Navigating Mental Health Challenges Amidst Family and Financial Struggles
Psychiatric issues related to physical and mental health? Hello: Because I wrote a long article about "the combination of urology and psychiatric issues," the urologist only answered my urology questions and did not respond to my psychiatric concerns, so I am asking psy...
Dr. Li Zhengfeng reply Psychiatry
Hello A-Yao: First of all, welcome to your letter. The situation of disadvantaged individuals with mental illness is indeed challenging, but it has improved significantly. In addition to free medical care, there are also living subsidies available. I suggest you visit the employm...[Read More] Navigating Mental Health Challenges Amidst Family and Financial Struggles
Wide Eye Distance and Its Potential Link to Mental Health Issues
Wide interpupillary distance? Hello, doctor. My daughter is now in the first grade, and her cognitive development is normal. My wife underwent amniocentesis during her pregnancy, which also came back normal. Since birth, her eyes have been spaced slightly wider apart than usual. ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. The causes of mental illnesses are still largely unknown, with only some hypotheses that have not been fully validated. Some studies merely collect samples for analysis, and the results can only serve as references; they may not nec...[Read More] Wide Eye Distance and Its Potential Link to Mental Health Issues
Effects of Mixing Alcohol with Antidepressants: A Cautionary Guide
Enteric-coated Amisulpride tablets, Ulotaront tablets? Hello, could you please tell me what effects might occur if the two medications, Enteric-coated Fluoxetine and Olanzapine, are taken with alcohol (I understand that they should not be taken with alcohol)? Thank you.
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your message. Anxiolytic enteric-coated tablets and Ulotaront tablets should not be taken with alcohol, as both have sedative effects, which can lead to an additive effect when combined with alcohol. Ulotaront tablets also have respiratory depre...[Read More] Effects of Mixing Alcohol with Antidepressants: A Cautionary Guide
Understanding Sudden Emotional Distress in Teens: A Guide for Support
I suddenly feel like crying today? I am 15 years old and a male student preparing for the entrance exam. Recently, I have been experiencing several thoughts and feelings that have become quite intense. This feeling suddenly appeared, and after looking at some online depression sc...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Based on your description, you are currently experiencing a state of depression, which can be likened to a cold of the mind. Although it is troubling, it is treatable. For mild depression, you may try non-pharmacological treatments,...[Read More] Understanding Sudden Emotional Distress in Teens: A Guide for Support
Facing Death Alone: Understanding Fear and Anxiety in Teens
Sometimes when I am alone, the thought of death brings a profound sense of fear? This year, as a 15-year-old in the third year of junior high school, I sometimes feel a strong discomfort in my chest when I think about death and the idea of disappearing without thoughts. It might ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Negative thinking can indeed affect physiological responses and lead to discomfort. Engaging in positive activities or leisure pursuits to shift your focus can help improve the situation. Thank you.[Read More] Facing Death Alone: Understanding Fear and Anxiety in Teens
Exploring Alternatives to Zopiclone and Stilnox for Sleep Issues
Are sleeping pills limited to just two types, or are there others available? Are sleeping pills limited to just two options, zopiclone and Stilnox? Are there really no other alternatives? Both of these medications are no longer effective for me. What other sleeping medications ca...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. There are many types of sleeping pills, not just two, and physicians can choose from them based on the patient's condition. Due to drug tolerance, the effectiveness of long-term use may diminish, so switching to another medication can...[Read More] Exploring Alternatives to Zopiclone and Stilnox for Sleep Issues
Navigating Mental Health Challenges: Finding Hope and Employment After Trauma
I'm not sure what to do? Hello, doctor: I once developed depression after being mistreated by my boss at work, who maliciously withheld my salary and humiliated me. I am not required to serve in the military, and I am currently seeing a doctor and taking medication. I have a...
Dr. Li Zhengfeng reply Psychiatry
Dear Mr. A-Wen, First of all, welcome to your letter. I apologize for the delay in responding due to issues with our computer system. Mental illness is a chronic condition that requires long-term medication. Stopping medication can lead to instability in your condition. Patients...[Read More] Navigating Mental Health Challenges: Finding Hope and Employment After Trauma
Seeking Guidance: Unanswered Letter on Mental Health Concerns
Inquiry letter Hello Doctor: Why hasn't my letter titled "I don't know what to do" been replied to? Thank you, and I look forward to your response.
Dr. Li Zhengfeng reply Psychiatry
Replied, thank you.[Read More] Seeking Guidance: Unanswered Letter on Mental Health Concerns
Understanding Hypochondria: When to Seek Help for Anxiety Symptoms
Is it hypochondriasis? I have been very anxious since childhood, often feeling that minor symptoms are serious, and I constantly worry about whether I need to go to the hospital for a check-up.
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Some manifestations of illness are exaggerated concerns about normal variations in physiological functions, while others may involve minor issues that patients overreact to, fearing they have a serious disease. If you find this dist...[Read More] Understanding Hypochondria: When to Seek Help for Anxiety Symptoms
Is There an Oral Alternative to Clopixol Depot for Patients?
Clopixol Depot Clopixol Depot is an injectable medication. I am very afraid of injections. Is there an oral form of Clopixol available? Thank you.
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Clopixol is available in both injectable and oral tablet forms. If you are afraid of injections, you can discuss switching to oral tablets with your doctor. However, oral tablets need to be taken daily, which may make it difficult f...[Read More] Is There an Oral Alternative to Clopixol Depot for Patients?
Can Antidepressants Reverse Brain Changes in Severe Depression?
