Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Medication Consultation Dr. Lin, thank you for your selfless dedication in helping everyone with professional questions. I would like to ask about the four medications: Paxil (Paroxetine), Lexapro (Escitalopram), Zoloft (Sertraline), and Prozac (Fluoxetine). I understand that the...
Dr. Lin Mianzhang Reply:
Hello, little lamb: The likelihood of these medications affecting the heart is very low, and occurrences of palpitations are not common. However, some individuals may experience increased anxiety during the initial phase of taking Prozac, which could lead to a faster heartbeat; t...[Read More] Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Understanding Bowel Noises: Are They Linked to Anxiety?
Borborygmi Hello, doctor. Recently, I have been preparing for the national exam and I go to a tutoring center almost every day. The classes are conducted with each student using their own computer to watch recorded lectures, and the environment is very closed and quiet. Initially...
Dr. Lin Mianzhang Reply:
Hello Ting, If you have undergone a gastrointestinal examination and everything is normal, there should be no major concerns. The intestines are constantly in motion, but most people do not pay attention to the sounds of intestinal peristalsis. Unless you experience symptoms su...[Read More] Understanding Bowel Noises: Are They Linked to Anxiety?
Understanding Organic Psychosis: Diagnosis and Thyroid Influence
Inquiry on Organic Mental Disorders Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I would like to inquire about the diagnosis of organic psychosis. My family member exhibited symptoms of delusional disorder a year and a half ago, ...
Dr. Qiu Junda Reply:
Hello: 1. Organic mental disorders refer to psychiatric conditions that may be caused by tangible (organic) factors, such as brain injuries, physiological issues, electrolyte imbalances, or drug-induced effects. Since the causes can be identified or inferred, they are collectivel...[Read More] Understanding Organic Psychosis: Diagnosis and Thyroid Influence
Understanding Auditory Hallucinations in Schizophrenia: A Family Perspective
I would like to inquire about the issue of auditory hallucinations in family members? Hello Doctor, the article is a bit long QAQ. The general situation is that my sister, who is being treated for schizophrenia, has recently been experiencing persistent auditory hallucinations....
Dr. Qiu Junda Reply:
Hello. Regarding your sister's condition, as you mentioned: the doctor has noted that some individuals may occasionally experience symptoms due to factors such as weather changes. If there are no significant disturbances or impacts, her condition should be considered stable....[Read More] Understanding Auditory Hallucinations in Schizophrenia: A Family Perspective
Managing Medication Adjustments in Psychiatry: What to Expect
Medication consultation I was previously taking two tablets of Escitalopram 75 mg and one tablet of Sulpiride 50 mg. I felt some improvement in my symptoms, but I was very fatigued and somewhat drowsy throughout the day. After my follow-up appointment, the doctor reduced my Escit...
Dr. Qiu Junda Reply:
Hello. 1. After reducing the medication dosage, the amount will naturally decrease. However, the impact on efficacy needs to be evaluated. Typically, a balance must be struck between the medication dosage and side effects, so it is essential to discuss this with the attending phy...[Read More] Managing Medication Adjustments in Psychiatry: What to Expect
Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Which medications can help control and reduce positive symptoms? Hello Doctor: One of my children, who was 20 years old and in their first year of college, became ill and had to drop out to help at home. After nearly 5 years of treatment, the doctor diagnosed them with undifferen...
Dr. Cai Qijin Reply:
Hello: There are many types of medications for schizophrenia, each with different side effects and effects. Long-acting injectable formulations of second-generation antipsychotics have shown good efficacy for both positive and negative symptoms, and they can provide more stable b...[Read More] Medications to Manage Positive Symptoms in Schizophrenia: Options and Insights
Reevaluating Major Mental Health Diagnoses: Autism and Trauma Insights
Schizophrenia / Autism / Borderline Personality Disorder / Major Disabilities / Physical Disabilities 1. Should the diagnosis for the Major Disability Card and Disability Handbook be corrected? What are the advantages and disadvantages? 2. What are the similar manifestations ...
Dr. Wu Menghuan Reply:
Hello, (1) Major Illness Card: The Major Illness Card is issued by the Ministry of Health and Welfare's National Health Insurance Administration, which exempts holders from certain out-of-pocket medical expenses under the National Health Insurance. The diagnosis must meet ...[Read More] Reevaluating Major Mental Health Diagnoses: Autism and Trauma Insights
Concerns About Sleep Apnea and Psychiatric Medication Use
Issues with the use of psychotropic medications in obstructive sleep apnea? Hello, doctor. I have been experiencing generalized anxiety issues, so I started taking Lexapro and Buspirone. However, sometimes I wake up gasping for air while sleeping. I previously went to the hospita...
Dr. Wu Enliang Reply:
1. Will these medications suppress sleep breathing or inhibit the brain's alertness to hypoxia? A: No, they will not. 2. I am very afraid of taking these psychotropic medications; I worry that long-term use will harm my body. Can the doctor alleviate my concerns? A: They w...[Read More] Concerns About Sleep Apnea and Psychiatric Medication Use
Understanding Anxiety: When Worry Becomes a Daily Struggle
Psychological issues Hello, doctor. I have two questions to ask. 1. I have a personality that is easily worried and fearful, but in the past few months, I have noticed that my anxiety is starting to affect my life. For example, I am very afraid to go out (it's easier for m...
Dr. Tang Jiahong Reply:
Hello: 1. Whenever psychological conditions impact daily life, we may suspect that they have reached a symptomatic level, necessitating adjustment or seeking help. It is not necessarily classified as a disorder, as a comprehensive evaluation of other symptoms is required to deter...[Read More] Understanding Anxiety: When Worry Becomes a Daily Struggle
Is It Time to Seek Help? Understanding Mental Health Concerns
Should I see a doctor? Hello Doctor: My family member, a 26-year-old male, has been observed to spend all his time alone in his room (only leaving to use the bathroom or buy takeout) since graduating from university at 22. He currently claims he is preparing for a higher-level ex...
