Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Jing'an Ning medication I have been experiencing tinnitus and during my treatment, the doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for another six mon...
Dr. Liang Sunyuan reply Psychiatry
Hello: Stopping medication when symptoms have not improved can indeed lead to anxiety, insomnia, and other symptoms. After resuming medication, it may sometimes take patience to wait for a period of time before stability returns. If there is still no improvement after adjusting t...[Read More] Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Understanding Childhood Anxiety: When to Seek Help for Your Child
Dependence or phobia? I am a mother, and my child is currently 8 years old. He is very afraid to do anything alone. From ages 0 to 6, we didn't realize he "needed companionship" so much, possibly because we were always with him at home during his preschool years. S...
Dr. Liang Sunyuan reply Psychiatry
Hello: The child has a sensitive disposition and is prone to anxiety and fear. Patient guidance is indeed very important; it is essential to assist the child in gradually overcoming these challenges through encouragement and companionship. Some children may require a longer time ...[Read More] Understanding Childhood Anxiety: When to Seek Help for Your Child
Managing Autism Medication and Emotional Challenges in Students
Medications for Autism and Emotional Improvement Issues I am a special education teacher in an elementary resource class, and I have encountered a second-grade student with autism who has low verbal skills and can express himself in no more than five words. He has minimal interac...
Dr. Liang Sunyuan reply Psychiatry
Hello, Teacher Wei: Children with low verbal autism may exhibit symptoms of sensory hypersensitivity. When exposed to excessive environmental stimuli, this can trigger emotional instability. It is also possible that sudden recollections of past unpleasant experiences can lead to ...[Read More] Managing Autism Medication and Emotional Challenges in Students
Am I Gay? Understanding Sexual Experiences and Identity Confusion
Am I gay? Hello Doctor, I have a big question that has been bothering me for a long time. If I have had sexual contact with someone of the same sex (such as mutual masturbation or oral sex), does that mean I am gay? For example, in middle school, I once slept with a classmate, an...
Dr. Liang Sunyuan reply Psychiatry
Hello: The development of human nature is a complex process influenced by many interacting factors, making it intricate. It is not possible to definitively determine what is right or wrong based solely on such experiences or thoughts. At the age of 16, individuals are still in a ...[Read More] Am I Gay? Understanding Sexual Experiences and Identity Confusion
Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Am I really not suitable for taking SSRIs? The doctor would like to ask you: I have panic disorder and recently I was taking ERA long-acting sleeping pills and antiarrhythmic medication before bed. However, I informed my doctor that I felt unusually fatigued and heavy in the body...
Dr. Liang Sunyuan reply Psychiatry
Hello Xiao An: If you experience discomfort after changing your medication, it is advisable to discuss it with your physician during your follow-up appointment. Your feelings and discomfort are clearly expressed in your message, and I believe the doctor will understand and make a...[Read More] Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Can Mild Hyperthyroidism Cause Delusional Disorders?
Can mild hyperthyroidism cause delusional disorder? Hello, Doctor. I would like to ask about my wife. Her T3 and T4 levels are normal, but her TSH is low. An endocrinologist mentioned that this is subacute hyperthyroidism, but she also exhibits symptoms of delusional disorder. Sh...
Dr. Liang Sunyuan reply Psychiatry
Hello: If the hyperthyroidism is mild and being treated, it should not cause symptoms of delusion. When psychiatric symptoms are caused by thyroid abnormalities, the thyroid dysfunction is usually significant, and the psychiatric symptoms will improve after the thyroid condition ...[Read More] Can Mild Hyperthyroidism Cause Delusional Disorders?
Why Do I Lose Control of My Emotions Around Family?
Why is it that I can't control my emotions in front of my family? I am a high school student. Everyone at school thinks I have a great temperament. However, at home, my temper is like a runaway horse, completely out of control. I can easily burst into tears when my family sa...
