Overcoming Sexual Desire Issues After Stopping Medication: A Guide
Sexual desire issues Doctor, since I stopped taking Risperidone and Fluoxetine on June 27, it has been a month, and I feel that my libido has not yet returned. I have a biological instinct to look at women, but I do not feel arousal or sexual desire. Every day, I oscillate betwee...
Dr. Qiu Junda Reply:
Hello. As mentioned before, I hope you will patiently return to the psychiatric and urology departments to discuss and collaborate on treatment with the physicians for early improvement. Thank you.[Read More] Overcoming Sexual Desire Issues After Stopping Medication: A Guide
Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Medical consultation The gastroenterologist prescribed Oprel for the treatment of irritable bowel syndrome, instructing me to take one 0.5 mg tablet after each of my three meals daily. After taking it for about two weeks, I stopped the medication and experienced two days of withd...
Dr. Qiu Junda Reply:
Hello. Regarding the discontinuation of Opipramol, it is best to taper off gradually. For example, start with half a tablet after each of three meals for 7 days. Once you have adjusted, switch to half a tablet in the morning and at night for 5 days. After that, change to half a t...[Read More] Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Understanding Complex Symptoms in Menopausal Depression: A Guide for Families
I am not sure what the symptoms are? Hello Doctor: My mother is in menopause and is taking medication for depression. She experiences full-body pain daily, including tooth pain, spine pain, and rib pain (doctors have said there are no issues with these). She also continuously pro...
Dr. Qiu Junda Reply:
Hello. I'm not sure why your mother is taking antidepressant medication, how long she has been on it, whether there have been any interruptions, or how effective it has been. Initially, if general health checks have not revealed any significant findings, your mother's c...[Read More] Understanding Complex Symptoms in Menopausal Depression: A Guide for Families
Understanding Depression and ADHD: Insights from a Patient's Journey
Depression and ADHD-related issues? Hello Dr. Li, I would like to ask for your help in reviewing my information below: This is some data from my childhood. The doctor only mentioned that I had significant attention deficit and noted that my math skills were decent. I don't...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about the pressures of your family members dealing with depression and ADHD. 1. Facing an uncertain future, mental health disorders are common in modern society. These are chronic conditions that require long-term treatment f...[Read More] Understanding Depression and ADHD: Insights from a Patient's Journey
Understanding Nocturnal Auditory Hallucinations: When to Seek Help
It is uncertain whether it qualifies as a hallucination? Hello, occasionally I hear a voice calling my name from the door in the early morning, and sometimes there are two knocks on the door, but it only happens once and then stops. This wakes me up, and I have confirmed that my ...
Dr. Cai Qijin Reply:
Hello: Hypnagogic and hypnopompic hallucinations – These auditory hallucinations are associated with the brain being in a semi-dream state. The sounds may call your name or say short phrases, and they typically disappear upon waking, usually without significant concern. Insomnia ...[Read More] Understanding Nocturnal Auditory Hallucinations: When to Seek Help
Can Psychiatric Medications Affect Your Menstrual Cycle?
Medication Consultation for Menstrual Issues Hello Doctor: Since I started taking psychiatric medications, or even earlier, my previously regular menstrual cycle has suddenly been absent for over three months. I would like to ask if it is possible that the medications are causing...
Dr. Qiu Junda Reply:
Hello. Psychiatric symptoms can also interfere with the menstrual cycle. Although the side effects of the aforementioned medications do not specifically mention menstrual issues, pharmacologically, it is more likely that the antidepressants, particularly the selective serotonin r...[Read More] Can Psychiatric Medications Affect Your Menstrual Cycle?
Long-Term Use of Mirtazapine for Insomnia: Risks and Side Effects
Morus alba is used for insomnia? Is the antidepressant Mirtazapine used for insomnia safe for long-term use? Does it have more severe side effects? Can it cause an increase in blood sugar levels?
Dr. Lin Mianzhang Reply:
Hello, A-Cang: Mirtazapine can be taken long-term. Common side effects include increased appetite, weight gain, drowsiness, and constipation. More serious but less common side effects (occurring in less than 0.1% of patients) include blood cell reduction. If increased appetite du...[Read More] Long-Term Use of Mirtazapine for Insomnia: Risks and Side Effects
Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Hypochondria and salivary secretion issues? Hello Doctor, since I fell ill some time ago, I have been experiencing symptoms of health anxiety for several years. I have visited doctors multiple times because I believed I was unwell, but everything turned out to be fine. A few days...
Dr. Qiu Junda Reply:
Hello. Health anxiety is also a form of anxiety and has caused you physical and mental distress. You can start by searching for educational articles on combating anxiety and relaxing the mind and body. Learn about the feasible methods from these resources. If you find that the ef...[Read More] Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Does Depakote Enhance Sertraline Levels and Effectiveness?
Ulgexia and Depakote Can I ask if taking Depakote (divalproex sodium) will enhance the blood concentration of sertraline? I've heard that Depakote can enhance the efficacy of antidepressants, is that true?
