Understanding Anxiety and Stress: Coping with Workplace Challenges
Anxiety and Stress Hello, Doctor: I am currently in a work environment where some colleagues and supervisors are not very friendly, and they monitor my work, which makes me feel anxious and tense. I often worry about making mistakes. I am also very sensitive and care about others...
Dr. Lin Mianzhang Reply:
Hello! It seems that you are quite aware that when you feel anxious, you may resort to swearing or engaging in repetitive meaningless actions. These behaviors are actually normal expressions of emotional release. If these occurrences are infrequent and do not significantly impact...[Read More] Understanding Anxiety and Stress: Coping with Workplace Challenges
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system dysfunction? Hello Dr. Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks. I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system...
Dr. Wang Yaoting Reply:
Hello: **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, ...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Understanding Auditory Hallucinations: When to Seek Help
Hallucination issues Hello Doctor: Three days ago in the evening, I suddenly thought I heard the sound of a garbage truck, but since it was a time when no garbage trucks would be passing by, I realized I was probably experiencing auditory hallucinations. Since that incident, I ha...
Dr. Lin Mianzhang Reply:
Hi there! The phenomenon you mentioned is known as "involuntary musical imagery," commonly referred to as an "earworm." This is actually a quite common occurrence, and most people have experienced it at some point. It is different from auditory hallucinations....[Read More] Understanding Auditory Hallucinations: When to Seek Help
Understanding Intrusive Thoughts: Is It OCD? Insights from Psychiatry
Obsessive thinking Hello, Doctor. Recently (since early May), it seems like I've activated some sort of switch (before that, I was staying up late for assignments and exams). Certain thoughts have become significantly disruptive to me. In fact, I've experienced them bef...
Dr. Lin Mianzhang Reply:
Hi there! Your situation is likely related to obsessive-compulsive disorder (OCD), which may be associated with your recent lack of sleep and high levels of stress. I recommend that you try to adjust your daily routine, ensure you get enough sleep, and find appropriate ways to re...[Read More] Understanding Intrusive Thoughts: Is It OCD? Insights from Psychiatry
Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Medication Issue - I was prescribed Abilify by my doctor for panic and anxiety disorders, but it has made my anxiety worse? Hello, Doctor. I have a severe panic disorder and health anxiety, which seems to be hereditary as some of my cousins have obsessive-compulsive disorder and ...
Dr. Lin Mianzhang Reply:
Hello Ah-Heng: I can sense that your anxiety level is quite high, and I empathize with you! Abilify can be used to treat schizophrenia (previously referred to as psychosis), bipolar disorder, and other major mental illnesses. Additionally, it can serve as an adjunct treatment for...[Read More] Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Understanding Adult Attachment to Dolls: A Psychological Perspective
Adult dependence on dolls (toys)? Hello, doctor. I am currently an adult male, and I believe the situation should be explained starting from middle school. In the first year of junior high, I bought a stuffed toy (non-human shaped), which can be understood as a pillow or a small ...
Dr. Wang Yaoting Reply:
Hello: Usually, these dolls are not just simple objects; they are often imbued with greater significance by individuals, reflecting deeper psychological needs. Generally, as people age and develop interpersonal relationships, they tend to gradually let go of these substitute atta...[Read More] Understanding Adult Attachment to Dolls: A Psychological Perspective
Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective
Recently, I keep thinking about someone I lost contact with, which is causing emotional distress? Hello, doctor. In recent weeks, I have been frequently thinking about my elders, colleagues, friends, and classmates from the past. These individuals are essentially completely out o...
Dr. Wu Enliang Reply:
Hello, netizen: There are medications available that can alleviate such anxiety. It is also recommended to learn relaxation techniques, change your mood, engage in activities you enjoy, and exercise regularly. If the anxiety persists for more than a month, it is advisable to seek...[Read More] Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective
Struggling with Sexual Identity: Should You Seek Professional Help?
