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Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide

Psychological anger, national examinations, masturbation, and related lifestyle issues? Hello, doctor. I used to have very few issues with insomnia, but this year, as I prepare for the national exam, I encountered obstacles at the beginning of the year with family needing my help...


Dr. Li Zhengfeng reply Psychiatry
Hello: For insomnia, it is indeed recommended to first use non-pharmacological treatments, such as physical therapy, psychotherapy, and occupational therapy. If medication is absolutely necessary, it is also advised to avoid long-term use of sleep aids to prevent physiological or...

[Read More] Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide


Effects of Sports Drinks with Anxiety Medications: What You Need to Know

Regarding the combination of sports drinks and medication? Hello, doctor. I would like to ask, what would happen if I drink sports drinks while taking Lexapro or Ativan, or other types of anti-anxiety medications? Thank you.


Dr. Li Zhengfeng reply Psychiatry
Hello: The main ingredients of sports drinks typically include water, fructose, sucrose, glucose, sodium, calcium, and potassium. Taking Librium or Ativan, or other types of anti-anxiety medications, should not pose significant issues. Thank you for your message.

[Read More] Effects of Sports Drinks with Anxiety Medications: What You Need to Know


Can Mirtazapine and Sulpride Be Taken Together Safely?

Medication consultation I would like to inquire whether mirtazapine can be used together with sulpiride. My psychiatrist prescribed mirtazapine for my long-term loss of appetite, which may be related to gastroparesis or gastrointestinal dysautonomia. However, I feel that it is no...


Dr. Li Zhengfeng reply Psychiatry
Hello: Mirtazapine can be used in conjunction with sulpiride, but please discuss this with your physician and do not adjust your medication on your own to ensure safe medication use. Wishing you a speedy recovery.

[Read More] Can Mirtazapine and Sulpride Be Taken Together Safely?


Can Schizophrenia Patients Obtain Multiple Long-Acting Injections?

Can long-acting injectable antipsychotics be obtained in multiple doses at once? I am a patient with schizophrenia and am currently receiving long-acting injections every three months. I am considering a work assignment abroad, but according to the current health insurance regula...


Dr. Li Zhengfeng reply Psychiatry
Hello: Currently, the health insurance policy indeed recommends follow-up visits every three months. It is not possible to carry multiple syringes abroad. If you are unable to return to the country, you may need to pay out of pocket for medical treatment abroad to stabilize your ...

[Read More] Can Schizophrenia Patients Obtain Multiple Long-Acting Injections?


Am I Experiencing Depression? A High School Student's Struggle

Could you please tell me if there is a possibility that I have depression? Hello, doctor. I am currently a high school student, and since the end of March, I have been experiencing significant emotional instability. I visited the counseling office on April 11. During this time, I...


Dr. Li Zhengfeng reply Psychiatry
Hello: According to what you mentioned in your letter, you are exhibiting typical symptoms of depression. It is advisable to seek consultation with a specialist as soon as possible to arrange for appropriate treatment. Wishing you a speedy recovery.

[Read More] Am I Experiencing Depression? A High School Student's Struggle


Medications and Sexual Desire: Understanding the Impact on Mental Health

Medications and Libido Hello, Doctor: I have been diagnosed with obsessive-compulsive disorder and latent schizophrenia. Recently, due to decreased libido/sexual impulses, I have been permitted by my physician to reduce my medication. I am currently taking 10 mg of Sertraline (Zo...


Dr. Li Zhengfeng reply Psychiatry
Hello: Both Dexedrine and Strattera can have side effects that affect sexual function and libido. However, these effects can vary from person to person due to individual factors. It is advisable to consider your personal medical condition and discuss with your treating physician ...

[Read More] Medications and Sexual Desire: Understanding the Impact on Mental Health


Can New Sleep Aid Dazhuimen Be Taken with Ativan for Insomnia?

