Struggling with Mental Health: Frequent Doctor Visits and Isolation
Asking questions multiple times? I often search online and have consulted many doctors multiple times, so they should have some impression of me! I am reclusive and do not fit in with others. I have no friends and have been seeing a psychiatrist for 17 years. I frequently feel un...
Dr. Huang Xiaoxian reply Psychiatry
Dear qq, regarding interpersonal interactions, it is indeed a profound question. I understand that your medical history has been long and filled with frustrations. I suggest considering regular psychotherapy to analyze and seek improvement. Wishing you the best.[Read More] Struggling with Mental Health: Frequent Doctor Visits and Isolation
Understanding the Chinese Names for Common Psychiatric Diagnoses
What is the Chinese name for this primary diagnosis? The Chinese name for the primary diagnosis is as follows: Question 1: F411 Generalized Anxiety Disorder Question 2: F341 Dysthymic Disorder Thank you, doctor, for your assistance.
Dr. Huang Xiaoxian reply Psychiatry
1. It is generalized anxiety disorder. 2. It is persistent depressive disorder. Wishing you well.[Read More] Understanding the Chinese Names for Common Psychiatric Diagnoses
Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Is it anxiety disorder? Hello Doctor, I tend to be very anxious and worry excessively, which I find quite distressing. For example, during an eye examination, the doctor mentioned that something seemed off, but since I had no discomfort, they did not conduct further tests. Howeve...
Dr. Huang Xiaoxian reply Psychiatry
Dear Happy, based on your description, it seems to be quite typical symptoms of anxiety disorder. I recommend that you visit a mental health clinic for an evaluation. If self-adjustment for anxiety remains challenging, it is advisable to consider medication and psychological coun...[Read More] Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Is Long-Term Use of Rifampin Safe for Depression Treatment?
Is rifampicin used for depression? I have been taking Rifapentine 0.5 mg for a long time. Do I need to continue taking it indefinitely? Is it safe to take it continuously? Will it have an impact on my body? I am worried that my depression will not improve.
Dr. Huang Xiaoxian reply Psychiatry
Hello Emma, a dosage of 0.5 mg is quite low, but its primary function is to aid relaxation and it does not have an antidepressant effect. Therefore, it can be gradually reduced. However, it is advisable to discuss a tapering plan with your prescribing physician, and you may also ...[Read More] Is Long-Term Use of Rifampin Safe for Depression Treatment?
Struggling with Insomnia: Understanding Anxiety and Depression Treatments
I haven't been able to sleep for three months; I haven't slept at all? Psychiatry before bed: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * 2 tablets, Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 2 tablets. Metabolism department: Metformin HCL 850 mg...
Dr. Huang Xiaoxian reply Psychiatry
Hello Coollo, it is generally unlikely for a person to go without any sleep for more than two weeks. Sleep is typically divided into deep sleep, light sleep, and rapid eye movement (REM) sleep. You may be experiencing predominantly light sleep, which could lead to the subjective ...[Read More] Struggling with Insomnia: Understanding Anxiety and Depression Treatments
Understanding Health Anxiety: Coping with Fear of Illness
Health anxiety is very severe? Hello, doctor. I don't know when it started, but it seems that during my time waiting to enter university, I became more anxious than usual. I have always been prone to overthinking, and now it's worse. 1. Sometimes, when I see news repo...
Dr. Huang Xiaoxian reply Psychiatry
Dear CC, First of all, based on your age and the symptoms you've described, the risk of cancer is quite low, so there's no need to worry too much. However, the key issue is that anxiety symptoms sometimes cannot be alleviated by rational thinking alone; you may find y...[Read More] Understanding Health Anxiety: Coping with Fear of Illness
Understanding Late-Onset Sexual Desire Issues at Age 39
Sexual desire issues At 38 years old, I have only recently started to experience sexual desire, which is typically expected in one's twenties. I often think about seeking out sex workers, but I don't have the financial means to do so. What should I do? I have asked this...
Dr. Huang Xiaoxian reply Psychiatry
Hello: Sexual desire may naturally arise and become active after puberty, so experiencing this phenomenon is quite normal. Ideally, it would be best to find a partner. I wonder if you have a stable job? It seems that the key lies in interpersonal relationships; if you engage in n...[Read More] Understanding Late-Onset Sexual Desire Issues at Age 39
Understanding Health Anxiety: Coping with Fear of Illness
Health anxiety is very severe? Hello, doctor. I'm not sure when it started, but it seems that during my time waiting to enter university, I became more anxious than usual, especially since I tend to overthink. 1. Sometimes, when I see news reports about certain cancers, I ...
