Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms
Hyperventilation Panic I previously experienced anxiety due to hyperventilation, which made me afraid to go out to see a doctor. The doctor initially prescribed medication for my symptoms, and after a week of follow-up, I was given an additional half tablet of an antidepressant t...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to hyperventilation and gastrointestinal issues. Therefore, regular outpatient follow-ups and discussions are very important. Regarding your concerns about physical discomfort a...[Read More] Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms
Coping with Schizophrenia: Overcoming Stigma and Finding Support
Schizophrenia I am concerned about being ostracized due to my schizophrenia. What should I do? I still need to live my life, so please give me some advice!
Dr. Tian Xinqiao Reply:
Hello, online friend: In the text, it seems you are feeling uneasy about your condition, especially regarding your interactions with others and how they treat you. The primary approach to address this is to reduce anxiety. You can achieve this through regular exercise and develop...[Read More] Coping with Schizophrenia: Overcoming Stigma and Finding Support
Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Is a diagnosis of a mental disorder... depression? Hello, doctor: I would like to ask about my situation. In November 2017, due to workplace conflicts with colleagues, I experienced significant negative emotions and stress, to the point where I didn't want to go to work or s...
Dr. Wu Enliang Reply:
Hello, based on my understanding, issues with insurance denial are more likely to occur only in cases of significant mental illnesses such as schizophrenia or bipolar disorder. It is not the case that simply seeing a psychiatrist or psychologist would lead to a denial of coverage...[Read More] Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Do I Need to See a Doctor for My Anxiety Symptoms?
Do I need to see a doctor for this? I often feel anxious and scared whenever I experience even a slight discomfort, whether I'm out or at home. Sometimes, I get so nervous that I feel dizzy and have chest tightness. When I search for symptoms online and find ones that resemb...
Dr. Lin Mianzhang Reply:
Hello Ms. Chen: It seems that you may be overly sensitive to discomfort in your body, and you also experience anxiety and difficulty relaxing. This could be triggered by external stressors, influenced by your personal constitution, or a combination of both. The underlying cause n...[Read More] Do I Need to See a Doctor for My Anxiety Symptoms?
Overcoming Social Anxiety: A Journey from Isolation to Confidence
Social Anxiety Disorder In elementary school, I had a good social circle in grades 1-4, but in grades 5-6, even though I participated in the dodgeball team, I was hesitant to talk to my classmates. Instead, I became good friends with the younger students. My social interactions i...
Dr. Peng Liyun Reply:
Dear Sir/Madam, From your letter, I can sense the emotions and stress you are currently experiencing due to changes in your mood, thoughts, and daily life. It seems you may have been feeling down, which can significantly impact your emotional well-being and daily activities, esp...[Read More] Overcoming Social Anxiety: A Journey from Isolation to Confidence
Understanding Stress, Anxiety, and Tension: When to Seek Help
Stress, anxiety, and tension? Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experien...
Dr. Zhang Gengjia Reply:
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help
Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Frequent intrusive thoughts occur? Hello Dr. Wang: Recently, I have been experiencing disturbing thoughts in my mind, such as thoughts of accidents, harming others, or suicide. I often wish for my enemies and those who bully me to disappear, and I feel that life is meaningless an...
Dr. Wang Yazhen Reply:
Hello: It sounds like you are very troubled by persistent thoughts in your mind, many of which are accompanied by various emotions, including negative and frightening ones, and even thoughts of harming yourself or others. It is important to determine whether there are any underly...[Read More] Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Understanding Postpartum Mood Swings: Navigating Emotional Turbulence in Marriage
After childbirth, my wife experiences significant mood swings and is easily angered? Currently, my wife is about a year postpartum, but she often gets angry over trivial matters and even pushes me away forcefully. In front of her family, she presents a different side of herself. ...
Dr. Peng Liyun Reply:
Hello, A-Ming. Welcoming the birth of a new life is indeed a joyous event. However, some mothers may experience symptoms of emotional distress, such as depression, after childbirth. The exact causes are not yet clear, but it has been found that changes in hormonal levels, genetic...[Read More] Understanding Postpartum Mood Swings: Navigating Emotional Turbulence in Marriage
Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Paranoia Hello doctor, I had an argument with someone before. Although the other party said they wanted to reconcile, I still feel like they want to harm me, and I even worry about being sued. It's been over a month since the incident, and there has been no progress, but I h...
Dr. Wang Yazhen Reply:
Hello Qianqian: It sounds like you have been very troubled by this situation, including thoughts of victimization, suicidal ideation, insomnia, and more. I recommend that you seek help from a psychosomatic medicine or psychiatry specialist as soon as possible, so that a physician...[Read More] Understanding Paranoia: Coping with Fear and Anxiety in Mental Health
Understanding the Mental Health Impact of Compulsive Masturbation
Masturbation causing mental illness? I started masturbating after seeing a classmate do it in kindergarten, and until now, I feel like there is another version of myself trying to punish me during masturbation. I don't know if that is really me, but every time I finish mastu...
