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
Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang Reply:
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Understanding Emotional Instability: Signs, Symptoms, and Solutions
Emotional instability I've been feeling down lately, constantly afraid of losing things. I've lost my appetite and my weight has decreased. I find myself crying easily and my temper has worsened. Sometimes I prefer to be alone and don't want to be around my family,...
Dr. Wu Enliang Reply:
Hello, netizen: Have there been any stressful events recently? These symptoms could possibly indicate depression, and it is advisable to seek medical attention at a mental health facility. Wu Enliang[Read More] Understanding Emotional Instability: Signs, Symptoms, and Solutions
Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Sleep issues I don't know if it's due to the lack of choices for further education that has led to excessive stress, but my sleep quality has noticeably declined over the past month. I used to be able to sleep from 10 PM to 9 AM, but now I wake up suddenly before 6 AM a...
Dr. Wu Enliang Reply:
Hello, online user: The most common cause of short-term insomnia is anxiety due to life stress. It is recommended to avoid napping during the day, engage in regular exercise, and pay attention to sleep hygiene (which can be found online). If necessary, short-term use of sedatives...[Read More] Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Understanding Family Mental Health: Signs of Possible Disorders
Regarding whether family members have mental illnesses? Hello, doctor. I am a patient with mild depression, and my family environment has greatly affected me, being a major factor in my emotional instability. My family has a certain aversion to mental illness and lacks insight in...
Dr. Wang Zhenbang Reply:
Hello, based on your description, here are several points to consider: 1. The diagnostic range for mental disorders is quite broad, and it requires evaluation from multiple perspectives to determine if the diagnostic criteria are met. One important criterion is whether the indi...[Read More] Understanding Family Mental Health: Signs of Possible Disorders
Managing Mood Swings: Can Bipolar Disorder Be Treated Without Medication?
Family members experiencing emotional instability? 1. I would like to ask the doctor if a person with bipolar disorder can stop taking medication on their own and rely on their own ability to return to their previous state? 2. Is it possible to effectively manage the condition ...
Dr. Lin Mianzhang Reply:
Hello, O-O: 1. The likelihood is low; if previous episodes of bipolar disorder required medication for control, it is advisable to continue medication to prevent relapse. 2. Medication is a primary method for managing the condition; however, in addition to medication, maintaining...[Read More] Managing Mood Swings: Can Bipolar Disorder Be Treated Without Medication?
Overcoming Trauma: Strategies for Managing Thoughts and Emotions
Psychological trauma Dr. Liang, I can't control my thoughts and emotions; my mind is very chaotic. I feel out of control, sometimes lonely, sad, and in tears. My background growing up is marked by a lack of complete memories from childhood. I only feel a strong dislike for m...
Dr. Liang Sunyuan Reply:
Hello Ms. Chen: You have experienced a lot of stress and setbacks in the past, and it's natural for negative memories to resurface and affect your mood. I suggest reminding yourself that those are all in the past and to stop dwelling on negative memories. Focus your energy o...[Read More] Overcoming Trauma: Strategies for Managing Thoughts and Emotions
Uncontrollable Face Picking: Understanding the Psychological Struggle
Unable to stop picking at my face? Hello, I am about to turn 22 this year. My facial skin did not have any acne issues during puberty, nor did I have any allergies. However, at some point, I started to unconsciously want to pick at my facial skin with my fingers, even though ther...
Dr. Wu Enliang Reply:
Hello, internet user: It seems that these compulsive behaviors may be related to anxiety. If this is causing significant distress, it is advisable to seek help from a nearby mental health facility. Dr. Wu En-Liang.[Read More] Uncontrollable Face Picking: Understanding the Psychological Struggle
Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Stress, anxiety, and insomnia? Hello, doctor. I experienced significant stress during my childhood due to family issues, and I only moved out last year. However, I still don't understand why I can't relax; my body remains in a state of high tension, which often leads to...
Dr. Lin Mianzhang Reply:
Hello: If you have been unable to relax and are easily tense and anxious for a long time, you should consider whether you have an anxiety disorder. If so, it is not advisable to rely solely on sedative or sleep medications; you should also include antidepressants. In addition to ...[Read More] Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Understanding Misophonia: Diagnosis and Treatment Options
Diagnosis of Phonophobia Hello, doctor. I have been experiencing misophonia since I was about 20 years old, and it has become increasingly severe over the years. Currently, I cannot tolerate sounds such as chewing, teeth cleaning, clicking a pen, throat clearing, footsteps, and d...
Dr. Hong Jiajun Reply:
Hello, phonophobia is not a very common condition, and the medical understanding of it is quite limited. It is generally believed that phonophobia may be related to abnormal connections in the central nervous system, but the mechanisms behind it remain unclear. It seems that your...[Read More] Understanding Misophonia: Diagnosis and Treatment Options
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
Understanding Anxiety and Autonomic Nervous System Disorders
Anxiety, autonomic nervous system dysregulation? Hello, doctor. I am a 35-year-old office worker, and my only pleasure is playing computer games after work. However, two months ago, I became overly immersed in an adult game scenario, and I have been unable to let go of the distre...
