Understanding Sleep Medication: Managing Insomnia and Weight Loss
Regarding the use of sleep medications? Hello Doctor, six months ago I had issues with gastrointestinal ulcers combined with irritable bowel syndrome, so I took one "Sublingual" before bed every night for three months. Before taking Sublingual, I did not have severe ins...
Dr. Li Zhengfeng reply Psychiatry
Hello: Weight loss due to insomnia is caused by the insomnia itself, not by the side effects of taking Subitram. There are many types of sleep aids available, and you can discuss with your physician to find the most suitable medication. To wean off the reliance on sleep medicatio...[Read More] Understanding Sleep Medication: Managing Insomnia and Weight Loss
Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Psychiatric medications can lead to weight gain? Hello, doctor. I am currently seeing a psychiatrist and taking Risperidone, Deansox, Rifampicin, and extended-release Quetiapine. I would like to ask if taking these medications could lead to weight gain. I am concerned because con...
Dr. Li Zhengfeng reply Psychiatry
Hello: Risperidone can indeed stimulate appetite and lead to weight gain. If you are experiencing this issue, you may want to discuss it with your treating physician.[Read More] Do Psychiatric Medications Cause Weight Gain? Understanding Your Concerns
Understanding Your Spouse's Bipolar Disorder: Seeking Help Without Consent
My husband has bipolar disorder and doesn't want me to accompany him to medical appointments? My husband sought medical attention on his own, and based on his self-description, the doctor diagnosed him with depression. However, as time has passed, he has started to exhibit m...
Dr. Li Zhengfeng reply Psychiatry
Hello: According to medical regulations, a patient's condition is considered a physician's professional confidentiality, and even a spouse does not have the right to know unless the patient consents. It is advisable to first try to communicate with your husband; otherwi...[Read More] Understanding Your Spouse's Bipolar Disorder: Seeking Help Without Consent
Balancing Work and Family Life with Schizophrenia: A Personal Journey
Work and Family Hello, I was diagnosed with schizophrenia when I started university. I got married last April and had a baby this August. My child is now two months old. I want to work, but I'm not sure what would be suitable for me. Previously, I worked as an assistant in t...
Dr. Li Zhengfeng reply Psychiatry
Hello: Patients with schizophrenia typically have poorer occupational functioning and stress tolerance, and should not be subjected to excessive stress, as it may lead to relapse. A lifestyle with high levels of stress is not recommended to prevent recurrence.[Read More] Balancing Work and Family Life with Schizophrenia: A Personal Journey
Overcoming Depression and Work Fatigue: A Personal Journey
Depressive tendencies, work fatigue? I have been somewhat introverted and shy since childhood, even feeling inferior and not liking to answer questions. I dislike going out to buy things or paying for them. However, due to my family's situation, I have to work. I have previo...
Dr. Li Zhengfeng reply Psychiatry
Hello: Based on your letter, it seems you may be experiencing symptoms of depression. Treatment for depression can include both pharmacological and non-pharmacological approaches, such as antidepressant medications or psychotherapy, as well as activity therapy. It is advisable to...[Read More] Overcoming Depression and Work Fatigue: A Personal Journey
Overcoming Obsessive Cleanliness: A Teen's Guide to Managing Germ Anxiety
Obsessive-Compulsive Disorder (OCD) related to cleanliness? Hello Doctor, I am currently a high school student. Whenever something falls on the floor at school, I constantly feel that it is contaminated with bacteria and I want to clean it. Also, I am afraid to touch the faucet i...
Dr. Li Zhengfeng reply Psychiatry
Hello: Based on the information provided in your letter, it may be symptoms of obsessive-compulsive disorder (OCD). It is recommended to consult a psychiatrist, and medication treatment may be necessary. This could significantly reduce the interference of symptoms. Wishing you al...[Read More] Overcoming Obsessive Cleanliness: A Teen's Guide to Managing Germ Anxiety
Understanding Severe Mental Health Issues and Their Impact on Daily Life
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? I'm sorry, ...
