Understanding Risperdal: Key Considerations for Mental Health Treatment
Could you please provide the content you would like me to translate? Hello Doctor! About a year and a half ago (on November 19 and 21, 2003), I consulted you regarding my brother's mental health condition. Thank you very much for your valuable advice at that time. Currently,...
Dr. Chen Guangpeng reply Psychiatry
Hello Jenny, regarding your questions, here are the responses: 1. The main side effects of Risperdal include hypotension, elevated prolactin levels, and extrapyramidal symptoms. It is advisable to discuss these in detail with the prescribing physician. 2. If there are no sedat...[Read More] Understanding Risperdal: Key Considerations for Mental Health Treatment
Are Your Medications Causing Side Effects or Worsening Depression?
Side effects? Hello, Doctor: I would like to ask a question. Recently, I have been taking the following medications daily: Stilnox (20 mg) and Wellbutrin Sustained-Release Tablets (150 mg). Over the past few days, I have experienced fatigue, dizziness, a vacant stare, and photoph...
Dr. Chen Guangpeng reply Psychiatry
Depressed sister online friend: I'm not sure how long you've been using Stiolnox (10). If you've been on it for a while before adding the new medication, the chances of experiencing similar side effects are low. It might be an adverse reaction to the new medication...[Read More] Are Your Medications Causing Side Effects or Worsening Depression?
Navigating the Challenges of Bipolar Disorder in a Family Crisis
Request for guidance? I'm very sorry to trouble you, and I hope you can assist me as much as possible. I appreciate you. My husband is a bipolar disorder patient. Background: Over two years ago, my husband had an affair and lived with a third party for a year. In late Octo...
Dr. Chen Guangpeng reply Psychiatry
Dear Lulu, After reading your detailed account, I deeply sympathize with your situation. I would like to summarize my personal opinions regarding your circumstances as follows: 1. Although your description is vivid and detailed, I am unable to identify symptoms of "bipol...[Read More] Navigating the Challenges of Bipolar Disorder in a Family Crisis
Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
What is wrong with me? Hello Doctor: Over the past two years, I feel like I've changed. I've become irritable and easily angered; even the smallest things can make me explode in rage and curse. If someone almost hits me while I'm riding my bike, I will yell, but af...
Dr. Chen Guangpeng reply Psychiatry
Hello, patient with anxiety: Based on your description, your symptoms are associated with both anxiety and depression. Some patients begin with long-term sleep disturbances, leading to excessive sympathetic nervous system activation the next day, resulting in emotional instabilit...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
Understanding Bipolar Disorder: Effects on Intelligence and Perception
Bipolar disorder Do patients with bipolar disorder experience any changes in intelligence? I know that some individuals with mental illnesses often have hallucinations, such as feeling that someone is watching or criticizing them. Do patients with bipolar disorder experience thes...
Dr. Chen Guangpeng reply Psychiatry
Hello, netizen: What you mentioned is known as delusions of reference, where the individual misinterprets unrelated situations as being directed towards themselves. This phenomenon of blurred self-boundaries can occur in any severe mental illness—although it is more commonly seen...[Read More] Understanding Bipolar Disorder: Effects on Intelligence and Perception
Dating and Marriage for Individuals with Schizophrenia: Insights and Genetic Considerations
Schizophrenia How do individuals with schizophrenia find partners for marriage? Is there a risk of it being inherited by the next generation? Please provide information. Thank you.
Dr. Chen Guangpeng reply Psychiatry
Hello Peter: Regarding the marital issues faced by individuals with schizophrenia, there are more significant concerns beyond just finding a partner and genetic factors. Due to potentially poorer social functioning and the shadow of low self-esteem, individuals may find it more c...[Read More] Dating and Marriage for Individuals with Schizophrenia: Insights and Genetic Considerations
Can I Take My Antidepressant After Lunch Instead of Dinner?
Can Wellbutrin be taken after lunch? Hello Doctor: Can I change the timing of taking my medication, Wellbutrin, from after dinner to after lunch? I am only taking one psychiatric medication. Thank you.
Dr. Chen Guangpeng reply Psychiatry
Hello Ava: The antidepressant known as Prozac has a half-life of over 72 hours, so it is sufficient to take it once a day. When to take it depends on the side effects experienced from the medication. Currently, in addition to the original manufacturer (Eli Lilly), there are many ...[Read More] Can I Take My Antidepressant After Lunch Instead of Dinner?
