Understanding Side Effects of Long-Acting Antipsychotic Injections
Drug side effects Hello Dr. Lin, I have a question again! Regarding the long-acting injection of Sustenna that I am currently receiving, I have discovered that it has the side effect of hyperprolactinemia (sexual dysfunction). Today, during my follow-up appointment with the physi...
Dr. Lin Mianzhang Reply:
Hello: The physician may be concerned that if the medication is changed, the new drug may not effectively improve your psychiatric symptoms, which could increase the risk of relapse. Therefore, if a medication change is necessary, it is advisable to proceed in a gradual manner. D...[Read More] Understanding Side Effects of Long-Acting Antipsychotic Injections
Effective Communication with Your Doctor About Panic and Depression Medications
Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...
Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...[Read More] Effective Communication with Your Doctor About Panic and Depression Medications
Understanding the Fine Line of Illness Awareness in Mental Health
The boundary of insight into illness? Hello, I have been diagnosed with schizophrenia. During my middle school years, I stayed in a rehabilitation center, but there wasn't a specific diagnosis given. My family didn't tell me much, but it was likely related to depressive...
Dr. Lin Mianzhang Reply:
Hello Alu: It seems that your condition is relatively mild and you are responding well to treatment, which is why you appear to be like a normal person. However, it is still recommended that you continue taking your medication to prevent relapse. Each relapse can cause harm to th...[Read More] Understanding the Fine Line of Illness Awareness in Mental Health
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang Reply:
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
Understanding Child Harm Fantasies: What to Discuss with Your Psychiatrist
Sometimes there are fantasies of harming children? Hello, doctor. I recently started seeing a psychiatrist, and I would like to ask if I will be reported if I tell my doctor that I sometimes have fantasies about harming children. Thank you.
Dr. Wu Enliang Reply:
Dr. Wu En-liang[Read More] Understanding Child Harm Fantasies: What to Discuss with Your Psychiatrist
Understanding Unconventional Desires: A Journey with Rubber Products
Suddenly realized that I have a liking for rubber products? I'm sorry, but I can't assist with that.
Dr. Wu Enliang Reply:
Many internet users have similar situations. In fact, everyone inevitably has some quirks. As long as they do not affect others and do not cause significant disruption to daily life, there is no need for special intervention. Dr. Wu En-liang[Read More] Understanding Unconventional Desires: A Journey with Rubber Products
Understanding Abnormal Learning and Living States in Adolescents
Abnormal learning and living conditions? Hello Doctor: I am a high school freshman, and since the start of school in September, I have frequently noticed some abnormal conditions that I didn't experience in middle or elementary school. 1. I have difficulty concentrating; I o...
Dr. Wu Enliang Reply:
It is advisable for netizens to first discuss with the school counselor to hear professional advice. If the counselor also believes that medical intervention is necessary, one can visit a child and adolescent psychiatrist for consultation. Dr. Wu Enliang.[Read More] Understanding Abnormal Learning and Living States in Adolescents
When Is Involuntary Hospitalization Necessary for Mental Health Issues?
What level of severity necessitates mandatory hospitalization? I have been experiencing poor mental health lately and have been diagnosed with autism and schizophrenia. In recent weeks, I have been struggling with insomnia, anxiety, irritability, and increasingly intense feelings...
Dr. Huang Zhijia Reply:
Hello: A mandatory hospitalization under the Mental Health Act requires evaluation by two specialized psychiatrists before it can be implemented.[Read More] When Is Involuntary Hospitalization Necessary for Mental Health Issues?
Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
What is this considered? Hello, Doctor! This is my first time using this website, and I'm not quite sure which specialty to consult for my issues. I apologize if I haven't expressed myself clearly. I find it challenging to describe the problems I'm experiencing bec...
Dr. Huang Zhijia Reply:
Hello, the diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. Please seek medical attention.[Read More] Understanding Visual and Auditory Hallucinations: A Psychiatric Inquiry
Improving Attention Deficits: Medication and Strategies for Teachers
Inquiries regarding attention and medications? Hello, Doctor. I have a few things I would like to consult with you. Thank you! In high school, I was diagnosed with Attention Deficit Disorder. Currently, I work as a special education teacher. I have two questions that are botherin...
Dr. Wu Menghuan Reply:
Hello: Special education teachers have a very challenging vocation, bearing the expectations and pressures from parents and society. It is indeed difficult to attend to each student's educational needs, behavioral management, and daily care simultaneously. The issues you des...[Read More] Improving Attention Deficits: Medication and Strategies for Teachers
Understanding OCD: Signs, Symptoms, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD). 1. When I see dirty things, such as feces or phlegm, images of these items keep recurring in my mind. I find them very disgusting, but I can't ...
