Stress, Psychiatry FAQ - Page 18

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Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues

Autonomic nervous system dysfunction Hello Doctor, I have been experiencing bloating, nausea, and loss of appetite for two months. I have seen a doctor who suspected that exam stress caused autonomic nervous system dysfunction. I was prescribed gastrointestinal medication and anx...


Dr. Qiu Junda Reply:
Hello. 1. It could be a simple gastrointestinal issue: If it is very bothersome, you should seek medical attention. 2. When experiencing stomach discomfort, it is occasionally acceptable to skip meals. There's no need to force yourself to eat, and it shouldn't cause har...

[Read More] Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues


Managing Depression Relapse: Exploring Medication and Alternative Treatments

Recurrence of Depression I have been taking medication for depression for 10 years, consistently attending follow-up appointments and adhering to my medication regimen (without any dosage reductions or discontinuations). However, in the past two years, I have experienced three re...


Dr. Qiu Junda Reply:
Hello. In addition to medication, it is best to incorporate non-pharmacological support in the treatment of depression. Simply put, engaging in leisure activities regularly can help prevent excessive boredom and distress in daily life. It is commendable that you have been consist...

[Read More] Managing Depression Relapse: Exploring Medication and Alternative Treatments


Understanding Social Anxiety Disorder: Symptoms, Impact, and Solutions

Social Anxiety Disorder Hello Doctor, I have had social anxiety since childhood, and I often experience the following issues: 1. I hesitate to greet people or speak too softly, so others can't hear me, which makes me feel rude. 2. I dislike social settings, which make me ver...


Dr. Wu Enliang Reply:
Hello, (1) Could this be social anxiety disorder? I have taken related online tests and the results indicate moderate social anxiety disorder. A: It is possible that it is social anxiety disorder. (2) Should I see a doctor or seek psychological counseling? A: If it is very distre...

[Read More] Understanding Social Anxiety Disorder: Symptoms, Impact, and Solutions


Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?

Could you please tell me if I have dissociative identity disorder or just forgetfulness? Recently, I found a piece of paper on my desk with my handwriting, but it contained very strange questions that I have no memory of writing. I live alone, and this made me reflect on some odd...


Dr. Qiu Junda Reply:
Hello. The diagnosis of dissociative identity disorder or multiple personality disorder is not common and requires careful evaluation. The same goes for amnesia. I wonder if you have a habit of using alcohol or drugs, as this could also contribute to the symptoms you described. I...

[Read More] Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?


Why Do I Cry Uncontrollably When Woken Up? Understanding Sleep Disturbances

Woken up from sleep, crying incessantly? Condition: After falling asleep, when my family calls my name at a normal volume and lightly taps my shoulder to wake me up, I instinctively start crying loudly, almost like a child, with my mouth wide open and unable to stop. I am aware t...


Dr. Wu Enliang Reply:
Hello, netizens: Night terrors typically occur during fever, sudden withdrawal from long-term use of sleeping pills, lack of sleep, or may be related to psychological stress. If they do not happen repeatedly, medical attention may not be necessary. Dr. Wu Enliang

[Read More] Why Do I Cry Uncontrollably When Woken Up? Understanding Sleep Disturbances


Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues

Autonomic Nervous System Dysregulation Hello Doctor, I have been experiencing gastrointestinal discomfort for a month and a half (bloating, nausea, and loss of appetite). An X-ray revealed excessive air in the gastrointestinal tract, and it is suspected that exam stress has cause...


Dr. Wu Enliang Reply:
Hello, netizens: 1. Could it be that the pressure cannot be alleviated because the results have not been announced? A: It is possible. 2. Experiencing a unilateral tympanic membrane issue, rapid heartbeat, and a nauseous feeling when pressing on the throat? A: Understood. 3. Is i...

[Read More] Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic Nervous System Dysregulation Hello Doctor, after staying up late in June (around 3 AM, not due to exams), I experienced nausea, bloating, and loss of appetite, which has persisted until now. I consulted a doctor and had an X-ray, which revealed excessive air in the gast...


Dr. Qiu Junda Reply:
Hello. These issues can be explained as psychosomatic symptoms caused by stress. The symptoms are similar to those of autonomic nervous system dysregulation. You can search for information on stress management and learn some methods (such as deep breathing, chatting with friends,...

