Understanding Anxiety-Related Physical Symptoms in College Students
Anxiety-related physical symptoms Hello, doctor. Since I started university last September, I've been feeling uncomfortable with the school environment and the food. I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty b...
Dr. Qiu Junda Reply:
Hello. Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety). Some may not even know the underlying cause. However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress th...[Read More] Understanding Anxiety-Related Physical Symptoms in College Students
Understanding Bowel Noises: Are They Linked to Anxiety?
Borborygmi Hello, doctor. Recently, I have been preparing for the national exam and I go to a tutoring center almost every day. The classes are conducted with each student using their own computer to watch recorded lectures, and the environment is very closed and quiet. Initially...
Dr. Lin Mianzhang Reply:
Hello Ting, If you have undergone a gastrointestinal examination and everything is normal, there should be no major concerns. The intestines are constantly in motion, but most people do not pay attention to the sounds of intestinal peristalsis. Unless you experience symptoms su...[Read More] Understanding Bowel Noises: Are They Linked to Anxiety?
Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Which medications can help control and reduce positive symptoms? Hello Doctor: One of my children, who was 20 years old and in their first year of college, became ill and had to drop out to help at home. After nearly 5 years of treatment, the doctor diagnosed them with undifferen...
Dr. Cai Qijin Reply:
Hello: There are many types of medications for schizophrenia, each with different side effects and effects. Long-acting injectable formulations of second-generation antipsychotics have shown good efficacy for both positive and negative symptoms, and they can provide more stable b...[Read More] Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Understanding Diagnosis and Medication Guidance for Delusional Disorder
Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...
Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...[Read More] Understanding Diagnosis and Medication Guidance for Delusional Disorder
Understanding Daily Dizziness: When to Seek Further Medical Help
Feeling dizzy every day? Hello, doctor! About ten years ago, one night as I was preparing to sleep, I suddenly lay down and my head started spinning, with numbness in my hands and feet. My family quickly took me to the emergency room, where the doctor administered an IV and gave ...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: If you have seen a neurologist and the initial evaluation and tests are normal, there is no need for an MRI or CT scan. Your symptoms appear to be related to anxiety and hyperventilation. It is recommended that you practice diaphragmatic breathing, where your abdom...[Read More] Understanding Daily Dizziness: When to Seek Further Medical Help
Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Gradually worsening sleep issues? Hello Doctor, I have been experiencing sleep issues for the past six months, often lying in bed for two hours without being able to fall asleep. Even after I do fall asleep, I sometimes have nightmares or experience sleep paralysis, waking up fee...
Dr. Lin Mianzhang Reply:
Hello Mr. Lee: It seems that you are experiencing the following sleep issues: difficulty falling asleep, nightmares, and sleep paralysis. Sleep paralysis, often referred to as "ghost pressing," is actually a phenomenon that occurs during the REM (Rapid Eye Movement) sta...[Read More] Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...
Dr. Yan Congyou Reply:
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Struggling to Focus: Could I Have ADHD as a Student?
I have trouble focusing, and I suspect that I might have ADHD? Hello Doctor: I am currently a student preparing for the university entrance exam. As the exam approaches, I find it very troubling that I cannot calm down and focus on studying. Recently, after finishing the semester...
Dr. Bao Zhijia Reply:
Hello: Regarding issues with attention difficulties and memory decline, aside from ADHD that you mentioned, there are actually many other causes. Common factors include high stress, anxiety, and depression, which can all contribute to these phenomena. If you truly feel that this ...[Read More] Struggling to Focus: Could I Have ADHD as a Student?
Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Hello, doctor. I would like to discuss sexual counseling? Hello Doctor, I am 38 years old and have no sexual experience. I recently started dating my first girlfriend a few months ago. She asked me if I had any sexual experience, and then began to talk about her past. Even though...
Dr. Wu Enliang Reply:
Hello, it's common for people to experience psychological discomfort. As for how to address it, it's likely not something that can be resolved through email. However, if it causes significant distress, I recommend seeking psychological therapy to address these mental co...[Read More] Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Effective Communication with Your Doctor About Panic and Depression Medications
Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...
Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...[Read More] Effective Communication with Your Doctor About Panic and Depression Medications
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang Reply:
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
Improving Attention Deficits: Medication and Strategies for Teachers
Inquiries regarding attention and medications? Hello, Doctor. I have a few things I would like to consult with you. Thank you! In high school, I was diagnosed with Attention Deficit Disorder. Currently, I work as a special education teacher. I have two questions that are botherin...
