Can I Switch Mental Health Providers After Graduation?
Transfer Issues Hello, doctor. I am about to graduate and will be moving away from the initial clinic where I have been receiving treatment. I have been taking medication for one to two months. Can I switch to a mental health clinic closer to my home on my own?
Dr. Lin Mianzhang Reply:
Hello Yiyi: Sure! However, when you visit other clinics, you need to clearly communicate your past treatment history, including any changes in medications and variations in symptoms. If you are not very clear about your past treatment, I recommend that you request a copy of your ...[Read More] Can I Switch Mental Health Providers After Graduation?
Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Nervous tremors and rapid heartbeat? Hello Doctor, I am currently studying abroad and I tend to get anxious, which has led to some difficulties in my daily life, prompting me to seek assistance. Previously, I had issues with arrhythmia (I underwent an electrocardiogram in Taiwan)...
Dr. Qiu Junda Reply:
Hello. You can use Entacapone before going on stage, either 2# or with meals, depending on which method works better for you. Additionally, your concerns seem to lean towards anxiety. It needs to be assessed whether it has reached a panic level. After returning to your country, y...[Read More] Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Managing Anxiety and Eye Pressure: Exploring Medication Options
Psychiatric medications Hello Doctor, I previously experienced anxiety for about a year, which led to symptoms similar to autonomic nervous system dysfunction, including frequent urination and urgency. The doctor prescribed me FLUOXETINE 20mg to take monthly for a year. After sto...
Dr. Qiu Junda Reply:
Hello. This medication does not contain steroids. If you are experiencing anxiety or other physical and mental distress, it is recommended that you have regular follow-up appointments and adhere to the prescribed treatment plan, including medication, to facilitate improvement.[Read More] Managing Anxiety and Eye Pressure: Exploring Medication Options
Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Psychiatric medications I have anxiety disorder, so I have been taking medication for it. However, after a while, I felt it wasn't effective, and my doctor switched my medication. Although the new medication seems to be working, I have noticed a significant weight gain. Duri...
Dr. Qiu Junda Reply:
Hello. These medications do not cause indigestion. Whether weight gain is related to the medication is still to be evaluated. You may try discontinuing SUNPYLON TABLETS 50MG to see if there is any improvement. Additionally, you can seek assistance from a hospital's weight ma...[Read More] Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Medications for Generalized Anxiety Disorder - Klonopin (Clonazepam) Hello, Doctor. I would like to ask you about my situation. I have been diagnosed with generalized anxiety disorder and have been on medication for two years. Throughout my treatment, I have faced issues with med...
Dr. Wu Enliang Reply:
Hello, is the dosage of the sleeping medication I am using considered high? A: Yes, the dosage of the sleeping medication is somewhat high. Will it be difficult to withdraw from it later? A: It varies from person to person. By the way, is there currently any clear evidence linkin...[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Is Using Nicotine for Focus in Studying a Safe Approach?
Is it appropriate to use nicotine in the short term to maintain focus while studying? I have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) since childhood. I am currently 22 years old. During high school, I felt very frustrated and insecure about my inabilit...
Dr. Qiu Junda Reply:
Hello. Nicotine is a central nervous system stimulant and is classified as an addictive substance. Long-term use generally has more adverse effects on both physical and mental health. I personally have doubts about the claim that nicotine can maintain focus while studying, as I h...[Read More] Is Using Nicotine for Focus in Studying a Safe Approach?
Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...
Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...[Read More] Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...
Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Dealing with Family Dynamics and Paranoia in Young Adults
Family interactions, paranoid delusions? I'm sorry to hear about your situation. It sounds like your cousin is exhibiting some concerning behaviors that may indicate underlying psychological issues. Given her history of trauma, such as being verbally and physically reprimand...
Dr. Yan Congyou Reply:
Hello: It sounds like your cousin's situation is causing you a lot of distress. Since a patient cannot be forcibly hospitalized without a diagnosis of a severe mental illness or a history of psychiatric hospitalization, it is advisable to first seek assistance from the local...[Read More] Dealing with Family Dynamics and Paranoia in Young Adults
Understanding and Managing Toddler Biting Behavior: Tips for Parents
Toddlers have a habit of biting? My son is currently 2 years and 2 months old, and his language and physical development are both normal. His teachers say he is very smart and learns quickly, and he has a sociable personality. Since he was about 18 months old, he has frequently b...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of having a young child who has a habit of biting. However, the aspect of child development requires a personal evaluation. Please bring your child to see a doctor and discuss this...[Read More] Understanding and Managing Toddler Biting Behavior: Tips for Parents
Struggling with Chronic Mental Health Issues: A Personal Journey
I have been troubled by psychological issues for over ten years? My first visit to a psychiatrist is a bit hazy now; I only remember feeling that my family favored my younger brother over me. This started from fifth grade until the first year of junior high school, and I was diag...