Major Depressive Disorder About six years ago, I experienced significant stress and severe autonomic nervous system dysregulation, which led me to consult Dr. Chuo Liang-Chen at Taichung Veterans General Hospital and Professor Lu Ru-Bin at National Cheng Kung University Hospital....
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Patients with major depressive disorder can indeed experience cognitive decline; however, with appropriate treatment using antidepressants, cognitive function can improve and recover. So you can prepare for your exam with confidence, witho...[Read More] Can Antidepressants Reverse Brain Changes in Severe Depression?
Understanding the Long-Term Effects of Depression: Symptoms and Solutions
Does depression have any long-term effects? Hello Dr. Li, I switched careers over seven years ago and experienced some adjustment issues, which eventually evolved into symptoms of depression, including insomnia, a sense of hopelessness, and lack of motivation. I visited a psychia...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Depression can indeed manifest as unexplained pain or discomfort. However, clinically, it is essential to rule out other physiological factors to avoid misdiagnosis. If no cause for the pain can be found, the use of antidepressants may yie...[Read More] Understanding the Long-Term Effects of Depression: Symptoms and Solutions
Managing Blood Pressure Fluctuations Linked to Emotional Instability
Blood pressure often fluctuates due to emotional instability? Dear Doctor, In mid-March of this year, I visited the hospital for a check-up due to feeling unwell. The doctor informed me that my heart is larger than normal, and I also have high blood pressure and elevated cholest...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to your message, it seems that you are currently suffering from psychosomatic disorder. The causes of psychosomatic disorders are not solely psychological; it is a condition characterized by the interaction between physica...[Read More] Managing Blood Pressure Fluctuations Linked to Emotional Instability
Understanding Disturbing Thoughts: When to Seek Help for Mental Health Issues
Hello, doctor. Can you please tell me what is happening to me? I've recently been feeling very strange inside... I keep having thoughts of wanting to destroy everything... like the feeling of wanting to reset my computer... Recently, I've been exposed to too many news s...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned in your correspondence, it seems that you are currently experiencing obsessive thoughts. Individuals with obsessive-compulsive disorder (OCD) often find themselves trapped in a cycle of meaningless an...[Read More] Understanding Disturbing Thoughts: When to Seek Help for Mental Health Issues
Understanding Recovery Signs in Depression: When to Seek Help
Depressive phenomena Hello Dr. Lee, I previously inquired about the patient's condition. It seems that she is showing signs of improvement, at least not as severe as before. The current situation is as follows: 1. She no longer engages in self-harm and has not reported any...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Patients with major depressive disorder often experience fluctuating symptoms that can worsen if left untreated. It is advisable to seek consultation from a specialist for appropriate treatment to reduce the risk of relapse. Patients with ...[Read More] Understanding Recovery Signs in Depression: When to Seek Help
Signs She Needs Psychiatric Help: How to Encourage a Visit to the Doctor
Does she need to see a doctor? How should I take her there? From April 28 to June 7, I worked at a relative's house. I described these past two months as the most painful days of my life. On June 7, I had no issues during the day, but at night, I started sitting alone and cr...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Based on what you described, the patient may be suffering from severe depression. However, a face-to-face consultation with a specialist is necessary for an accurate diagnosis. If the patient exhibits hallucinations or self-harming ...[Read More] Signs She Needs Psychiatric Help: How to Encourage a Visit to the Doctor
Understanding the Bizarre Sensation of Bouncing While Walking
Feeling a jolt or bump while walking? Hello doctor, I previously experienced a sensation while walking where it felt like my feet were momentarily sinking down even though they were firmly on the ground, and then bouncing back to their original position. This sensation sometimes ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned in your correspondence, your issue may be related to the nervous system. I recommend that you consult a neurologist. Wishing you a speedy recovery. Thank you.[Read More] Understanding the Bizarre Sensation of Bouncing While Walking
Understanding Chest Tightness: Is It Anxiety or Something Else?
Chest tightness? Hello Doctor: Since I started experiencing insomnia in early January, I have been feeling very anxious and fearful about not being able to sleep at night. My chest has also been feeling increasingly tight. After seeing a doctor, my insomnia issue was resolved, bu...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your message. Anxiety disorders can indeed cause symptoms such as chest tightness and feelings of unease. However, it is essential to rule out other potential causes of chest discomfort. I recommend that you consult a specialist in internal medi...[Read More] Understanding Chest Tightness: Is It Anxiety or Something Else?
Impact of Stress and Mood Disorders on Cognitive Function and Memory
Brain function If someone experiences prolonged high levels of stress and is diagnosed with mild bipolar disorder and depression, it can indeed affect cognitive and memory functions. Long-term use of medications such as fluoxetine (Prozac) and engaging in regular exercise may hel...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Having mild bipolar disorder and depression can indeed affect cognitive and memory functions. However, after the condition stabilizes, it can gradually improve. It is important to follow medical advice regarding treatment, including...[Read More] Impact of Stress and Mood Disorders on Cognitive Function and Memory
Impact of Xanax on Fetal Development: What Pregnant Women Should Know
excuse me? I was unaware that I was already seven weeks pregnant. I have been taking XANAX (alprazolam) 0.25 mg every night before bed. I'm concerned about whether this will affect the fetus. Should I keep the baby?
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. XANAX (alprazolam) can cause fetal malformations and is not recommended for use during pregnancy. It is advisable to discuss this with your obstetrician before making a decision. Thank you.[Read More] Impact of Xanax on Fetal Development: What Pregnant Women Should Know