Dr. Wang Zhenbang Reply:
Hello, regarding your condition, here are some suggestions: 1. If you already have sleep disturbances, it is not necessary to "fall asleep" during the day; simply resting with your eyes closed is sufficient. If you do fall asleep, it is recommended to limit it to no mor...[Read More] Understanding Anxiety and Autonomic Nervous System Disorders
Navigating Emotional Trauma: Living with Chronic Illness and Misunderstanding
Traumatic emotions I was diagnosed at the age of 23 with atypical Crohn's disease. Within a month, I lost over thirty kilograms. I visited numerous hospitals and was only diagnosed with gastric and duodenal ulcers. My condition worsened, and one day I woke up unable to walk....
Dr. Wu Enliang Reply:
Hello, online friend: As a fellow patient with chronic autoimmune diseases, I completely understand the pain of living with a chronic illness, and the added suffering of being misunderstood or accused of faking it. I recommend that such traumatic experiences be addressed through ...[Read More] Navigating Emotional Trauma: Living with Chronic Illness and Misunderstanding
Understanding the Risks of GERD from Antidepressants: A Patient's Perspective
Medication-induced gastroesophageal reflux disease (GERD) Past Medical History: 1. Stress ulcer (lesser curvature of the stomach) 2. Diarrhea-predominant irritable bowel syndrome Question: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could ...
Dr. Wu Enliang Reply:
Hello, netizen: Subject Q: If [Grade A esophagitis] and [non-H. pylori gastritis] are ignored for a long time, could the consequences lead to esophageal cancer, gastric cancer, or even worse? Yes, chronic inflammation can indeed lead to carcinogenesis, so it is advisable to seek ...[Read More] Understanding the Risks of GERD from Antidepressants: A Patient's Perspective
Understanding Anxiety Medication: When to Seek Psychiatric Help
Use of Anxiolytic Medications Hello, doctor. I previously raised the question of whether my chest tightness is due to autonomic nervous system dysregulation. I have undergone various organ examinations, all of which showed no abnormalities. The context in which the symptoms occur...
Dr. Wu Enliang Reply:
Hello, online user: Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed. It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency. If symptoms improve after relaxation and stress ...[Read More] Understanding Anxiety Medication: When to Seek Psychiatric Help
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 Dissociative Identity Disorder: Can Your Partner's Past Shape His Present?
Dissociative Identity Disorder (DID) My boyfriend says he doesn't remember much about his life before the age of 11. Friends describe him as having a bad temper, being dangerous, disobedient, manipulative, and violent. After turning 11, he had a teacher who cared for him and...
Dr. Qiu Junda Reply:
Hello: Dissociative Identity Disorder is a more complex issue that requires a professional and detailed assessment. Sometimes, what we commonly refer to as having a "split personality" may not necessarily align with the psychiatric diagnosis of Dissociative Identity Dis...[Read More] Understanding Dissociative Identity Disorder: Can Your Partner's Past Shape His Present?
Understanding My Father's Mental Health Challenges After Divorce
My father's mental condition? Hello Doctor, Family situation: There are four people in my family. I am the eldest son, and I have a father, a mother, and a younger sister. Both my sister and I work overseas and cannot return to Taiwan frequently due to the pandemic. Desc...
Dr. Wang Yaoting Reply:
Hello, it sounds like your father is experiencing a situation that is understandably concerning for the family, and it can be distressing not knowing how to help him. Based on your description, it is difficult to make a complete assessment. However, if the issue with emotional co...[Read More] Understanding My Father's Mental Health Challenges After Divorce
Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Regarding medications and physiological issues? I would like to ask—last year, due to high stress, I experienced hyperventilation and muscle spasms in my hands and feet during an emotional episode. My hands often felt numb and shaky. After consulting a cardiologist and finding no...
Dr. Lin Mianzhang Reply:
Hello Judy: It seems that after adjusting your medication, your initial response has been quite good. Your burping may be due to swallowing air when you take deep breaths out of nervousness. Your medication dosage is within the normal range, and this issue did not occur when you ...[Read More] Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Do Antidepressants Affect Autonomic Nervous System Function?
Do antidepressant medications affect the autonomic nervous system? Hello Dr. Wu, I recently had a health check-up, and the report mentioned that my autonomic nervous system shows signs of premature aging (with a low health index regarding cardiac load under external stress) and t...
Dr. Wu Enliang Reply:
Hello, internet user: These medications are all used simultaneously to treat autonomic nervous system disorders. Such levels indicate that anxiety is too high, so it's important to focus on relaxation. There is no need to consult another physician; you can simply ask your or...[Read More] Do Antidepressants Affect Autonomic Nervous System Function?