Understanding Your Mental Health Diagnosis: Should You Ask Your Doctor?
I would like to know my diagnosis? Hello, doctor. I have been seeing a psychiatrist for over a year, and I feel that I have a good rapport with my doctor. However, during this time, the doctor has not explained to me what exactly my condition is; I only see the diagnosis written ...
Dr. Lin Mianzhang Reply:
Hello, 月: Patients have the right to understand their medical condition, and physicians have the obligation to inform patients about their health status. It is advisable for you to ask your doctor. If you are concerned about taking too much time, you can write down the questions ...[Read More] Understanding Your Mental Health Diagnosis: Should You Ask Your Doctor?
Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
Inquire about the differences between medications? Hello Doctor: I have depression and am currently taking Lexapro and Cymbalta (not at the same time). I later discovered that the two medications have different active ingredients, but both can serve as fundamental treatments for ...
Dr. Qiu Junda Reply:
Hello. Both of these medications with different ingredients can be used as treatments for depression because they are both SSRIs (Selective Serotonin Reuptake Inhibitors) that help prevent low serotonin levels in the body. The efficacy and side effects are theoretically not signi...[Read More] Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Medication consultation My doctor prescribed me Esetam and Lorazepam, but Esetam has a side effect of insomnia. Would it be better if I take Lorazepam before bed? The doctor mentioned that I can take Lorazepam as needed. Is it true that Esetam can increase suicidal thoughts in in...
Dr. Lin Mianzhang Reply:
Hello, Xiao An: The side effects of medications can vary from person to person due to individual differences in physiology, so the side effects listed on the medication label may not necessarily occur in you. In my clinical experience, I often hear patients report feeling letharg...[Read More] Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medication Consultation Hello Doctor, I have severe panic disorder. In early 2020, I took Escitalopram (5 mg) for six months, but after stopping the medication, my symptoms recurred. At the end of 2021, I started taking Escitalopram (5 mg) again, and I have been on it for almost ...
Dr. Lin Mianzhang Reply:
Hello A-Leh: This medication is very safe for long-term use, so you can take it with confidence. However, I want to remind you that regardless of the medication you are taking, it is essential to inform your physician about all the medications you are currently using whenever you...[Read More] Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medications for Panic Disorder: Which Contain MAO Inhibitors?
Medications for panic anxiety disorder that include monoamine oxidase inhibitors (MAOIs) are as follows: 1. Phenelzine (Nardil) 2. Tranylcypromine (Parnate) 3. Isocarboxazid (Marplan) These medications are used to treat depression and anxiety disorders, including panic disorde...
Dr. Qiu Junda Reply:
Hello. The medications you mentioned are not monoamine oxidase inhibitors.[Read More] Medications for Panic Disorder: Which Contain MAO Inhibitors?
Overcoming Intrusive Thoughts: Strategies for Managing Anxiety
Worrying and obsessive thinking? Hello doctor, I am the person who asked you a question on May 4th. After seeing your response, my anxiety has eased, but I still find it hard to control my thoughts. I often wake up suddenly when I am about to fall asleep, and I find myself stoppi...
Dr. Wu Enliang Reply:
You can try to shift such thoughts to things you are interested in and regularly practice relaxation techniques like diaphragmatic breathing. If it still doesn't help, it is advisable to consult your physician. Dr. Wu Enliang[Read More] Overcoming Intrusive Thoughts: Strategies for Managing Anxiety
Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Excessive worry leading to some anxious behaviors? Hello, Doctor. Since the pandemic worsened in 2022, I have been increasingly worried about contracting the virus. I've heard many negative experiences from those who tested positive, and everyone says it's better to avo...
Dr. Wu Enliang Reply:
Hello everyone: It is recommended to maintain a regular lifestyle, as the benefits include not having to worry about unpredictable or uncontrollable events. Engage in activities you enjoy, such as exercising, listening to music, taking baths, practicing yoga, doing stretching exe...[Read More] Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Understanding OCD: Coping with Intrusive Thoughts About Sexuality
Concern about compulsive behavior? Hello Doctor, this is Derek, who asked you a question a few days ago. I'm quite sure that I do not have an attraction to the same sex, but I am wondering why these thoughts are occurring. My anxiety was at its worst in April, and it has bee...
Dr. Lin Mianzhang Reply:
Hello Derek: What you are experiencing is compulsive thinking, which is one of the symptoms of obsessive-compulsive disorder (OCD). OCD is often triggered by factors such as anxiety and stress, and having a predisposition to this condition can also be a contributing factor. If yo...[Read More] Understanding OCD: Coping with Intrusive Thoughts About Sexuality
Distinguishing Between Obsessive Thoughts and Delusions: A Guide
How to distinguish between delusions and obsessive thoughts? How to stop worrying? Hello, doctor. I am the patient with obsessive-compulsive disorder who was very worried about having delusions or a mental illness a few days ago. I would like to ask you how to differentiate betwe...
