Understanding Derealization: Managing Symptoms and Treatment Challenges
Derealization refers to a dissociative symptom where an individual experiences a sense of Hello, doctor. I would like to ask about my derealization. How can I prevent it from worsening? Additionally, why is derealization not a primary focus of research? There is still no treatmen...
Dr. Wu Menghuan Reply:
Hello! Derealization refers to the experience of feeling unreal or detached from one's surroundings and is currently classified as a dissociative symptom. Individuals with Depersonalization/Derealization Disorder experience persistent or recurrent episodes of depersonalizati...[Read More] Understanding Derealization: Managing Symptoms and Treatment Challenges
Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Can social anxiety disorder co-occur with autism spectrum disorder? Hello, doctor! I am a 23-year-old individual diagnosed with moderate autism (diagnostic code: F84.0) who has verbal communication skills and emotional issues that need to be addressed. I exhibit aggressive behavi...
Dr. Wu Menghuan Reply:
Hello, Q1: Can social anxiety disorder co-occur with autism spectrum disorder? A1: "Social anxiety disorder" has been renamed from "social phobia" in the DSM-5. There are significant differences in essence between "social anxiety disorder" and &qu...[Read More] Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Overcoming Trauma: A Journey Through Mental Health and Revenge
Recent living conditions? Hello, doctor. I'm not looking for comfort. I have previously described a lot on this website's psychiatry Q&A. I have a mental illness, specifically schizophrenia, and I possess a disability certificate. Since childhood, due to my personal...
Dr. Wu Enliang Reply:
Friends, keep pushing forward on the journey of life! Dr. Wu Enliang[Read More] Overcoming Trauma: A Journey Through Mental Health and Revenge
Understanding My Mental Health Struggles: A Journey Through Trauma
Regarding my mental health status? On July 7, 2019, I was assaulted by my boss (when I was 16 and 17 years old). On April 11, 2020, I experienced domestic violence and was scammed. From July 7, 2019, to April 11, 2020, I lived in a haze, enduring a six-month nightmare (mostly rel...
Dr. Wu Enliang Reply:
It is highly recommended by netizens to seek medical attention, as it may be post-traumatic stress disorder (PTSD). Dr. Wu Enliang.[Read More] Understanding My Mental Health Struggles: A Journey Through Trauma
Understanding Bullying and Its Impact on Mental Health: A Personal Journey
Bullying and Post-Traumatic Stress Disorder (PTSD) When I was in seventh grade, I experienced bullying and verbal harassment from my classmates, which made me feel isolated. No matter what I did, I was always alone. I often made uncomfortable excuses to skip school to avoid going...
Dr. Dai Wanxiang Reply:
Hello Student Y: Based on your description, it seems that your experience of being bullied has significantly impacted your emotions and daily life. You may be exhibiting symptoms consistent with post-traumatic stress disorder (PTSD), such as re-experiencing past trauma, avoidance...[Read More] Understanding Bullying and Its Impact on Mental Health: A Personal Journey
Understanding the Differences Between OCD and Anxiety Disorders
Is obsessive-compulsive disorder the same as anxiety disorder? I was previously diagnosed with anxiety disorder by a doctor. However, when I consulted another doctor and explained my issues, he said it was obsessive-compulsive disorder (OCD). Could you please explain the differen...
Dr. Lin Mianzhang Reply:
Hello Mr. Chiu: In a broad sense, anxiety disorders include obsessive-compulsive disorder (OCD); however, in more recent classifications, OCD is no longer categorized under anxiety disorders due to its uniqueness. Nevertheless, patients with OCD often also have comorbid anxiety d...[Read More] Understanding the Differences Between OCD and Anxiety Disorders
Understanding ICU Syndrome: The Psychological Impact of Critical Care
ICU syndrome Hello Dr. Liao, at the end of last year, I underwent major surgery and experienced significant blood loss during the procedure, which led to my transfer to the ICU for monitoring. During that time, I developed DIC, resulting in hypovolemic shock and necessitating a s...
