Is It Depression? Understanding Emotional Eating and Mental Health
Is this depression? I am a 17-year-old girl, and for about a year now, I have been experiencing emotional instability, which leads me to binge eat and then purge. I have tried to control it, but I fail every time. I feel guilty about eating, yet I constantly feel empty and compel...
Dr. Chen Wenyu reply Psychiatry
Hello, Ane: Your issue is not just depression; based on the symptoms described, it has even reached the level of "psychogenic binge eating disorder," which is different from what most people experience. I believe you are aware of this. You need to seek assistance from a...[Read More] Is It Depression? Understanding Emotional Eating and Mental Health
Understanding Psychiatric Appointment Times for Students
Consultation hours First of all, thank you for the doctor's response. I apologize for bothering you during your busy time. I am a high school freshman and currently facing some unpleasant situations. I have been troubled by a pessimistic way of thinking, which often leads me...
Dr. Chen Wenyu reply Psychiatry
Hello, Xiao Lan: Is the "25" you mentioned from our hospital? Our psychiatric outpatient clinic operates from Monday to Friday, from 9:00 AM to 11:30 AM. For first-time visits, please arrive before 11:00 AM to allow more time for assessment and consultation. Thank you f...[Read More] Understanding Psychiatric Appointment Times for Students
How to Support a Partner Struggling with Suicidal Thoughts?
What should I do? Hello, doctor. I'm the one who asked you before, Pi Pi. I know my boyfriend often talks about suicide, which is not good. He frequently mentions it, and I really feel pressured being with him. I have told him, "Don't use suicide to threaten me.&qu...
Dr. Chen Wenyu reply Psychiatry
Hello, Pi Pi: Has he ever engaged in self-harm or attempted suicide? If so, the likelihood of reoffending is significant, and caution is essential. From a physician's perspective, any mention of suicide is treated with utmost seriousness; we have more experience and capabili...[Read More] How to Support a Partner Struggling with Suicidal Thoughts?
How to Support a Partner Struggling with Depression and Suicidal Thoughts?
What should I do? Hello, doctor. I am a high school freshman. In middle school, I was in the same class as my boyfriend. He would get jealous when he saw me talking to other boys and having fun with them. Over time, he became unhappy and seemed to develop symptoms of depression. ...
Dr. Chen Wenyu reply Psychiatry
Hello Pi Pi: Based on the description in your letter, the issue seems to lie with him, not you. For a long time, he appears to have learned to use self-harm and even threats of suicide as a means to gain your attention and fulfill his demands. However, if this situation is not ac...[Read More] How to Support a Partner Struggling with Depression and Suicidal Thoughts?
Overthinking: Understanding Anxiety and Its Impact on Daily Life
Overthinking..? I often find myself thinking negatively because of a single comment or event. I feel like something bad is going to happen, as if an accident is imminent or someone is out to harm me. I even worry when my friends cross the street, fearing they might get hit by a c...
Dr. Chen Wenyu reply Psychiatry
Hello Xiaomi: Based on your letter, it seems that you are experiencing a lot of anxiety about many things around you, to the point where it is unbearable and difficult to control this worry. This situation leans towards what is known as "Generalized Anxiety Disorder" (o...[Read More] Overthinking: Understanding Anxiety and Its Impact on Daily Life
Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Negative thoughts and anxiety? Thank you for taking the time to address my concerns! My background and current living environment are quite normal. However, I have been struggling with psychological issues: 1. Recently, I have experienced some **minor physical ailments**. Since I...
Dr. Chen Wenyu reply Psychiatry
Hello, Fuwek: 1. During outpatient visits, many people purchase books about mental illnesses to better understand themselves, only to find that they resonate with what is described in the texts, which deepens their feelings of unease. In reality, even psychiatric textbooks can ...[Read More] Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges
Signs You Might Be Struggling with Depression: A High School Student's Guide
I want to determine if I have generalized anxiety disorder! I am a senior in high school. This year, I am facing the pressure of major exams, along with the stress from my parents' ongoing conflicts and issues, schoolwork, and family finances. I have noticed that I have beco...
Dr. Chen Wenyu reply Psychiatry
Hello Alice: A multitude of issues intertwined can inevitably lead to adjustment difficulties, resulting in emotional problems such as depression, irritability, lack of interest, low motivation, poor appetite (or overeating), insomnia, and other symptoms. Problems related to exam...[Read More] Signs You Might Be Struggling with Depression: A High School Student's Guide
Safety of Long-Term Seroquel Use: Insights from Schizophrenia Treatment
Schizophrenia I read in the Journal of the Taiwan Psychiatric Association that three individuals died after taking the antipsychotic medication clozapine for two and a half years. What is the safety of long-term use of Seroquel?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: No medication is 100% safe. Seroquel is a new medication, and when taken as prescribed, its safety is unquestionable. Thank you for your message![Read More] Safety of Long-Term Seroquel Use: Insights from Schizophrenia Treatment
Understanding Depression: Symptoms, Treatment, and Medication Compliance
Depression Not talking much, sometimes standing, sometimes sitting. Not listening to others when they speak, and repeating actions. Has undergone treatment at our hospital before, but has not been taking medication regularly. Will this worsen the condition? Please provide an answ...
Dr. Chen Wenyu reply Psychiatry
Hello Ms. Tsai: Based on what you described, it seems that a diagnosis of depression has been confirmed, and you have also been treated by a specialist. Have you considered what might be the reason for not following the prescribed medication? Your symptoms have not resolved, corr...[Read More] Understanding Depression: Symptoms, Treatment, and Medication Compliance
How Long After Stopping Medication for Schizophrenia is Considered Recovery?
