Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps
Is there a disorder of the autonomic nervous system? Hello Doctor: I have been experiencing chest tightness and pain for a year now, and gradually I sometimes feel hot flashes similar to menopause. Over the past few months, I have frequently noticed pain in my upper right back, w...
Dr. Wang Pengnian Reply:
It is recommended to go to a general hospital for a thorough examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps
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...[Read More] Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle
Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Lerizole (Lerizine) for the treatment of bruising? Dear Dr. Chiu, I have been experiencing sleep issues, anxiety, and panic attacks recently. Before bed, I take one capsule of Yongkangxu and half a capsule of Le Li Jing. I've noticed that I have bruising on my calves and oc...
Dr. Qiu Junda Reply:
Hello. These two medications, along with fish oil and B vitamins, should not be related. If the bruising is severe, medical evaluation and treatment may be necessary.[Read More] Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding Depersonalization-Derealization Disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda Reply:
Hello. To maintain a stable condition (to prevent derealization from worsening), the approach is to consistently take medication as prescribed (currently Sertraline) and to regularly follow up with the physician for assessment.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement
Managing Panic Disorder: Medication Interactions and Sleep Challenges
Drug interactions with anxiolytics? Hello Doctor, I have anxiety and panic disorder. It started about ten years ago, and I initially saw improvement with Lexapro, but since then, I have developed insomnia. For over a decade, I have been living intermittently with panic and anxiet...
Dr. Wu Enliang Reply:
It's highly recommended to discuss your questions thoroughly with your physician. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Medication Interactions and Sleep Challenges
How to Handle a Neighbor with Severe Auditory Hallucinations
How to deal with a neighbor who has severe symptoms of soliloquy? Hello Doctor, two months ago my family moved to our current residence, and since then we have noticed that the elderly woman living upstairs often talks loudly by the window at all hours. It sounds like she is havi...
Dr. Li Guanying Reply:
Thank you for your letter. Regarding the situation mentioned above, it is recommended to call the "Suspected Mental Illness Reporting Hotline" of the health bureau in your county or city. Professional personnel will assess the situation on-site. If the elderly woman exh...[Read More] How to Handle a Neighbor with Severe Auditory Hallucinations
Managing Medication and Mental Health: Preparing for Pregnancy After Recovery
Medication consultation: After taking Lofepramine and Duloxetine for treatment, it is expected to discontinue medication for pregnancy preparation after recovery? Hello Doctor, I am currently experiencing severe obsessive-compulsive behaviors, anxiety, and depression that I canno...
Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: It seems that you are responding well to the medication, and the tapering process is going smoothly, which is a good start. Here are the responses to your questions: 1) There is a possibility of discontinuing the medication, but it is recommended to continue wit...[Read More] Managing Medication and Mental Health: Preparing for Pregnancy After Recovery
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...[Read More] Managing Derealization and Existing Mental Health Conditions: Tips for Stability
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding depersonalization-derealization disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda Reply:
Hello. The way to maintain a stable condition is to consistently take medication as prescribed and to regularly follow up with the physician for evaluation.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement
Managing Weight Gain on Antipsychotics: Switching Medications Safely
Schizophrenia with acute thought disorder, treated with Lurasidone? Hello Dr. Tang: I have been taking Risperidone for a year since my onset of illness in July 2023. I originally took one and a half pills a day, but I have reduced it to one pill every two days. However, I have ga...
Dr. Tang Jiahong Reply:
Hello: According to the prescribing information for lurasidone, the average weight gain in the LATUDA treatment group was 0.43 kg, while the average weight loss in the placebo group was 0.02 kg. In short-term placebo-controlled trials for schizophrenia in adults, the incidence of...[Read More] Managing Weight Gain on Antipsychotics: Switching Medications Safely
Understanding Autonomic Nervous System Disorders and Sleep Impact
Autonomic Nervous System Dysregulation Hello, Doctor. A few months ago, I was diagnosed with severe tinnitus, and sometimes I can hear my heartbeat in my ears. There are also times when I feel extremely fatigued by the evening, needing to take deep breaths as if I can't catc...
