Coping with Suicidal Thoughts: A Guide for Those in Distress
Emotional instability I suffer from severe depression and have been experiencing suicidal thoughts recently. My family is very upset and has said they want to restrain me to prevent me from jumping off a building. They are concerned about me being hospitalized, so they haven'...
Dr. Liang Sunyuan Reply:
Hello, Jie: During the worsening of depression, feelings of sadness, pessimistic thoughts, and impulsivity can occur. If suicidal ideation is strong, hospitalization is indeed a safer option. Additionally, closely collaborating with your outpatient physician to adjust treatment m...[Read More] Coping with Suicidal Thoughts: A Guide for Those in Distress
Should You Seek Help for Persistent Sadness and Emotional Distress?
Should I seek medical attention for these symptoms? Hello Doctor: For the past three months, I have often found myself crying when I am alone. I feel like I am not doing anything right and that I have disappointed many people (even though they haven't said so). The frequency...
Dr. Liang Sunyuan Reply:
Hello Meme: Based on your description, it seems that you have been feeling down, having pessimistic thoughts, and are easily prone to tears over the past three months, which may indicate symptoms of depression. The pressure from the university entrance exam can indeed lead to anx...[Read More] Should You Seek Help for Persistent Sadness and Emotional Distress?
Overcoming OCD-Like Symptoms: Can Self-Help Lead to Recovery?
Obsessive-Compulsive Disorder (OCD) I am a senior high school student, and I have been experiencing symptoms similar to obsessive-compulsive disorder (OCD) since I was in the ninth grade. Before going to bed at night, I would check items in my home by following a specific order a...
Dr. Liang Sunyuan Reply:
Hello Mr. Li: The symptoms you described could indeed be indicative of Obsessive-Compulsive Disorder (OCD). The principle of non-pharmacological treatment for OCD is cognitive-behavioral therapy (CBT), which involves resisting these irrational thoughts and behaviors, while also r...[Read More] Overcoming OCD-Like Symptoms: Can Self-Help Lead to Recovery?
Understanding Your Girlfriend's Emotional Response: Is It PTSD?
Is this a condition similar to post-traumatic stress disorder (PTSD)? Hello, Doctor. First, I want to apologize because the question I have is not about my own issue, but rather about my girlfriend. We have been dating for about two months; she is 30 years old, and I am currently...
Dr. Wang Yazhen Reply:
Hello Alex, typically, the experience of feeling detached or having an out-of-body sensation in certain situations, such as during kissing, may likely trigger a dissociative state related to past trauma. Dissociative states are often a defense mechanism that occurs when an indivi...[Read More] Understanding Your Girlfriend's Emotional Response: Is It PTSD?
Struggling to Wake Up: Understanding Sleep Disorders and Solutions
Unable to hear the alarm while sleeping? Hello Doctor, I am currently experiencing prolonged sleep duration and difficulty hearing my alarm clock. Even when I go to bed earlier, I find it hard to fall asleep. Recently, my sleep schedule has improved somewhat, and I usually fall a...
Dr. Liang Sunyuan Reply:
Hello, Cao Fan: It is recommended to consider undergoing a sleep study at a hospital with a sleep laboratory to identify potential causes.[Read More] Struggling to Wake Up: Understanding Sleep Disorders and Solutions
Overcoming Social Anxiety and Depression in College Students
Social Anxiety Disorder Depression I am 19 years old and live in a dormitory at university. Due to my major, I often need to communicate in English, but I am afraid to speak in front of people. Whenever I have to talk, my mind goes blank. Even simple sentences come out all jumble...
Dr. Zhang Fangrong 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 have had moments where you couldn't stop crying, which can severely impact your emotional well-being and ...[Read More] Overcoming Social Anxiety and Depression in College Students
Unexplained Skin Scratching During Sleep: Causes and Solutions
Grabbing or fidgeting randomly while asleep? I often find myself scratching my legs unconsciously while I sleep, and I don't feel any itching. When I wake up, I notice a lot of wounds. I've researched and found that it might be due to excessive stress, but I feel quite ...
