If there are issues with the medication, it is advisable to discuss them with your physician during your follow-up visit. If you ne...[Read More] Understanding Weight Gain and Medication Side Effects in Psychiatry
Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide
Fear of physical contact with others and anxiety during medical visits? Hello, Doctor. I have two concerns I would like to consult you about. The first issue is that I have a strong aversion to physical contact with others or being touched by them. For example, in public places, ...
Dr. Ding Shuyan Reply:
Hello, first of all, I want you to know that almost no one is completely free from psychological distress. The fact that we cannot accept, or even reject, certain aspects of our personality or particular habits is often the source of our greater suffering. So, try not to feel str...[Read More] Overcoming Fear of Touch and Anxiety During Medical Visits: A Guide
Managing Emotional Responses: Coping with Sadness and Empathy
Crying together? Embracing? I used to empathize with others' sadness when I heard about their sorrow, but I wouldn't cry. However, as I've gotten older, I've noticed that my eyes get red, and now I actually shed tears. It's troubling because watching TV, ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your message. Based on your description of emotions, particularly regarding sadness and tearfulness, it may be important to consider your personal emotional state, sleep patterns, appetite, weight, and overall lifestyle to assess the possibility of ...[Read More] Managing Emotional Responses: Coping with Sadness and Empathy
Overcoming Anxiety from Carelessness: Seeking Help for Mental Health
Feeling anxious due to my own carelessness? I have recently been troubled by anxiety again (I have been diagnosed in the past). I tend to be somewhat scatterbrained, forgetful, and careless. I often leave my keys in the door and forget to take them out (later, my family asked me ...
Dr. Liu Runqian Reply:
Memory varies from person to person, and at your age, it is unlikely that you are experiencing issues such as dementia. If you are having trouble with your memory, you can start by using other supportive tools (such as sticky notes, notebooks, or mobile calendars) to assist you. ...[Read More] Overcoming Anxiety from Carelessness: Seeking Help for Mental Health
Struggling with Focus: Tips for High School Students to Improve Attention
Inability to concentrate? Hello Doctor, I am currently a sophomore in high school. Since middle school, I have often found myself daydreaming about unrealistic things, which makes it difficult for me to concentrate. This happens when I'm trying to sleep, doing homework, or e...
Dr. Liang Sunyuan Reply:
Hello: Factors affecting attention include one's own attentional capacity, interest in the subject, familiarity with the topic, personal motivation, emotional state, and physical condition, among others. When distracted, it is advisable not to feel frustrated; simply acknowl...[Read More] Struggling with Focus: Tips for High School Students to Improve Attention
Overcoming Fear of Crowds: A Journey Towards Employment and Mental Wellness
Fear of facing crowds? I haven't worked for many years and currently rely on my family for financial support, which makes me feel like a "parasite." Recently, I tried looking for jobs on the 1111 Job Bank website and applied to one company. However, I started to re...
Dr. Liu Runqian Reply:
If the reason for being unable to work is due to fear of facing crowds, it may resemble social anxiety disorder, anxiety disorder, or depression. Since you have not provided detailed descriptions of your symptoms, it is currently difficult to determine the exact cause of your ina...[Read More] Overcoming Fear of Crowds: A Journey Towards Employment and Mental Wellness
Is It PMS or Depression? Understanding Emotional Distress in Women
Is it premenstrual syndrome or depression? Hello, Dr. Liang. My girlfriend and I are both 25 years old and have been in the workforce for about a year. Over this past year, she has intermittently exhibited symptoms similar to depression, such as sudden, uncontrollable feelings of...
Dr. Liang Sunyuan Reply:
Hello: Typical premenstrual dysphoria begins with mood disturbances about a week before menstruation, with mood improvement occurring once menstruation starts. Depression, on the other hand, is characterized by a persistent state of sadness, where mood remains depressed even afte...[Read More] Is It PMS or Depression? Understanding Emotional Distress in Women
Understanding Unspecified Emotional Disorders: Impact on Future Opportunities
Unspecified Affective Disorder Hello, Doctor: I would like to ask about my situation. I am in the second year of high school and have often been teased by my classmates. Due to academic pressure, I frequently feel down. One time, after being teased in class, I couldn't help ...
Dr. Liang Sunyuan Reply:
Hello: The diagnosis at that time can only reflect the condition at that moment. What is important is your current state. As long as you are indeed mentally and physically healthy now, there should not be a diagnosis of mental illness after evaluation. I believe if you are perfor...[Read More] Understanding Unspecified Emotional Disorders: Impact on Future Opportunities
Understanding Excessive Sleepiness in High School Students: Causes and Solutions
Easily feeling sleepy? Since starting high school this year, I've become very prone to feeling sleepy. If I don't take a nap at noon, I feel sluggish in the afternoon. Sometimes, I suddenly feel very down. Most of the time, I do take a nap at noon, and I also tend to sl...
Dr. Zhong Mingxun Reply:
Everyone has different sleep needs, so the duration of sleep is not as important as whether you feel alert during the day. If your daytime energy and mental state are not affected, there should not be a significant issue. You can wait until you experience any impact before seekin...[Read More] Understanding Excessive Sleepiness in High School Students: Causes and Solutions