Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Managing Emotional Instability: Tips for Better Mental Health
Emotional instability Hello, doctor. My usual condition is quite average; I can communicate and joke with others normally, and I often help friends who are under pressure by being a listening ear and offering advice like a counselor. However, I sometimes experience anxiety with s...
Dr. Huang Huiqun Reply:
Dear Cube, it sounds like you are an understanding person who provides listening support to friends, and they enjoy confiding in you. However, when you encounter setbacks or negative emotions, it seems that you currently lack a trusted friend to express your feelings to. You may ...[Read More] Managing Emotional Instability: Tips for Better Mental Health
Understanding Insomnia: Exploring Alternatives to Sleep Medications
Insomnia issues I have been taking sleeping pills for a long time, but my doctor can only suggest exercise. I used to fall asleep by 10 PM, but now I can only sleep with medication. I'm considering switching doctors to understand why I can't fall asleep without medicati...
Dr. Huang Huiqun Reply:
Hello Mr. U, if you have been taking sleeping pills for a long time to help with sleep and wish to reduce your medication, it is important to first identify the reasons for initially starting the medication. If it was due to depression or other emotional disturbances, it is cruci...[Read More] Understanding Insomnia: Exploring Alternatives to Sleep Medications
Understanding Health Anxiety: Coping with Fear of Illness and Cancer
Why are humans so fragile? It makes me so tired, constantly worrying about minor symptoms? I want to share my current living situation with you. I don't smoke, drink, or chew betel nut, but I do stay up late, usually going to bed around midnight to 1 AM. I only get about 6 h...
Dr. Xiao Minghong Reply:
Hello, Mr. Luo Kai-wang: From your question, it is evident that you are under a significant amount of stress. Prolonged exposure to high-pressure environments can lead to burnout. Physiologically, this can result in immune system dysfunction, cardiovascular diseases, gastrointe...[Read More] Understanding Health Anxiety: Coping with Fear of Illness and Cancer
Understanding Left Upper Abdominal Discomfort: Is It Related to Autonomic Dysfunction?
Autonomic nervous system dysfunction with a sensation of a foreign body in the upper left abdomen, described as a tight or uncomfortable feeling, but not significantly painful? Hello Dr. Liang, I sincerely hope you can help me with this question. About three weeks ago, after I go...
Dr. Liang Sunyuan Reply:
Hello: If you have already consulted a doctor and they believe there is nothing wrong, it is advised to relax. If the uncomfortable symptoms occur only occasionally and resolve on their own, there should not be any significant issues. If the symptoms are caused by autonomic nervo...[Read More] Understanding Left Upper Abdominal Discomfort: Is It Related to Autonomic Dysfunction?
Understanding Intrusive Thoughts and Self-Harm in Mental Health
There may be suicidal thoughts or imagery in the mind? Whenever I encounter some stress and feel down, I start to feel worthless, and images of self-harm come to my mind, along with thoughts of suicide. Last year, I went through some significant events that made things very serio...
Dr. Qiu Junda Reply:
Hello. The text reveals negative emotional thoughts. I'm glad you can cherish yourself (just like you would tell yourself not to commit suicide). Regardless of whether it is depression or not, I suggest you consult a mental health professional. If that's not convenient,...[Read More] Understanding Intrusive Thoughts and Self-Harm in Mental Health
Unsure About Depression: Should I Seek Help from a Psychiatrist?
I'm not sure if it's depression, and I'm uncertain whether I should visit a clinic? The situation has been ongoing for a long time and is somewhat complicated, making it difficult for me to understand my own circumstances and the key issues. I apologize for the len...
Dr. Liang Sunyuan Reply:
Hello: Self-harm can indeed become addictive. Feelings of emptiness and pain are part of our emotional experience. It is advisable to first accept these emotions and gradually build resilience against them. Avoid rushing into self-harm; instead, take the time to understand what i...[Read More] Unsure About Depression: Should I Seek Help from a Psychiatrist?