Dr. Liang Sunyuan reply Psychiatry
Hello Zero: During adolescence, there is often a period of rebellion, where teenagers may feel particularly irritable towards their family. This transitional phase usually lasts for one to two years, after which it tends to improve. As adolescents enter puberty, hormonal changes ...[Read More] Why Do I Lose Control of My Emotions Around Family?
Why Do I Lose Control of My Emotions Around Family?
Why is it difficult to control emotions in front of family members? I am a high school student. Everyone at school thinks I have a very good temper. However, at home, my temper is like a runaway horse, completely out of control. I can easily tear up when my family says a few word...
Dr. Liang Sunyuan reply Psychiatry
Hello Zero: During adolescence, there is often a period of rebellion, where teenagers may feel particularly irritable towards their family. This transitional phase usually lasts for one to two years, after which improvements are often seen. As individuals enter puberty and adoles...[Read More] Why Do I Lose Control of My Emotions Around Family?
Overcoming Workplace Bullying: Seeking Affordable Mental Health Support
Workplace bullying I have been bullied and am feeling anxious and paranoid. I hope to consult Dr. Liang, but I'm also worried about the cost of treatment. I want to spend the least amount of money possible, especially since I am already aware of my condition. I also have a f...
Dr. Liang Sunyuan reply Psychiatry
Hello: When encountering workplace bullying that cannot be resolved independently, it is advisable to report it to a supervisor, occupational safety, or the human resources department for assistance in intervention. If self-adjustment proves difficult, seeking a consultation for ...[Read More] Overcoming Workplace Bullying: Seeking Affordable Mental Health Support
Understanding OCD: Questions and Insights for Effective Treatment
Please ask your questions, and I will do my best to assist you? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I started seventh grade during the Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the char...
Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Wei: The symptoms you described are indeed consistent with obsessive-compulsive disorder (OCD). Both pharmacotherapy and cognitive-behavioral therapy (CBT) can be effective in treating OCD. If you start treatment in August, it may take up to two months to fully realiz...[Read More] Understanding OCD: Questions and Insights for Effective Treatment
Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
I'm not sure how to use the medication? I previously took Lorazepam for over three months, and stopping the medication has caused me insomnia for over a year now (I stopped after three weeks; I wonder if that was too quick). My symptoms of autonomic nervous system dysregulat...
Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Xiao: There are many causes of insomnia, some of which are related to anxiety and depression. However, prolonged poor sleep can make it difficult for emotional and physical states to recover. It is advisable to take the medications prescribed by your doctor with confi...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
Managing Stress-Induced Nausea: Coping Strategies for Mental Health
Vomiting due to excessive stress? There have been many events at home, and several people have left. During the exam period, things did not go well, which caused a lot of stress (around August 13). Initially, I experienced vomiting, which lasted for about two to three days, and t...
Dr. Liang Sunyuan reply Psychiatry
Hello, Jie: It is indeed possible to experience symptoms such as nausea, vomiting, and shortness of breath when under stress. This is the body's way of signaling that we need to pay attention and take a break to allow for gradual recovery. However, if the discomfort persists...[Read More] Managing Stress-Induced Nausea: Coping Strategies for Mental Health
Does Anxiolytic Medication Cause Weight Gain? Understanding the Risks
Is Anli Fu causing weight gain? Hello Doctor: I have been taking Prozac and 5mg of Lexapro daily for my obsessive-compulsive disorder for several years now, and I have gained quite a bit of weight during this time. I would like to ask you, how likely is it for Lexapro to cause we...
Dr. Liang Sunyuan reply Psychiatry
Hello, Ah Yue: Anliruf is indeed one of the medications in its class that is less likely to cause weight gain, but for some individuals, it can still lead to weight increase. Factors such as increased appetite or metabolic changes may contribute to this. The management strategies...[Read More] Does Anxiolytic Medication Cause Weight Gain? Understanding the Risks
Can You Start ADHD Medication After Turning 18 Without Prior Treatment?
Having been diagnosed with ADHD in the past but not having taken medication, is it true that I can no longer take medication after turning 18? When I was in middle school, I was taken by my parents for an evaluation due to a requirement from my school teachers. At that time, the ...
