Stress, Psychiatry FAQ

Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide

Medication consultation, drug side effects, panic, autonomic nervous system dysregulation? I would like to ask the doctor, I have a history of arrhythmia and have undergone echocardiography, a 24-hour Holter monitor, and an exercise stress test, which detected premature ventricul...

Dr. Qiu Junda Reply:
Hello. Your condition is likely related to anxiety (autonomic nervous system dysregulation). It is advisable to continue visiting a psychosomatic medicine specialist for improvement. You may use Yuli Shu as a backup medication. If you are concerned about potential side effects su...

Overcoming Anxiety: Should I See a Specialist for Swim Class Stress?

Swimming classes make me feel very anxious? Hello, doctor. In the past few months, my school has been having swimming classes, but I have been feeling very anxious about it. Every time it's the day of swimming class, I experience vomiting and dizziness. Should I see a psychi...

Dr. Wu Enliang Reply:
Netizens should first self-reflect and analyze why they are so afraid of swimming classes and identify the causes of their anxiety. It may also be helpful to discuss these feelings with the instructor. If there is still no improvement, seeking consultation with a psychiatrist is ...

Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent

Father's emotional fluctuations? My dad often explodes over trivial matters. I try to ask him to calm down and talk things over, but it usually doesn't help; he ends up saying hurtful and extremely vulgar things. Once, in a fit of rage, he threw a box at home, which sca...

Dr. Qiu Junda Reply:
Hello. You can explain to your dad that seeking medical help is just for consultation and not necessarily for treatment. You can express that you are experiencing mental and emotional distress and would like to see a psychiatrist. It might help to suggest that you would like him ...

Struggling with Asperger's: Seeking Help Amid Parental Dismissal

Suspected of having autism, but the parents do not take it seriously? Since I was young, I have noticed that I am different from others. Recently, I took the "Adult Asperger's Syndrome Scale" and scored 33 out of a possible 50. Perhaps I am making a big deal out of...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an evaluation and testing to determine the underlying issues. Our clinic is open Monday to Friday, both in the morning and aftern...

Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle

It's not that I don't want to speak; it's that I can't? I have been experiencing social anxiety since elementary school. Some classmates would call me "mute" or "the one who can't speak." Whenever I had to speak in front of the class o...

Dr. Qiu Junda Reply:
Hello. Individuals with a tendency to be anxious may indeed face difficulties in daily life and social interactions, leading to physical and mental distress. I recommend looking into resources on how to overcome anxiety and nervousness to learn some coping strategies. Additionall...

Managing Derealization and Existing Mental Health Conditions: Tips for Stability

Medical issues Hello Doctor: I have been diagnosed with schizoaffective disorder and obsessive-compulsive disorder for many years. In the past couple of years, I have experienced symptoms of derealization. I have been regularly receiving treatment at a psychiatric outpatient clin...

Dr. Wu Enliang Reply:
The most important thing for patients is to consistently take their medication or receive long-acting injections daily to prevent disease recurrence. Additionally, it is crucial to manage stress levels and learn to relax in order to maintain both physical and mental health. Dr. W...

Understanding Autonomic Nervous System Disorders: Symptoms and Concerns

Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...

Dr. Li Zhengfeng Reply:
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...

Understanding Sudden Feelings of Sadness and Focus Issues

Feeling like you want to cry all the time? Hello, doctor. Recently, I've been experiencing sudden feelings of depression, but I don't cry completely; I just have the urge to cry. Additionally, while preparing for exams, I've been struggling to concentrate on my stu...

Dr. Qiu Junda Reply:
Hello. The content reveals negative emotions and has caused distress. It is unclear if there is known stress. I recommend that you seek consultation at a psychosomatic medicine clinic for improvement. Additionally, you can utilize the 1925 mental health hotline for similar teleph...

Understanding Potential Borderline Personality Disorder in Young Adults

I have discovered that I may have been struggling with borderline personality disorder all along? Hello Doctor, I am a 20-year-old college student who has been dealing with obsessive-compulsive disorder since middle school and have been under psychiatric care and medication ever ...

Dr. Lin Mianzhang Reply:
Hello, Xiao Meng: It seems that you easily oscillate between two extremes regarding others' opinions, which aligns with some characteristics of borderline personality disorder (BPD). However, to be diagnosed with BPD, other criteria must also be met, including emotional inst...

Understanding Health Anxiety: Coping with Worries About Illness

Health anxiety concerns Hello Doctor: I have been experiencing health anxiety for the past three months. Since July, I have had chest tightness and pain (especially on the left side of my chest; I previously asked a question on Taiwan's e-hospital). I have been Googling my s...

