Dr. Huang Xiaoxian reply Psychiatry Question - Page 9

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Overcoming Anxiety-Induced Frequent Urination: A Guide to Relief

Anxiety and tension? Frequent urination at specific times during the day due to mental stress can be challenging to manage. In general, I do not experience frequent urination during normal daily activities or at night. However, I start to feel anxious when I need to go out, espec...


Dr. Huang Xiaoxian reply Psychiatry
Dear Chen, Thank you for your question. Physiologically, the bladder is composed of multiple layers of smooth muscle. As the volume of urine increases, these layers of smooth muscle slide against each other to enhance the overall capacity of the bladder. This is why many people...

[Read More] Overcoming Anxiety-Induced Frequent Urination: A Guide to Relief


Understanding Hallucinations and Delusions in Severe Depression: A Guide

Depressive complications Hello, I would like to ask you about my experience. When I was around 17-18 years old, I suffered from severe depression for about two years, during which I often felt extremely depressed and had thoughts of wanting to die. I remember one year, I had an e...


Dr. Huang Xiaoxian reply Psychiatry
Dear Linda, thank you for your question. Regarding your description of having experienced severe depression in the past, along with brief episodes of suspected auditory hallucinations and feelings of being watched, it seems that these occurrences were quite short-lived and have g...

[Read More] Understanding Hallucinations and Delusions in Severe Depression: A Guide


Potential Side Effects of 250mg/ml Pentobarbital with Alcohol

Could you please specify which medication you are inquiring about? Taking 25 ml of pentobarbital sodium at a concentration of 250 mg/ml would result in a total dose of 6250 mg, which is a very high dose and can lead to severe side effects, including respiratory depression, sedati...


Dr. Huang Xiaoxian reply Psychiatry
Dear Butter, thank you for your question. Sedative-hypnotic medications are generally divided into two main categories: benzodiazepines and barbiturates. The latter carries a higher risk and is rarely used in outpatient settings. The sodium pentobarbital you mentioned belongs to ...

[Read More] Potential Side Effects of 250mg/ml Pentobarbital with Alcohol


Is a 25ml Dose of Pentobarbital Sodium 250mg/ml Fatal? Symptoms Explained

Could you please provide more details about the medication refill issue #143883? Taking 25 ml of pentobarbital sodium at a concentration of 250 mg/ml would result in a total dose of 6250 mg. This amount is significantly higher than the therapeutic dose and could potentially be le...


Dr. Huang Xiaoxian reply Psychiatry
Dear Cream, regarding your inquiry, I have verified through the National Health Insurance Administration's website that this medication was revoked in 2013 and cannot be legally obtained in the country. This medication is classified as a Schedule III controlled substance, an...

[Read More] Is a 25ml Dose of Pentobarbital Sodium 250mg/ml Fatal? Symptoms Explained


Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications

Medication issues SSRIs (Selective Serotonin Reuptake Inhibitors) are generally considered safe. However, when serotonin levels in the brain become excessively elevated, a rare side effect known as serotonin syndrome can occur. This is most commonly seen when two or more medicati...


Dr. Huang Xiaoxian reply Psychiatry
Dear Jie, thank you for your question! The sudden palpitations you mentioned are quite different from the symptoms of serotonin syndrome; they don't seem to be related at first glance, so there is likely no need for concern. Your description of symptoms does sound quite anxi...

[Read More] Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications


Understanding Obsessive Thoughts: Personality vs. Serotonin Deficiency

Obsessive thinking Hello, I often experience compulsive thoughts where I worry about whether an afterlife exists after death. I continuously think about what a reasonable depiction of the afterlife might be, but I fear it may not align with my own thoughts! I would like to ask wh...


Dr. Huang Xiaoxian reply Psychiatry
Dear Tommy, First of all, thank you for your question. You mentioned symptoms that have led you to worry about the world ending. I'm wondering if there have been any recent events that might be related to this? You also mentioned that you find it difficult not to share thi...

[Read More] Understanding Obsessive Thoughts: Personality vs. Serotonin Deficiency


Do I Really Need Medication for Anxiety? Understanding Your Diagnosis

Is it really necessary to take medication? Hello, doctor. I recently visited a psychiatrist because I often worry excessively about small things. The doctor diagnosed me with anxiety disorder and prescribed Mirtazapine (30mg), instructing me to take 15mg before bed. On the first ...


