Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery
Effects after head trauma? I previously experienced a loss of balance and hit the back of my head against a step on the roadside. For a brief period, I was unable to breathe and could not get enough oxygen. After that, I suffered from severe headaches for nearly half a day, follo...
Dr. Qiu Junda Reply:
Hello. The duration of effects after a head injury can vary. Given your age, you should be able to recover quickly. The issues you mentioned, such as feeling that your learning ability is not as good as before and a decline in cognitive function, can also gradually improve. Addit...[Read More] Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery
Are Sexual Fantasies About Others a Sign of Delusional Disorder?
Is having fantasies about others a form of delusional disorder? Hello doctor, my friend has expressed to me that they are having sexual fantasies about a tutor, while their other work and daily life are normal. My friend has a history of delusional disorder and is concerned wheth...
Dr. Qiu Junda Reply:
Hello. Your friend's situation does not seem to be a case of delusional disorder in psychiatric terms. Others may have similar fantasies but may not express them. There's no need to worry for now; let's observe the situation further.[Read More] Are Sexual Fantasies About Others a Sign of Delusional Disorder?
Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained
Questions about medications for treating anxiety? Hello, doctor. Due to diarrhea-predominant irritable bowel syndrome causing chronic anxiety symptoms, I visited National Taiwan University Hospital, where the physician prescribed Bromazepam (Lexotan). The dosage instructed was ha...
Dr. Qiu Junda Reply:
Hello. Your letter indeed reflects your anxiety and concerns. 1. You have researched BZD medications, which do carry a risk of withdrawal and addiction. However, why do doctors still prescribe them? Because they have anxiolytic effects that can help alleviate your symptoms. It&...[Read More] Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained
Understanding Negative Emotions and Motivation in Schizophrenia
Schizophrenia negative emotions Hello Doctor, I am 25 years old and have one daughter, with another child on the way this year. To get to the point, I have recently noticed that I am becoming increasingly lazy. I know what I should be doing, but I just can't seem to do it, s...
Dr. Wu Menghuan Reply:
Hello: You mentioned experiencing recent feelings of depression, decreased self-confidence, difficulty concentrating, feeling overwhelmed at work, and a lack of desire to interact with others. I recommend that you visit a mental health clinic for evaluation and to discuss appropr...[Read More] Understanding Negative Emotions and Motivation in Schizophrenia
Safe Medication for Pregnant Women: Managing Anxiety and Depression
Medications during pregnancy Due to depression, anxiety, and panic attacks, I previously took Xanax during sudden emergencies, but I can no longer take Xanax during my pregnancy. My doctor prescribed me 2 tablets of Cymbalta (duloxetine) to take every night, stating that it is sa...
Dr. Qiu Junda Reply:
Hello. 1. Pregnant women can use antidepressants. 2. The itching may be related to nutritional factors and emotional psychological factors. 3. Theoretically, the emergency use of antidepressants may not be very effective; medications like anxiolytics would be more effective.[Read More] Safe Medication for Pregnant Women: Managing Anxiety and Depression
Can You Safely Combine Sleep Medications: Lepec and Ulotar?
Insomnia and Sleep Medications Hello, can I take 7.5 mg of Leplon (Zolpidem) and 2 mg of Ulotar (Lorazepam) together? Also, can I take 7.5 mg of Leplon (Zolpidem) and 4 mg of Ulotar (Lorazepam) together? Thank you.
Dr. Lin Mianzhang Reply:
Hello John: I apologize for the delayed response as I was abroad and unable to log in to the page. Levofloxacin and Urokinase can be taken together, regardless of whether Urokinase is 2mg or 4mg. However, it is important to monitor the dosage when combining with 4mg Urokinase to ...[Read More] Can You Safely Combine Sleep Medications: Lepec and Ulotar?