Dr. Huang Weiqin Reply:
Hello, user: Although the issues you are describing are not typical psychiatric symptoms, it is still advisable to schedule an appointment with a psychiatrist or a psychosomatic medicine specialist for a comprehensive evaluation, after which further treatment recommendations can ...[Read More] Unexplained Skin Scratching During Sleep: Causes and Solutions
Am I Experiencing Depression? Signs and Symptoms to Consider
Is this depression? I feel unhappy almost every day. It's not that I'm extremely sad or in a bad mood, but I just don't feel happy. I've lost interest in things I used to enjoy and feel indifferent towards everything. I perceive the things I'm doing as th...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, I can sense the emotions and distress you are currently experiencing due to changes in your mood, thoughts, and daily life. It is concerning that you have even engaged in self-harming behaviors and have had negative thoughts, which are significa...[Read More] Am I Experiencing Depression? Signs and Symptoms to Consider
Can Noise Pollution Trigger Schizophrenia? Exploring Environmental Stressors
Causes of Mental Disorders Hello Doctor: I would like to ask if noise can cause schizophrenia. I feel disgusted and stressed due to noise. According to the information from the Health Bureau available at the following link: http://mental.health.gov.tw/WebForm/External/ArticleDeta...
Dr. Ding Shuyan Reply:
Hello, I have not heard that noise can cause schizophrenia. However, individuals with schizophrenia seem to have a poorer ability to filter external stimuli compared to the general population. They struggle to selectively pay attention to meaningful sounds, which can make the sur...[Read More] Can Noise Pollution Trigger Schizophrenia? Exploring Environmental Stressors
Overcoming Self-Doubt: Strategies for Mental Health Professionals
Lack of self-confidence? There is often a voice inside that makes me doubt myself, and I easily notice the strengths of others. I find myself analyzing every conversation, questioning why I don't think that way or why I don't have such keen insights. This creates distre...
Dr. Liang Sunyuan Reply:
Hello: It is impossible for anyone to perform perfectly all the time; there will inevitably be moments of underperformance. While it is beneficial to learn from the strengths of others, it is advisable to avoid self-criticism for not being good enough. Before we can help others, ...[Read More] Overcoming Self-Doubt: Strategies for Mental Health Professionals
Understanding Autonomic Nervous System Disorders in Teens: Symptoms and Solutions
Autonomic nervous system dysfunction? Hello Doctor, I am a high school student experiencing significant stress and often staying up late, leading to insufficient sleep. Recently, I suspect I may have autonomic nervous system dysfunction, but I have not yet visited a clinic for tr...
Dr. Qiu Junda Reply:
Hello: The symptoms described in the text do resemble those of autonomic nervous system dysfunction. If possible, please visit a nearby mental health clinic for evaluation. It can also be assessed whether medication treatment is necessary. Thank you.[Read More] Understanding Autonomic Nervous System Disorders in Teens: Symptoms and Solutions
Can Involuntary Muscle Movements Trigger Panic Disorders?
Can involuntary muscle movements trigger panic disorder? Hello, doctor. Four years ago, I underwent surgery for scoliosis. Initially, everything was fine after the operation, but seven months later, my former supervisor called and asked if I could return to the company to help ou...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, I can sense your discomfort and distress due to your condition, which includes post-operative discomfort in your back muscles. It may be necessary for you to consult both a neurologist and a psychiatrist. You mentioned experiencing fatigue after...[Read More] Can Involuntary Muscle Movements Trigger Panic Disorders?
Do I Need Therapy? Understanding Emotional Struggles After a Breakup
Do I need to seek medical attention? Before I broke up with my ex-boyfriend, I was always a cheerful person who laughed a lot. However, during the period after our breakup, I often found myself crying without any specific reason. My friends seemed to feel that I was being annoyin...