Should I Seek Help from a Psychiatrist for My Mental Health?
Should I seek treatment at a psychiatric hospital? Hello Doctor, I am currently a high school sophomore. Since childhood, I have experienced unexplained feelings of anxiety or stress that lead me to bite my nails and constantly pick at my hands. In middle school, I harmed myself ...
Dr. Liang Sunyuan Reply:
Hello Nicky, since childhood, you have been biting your nails and picking at your skin, which can be harmful to yourself and is often associated with anxiety and depression. It is recommended to first recognize and accept this part of yourself, and then try to learn new and diffe...[Read More] Should I Seek Help from a Psychiatrist for My Mental Health?
Understanding Escitalopram: Is It Effective for PTSD Treatment?
Medication consultation Hello Dr. Ding Shuo-Yan, I have recently been prescribed Escitalopram 10 mg to take daily. I would like to ask if Escitalopram is used to treat Post-Traumatic Stress Disorder (PTSD)? Thank you for your response.
Dr. Ding Shuyan Reply:
Dear Dr. Ding Shuo-Yan, wishing you a speedy recovery. Sincerely,[Read More] Understanding Escitalopram: Is It Effective for PTSD Treatment?
Understanding Emotional Instability in Depression: Coping Strategies
Emotional dysregulation I have depression and regularly attend appointments and take medication, but my condition fluctuates. When I'm feeling good, those moments of happiness are very brief, and during the bad times, I often cry all day. I can be happy one moment and then c...
Dr. Liang Sunyuan Reply:
Hello, Jie: It is normal to feel like crying when you are depressed. Sometimes crying alone in your room can help release emotions, but please do not engage in self-harm. Self-injury often stems from feelings of emptiness and sadness. I recommend reflecting on or writing down wha...[Read More] Understanding Emotional Instability in Depression: Coping Strategies
Understanding Emotional Instability: Coping with Depression and Self-Harm
Emotional instability I often find myself trapped in a state of depression, which makes me contemplate giving up on life. I've been struggling with depression for over a year, and recently I've started engaging in self-harm. When I'm in a depressive episode, self-h...
Dr. Liang Sunyuan Reply:
Hello: It is recommended to find alternative stress-relief methods to replace self-harm, such as reading, writing, listening to music, chatting, or exercising. Think about the people who care about you. We live not only for ourselves but also for those around us whom we care abou...[Read More] Understanding Emotional Instability: Coping with Depression and Self-Harm
Do I Have Depression? Understanding Symptoms and Seeking Help
Do I have depression? Hello, doctor. I am a first-year high school student in a culinary program. For the past few months, I have been experiencing a loss of appetite; after taking the first bite of food, I have no desire to eat any more, and I often feel nauseous afterward, regr...
Dr. Tang Jiahong Reply:
Dear Miss Lin, Your article describes many distressing mental and physical conditions you are experiencing. Seeing so many painful situations, we believe there are many better and more effective coping strategies than self-harm that can alleviate your suffering. The specific dia...[Read More] Do I Have Depression? Understanding Symptoms and Seeking Help
Understanding Emotional Instability: Signs, Symptoms, and Solutions
Emotional instability Hello doctor, I have been struggling with my emotions lately. I often get angry over small things or feel very low. When I have conflicts with my family or feel stressed, I resort to self-harm with a knife or hit the wall. I experience a tightness in my ches...
Dr. Tang Jiahong Reply:
Hello Ms. Lin: It seems that the pain you are experiencing is quite intense, leading you to seek relief in these ways. However, there are other methods available. I recommend that you visit a hospital or clinic to seek assistance from a child and adolescent psychiatrist. Addition...[Read More] Understanding Emotional Instability: Signs, Symptoms, and Solutions
Feeling Overwhelmed: Seeking Help for Mental Health Struggles
Do I have a problem? Hello doctor, I am a first-year vocational student currently working in a factory. Recently, I have been feeling increasingly fatigued. Normally, standing for several hours wouldn't bother me; at most, my feet would feel a bit sore. However, now I wake u...
Dr. Huang Weiqin Reply:
To the inquiring netizen: Based on your description, it is very likely that you are experiencing mental distress related to depression. It is recommended that you be accompanied by friends or family to visit a psychiatrist (or a psychosomatic medicine specialist) for an evaluatio...[Read More] Feeling Overwhelmed: Seeking Help for Mental Health Struggles
Should I Resume Antidepressants for Anxiety and Stress Relief?
Should I resume taking antidepressant medication? Hello Doctor: I used to be a patient with panic disorder and took Xanax and Cymbalta for over ten years. However, I gradually stopped taking the medication around last year's Lunar New Year after feeling stable. Initially, th...
Dr. Liang Sunyuan Reply:
Hello Josephy: It is inevitable to experience anxiety when encountering new changes or stressful situations in life. It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal. Then, focus on the tasks that requ...[Read More] Should I Resume Antidepressants for Anxiety and Stress Relief?
Understanding Persistent Chest Pain and Breathing Issues: A Psychiatric Perspective
Prolonged chest pain with difficulty breathing? Hello Doctor: I have issues with autonomic nervous system dysfunction and mitral valve prolapse. Currently, I am experiencing headaches, dizziness, shortness of breath, wheezing, intercostal neuralgia, chest pain, and insomnia. I ta...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and mitral valve prolapse. Therefore, regular outpatient follow-ups and discussions are very important. Regarding your concerns abou...[Read More] Understanding Persistent Chest Pain and Breathing Issues: A Psychiatric Perspective
Understanding Dissociative Identity: Coping with Emotional Turmoil
Dissociative Identity Disorder (DID) My situation is that I often face events that can harm my mental well-being, such as arguing with my girlfriend. During these times, I feel like I become a different person, becoming indifferent and only speaking for my own interests. Addition...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your message. I believe this may be your way of expressing your feelings and confronting situations. You can bring it up for discussion, which also indicates that you are aware of or concerned about the matter. Moving forward, I would recommend that...[Read More] Understanding Dissociative Identity: Coping with Emotional Turmoil
Understanding Emotional Distress: When to Seek Help for Depression
Emotional issues I suffer from severe depression, and this week I've often felt uncomfortable emotionally, almost to the point of crying whenever I think about it. It feels like a heaviness in my chest. Should I see a cardiologist, or how can I address this emotional discomf...
Dr. Liang Sunyuan Reply:
Hello: You might want to think about what is making you feel sad, and it can help to write down your feelings. Sometimes, this can make you feel a bit better. Don't worry too much about wanting to cry; it's important to accept your emotions, and often, after crying, you...[Read More] Understanding Emotional Distress: When to Seek Help for Depression
Understanding Emotional Distress: Signs, Symptoms, and Seeking Help
Depressed mood Everything started after I began dating my boyfriend, who then got back together with his ex-girlfriend. It was a huge blow for me... I cried continuously for 3 to 4 months. Although he is no longer with his ex now, my feelings remain the same... I often feel inexp...
Dr. Lin Mianzhang Reply:
Hello, it seems that you are experiencing symptoms of depression, but this does not necessarily mean that you have major depressive disorder, as additional information is needed to clarify your situation. I recommend that you seek professional help from a psychiatrist as soon as ...[Read More] Understanding Emotional Distress: Signs, Symptoms, and Seeking Help
Finding Balance: Navigating Emotional Exhaustion in Friendships
My heart feels exhausted and troubled? When a friend is struggling in life, I often send messages to offer support. However, if my response isn't what they want, they may not reply, and then they complain again when they think of it, which can be exhausting. I feel guilty fo...
Dr. Liang Sunyuan Reply:
Hello: Take care of yourself first, so that you have the ability to help others. When a friend reaches out to you for help via text, responding seriously is already fulfilling your duty as a friend; their satisfaction is indeed beyond your control. I suspect you are just one of m...[Read More] Finding Balance: Navigating Emotional Exhaustion in Friendships