Dr. Huang Xiaoxian reply Psychiatry
Dear cc, I can sense that you are feeling quite troubled by the situation described above. You find yourself constantly thinking about the possibility of cancer. Although rationally you know it may not happen, emotionally you fear that "what if" it does occur to you. Re...[Read More] Understanding Health Anxiety: Coping with Fear of Illness
Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Are you feeling unwell? I feel so exhausted. I can't understand why others don't feel this way, but I do. I hate socializing; it drains so much of my energy. I'm afraid that others won't like or accept me, but it's impossible to avoid social interactions ...
Dr. Huang Xiaoxian reply Psychiatry
Dear Sandy, It sounds like these situations are quite distressing for you. The rational part of you and your family may think that it’s not a big deal and that you are overthinking it, but the emotional part of you struggles to ignore it. Often, this is due to the areas of the ...[Read More] Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Navigating Life with Emotional Disorders: A Personal Journey
I'm not sure how to move forward? Hello, I have been diagnosed with affective psychosis by a psychiatrist since I was 20 years old, and I have been receiving psychiatric treatment ever since. My condition has worsened significantly due to various reasons. From the age of 20 ...
Dr. Huang Xiaoxian reply Psychiatry
Hello Mr. Kuo, it sounds like you have many sources of stress in your life, and the impact of interpersonal relationships often affects your mood. In addition to medication, I recommend discussing the possibility of arranging psychological therapy with your physician. It's g...[Read More] Navigating Life with Emotional Disorders: A Personal Journey
Understanding Location-Based Anxiety and Panic Attacks
Easily experience anxiety and panic in specific locations? Panic attacks occur only when I go to a specific location (a breakfast shop), and it's only that place that triggers them; I don't feel anxious in other locations. It's a bit concerning since nothing has ev...
Dr. Huang Xiaoxian reply Psychiatry
Dear Xiaolin, regarding the situation you mentioned, it is quite rare for symptoms to appear only in specific stores. Generally speaking, panic may still be related to stress in daily life. I'm not sure if there have been any particular worries recently, but I suggest talkin...[Read More] Understanding Location-Based Anxiety and Panic Attacks
Understanding Facial Heat and Burning Sensations: Possible Causes and Solutions
Facial flushing with a burning sensation all over the face? Facial flushing and a burning sensation across the entire face, including the eyelids, can have various causes. Since two dermatologists have confirmed that there are no skin issues, potential reasons could include: 1. ...
Dr. Huang Xiaoxian reply Psychiatry
Dear Lotices, regarding the facial flushing you mentioned, I'm not sure if it is persistent or occurs only in specific situations, and whether it is related to anxiety or stress. The information provided is a bit limited, making it difficult to assess. If it occurs persisten...[Read More] Understanding Facial Heat and Burning Sensations: Possible Causes and Solutions
Struggling with Motivation: Overcoming Anxiety and Disrupted Sleep
I don't know what problem I have either? Hello, doctor. I am preparing to enter my sophomore year this year. I went through a transfer exam, and although I transferred, the result was not ideal. I want to prepare for another year, and my family supports me. I want to study h...
Dr. Huang Xiaoxian reply Psychiatry
Dear Qiu, it seems that you are experiencing quite a bit of frustration regarding your exam results, which has left you feeling unmotivated to follow through with your plans. I suggest that you consider visiting a mental health specialist for further evaluation to determine if th...[Read More] Struggling with Motivation: Overcoming Anxiety and Disrupted Sleep
Struggling to Sleep Despite Medication: Understanding Urinary Issues and Treatment
I took sleeping pills but still can't sleep? The doctor mentioned that my uroflowmetry and urodynamics tests showed abdominal voiding, poor bladder elasticity, reduced bladder capacity, and long-term retention has caused damage. I have a post-void residual of 50cc. Psychia...