Dr. Liao Dinglie Reply:
Hello, dear netizen: Your heart must be wounded. From your description, one can sense the harrowing experience of surgery and the intensive care unit, where you were in a tug-of-war with death. Such profound pain and helplessness are deeply felt. Sometimes, these intense feelings...[Read More] Understanding ICU Syndrome: The Psychological Impact of Critical Care
Exploring Techniques to Erase Negative Memories: Current Advances and Treatments
Negative memories Hello, I would like to inquire about issues related to eliminating negative memories. A few years ago, I managed to overcome depression through sheer willpower, and I found new motivation to live, with no problems in work, family, or social interactions. However...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing symptoms of depression. If it has significantly impacted your daily life, I recommend seeking evaluation from a psychiatrist. When a person begins to feel depressed, negative thoughts can easily arise, and these negative thoughts can f...[Read More] Exploring Techniques to Erase Negative Memories: Current Advances and Treatments
Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Drug withdrawal, recent relapse? Hello Doctor: I have been taking medication for panic disorder and chronic post-traumatic stress disorder for 9 months (but I started to taper off the medication on my own in July of this year). As per usual, I was taking one "Luvox" aft...
Dr. Wu Enliang Reply:
Hello, online user: May I ask if, based on my situation, I still need to return to the original hospital for treatment? A: It is recommended that you seek treatment at a mental health facility, but it does not necessarily have to be the original hospital. Will the treatment need ...[Read More] Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Overcoming Psychological Trauma: Healing Your Mind and Emotions
Psychological trauma Hello Dr. Tsai, I have been troubled by the emotional scars from past psychological trauma, which continue to affect my current emotions and thoughts. This has severely impacted my daily life and routines. How can I prevent past injuries from binding my heart...
Dr. Cai Qijin Reply:
Hello, psychological trauma can severely impact daily life. It is important to assess whether the criteria for "Post-Traumatic Stress Disorder (PTSD) or Acute Stress Disorder" are met. Sometimes the symptoms can be quite distressing and cannot be overcome by willpower a...[Read More] Overcoming Psychological Trauma: Healing Your Mind and Emotions
Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?
Am I experiencing anxiety, Munchausen syndrome, or another condition? Or am I just normal? I have a very stubborn and extreme personality, and I struggle with reading social cues; I tend to speak very directly. I was severely reprimanded by a teacher for two years, and later, fol...
Dr. Wu Enliang Reply:
Hello: It's not Munchausen syndrome, but there are indeed issues with anxiety and depression. It seems to have significantly affected your life. Just as you would see a doctor for a physical fever, it's important to address emotional distress as well! I recommend discus...[Read More] Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?
Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Will long-term use of sleeping pills lead to dementia? Hello Doctor, I previously sought medical attention for my insomnia. After taking Stilnox, my insomnia has improved, but I am very concerned about the long-term use and whether it could lead to dementia. I would like to consu...
Dr. Lin Mianzhang Reply:
Hello, Wen: Because you are relatively young, if you are experiencing insomnia at such a young age, it is important to consider whether there are any underlying conditions, such as depression, anxiety, or post-traumatic stress disorder. If any of these are present, they should be...[Read More] Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest
Severe sleep disorders Hello, doctor. During high school, I went to a sleep center for an evaluation and was diagnosed with mild hypersomnia. At that time, the doctor couldn't prescribe medication and advised me to improve my lifestyle through self-discipline. However, sever...
Dr. Lin Mianzhang Reply:
Hello Su: It sounds like your sleep situation is quite severe, and I'm really sorry to hear that! I'm not sure if the doctor mentioned the cause of your excessive daytime sleepiness during your sleep study. There are many factors that can affect sleep. For example, in t...[Read More] Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding PTSD: Managing Anxiety and Finding the Right Therapist
Post-Traumatic Stress Disorder (PTSD) Due to trauma-related stress from an incident in May, the doctor has informed me that I am experiencing generalized anxiety and autonomic dysregulation. Currently, I feel panic and anxiety for 1-2 hours when confronted with certain specific s...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Will nausea or dizziness improve on its own after a while? A: If the nausea or dizziness is caused by anxiety-related psychosomatic symptoms, it will improve as the anxiety decreases. 2. I need to switch to a new psychiatrist; should I also see a therapist?...[Read More] Understanding PTSD: Managing Anxiety and Finding the Right Therapist
Breaking the Cycle of Anger: Finding Peace After Trauma
If I don't change now, I will forever live in suffering? Hello, doctor. Since I had conflicts with others in the past, they have started to cause me trouble. The reason is that they were in the wrong first, and I shouldn't have retaliated in that way, which led to a cyc...
Dr. Liang Sunyuan Reply:
Hello Amin: Based on your description, you have gone through a lot of hardships and have made significant efforts, as well as developed some coping strategies. You mentioned that medication is effective for you, but you tend to lose control when not taking it. I recommend that yo...[Read More] Breaking the Cycle of Anger: Finding Peace After Trauma