Managing Intrusive Thoughts in OCD: Effective Strategies for Relief
Questions related to Obsessive-Compulsive Disorder (OCD) Hello, Doctor. I started experiencing symptoms of obsessive-compulsive disorder (OCD) in my freshman year of college, including health anxiety, excessive cleaning, and intrusive thoughts (such as harming others and disturbi...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your health concerns, particularly with health anxiety and obsessive thinking. 1. Facing an uncertain future, obsessive-compulsive disorder (OCD) and anxiety disorders are c...[Read More] Managing Intrusive Thoughts in OCD: Effective Strategies for Relief
Can Varenicline Be Safely Used with Anxiety Medications?
Taking Varenicline for smoking cessation while also using anti-anxiety medication? Hello, I have been undergoing treatment in psychiatry for two years due to autonomic nervous system dysfunction and depression. Currently, I take 3 mg of Lurasidone and 25 mg of Venlafaxine every n...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both depression and autonomic nervous system dysregulation. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a ch...[Read More] Can Varenicline Be Safely Used with Anxiety Medications?
Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Sleep issues Hello, doctor. I have a question... I have always had difficulty falling asleep, often tossing and turning in bed for several hours without being able to sleep! Even when I finally manage to fall asleep, my sleep is very light, and I wake up at the slightest noise, m...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia, dizziness, and headaches. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires long-...[Read More] Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Could you please provide more details or specify your question? After developing panic disorder, I sometimes find myself constantly worrying, experiencing rapid heartbeats, and becoming easily anxious. I also fear being alone at home. I have been on serotonin medication for a yea...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to feelings of panic, fear, and tension. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires lon...[Read More] Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Anxiety Panic Disorder Recently, I have been experiencing difficulty breathing due to nasal congestion, and I have scheduled surgery for the end of the month. However, over the past few weeks, I have also been experiencing chest pain. I went to the hospital for an examination, an...
Dr. Wu Enliang Reply:
Hello, netizen: Psychosomatic disorders can cause various physical symptoms. It is advisable to seek medical attention at a mental health facility. Dr. Wu En-Liang.[Read More] Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Speech Disorders and Emotional Issues in Aging Mothers
Maternal speech disorders and emotional issues? Two years ago, my mother was perfectly fine in terms of verbal expression and emotional responses. She was a strong woman in her workplace, articulate and confident. However, after a major client of her company went bankrupt, she se...
Dr. Cai Yunlin Reply:
Hello, it seems that your mother has experienced significant stress, and there have been noticeable changes in her personality and verbal expression. It may be helpful to discuss this with her neurologist to see if a referral to a psychosomatic specialist or other assistance is a...[Read More] Understanding Speech Disorders and Emotional Issues in Aging Mothers
Understanding Memory Decline: When to Seek Psychiatric Help
Memory is becoming increasingly poor? I have been experiencing memory problems for quite some time, and it seems to have worsened recently. This week, as school starts, I am looking at my schedule but cannot remember whether the teacher for a particular class is male or female. M...
Dr. Wu Enliang Reply:
Hello, online user: It is true that some psychosomatic disorders may present such symptoms in their early stages. It is advisable to seek further evaluation at a mental health facility. Dr. Wu Enliang[Read More] Understanding Memory Decline: When to Seek Psychiatric Help
Understanding Memory Decline: When to Seek Psychiatric Help
Memory is becoming increasingly poor? I have been experiencing poor memory for quite some time, and it seems to have worsened recently. This week, as school starts, I look at my class schedule but cannot remember whether the teacher for a particular class is male or female. My mi...
Dr. Wu Enliang Reply:
Hello, netizen: It is true that some psychosomatic disorders may present with such symptoms in their early stages. It is advisable to seek further evaluation at a mental health facility. Dr. Wu Enliang[Read More] Understanding Memory Decline: When to Seek Psychiatric Help
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun Reply:
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
Should You See a Specialist for Depression? Understanding Your Options
Do I need to see a specialist for depression? Hello, Doctor: I have been repeatedly seeking treatment for symptoms similar to a cold for the past two years. However, my regular physician later discovered that my condition was not typical of a common cold and diagnosed me with aut...
Dr. Lin Mianzhang Reply:
Hello, Yun: Whether it is autonomic nervous system dysfunction or depression, a thorough evaluation by a physician is necessary to develop a treatment plan that addresses biological, psychological, and social aspects. If your family medicine doctor not only prescribes medication ...[Read More] Should You See a Specialist for Depression? Understanding Your Options
Should You See a Specialist for Depression? Understanding Your Options
Do I need to see a specialist for depression? Hello Doctor: I have been visiting the clinic repeatedly for two years due to symptoms similar to a cold. However, my regular physician later discovered that my condition was not typical of a common cold and diagnosed me with autonomi...