Dr. Guo Jialun Reply:
Based on your description, an increase in the frequency of masturbation or feelings of guilt associated with it are not symptoms of a mental illness, so there is no need for concern. However, if these feelings cause significant distress and severely impact your daily functioning,...[Read More] Understanding the Mental Health Impact of Compulsive Masturbation
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun Reply:
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
Managing Anxiety After Childbirth: Overcoming Symmetry Obsessions
Anxiety conditions Hello, doctor. After having a child, I became very anxious, focusing on the symmetry of my body. For example, when I eat and feel a small mark on the inside of my left cheek, I feel compelled to check the right side. If the right side is clear, I become anxious...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. Your symptoms appear to be related to anxiety manifestations, such as the need for repeated reassurance and concerns about physical illnesses. However, to determine the specific condition you are experiencing, a thorough evaluation by...[Read More] Managing Anxiety After Childbirth: Overcoming Symmetry Obsessions
Understanding the Strong Side Effects of Psychiatric Medications
Side effects of medications? Hello Doctor: Recently, every time I eat, my stomach becomes very bloated, and I feel tightness in my chest and heart, especially severe before bedtime. I have seen many gastroenterologists and taken numerous medications prescribed by them, but there ...
Dr. Wu Enliang Reply:
Escitalopram, known by its brand name, may cause gastrointestinal side effects in a small number of individuals when they first start taking it. However, if one begins with a low dose, such as half a 5 mg tablet taken after meals, side effects are less likely to occur. Typically,...[Read More] Understanding the Strong Side Effects of Psychiatric Medications
Managing Morning Anxiety: Tips to Overcome Health Worries
Frequently feeling anxious? Doctor, I usually wake up in the morning feeling a bit down, and then I start to worry about my health. For example, if I've had the heater on all night and I wake up with dry nasal mucus, and I find a little blood in it, I get really anxious thin...
Dr. Liang Sunyuan Reply:
Hello Ayu: It is advisable to first accept your current tendency to excessively worry about your health. When you notice that you are falling back into this pattern of excessive worry, take a moment to mentally say "stop," and then proceed to engage in the next task you...[Read More] Managing Morning Anxiety: Tips to Overcome Health Worries
Understanding Self-Harm: Seeking Help for Emotional Pain and Coping
Behavioral abnormalities I have had many negative childhood experiences, and when I am under stress or feeling pain, I tend to resort to masturbation. However, I intentionally cause my body to cramp, believing that the pain can help me let go of things I shouldn't have done ...
Dr. Wu Enliang Reply:
Hello, everyone: Everyone experiences sexual desire, especially young people. Masturbation or sexual activity is a normal behavior and can indeed have a certain stress-relieving effect. As long as it does not excessively interfere with daily life (for example, multiple times a da...[Read More] Understanding Self-Harm: Seeking Help for Emotional Pain and Coping
Supporting Your Partner's Emotions During Family Conflicts
Regarding partner emotions and psychological counseling? Hello, the situation with your partner and her family sounds quite challenging. It's understandable that you're feeling affected by her distress, especially if you're concerned about giving advice that might ...
Dr. Huang Xiaoxian Reply:
Hello, Chen-Hao. The issue you mentioned occurs in many families, stemming from differing values and the desire for the other person to change. Regarding you and your partner, I suggest that you listen more to her thoughts and express the feelings you perceive from her expression...[Read More] Supporting Your Partner's Emotions During Family Conflicts
Understanding Schizophrenia: Key Questions and Insights for Patients
Comprehensive questions about schizophrenia? Dear Dr. Wu, Thank you for taking the time to read this. I will first provide a brief overview of my medical history, followed by a list of questions regarding my condition. In March of the year before last, while living alone, I exp...
Dr. Wu Enliang Reply:
Hello, online friend: These questions should actually be discussed with your current physician, as their answers will likely be more precise than mine due to my limited understanding of your situation. However, I will attempt to respond. Question 1: The doctor mentioned that sc...[Read More] Understanding Schizophrenia: Key Questions and Insights for Patients
Understanding the Emotional Conflict of Avoiding Class Reunions
There are many questions? I graduated from middle school 23 years ago and have never attended a reunion, yet I often find myself curious about my classmates' current situations and whether there are any reunions. I feel a contradiction within myself. Could a physician explai...
Dr. Tian Xinqiao Reply:
Hello, everyone: The decision to attend a reunion seems to be a common concern for nearly everyone, including worries about comparing life achievements, feeling uneasy about changes in appearance, or the anxiety of interacting with former classmates. Each person has different fee...[Read More] Understanding the Emotional Conflict of Avoiding Class Reunions
Can a General Hospital's Psychiatry Department Diagnose Depression?
Diagnosis of depression I recently visited a general mental health clinic and shared my current situation with the doctor. I asked him if I had any disorders, but he kept telling me that it wasn't important and that it was just for others to read. I have high levels of anxie...
Dr. Wu Enliang Reply:
Hello, online user: Both psychiatric clinics and hospital psychiatry departments should be able to diagnose depression. Dr. Wu Enliang.[Read More] Can a General Hospital's Psychiatry Department Diagnose Depression?
Managing Anxiety: Dosage Decisions and Their Impact on Recovery
Drug dosage I would like to ask about my treatment since July when the doctor diagnosed me with generalized anxiety disorder and prescribed Escitalopram 10 mg. However, I still sometimes feel down, anxious, or experience tightness in my shoulders and neck. The doctor mentioned th...
Dr. Liang Sunyuan Reply:
Hello: This medication is effective for treating both anxiety and depression, with a typical dosage of one to two pills. If you find that one pill still leaves you with symptoms of anxiety or depression, I recommend taking one and a half pills daily. After stabilizing for at leas...[Read More] Managing Anxiety: Dosage Decisions and Their Impact on Recovery