Self-harm, Psychiatry FAQ

Managing Stress: Effective Solutions for Mental Health Challenges

Stress issues Hello: I previously mentioned the issue of stress related to military service. I am still experiencing significant psychological pressure due to my service. I do not have any thoughts of self-harm, but the pressure alone makes my life filled with tension and anxiety...

Dr. Gao Jingling Reply:
Hello Xiao Chen: Dr. Gao is currently on parental leave and is unable to answer your questions. However, Dr. Gao will be available for outpatient services at our hospital on Monday afternoon. If you need this service or require Dr. Gao's assistance for consultation, we hope ...

Managing Medication Changes: Coping with Mental Health Challenges

Changes in medication? Doctor: I took my medication and felt drowsy and emotional, crying. I felt hot all over, with a temperature of 38.5°C and blood pressure at 83/62/94. I returned for a follow-up appointment on Saturday and slept for two hours. After taking my medication arou...

Dr. Lin Junyuan Reply:
Hello, online consultations may not provide immediate responses. This situation was mentioned in previous outpatient visits. We have confidence in your abilities, and with continuous outpatient follow-up, we believe you can gradually improve. Additionally, it is not recommended t...

How to Cope with Emotional Pain and Self-Harm: Seeking Help

I'm sorry, but I need more specific information to assist you. Please provide details about your situation or question? 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 healt...

Dr. Lin Junyuan Reply:
Hello, since you have started outpatient follow-up, it is understandable that years of conditions cannot be reversed immediately, but I believe gradual changes can be made. Additionally, I recommend that online consultations may not provide the immediacy needed; they can only off...

Overcoming Fear: Seeking Help for Mental Health Struggles

I don't know what to do? I'm very hesitant to go out for medical care. Recently, I was attacked online for trying to help others, and I've been crying for several days. I'm feeling very distressed, and I've even had thoughts of ending my life. However, I ...

Dr. Lin Junyuan Reply:
Hello, MM. We have the ability to help others, and of course, there are times when we need assistance from others as well. Your willingness to ask questions on this platform is the first step! You mentioned that you have visited for a consultation before; many patients find it ta...

Struggling with Mental Health: Seeking Help for Self-Harm and Anxiety

Hello, I don't know what to do? Hello doctor, I visited you over two years ago. After taking medication, I self-harmed, and my family decided to dispose of all my medication. As a result, I often feel very distressed. Initially, I experienced sleepwalking, and later I became...

Dr. Lin Junyuan Reply:
Hello MM, you mentioned, "I know there is something wrong, but I don't know what to do." Recognizing that there is a problem is the first step towards improving your situation! While I cannot remember all the cases I have seen, I am glad that you are willing to con...

How to Handle a Reluctant Bipolar Patient: Seeking Help for My Brother

My brother has bipolar disorder and is not cooperating with treatment. What should I do? Hello Dr. Wu, my brother has bipolar disorder and was discharged from Luton Hospital on July 9th. After his discharge, he started selectively taking medication, only the ones that help him sl...

Dr. Wu Peijun Reply:
Hello, based on the description of the situation, it seems that "involuntary hospitalization" is intended to send your brother back to the hospital. If that is the case, the principle for involuntary hospitalization requires a risk of harm to others or self-harm, and it...

How to Access Mental Health Care Without Insurance in Taiwan

If your health insurance has been suspended, how can you seek treatment at a psychiatric outpatient clinic? Hello, I have previously received treatment at Changhua Hospital. While I was in Taichung, I was forcibly hospitalized due to self-harm and drug overdose. After returning t...

Dr. Ding Shuyan Reply:
Hello, first of all, I want to encourage you for not giving up hope and for bringing your questions here! Your situation is indeed challenging, but I can still see that positive strength within you, working hard to live, which is truly precious and moving. In Taiwan, not having h...

Understanding Side Effects of Depression Medications in Teens

Regarding the side effects of medications for depression? My daughter is 16 years old and has been prescribed the following medications by a psychiatrist since March 30: (1) one 50 mg Lexapro after breakfast and dinner, and (2) 50 mg Seroquel at bedtime. She has been on these med...

Dr. Liang Sunyuan Reply:
Hello, Silvex may have drowsiness as a side effect. A dosage of 50 mg is not considered high, and there is a good chance that this side effect will be tolerated over time. Waking up in the middle of the night and having difficulty getting up in the morning may not solely be attri...

Understanding Your Mother's Paranoia: Signs of Mental Health Issues and Solutions

Could you please clarify which specific symptoms or conditions you are referring to in order to determine the type of mental health disorder? I'm sorry to hear about your mother's situation. Based on the symptoms you've described, it sounds like she may be experien...

Dr. Ding Shuyan Reply:
Hello, I believe your mother's condition is quite evident to most people, and seeking medical attention is the best course of action. Without treatment, it may be difficult for her to improve on her own, and over time, it could lead to significant distress for everyone invol...

Should You Seek Help for Lingering Emotional Trauma?

Should I see a doctor for lingering regrets from the past? My sister was diagnosed with schizophrenia two years ago, and our family has not had a moment of peace since then. Initially, my mother strongly opposed her taking psychiatric medication, believing it would make my sister...

Dr. Ding Shuyan Reply:
Hello, The content of your letter is indeed touching! The grievances and pain accumulated over the years undoubtedly surpass what words can describe. As a family member of someone with a mental illness, being under constant pressure and facing conflicts regarding how to care fo...

