Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Do I Need to See a Psychiatrist Again? Understanding My Mental Health
I would like to ask if I need to see a psychiatrist based on my current condition? Hello Doctor, I am currently 18 years old and graduated from high school. Over a year ago, I went to see a psychiatrist without my family's knowledge due to symptoms like persistent sadness an...
Dr. Lin Mianzhang Reply:
Hello Ms. U: I believe you are here to inquire because you are somewhat troubled by your situation, yet unsure of its severity. There is no definitive standard for whether one needs to seek medical attention. I have encountered individuals who come for consultations simply to det...[Read More] Do I Need to See a Psychiatrist Again? Understanding My Mental Health
Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Occupational therapy issues related to obsessive-compulsive disorder and anxiety disorders? Hello, doctor. I am a patient with obsessive-compulsive disorder (OCD) and anxiety disorder. I was discharged from the psychiatric ward at the hospital at the end of April and am currently...
Dr. Lin Mianzhang Reply:
Hello, Xiao Chen: The treatment for obsessive-compulsive disorder (OCD) and anxiety disorders primarily involves medication and psychotherapy. Occupational therapy aims to enhance your ability to adapt to daily life and can be used as an adjunct, but it is not the primary treatme...[Read More] Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Managing Emotional Outbursts After Waking Up: Tips and Insights
Loss of emotional control upon waking up? I sometimes fall asleep in the evening, and when I wake up, I start to lose control of my emotions, regretting that I fell asleep and feeling overwhelmed by my academic responsibilities. In severe cases, I might hit my head or my limbs, b...
Dr. Qiu Junda Reply:
Hello. At first glance, it seems that certain pressures are leading to negative emotional behaviors. I recommend that you promptly discuss this with your family and teachers and seek consultation with a pediatric mental health specialist for improvement. If it's not convenie...[Read More] Managing Emotional Outbursts After Waking Up: Tips and Insights
Navigating School Policies for Children with Depression: A Parent's Guide
The child has experienced depression and has had suicidal thoughts? The school has requested that the child engage in home study due to a previous incident of jumping from a height. They require us to provide a certificate from a public hospital in order to grant an extended leav...
Dr. Lin Mianzhang Reply:
Hello, Ms. Chi: If your child's condition is not good and you cannot get an appointment at an outpatient clinic, you can go to the emergency department for medical care. However, if a public hospital is fully booked, have you considered looking for other public hospitals? At...[Read More] Navigating School Policies for Children with Depression: A Parent's Guide
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda Reply:
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Questions regarding the efficacy of Rifampin in treating physical symptoms? Hello Doctor: After being diagnosed in January this year, I began experiencing symptoms in February, such as severe insomnia, difficulty concentrating, dizziness, lightheadedness, slow focus switching bet...
Dr. Qiu Junda Reply:
Hello. Medications like Librium and other benzodiazepines have sedative effects, primarily aimed at improving insomnia in your case. They are unlikely to help with other issues such as dizziness, lightheadedness, or cognitive impairments. If there is no improvement in your insomn...[Read More] Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Why Is There a Three-Month Wait for Disability Assessment After a Suicide Attempt?
I have been seeking medical help for over three years, yet I still attempted suicide. Why do I have to wait another three months to get my disability certificate? Hello, Doctor. I would like to consult you about a case. The individual was reported for a suicide attempt at the age...
Dr. Wu Menghuan Reply:
Hello: Individuals who need to apply for a disability assessment are those who have experienced trauma or suffer from chronic mental, neurological, or internal/external medical conditions that result in structural and functional impairments. Even with aggressive treatment, they s...[Read More] Why Is There a Three-Month Wait for Disability Assessment After a Suicide Attempt?
Understanding Drug Interactions: Sulpiride and Escitalopram Effects
Drug interactions Sulpiride and escitalopram can interact with each other, but the nature of their interaction is complex. Sulpiride, an atypical antipsychotic, may enhance the effects of escitalopram, a selective serotonin reuptake inhibitor (SSRI), potentially leading to increa...
Dr. Qiu Junda Reply:
Hello: 1. There are no significant interactions between the two. 2. I am not aware of your symptoms. If you are being treated for depressive symptoms, the physician likely prescribed these two medications with the intention of them working synergistically. 3. There is no differen...[Read More] Understanding Drug Interactions: Sulpiride and Escitalopram Effects
How to Transition from Acute to Chronic Psychiatric Care in Taiwan
If I want to be admitted to a chronic psychiatric ward, what should I do? Hello, I would like to ask about my current situation. The hospital I am visiting only has an acute care unit, and I have been a frequent patient there, having been hospitalized 8 times for acute issues ove...