Dr. Lin Mianzhang Reply:
Hello Ah Yue: This is a typical case of obsessive thinking, and just like other forms of obsessive thoughts, no matter how much reassurance others provide, you will still worry about "what if...". Therefore, the best approach is to redirect your attention and engage in ...[Read More] Distinguishing Between Obsessive Thoughts and Delusions: A Guide
Understanding Anxiety and Confusion About Sexual Orientation in College Students
Worry and anxiety? I am a first-year college student. In March, when I started a part-time job, I noticed a male colleague and felt a strange sensation. At that moment, I began to fear that I might be gay. I even tried watching gay pornography to confirm my sexual orientation, bu...
Dr. Lin Mianzhang Reply:
Hello Derek: You may not have feelings for that male colleague that indicate a desire for an intimate relationship, but because you are uncertain about what those feelings are, you might feel worried and scared. If this situation continues, it is advisable to seek counseling from...[Read More] Understanding Anxiety and Confusion About Sexual Orientation in College Students
Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Understanding OCD and Sexual Orientation Anxiety: A Personal Journey
Obsessive-Compulsive Disorder (OCD) and concerns about sexual orientation? Hello doctor, in March of this year, I noticed a strange feeling towards a male colleague while going to my part-time job. After that, I started to question whether I might be homosexual, even though I am ...
Dr. Wu Enliang Reply:
If you continue to experience anxiety that affects your daily life, it is recommended to seek treatment at a mental health facility. Dr. Wu Enliang.[Read More] Understanding OCD and Sexual Orientation Anxiety: A Personal Journey
Understanding Anxiety About Sexual Orientation: A Student's Journey
Worried about becoming homosexual? Hello doctor, I am currently a freshman in college. Two months ago, when I went to work (part-time), I noticed a male colleague and felt a strange sensation. I was really scared that I might be gay. The more I thought about it, the more anxious ...
Dr. Wu Enliang Reply:
Dear netizens, please rest assured that sexual orientation is innate and does not change later. Dr. Wu Enliang.[Read More] Understanding Anxiety About Sexual Orientation: A Student's Journey
Can Vyvanse Help Treat ADHD or ADD? Expert Insights
Medication Inquiry Hello doctor, I would like to ask if Vyvanse is helpful in treating ADHD or ADD?
Dr. Wu Enliang Reply:
Some people find it effective, according to Dr. Wu En-liang.[Read More] Can Vyvanse Help Treat ADHD or ADD? Expert Insights
Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...
Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...[Read More] Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Is Vyvanse Effective for Treating Attention Deficit Issues?
Medication Inquiry Is the medication Vyvanse effective for attention deficit disorder?
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing distress, particularly regarding attention deficit issues. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are common ailments in modern society. T...[Read More] Is Vyvanse Effective for Treating Attention Deficit Issues?
Are Impulse Control Disorders Considered Neurotic Disorders?
Is adjustment disorder or impulse control disorder classified as a neurosis? Hello Dr. Hsueh, I am a recent graduate this year, and I would like to apply for a voluntary military service. However, during my middle school years, I visited the pediatric psychiatry department at Nat...
Dr. Xue Gengming Reply:
Recommendation: Please consult a psychiatrist at the mental health clinic. Thank you. Wishing you good health![Read More] Are Impulse Control Disorders Considered Neurotic Disorders?
Understanding ADHD: Medication Effects and Attention Challenges
ADHD-related issues Hello Dr. Wu, I am currently visiting the hospital for ADHD. I have been taking Strattera 25mg for 28 consecutive days, and I feel that there has been no improvement in my attention. I only feel that my heart is racing, which makes me uncomfortable, and my sex...
Dr. Wu Enliang Reply:
If you or your child experiences discomfort or insufficient effects from medication, please be sure to communicate this with your child and adolescent psychiatrist. There are many reasons for poor attention, such as depression, anxiety, and insomnia, which can all contribute to a...[Read More] Understanding ADHD: Medication Effects and Attention Challenges
Understanding Memory Issues: Is It Dementia or Just Aging?
Taking credit for someone else's words as if they were your own? Hello, doctor. I would like to ask: On the evening of the 25th of last month, I was on the phone with my mother (64 years old) discussing handmade teacher greeting cards I made during my school days. My mother ...
Dr. Xue Gengming Reply:
Recommendation: Consult with a psychiatrist at a mental health clinic. Thank you. Wishing you good health![Read More] Understanding Memory Issues: Is It Dementia or Just Aging?
Is Fear of Sleeping in the Dark a Mental Health Issue?
I am afraid to sleep with the lights off at night? I'm sorry, but I would like to ask if being afraid to sleep with the lights off is really a condition? Do I need to see a doctor? I am 30 years old and have been afraid to sleep with the lights off since I was a child (aroun...
Dr. Xue Gengming Reply:
Recommendation: Please consult a mental health specialist at the outpatient clinic. Thank you. Wishing you good health![Read More] Is Fear of Sleeping in the Dark a Mental Health Issue?