Self-harm, Psychiatry FAQ - Page 6

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Can Severe Bipolar Disorder Lead to Dissociative Identity Disorder?

Dissociative Identity Disorder (DID) and Bipolar Disorder? I would like to inquire whether severe bipolar disorder can lead to the development of dissociative identity disorder. I often have no memory of my actions. I am a bipolar disorder patient, and my doctor has suggested hos...


Dr. Wu Enliang Reply:
Hello, netizen: There is no causal relationship between bipolar disorder and dissociative identity disorder; bipolar disorder does not develop into split personality. However, untreated bipolar disorder can lead to a decline in daily functioning and occupational capabilities. Dr....

[Read More] Can Severe Bipolar Disorder Lead to Dissociative Identity Disorder?


Understanding Sleepwalking vs. Dissociation in Mental Health

Sleepwalking or dissociation? Hello, doctor. I am a patient diagnosed with Depression, PTSD, and BPD, and I have been under the care of a primary physician (though recently the hospital assigned me a new doctor whom I dislike). I have also been inconsistent with my medication (I ...


Dr. Wu Enliang Reply:
Hello, online friend: It could be sleepwalking. First, it's important to consider that it may be caused by sleep medications, as many people experience sleepwalking after taking Zolpidem. If this is the case, it is advisable to avoid using it. I recommend finding a trusted p...

[Read More] Understanding Sleepwalking vs. Dissociation in Mental Health


Navigating Child Resistance to Father's New Relationship: A Guide

The child opposes the father dating again? Hello, doctor. My boyfriend is 45 years old and divorced, with a son who is about to enter the seventh grade. After the divorce, the child lived with his father. The divorce occurred when the child was around 7-8 years old, and the mothe...


Dr. Wu Menghuan Reply:
Regarding the child: It seems that the client feels a great deal of sympathy for the child's situation and is eager to help. It is advisable to suggest that the boyfriend's family spend more time with the child, providing a stable environment and fostering healthy paren...

[Read More] Navigating Child Resistance to Father's New Relationship: A Guide


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?


Understanding Emotional Instability: Coping with Anger and Self-Harm

Emotional instability I had depression and anorexia in the past three years, but I no longer have significant symptoms. However, recently I've been getting extremely angry over small issues, which causes my heart to race, my breathing to quicken, and I experience severe head...


Dr. Wu Enliang Reply:
Hello, netizen: Could it be a recurrence of depression? It is recommended to return for a follow-up and discuss with your physician. Dr. Wu Enliang

[Read More] Understanding Emotional Instability: Coping with Anger and Self-Harm


How to Seek Help When Family Resists Mental Health Support?

What should I do if my family is resistant to taking me to see a psychiatrist? What is my condition? Due to family issues and friends, I learned to drink and self-harm in the second year of junior high. Every night, I find myself thinking about many things and feeling that the wo...


Dr. Wu Enliang Reply:
Hello, netizen: I suggest trying to communicate with your family again. Inform them that the brain is unwell, and that symptoms such as depression and anxiety require medical attention, just like needing to see a doctor for a fever caused by the flu. Additionally, you can seek he...

[Read More] How to Seek Help When Family Resists Mental Health Support?


Understanding the Signs: When Family Members Show No Awareness of Mental Illness

Family members have had symptoms for many years but show no awareness of their illness? Hello, Dr. Lin. I apologize for the lengthy message. My family member is a 28-year-old male who has experienced a decline in academic performance since his junior year in college and subsequen...


Dr. Lin Mianzhang Reply:
Hi, based on your description, it seems that your family member may be suffering from schizophrenia. Symptoms such as negative symptoms (deterioration in hygiene, infrequent bathing), auditory hallucinations (having conversations with multiple voices in their head), and delusions...

[Read More] Understanding the Signs: When Family Members Show No Awareness of Mental Illness


Understanding Depression, Sleep Issues, and Attention Deficits

Depression, Sleep, Attention Hello, doctor: Last year, I dropped out of school due to emotional, behavioral, and environmental factors. I have depression and bipolar tendencies. I used to self-harm frequently with blades or overdose on medication to aid in self-harm (starting wit...


