Self-harm, Psychiatry FAQ

Understanding Schizophrenia: Key Questions and Insights for Patients

Comprehensive questions about schizophrenia? Dear Dr. Wu, Thank you for taking the time to read this. I will first provide a brief overview of my medical history, followed by a list of questions regarding my condition. In March of the year before last, while living alone, I exp...

Dr. Wu Enliang Reply:
Hello, online friend: These questions should actually be discussed with your current physician, as their answers will likely be more precise than mine due to my limited understanding of your situation. However, I will attempt to respond. Question 1: The doctor mentioned that sc...

Understanding Emotional Instability: Signs, Symptoms, and Solutions

Emotional instability Hello doctor, I have recently noticed that my personality is polarized. Sometimes I feel optimistic and cheerful, other times calm, and at times I feel sad, irritable, depressed, and anxious. When I am anxious, I have thoughts of suicide and self-harm, engag...

Dr. Wu Enliang Reply:
Hello, internet user: I have been struggling with emotional instability and poor sleep for a while, and of course, I am worried about whether I am experiencing depression. I recommend seeking medical attention at a mental health facility as soon as possible. Dr. Wu Enliang

Feeling Invisible: Navigating Mental Health Struggles in Silence

I want to disappear? Hello, doctor. To be honest, I'm not sure what's wrong with me. I haven't experienced domestic violence, the death of a family member, bullying, betrayal by someone I trusted, or any life-threatening major incidents. I don't have academic ...

Dr. Liang Sunyuan Reply:
Hello Lisa: Based on your detailed description, it seems that your colleagues and friends are generally friendly towards you, and your mother is concerned about your situation. You may feel more comfortable when you are alone. Currently, you appear to be experiencing emotional di...

Signs Your Brother May Be Experiencing Paranoia: A Guide for Concerned Family

I believe my brother is experiencing persecutory delusions, relational delusions, and grandiose delusions? My brother is 24 years old, and during our recent long conversation, I felt that his thoughts were quite strange; he seems paranoid and overly sensitive. Situation 1: He bel...

Dr. Liu Shikai Reply:
Hello, Based on your letter, it appears that your brother is experiencing delusional thinking, illogical reasoning, and firm beliefs in these thoughts. Clinically, it is essential to consider the presence of delusional symptoms and to confirm whether there are other related sym...

Managing Medication for Depression: Concerns and Guidance

Medication issues Hello Dr. Kong, I have been taking psychiatric medication for many years, but recently I have been experiencing insomnia and low mood, with occasional thoughts of self-harm. Currently, I have a regular follow-up appointment and am taking the following medicati...

Dr. Kong Fanjin Reply:
Although polypharmacy should be avoided whenever possible, it still frequently occurs in clinical practice. In your case, the combination of two antidepressants and two sedatives is considered appropriate. The dosages do not need to be perfectly equal; slight variations are accep...

Can Minors Seek Mental Health Care Alone? Understanding the Process

Consultation Issues Other Thank you for taking the time to answer my questions. I'm not sure if it's appropriate to ask here (but I really have no other way to inquire, and I don't mean to waste medical resources). Can a minor go to see a psychiatrist alone? Will t...

Dr. Liang Sunyuan Reply:
Hello, Zhou: Emotional symptoms are influenced by the family environment, so seeking treatment alone during adolescence may be less effective. It is recommended that parents accompany their children to appointments, as this allows professionals to assist in communication. Wishing...

Understanding Emotional Turmoil: Navigating Anger and Despair

Emotional issues In my childhood, I often acted out and was quite willful, but by high school, my temper became more irritable. I could get extremely angry over trivial matters and even attempted self-harm. Recently, my mood has been very unstable, easily influenced by my surroun...

Dr. Wu Enliang Reply:
Hello, online friend: It sounds like it could be depression. I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95. If your score is above 10, it's advisable to consult with a specialist. If...

Understanding the Emotional Struggles of Solitude: Is It a Mental Disorder?

When a person experiences significant distress while being alone, it may be associated with conditions such as social anxiety disorder, depression, or avoidant personality disorder? I am currently taking antidepressants for anxiety disorder. As a university student, I have just s...

Dr. Huang Xiaoxian Reply:
Dear dandkoesi, thank you for your question. You mentioned that you are currently undergoing medication treatment for anxiety and that you often feel down and gloomy when alone. From a psychological perspective, most people desire to establish good relationships with others. I&#x...

Am I Sick? Understanding Emotional Struggles and Self-Harm

Am I sick? I have been feeling very down for about a month now. Sometimes at night, I suddenly start crying for no apparent reason. When my mood gets worse, I engage in self-harming behaviors. My classmates discovered this and asked why I self-harmed. Honestly, I can't even ...

Dr. Wu Enliang Reply:
Hello, online friend: It does sound like it could be depression. I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95. If your score is above 10, it would be advisable to make good use of the sc...

Understanding Involuntary Tension and Auditory Hallucinations in Adolescents

Involuntary tension and auditory hallucinations? Hello, doctor! I am currently retaking my university entrance exams. I have always excelled academically since childhood, which has made my parents proud, and I have a good relationship with my family. However, after entering a pre...

Dr. Huang Xiaoxian Reply:
Dear Bonnie, From your description, it sounds like you are experiencing a lot of stress and worries in your life. I'm sorry to hear that! If your family does not allow you to seek medical help, perhaps you can try reaching out to mental health centers in various counties fo...