The new sleep medication, Dazepam? I have been experiencing insomnia without any apparent reason and have been seeing a neurologist for 10 years. I have been taking half a tablet of Eszopiclone (Lunesta) and one 0.5 mg tablet of Lorazepam (Ativan), but I don't take them ever...


Dr. Li Zhengfeng reply Psychiatry
Hello: Zolpidem can be taken with benzodiazepines. If you are unable to discontinue benzodiazepines, you may continue to take them, but it is recommended to use a single sleep medication whenever possible to avoid polypharmacy. Wishing you a speedy recovery.

[Read More] Can New Sleep Aid Dazhuimen Be Taken with Ativan for Insomnia?


Understanding Anxiety Around Daily Routines: Tips for Relief

Excessive anxiety in the body? Hello, Doctor. Bowel movements and sleep are very natural processes for most people, but they cause me anxiety. I have a habit of having a bowel movement at a specific time every day. In the past, I would only start to feel anxious if I didn’t have ...


Dr. Li Zhengfeng reply Psychiatry
Hello: Based on your letter, it seems you may have a specific anxiety disorder, experiencing anxiety in certain situations that exceeds normal levels and affects your daily life. I recommend that you start practicing some relaxation techniques. If this does not lead to effective ...

[Read More] Understanding Anxiety Around Daily Routines: Tips for Relief


Understanding Medication Adjustments for Adjustment Disorder

Adjustment disorder with medication issues? Since last year, I have often felt depressed, anxious, and lacking in confidence due to work stress. I consulted a psychiatrist, and the diagnosis was adjustment disorder. I have been taking Anxiolytics and Antidepressants daily for ove...


Dr. Li Zhengfeng reply Psychiatry
Hello: Adjustment disorders may worsen due to various factors even while on stable medication. In some cases, it may be necessary to increase medication to control the condition; however, incorporating non-pharmacological treatments could also be an option. To improve your condit...

[Read More] Understanding Medication Adjustments for Adjustment Disorder


Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues

Side effects of medication (Jinpusu) Hello Dr. Lee, since I started taking 5 mg of Olanzapine (Zyprexa) daily in 2021, I have noticed that for over three years, my stools have been soft, loose, moist, and unformed, making it very difficult to clean up (I cannot simply use a few p...


Dr. Li Zhengfeng reply Psychiatry
Hello Ms. Chen: Generally, there have been no reports of soft stools as a side effect of Jinsupus. However, there are occasional cases of specific individuals with unique sensitivities to medications. To determine whether Jinsupus is causing soft stools, it would be necessary to ...

[Read More] Understanding the Side Effects of Olanzapine: Soft Stool and Gastrointestinal Issues


Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts

Emotional issues Hello Doctor: I have been taking antidepressant medication, but I don't know why I have only taken about 10 out of the 28 pills that were prescribed to me. I have had self-harming tendencies in the past, and now I keep having this thought that everyone hates...


Dr. Li Zhengfeng reply Psychiatry
Hello: Since you have been diagnosed with severe depression and are experiencing suicidal thoughts and plans, you are considered a high-risk case. It is recommended that you seek psychiatric consultation immediately, and if necessary, arrange for inpatient treatment to prevent an...

[Read More] Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts


Understanding Autonomic Nervous System Disorders and Depression: Key Insights

Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...


Dr. Li Zhengfeng reply Psychiatry
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...

[Read More] Understanding Autonomic Nervous System Disorders and Depression: Key Insights


Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges

Insomnia and anxiety? Hello, doctor. I have been visiting the psychosomatic clinic since 2014 for several years. Initially, I was prescribed Lexapro, but the side effects were too strong; I felt fatigued and sleepy all day after taking it. After a while, I couldn't tolerate ...


Dr. Li Zhengfeng reply Psychiatry
Hello: According to the letter, you may be suffering from depression. Whether you need to take a leave of absence should be determined by your attending physician's professional assessment. If necessary, rest can indeed improve your condition. In addition to medication, trea...

[Read More] Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges


Understanding Autonomic Nervous System Disorders: Symptoms and Concerns

Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...