Understanding Talopram: Dosage, Side Effects, and Usage Concerns
Medication consultation Hello, doctor. I would like to ask about the "Talopram oral solution." 1. Is there a minimum effective dose for this medication? If the dosage is 0.5 to 1 cc per day, will this dosage be ineffective? 2. Can this medication cause an increase in ...
Dr. Wu Enliang Reply:
1. Is there a minimum effective dosage for "Talopram oral solution"? A: Generally, at least 5cc per day is required; a dosage of 0.5 to 1cc per day may not be effective. A: It will not be effective. 2. Can this medication cause an increase in prolactin levels? A: Gene...[Read More] Understanding Talopram: Dosage, Side Effects, and Usage Concerns
Understanding Recurring Autonomic Nervous System Disorders: Causes and Solutions
The autonomic nervous system disorder has relapsed again? Over a decade ago, I experienced autonomic nervous system dysfunction (with symptoms like hot hands and poor sleep). After seeing a psychiatrist and taking medication, I recovered. Recently, the symptoms have recurred. Alt...
Dr. Wu Enliang Reply:
Is it possible that the symptoms are caused by quitting smoking, or could it be related to seasonal changes and colds? A: It is possible; there are many reasons for autonomic nervous system dysregulation, which is usually related to life stress. If the symptoms do not improve imm...[Read More] Understanding Recurring Autonomic Nervous System Disorders: Causes and Solutions
Understanding Light Sensitivity and Mental Health: Solutions and Insights
Strangely bright? After being discharged from a psychiatric hospitalization, my friend experiences anxiety and fear whenever they see any light. Everything appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel tense and uneasy. Howev...
Dr. Wu Enliang Reply:
A netizen previously hospitalized for mental health issues experiences anxiety and fear whenever exposed to any light after discharge. Everything they see appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel anxious and fearful. How...[Read More] Understanding Light Sensitivity and Mental Health: Solutions and Insights
Optimal Timing for Taking Zapline: A Guide for Patients
Regarding Zapline? I recently visited a psychiatrist, and the doctor prescribed this medication (50mg) for me to take before bedtime. However, due to my academic commitments, my schedule is not consistent, and sometimes I just fall asleep from exhaustion. I would like to ask if i...
Dr. Qiu Junda Reply:
Hello. You can eat after dinner (around 7 PM). There isn't a specific time mentioned that would be better for eating. However, if certain foods make you feel sleepy, then they are certainly not suitable for daytime consumption.[Read More] Optimal Timing for Taking Zapline: A Guide for Patients
Understanding Weight Gain Risks with Long-Acting Antipsychotic Injections
Drug side effects Hello Dr. Lin, I'm back with another question. Regarding the concern I previously raised about whether the long-acting injection of Anleptin (安立復美達) would lead to weight gain, I recently switched to Anleptin on the 1st of this month. Although you mentioned ...
Dr. Lin Mianzhang Reply:
Hello: I apologize for the delayed response as I was abroad and unable to log in to the page. According to the clinical trial data provided by the manufacturer, the weight gain rate among subjects using Anifrolumab is 17%, while the weight gain rate among subjects using the place...[Read More] Understanding Weight Gain Risks with Long-Acting Antipsychotic Injections
Understanding Neck Pain: When to See a Psychiatrist for Symptoms
There is a sharp pain point in the neck? There is a point on the right side of my neck that causes a sharp pain, which can become severe and feel like intermittent bursts, even leading to the appearance of small bumps. Sometimes, it feels like an electric current is passing throu...
Dr. Lin Mianzhang Reply:
Hello, Mao Mao: I apologize for the delayed response as I was abroad and unable to log in. It seems you are experiencing pain in the front of your neck and chest. If there are no issues with the bones, we should consider the possibility of muscle or soft tissue problems. I recomm...[Read More] Understanding Neck Pain: When to See a Psychiatrist for Symptoms
Understanding OCD Symptoms: Distinguishing Between Reality and Perception
Regarding this condition? Hello, doctor. I have a fear of HIV and I have been diagnosed with obsessive-compulsive disorder (OCD). I experience a situation where my skin feels like it has been pricked by a syringe, even though there is no physical injury. I start to believe that I...