Dr. Tang Jiahong Reply:
Hello: Currently, it seems that this situation is quite different from most people's lives. However, he has neither harmed himself nor others, and he is able to maintain his physical condition and live alone for extended periods. The impact of his poor emotional state is tha...[Read More] Is It Time to Seek Help? Understanding Mental Health Concerns
Understanding Diagnosis and Medication Guidance for Delusional Disorder
Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...
Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...[Read More] Understanding Diagnosis and Medication Guidance for Delusional Disorder
Coping Strategies for Adults with Asperger's Syndrome in Social Situations
Asperger's syndrome I have been diagnosed with Asperger's syndrome. In other words, I have difficulty interacting and working with others. What should I do? Since I struggle with social interactions, I mostly stay at home and work with my parents. My parents and doctor ...
Dr. Lin Mianzhang Reply:
Hi there! There are various courses available for individuals with Asperger's syndrome that can help you learn how to improve interpersonal interaction skills. You can also seek psychological counseling or participate in group therapy to learn how to enhance this situation. ...[Read More] Coping Strategies for Adults with Asperger's Syndrome in Social Situations
Understanding Daily Dizziness: When to Seek Further Medical Help
Feeling dizzy every day? Hello, doctor! About ten years ago, one night as I was preparing to sleep, I suddenly lay down and my head started spinning, with numbness in my hands and feet. My family quickly took me to the emergency room, where the doctor administered an IV and gave ...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: If you have seen a neurologist and the initial evaluation and tests are normal, there is no need for an MRI or CT scan. Your symptoms appear to be related to anxiety and hyperventilation. It is recommended that you practice diaphragmatic breathing, where your abdom...[Read More] Understanding Daily Dizziness: When to Seek Further Medical Help
Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Gradually worsening sleep issues? Hello Doctor, I have been experiencing sleep issues for the past six months, often lying in bed for two hours without being able to fall asleep. Even after I do fall asleep, I sometimes have nightmares or experience sleep paralysis, waking up fee...
Dr. Lin Mianzhang Reply:
Hello Mr. Lee: It seems that you are experiencing the following sleep issues: difficulty falling asleep, nightmares, and sleep paralysis. Sleep paralysis, often referred to as "ghost pressing," is actually a phenomenon that occurs during the REM (Rapid Eye Movement) sta...[Read More] Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...
Dr. Yan Congyou Reply:
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Struggling to Focus: Could I Have ADHD as a Student?
I have trouble focusing, and I suspect that I might have ADHD? Hello Doctor: I am currently a student preparing for the university entrance exam. As the exam approaches, I find it very troubling that I cannot calm down and focus on studying. Recently, after finishing the semester...
Dr. Bao Zhijia Reply:
Hello: Regarding issues with attention difficulties and memory decline, aside from ADHD that you mentioned, there are actually many other causes. Common factors include high stress, anxiety, and depression, which can all contribute to these phenomena. If you truly feel that this ...[Read More] Struggling to Focus: Could I Have ADHD as a Student?
Managing Withdrawal from Antipsychotics and Antidepressants: A Guide
Schizophrenia, antidepressant withdrawal? Hello Doctor: Recently, I received treatment for schizophrenia and depression at a psychosomatic clinic. My primary physician prescribed half a tablet of Olanzapine, one tablet of Rifapentine, and one tablet of Ambien. It has been about a...
Dr. Qiu Junda Reply:
Hello: It is best to discuss the issue of tapering or discontinuing medication with your attending physician. The process of tapering Rifampicin and Ambenonium varies from person to person and does not follow a fixed order. The dependence on Rifampicin is not necessarily stronger...[Read More] Managing Withdrawal from Antipsychotics and Antidepressants: A Guide
Understanding Pedantic Speech in Asperger's Syndrome: A Simple Explanation
Pedantic language In the context of Asperger's syndrome, "pedantic speech" refers to a communication style characterized by an excessive focus on detail, formality, and precision in language. In simpler terms, it means speaking in a very formal or overly detailed w...
Dr. Lin Mianzhang Reply:
Hello: The term "pedantic language" refers to speech that is lengthy, overly detailed, contains many unnecessary repetitions or corrections, and employs a writing style of grammar rather than everyday spoken language. Wishing you peace and good health![Read More] Understanding Pedantic Speech in Asperger's Syndrome: A Simple Explanation
Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Hello, doctor. I would like to discuss sexual counseling? Hello Doctor, I am 38 years old and have no sexual experience. I recently started dating my first girlfriend a few months ago. She asked me if I had any sexual experience, and then began to talk about her past. Even though...
Dr. Wu Enliang Reply:
Hello, it's common for people to experience psychological discomfort. As for how to address it, it's likely not something that can be resolved through email. However, if it causes significant distress, I recommend seeking psychological therapy to address these mental co...[Read More] Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Understanding Vomit Phobia: Symptoms and Coping Strategies
Suspected emetophobia? Whenever I feel nauseous, whether it's from motion sickness, seasickness, or overeating, I try my best to hold it in. This makes me very uncomfortable, and I start to behave erratically, running around and feeling extremely agitated, anxious, and scare...
Dr. Wu Enliang Reply:
It's completely normal to feel nauseous; it's an uncomfortable experience that many people go through. There's no need to worry. - Dr. Wu En-Liang[Read More] Understanding Vomit Phobia: Symptoms and Coping Strategies