Dr. Qiu Junda Reply:
Hello. Depakote has little effect on the blood concentration of antidepressants. Additionally, Depakote itself has mood-stabilizing properties. Theoretically, using antidepressants in combination with Depakote would yield better results.[Read More] Does Depakote Enhance Sertraline Levels and Effectiveness?
Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Schizophrenia Hello Dr. Lin! I would like to ask you a question. If a person only exhibits positive symptoms (such as hallucinations and delusions) and shows no negative symptoms at all, can this still be classified as schizophrenia? Thank you!
Dr. Lin Mianzhang Reply:
Hello: The diagnostic criteria for schizophrenia include delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. At least two of these five symptoms must be present (with at least one of the first three) for a duration of one month, along wit...[Read More] Can Schizophrenia Be Diagnosed with Only Positive Symptoms?
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Understanding Delusions: Definitions, Symptoms, and Misconceptions
Definition and Assessment of Delusions I would like to ask the doctor the following questions. I am just curious if I have symptoms of delusion, as I have read some articles about the definition of delusion. However, I feel that I do not have any issues, and the questions regardi...
Dr. Qiu Junda Reply:
I will answer your question in reverse order. 3. In a previous class, the professor discussed the definition of delusions: a false belief that is firmly held. (Judgment is based on whether it meets the definition.) 2. A mathematician may propose a theorem that is later proven...[Read More] Understanding Delusions: Definitions, Symptoms, and Misconceptions
Confronting Inner Demons: Healing from Childhood Trauma
How to dispel darkness? Yesterday, in a state between wakefulness and dreams, I saw a half-human, half-beast creature frantically stabbing the classmates who bullied me in fifth grade with a dagger. Its upper body was gone, leaving only two legs behind, yet this creature continue...
Dr. Qiu Junda Reply:
Please discuss medical consultation.[Read More] Confronting Inner Demons: Healing from Childhood Trauma
Understanding Medication for Severe Depression with Psychotic Features
Medication consultation Hello Dr. Wu, I would like to ask you about my condition. I was diagnosed with severe major depressive disorder with psychotic features three years ago. I am currently taking the following medications: - Bupropion 2 mg, one tablet at dinner - Lurasidone ...
Dr. Wu Enliang Reply:
1. Is the current medication for sleep quite strong? A: Yes, it is quite strong. 2. Why has it been three years on medication without improvement, and instead, it has become more severe? A: This needs to be discussed with your physician. 3. Recently, taking sleep medication l...[Read More] Understanding Medication for Severe Depression with Psychotic Features
Understanding Flupentixol: Immediate vs. Long-term Effects for Mood Disorders
Regarding the issue of tranquility? Flupentixol 0.5 mg is an antipsychotic medication that is often used to treat anxiety and depressive disorders. It typically requires daily administration for a period of time to achieve its full therapeutic effect. While some individuals may e...
Dr. Qiu Junda Reply:
Hello. Taking Anpingjing at the moment may have some immediate effects, but the benefits might not be very noticeable. It usually takes a period of time for the medication to exert its effects and improve symptoms.[Read More] Understanding Flupentixol: Immediate vs. Long-term Effects for Mood Disorders
Concerns About Side Effects of Clonazepam for Sleep Disorders
Inquiry about the side effects of tranquilizers? Hello, Doctor. I have been diagnosed with circadian rhythm disorder (difficulty falling asleep) and unspecified anxiety disorder. I have a medication history of 3 years, originally taking Remeron 1, Trazodone 2, Ativan 2, and Zolpi...
Dr. Qiu Junda Reply:
Hello. Since it is uncertain whether the skin itching is caused by the change to the sedative medication, it is recommended to first consult a dermatologist for evaluation and treatment. This will help clarify the cause and improve the condition.[Read More] Concerns About Side Effects of Clonazepam for Sleep Disorders
Understanding Delusions: Definitions and Distinctions in Psychiatry
Definition and Assessment of Delusions Recently, I came across an article about delusions, and I often find myself imagining scenes, sounds, and plots when I'm bored. Novelists, comic artists, animators, television producers, and even some mathematicians who propose certain ...
Dr. Qiu Junda Reply:
Hello. Delusion: a false belief that is firmly held despite contradictory evidence (no explanation can correct it, such as believing that an alien has implanted a chip in the brain). The situation you mentioned pertains to the process of developing certain theoretical concepts an...[Read More] Understanding Delusions: Definitions and Distinctions in Psychiatry
Understanding Delusions: Definitions and Distinctions in Psychiatry
Definition and Assessment of Delusions Recently, after reading some articles about delusions, I found that I sometimes imagine unrealistic scenes, sounds, and narratives. Novelists, comic artists, cartoon writers, television scriptwriters, and even some mathematicians who propose...
Dr. Qiu Junda Reply:
Replied.[Read More] Understanding Delusions: Definitions and Distinctions in Psychiatry
Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Diagnosis and Definition of Delusions I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing distress due to concerns about psychiatric symptoms such as delusions. 1. Facing an uncertain future, psychiatric disorders are common in modern society. These are chronic conditions that require long-term treatment for ...[Read More] Understanding Delusions: Definitions, Diagnosis, and Misconceptions