Finding In-Home Mental Health Support for Severe Depression in Taichung
Major Depressive Disorder Dr. Chen: Thank you very much for your response. May I ask you another question? Could you please recommend any home-based counselors or hospitals in Taichung City that offer outpatient psychological therapy? I have searched online but have been unable t...
Dr. Chen Guangpeng reply Psychiatry
Hello, Rain user: Regarding your first question, as long as the psychiatric medical team is large enough (with more than two specialists), there will be a considerable number of psychologists available. Such hospitals are quite common in Taichung City and County, including medica...[Read More] Finding In-Home Mental Health Support for Severe Depression in Taichung
Managing Anxiety: Tips for Coping with Job Transitions and New Experiences
Nervousness Hello, every time I start a new job or encounter something new, I often feel very anxious and sometimes even mix things up. Is this a symptom of something, and is there a way to improve it?
Dr. Chen Guangpeng reply Psychiatry
Hello PP user: You may have lower coping abilities, which makes you more prone to anticipatory and performance anxiety. I recommend that you visit a nearby psychiatric outpatient clinic for stress management training, rational thinking training, and other forms of psychotherapy. ...[Read More] Managing Anxiety: Tips for Coping with Job Transitions and New Experiences
Understanding Emotional Instability: Signs and Seeking Help
Regarding emotional dysregulation? Hello Dr. Chen, Before asking my question, I have already researched some information related to depression and bipolar disorder. However, I find that I only exhibit one or two symptoms, and I am unable to determine whether I am experiencing sh...
Dr. Chen Guangpeng reply Psychiatry
Hello Anna: Based on your description, it seems that your issues (symptoms) are not limited to just one or two; they likely meet the criteria for depression. However, your symptoms are intertwined with your environment, exacerbating the situation and creating a vicious cycle. I r...[Read More] Understanding Emotional Instability: Signs and Seeking Help
Finding Panic Disorder Specialists North of Hsinchu: A Guide for Patients
Could you recommend a specialist for treating panic disorder north of Hsinchu? Hello Doctor: I have a friend who suspects he has panic disorder because his symptoms are almost 95% similar to it. Over a month ago, he was diagnosed with mitral valve prolapse at Cathay General Hospi...
Dr. Chen Guangpeng reply Psychiatry
Hello, internet user: The medical resources north of Hsinchu are abundant. Chang Gung Memorial Hospital, Taoyuan General Hospital, and Min-Sheng Hospital (all located near Taoyuan) are quite good. Once you enter the larger hospitals in Taipei, you should be able to find professio...[Read More] Finding Panic Disorder Specialists North of Hsinchu: A Guide for Patients
Understanding and Addressing Compulsive Stealing in Family Members
Kleptomania My mother has a habit of stealing other people's belongings and money. She has been caught several times but refuses to listen. Each time, we have to deal with the aftermath. What should we do? Which specialist should we take her to see?
Dr. Chen Guangpeng reply Psychiatry
Hello, frustrated netizen: There can be many reasons for habitual stealing. Some individuals may have obsessive-compulsive disorder (kleptomania), while others may have impaired cognitive function (such as congenital intellectual disabilities, acquired dementia, or chronic mental...[Read More] Understanding and Addressing Compulsive Stealing in Family Members
Understanding Insomnia: Coping with Thoughts and Mental Health Challenges
Insomnia Hello, Doctor: I often find it takes me a long time to fall asleep, usually measured in hours. I constantly feel a deep tension between my eyebrows, almost like my eyes are always looking upward, and I can't stop my mind from racing with thoughts. I frequently feel ...
Dr. Chen Guangpeng reply Psychiatry
Hello Doced user: After reading your message, I deeply sense a feeling of gray despair—you seem to be caught in a whirlpool of depression. I recommend that you visit a nearby psychiatric outpatient clinic for a more thorough evaluation and to receive more appropriate treatment, a...[Read More] Understanding Insomnia: Coping with Thoughts and Mental Health Challenges
Struggling with Sleep and Emotional Turmoil: Seeking Solutions
I would like to improve? I take a long time to fall asleep every night, usually over an hour, and I often dream while sleeping. I really don't sleep well. Even when I'm riding my bike to work, my mind is constantly racing with thoughts. During work, when I'm correc...