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Coping with Intrusive Thoughts: Understanding OCD and Its Effects

Obsessive-Compulsive Disorder (OCD) Issues If a patient suddenly experiences intrusive thoughts, such as saying disrespectful things about deities or the deceased, it's important to understand that these are often symptoms of obsessive-compulsive disorder (OCD). While these ...


Dr. Cai Qijin Reply:
Hello: Obsessive thoughts are not easily overcome by willpower. Even though one knows that negative events will not occur due to irrational thinking, it is difficult to stop the intrusive thoughts and worries. If this causes significant distress in daily life, it is advisable to ...

[Read More] Coping with Intrusive Thoughts: Understanding OCD and Its Effects


Understanding Sleepwalking: Signs, Causes, and Concerns

Suspected sleepwalking? Last night, about an hour after falling asleep, I got up to open the door and call my family. Later, I realized the living room was dark, so I went back to rest. Before getting back into bed, I had the thought of wanting to drink water, so I opened my wate...


Dr. Wu Enliang Reply:
It is indeed difficult to definitively diagnose sleepwalking, but occasional episodes are often related to life stress. It is advisable to continue monitoring the situation. Dr. Wu En-Liang.

[Read More] Understanding Sleepwalking: Signs, Causes, and Concerns


Managing Anxiety: Tips for Overcoming Negative Thoughts and Stress

What should I do? Hello, doctor. I am an anxiety patient. Before I became ill, I was a lively person, but now that I am sick, I don't know how to stop overthinking (I am on medication). I understand that if this continues, my condition will not improve. I have tried exercisi...


Dr. Wu Enliang Reply:
If stress is increasing, it is advisable not to push yourself to exercise at the moment. Instead, consider continuing to go out and interact with others, and follow up with your physician to adjust your medication. Dr. Wu Enliang.

[Read More] Managing Anxiety: Tips for Overcoming Negative Thoughts and Stress


Coping with Intrusive Thoughts in Obsessive-Compulsive Disorder

Obsessive-compulsive thinking If a person suddenly experiences intrusive thoughts, such as saying disrespectful things about deities or the deceased, it can be distressing. It's important to understand that these thoughts are often a symptom of obsessive-compulsive disorder ...


Dr. Lin Mianzhang Reply:
Hello, Miss Liao: Are you troubled by your racing thoughts, or are you worried that these thoughts might lead to negative outcomes? It can be challenging to stop these thoughts on your own, but when you notice yourself spiraling, try to redirect your attention to something else, ...

[Read More] Coping with Intrusive Thoughts in Obsessive-Compulsive Disorder


Managing Sexual Thoughts Towards the Opposite Sex: A Mental Health Perspective

Interpersonal relationships between different genders? I often find myself thinking about sex when I see someone of the opposite sex due to frequently watching adult films. I'm unsure how to handle these frequent sexual urges towards the opposite sex. What should I do?


Dr. Lin Mianzhang Reply:
Hello: It is normal to have sexual impulses towards the opposite sex; however, it is important to reflect on why you spend a lot of time watching adult films. Are you seeking companionship with the opposite sex? Are you just bored and trying to pass the time? Are you feeling stre...

[Read More] Managing Sexual Thoughts Towards the Opposite Sex: A Mental Health Perspective


Struggling with Sleep Issues: Seeking Help for Insomnia and Anxiety

Sleep issues I have been unable to sleep at night for the past three months, and sometimes I even feel nauseous. I haven't used any electronic devices before bed. This issue has been very distressing for me. I lie down at midnight to sleep but can’t fall asleep no matter how...


Dr. Qiu Junda Reply:
Hello. If the problem is too serious, it is important to take the time to see a doctor (preferably a nearby mental health clinic). At this stage, you can search online for educational information on stress management and sleep hygiene to learn methods for improvement. Additionall...

[Read More] Struggling with Sleep Issues: Seeking Help for Insomnia and Anxiety


Managing Mixed Depression and Anxiety: When to Seek a Second Opinion

Adjustment disorder with mixed anxiety and depressed mood? Doctor, I was diagnosed with "adjustment disorder with mixed anxiety and depressed mood" by a psychiatrist six months ago after experiencing significant emotional distress from my girlfriend's infidelity. I...