Schizophrenia How long after stopping medication for schizophrenia without relapse can it be considered cured?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: It is important not to discontinue medication for schizophrenia. Thank you for your message![Read More] How Long After Stopping Medication for Schizophrenia is Considered Recovery?
How to Apply for Disability Certification and Benefits for Schizophrenia Patients
Application How can a patient with schizophrenia who holds a major illness card apply for a physical and mental disability handbook? How can they apply for disability assistance?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: Please ask your specialist physician to issue a diagnostic certificate. Take it to the local government office in your registered residence to apply for a "Disability Assessment Form." Ensure that your basic information and required documents are complete, t...[Read More] How to Apply for Disability Certification and Benefits for Schizophrenia Patients
Can You Stop Medication for Acute Schizophrenia? Understanding the Risks
Acute Can medication be discontinued for acute schizophrenia?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: During this time, you have continuously raised questions, but I have a strong intuition that you want to stop your medication. I have repeatedly stated that I am not in a position to offer any recommendations because I do not know you well. Therefore, in the future, i...[Read More] Can You Stop Medication for Acute Schizophrenia? Understanding the Risks
Distinguishing Between Chronic and Acute Schizophrenia: Key Differences
How to differentiate? How to distinguish between chronic and acute schizophrenia?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: Acute: symptoms appear within six months Subacute: six months to two years Chronic: more than two years Thank you for your message![Read More] Distinguishing Between Chronic and Acute Schizophrenia: Key Differences
Is It Safe to Discontinue Medication for Stable Schizophrenia?
Consider discontinuing medication? Is it possible to consider discontinuing medication if the condition is stable (schizophrenia)?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: As mentioned in the previous response, please discuss this with your physician. Thank you for your message![Read More] Is It Safe to Discontinue Medication for Stable Schizophrenia?
Can Schizophrenia Patients Safely Engage in High-Risk Activities?
Can I engage in this activity? Can patients with schizophrenia (experiencing auditory hallucinations) engage in activities such as swimming, shallow water activities, mountaineering, climbing heights, and skiing? What is the likelihood of relapse if they completely stop their med...
Dr. Chen Wenyu reply Psychiatry
Hello Chen: Since the activity you mentioned involves chronic schizophrenia, it is essential not to stop the medication. Discontinuing the medication on your own will definitely lead to a relapse. Thank you for your message![Read More] Can Schizophrenia Patients Safely Engage in High-Risk Activities?
Understanding Schizophrenia Medications: Causes of Drowsiness and Treatment Options
Schizophrenia Hello, doctor: I have been taking medication for schizophrenia, but I find it difficult to get up in the morning. I sleep until 11 or 12 a.m. The medications and dosages I am taking are as follows: Seroquel (100 mg), Solian (400 mg), Geodon (80 mg), Risperdal (2 mg)...
Dr. Chen Wenyu reply Psychiatry
Hello Chen: Most antipsychotic medications have a strong sedative effect. If you are experiencing excessive sleep or daytime drowsiness, you should communicate more with your attending physician and ask them to adjust your medication (including type, dosage, frequency, etc.). The...[Read More] Understanding Schizophrenia Medications: Causes of Drowsiness and Treatment Options
Understanding the Risks of Stopping Medication for Schizophrenia
If the medication is discontinued? If a patient with schizophrenia (auditory hallucinations) stops medication and experiences a relapse, the situation may involve a return of symptoms such as hallucinations, delusions, disorganized thinking, and impaired functioning. The severity...
Dr. Chen Wenyu reply Psychiatry
Hello Chen: If the diagnosis is confirmed and it is the first episode, the treatment should continue for at least 1-2 years after all symptoms have resolved before considering discontinuation of medication (the criteria for stopping medication is not fixed; based on my knowledge ...[Read More] Understanding the Risks of Stopping Medication for Schizophrenia
Understanding the Link Between Depression and Suicide Risk
Depression and Suicide Issues I would like to ask about the relationship between depression and suicide.
Dr. Chen Wenyu reply Psychiatry
Hello puredevil: In cases of suicide, the majority are associated with depression. Symptoms of depression include feelings of helplessness, hopelessness, worthlessness, and guilt, among others. Individuals often blame themselves for the events happening around them, believing the...[Read More] Understanding the Link Between Depression and Suicide Risk
Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Schizophrenia Can schizophrenia (auditory hallucinations) be completely cured? Is it possible to fully recover and stop medication?
Dr. Chen Wenyu reply Psychiatry
Hello Chen: In cases of schizophrenia, a small percentage may only experience a single episode in their lifetime. However, if there are recurrent episodes or persistent hallucinations and delusions, lifelong medication may be necessary. Hallucinations can be managed, but if the c...[Read More] Can Schizophrenia with Hallucinations Be Cured or Fully Treated?
Medications for Schizophrenia: Dosage and Timing for Hallucinations
Medications For schizophrenia with auditory hallucinations, the typical medications prescribed are antipsychotics. Common options include: 1. **Risperidone**: Starting dose is usually 1-2 mg per day, which can be adjusted based on response and tolerability. 2. **Olanzapine**: St...
Dr. Chen Wenyu reply Psychiatry
Hello Chen: The diagnosis is confirmed, and treatment will certainly involve antipsychotic medications. The dosage varies from person to person and may be administered once, twice, three times, or four times a day depending on the situation. Thank you for your message![Read More] Medications for Schizophrenia: Dosage and Timing for Hallucinations