Understanding Suicidal Thoughts: A Journey Through Mental Health Challenges
Suicidal thoughts, negative thinking, and anxiety? I have had suicidal thoughts since around the second semester of sixth grade. At that time, I wanted to let go of a boy I had a crush on for a long time, and I cried almost every night (along with some other symptoms). Additional...
Dr. Liang Sunyuan Reply:
Hello, Zining: If you are constantly immersed in thoughts of suicide, it may be a symptom of depression. Past negative events can affect your current mood. Symptoms and thoughts related to depression can often improve with appropriate treatment interventions, so please cherish yo...[Read More] Understanding Suicidal Thoughts: A Journey Through Mental Health Challenges
Exploring Alternatives to Wakefulness Medications for Fatigue Issues
Medication consultation Hello Doctor, I visited the outpatient clinic on January 11th due to issues with easy fatigue, frequent zoning out, and prolonged sleepiness. Aside from Sjögren's syndrome, I have no other health problems. The doctor prescribed Wakix (Pitolisant) hopi...
Dr. Wu Kunhong Reply:
Thank you for your question. It can indeed be distressing and stressful to feel tired but unable to sleep during times when you should be resting. I appreciate your efforts. Regarding medication, I recommend discussing adjustments with a trusted healthcare professional. Here are ...[Read More] Exploring Alternatives to Wakefulness Medications for Fatigue Issues
Managing Anxiety: Medication Concerns and Lifestyle Adjustments
Anxiety disorder medications Hello Doctor, I visited two different psychiatric clinics during my first year of high school for obsessive thoughts and anxiety. However, I stopped taking the medication due to adverse effects on my body. During that time, I continued counseling thro...
Dr. Wu Kunhong Reply:
Dear netizen, it is commendable that you are actively addressing your illness with diligence, including medication management and psychological adjustment, as well as engaging in activities and interests as coping strategies. If you are considering discontinuing treatment, it is ...[Read More] Managing Anxiety: Medication Concerns and Lifestyle Adjustments
Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Feeling unwell without improvement, but the examination shows no significant issues? Hello Doctor: Previously (it should have been last year), I felt very anxious and sad due to noticeable heartbeats and palpitations, often wanting to cry, so I went to see a cardiologist. After t...
Dr. Qiu Junda Reply:
Hello. As you described, most of the results from your physical examination are normal. It may be worth considering whether psychological factors are contributing to your physical discomfort. The issues mentioned in your description do lean towards concerns such as anxiety, panic...[Read More] Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Managing Sleep Disturbances and Anxiety After Medication Changes
It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...
Dr. Tian Xinqiao Reply:
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...[Read More] Managing Sleep Disturbances and Anxiety After Medication Changes
Understanding Intrusive Thoughts: Managing OCD During Recovery
Strange obsessive thinking? Hello Doctor, I am a patient who has been suffering from obsessive-compulsive disorder (OCD) for ten years and have been undergoing medication treatment. When my condition is stable, I experience almost no symptoms and my life is quite normal. Even w...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your concerns about the meaning of words, whether your speech is correct, and even the fear of losing your ability to speak and read are indeed symptoms of obsessive thinking. These obsessive thoughts can become more severe when you interrupt your medication or have i...[Read More] Understanding Intrusive Thoughts: Managing OCD During Recovery
Managing Academic Pressure: A High School Student's Mental Health Journey
Academic pressure Hello, doctor. I am a second-year high school female student. Since childhood, I have had high expectations for my academic performance (not influenced by my parents or teachers). However, I experienced a significant setback during the high school entrance exami...
Dr. Liang Sunyuan Reply:
Xiao Xuan: You've worked hard. Exams and studying are like a marathon; there's no need to rush, just adjust your pace and continue to accumulate knowledge. Emotional and stress-related issues often prevent us from focusing on our studies; the inability to study further ...[Read More] Managing Academic Pressure: A High School Student's Mental Health Journey
Understanding and Managing Acrophobia: Seeking Help and Support
Specific Phobia Hello doctor, I have had acrophobia since childhood, but it seems to be getting worse now. I find it difficult to come down from the fifth floor of my school without assistance from friends. When I go out, I can't use escalators or glass elevators. Over time,...
Dr. Qiu Junda Reply:
Hello. Your fear of heights is indeed beyond the average level and is clearly causing you distress. I recommend that you seek treatment from a mental health specialist for improvement. As for your friends, you can bravely share your issue with them; they should be understanding.[Read More] Understanding and Managing Acrophobia: Seeking Help and Support
Am I Sick? Understanding Mood Fluctuations and Mental Health
Is this a sign of illness? 1. Lack of energy / low mood / slowed movements. 2. After relaxing or engaging in enjoyable activities, I notice a significant improvement in my mood (the difference is quite substantial), and my thoughts also shift (from feeling very tired to feeling...
Dr. Wu Enliang Reply:
User: I've been feeling this way for a while. Is it a medical issue or just a personality trait? Right now, I'm preparing for exams, and my daily life consists of studying and sleeping. Feeling down seems pretty normal, right? Overall, I can still function normally, but...[Read More] Am I Sick? Understanding Mood Fluctuations and Mental Health
Understanding Emotional Turmoil: Navigating Depression and Dissociation
I feel quite strange? Hello, doctor. I was diagnosed with depression two to three years ago, and later stopped treatment because I didn't want to continue taking medication. During that time, my emotions were relatively stable. However, recently, for some unknown reason, I h...
Dr. Qiu Junda Reply:
Hello. The text reveals predominantly negative emotions. Regardless of the underlying condition, due to the distress it has already caused to your mental and physical well-being, it is advisable for you to seek evaluation at a mental health clinic as soon as possible to help stab...[Read More] Understanding Emotional Turmoil: Navigating Depression and Dissociation
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...
Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Dealing with a Troubled Sibling: Navigating Mental Health Challenges
Mental illness in the family? I have a 28-year-old sister who is six years older than me, and her behavior has always been quite abnormal. Since childhood, she often physically assaulted me, and our parents did not discipline her; they only intervened when she did something extre...
Dr. Wu Enliang Reply:
Netizens can request assessment and treatment assistance for suspected mental illness from local mental health centers, health bureaus, or health stations. Dr. Wu En-Liang.[Read More] Dealing with a Troubled Sibling: Navigating Mental Health Challenges
Struggles with Mental Health: My Brother's Reluctance for Counseling
My brother is unwilling to seek psychological counseling? The situation is as follows: In September 2021, my younger brother (the youngest) just started high school. After a few weeks, he suddenly changed his demeanor, expressing to my parents that he didn't want to go to sc...
Dr. Wu Menghuan Reply:
Hello: The situation described for the younger brother includes a combination of social withdrawal, school refusal, excessive internet use, and gaming addiction. External influences may include academic pressure from school, family issues, and interpersonal relationship problems....[Read More] Struggles with Mental Health: My Brother's Reluctance for Counseling
Overcoming Anxiety: Navigating Life with Gastrointestinal Issues
Easily anxious? Hello Doctor, I apologize for bothering you, but I have been experiencing issues that are affecting my daily life. 1. When I was a child, I had an all-you-can-eat experience where I may have overeaten, which made my stomach feel strange. I thought drinking some...
Dr. Wu Enliang Reply:
If it is indeed affecting your daily life, it is advisable to seek medical assistance from a specialist. If you don't mind paying out of pocket, many medical institutions also have autonomic nervous system measurement devices available for testing. Dr. Wu Enliang.[Read More] Overcoming Anxiety: Navigating Life with Gastrointestinal Issues
Understanding Weight Loss and Anxiety: A Guide to Managing Symptoms
Weight loss and other issues caused by anxiety disorders? Hello Doctor, I would like to ask you some questions: Around March of this year, I started feeling a tightness in my throat, constantly salivating, and experiencing nausea (especially before and after meals and while brush...
Dr. Wu Enliang Reply:
1. Is this weight change reasonable? Or do I need to undergo some other examinations? If the weight change is due to intentional weight loss through increased exercise and dietary control, then it is reasonable. If not, it is advisable to seek medical evaluation from a physician....[Read More] Understanding Weight Loss and Anxiety: A Guide to Managing Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Treatments
Autonomic nervous system dysfunction Hello, Doctor. Two years ago, after a meal, I began experiencing palpitations and arrhythmias. These symptoms have continued to occur intermittently over the past two years. The most common triggers are: 1. Discomfort in the chest during or af...
Dr. Li Jite Reply:
Greetings Rose, it seems you have been through a lot of discomfort over the past two years. You have sought medical advice, and during follow-ups and examinations, we were informed that there are no significant issues with your "body," meaning your "organs and phys...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatments
Understanding Mental Health: Questions About Anxiety and Medication Effects
Please provide the content you would like me to translate Hello, Doctor. I'm uncertain whether I'm sick or just experiencing a poor mindset, likely due to high stress that makes me easily anxious. I'm not sure if my level of anxiety is within a normal range, but I ...
Dr. Wu Enliang Reply:
1. If someone is ill, shouldn't they be abnormal every day? A: Not necessarily. 2. I would like to ask if taking low-dose medication for a long time could result in abnormal conditions that were originally normal? A: I do not understand this question. 3. I saw an article (...[Read More] Understanding Mental Health: Questions About Anxiety and Medication Effects
Understanding Mental Health: Concerns About SSRIs and Stress Management
Many worries? Doctor: I'm not sure if this is an illness or just a poor mindset; it might be due to high stress, which makes me feel anxious. I'm uncertain if the level of anxiety is within a normal range, but I feel completely fine during holidays. 1. If it were an ill...
Dr. Qiu Junda Reply:
Hello. I'm not sure if you have ever been treated with SSRIs (selective serotonin reuptake inhibitors) for depression. If you have used them, these medications can actually help prevent the shrinkage of the hippocampus, so there’s no need to worry. As for whether you should ...[Read More] Understanding Mental Health: Concerns About SSRIs and Stress Management
Understanding the Need for Attention: A Deep Dive into Mental Health Issues
I can't figure out why I'm doing this? Hello, doctor. In recent years, I have realized that I have been intentionally engaging in certain behaviors to attract the attention of specific people. I even feel that I must be very negative for them to care about me. I am unsu...
Dr. Qiu Junda Reply:
Hello. These issues, regardless of whether they reach the level of a medical condition, have caused you mental and physical distress. It is recommended that you call the 1925 Mental Health Hotline to discuss your concerns and engage in online counseling to help alleviate your dis...[Read More] Understanding the Need for Attention: A Deep Dive into Mental Health Issues
Is My Child at Risk of Inheriting Bipolar Disorder?
Is my child likely to inherit bipolar disorder? Hello Doctor, my mother's siblings may have a difficult family environment and lack warmth, resulting in all six siblings having volatile tempers. Among them, three, including my mother, have been diagnosed with bipolar disorde...
Dr. Wu Enliang Reply:
Current research suggests that individuals with a family history may have a slightly higher risk, but genetics cannot explain all cases. Life stress is also an important factor. Dr. Wu Enliang.[Read More] Is My Child at Risk of Inheriting Bipolar Disorder?