Struggling with Body Image: Understanding Self-Hatred and Mental Health
Dislike the way I look right now? Hello, doctor. I have been troubled by this issue since puberty. I hate my breasts, pubic hair, and underarm hair; I feel like they shouldn't exist on my body. While I can remove hair through depilation methods, I really wish my breasts woul...
Dr. Wu Enliang Reply:
If you are feeling emotional distress due to dissatisfaction with your body image, it is recommended to seek help from a mental health facility. If you have mentioned that you are experiencing emotional issues, it is also advisable to discuss these concerns with your physician. D...[Read More] Struggling with Body Image: Understanding Self-Hatred and Mental Health
Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Obsessive-Compulsive Disorder (OCD) or Hypochondriasis? Hello, Doctor! Since the pandemic began, I've started to feel some anxiety. While I'm not as anxious about COVID-19 anymore, it seems that I've developed a form of obsessive cleanliness, constantly washing my ...
Dr. Lin Mianzhang Reply:
Hello Lily: It seems that you are really anxious, and I empathize with you! Your situation may be related to "illness anxiety disorder" or "obsessive-compulsive disorder," or possibly both. These conditions are associated with stress, especially since you star...[Read More] Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Understanding Distress: Are Intrusive Thoughts of Self-Harm Suicidal?
Stress issues, delusions? If someone frequently imagines scenarios of killing themselves, does that count as suicidal behavior? They may experience overwhelming stress leading to negative emotions, but they think that imagining their own death helps them calm down and continue wo...
Dr. Wu Enliang Reply:
The online user can only say that this person is under a lot of stress and really needs to seek help or talk to a professional. Dr. Wu Enliang.[Read More] Understanding Distress: Are Intrusive Thoughts of Self-Harm Suicidal?
Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Post-COVID Syndrome - Brain Fog Hello, doctor. I already have mental health issues (schizophrenia and obsessive-compulsive disorder), which affect my memory and ability to concentrate, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. The Centers for Disease Control and Prevention (CDC) in the United States has defined the symptoms arising from the long-term effects of acute COVID-19 infection as "Post-COVI...[Read More] Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Navigating Treatment Challenges for Family Members with Schizophrenia
Issues related to family members with schizophrenia seeking medical care? Hello Doctor, my mother is 56 years old. Her past medical history includes hypertension, and there is a family history of cancer. Her current condition started about a year ago with olfactory and visual hal...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic conditions such as diabetes and hyperte...[Read More] Navigating Treatment Challenges for Family Members with Schizophrenia
Struggling with Insomnia After Lorazepam: Seeking Expert Advice
I don't know what to do~ I hope the doctor can help me? The doctor prescribed Lorazepam 0.5 mg, and after taking it for over three months, I stopped the medication but developed insomnia. I never had insomnia before, and I deeply suspect that it was caused by the medication....
Dr. Wu Enliang Reply:
Hello, it's difficult to answer your question. There are many causes of insomnia. However, if you have been experiencing persistent insomnia without resolution, it might be a good idea to spend a night at a sleep center for a more accurate diagnosis, which will help in provi...[Read More] Struggling with Insomnia After Lorazepam: Seeking Expert Advice
Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
I'm not sure what to do~ I hope the doctor can help me? Your question: Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and developed insomnia, which I never experienc...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of stomach pain. Whether this is related to the medication Lorazepam requires a professional diagnosis by a physician. ...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
Is rTMS an Effective Treatment for Insomnia?
Is rTMS effective for treating insomnia? Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and experienced insomnia, which I never had before. I deeply suspect that it is a ...
Dr. Qiu Junda Reply:
Hello. I don't have experience in this area and cannot share with you. However, rTMS (repetitive Transcranial Magnetic Stimulation) is primarily used to treat patients with treatment-resistant depression (currently out-of-pocket as it is not covered by insurance). It is rare...[Read More] Is rTMS an Effective Treatment for Insomnia?
How to Support a Boyfriend Struggling with Depression and Relationship Issues
My boyfriend seems to be suffering from depression and constantly wants to break up with me. What should I do? Hello, in the past week, my boyfriend has been experiencing a lot of negative emotions. This is mainly due to the fact that this year he has repeatedly lost or broken hi...
Dr. Wu Enliang Reply:
Netizens often make an analogy with patients: depression is like having a fever in the brain. Just as a physical fever often requires medication for recovery, so does emotional distress. You can also recommend good doctors you know or share information about depression, such as t...[Read More] How to Support a Boyfriend Struggling with Depression and Relationship Issues
Understanding Early Awakening After Recovery: Causes and Solutions
Experiencing "early awakening issues" after recovering from a confirmed diagnosis? Hello, Doctor: I have never had any sleep issues in the past, typically sleeping around 7 hours, falling asleep easily, and rarely experiencing sleep interruptions or oversleeping (usuall...
Dr. Wu Enliang Reply:
It is likely that the insomnia is not severe. It could also be a case of autonomic nervous system dysregulation. It is advisable to discuss your concerns and questions in person with your physician. Dr. Wu Enliang[Read More] Understanding Early Awakening After Recovery: Causes and Solutions
Understanding Left-Sided Impulses: When to Seek Psychiatric Help
My left side feels strange? Recently, due to being overwhelmed with work, I have been feeling physically and mentally exhausted. One night, I suddenly found myself unable to sleep. In addition to an inexplicable sense of panic, I experienced intermittent "urges" on the ...