Dr. Liang Sunyuan Reply:
Hello: Self-harm and drug overdose are indeed harmful to both the mind and body. However, as long as you stop these behaviors from now on, your mental and physical state can gradually recover. Therefore, the most important thing at this stage is to stop harming yourself and patie...

[Read More] Understanding Depression, Sleep Issues, and Attention Deficits


Understanding Depression and Control Issues: Is Treatment Possible?

Depression / Control Freak I am currently 30 years old and I remember having thoughts of wanting to die during high school, but I didn't take them seriously. About two or three years ago, I suddenly found everyone around me irritating, and my emotions became very unstable, l...


Dr. Wu Enliang Reply:
Hello, online user: Could you please tell me if my situation indicates depression? A: It is indeed possible that you may be experiencing depression. It is advisable to continue discussing with your physician whether medication adjustments are necessary to achieve complete symptom...

[Read More] Understanding Depression and Control Issues: Is Treatment Possible?


Understanding Sensitivity and Emotional Struggles: A Journey Through Counseling

Psychological counseling Since middle school, I have developed some peculiar habits: 1. I am sensitive to the smell of others; if I dislike the smell on my hands, I feel the urge to wash them. If I can't wash my hands immediately, I can tolerate it, but I habitually want to ...


Dr. Wu Enliang Reply:
Hello, netizen: Although you may not necessarily be ill, these situations can indeed cause significant distress in your life. It is advisable to seek psychological therapy and discuss with a therapist how to manage these circumstances. If you are unsure where to find resources, y...

[Read More] Understanding Sensitivity and Emotional Struggles: A Journey Through Counseling


Impact of Antidepressants on Pregnancy and Mental Health Challenges

Medications during pregnancy, antidepressants, and psychological counseling? I would like to ask if the following medications will affect my ability to conceive: (Meisu tablet one tablet), (Otsuka Anri recovery tablet one tablet), (Furmin two tablets), (Sitinus two tablets), (Fan...


Dr. Wu Enliang Reply:
Hello, I would like to ask if the following medications will affect my fertility: (Meisu tablet one tablet) (Otsuka Amway Recovery tablet one tablet) (Furmelin two tablets) (Sitinose two tablets) (Fanduo Shan two tablets). A: Meisu is a pregnancy category B medication, which has ...

[Read More] Impact of Antidepressants on Pregnancy and Mental Health Challenges


Understanding Social Anxiety and Depression: When to Seek Help

Social Anxiety Disorder, Depressive Tendencies Hello, doctor. I have a question that has been troubling me for a long time. I tend to be overly concerned about how others perceive me, and I really dislike being the center of attention. When I walk down the street, I often look do...


Dr. Lin Mianzhang Reply:
Hi there! It seems that you may be experiencing social anxiety disorder, and you might also have symptoms of depression; however, a definitive diagnosis can only be made through an evaluation by a psychiatrist. Beyond the diagnosis, what is truly important is understanding the un...

[Read More] Understanding Social Anxiety and Depression: When to Seek Help


Navigating Forced Treatment for Mental Health: A Mother's Dilemma

Involuntary treatment in psychiatry? Hello, doctor. I am a single mother, and my son has developed a habit of taking sleeping pills. I was not aware of this until recently; he has been taking 10 mg of Zolpidem. About three to four months ago, he lost his job, and I later found ou...


Dr. Wu Enliang Reply:
Hello, netizen: Thank you for your hard work. I suggest you first contact the local community mental health center or health station for assistance. Call and inform the mental health caseworker about your son's situation; a public health nurse will come to assess him. In som...

[Read More] Navigating Forced Treatment for Mental Health: A Mother's Dilemma


Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles

Menkes syndrome Five years ago, after being diagnosed with severe depression and receiving care, I developed symptoms that I found online referred to as "Munchausen syndrome." My depressive feelings have mostly alleviated now, but my emotional fluctuations are more pron...