Dr. Huang Xiaoxian reply Psychiatry
Dear King, thank you for your question. You mentioned that many things make you feel worried. Based on the physician's assessment, you have been diagnosed with anxiety disorder, and the medication prescribed to you is related to the serotonin reuptake mechanism. In simple te...

[Read More] Do I Really Need Medication for Anxiety? Understanding Your Diagnosis


Understanding the Causes of Epilepsy and Tourette Syndrome: A Family Perspective

Epilepsy and Tourette syndrome are both considered to have a genetic component, but they are not strictly classified as congenital disorders. The causes of these conditions can be multifactorial, involving a combination of genetic predispositions and environmental factors. In the...


Dr. Huang Xiaoxian reply Psychiatry
Hello Ms. Li: Regarding the medication your daughter is taking, it can be used clinically to treat various different conditions, so it does not necessarily mean that she has epilepsy or Tourette syndrome. From the symptoms you described, it does not seem to align with those condi...

[Read More] Understanding the Causes of Epilepsy and Tourette Syndrome: A Family Perspective


Understanding the Connection Between Depression and ADHD in Young Adults

The eldest daughter exhibits signs of depression, such as a gloomy expression, slow movements, and a lack of a cheerful personality. Seeking advice from a physician? Dr. Huang: My eldest daughter has faced challenges in her career since graduating from the National University wit...


Dr. Huang Xiaoxian reply Psychiatry
Dear Ms. Li, It sounds like your daughter’s behavior is causing you some concern, and her interactions with others may not be appropriate. Generally, it’s important to distinguish whether these behaviors align with her original personality or if they are a result of her conditio...

[Read More] Understanding the Connection Between Depression and ADHD in Young Adults


Understanding Medication Side Effects: Increased Thirst and Dry Mouth

Continuation of inquiry #143183? Thank you for your previous response, Doctor. I have another question: Before changing my medication, I didn't feel very thirsty, but after the change, I've noticed that I get quite thirsty and often experience dry mouth. Could this be a...


Dr. Huang Xiaoxian reply Psychiatry
Dear Leo, Due to the change in medication, the total dosage has increased, which may indeed lead to an increase in side effects. Common side effects of Alprazolam include drowsiness, dizziness, fatigue, weakness, dry mouth, diarrhea, gastrointestinal discomfort, and changes in ...

[Read More] Understanding Medication Side Effects: Increased Thirst and Dry Mouth


Am I Okay? Understanding Mental Health Struggles and Emotions

How am I doing? I often feel weak, constantly trying to please everyone or putting on a fake smile, and I don't trust anyone around me. I find social interactions extremely exhausting, feeling like everyone is out to harm or discriminate against me, including my family. I al...


Dr. Huang Xiaoxian reply Psychiatry
Dear Ber, thank you for your question. From what you’ve described, it seems that your mood has been significantly affected lately, and you are experiencing various interpersonal issues. I wonder if there are any specific events that are causing you distress. The symptoms you ment...

[Read More] Am I Okay? Understanding Mental Health Struggles and Emotions


Understanding Sleep Disorders: Tips for Better Rest and Recovery

Sleep issues Hello Doctor: Recently, I find myself falling asleep easily but I always wake up after about three hours, and then I stay awake for another 2-3 hours. Sometimes I wake up early, and I always feel tired in the morning. I often have nightmares with very clear details, ...


Dr. Huang Xiaoxian reply Psychiatry
Dear yy: Thank you for your question. There are actually many factors that contribute to insomnia, and since you have a tendency for unstable sleep, you may need to pay closer attention to potential influencing factors. You mentioned that your condition has worsened recently and ...

[Read More] Understanding Sleep Disorders: Tips for Better Rest and Recovery


How to Seek Help for Depression: A Guide for High School Students

I don't know if I have depression and I'm unsure how to seek help? I am a high school student, and a friend of mine has been suggesting that I should see a doctor or visit the school counseling office because I have been suspecting that I might have depression for a whi...


Dr. Huang Xiaoxian reply Psychiatry
Dear Jenny, thank you for your question. It sounds like your mood has indeed been affected a lot lately. I'm not sure if there is a specific event that has been troubling you, but the symptoms you described seem to be related to depression. I recommend seeking an evaluation ...

[Read More] How to Seek Help for Depression: A Guide for High School Students


Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment

Regarding the use of propranolol? Hello Dr. Huang, My mother recently underwent a right hemithyroidectomy. Prior to the surgery, she had been regularly visiting a psychiatrist to treat her insomnia, which has been ongoing for about 6 to 7 years. Previously, at a hospital sleep c...