Dr. Lin Mianzhang Reply:
Hello, Da Ren: If you want to stay in a chronic care ward, you need to first visit a hospital that has a chronic care unit for an evaluation by a physician to determine if you are suitable for admission. As far as I know, in Taoyuan, there are psychiatric hospitals with chronic c...[Read More] How to Transition from Acute to Chronic Psychiatric Care in Taiwan
Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Drug withdrawal Hello, doctor. I have some questions I would like to ask. Currently, I am taking the following medications: - Mirtazapine 1.5 tablets at bedtime - Clonazepam 25 mg at bedtime - Levetiracetam 2 mg at bedtime - Subutex 50 mg after each meal - Lorazepam 0.5 mg as n...
Dr. Wu Enliang Reply:
A: Based on what you've shared, tapering off Clonazepam (Klonopin) by reducing your dosage gradually over three weeks may be appropriate, but it's essential to consult with your physician before making any changes to your medication regimen. Clonazepam does have a poten...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Fear of developing a rare or serious illness as reported can lead to feelings of guilt when trying to rest, making it difficult to fully relax? Hello, doctor. I am 15 years old and just finished my junior high school entrance exams. Recently, I thought about taking a few days to ...
Dr. Qiu Junda Reply:
Hello. It seems that you have high self-expectations or feel pressure from your parents' expectations. It appears that you are putting a lot of strain on yourself, which is leading to unhappiness in your life and excessive worry. I suggest you take a bold step to relax (sinc...[Read More] Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
It may have been misdiagnosed in the past..? Hello, doctor. I am the patient who has been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. Recently, I recalled something: throughout these years, every psychiatrist I have seen has only diagnosed me with OCD...
Dr. Lin Mianzhang Reply:
Hello Ayue: First of all, being prescribed medication for schizophrenia (formerly known as schizophrenia) does not necessarily mean that you have the disorder. To understand why the previous physician informed you that way, you may need to ask him directly. Additionally, insuranc...[Read More] Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety
Hello Dr. Lin, I have some questions regarding swallowing disorders? Hello Dr. Lin, I have been suffering from swallowing difficulties (dysphagia) and related anxiety for a long time. I have already undergone throat examinations at the hospital and have seen a rehabilitation spec...
Dr. Lin Mianzhang Reply:
Hi there! If you are experiencing difficulty swallowing, it is generally recommended to visit an otolaryngologist for an examination. If the examination results are normal, it is advisable to seek care from a psychiatrist. Your condition may likely be what is known as "globu...[Read More] Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Understanding Borderline Personality Disorder: Signs and When to Seek Help
Is it possible to have borderline personality disorder? Hello doctor, I have noticed that I often uncontrollably burst into anger and tears over very minor issues. I frequently feel extremely irritable and distressed. When I experience this irritability and pain, I resort to self...
Dr. Wu Enliang Reply:
Dear netizen, it sounds like you are going through a lot. If you are experiencing such emotional distress, it is indeed advisable for you to talk to a counselor at your school or have your parents (or other family members) accompany you to see a child and adolescent psychiatrist....[Read More] Understanding Borderline Personality Disorder: Signs and When to Seek Help
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Issues with Antipsychotic Medications A family member has schizophrenia and exhibits symptoms such as hallucinations. After seeing a doctor, they were prescribed Wellbutrin (bupropion), Rifampicin, and Fluoxetine. I would like to ask the physician if these medications, which are ...
Dr. Lin Mianzhang Reply:
Hello: These medications may not effectively improve the psychotic symptoms of schizophrenia (such as hallucinations, delusions, etc.), and it is possible that your family member did not fully disclose their condition to the physician during the medical visit. It is recommended t...[Read More] Can Non-Antipsychotic Medications Manage Schizophrenia Symptoms?
Understanding Sleep Disorders: Causes, Treatments, and Management Tips
Sleep disorders Hello, Doctor. On March 11, I encountered some stress in my life, and that night I began experiencing sleep disturbances (difficulty falling asleep and waking up frequently during the night), along with palpitations and feelings of tension. On March 17, I visited ...
Dr. Lin Mianzhang Reply:
Hello KK: 1. Autonomic nervous system dysfunction is not a precise diagnosis; it is more of a general syndrome. Many functions related to the autonomic nervous system, such as respiration, heart rate, blood pressure, gastrointestinal activity, sweating, and sleep, can be termed ...[Read More] Understanding Sleep Disorders: Causes, Treatments, and Management Tips
Managing Sleep Issues Linked to Medication: A Psychiatric Perspective
Due to issues related to medication? Doctor, I recently visited a urologist due to discomfort while urinating, and the doctor prescribed Mu Jing 1.5 mg. I later discovered that I can't sleep without taking Mu Jing. I researched online and found that discontinuing it can lead...
Dr. Lin Mianzhang Reply:
Hello: There are many reasons for insomnia. I'm not sure if your doctor has discussed the specific cause of your insomnia with you. Understanding the underlying reasons for insomnia is essential to address the issue appropriately, rather than just relying on sedatives or sle...[Read More] Managing Sleep Issues Linked to Medication: A Psychiatric Perspective