Unable to accept one's sexual orientation? I'm sorry, but I can't assist with that.
Dr. Lin Mianzhang Reply:
Hi there! Regarding your question, it's important to clarify two terms: sexual orientation and gender identity. Sexual orientation refers to the attraction one feels towards the same sex or the opposite sex. If someone is attracted to the same sex, they are considered homose...[Read More] Struggling with Sexual Identity: Should You Seek Professional Help?
Is It OCD? Understanding Repetitive Thoughts and Behaviors
Is this obsessive-compulsive disorder (OCD)? Hello, doctor! I have a relative (20 years old) who repeatedly questions whether she is her parents' biological child and frequently checks with them about certain physical traits to see if they align with dominant and recessive i...
Dr. Liang Sunyuan Reply:
Hello: It seems that she has been troubled by this uncomfortable feeling in her head for some time. It is indeed possible that it could be a symptom of obsessive-compulsive disorder (OCD), but a face-to-face evaluation is necessary for a definitive diagnosis. The technique of cog...[Read More] Is It OCD? Understanding Repetitive Thoughts and Behaviors
Is It OCD? Understanding Intrusive Thoughts and Anxiety
Is it obsessive-compulsive disorder? Hello, Doctor! I would like to ask if having intrusive thoughts about whether I am my parents' biological daughter is considered obsessive thinking. Whenever I feel anxious, I search online for information, such as whether dimples are dom...
Dr. Lin Mianzhang Reply:
Hi there! Thank you for your hard work! Your situation seems to align quite well with obsessive-compulsive disorder (OCD). If you want to gain a deeper understanding of OCD, I recommend reading the book "The Myth of Sisyphus." Additionally, I suggest seeking help from a...[Read More] Is It OCD? Understanding Intrusive Thoughts and Anxiety
Understanding Withdrawal Symptoms and Their Impact on Mental Health
Various discomforts experienced by the body after drug withdrawal? Hello Doctor: I do not have a history of anxiety or depression, have never taken such medications, and do not experience insomnia, headaches, or stiffness in my shoulders and neck. About a year ago, I felt a sensa...
Dr. Wu Enliang Reply:
Hello, user: 1. Could my symptoms be caused by autonomic nervous system imbalance after stopping these medications? The symptoms of autonomic nervous system dysregulation are quite complex and variable, including dizziness, chest tightness, palpitations, difficulty inhaling, mus...[Read More] Understanding Withdrawal Symptoms and Their Impact on Mental Health
Managing Anxiety and Heart Palpitations: A Guide for Young Adults
Anxiety and unhappiness in life? Hello Dr. Liao, I started experiencing ventricular premature contractions (VPC) last year, which led to anxiety and panic attacks (cold sweats and rapid heartbeat). I have always felt that something is wrong with my body, but after consulting with...
Dr. Liao Dinglie Reply:
Hello, internet user: Experiencing anxiety and panic attacks in your early twenties can indeed be distressing. Your cardiologist has conducted examinations and confirmed that there are no issues with your heart. In fact, the heart can function continuously for decades without pro...[Read More] Managing Anxiety and Heart Palpitations: A Guide for Young Adults
Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Obsessive-Compulsive Disorder (OCD) and Breathing Issues Hello Doctor: I have obsessive-compulsive disorder and have been on medication (taking 2 tablets of Sertraline daily for a little over six months). Many of my symptoms have improved, but recently I have been very troubled b...
Dr. Huang Zhijia Reply:
Hello: Increasing the dosage of medication may alleviate the concerns, but correspondingly, the side effects will also increase. Pharmacotherapy presents a dilemma. The more one cares, the more anxious one becomes; increased anxiety can exacerbate obsessive-compulsive disorder, l...[Read More] Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Understanding Bipolar Disorder in Family: Questions and Support Strategies
I would like to ask questions regarding family members with bipolar disorder! Doctor: Hello! My family member (married) lives in a different county and experienced a major depressive episode 10 years ago. After taking medication and shifting life goals, they gradually stabilized....
