Stress, Psychiatry FAQ

Overcoming Anxiety: Finding Balance Between Relaxation and Goals

Fear of developing a rare or serious illness as reported can lead to feelings of guilt when trying to rest, making it difficult to fully relax? Hello, doctor. I am 15 years old and just finished my junior high school entrance exams. Recently, I thought about taking a few days to ...

Dr. Qiu Junda Reply:
Hello. It seems that you have high self-expectations or feel pressure from your parents' expectations. It appears that you are putting a lot of strain on yourself, which is leading to unhappiness in your life and excessive worry. I suggest you take a bold step to relax (sinc...

Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety

Hello Dr. Lin, I have some questions regarding swallowing disorders? Hello Dr. Lin, I have been suffering from swallowing difficulties (dysphagia) and related anxiety for a long time. I have already undergone throat examinations at the hospital and have seen a rehabilitation spec...

Dr. Lin Mianzhang Reply:
Hi there! If you are experiencing difficulty swallowing, it is generally recommended to visit an otolaryngologist for an examination. If the examination results are normal, it is advisable to seek care from a psychiatrist. Your condition may likely be what is known as "globu...

Understanding Borderline Personality Disorder: Signs and When to Seek Help

Is it possible to have borderline personality disorder? Hello doctor, I have noticed that I often uncontrollably burst into anger and tears over very minor issues. I frequently feel extremely irritable and distressed. When I experience this irritability and pain, I resort to self...

Dr. Wu Enliang Reply:
Dear netizen, it sounds like you are going through a lot. If you are experiencing such emotional distress, it is indeed advisable for you to talk to a counselor at your school or have your parents (or other family members) accompany you to see a child and adolescent psychiatrist....

Understanding Sleep Disorders: Causes, Treatments, and Management Tips

Sleep disorders Hello, Doctor. On March 11, I encountered some stress in my life, and that night I began experiencing sleep disturbances (difficulty falling asleep and waking up frequently during the night), along with palpitations and feelings of tension. On March 17, I visited ...

Dr. Lin Mianzhang Reply:
Hello KK: 1. Autonomic nervous system dysfunction is not a precise diagnosis; it is more of a general syndrome. Many functions related to the autonomic nervous system, such as respiration, heart rate, blood pressure, gastrointestinal activity, sweating, and sleep, can be termed ...

Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations

Nervous tremors and rapid heartbeat? Hello Doctor, I am currently studying abroad and I tend to get anxious, which has led to some difficulties in my daily life, prompting me to seek assistance. Previously, I had issues with arrhythmia (I underwent an electrocardiogram in Taiwan)...

Dr. Qiu Junda Reply:
Hello. You can use Entacapone before going on stage, either 2# or with meals, depending on which method works better for you. Additionally, your concerns seem to lean towards anxiety. It needs to be assessed whether it has reached a panic level. After returning to your country, y...

Managing Anxiety and Eye Pressure: Exploring Medication Options

Psychiatric medications Hello Doctor, I previously experienced anxiety for about a year, which led to symptoms similar to autonomic nervous system dysfunction, including frequent urination and urgency. The doctor prescribed me FLUOXETINE 20mg to take monthly for a year. After sto...

Dr. Qiu Junda Reply:
Hello. This medication does not contain steroids. If you are experiencing anxiety or other physical and mental distress, it is recommended that you have regular follow-up appointments and adhere to the prescribed treatment plan, including medication, to facilitate improvement.

Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma

Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...

Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...

Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey

Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...

Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...

Dealing with Family Dynamics and Paranoia in Young Adults

Family interactions, paranoid delusions? I'm sorry to hear about your situation. It sounds like your cousin is exhibiting some concerning behaviors that may indicate underlying psychological issues. Given her history of trauma, such as being verbally and physically reprimand...

Dr. Yan Congyou Reply:
Hello: It sounds like your cousin's situation is causing you a lot of distress. Since a patient cannot be forcibly hospitalized without a diagnosis of a severe mental illness or a history of psychiatric hospitalization, it is advisable to first seek assistance from the local...

Understanding and Managing Toddler Biting Behavior: Tips for Parents

Toddlers have a habit of biting? My son is currently 2 years and 2 months old, and his language and physical development are both normal. His teachers say he is very smart and learns quickly, and he has a sociable personality. Since he was about 18 months old, he has frequently b...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of having a young child who has a habit of biting. However, the aspect of child development requires a personal evaluation. Please bring your child to see a doctor and discuss this...

