Others, Psychiatry FAQ

Guidance for Seniors Facing Unexplained Symptoms and Treatment Challenges

Symptoms indicating that elderly individuals are uncertain about the direction of their medical care? Hello Dr. Hsiao, I have a 69-year-old female patient who lives alone. She has a history of lupus erythematosus for seven to eight years and cardiovascular calcification for one...

Dr. Xiao Minghong Reply:
Hello, This elderly female currently has primary issues with abnormal skin sensations and insomnia. However, due to the extensive areas affected, it may be prudent to first consider diseases that present with multiple symptoms and involve various regions, such as systemic lupus...

Overcoming Self-Doubt: Finding Confidence Amidst Depression

Depressive mood..? I have always lacked self-confidence, and I can even say that I feel inferior. I am very afraid of being disliked or criticized by others. I admit that I care too much about what others think. When I see people whispering, I feel like they are talking bad about...

Dr. Liang Sunyuan Reply:
Hello: The expression of confidence is related to one's self-perception and inner sense of security. When alone, if one can affirm oneself, treat oneself kindly, and enjoy one's own company, it becomes easier to not overly concern oneself with others' evaluations, ...

Understanding Mental Health: Coping with Persistent Negative Thoughts

Symptoms of mental illness? Hello, doctor. I believe that my upbringing and environment are not problematic, but I have had thoughts of wanting to disappear from this world since childhood (around kindergarten). I think my disappearance could make my family and friends happier, b...

Dr. Qiu Junda Reply:
Hello: It seems that you have been troubled by negative emotions for a long time. If it's inconvenient to seek counseling at school, you can reach out to the Zhang Teachers' Mailbox (phone) in various locations. You don't have to meet in person, and they will be ha...

Understanding Performance Anxiety: A Guide for Counseling Professionals

Performance anxiety Is this a manifestation of anxiety? As a full-time counselor, I often feel an emptiness inside and fear that I am becoming less capable. This feeling seems to affect my ability to connect with children during sessions, as if I don't understand how to conc...

Dr. Ding Shuyan Reply:
Hello, it's nice to connect online, although we haven't met in person, and it's challenging to make a comprehensive judgment based on the limited personal information you provided. I would like to share my personal views based on my limited understanding. Firstly...

Exploring Medication and Meditation for Severe Depression: A Personal Journey

Medication issues, meditation, major depressive disorder? I am currently 21 years old. Three years ago, I fell ill and endured two months of suffering with my family. Fortunately, my father took me to see a doctor, and I have been accompanied by Smilon for three years. On August ...

Dr. Zhong Mingxun Reply:
Simpatic M (Sibutramine) 50 mg is a medication that reduces dopamine levels. Regarding any questions about the medication, I recommend discussing them with your prescribing physician, as my suggestions may not be suitable for your specific condition. However, your dreams may refl...

Understanding Attraction: Heterosexual Desires for Same-Sex Bodies

Heterosexual individuals who are attracted to the bodies of the same sex? Hello Doctor, From the past until now, I have always been attracted to men. However, I recently discovered that I am actually more interested in women's bodies, even experiencing sexual urges. Upon e...

Dr. Zhong Mingxun Reply:
Your issue is quite complex, and it's difficult to address your question based solely on your description. Regarding sexual matters, some are primary, while others are secondary; in other words, some are congenital, and some are influenced by events that occur later. It requ...

Coping with a Family Member's Mental Health Issues: Seeking Help and Support

A family member has a mental illness? My brother often takes out his anger on our parents. When he was younger, he experienced physical punishment from them, but that was only during elementary and middle school. He has held onto those memories and remains unfriendly towards them...

Dr. Zhan Jiaxiang Reply:
Hello, Xi: Regarding the concerns you mentioned, it would be advisable to encourage your brother to seek an evaluation at a nearby psychiatric clinic or mental health facility. There are many potential causes for poor mental health or emotional instability, and a clearer understa...

Addressing Medication and Diagnosis Concerns in Psychiatry

Examination and medication issues? Due to a few questions being lost in the system, I would like to ask again regarding my diagnosis. The family medicine doctor diagnosed me with autonomic nervous system dysfunction based solely on judgment and prescribed Lexapro and Lysteda. I h...

Dr. Liang Sunyuan Reply:
Hello: Your condition is more suitable for an in-person consultation with a physician. If you still have concerns, it is recommended to visit a psychiatrist or a mental health specialist for a face-to-face discussion. In-person evaluations and examinations are generally more accu...

Constantly Imagining Others' Sexual Actions: Should I Seek Help?

Constantly imagining the sexual actions of others? This issue has troubled me for several years, and I haven't dared to ask anyone about it. I don't know what to do! Am I sick? When I'm walking down the street, I inexplicably have sexual fantasies about strangers, ...

Dr. Ding Shuyan Reply:
Hello, our minds often generate thoughts spontaneously. This is a characteristic of the mind; it doesn't only activate when we consciously try to think, but rather, the brain operates in the background at all times and will produce thoughts during idle moments. It's nor...

Overcoming Fear and Insecurity: A Guide for High School Students

Worry. Fear? Hello, doctor! I am a high school sophomore, and I often feel that I am not as good as others. I tend to think negatively (though sometimes I can think positively) and lack self-confidence, often hesitating and feeling dazed. My reactions are slow, and when I encount...

Dr. Liang Sunyuan Reply:
Hello Anny: Everyone has different personality traits, strengths, and interests. Just because someone is different from others doesn't mean they are inferior. In today's social culture, the acceptance of individuals with diverse traits is increasing. Confidence must be ...