Dr. Huang Xiaoxian reply Psychiatry
Dear Angela, Thank you for your question. First point: As you mentioned, propranolol can inhibit certain liver enzymes that are responsible for metabolizing antidepressants, particularly serotonin-enhancing medications, which may lead to increased concentrations of these anti...

[Read More] Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment


Overcoming Stigma: Navigating Social Anxiety with Schizophrenia

Please provide the content you would like me to translate into English? I have schizophrenia and I don't know how to get people around me to accept me, so I tend to be very withdrawn. I'm afraid that if I speak up, they will find out, so I am very cautious with my words...


Dr. Huang Xiaoxian reply Psychiatry
Hello, thank you for your question: Although many patients experience difficulties in interpersonal interactions after becoming ill, many individuals have a relatively stable condition after receiving proper treatment, with little impact on their social interactions. However, as ...

[Read More] Overcoming Stigma: Navigating Social Anxiety with Schizophrenia


Am I Experiencing Anxiety or OCD? Understanding Compulsive Thoughts

I'm not sure if this is anxiety disorder or obsessive-compulsive disorder? Hello, doctor. I often find myself unable to control certain urges or thoughts, such as a strong desire to tell someone something. I feel that if I don't share it, I will be very uncomfortable. I...


Dr. Huang Xiaoxian reply Psychiatry
Dear Tommy, Thank you for your question. The symptom you mentioned, which is the inability to refrain from telling others things, is not a common manifestation of obsessive-compulsive disorder (OCD). Typical symptoms include excessive handwashing due to fear of contamination, r...

[Read More] Am I Experiencing Anxiety or OCD? Understanding Compulsive Thoughts


Understanding Anxiety vs. Psychosis: A Personal Journey

Could you please clarify whether this is considered anxiety or psychosis? Hello, doctor. I have been experiencing panic disorder and depression for about 5-6 years. However, since getting married two years ago, my depression has almost disappeared, but I have become very anxious....


Dr. Huang Xiaoxian reply Psychiatry
Dear Ms. Mouse, Thank you for your inquiry. Regarding the symptoms you mentioned, they primarily seem to be anxiety-related and are not very typical, so the likelihood of schizophrenia is not very high. Of course, some initial symptoms of schizophrenia may bear some resemblance...

[Read More] Understanding Anxiety vs. Psychosis: A Personal Journey


Integrating Schizophrenia Patients into Society: Tips for Social Engagement

How to integrate into society? How can individuals with schizophrenia integrate into the workforce and social settings? Is it advisable for them to use benevolent deception (keeping their condition a secret from others)? Could the physician provide some guidance on this matter?


Dr. Huang Xiaoxian reply Psychiatry
Hello, thank you for your question: Although many patients experience functional impairments after becoming ill, there are also many patients whose conditions stabilize significantly after receiving appropriate treatment, allowing them to engage in regular work. Therefore, the ke...

[Read More] Integrating Schizophrenia Patients into Society: Tips for Social Engagement


Why Exercise Might Be Causing Your Insomnia: Tips for Better Sleep

Insomnia after exercise? Hello, doctor: I have poor sleep quality and thought that exercising might help improve it. However, I don't usually exercise, and after my first workout (jogging for about 40 to 50 minutes), I experienced insomnia (around age 20). I assumed it was d...


Dr. Huang Xiaoxian reply Psychiatry
Dear Mr. Hsu, Thank you for your inquiry. Poor sleep quality is indeed a common concern for many people, and regular exercise can help improve sleep. However, the benefits of exercise typically take some time to manifest, as it helps enhance your basal metabolic rate and preven...

[Read More] Why Exercise Might Be Causing Your Insomnia: Tips for Better Sleep


Can You Drink Alcohol While Taking Duloxetine? Important Considerations

Can you drink alcohol while taking DULOXETINE? Hello, I am currently taking Bupropion 30mg (Duloxetine HCL) regularly, with a dosage of one tablet in the morning and one in the evening. Since the Spring Festival is approaching and there will be some unavoidable gatherings, I woul...


Dr. Huang Xiaoxian reply Psychiatry
Dear Mr. Half-Hour, Thank you for your question. Generally speaking, it is advised not to use psychotropic medications in conjunction with alcoholic beverages, particularly sedative-hypnotic drugs such as barbiturates, benzodiazepines, and zolpidem. Examples include oxazepam (S...

[Read More] Can You Drink Alcohol While Taking Duloxetine? Important Considerations


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