Dr. Li Zhengfeng reply Psychiatry
Hello: Question 1, the use of Cymbalta rarely leads to Stevens-Johnson syndrome. Question 2, Cymbalta also rarely causes urinary retention. Question 3, due to the presence of multiple symptoms, the physician prescribes treatment based on the symptoms. Wishing you a speedy recover...[Read More] Understanding Severe Mental Health Issues and Their Impact on Daily Life
Am I Sick? Understanding Emotional Turmoil and Mental Health
Is this an illness? I used to find everyone around me unbearable and inexplicably disliked those close to me. I had thoughts of self-harm, experienced intense mood swings, and was easily saddened. One day, my family asked my primary care physician about my situation, and the doct...
Dr. Li Zhengfeng reply Psychiatry
Hello: Based on what you mentioned in your letter, it appears to be symptoms of depression. Depression is a condition that can recur, and Xinjie is a medication used to treat depression. If there are signs of recurrence, you may consider resuming medication treatment. Wishing you...[Read More] Am I Sick? Understanding Emotional Turmoil and Mental Health
How to Encourage a Friend Showing Signs of Depression to Seek Help
How to encourage a friend who may be suffering from depression to seek medical help? Hello, a colleague and friend of mine started exhibiting significant behavioral changes about four months ago. He was originally humorous and considerate, but suddenly became tense all day, irrit...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. According to what you mentioned, your friend seems to be struggling with mental health issues, but it is unclear whether she is experiencing depression. Currently, she is feeling down and under a lot of stress. The Ministry of Health and W...[Read More] How to Encourage a Friend Showing Signs of Depression to Seek Help
Struggling with Insomnia and Autonomic Nervous System Disorders
Insomnia, autonomic nervous system dysfunction? Hello Doctor: I have had trouble sleeping since middle school, and it has become increasingly difficult now that I am in college. At night, my body tends to twitch while I sleep. In September, I experienced a whole night of insomnia...
Dr. Li Zhengfeng reply Psychiatry
Hello: The causes of insomnia can be categorized into three main types: 1. Caused by mental disorders, 2. Caused by physical illnesses, 3. Due to individual constitution. For insomnia caused by mental disorders, both pharmacological and non-pharmacological treatments can be utili...[Read More] Struggling with Insomnia and Autonomic Nervous System Disorders
Struggling with Insomnia: When to See a Psychiatrist for Help
Insomnia issues Hello, doctor. Almost every night, I lie in bed for a long time before I can fall asleep. This situation has been ongoing for quite a while. Should I see a psychiatrist, or do you have any suggestions for solutions?
Dr. Li Zhengfeng reply Psychiatry
Hello: The causes of insomnia can be divided into three main categories: 1. Physiological diseases such as heart disease, 2. Psychological disorders such as depression, and 3. Constitutional factors. It is advisable to consult a physician for targeted treatment, as the methods of...[Read More] Struggling with Insomnia: When to See a Psychiatrist for Help
Overcoming Postpartum Anxiety: Managing Fear and Negativity
It seems like you might be feeling overwhelmed or struggling with negative thoughts. It's important to reach out for support. Consider talking to Hello Doctor: I used to be cheerful but also had negative thoughts. However, now I feel even more negative. After giving birth, I...
Dr. Li Zhengfeng reply Psychiatry
Hello: Negative emotions are one of the symptoms of depression. Treatment options include medication, psychotherapy, and activity therapy. It is advisable to consult a psychiatrist to choose the appropriate treatment based on your condition. Wishing you a speedy recovery.[Read More] Overcoming Postpartum Anxiety: Managing Fear and Negativity
Am I Suffering from Depression, Anxiety, or Panic Disorder?
Am I experiencing depression, anxiety, or panic stemming from worry? I don't know when I started to feel increasingly unhappy. My low mood has persisted for a long time (over three months now), and I've begun to feel weary of the world. Sometimes I feel like I can'...
Dr. Li Zhengfeng reply Psychiatry
Ms. Huang: Hello, based on the information provided, you may be experiencing symptoms of depression. However, depression often coexists with anxiety and panic symptoms. If the medication is effective, it is recommended to continue for a period of time before discussing with your ...[Read More] Am I Suffering from Depression, Anxiety, or Panic Disorder?
How to Discuss Your Mental Health Symptoms with a Doctor for Better Treatment
If you want to manage and improve your symptoms without medication, consider the following strategies: 1. **Lifestyle Changes**: Incorporate regular physical activity, a balanced diet, and adequate sleep into your routine. These can significantly impact your overall health and w...