Dr. Wu Menghuan Reply:
Hello: You mentioned how to distinguish whether something has actually pierced you or if it is an obsessive-compulsive episode. How can one determine if the perceived threat from obsessive thoughts is real? During such times, the best approach is to seek help from a mental health...[Read More] Understanding OCD Symptoms: Distinguishing Between Reality and Perception
Understanding Derealization: Managing Symptoms and Treatment Challenges
Derealization refers to a dissociative symptom where an individual experiences a sense of Hello, doctor. I would like to ask about my derealization. How can I prevent it from worsening? Additionally, why is derealization not a primary focus of research? There is still no treatmen...
Dr. Wu Menghuan Reply:
Hello! Derealization refers to the experience of feeling unreal or detached from one's surroundings and is currently classified as a dissociative symptom. Individuals with Depersonalization/Derealization Disorder experience persistent or recurrent episodes of depersonalizati...[Read More] Understanding Derealization: Managing Symptoms and Treatment Challenges
Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Can social anxiety disorder co-occur with autism spectrum disorder? Hello, doctor! I am a 23-year-old individual diagnosed with moderate autism (diagnostic code: F84.0) who has verbal communication skills and emotional issues that need to be addressed. I exhibit aggressive behavi...
Dr. Wu Menghuan Reply:
Hello, Q1: Can social anxiety disorder co-occur with autism spectrum disorder? A1: "Social anxiety disorder" has been renamed from "social phobia" in the DSM-5. There are significant differences in essence between "social anxiety disorder" and &qu...[Read More] Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?
Do You Really Need to See a Doctor for Mental Health Issues?
Inquire whether it is really necessary to see a doctor? For several years, I have experienced feelings of inferiority and occasionally cried. Whenever someone criticizes me, I wonder if I should even exist or if I am not good enough, which can lead to breakdowns and even hitting ...
Dr. Qiu Junda Reply:
Hello. Your situation seems to have caused psychological distress and affected your daily life. It is recommended that you make time to consult or seek treatment at a mental health clinic as soon as possible to facilitate early improvement.[Read More] Do You Really Need to See a Doctor for Mental Health Issues?
Understanding Anxiety Symptoms During Travel: A Teen's Experience
Feeling short of breath while riding in a vehicle and needing to use the restroom? Hello Doctor, I am in the first year of junior high school. Every time I go out with my family or participate in school outdoor activities, I have to take transportation. However, as soon as I get ...
Dr. Qiu Junda Reply:
Hello. It seems that getting into the car triggers anxiety symptoms for you. Trying a few deep and slow breaths may help a bit. If that doesn't work well, you might consider asking a family member to take you for a consultation and evaluation at a pediatric mental health cli...[Read More] Understanding Anxiety Symptoms During Travel: A Teen's Experience
Understanding Depression: When to Seek Help for Yourself and Your Partner
Depression may occur? Hello Doctor: I would like to ask, in the past couple of months, my girlfriend's depression seems to have affected me, and my emotions have become very unstable, often feeling down. Online depression tests indicate that I may have depression and suggest...
Dr. Qiu Junda Reply:
Hello: Online tests can serve as an initial screening. Visiting a mental health specialist can provide further assessment and treatment (including counseling). It does not necessarily mean that you have a disorder. Your girlfriend's situation is similar to the adjustment dis...[Read More] Understanding Depression: When to Seek Help for Yourself and Your Partner
Long-Term Effects of Psychiatric Medications on Heart Health
The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...
Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues, rather than the side effects of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, r...[Read More] Long-Term Effects of Psychiatric Medications on Heart Health
Long-Term Effects of Psychiatric Medications on Heart Health
The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...
Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues rather than a side effect of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, rathe...[Read More] Long-Term Effects of Psychiatric Medications on Heart Health