Dr. Qiu Junda Reply:
Hello: Breaking up with your ex-boyfriend must have been a significant blow to you, leading to some negative emotional and behavioral symptoms due to the stress. If you are still not gradually recovering, I encourage you to seek treatment from a mental health specialist. If it&#x...[Read More] Do I Need Therapy? Understanding Emotional Struggles After a Breakup
Is It Depression? Understanding Mental Health Concerns in Family
Is it depression? My mother has been at home without work for a long time, and I wonder if she's become ill out of boredom. Last year, she was constantly arguing and asking us how to live. She doesn't want to keep taking medication, but these days, her condition fluctua...
Dr. Wang Junnian Reply:
Dear Sir/Madam, From your letter, I can sense the pressure and distress that your mother's behavioral changes have brought to the family. Based on your description, your mother's emotional fluctuations, sleep disturbances, irregular routines, and even suicidal thoughts...[Read More] Is It Depression? Understanding Mental Health Concerns in Family
Understanding Emotional Instability: Signs and Solutions for Depression
It can easily get out of control? Hello, I was diagnosed with depression at a clinic last year. Later, for various reasons, I stopped taking my medication without consulting my doctor and did not return for follow-up appointments. Since around March of this year, I have started e...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, I can sense your emotions and distress due to the changes you are experiencing. You have been feeling emotionally unstable, easily angered, crying frequently, and even exhibiting self-harming behaviors and negative thoughts. I believe these issu...[Read More] Understanding Emotional Instability: Signs and Solutions for Depression
Am I Suffering from Depression? Understanding Mental Health Struggles
Could this be depression? Hello, doctor. I used to be quite an optimistic person, but ever since I started high school, I have felt a constant sense of pressure. I gradually began to fear social interactions and felt like no one needed me, leading me to believe that I have no rea...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing significant stress and distress due to emotional changes, including increased fearfulness, crying spells, self-harming behaviors, and negative thoughts. These issues are likely having a serious impact on y...[Read More] Am I Suffering from Depression? Understanding Mental Health Struggles
Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective
Interpersonal difficulties, polarized personality, distrust of others? I have recently started feeling depressed, constantly wanting to cry, and feeling like I'm going crazy. I don't understand why my grades are average, yet my interpersonal skills are poor. Aside from ...
Dr. Liu Runqian Reply:
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, a...[Read More] Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective
Understanding Gender Identity Issues: A Journey from Childhood to Adulthood
This issue started at the age of 10? Since I was 10 years old, I had an experience of secretly wearing my sister's dress. Now at 20, I often fantasize about being a cute girl and engaging in intimate activities with boys. Sometimes, I feel an inexplicable envy when I see oth...
Dr. Zhan Jiaxiang Reply:
Hello Mr. Lin: With the accumulation and review of clinical experience and research, the incongruence between personal gender identity and biological sex is no longer considered pathological and is moving towards depathologization. The fifth edition of the Diagnostic and Statisti...[Read More] Understanding Gender Identity Issues: A Journey from Childhood to Adulthood
Understanding Depression, Emotional Sensitivity, and Sleep Issues
Depression, emotional management, sleep? Hello, I apologize for the lengthy description. I am currently a student preparing for the university entrance exam, and I am feeling a bit stressed, but I believe it is a positive stress that does not significantly affect my daily life. A...
Dr. Liang Sunyuan Reply:
Hello: Occasional fluctuations in emotions can sometimes lead to poor sleep, but as long as you gradually return to a normal state, there is usually no need to worry too much. When you notice that your emotional or physical well-being is not optimal, you can try to explore possib...[Read More] Understanding Depression, Emotional Sensitivity, and Sleep Issues
Struggling with Insomnia and Anxiety? Tips for Better Sleep and Relaxation
Insomnia, irritability, and rapid heartbeat? Hello, doctor. Because the sound insulation in my home is poor, I often hear conversations from the next room. Later, due to the pressure from studying for exams and work, I started to feel stressed, often experiencing a racing heartbe...
Dr. Wang Yixiang Reply:
Hello, your insomnia appears to be influenced by at least three factors: 1. Poor sound insulation; you might consider using earplugs or playing soft background music to reduce disturbances. 2. Stress, such as from work or exams; you can apply some stress-relief methods, with the ...[Read More] Struggling with Insomnia and Anxiety? Tips for Better Sleep and Relaxation