Dr. Qiu Junda Reply:
Hello, the description in the text suggests that there shouldn't be significant issues with the physician's treatment. However, the effectiveness may not meet your expectations, and it is evident that the stimulation at that time was indeed substantial. You can choose t...

[Read More] Managing Mixed Depression and Anxiety: When to Seek a Second Opinion


Understanding Early Awakening Insomnia: Causes and Solutions

Early awakening insomnia Hello Doctor, I have been experiencing the following issues over the past two weeks: 1. After going to bed around 11 PM, I wake up shortly after (initially I would wake up at 5 AM, but now it's changed to 3 AM). I feel quite alert after waking up, bu...


Dr. Lin Mianzhang Reply:
Hi there! There are many reasons that can cause interruptions in sleep, including anxiety, depression, hormonal changes (such as during menstruation or pregnancy), and changes in daily routines. I suggest you reflect on any changes in your life over the past two weeks. Are you ex...

[Read More] Understanding Early Awakening Insomnia: Causes and Solutions


Overcoming Anxiety and Lack of Motivation After a Difficult Breakup

Anxiety, lack of motivation, and difficulty concentrating? I just ended a two-year relationship that was filled with constant turmoil. The ongoing struggle between staying together and breaking up left both of us emotionally and physically exhausted. We both realized that we are ...


Dr. Cai Qijin Reply:
Hello: The end of a relationship requires courage and determination, and the subsequent adjustment takes time. It seems you have already gone through the most difficult phase and are ready to start a new life. Currently, you may still be experiencing a lack of motivation, anxiety...

[Read More] Overcoming Anxiety and Lack of Motivation After a Difficult Breakup


Seeking Help: Overcoming Social Anxiety as a College Student

Please give me some advice, doctor? Hello, Doctor. I am currently a university student, and I have noticed some issues that I would like your advice on: 1. Since I study in a different city, I live off-campus and rent a place. I often find myself pressing my ear against the door...


Dr. Wu Enliang Reply:
Hello, everyone: It's perfectly fine to be introverted and enjoy a solitary lifestyle. However, if this leads to distress in daily life, it may indicate social anxiety disorder, which would require medical attention or psychological treatment. Dr. Wu Enliang

[Read More] Seeking Help: Overcoming Social Anxiety as a College Student


Understanding Sleep Disorders: When Talking and Moving in Sleep Becomes a Concern

Sleep disorders Hello Doctor: Since I was young, I have often talked in my sleep, and what I say is usually either cursing or crying out (my mom frequently comes to my room to check on me because of the volume of my sleep talking). Recently, since I started living with my boyfrie...


Dr. Lin Mianzhang Reply:
Hello Grace: Your condition is likely what is known as "REM Sleep Behavior Disorder." Normally, during dreaming, a person's muscles relax; however, individuals with REM Sleep Behavior Disorder maintain muscle tone during dreams, which can lead to acting out their d...

[Read More] Understanding Sleep Disorders: When Talking and Moving in Sleep Becomes a Concern


Overcoming Anxiety and Lack of Motivation After a Breakup

Anxiety, lack of motivation, and difficulty concentrating? I just ended a two-year relationship that was filled with constant turmoil. The ongoing struggle between staying together and breaking up left us both physically and emotionally exhausted. We both realized that we are fun...


Dr. Cai Qijin Reply:
Hello: The end of a relationship requires courage and determination, and it also takes time to adjust afterward. It seems that you have already gone through the most challenging part and are ready to start a new life. Currently, you may still be experiencing a lack of motivation,...

[Read More] Overcoming Anxiety and Lack of Motivation After a Breakup


Understanding Occipital and Frontal Head Pain: Causes and Solutions

Pain in the back of the head and on both sides of the forehead? Recently, for some unknown reason, I could only sleep for 2-3 hours at a time, and I even felt so dizzy that I almost couldn't stand up. It was only after the doctor prescribed medication that I began to improve...


Dr. Lin Mianzhang Reply:
Hello Ms. Hsiao: Based on your description of the timing and location of your headaches, it is possible that your headaches are caused by excessive fatigue or stress. I recommend that you maintain adequate sleep and relax, which should help improve your headache condition. If the...

[Read More] Understanding Occipital and Frontal Head Pain: Causes and Solutions


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