Dr. Lin Mianzhang Reply:
Hello Zoe: It seems that you are experiencing a lot of physical discomfort. I recommend that you first visit an internal medicine or family medicine specialist to assess whether there are any underlying health issues. If the physician examines you and arranges for tests, and all ...

Managing Depression and Medication: Focus, Stress, and Eating Issues

Medications, Stress, and Me Hello, Doctor. 1. I have been taking medication for depression and epilepsy for nearly two years, which has caused significant disruptions in my daily life (although not taking the medication is even more troubling). Specifically, after taking the me...

Dr. Wu Enliang Reply:
It is indeed important for individuals to discuss these questions thoroughly with their physician. Additionally, the government has recently provided free mental health services for those aged 15 to 30. Dr. Wu En-liang.

Do You Really Need to See a Doctor for Mental Health Issues?

Do I really need to see a doctor? Since I started high school, I have had issues with substance addiction. At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol. When my partner wasn't around, I would drink until I fell asleep ...

Dr. Qiu Junda Reply:
Hello. Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.

Managing Stress and Mental Health: A Journey Through Depression and Panic

Stress issues I have been diagnosed with depression and panic disorder for almost two years. My doctor has been very dedicated to helping me improve, and since I was in the same class as his daughter, he has been able to assist me as much as possible whenever I encounter issues. ...

Dr. Wang Yixiang Reply:
Hello Avrottie: Smoking and drinking alcohol provide only temporary relief from stress and often come with many side effects. It is advisable to quit if possible and replace addictive habits with positive lifestyle experiences, which can lead to better improvement in your conditi...

Overcoming Mental Struggles: Finding Purpose and Direction in Life

After careful consideration, I couldn't come up with a solution? Hello, doctor. I apologize for bothering the online consultation physicians at Taiwan e-Hospital again. This time, I have chosen you, Dr. Li, to be my mentor and to provide me with consultation advice. My relev...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress regarding your ability to continue working and contribute value, which is commendable. Here are some suggestions: 1. In the face of an uncertain future, psychosomatic disorders, such as depression,...

Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey

Medication issue: Withdrawal reactions from the discontinuation of methylphenidate? Hello, doctor. This issue has been troubling me for a long time. I am a patient with ADHD combined with depression, and the medications I am currently taking include Strattera, Ritalin, Vyvanse, a...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about potential interactions between lithium and antipsychotic medications may not be beneficial for your condition. As for the possibility of co-o...

Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?

Is there a correlation between panic attacks and seasons? This afternoon, I took a nap and when I woke up, I experienced palpitations. After resting for a while, I used an electronic device to check my heart rate, which showed normal readings. Later, when I walked to the restroom...

Dr. Lin Mianzhang Reply:
Hello, Xiang: Climate changes may affect the autonomic nervous system, which in turn can influence symptoms of anxiety. Additionally, diet can also impact the autonomic nervous system; for example, caffeine found in tea and coffee can increase heart rate and exacerbate feelings o...

Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues

Sleep issues Hello Doctor, I often have nightmares during sleep, and whenever I do, my heart races significantly. However, I'm not sure if this is related to the nightmares. I consulted a cardiologist, and after examination, the doctor said my heart is normal and referred me...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery. ...

Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery

Medication-induced anxiety disorder Due to previous relationship issues, I experienced some sudden mental health problems and sought help from a psychiatrist. It seems I have symptoms of obsessive thinking and anxiety. For example, I would say some morally questionable things to ...

Dr. Lin Mianzhang Reply:
Hello Ms. Hsieh: It seems that you have recently started experiencing symptoms of anxiety and possible obsessive thoughts again. I recommend that you return for a follow-up appointment with your physician to discuss whether to continue medication or consider therapy as a treatmen...

Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective

Anxiety, obsessive-compulsive, or personality issues? Hello Doctor: Due to some relationship issues, I experienced a sudden impact on my mental health, which led me to seek help from a psychiatrist. I was diagnosed with obsessive thoughts and anxiety symptoms. For example, I woul...

Dr. Qiu Junda Reply:
Hello. Whether it's anxiety, obsessive-compulsive symptoms, or personality issues, if they have caused physical and mental distress, it is advisable to seek medical attention. Your current situation does not appear to be severe at first glance, so you may try self-adjustment...

Managing Anxiety and Depression: Coping with Chronic Pain and Loss

Anxiety and Depression Treatment Initially, it was due to work-related stress, followed by a period of rest, which resulted in issues with my lumbar and cervical spine, leading to frequent pain. I couldn't find a cure, and any slight discomfort would make me feel like I had ...

Dr. Qiu Junda Reply:
Hello. Anxiety and depression are treatable conditions, but they require patience. Please consult a mental health clinic and cooperate with the treatment plan. Continuous follow-up is necessary, as improvements may not be immediate, to facilitate a quicker recovery.

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