Can 5-HTP Help Boost Serotonin for Mental Health Maintenance?

Can taking 5-HTP regularly help boost serotonin levels as a form of supplementation? I previously took Liyou to treat mild depression and anxiety, and my condition has improved. I stopped taking the medication a month ago, but I've noticed that I can't sleep deeply at n...

Dr. Cai Qijin Reply:
Hello: 5-Hydroxytryptophan (5-HTP) is an amino acid that serves as an intermediate step in the conversion of tryptophan to serotonin, and can be considered a precursor to serotonin. To increase serotonin levels, it is important to first assess your own condition: difficulty sleep...

Managing Medication Side Effects in Psychiatry: Seeking Solutions

Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...

Understanding OCD: When to Seek Help and Its Persistent Nature

Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...

Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...

Overcoming Anxiety: Finding Balance Between Safety and Normal Life

Excessive worry leading to some anxious behaviors? Hello, Doctor. Since the pandemic worsened in 2022, I have been increasingly worried about contracting the virus. I've heard many negative experiences from those who tested positive, and everyone says it's better to avo...

Dr. Wu Enliang Reply:
Hello everyone: It is recommended to maintain a regular lifestyle, as the benefits include not having to worry about unpredictable or uncontrollable events. Engage in activities you enjoy, such as exercising, listening to music, taking baths, practicing yoga, doing stretching exe...

Understanding OCD: Coping with Intrusive Thoughts About Sexuality

Concern about compulsive behavior? Hello Doctor, this is Derek, who asked you a question a few days ago. I'm quite sure that I do not have an attraction to the same sex, but I am wondering why these thoughts are occurring. My anxiety was at its worst in April, and it has bee...

Dr. Lin Mianzhang Reply:
Hello Derek: What you are experiencing is compulsive thinking, which is one of the symptoms of obsessive-compulsive disorder (OCD). OCD is often triggered by factors such as anxiety and stress, and having a predisposition to this condition can also be a contributing factor. If yo...

Is Vyvanse Effective for Treating Attention Deficit Issues?

Medication Inquiry Is the medication Vyvanse effective for attention deficit disorder?

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing distress, particularly regarding attention deficit issues. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are common ailments in modern society. T...

Is Fear of Sleeping in the Dark a Mental Health Issue?

I am afraid to sleep with the lights off at night? I'm sorry, but I would like to ask if being afraid to sleep with the lights off is really a condition? Do I need to see a doctor? I am 30 years old and have been afraid to sleep with the lights off since I was a child (aroun...

Dr. Xue Gengming Reply:
Recommendation: Please consult a mental health specialist at the outpatient clinic. Thank you. Wishing you good health!

Overcoming Stress and Anxiety: A Journey Through Bullying and Pressure

Stress issues Hello, Doctor. I would like to ask for your advice. I have suffered from the pain of long-term bullying during my middle and high school years, which has made me more introverted and prone to overthinking. I don't have many close friends and lack social activit...

Dr. Cai Qijin Reply:
Hello: Based on your description, the trauma experienced during adolescence continues to have an impact on both your physical and mental health, affecting interpersonal relationships and social interactions, making it more difficult to cope with stress in daily life. Many physiol...

Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace

How can I stop being overly anxious and worrying about the worst-case scenarios? Fearing car accidents while riding a bike or driving, worrying about my 900-degree myopia leading to retinal detachment or macular degeneration, seeing numerous news stories about gang violence and t...

Dr. Qiu Junda Reply:
Hello. In modern society, life moves quickly and stress is ever-present. Many people experience some level of anxiety in their daily lives. To improve this, you already have some good ideas: engaging in conversations with friends and family or cultivating hobbies to help normaliz...

Understanding Mental Health: Navigating Schizophrenia and Depression Challenges

Depression or schizophrenia? My brother has been suffering from a mental illness for five years. He is currently 30 years old. Initially, the doctor diagnosed him with schizophrenia, but about six months later, a different doctor said it was early symptoms of depression, includin...

Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about your family's depressive symptoms and the stress of mental health issues. 1. Facing an uncertain future, mental disorders are common in modern society and are chronic conditions that require long-term treatment for...

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