Dr. Huang Xiaoxian reply Psychiatry
1. Doxepin and Seroquel may have some anticholinergic effects, which can be associated with urinary retention; it is advisable to discuss this with the prescribing physician. 2. Mirtazapine generally has some antihistaminic effects that can aid sleep, as well as antidepressant ef...[Read More] Struggling to Sleep Despite Medication: Understanding Urinary Issues and Treatment
Am I Just Overthinking or Do I Have Social Anxiety?
Is it agoraphobia or am I just overthinking? Hello, doctor. As the topic suggests, I would like to know if I have a condition (like agoraphobia) or if I'm just overthinking things. I consider myself to be quite outgoing once I get familiar with people, but when it comes to u...
Dr. Huang Xiaoxian reply Psychiatry
Dear Yu Wei, Social anxiety and fear are common issues among adolescents. It’s clear that you have the desire to connect deeply with others, but it’s understandable to feel nervous before getting to know someone well. I recommend that you seek an evaluation from a mental health...[Read More] Am I Just Overthinking or Do I Have Social Anxiety?
Should I Disclose My Suicide Attempt to My Doctor?
I am very worried about being reported by the doctor? Hello, doctor! Last week, I had a depressive episode and swallowed 60 Tylenol pills, but I vomited them all shortly after. I have an appointment with the doctor next Thursday, and I'm very scared that if I tell the doctor...
Dr. Huang Xiaoxian reply Psychiatry
Dear Wan, it sounds like you had a difficult time last week and are worried about being reported. I'm not sure what you fear might happen as a result of the report. Generally speaking, the main purpose of reporting is to ensure that healthcare professionals can continue to m...[Read More] Should I Disclose My Suicide Attempt to My Doctor?
Overcoming Social Anxiety: Strategies for Better Communication
Social Anxiety Disorder I am afraid to communicate with others and only speak when necessary. Currently, I am receiving treatment at a clinic because it is more affordable. Since I tend to be reclusive and withdrawn, I mostly stay at home. The doctor is aware that I don't ha...
Dr. Huang Xiaoxian reply Psychiatry
Hello, I recall responding to your question. I suggest that your issue may require pharmacological treatment combined with formal psychotherapy (typically once a week for a fixed duration of fifty minutes per session). I recommend discussing the possibility of arranging sessions ...[Read More] Overcoming Social Anxiety: Strategies for Better Communication
Is Long-Term Use of Multiple Medications Safe for Insomnia?
Severe insomnia? Psychiatry: Before bedtime: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * (1 tablet or half), Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 1 tablet. Dermatology: Lyrica (Pregabalin) 75 mg * 1 tablet, Xyzal 5 mg (for skin itching severe enough to...
Dr. Huang Xiaoxian reply Psychiatry
Dear Lotices, Currently, the number of medications you are taking is relatively high compared to the general population, particularly with regard to sleep medications such as Zolpidem and Flunitrazepam, which together should not exceed two pills. It is advisable to discuss any ...[Read More] Is Long-Term Use of Multiple Medications Safe for Insomnia?
Understanding Extrapyramidal Symptoms: Lifelong Medication or Alternatives?
Extrapyramidal syndrome Is lifelong medication the only option? Are there any other methods? Generally, psychiatric medications need to be taken for a certain period and cannot be stopped abruptly, as doing so may lead to withdrawal symptoms. What is the physician's opinion ...
Dr. Huang Xiaoxian reply Psychiatry
Hello, sorry for the late reply: Extrapyramidal Symptoms (EPS) are classified into four types: Dystonia, Akathisia, Parkinsonian syndrome, and Tardive Dyskinesia. Typically, only the third and fourth types tend to occur and have a longer duration. EPS can be a side effect of anti...[Read More] Understanding Extrapyramidal Symptoms: Lifelong Medication or Alternatives?
Managing Sleep Disruptions During Menopause: Medication Guidance
Waking up during the night? Hello Doctor: It seems that I have been experiencing menopausal symptoms over the past year. I wake up three times during the night and my total sleep time is less than six hours, along with some gastrointestinal discomfort. The doctor prescribed me a ...
Dr. Huang Xiaoxian reply Psychiatry
Dear Martha, if you feel drowsy without taking your medication, it is advisable to fall asleep on your own and then resume taking it later. However, if this leads to daily interruptions in your sleep, it is recommended to take the medication earlier before bedtime. Depending on t...[Read More] Managing Sleep Disruptions During Menopause: Medication Guidance