Dr. Li Zhengfeng reply Psychiatry
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns


Understanding Mental Health: Navigating Treatment and Sensitivity Issues

Hello? I am currently undergoing treatment withdrawal, having experienced an initial onset and a subsequent relapse. My attending physician has provided me with a severe illness card, indicating that I should receive treatment for a sensory processing disorder, but I do not posse...


Dr. Li Zhengfeng reply Psychiatry
Hello: Schizophrenia is a chronic illness that requires long-term continuous treatment; otherwise, it is prone to relapse, leading to hallucinations, delusions, and harmful behaviors. It is advised that you do not give up on treatment, as this may increase the risk of relapse.

[Read More] Understanding Mental Health: Navigating Treatment and Sensitivity Issues


Understanding Memory Issues: The Struggles of Everyday Forgetfulness

Extraordinary memory akin to that of a goldfish? I can't recall the previous question, but I remember I was supposed to ask you, the doctor, so here’s a small question. I originally planned what to do when I got home, but I forgot as soon as I got there. I intended to relay ...


Dr. Li Zhengfeng reply Psychiatry
Hello: The symptoms you described are commonly seen in patients with schizophrenia. It is recommended that you visit a psychiatric outpatient clinic for treatment, which should help improve your condition.

[Read More] Understanding Memory Issues: The Struggles of Everyday Forgetfulness


Is This Obsessive-Compulsive Behavior? Seeking Help for Compulsive Questions

Is this obsessive-compulsive disorder? Hello Doctor, one day when my dad drove to see me, I waved goodbye to him from outside the car. At that moment, I noticed four people sitting outside a neighbor's house about 50 meters away, chatting and facing us. I thought they must h...


Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Patients with obsessive-compulsive disorder (OCD) often experience recurring thoughts or behaviors that cause significant distress. Treatment primarily involves a combination of medication and individual psychotherapy. It is advisable to d...

[Read More] Is This Obsessive-Compulsive Behavior? Seeking Help for Compulsive Questions


How Long Will It Take to Restore Normal Sleep After Medication?

How much longer will it take to return to normal? Hello Doctor, I would like to inquire about medication issues. I have been experiencing gastrointestinal pain due to autonomic nervous system dysfunction, and before taking Lorazepam, I never had sleep problems. After being prescr...


Dr. Li Zhengfeng reply Psychiatry
Hello: The causes of insomnia may be due to physiological diseases, psychological disorders, or idiopathic insomnia. Insomnia can be either short-term or long-term, depending on the patient's condition. If you wish to avoid long-term medication, it is recommended to enhance ...

[Read More] How Long Will It Take to Restore Normal Sleep After Medication?


Understanding Anxiety: When Headaches and Stress Impact Your Life

Headache Long-term feeling of happiness? Hello, doctor. I tend to overthink everything, and headaches are quite common in my life. At the beginning of this year, I started to notice that when I have headaches, my throat feels strange, and there’s a lump next to my Adam's app...


Dr. Li Zhengfeng reply Psychiatry
Hello: According to your letter, you are currently experiencing symptoms of both anxiety and depression, along with physical discomfort due to mental stress. It is recommended that you consult a specialist for combined medication and psychotherapy. Wishing you a speedy recovery.

[Read More] Understanding Anxiety: When Headaches and Stress Impact Your Life


Weight Gain Concerns with Sertraline During Pregnancy: What to Know

Issues related to weight gain associated with Seroquel? Hello, Doctor! I am a 36-week pregnant woman. I have been taking psychiatric medications for many years before pregnancy and started to reduce my dosage after becoming pregnant. In the mid to late stages of my pregnancy, I b...


Dr. Li Zhengfeng reply Psychiatry
Hello: Weight gain from taking Seroquel varies from person to person. For some, it is quite noticeable, while for others it is less so, usually due to increased appetite. Generally, the higher the dosage, the more pronounced the effect. A dosage of 50 mg is not considered high. T...

[Read More] Weight Gain Concerns with Sertraline During Pregnancy: What to Know


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