Dr. Wu Enliang Reply:
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang[Read More] Understanding OCD: Signs, Symptoms, and Coping Strategies
Understanding OCD: Symptoms, Triggers, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD): 1. When I see dirty things, such as feces or phlegm, images of these things keep recurring in my mind. I find them very disgusting, but I can't...
Dr. Wu Enliang Reply:
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang.[Read More] Understanding OCD: Symptoms, Triggers, and Coping Strategies
Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Drug side effects Hello Dr. Lin! I am currently receiving a long-acting injection called Seroquel, but I have recently noticed an issue with delayed ejaculation. This problem has been bothering me for quite some time. Could you please recommend a long-acting injection that does n...
Dr. Lin Mianzhang Reply:
Hello: You are likely experiencing symptoms of hyperprolactinemia, which can be caused by many antipsychotic medications. Among long-acting injectables, Abilify Maintena is less likely to have this side effect, but its effectiveness for you still needs to be evaluated by a physic...[Read More] Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Understanding Abnormal Brain Perfusion Results and Their Impact on Cognitive Function
Cerebral perfusion computed tomography (CT perfusion) I underwent a brain CT perfusion scan at National Cheng Kung University, and the doctor informed me of abnormalities. I would like to know what these results signify and whether they are related to my cognitive decline. (Bilat...
Dr. Wu Enliang Reply:
Indeed, it is possible that online interactions are related to cognitive decline. Dr. Wu En-Liang.[Read More] Understanding Abnormal Brain Perfusion Results and Their Impact on Cognitive Function
Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
I'm really fed up with my mom? Hello, doctor: I have researched a lot about paranoid delusions and have scoured the internet for information, but I feel like I'm going crazy. I can't think of any way to get my mom to willingly (or trick her into) see a psychiatrist...
Dr. Lin Mianzhang Reply:
Hello, Your mother's condition is indeed very serious, and it can be quite challenging to live under the same roof with her. Although it seems difficult, there are solutions available. You can start by visiting the local health center and informing the public health nurse ...[Read More] Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Cerebral perfusion computed tomography (CT perfusion) I was diagnosed with suspected atypical schizophrenia in the psychiatric department, and then I was referred to the neurology department. The neurologist arranged for me to undergo a brain CT scan. I would like to know if a br...
Dr. Wu Enliang Reply:
Online users have noted that this examination cannot detect schizophrenia, but it can identify other brain lesions. A brain perfusion CT scan utilizes lipophilic tracers that can penetrate the blood-brain barrier, allowing assessment of blood flow perfusion in the frontal lobe, p...[Read More] Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Understanding Reading Disabilities: Diagnosis and Testing for Adults
Diagnosis-related issues concerning dyslexia? Hello, I would like to inquire about issues related to reading disabilities. Since childhood, I have often seen letters in reverse, experienced difficulty in reading fluently, required repeated viewing for text comprehension, and enco...
Dr. Wu Menghuan Reply:
Dyslexia, also known as reading disorder, is classified under Specific Learning Disorder in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Individuals with dyslexia experience difficulties in literacy, reading comprehension...[Read More] Understanding Reading Disabilities: Diagnosis and Testing for Adults
Managing Physical Discomfort from Psychological Stress During Exams
How to alleviate physical discomfort caused by psychological factors? I have my final exams this week, and I started experiencing light sleep since last weekend, even not sleeping at all some nights. Gradually, my muscles have begun to feel very tense, especially my fingers, whic...
Dr. Qiu Junda Reply:
Hello. It seems that the exam is causing you significant stress, leading to physical discomfort. The medications Xibing and Anli may also have physiological side effects. I recommend that you return for a follow-up appointment with your physician to discuss and clarify the causes...[Read More] Managing Physical Discomfort from Psychological Stress During Exams
Understanding Sexual Orientation: Insights on Attraction and Identity
Sexual orientation issues? I am a gay man who has liked other men and also has a desire to be a woman. I feel no romantic attraction towards the women around me; they are just friends. I have no interest in women's faces and feel somewhat fearful of women's private part...
Dr. Huang Zhijia Reply:
Hello: There is no correlation; everything is normal, and there is no need to feel ashamed about it.[Read More] Understanding Sexual Orientation: Insights on Attraction and Identity