Dr. Tang Jiahong Reply:
Hello. Individuals with chronic mental illnesses, like everyone else, deserve to have a happier and more fulfilling life. Based on your description, you may be experiencing depressive symptoms and anxiety. However, if you feel that the medication is not effective, you should disc...[Read More] Struggling with Chronic Mental Health Issues: A Personal Journey
Is Temporary Coma Related to Psychiatric Medication Adjustments?
Is temporary coma related to adjustments in psychiatric medications? Hello Doctor: My father (approximately 70 years old) has a history of depression and bipolar disorder. Earlier this year, he exhibited signs of agitation, and following the doctor's instructions, he began t...
Dr. Xue Gengming Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult with other mental health care facilities. Thank you. Wishing you good health![Read More] Is Temporary Coma Related to Psychiatric Medication Adjustments?
Can 5-HTP Help Boost Serotonin for Mental Health Maintenance?
Can taking 5-HTP regularly help boost serotonin levels as a form of supplementation? I previously took Liyou to treat mild depression and anxiety, and my condition has improved. I stopped taking the medication a month ago, but I've noticed that I can't sleep deeply at n...
Dr. Cai Qijin Reply:
Hello: 5-Hydroxytryptophan (5-HTP) is an amino acid that serves as an intermediate step in the conversion of tryptophan to serotonin, and can be considered a precursor to serotonin. To increase serotonin levels, it is important to first assess your own condition: difficulty sleep...[Read More] Can 5-HTP Help Boost Serotonin for Mental Health Maintenance?
Managing Trichotillomania: Seeking Help for Hair Pulling Behavior
Compulsive behavior I experienced a period of trichotillomania when I was about 11 years old, but I improved over time. For the past six to seven years, I've only occasionally pulled at my body hair. However, recently I've noticed a slight tendency for a relapse. How sh...
Dr. Xue Gengming Reply:
Recommendation: Please consult with a mental health specialist. Thank you. Wishing you good health![Read More] Managing Trichotillomania: Seeking Help for Hair Pulling Behavior
Can Stopping Sertraline Reverse Diabetes After Weight Gain?
Medication consultation After taking Seroquel 200mg for over a year, I gained 15 kilograms. Recently, during a check-up in the last three months, I found out that my fasting blood sugar and HbA1C levels were high, and I was diagnosed with diabetes. I need to go for another blood ...
Dr. Wu Enliang Reply:
Hello, if weight gain due to medication leads to diabetes, some individuals may find that their diabetes improves after stopping the medication and losing weight. Dr. Wu En-liang.[Read More] Can Stopping Sertraline Reverse Diabetes After Weight Gain?
Managing Medication Side Effects in Psychiatry: Seeking Solutions
Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...[Read More] Managing Medication Side Effects in Psychiatry: Seeking Solutions
Understanding OCD: When to Seek Help and Common Symptoms Explained
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I would like to ask a few questions about obsessive-compulsive disorder (OCD). 1. I have been suffering from OCD for many years. Due to my family's guidance and my understanding of certain causes and effects...
Dr. Wu Enliang Reply:
1. I have been suffering from obsessive-compulsive disorder (OCD) for many years. Due to my family's guidance and my understanding of certain causes and effects, I still experience low-frequency obsessions daily, sometimes good, sometimes bad, but they no longer affect my li...[Read More] Understanding OCD: When to Seek Help and Common Symptoms Explained
Navigating Loneliness: Coping Strategies for Schizophrenia Patients
No partner? I am the only son in my family with two younger sisters. However, I have been diagnosed with paranoid schizophrenia, which has led to a lack of interest from the opposite sex in connecting with me, making it difficult for me to find a partner. Should I just accept bei...
Dr. Wu Enliang Reply:
Netizens suggest participating in community rehabilitation centers, day hospitals, or clubs, as these places are more likely to provide opportunities for discussing matters with others. Dr. Wu Enliang.[Read More] Navigating Loneliness: Coping Strategies for Schizophrenia Patients
Understanding Sexual Orientation Anxiety: A Personal Journey
Sexual orientation issues Hello doctor, I searched for same-sex nudity online to test my sexual orientation, and after seeing the images, I instantly became aroused (which has never happened before). Now I am terrified that I might be gay, but aside from the arousal, I have no se...
Dr. Wu Enliang Reply:
The online community understands your anxiety and suggests discussing it more with your physician. Dr. Wu Enliang.[Read More] Understanding Sexual Orientation Anxiety: A Personal Journey
Understanding OCD: When to Seek Help and Its Persistent Nature
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...
Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...[Read More] Understanding OCD: When to Seek Help and Its Persistent Nature