Self-harm, Psychiatry FAQ

Understanding Trauma and Its Long-Lasting Effects on Mental Health

Traumatic stress? For three consecutive weeks, on a certain day, I was sent to the counseling room by my homeroom teacher because a certain teacher was crying. After talking with the counselor that day, I realized that it seemed to be related to similar past experiences, which ha...

Dr. Ding Shuyan Reply:
Hello, it seems that the incident from two years ago may have caused you significant harm, and the aftereffects still linger in your heart. Of course, not every issue requires the help of a counselor or psychologist, especially since it seems you are not one to trouble others. Ho...

Understanding Stuttering: Navigating Communication Challenges and Emotional Struggles

Is it stuttering? I often struggle to express myself clearly, so I consulted Wikipedia and found that I exhibit almost all of the symptoms mentioned. These symptoms have persisted for a long time and seem to be getting worse. They not only affect my social life but also create si...

Dr. Ding Shuyan Reply:
Hello, generally speaking, if there are no acquired diseases, language expression abilities do not typically decline significantly after the teenage years. From your questions, it seems that your content is quite rich and understandable, so there's no need to worry too much ...

Understanding Depression and Social Anxiety Medication: A Student's Journey

Regarding medication for depression and social anxiety disorder? Hello Dr. Ding: I am a junior studying in Chiayi. Since high school, I have noticed that I feel anxious in crowded places, and I become even more nervous when giving presentations, experiencing palpitations. Sometim...

Dr. Ding Shuyan Reply:
Hello, I see the various difficulties you have encountered and the efforts you have made, and I feel both admiration and concern. The physical discomforts you mentioned may arise during the process of changing medications. The reasons could potentially be withdrawal symptoms from...

Understanding and Addressing Suspected Mental Health Issues in Family Members

Suspected mental health issues seeking resolution? Hello Doctor: I would like to ask you about my sister, who has been unemployed at home for a while. She experienced significant setbacks at her previous job and decided to pursue a public service career, but that hasn't gone...

Dr. Wang Chongren Reply:
Dear Mr. Xiaogang, Hello. Your letter mentioned that your sister is experiencing emotional and behavioral abnormalities due to the frustration of unemployment. It is indeed necessary to encourage her to seek medical attention to obtain a proper diagnosis and initiate active trea...

Coping with Stress: Supporting a Loved One with Mental Illness

High stress? I feel like I'm going crazy right now. I have suspected that I might have depression and have a history of self-harm, but now a family member has also developed a mental illness (they are receiving treatment, but their condition fluctuates). Their situation seem...

Dr. Ding Shuyan Reply:
Hello, when a family member is ill and you are also under stress, it can indeed feel overwhelming. Regarding medical matters, there is limited information available for discussion. My suggestion is to seek medical attention promptly and allow healthcare professionals to assist in...

Can I Donate Blood While Struggling with Mental Health Issues?

Can I donate blood? Doctor, I’ve been feeling really unwell lately. I often feel uncomfortable during the day and just want to sleep. My boss is putting a lot of emotional pressure on me, and I feel exhausted and distressed. I keep telling myself that I just need to hold on for a...

Dr. Lin Junyuan Reply:
For inquiries regarding blood donation regulations, it is recommended to consult local blood donation centers. Regardless of eligibility, we admire your willingness to help others!

Understanding Co-occurring Depression and OCD: A Student's Journey

Questions regarding the comorbidity of depression and obsessive-compulsive disorder (OCD)? Dear Dr. Ding, I am currently a junior in college. I have no prior history of mental illness or hospital visits. This semester, due to a heavier course load and a research assistant positi...

Dr. Ding Shuyan Reply:
Hello, I must commend your meticulous description of your psychological distress and the process of seeking medical help. I believe you have already asked your questions to your physician and counselor. However, as I mentioned in previous responses, if you are already seeing a do...

Coping with Grief: Seeking Help After Losing a Loved One

I'm sorry, but I need more context or specific information to provide an accurate translation or response. Please I'm really sorry to hear that you're feeling this way. It's very important that you talk to someone who can help you, such as a mental health prof...

Dr. Lin Junyuan Reply:
Hello, I am very sorry for your loss. Such a feeling of grief can indeed be very difficult to bear; however, we have confidence in you: you have made significant progress over the past year and do not see self-harm as the only way to cope with setbacks or difficulties. You are al...

Understanding Bipolar Disorder and Borderline Personality Disorder: Key Concerns and Treatment

Bipolar disorder with borderline personality disorder? I'm sorry to bother you again. I researched my condition online, which made me feel uncertain, but my doctor doesn't explain everything, making me more scared. I have been diagnosed with bipolar disorder and borderl...

Dr. Zhang Jiafen Reply:
Hello, from your letter, I can sense your enthusiasm for improving your emotional well-being. Although this feeling may sometimes increase your anxiety, I believe it is just a temporary transitional phase. You can view this feeling as a motivation for change, giving you the coura...

Struggling with Mental Health: Seeking Help for Emotional Turmoil

I'm about to go crazy? Doctor, I have been seeking medical care, but my doctor doesn't seem to appreciate me asking questions online, so I gathered the courage to ask you. Recently, my dog chewed up my shoes, and while I was searching for them, I yelled and cried. In my...

Dr. Zhang Jiafen Reply:
Hello: You mentioned that it seems like you have been taking medication for over a year without much help, but from your letter, I can see the progress you have made during this time. For example, your self-harm incidents should have decreased over the past year. Although there m...