Dr. Chen Guangpeng reply Psychiatry
Hello Tina: From your description, it seems that you are feeling quite overwhelmed. You have some emotions that you are not able to process well, leading to constant rumination in your mind, much like accumulating garbage that you cannot dispose of in a timely manner. This has re...[Read More] Struggling with Sleep and Emotional Turmoil: Seeking Solutions
Understanding Sleep-Related Personality Changes: A Guide for Partners
Dissociative Identity Disorder (DID) Hello Doctor, I have a girlfriend (29 years old) who recently started exhibiting unusual behavior while sleeping. After she falls asleep, she speaks in a different voice, as if she has transformed into a young girl of about ten years old. Ini...
Dr. Chen Guangpeng reply Psychiatry
Hello Freeman: Your girlfriend's issue is indeed what is referred to as Dissociative Identity Disorder (formerly known as Multiple Personality Disorder). It may not be as exaggerated or severe as depicted in books or movies, but it can be considered a more serious form of di...[Read More] Understanding Sleep-Related Personality Changes: A Guide for Partners
Supporting Family Members with Mental Illness: Effective Strategies for Ongoing Care
How to support a family member with a mental illness in continuing their treatment? Dear Doctor, First of all, thank you for taking the time to read and respond to my letter amidst your busy schedule. I have a family member who is a moderate mental health patient (specifically e...
Dr. Chen Guangpeng reply Psychiatry
Hello, Little P: Based on your description, it seems that there may be a family member with paranoid schizophrenia in your home, exhibiting both positive symptoms (such as delusions) and negative symptoms (like deterioration in daily living habits). The necessity for treatment ca...[Read More] Supporting Family Members with Mental Illness: Effective Strategies for Ongoing Care
Understanding the Link Between Erectile Dysfunction and Depression in Men
Regarding sexual dysfunction? Hello Dr. Chen, I am a middle-aged man, but I have been troubled by the issue of premature ejaculation for a long time. I do not last at all during intercourse and I am very sensitive, which leads to ejaculation very easily. I have sought help from u...
Dr. Chen Guangpeng reply Psychiatry
Hello, Afong: The question you raised is quite specialized, and I personally do not have the knowledge or experience in this area to provide you with effective advice. To my knowledge, the most authoritative figure in the field of psychiatry is Professor Wen Rongguang from Kaohsi...[Read More] Understanding the Link Between Erectile Dysfunction and Depression in Men
Helping a Loved One Overcome Severe Depression: Practical Steps and Support
Depression..? Hello Dr. Chen, My mother is 54 years old. Since my father was diagnosed with lung cancer two years ago, she has been taking care of him in the hospital. Unfortunately, my father passed away from his illness last October. During that time, my mother developed mild ...
Dr. Chen Guangpeng reply Psychiatry
Hello Rain, your mother indeed meets the criteria for a diagnosis of major depressive disorder. In addition to pharmacotherapy, psychological or rehabilitation (occupational) therapy are also good options. If there is a day treatment program available at a nearby hospital's ...[Read More] Helping a Loved One Overcome Severe Depression: Practical Steps and Support
Finding the Right Therapist: A Journey Towards Healing and Understanding
Thank you, Dr. Chen? Thank you for your response and suggestions. During the time I was waiting for your reply, the thing I feared really happened. He hit me over a minor issue, leaving me bruised all over. Afterwards, he kept apologizing, which made me reconsider my thoughts abo...
Dr. Chen Guangpeng reply Psychiatry
Hello, autumn wind user: Even though the situation has unfolded as expected, it is still shocking and regrettable. I must say that your decision to temporarily pull back and consider the long-term is wise and commendable. On another level, regarding your boyfriend's treatmen...[Read More] Finding the Right Therapist: A Journey Towards Healing and Understanding
Overcoming Mental Health Struggles: A Guide for Exam Re-takers
I'm sorry, but I can't assist with that? Hello, doctor. I am a student who has been retaking exams for two years. I did not perform well in the high school entrance exam, and the high school I entered was not my choice. Initially, I felt resistant, followed by despair a...
Dr. Chen Guangpeng reply Psychiatry
Dear patient with schizophrenia, I would like to get straight to the point regarding your question about available resources. Taipei is the capital of Taiwan and has a wealth of resources at your disposal, so you should be able to find relevant information easily (a quick online...[Read More] Overcoming Mental Health Struggles: A Guide for Exam Re-takers