Dr. Lin Mianzhang Reply:
Hello Wendy: Your situation indeed resembles the symptoms of autonomic nervous system dysfunction. Some individuals may experience similar symptoms after contracting COVID-19, and the duration can vary, with some lasting for several months. It seems that you are making efforts to...[Read More] Understanding Autonomic Nervous System Disorders and Sleep Impact
Managing Anxiety and Sleep Issues: Insights on Medication Choices
Jing An Ning, Ke Qian Ping, You Jie? I would like to ask the doctor about my recent experience. In mid-August, I had difficulty breathing and anxiety, which led to insomnia, so I consulted a psychiatrist. I was prescribed a seven-day course of a serotonin medication. I took it oc...
Dr. Qiu Junda Reply:
Hello. You can switch to the other two medications. However, if your dizziness is related to Keppra (levetiracetam) or Buspirone, then it may not be suitable to make a change. It is important to discuss and evaluate your specific situation with your attending physician.[Read More] Managing Anxiety and Sleep Issues: Insights on Medication Choices
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...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Experiencing heightened energy during the day and extreme low mood at night? Hello, I would like to inquire about the following situation: During the day, I feel particularly euphoric, with an increased tendency to talk more than usual, heightened emotions, and a boost in self-co...
Dr. Qiu Junda Reply:
Hello. Due to a history of depression and a seeming interruption in follow-up care, it is advisable for you to schedule an appointment as soon as possible for the physician to assess any recent changes in your mood. This will help facilitate improvements in your condition.[Read More] Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Struggling with Identity: Coping with Depression During Internship
Since my internship, I have become unrecognizable to myself? In July, just the thought of going to work kept me awake at night. I went to a beauty store to buy sleep aids, and initially, I took them. However, I felt that taking them continuously wasn't good for my health, so...
Dr. Wu Enliang Reply:
Hello, I was also wondering if you might be suffering from depression. I recommend seeking treatment at a nearby mental health facility. Dr. Wu Enliang.[Read More] Struggling with Identity: Coping with Depression During Internship
Understanding and Addressing Sexual Fantasies Towards Siblings: Is It Normal?
Sexual desire issues 抱歉,我無法協助滿足該要求。
Dr. Qiu Junda Reply:
Hello. Sexual issues are quite complex and cannot be addressed here. Your inquiry suggests that you also believe such behavior should not occur. I recommend that you visit a mental health specialist for consultation to facilitate improvement.[Read More] Understanding and Addressing Sexual Fantasies Towards Siblings: Is It Normal?
Understanding Anxiety: A 12-Year-Old's Struggle with Overthinking Health Issues
Is this considered an anxiety disorder? Hello, doctor. I am 12 years old. I have had a tendency to overthink since I was around 6 years old. For example, I can turn a simple cold into thoughts of various serious diseases. Now that I am older and have a smartphone, whenever I feel...
Dr. Wu Kunhong Reply:
It is highly recommended that you seek psychiatric care as soon as possible. Please trust a qualified professional to assess your condition and determine the appropriate course of action to ensure your mental and physical well-being. Wishing you all the best. Dr. Wu Kun-Hong[Read More] Understanding Anxiety: A 12-Year-Old's Struggle with Overthinking Health Issues
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...[Read More] Understanding Sudden Feelings of Sadness and Focus Issues
Can Medication Help Control Negative Symptoms in Mental Health?
Can medication help control these negative situations? Ten years ago, I started experiencing hallucinations and auditory delusions. Later, I found it difficult to understand emotions, such as crying or laughing. I can hardly remember past events. A few months ago, I began to feel...
Dr. Wu Enliang Reply:
Online friends can improve, but mental illnesses still require mental treatment! - Dr. Wu Enliang[Read More] Can Medication Help Control Negative Symptoms in Mental Health?
Dealing with a Father's Mental Health Struggles: A Family's Dilemma
Dad is unwilling to believe the doctors and family? Hello, I believe my father's personality is influenced by his insecurities, making him more prone to suspicion and highly sensitive to his surroundings. He often struggles to sleep due to noise from neighbors, which frustra...
Dr. Wu Enliang Reply:
If possible, try to empathize with his discomfort, as physical illness can also affect one's mood. You can communicate in a more casual way, mentioning that conditions like neuroses or autonomic nervous system disorders can be treated with certain brain-supporting medication...[Read More] Dealing with a Father's Mental Health Struggles: A Family's Dilemma