Dr. Liang Sunyuan reply Psychiatry
Hello: If you continue to experience ADD symptoms in adulthood that cause difficulties in your daily life, you can still consult a physician for discussion and evaluation. There are several medications for attention deficit disorder, some of which have restrictions under health i...[Read More] Can You Start ADHD Medication After Turning 18 Without Prior Treatment?
Is My Son's Behavior a Sign of Psychological Issues?
Is there a problem with mental health? Hello, doctor. My son is in the second year of junior high school and has had attention deficit hyperactivity disorder (ADHD) since he was young. He has been on medication, but after starting junior high, one day the teacher called me to say...
Dr. Liang Sunyuan reply Psychiatry
Hello Ms. Chou: Thank you for your hard work. As parents of children with Attention Deficit Hyperactivity Disorder (ADHD), it is inevitable to encounter many challenges. Children with ADHD tend to be more impulsive, often acting on what seems fun at the moment without considering...[Read More] Is My Son's Behavior a Sign of Psychological Issues?
Understanding Visual Field Reduction in a 19-Year-Old: Causes and Concerns
Intermittent visual field constriction? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images that induce nausea (such as corpses or dissection scenes, but not other bloody or gory images like...
Dr. Liang Sunyuan reply Psychiatry
Hello: One possible explanation is that your son may feel fear when exposed to the scenarios you described, which could trigger a brief anxiety or panic response in related situations. It might be helpful to review whether he experiences symptoms such as shortness of breath or ra...[Read More] Understanding Visual Field Reduction in a 19-Year-Old: Causes and Concerns
Freezing Eggs: Do Antipsychotic Medications Affect the Process?
Oocyte freezing and psychiatric medications? Do individuals with schizophrenia need to stop egg freezing?
Dr. Liang Sunyuan reply Psychiatry
Hello Ms. Yang: Generally speaking, antipsychotic medications do not affect egg health, and it is usually not necessary to discontinue them. It is recommended to confirm this with a gynecologist.[Read More] Freezing Eggs: Do Antipsychotic Medications Affect the Process?
Understanding Medication Classification for Pregnant Women in Psychiatry
Pregnancy Drug Categories Dormicum, Abilify, Aripiprazole, Cymbalta, Leeyo, Biperiden, Lexotan.
Dr. Liang Sunyuan reply Psychiatry
Hello, Dormicum and Lexotan are not recommended during pregnancy. Abilify, Arizole, Cymbalta, Leeyo, and Biperin should be considered based on clinical circumstances, and can be used if the benefits of treatment outweigh the risks. It is advisable to discuss this in person with y...[Read More] Understanding Medication Classification for Pregnant Women in Psychiatry
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Questions about autonomic nervous system dysfunction? Hello Doctor, a few months ago, I experienced shortness of breath and a feeling of losing control while dining at a restaurant. Since then, similar sensations have occurred frequently. I subsequently visited a cardiologist for...
Dr. Liang Sunyuan reply Psychiatry
Hello Mr. Zhu: It is recommended to first adjust to a healthy lifestyle and see if the symptoms improve after some time. If you only rely on medication without changing your lifestyle, it may be difficult for the symptoms to improve. Conversely, some individuals find that their s...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding ADHD: Navigating Attention Challenges in Academic Life
Due to academic responsibilities, I began to contemplate issues related to attention? Hello, Doctor. As the semester is coming to an end, I have many subjects to study, but I find myself getting distracted just a few minutes into studying. I can't sit still, and I feel very ...
Dr. Liang Sunyuan reply Psychiatry
Hello, Muzi: ADHD is a developmental disorder that typically presents symptoms in childhood. It is indeed common for individuals with Tourette syndrome to have comorbid ADHD, and some symptoms may persist into adulthood. After reaching adulthood, adequate sleep, enhancing one...[Read More] Understanding ADHD: Navigating Attention Challenges in Academic Life