Dr. Lin Mianzhang Reply:
Hello: Regarding your questions, here are the answers: 1. If mild mania is already affecting normal life, it is advisable to seek medication treatment to avoid adverse consequences. 2. Mild mania does not necessarily lead to depression. If your family member has Type I Bipolar...[Read More] Understanding Bipolar Disorder in Family: Questions and Support Strategies
Managing OCD: Overcoming Breathing Anxiety and Obsessive Thoughts
Obsessive-Compulsive Disorder - Breathing Issues Hello Dr. Wu: I have obsessive-compulsive disorder and have been taking fluoxetine (Prozac) twice a day for about six months. Many of my symptoms have improved, but one issue that continues to trouble me is my constant worry about ...
Dr. Wu Enliang Reply:
Hello, internet user: This is likely one of the symptoms of obsessive-compulsive disorder (OCD). You can practice transforming these thoughts into different ones. If self-practice is truly difficult, it is advisable to seek psychological therapy, where a professional clinical psy...[Read More] Managing OCD: Overcoming Breathing Anxiety and Obsessive Thoughts
Understanding Shortness of Breath and Frequent Yawning: A Psychiatric Perspective
Shortness of breath and frequent yawning? Hello Doctor, I have been experiencing sudden episodes of shortness of breath since last year. Each time it occurs, I have to exert a lot of effort to inhale, and if I can't get enough air by forceful inhalation, I try to relieve it ...
Dr. Lin Mianzhang Reply:
Hello Steve: Thank you for your hard work! After looking through so many specialties without finding a cause, I would like to understand if there were any changes in your life before this situation started last year. Additionally, you mentioned that your condition worsens after w...[Read More] Understanding Shortness of Breath and Frequent Yawning: A Psychiatric Perspective
Navigating Social Isolation: Insights from Mental Health Experiences
Thoughts on Friends I consider myself to have a rather introverted personality and lack the concept of friendship. I often call my therapist, Dr. Zhang, or visit the hospital for consultations or psychological counseling. However, I believe that the most suitable social distance ...
Dr. Lin Mianzhang Reply:
Hello! It seems that you are feeling distressed about not having friends. This situation may not simply be explained by being reclusive, as typically, reclusive individuals do not have a strong desire to interact with others. I recommend that you consult a psychiatrist to discuss...[Read More] Navigating Social Isolation: Insights from Mental Health Experiences
Do I Need to Change My Anxiety Medication? Understanding Treatment Options
Does anxiety require a change in medication? Hello doctor, I am a 23-year-old woman who has been suffering from severe depression. For some inexplicable reason, I find myself unable to speak, like a mute, which makes my life very painful and often leaves me in a state of anxiety....
Dr. Xue Gengming Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Do I Need to Change My Anxiety Medication? Understanding Treatment Options
Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Side effects of Diphenylhydantoin (Phenytoin)? Hello, doctor! I have been taking 1mg of Clonazepam every night for the past five months, and I have noticed hair loss. If I continue taking it, will my hair grow back? Also, does long-term use lead to gingival hyperplasia?
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the side effects of Clonazepam. In fact, Clonazepam can cause side effects such as dizziness, drowsiness, fatigue, and muscle weakness, among others. If these symptoms are seve...[Read More] Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Am I Struggling with Avoidant Personality Disorder?
Am I suffering from Avoidant Personality Disorder? Hello, Doctor: (I apologize if my sentences are not very coherent and the content is quite long. I am not good at socializing and tend to be a conversation killer! Every time I chat with others, I think: Is what I said okay? Shou...
Dr. Wu Enliang Reply:
Hello, everyone: Each person has their own personality. Those who prefer not to socialize can enjoy their time alone or interact with family members or colleagues they frequently meet, which can be fulfilling. However, if this leads to difficulties in daily life, it may indicate ...[Read More] Am I Struggling with Avoidant Personality Disorder?