Dr. Li Zhengfeng reply Psychiatry
Hello: Based on what you mentioned in your letter, it appears to be symptoms of depression. In addition to medication treatment, you may consider combining psychotherapy and activity therapy. You can discuss with your physician about adjusting your medication or incorporating non...[Read More] How to Discuss Your Mental Health Symptoms with a Doctor for Better Treatment
Understanding Postpartum Depression: Signs, Symptoms, and Solutions
I'm not sure if it's really postpartum depression? About five months after giving birth, one night in May, after talking on the phone with my husband, I suddenly felt that life was very dull and I didn’t know what I was living for. I felt that it would be easier to be d...
Dr. Li Zhengfeng reply Psychiatry
Hello: As mentioned in the letter, there are indeed symptoms of depression. Treatment for depression can include medication or non-pharmacological approaches, such as psychotherapy or activity therapy. If you prefer not to take medication, you can consider psychotherapy with a li...[Read More] Understanding Postpartum Depression: Signs, Symptoms, and Solutions
Understanding Obsessive-Compulsive Disorder: A Personal Struggle
Mental health issues I am very afraid to go outside because I fear being hit by a car. I am scared of scissors on the table when I leave the house, and I have to ask whether I should bring my glasses. My ability to make decisions is very poor; I have to ask about everything, like...
Dr. Li Zhengfeng reply Psychiatry
Hello: In addition to medication treatment for obsessive-compulsive disorder (OCD), psychological therapy and behavioral therapy can be combined, which may help improve the condition. You may discuss this with your primary physician. Wishing you a speedy recovery.[Read More] Understanding Obsessive-Compulsive Disorder: A Personal Struggle
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder? Recently, I have been experiencing extreme emotional fluctuations. Normally, I feel very happy and believe that nothing can defeat me. I have thoughts and behaviors that make me feel like a genius, and I often express to my family and friends how smart I am. How...
Dr. Li Zhengfeng reply Psychiatry
Hello: As mentioned in the letter, there are indeed significant emotional fluctuations; however, an online diagnosis is not possible. It is recommended to consult a specialist. I hope this is helpful to you.[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Understanding Schizophrenia vs. Dissociative Identity Disorder
Schizophrenia or Dissociative Identity Disorder (formerly known as Multiple Personality Disorder) In high school, I was bullied by my classmates, going through cycles of reconciliation and exclusion. Eventually, I felt I didn't want to face them anymore, but I sensed that an...
Dr. Li Zhengfeng reply Psychiatry
Hello: According to your letter, the symptoms are neither indicative of schizophrenia nor dissociative identity disorder. It is recommended to consult a specialist for an in-person diagnosis.[Read More] Understanding Schizophrenia vs. Dissociative Identity Disorder
Concerns About Medication Overdose in Elderly Patients with Anxiety and Insomnia
Is there a concern about the possibility of overdose with my mother's current prescriptions? Hello Doctor: My mother was hospitalized at a medical center in southern Taiwan in early February for the treatment of hyponatremia, during which she also experienced symptoms of ins...
Dr. Li Zhengfeng reply Psychiatry
Hello: The medication dosage should be adjusted based on the patient's constitution and condition. It is recommended to return for a follow-up visit and discuss the adjustment of medication type and dosage with the attending physician. Wishing her a speedy recovery.[Read More] Concerns About Medication Overdose in Elderly Patients with Anxiety and Insomnia
Understanding Sleepiness Despite Taking Adderall: Possible Causes Explained
Medication consultation Hello doctor, the patient is experiencing excessive sleepiness and has been taking Modafinil, but there has been no improvement in alertness, nor any side effects of insomnia. The patient still falls asleep easily but does not feel rested upon waking. What...
Dr. Li Zhengfeng reply Psychiatry
Hello: Treatment for hypersomnia is symptomatic and may include the prescription of stimulants such as armodafinil and modafinil. Behavioral changes (such as working at night and engaging in social activities that delay sleep) and modifications in dietary habits can also alleviat...[Read More] Understanding Sleepiness Despite Taking Adderall: Possible Causes Explained