Dr. Lin Mianzhang Reply:
Hello, Yun: Whether it is autonomic nervous system dysfunction or depression, a thorough evaluation by a physician is necessary to develop a treatment plan that addresses biological, psychological, and social aspects. If your family medicine physician not only prescribes medicati...[Read More] Should You See a Specialist for Depression? Understanding Your Options
Understanding Autonomic Nervous System Disorders: A New Mom's Struggles
Is it autonomic nervous system dysfunction? Hello, I am a 28-year-old new mother, and my baby was born on New Year's Day this year. During my seventh month of pregnancy, I started experiencing severe headaches that often left me bedridden. At that time, a neurologist diagnos...
Dr. Huang Xiaoxian Reply:
Fang: Hello. The various physical symptoms you mentioned are indeed related to autonomic nervous system dysfunction. However, autonomic nervous system dysfunction is often just a manifestation, as many psychosomatic disorders and other medical conditions can cause similar symptom...[Read More] Understanding Autonomic Nervous System Disorders: A New Mom's Struggles
Understanding Emotional Eating: Coping with Breakup Aftermath
I don't think I have anorexia or depression? Hello Doctor: After the breakup, although I often cry and can't smile, I refuse to interact with others. I can hardly muster the energy to respond to those who care about me. Even when my family takes me out and forces me to ...
Dr. Cai Qijin Reply:
Hello: If the aftermath of a breakup lasts too long or significantly affects the body, it may lead to psychosomatic disorders and could potentially progress or combine with other mental illnesses. Seeking assistance from professionals can help reduce discomfort and shorten the ad...[Read More] Understanding Emotional Eating: Coping with Breakup Aftermath
Overcoming Anxiety and Self-Doubt: Finding Confidence in Decision-Making
I experience rapid mood swings and often find myself overthinking? Hello, since I was a child, I have always been a person who thinks a lot, and even as an adult, I find it easy to rely on my family. During the four years I lived in the university dormitory, I felt very confident...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort related to your emotional state. The symptoms of intrusive thoughts often accompany feelings of uncertainty and may even lead to obsessive thoughts. A classic ...[Read More] Overcoming Anxiety and Self-Doubt: Finding Confidence in Decision-Making
Understanding Obsessive Thoughts: A Case Study in Mental Health
Obsessive thinking? Hello Doctor: About nine months ago, I had diarrhea, and some of the stool accidentally got on my underwear, and a little bit on my outer pants as well. I only washed the underwear by hand, while the outer pants were accidentally thrown into the washing machin...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort. The depiction of obsessive-compulsive disorder (OCD) has been notably illustrated in the classic play "Macbeth," where Lady Macbeth is tormented by ...[Read More] Understanding Obsessive Thoughts: A Case Study in Mental Health
Navigating the Transition from Anorexia to Binge Eating: Medication Insights
Consultation for medication regarding anorexia and binge eating? I was diagnosed with anorexia six months ago and have been taking 75 mg of Sertraline (Zoloft) four times a day. Over the past two to three months, my weight has increased by 5 to 6 kilograms, but I have been experi...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your message. Based on your description, I can clearly sense the discomfort you are experiencing. Cases of anorexia often accompany obsessive thoughts about weight control and may also involve compulsive behaviors such as self-induced vomiting. Desc...[Read More] Navigating the Transition from Anorexia to Binge Eating: Medication Insights
Understanding Dizziness: Is Anxiety the Hidden Cause?
Regarding issues related to dizziness? Hello, doctor. For the past six months, I have been experiencing dizziness and lightheadedness, which become particularly pronounced after meals or when I am tired from lack of sleep. The symptoms are intermittent. I have visited several maj...
Dr. Wu Enliang Reply:
It is indeed possible that anxiety disorders can cause dizziness. Psychological conditions can affect physical health, which is known as psychosomatic disorders. Obsessive-compulsive disorder (OCD) is also a type of anxiety disorder. It is recommended to seek treatment at a nearb...[Read More] Understanding Dizziness: Is Anxiety the Hidden Cause?
Managing Medication and Symptoms in Mental Health: Key Questions Answered
Please consult regarding medication? Hello, doctor. Thank you for your previous response on https://adoctor.tw/article/106772 regarding the heart skipping a beat after every ten beats, which may indicate arrhythmia. The cardiologist said there was nothing to worry about, but I sh...
Dr. Wu Enliang Reply:
Hello, Xiao Bi: 1. Why is it that after experiencing autonomic nervous system dysfunction, I feel more dizzy and have chest tightness when using a computer or smartphone compared to before I got sick? Is it due to factors in the brain? The concept of psychosomatic disorders sugg...[Read More] Managing Medication and Symptoms in Mental Health: Key Questions Answered