Understanding and Addressing Emotional and Social Challenges in Young Children

Childhood Autism/Emotional Dysregulation Disorder Hello, here is the current situation of my child (2 years and 9 months old girl), and I would like to ask how to address these issues. Thank you! 1. She is reluctant to speak to strangers when we go out (this behavior became not...

Dr. Song Chengxian Reply:
Hello, Xiangxiang's mom: After the age of two, if your child has become withdrawn and unresponsive to others, could this be related to parental separation, changes in family dynamics, or alterations in the home environment? If there are further regressions in other functions...

Understanding Emotional Detachment and Harmful Impulses: Seeking Help

I feel that my personality is not very good? Hello, Doctor : D Well... I'm not quite sure which doctor to ask. After seeing your specialties in dream analysis and psychotherapy, I decided to reach out. How should I put this? I am basically an optimistic person and have no is...

Dr. Zhong Mingxun Reply:
Your issue is a psychological concern rather than a disease. In fact, everyone experiences emotional distress and may have impulses to act in certain ways, but reason helps us to control those impulses. Changing one's nature is difficult and requires a long-term commitment. ...

Can Women with Schizophrenia Safely Stop Medication During Pregnancy?

Can a person with schizophrenia stop medication during pregnancy? Hello doctor, I am 24 years old and have been diagnosed with this condition during my youth. I have a few questions I would like to ask you: 1. Initially, I experienced auditory hallucinations for about 3 to 6 mo...

Dr. Liu Runqian Reply:
If schizophrenia (formerly known as schizophrenia) is diagnosed and symptoms reappear after stopping medication, it is generally recommended to maintain long-term management. If pregnancy is a consideration and may affect the fetus, in addition to discontinuing medication, medica...

Navigating Family Conflicts: Mental Health Perspectives and Solutions

Family disputes Hello Doctor: 1. My dad says that I have become a natural liar, but everything I say is the truth. What should I do? 2. My mom is slandering me, and it's very serious. For example, last Sunday, I was playing on the computer from 10 AM to 2:30 PM, but my mom s...

Dr. Zhong Mingxun Reply:
Xiao Wei: I don't know if you trust your family, but try to believe in them. Share your feelings with them so they understand what you're going through; this will lead to better communication. Additionally, when you're misunderstood, try not to get angry too quickl...

Do I Have Other Mental Health Issues Besides Depression?

Do I have any other illnesses besides depression? Since I visited the doctor a few months ago at the age of 24, the medication prescribed has not been effective, and now I've been switched to a different medication. I find myself endlessly ruminating over minor issues, trapp...

Dr. Xiao Minghong Reply:
Dear Sir, Based on your description, it seems that you have been experiencing difficult times for the past ten years, and recently there appears to be a tendency for things to worsen. You no longer find joy in activities that once interested you, and you have many negative feeli...

Understanding Emotional Instability and Anger: When to Seek Help

Emotional instability and irritability? About three months ago, I started experiencing a lot of stress at home, but it wasn't due to academic pressure from my family. Just seeing my dad makes me feel extremely pressured and fearful. I find myself crying alone in my room ever...

Dr. Qiu Junda Reply:
Hello: Regardless of whether you are ill, it appears that you are experiencing some negative emotional behaviors that need urgent attention. It is advisable to consult or seek treatment at a nearby mental health facility to address these issues promptly. If visiting a medical fac...

Overcoming Childhood Bullying: Finding Hope and Healing in Adulthood

Some things to say? Dear Dr. Ding, I was bullied as a child, and after working hard to achieve good grades, I finally earned the top spot. However, my family doesn't believe me and thinks I'm just trying to scam them for pocket money. After entering the workforce, I fa...

Dr. Ding Shuyan Reply:
Hello, it sounds like you have had some unpleasant negative experiences throughout your life, mostly related to a lack of affirmation from others, and even instances of verbal or physical bullying. These experiences can leave shadows in our hearts and diminish our confidence. I o...

Understanding Honesty in Communication: Insights from Psychiatry

Honest personality? I have been working from home for a long time, and people often say that I am very honest. Sometimes I wonder how to communicate clearly with others. Isn't it better to be straightforward? Why does it seem like there is a need for ambiguity? Please respon...

Dr. Ding Shuyan Reply:
Hello, sometimes we cannot speak the truth because we fear hurting others or ourselves. If you feel that living in this world is fearless and that there is nothing to lose, then of course you can act freely! Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.

Understanding Anxiety Disorders: Overcoming Social Phobia and Panic Attacks

Anxiety Panic Disorder Hello, doctor. I believe I have social anxiety disorder, phobias, panic disorder, and obsessive-compulsive disorder. The following issues are my symptoms, which have led to me having no friends and being unemployed for over a year. I would appreciate your h...

Dr. Liang Sunyuan Reply:
Hello: Based on your description, you are experiencing a lot of anxiety and worry, which is indeed affecting your daily life. Medication, psychotherapy, and lifestyle changes can all help alleviate these symptoms. It is recommended to incorporate more activities that you enjoy or...

Overcoming OCD: A Personal Journey Through Anxiety and Intrusive Thoughts

Doctor, please help me with my obsessive-compulsive disorder (OCD) issue? I have read some posts here and looked at the questions raised by others and the doctors' responses. I found that I share many symptoms with them, such as feeling unable to pray when entering a temple ...

Dr. Liang Sunyuan Reply:
Hello: We cannot control what thoughts arise in our minds; we can only train ourselves to ignore those thoughts and redirect our attention to more meaningful and important people and things. Individuals with obsessive-compulsive disorder (OCD) often feel the need to repeat certai...

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