Dr. Wu Menghuan Reply:
Hello: Special education teachers have a very challenging vocation, bearing the expectations and pressures from parents and society. It is indeed difficult to attend to each student's educational needs, behavioral management, and daily care simultaneously. The issues you des...[Read More] Improving Attention Deficits: Medication and Strategies for Teachers
Managing Physical Discomfort from Psychological Stress During Exams
How to alleviate physical discomfort caused by psychological factors? I have my final exams this week, and I started experiencing light sleep since last weekend, even not sleeping at all some nights. Gradually, my muscles have begun to feel very tense, especially my fingers, whic...
Dr. Qiu Junda Reply:
Hello. It seems that the exam is causing you significant stress, leading to physical discomfort. The medications Xibing and Anli may also have physiological side effects. I recommend that you return for a follow-up appointment with your physician to discuss and clarify the causes...[Read More] Managing Physical Discomfort from Psychological Stress During Exams
How to Encourage a Family Member to Seek Mental Health Treatment?
How to persuade family members to seek medical attention? My sister has had communication issues since childhood, but we used to think it was just a phase of childhood stubbornness that our parents overlooked. However, now that she is an adult (20 years old), she remains indiffer...
Dr. Qiu Junda Reply:
Hello. You might consider the possibility that you are experiencing emotional distress and would like to visit a psychosomatic clinic to consult with a physician or therapist. However, you may feel hesitant to go alone and hope that your sister can accompany you. During your appo...[Read More] How to Encourage a Family Member to Seek Mental Health Treatment?
Finding Hope: Navigating Depression and Mental Health Challenges
Will I really get better? Hello Doctor, I have been diagnosed with depression or persistent depressive disorder, and I have a history of social anxiety disorder which has since resolved. Recently, my physician suspects I may have hypomania. Although I am relatively young, my medi...
Dr. Lin Mianzhang Reply:
Hello Eunice: Thank you for your hard work! From your situation, it seems that you really need a stable doctor-patient relationship so that the physician can understand your condition and provide you with the most suitable treatment. If you frequently change doctors (even if it&#...[Read More] Finding Hope: Navigating Depression and Mental Health Challenges
Understanding Fluctuating Focus: When to Seek Help for Attention Issues
Attention fluctuates? Hello, doctor. I have had issues with inattention since childhood. Later, I became passionate about writing and reading, which made me heavily reliant on visible text. When I can't see words, I often struggle to articulate my thoughts when speaking in p...
Dr. Lin Mianzhang Reply:
Hello Ms. Chang: If you have had issues with inattention since childhood, it is possible that your difficulties with focus and organizing your thoughts and sentences could be symptoms of Attention Deficit Hyperactivity Disorder (ADHD). However, there are many factors that can aff...[Read More] Understanding Fluctuating Focus: When to Seek Help for Attention Issues
Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Emotional issues Hello, doctor. Recently, I've been experiencing sudden mood swings where I start hitting my own head and slapping my face, even though there's nothing specific making me unhappy. When others see this, they just laugh, which makes me feel even worse. I w...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have appeared suddenly, it is important to consider whether they are related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) defines...[Read More] Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Overwhelming Exam Pressure: When to Seek Help for Mental Health
Feeling overwhelmed by stress to the point of wanting to commit suicide? I am a student preparing for the exam this year, and when I see my unsatisfactory grades, I feel like crying. Whether it's a major or minor exam, I come home and avoid using my phone, but I constantly f...
Dr. Lin Mianzhang Reply:
Hello, Xia: It seems that you are experiencing significant anxiety, irritability, insomnia, suicidal thoughts, and self-harming behaviors. It must be very distressing for you to take over three hours to fall asleep each night. Lack of sleep not only affects your mood but also imp...[Read More] Overwhelming Exam Pressure: When to Seek Help for Mental Health
Can You Take Zapline and Alprazolam on an Empty Stomach?
Medication Consultation Hello Doctor, may I ask if Zapline 50mg (take half a tablet before bedtime) and ALPRAZOLAM 0.5mg (take one tablet as needed) can be taken on an empty stomach? Or is it recommended to eat something before taking them, or what is the best way to take them? I...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about the side effects of medication. 1. Anxiety disorders and psychosomatic disorders are common in modern society, often stemming from the uncertainty of the fut...[Read More] Can You Take Zapline and Alprazolam on an Empty Stomach?