Dr. Wang Yaoting Reply:
Hello: After reading your description, it seems that you have been living in a state of emotional conflict for the past few years. You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptoms ar...

[Read More] Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles


Coping with Social Anxiety: Strategies for Managing Mental Pressure

High psychological stress? I have been a lone wolf since childhood, and because of this, the social interactions that are common for most people feel like a source of stress for me. The more I try to avoid interacting with others, the more pressure I feel, which makes me want to ...


Dr. Wang Yaoting Reply:
Hello: Almost everyone has a part of themselves that lacks a sense of security, uncertain about whether they will be accepted by others; the difference lies in the degree and severity of this impact. Many people's struggles with "alienation and isolation" begin in ...

[Read More] Coping with Social Anxiety: Strategies for Managing Mental Pressure


Understanding OCD, Anxiety, and Depression: A Teen's Struggle

Obsessive-Compulsive Disorder (OCD)? Anxiety? Depression? Hello, doctor. Although this issue has only been troubling me for about six months, I sincerely feel distressed and hope you can offer some guidance. I used to consider myself quite brave—someone who, despite being introve...


Dr. Lin Mianzhang Reply:
Hi there! After hearing about all the uncomfortable experiences you've been through, I truly empathize with you. It must be really tough to endure so much discomfort while also preparing for this year's major exams. I believe the doctor diagnosed you with obsessive-comp...

[Read More] Understanding OCD, Anxiety, and Depression: A Teen's Struggle


Do Parents Get Notified When Minors Seek Mental Health Care Alone?

Will parents be notified if a minor seeks medical treatment on their own? Thank you for the previous response, doctor. Because my parents married late, there is a significant age gap, and their views are quite traditional. If I talk to them about my feelings, they often respond b...


Dr. Liang Sunyuan Reply:
Hello YY: If you are indeed experiencing emotional distress, I recommend that you communicate openly with your parents. Initially, they may respond in the way you described, but with some patience, after a few days, when you have followed their suggestions and still see no improv...

[Read More] Do Parents Get Notified When Minors Seek Mental Health Care Alone?


Understanding Pregnancy Risks for Those with Schizophrenia and Intellectual Disabilities

Affective Disorder I have been diagnosed with mild schizophrenia. I have been taking psychiatric medications since I was in the first year of junior high school, and I am currently on the following medications: Depakote 500 mg extended-release, Seroquel 200 mg extended-release, S...


Dr. Cai Qijin Reply:
Hello: 1. During the use of psychiatric medications, it is essential to discuss with your physician any potential adjustments to your medication if you are planning to become pregnant, as these medications may affect the fetus. 2. The causes of preterm birth are complex; please c...

[Read More] Understanding Pregnancy Risks for Those with Schizophrenia and Intellectual Disabilities


How to Help a Loved One with Mental Health Issues Seek Treatment

Mental disorders My younger brother, who is 46 years old, is naturally shy and has never been married. Two years ago, he developed feelings for a female colleague at work, but she did not reciprocate and humiliated him in front of other male colleagues. Since then, he has often f...


Dr. Wang Yaoting Reply:
Hello: It is recommended to first consult with the local health center, where you can apply for a home assessment by a physician (some counties have designated hospitals and subsidies), or a public health nurse can visit the home for care. If the individual exhibits violent behav...

[Read More] How to Help a Loved One with Mental Health Issues Seek Treatment


Do I Really Need Hospitalization for My Mental Health Issues?

Is hospitalization necessary? Will a follow-up appointment be needed? Hello, doctor. I am reaching out because I have been in a lot of pain lately. I previously had depression and was hospitalized due to a suicide attempt, but shortly after being discharged, I stopped taking my m...


Dr. Qiu Junda Reply:
Hello. The diagnosis of depression or bipolar disorder requires long-term assessment and cannot be addressed here. The physician's recommendation for hospitalization is likely a suggestion. You have the right to make choices. However, your condition should be monitored throu...

[Read More] Do I Really Need Hospitalization for My Mental Health Issues?


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