Supporting a Family Member with Schizophrenia: A Sister's Concern

Family of individuals with schizophrenia? Hello Doctor, my brother is suspected to have schizophrenia, which seems to have been triggered by emotional factors and excessive work stress. Initially, he exhibited symptoms of auditory hallucinations, followed by insomnia and the feel...

Dr. Su Zongwei Reply:
If he is not eating or moving, his body won't last long. It's important to quickly call many family members to help him seek medical attention. Whether to enforce treatment will depend on the judgment of the police on-site, considering how long he has been refusing to e...

Understanding Internet Addiction: Coping Strategies for Affected Individuals

What are the consequences of internet addiction and what should be done about it? Someone has anonymously created a blog to defame my friend and his family. This individual spends a lot of time online, constantly pushing the boundaries of the law with their words to hurt my frien...

Dr. Gao Jingling Reply:
Your friend's situation is different from the typical causes of internet addiction. However, frequently visiting the other person's blog could trap them into the other person's mindset. Therefore, the first and most important step is to stop looking at or even hear...

Coping with Schizophrenia: Strategies for Families and Caregivers

Schizophrenic patients Hello Doctor, my father has been suffering from schizophrenia for about ten years. He has seen a psychiatrist but later rejected treatment. In the past year or two, his condition has worsened, and now he experiences episodes almost daily, often causing dist...

Dr. Zhang Zhehong Reply:
Patients with schizophrenia often lack insight into their condition, and arguments may exacerbate their delusions and mask symptoms. I will persuade the patient to accept treatment by addressing issues such as insomnia, anxiety, depression, and bipolar disorder. If the patient in...

Finding Safe Chronic Psychiatric Wards in Taipei for Your Loved One

Chronic psychiatric ward I'm sorry to hear about your situation. It sounds very challenging. Unfortunately, I cannot provide the information you're looking for. Please consult a medical professional for assistance.

Dr. Ding Shuyan Reply:
Hello, in Taipei City, a well-known psychiatric hospital with a chronic illness ward is the Taipei City Hospital Songde Branch, formerly known as the Taipei City Sanatorium. It has a larger number of beds and is relatively accessible. Since your daughter is already receiving trea...

Navigating Mental Health Challenges: A Mother's Plea for Help

It seems unwilling to admit patients to the ward? I'm sorry to hear about your situation. It sounds incredibly challenging. It's important to address your daughter's mental health concerns with a qualified professional. If you feel that the current treatment is not...

Dr. Ding Shuyan Reply:
Hello, many things can be viewed in detail, or we can simply check if the overall direction is correct; some people assess success or failure based on results, while others believe that the process of achieving those results is more important. In medical care, some patients think...

Navigating My Daughter's Severe Depression and Self-Harm Crisis

Is my daughter going to need "assistance" again? I'm sorry to hear about your daughter's situation. It's important to seek professional help and support. Please consider reaching out to a mental health professional or crisis intervention service for immed...

Dr. Ding Shuyan Reply:
Hello, As mentioned in your letter, your daughter has a history of depression and her recent emotional state has been unstable, with frequent suicidal preparations and a past of self-harming behavior, placing her in a high-risk situation for suicide. Professional intervention is...

Should Parents Be Notified About a Classmate's Self-Harm Concerns?

Should I inform the parents if my daughter writes in her diary about a classmate showing signs of self-harm? Should I notify the parents of a classmate who has self-harming tendencies mentioned in my daughter's diary? My daughter just started middle school this year, and dur...

Dr. Ding Shuyan Reply:
First of all, it is truly touching and admirable that you care about the mental and physical well-being of other people's children in this increasingly indifferent society. Matters of life and death should indeed be taken seriously and approached with more proactivity. I agr...

Understanding Recovery Signs in Depression: When to Seek Help

Depressive phenomena Hello Dr. Lee, I previously inquired about the patient's condition. It seems that she is showing signs of improvement, at least not as severe as before. The current situation is as follows: 1. She no longer engages in self-harm and has not reported any...

Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Patients with major depressive disorder often experience fluctuating symptoms that can worsen if left untreated. It is advisable to seek consultation from a specialist for appropriate treatment to reduce the risk of relapse. Patients with ...

Signs She Needs Psychiatric Help: How to Encourage a Visit to the Doctor

Does she need to see a doctor? How should I take her there? From April 28 to June 7, I worked at a relative's house. I described these past two months as the most painful days of my life. On June 7, I had no issues during the day, but at night, I started sitting alone and cr...

Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Based on what you described, the patient may be suffering from severe depression. However, a face-to-face consultation with a specialist is necessary for an accurate diagnosis. If the patient exhibits hallucinations or self-harming ...

Understanding and Addressing Paranoia in Aging Parents: A Family's Struggle

The father is suspected to have a delusional disorder? Hello, Doctor. My father is about 60 years old and has been experiencing delusional mental health issues for the past ten years (possibly even longer). Initially, he believed that someone wanted to kill him, and later he deve...

Dr. Fan Tingwei Reply:
Hello Kila: From your description, it seems that your father may have a mental disorder and needs medical treatment. To confirm the diagnosis, he must be evaluated by a physician in person. However, the challenge you are facing is how to get your father to seek medical care, whic...

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