Facing Depression and Thoughts of Death: A Personal Journey

My perspective on depression and facing death? As my thoughts gradually progressed, I brought up the idea of seeing a psychiatrist to my parents during my first year of high school, and I was subsequently diagnosed with depression. Looking back, I realize that I may have had some...

Dr. Peng Liyun Reply:
Hello~ First of all, thank you for being willing to raise questions. It seems that you have had a difficult journey, which is truly heart-wrenching. Although you say you have made progress, it is important to properly address and confront negative feelings rather than isolating t...

How to Seek Help for Depression: A Guide for High School Students

I don't know if I have depression and I'm unsure how to seek help? I am a high school student, and a friend of mine has been suggesting that I should see a doctor or visit the school counseling office because I have been suspecting that I might have depression for a whi...

Dr. Huang Xiaoxian Reply:
Dear Jenny, thank you for your question. It sounds like your mood has indeed been affected a lot lately. I'm not sure if there is a specific event that has been troubling you, but the symptoms you described seem to be related to depression. I recommend seeking an evaluation ...

Should I Seek Help for Ongoing Emotional Distress as a Student?

I have been troubled by these emotions for nearly 7 months. Should I seek medical attention or counseling? I am currently a student, and I have been under a lot of stress due to school-related issues. This emotional state seems to have started around that time. I tried to cope us...

Dr. Wu Enliang Reply:
Hello, it has been over seven months and you are struggling to feel happy, even experiencing suicidal thoughts and behaviors. This could indicate that you may be suffering from a mental health condition. Psychological issues are just like physical illnesses; it's important t...

Do I Need Help? Understanding Mental Health Struggles in College

Do I need to seek medical attention in this situation? Since high school, I have hated myself and felt that life has no meaning, questioning why I should live for so long. I have thought about suicide before a certain age, but I didn't dwell on it too much. While preparing f...

Dr. Huang Xiaoxian Reply:
Hello, thank you for your inquiry: It sounds like you have been struggling with emotional issues for a long time and are very concerned about your relationships with others. You often feel hurt and have mentioned several symptoms associated with depression. I recommend seeking me...

Understanding Dissociative Identity Disorder: Seeking Help for Complex Symptoms

What should I do? Hello, Doctor. I apologize for the lengthy content, but I believe it's difficult to describe my symptoms without starting from the beginning. In the second year of junior high, I was diagnosed with major depressive disorder caused by post-traumatic stress d...

Dr. Wu Enliang Reply:
This dissociative condition reflects some subconscious conflicts and typically cannot be treated with medication alone. It is essential to incorporate psychotherapy. It is recommended to arrange for individual therapy with a physician. If financially feasible, seeking services fr...

Understanding the Challenges of Caring for Family Members with Mental Illness

Family members of individuals with mental illness? Hello doctor, I have an aunt who has had brain damage since childhood. She is unable to express her feelings (and cannot speak), her head shakes continuously every day, she can only grab food with her hands, and she is unable to ...

Dr. Xiao Minghong Reply:
Dear Zhou En'en, Due to the incomplete information you provided, I can only respond based on the current details. 1. If your aunt suffered severe head trauma during childhood (exact age unknown) that resulted in an inability to speak and functional decline, it may indicat...

Understanding Emotional Turmoil: Signs of Mood Disorders in Relationships

Emotional fluctuations? Hello, doctor: I have been in a relationship with my boyfriend for over a year, and we have been living together for six months. I tend to struggle with expressing myself, so I often keep my feelings to myself, believing that speaking up won’t change anyth...

Dr. Wang Zhenbang Reply:
Hello, based on your description (the information is insufficient), it is not possible to determine a specific emotional disorder. It may be related to personality traits or simply issues in the interaction between the two individuals. If this situation is causing you distress, i...

Should I Seek Psychological Counseling for Anxiety and Stress?

Do you accept psychological counseling? Hello, Doctor! I am currently a senior in college. Perhaps due to family influence, I have always been very conscious of how others perceive me, striving to do my best in everything. Hearing rude or unpleasant comments has greatly affected ...

Dr. Huang Jiabin Reply:
Hello: It sounds like you have a sensitive constitution, particularly in interpersonal interactions and stress management. This can manifest in your emotions, sleep, and physical sensations. What you currently need is to understand which aspects can be improved through enhanced c...

Understanding Paranoid Schizophrenia: Challenges and Relationship Concerns

Delusional disorder What is paranoid schizophrenia? Is it true that individuals with this diagnosis are generally less likely to get married? I have given up on dating because I fear that a partner would not accept me. Although I have physiological needs, this diagnosis is often ...

Dr. Wang Yazhen Reply:
Hello, Mr. Wu. The main symptoms of delusional disorder include hallucinations and delusions, which may sometimes be accompanied by disorganized speech or behavior. Some individuals may also experience symptoms such as low motivation and mood disturbances, leading to a wide varie...

Seeking Guidance for Overcoming Negative Thoughts and Self-Harm

I hope to receive some suggestions? Hello, doctor. Due to the influence of my family since childhood, I realize that I have a very negative and closed personality, along with a strong capacity for endurance. Certain factors have led me to strongly dislike humanity. Additionally, ...

Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions and self-harming behavior. I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health. I recommend that you consult a mental health professional (what you refer to as a psycho...

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