Dr. Lin Mianzhang Reply:
Hello Edd: It seems that you are feeling fatigued due to work-related issues. I wonder if you are getting enough sleep? If possible, try to ensure you have sufficient sleep, as this may help alleviate your discomfort. However, if feelings of anxiety, palpitations, and impulsivity...[Read More] Understanding Left-Sided Impulses: When to Seek Psychiatric Help
Understanding Health Anxiety: When Worrying Becomes a Concern
Constantly worrying about being ill? Hello, doctor. I'm unsure about my sleep condition. It takes me a while to fall asleep, I often dream, and I toss and turn, but I believe my sleep duration is sufficient. The time I spend in a hazy state of deep sleep is about six hours. ...
Dr. Yu Quanxun Reply:
Hello: It sounds like the situation you are experiencing is causing you anxiety, and I wonder if it is also affecting your daily life. It also seems that your previous experience in the emergency department did not meet your expectations, which may have left you feeling embarrass...[Read More] Understanding Health Anxiety: When Worrying Becomes a Concern
How Emotional Stress Affects Physical Health: Coping After a Breakup
Does psychological stress affect physiological conditions? I recently broke up with my boyfriend, and he didn't give me a chance to communicate or explain. He just said he wanted to separate and take a break, but within a day or two, he was already with someone else. However...
Dr. Wu Enliang Reply:
Hello: This situation or person must be making you very uncomfortable. Ideally, it would be best to avoid contact, or talk to someone about your psychological discomfort. Learning to relax is important, and if that doesn't help, you may need to seek medical attention from a ...[Read More] How Emotional Stress Affects Physical Health: Coping After a Breakup
How Emotional Stress Affects Physical Health: Seeking Solutions
Does psychological stress affect physiological conditions? I recently broke up with my boyfriend, and he didn't give me a chance to communicate or explain. He just said he wanted to separate and take a break, but within a day or two, he started seeing someone else. However, ...
Dr. Wu Enliang Reply:
Hello, it’s understandable that this situation or person is making you very uncomfortable. Ideally, it’s best to avoid contact or talk to someone about your psychological discomfort. Learning to relax is important, and if that doesn’t help, you may need to seek care from a psychi...[Read More] How Emotional Stress Affects Physical Health: Seeking Solutions
Am I Struggling with Adjustment Disorder? Understanding My Mental Health
Am I experiencing adjustment disorder? This makes me feel like I'm not doing well? I am a first-year master's student, and since entering the program, I have been feeling very depressed. I have checked various depression scales online, and my scores have reached the hig...
Dr. Qiu Junda Reply:
Hello. Whether it is adjustment disorder or depression, the text reveals a long-term struggle with negative emotions. I hope you will continue with outpatient follow-up treatment to facilitate improvement. Please also take care of yourself and avoid self-harming behaviors. If you...[Read More] Am I Struggling with Adjustment Disorder? Understanding My Mental Health
Managing Anxiety and Sleep Issues: Tips for Students Facing Exams
Anxiety disorder with panic concerns? Hello, Doctor. Ever since I received my midterm exam results last month, which were very disappointing, I have been worried about failing. Additionally, there is an upcoming exam in a subject I am not good at, making it hard for me to concent...
Dr. Wu Enliang Reply:
If your anxiety is this severe, it is advisable to seek help from a nearby mental health facility. Short-term use of some anxiolytic medications may help you get through this difficult time, allowing you to have the energy to manage your current stress. - Dr. Wu En-Liang[Read More] Managing Anxiety and Sleep Issues: Tips for Students Facing Exams
Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Side effects of Jinfusu? Hello Dr. Lee: I have been taking Risperidone for 16 years, but after a miscarriage in 2020, my menstrual cycle has been irregular. Blood tests at the obstetrics and gynecology department showed elevated prolactin levels. Could this be caused by taking Ri...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to irregular menstruation and elevated prolactin levels. Whether this is related to the medication Cabergoline requires a professional diagnosis. 1. Facing an uncertain future, s...[Read More] Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Are the Side Effects of Sleep Medications Reversible?
Are the side effects of sleeping pills reversible? I have been having trouble sleeping lately, and I need to wake up early in the morning. The doctor prescribed me Ulotaront and Lurasidone, but I feel like they affect my cognitive abilities and memory. Are these side effects reve...
Dr. Yu Quanxun Reply:
Hello: It sounds like the situation you are experiencing is affecting your life and may be causing you concern and distress. There are many factors that could lead to limitations in memory and cognitive function (such as sleep disorders, mood disorders, anxiety disorders, psychot...[Read More] Are the Side Effects of Sleep Medications Reversible?
Understanding Auditory Hallucinations: Do I Lack Insight into My Condition?
Do I lack insight into my illness? Will the auditory hallucinations get better? When I was in the third and fourth grades of elementary school, I thought I had telepathy and could communicate with my classmates mentally. One day during class, a girl in my class had her skirt zipp...
Dr. Cai Qijin Reply:
Hello: Schizophrenia is a disorder characterized by disruptions in the brain's information processing system, affecting thought and perception. The symptoms you described are more akin to thought broadcasting and auditory hallucinations. It is advisable to discuss these symp...[Read More] Understanding Auditory Hallucinations: Do I Lack Insight into My Condition?
Feeling Watched: Understanding the Stress of Family Dynamics
Being watched by family can be very stressful? In recent years, I have noticed that a family member, A, tends to stare at me. It's a very obvious gaze that lingers on me rather than just a casual glance. He doesn't seem to do this as frequently with others. At first, I ...
Dr. Lin Mianzhang Reply:
Hello, Han: We need to clarify the details further to understand the situation. Who is Family Member A to you? What is your relationship like with him? Besides feeling that he is watching you, has he exhibited any other suspicious behavior? Does he pay attention to other family m...[Read More] Feeling Watched: Understanding the Stress of Family Dynamics