Understanding Mental Health: Addressing Sleep Issues and Medication Concerns

Questions in the heart? Recently, my sleep quality has been very poor. The doctor prescribed me one tablet of Yinianan and one tablet of Subit, along with half a tablet of Meishuyu to take before bed. However, it often takes me nearly an hour to fall asleep, and I experience pre-...

Dr. Lin Junyuan Reply:
Hello, since you are a regular patient in our department, we recommend that you follow the previous advice and return for a consultation. The internet provides general health education information, but for individualized conditions and medications, if you have any urgent issues, ...

Why Isn't My Loved One Responding to Bipolar Disorder Medication?

Loss of therapeutic efficacy of the medication? The patient has been diagnosed with bipolar disorder and is experiencing hallucinations and delusions, leading to compulsive shopping and frequent self-talk. After one and a half months of medication, there was a brief improvement i...

Dr. Zhang Jiafen Reply:
Hello, actually, bipolar disorder can fluctuate due to many factors such as climate, sleep, physical discomfort, medication adherence, and psychosocial stress. Additionally, medications for mental health conditions typically require several weeks to months of consistent use to ac...

Understanding Personality Disorders and Schizophrenia: A Family's Struggle

Could you please clarify the difference between dissociative identity disorder and schizophrenia? Hello Dr. Huang, I have a sister who was involuntarily treated for mental illness at your hospital for over five years (court ruling, Zhang Shuhua). After being discharged before the...

Dr. Huang Yanying Reply:
Hello Mr. Chang, I am Dr. Chang. Since Dr. Huang has left our hospital, I will respond to your questions. It is common for patients with mental illness to be unwilling to seek medical treatment or hospitalization. You can encourage their close relatives to persuade them using lan...

Struggling with Anxiety and Impulsive Thoughts: Seeking Help

I feel very anxious and I also have a strong urge to harm others? When I'm at home alone, I often feel very anxious and have thoughts of wanting to harm myself. I'm particularly afraid of being alone at night when everything is dark. Recently, my mother-in-law has been ...

Dr. Lin Junyuan Reply:
Hello, since you already have an appointment, please take the time to discuss it during your visit. Thank you!

Are Psychiatric Medications Dangerous? Do I Need Therapy?

Is taking medication dangerous, and is psychological therapy necessary? I've been wondering about the dangers of the medication prescribed to me by my doctor. How much would be considered dangerous? I have asked my doctor, but they haven't given me a straightforward ans...

Dr. Lin Junyuan Reply:
Hello, regarding the dangers of medication, it includes two aspects: first, whether there are side effects at therapeutic doses, and second, whether there is a so-called toxic dose. When you mentioned "I have accumulated medication" and "how much medication is dang...

Understanding Sudden Emotional Distress in Teens: A Guide for Support

I suddenly feel like crying today? I am 15 years old and a male student preparing for the entrance exam. Recently, I have been experiencing several thoughts and feelings that have become quite intense. This feeling suddenly appeared, and after looking at some online depression sc...

Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Based on your description, you are currently experiencing a state of depression, which can be likened to a cold of the mind. Although it is troubling, it is treatable. For mild depression, you may try non-pharmacological treatments,...

Understanding the Psychological Struggles of Alternative Service Members

Alternative service-related psychoneurosis Hello, doctor. I previously served in the military, but I have a history of coping mechanisms stemming from a difficult childhood environment. During my service, a doctor in the southern region diagnosed me with panic disorder, depressio...

Dr. Song Chengxian Reply:
Dear Mr. Anonymous, First, I apologize for the delayed response, as I was abroad and unable to receive your inquiry. Regarding your long-standing method of self-harm as a way to cope with stress, it is indeed not a solution to the problem and has only led you to experience more ...

Struggling with Overthinking: A High School Student's Mental Health Journey

I am a high school student, and in order to do things well, I can't control my thoughts? Hello, doctor. I am seeking help online because I am afraid to discuss my issues with my family. I found this website and hope to receive a response from a physician. I also hope you can...

Dr. Huang Weiqin Reply:
Dear Inquirer, Hello! Based on your description, it seems that you may be experiencing some obsessive thoughts and symptoms of depression. Both psychiatric medications and psychotherapy can be utilized to help improve your condition. I encourage you to visit our hospital or anot...

Feeling Weary: Coping with Medication Fatigue and Mental Health Challenges

Feeling fatigued? I feel tired of taking medication. The doctor prescribed me a sleep aid, but I still lie awake for about twenty minutes before I can fall asleep. I get scared by loud noises, and I feel very weary of life. I often have thoughts of wanting to end my life, and I a...

Dr. Lin Junyuan Reply:
Hello MM, you have been struggling with negative thinking. Although it hasn't completely turned your life around, please believe that you do not need to be hospitalized. Keep pushing forward in outpatient care! Wishing you peace in the New Year!

Understanding Mild Depression: Signs, Symptoms, and Support Options

Mild depression Hello, Dr. Chang. I would like to ask about my mother, who has been suffering from depression and bipolar disorder for over 20 years. This has led her to have suicidal thoughts during difficult times. My siblings and I are feeling very distressed, and I may be exp...

Dr. Zhang Jiafen Reply:
Hello, it sounds like you are feeling quite down. It's normal for everyone to experience emotional ups and downs, including feelings of depression or anxiety. However, if your low mood persists for an extended period or begins to affect your daily life, it may be necessary t...

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