Lost Psychiatric Medication: What Are Your Options?
Regarding the loss of psychiatric medications? Hello, doctor. I would like to ask if there is any remedy for the loss of controlled substances in psychiatry. Here’s the situation: I have regular follow-up appointments in psychiatry and receive a three-month supply of medication. ...
Dr. Qiu Junda Reply:
Hello. The hospital has a procedure for handling lost medications (which may include paying out of pocket for a replacement). You can inform the original prescribing facility about your situation. The hospital will provide a solution. There's no need to worry.[Read More] Lost Psychiatric Medication: What Are Your Options?
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang Reply:
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Anxiety disorder relapsed without discontinuing medication? Seven years ago, I was diagnosed with anxiety disorder and have been consistently taking medication. I have been stable for seven years (calm), without stopping the medication. However, this year, for some unknown reason...
Dr. Wu Enliang Reply:
Anxiety disorders often have a tendency to relapse, and there are many reasons for this. However, most individuals experience symptom relief after treatment. It is important to patiently engage in therapy. Keep it up! - Dr. Wu Enliang[Read More] Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Understanding Possible Bipolar Symptoms in a Family Member
Family member suspected of bipolar disorder? Hello: Mr. A is currently 22 years old. He has been relatively passive and lacking in ideas since childhood, and due to family factors, his parents have been quite tolerant of him. Later, it was discovered that he faced difficulties in...
Dr. Qiu Junda Reply:
Hello. 1. Bipolar disorder is considered a more severe condition in terms of psychopathology. Sometimes, alcohol or substance abuse, as well as poor emotional regulation (EQ), can present similar symptoms. It is essential to conduct a careful assessment and not jump to conclusion...[Read More] Understanding Possible Bipolar Symptoms in a Family Member
Understanding Anxiety: Can Sleep Habits Affect Your Health?
Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...
Dr. Wu Enliang Reply:
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...[Read More] Understanding Anxiety: Can Sleep Habits Affect Your Health?
Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Autonomic nervous system dysfunction, dementia? Hello Dr. Lin, I would like to ask you about my husband. He has been taking medication for autonomic nervous system disorder for many years. The side effects of the sedatives can lead to memory decline, and he often finds himself di...
Dr. Lin Mianzhang Reply:
Hello: Current research indicates that long-term use of sedatives does not lead to dementia; in fact, for patients with higher levels of anxiety, sedatives can help alleviate anxiety and improve short-term memory. Ideally, for older patients, it is best to use low doses of shorte...[Read More] Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Can my condition, bipolar disorder, be cured? I previously took Lurasidone, Lamotrigine, and Zolpidem. The clinic didn't have Lamotrigine and said Lurasidone wasn't effective, so I switched to Perphenazine, Lithium (2 tablets), and Mirtazapine. As a result, I felt depre...
Dr. Qiu Junda Reply:
Hello. The symptoms mentioned seem to be primarily negative emotions. The medication mainly consists of antidepressants and mood stabilizers, which is appropriate. If there are any side effects, you can discuss with your physician whether to adjust the medication. With patience i...[Read More] Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Understanding Medication Dosage for Generalized Anxiety Disorder
Medication dosage Last year, I was diagnosed with generalized anxiety disorder and was prescribed a medication regimen of Duloxetine 60mg and Clonazepam 1mg (with Flupentixol 0.25mg as a backup). 1. Is this dosage considered high? 2. I stopped taking the medication on my own in...
Dr. Qiu Junda Reply:
Hello. 1. Objectively, this dosage is not heavy. 2. The medication will be metabolized and will not cause irreversible damage to the brain, so there is no need to worry. 3. I am not aware of your actual situation, so I cannot provide specific advice. I only suggest that if you wi...[Read More] Understanding Medication Dosage for Generalized Anxiety Disorder
Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda Reply:
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Understanding Panic Attacks: Symptoms, Heart Rate, and Anxiety Management
Is it panic disorder? Dr. Lin, I apologize for bothering you. Three years ago, I experienced panic anxiety and took medication (Prozac) for two years. I also underwent rTMS treatment. Although I sometimes feel anxious and tense, I was able to live a relatively normal life and suc...
Dr. Lin Mianzhang Reply:
Hello Andy: It seems that you are experiencing significant anxiety. Whether this is a panic attack depends on whether you have other symptoms in addition to a rapid heartbeat, such as sweating, trembling, shortness of breath, chest or abdominal discomfort, dizziness, etc. Severe ...[Read More] Understanding Panic Attacks: Symptoms, Heart Rate, and Anxiety Management
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang Reply:
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Issues related to the effects of benzodiazepines? Hello, Doctor. I am a patient with obsessive-compulsive disorder (OCD) and have been undergoing treatment for six months, during which my symptoms have significantly improved. The medications prescribed to me are Zoloft (Sertralin...
Dr. Qiu Junda Reply:
Hello. 1. Clonazepam 1mg is metabolized in the body and excreted through urine, and it does not remain in the body (or brain) long-term, which alleviates your concern about irreversible cognitive impairment. 2. The dosage of Zoloft at 150mg, while not low, is still within the the...[Read More] Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Understanding Panic Attacks After Starting Antidepressants: What to Know
Some conditions after using antidepressants? Hello Doctor: I have issues with anxiety, panic, and PPPD. I visited a doctor last Friday, and the prescription included an antidepressant at 10mg (half a pill daily for the first week, then one pill starting the second week) and Rital...
Dr. Wu Enliang Reply:
Hello, doctor. I would like to ask if my situation indicates that I am not suitable for using antidepressants? A: This episode should not be related to the medication, so it does not mean you are unsuitable for it. The doctor I consulted earlier did not inform me whether this is ...[Read More] Understanding Panic Attacks After Starting Antidepressants: What to Know
Understanding Lithium Side Effects and Managing Mood Disorders
Bipolar disorder / Medication side effects Hello, doctor. I have been taking lithium for about a week, but during this time, I have reduced the dosage on my own due to side effects. 1. I would like to ask if this behavior is appropriate. When I visited the hospital, the doctor as...
Dr. Qiu Junda Reply:
Hello. 1. Lithium salts are a type of mood stabilizer. The situation you described is relatively uncommon. I'm not sure if you are using any other medications concurrently. I recommend that you follow up with your physician for a discussion. If it is indeed related to lithiu...[Read More] Understanding Lithium Side Effects and Managing Mood Disorders
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. I have so many things I want to do during the summer, but I'm afraid I won't be abl...
Dr. Wu Enliang Reply:
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu Enliang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. There are so many things I want to do during the summer, but I'm afraid I won't be ...
Dr. Wu Enliang Reply:
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from the psychiatric day hospital, and in two and a half months, school will start. I have so many things I want to do during the summer, but I'm afraid I won't be able to...
Dr. Wu Enliang Reply:
It's recommended to follow up with your physician to discuss these concerns and issues. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt