How to Cope with Anxiety and Emotional Distress: Seeking Help
What should I do? Hello Doctor, I have been experiencing unexplained dry heaving and rapid heartbeat lately, and I find myself needing to take deep breaths to catch my breath. I also have persistent abdominal cramps and headaches. Even when I am extremely tired at night, I still ...
Dr. Liang Sunyuan reply Psychiatry
Hello yy: I understand that these symptoms and feelings have made this period very difficult for you, and you may not be clear about where they come from. Self-harm seems to be your current way of coping with emotions, and you wish to improve and seek medical help, but you are af...[Read More] How to Cope with Anxiety and Emotional Distress: Seeking Help
Understanding Asperger's Syndrome Genetics and Testing Options
The hereditary probability of Asperger's syndrome and genetic testing? As a male with plans to marry and have children with my girlfriend, I am in good health, and her family has a healthy background. However, my brother has Asperger's syndrome, which manifested around ...
Dr. Liang Sunyuan reply Psychiatry
Hello: The prevalence of Asperger's syndrome in the general population is approximately 1%. The chance of siblings having the same condition is about 10%. If the female partner does not have this trait and has no family history, the likelihood of your child having this trait...[Read More] Understanding Asperger's Syndrome Genetics and Testing Options
Struggling with Work and Sleep: A Mental Health Perspective
Not the first time? Hello, Doctor: I skipped work again today, less than a week since the last time. I have had issues with oversleeping and missing work for a long time! I understand that sleep is necessary when the body feels tired. However, this has been the case since I becam...
Dr. Liang Sunyuan reply Psychiatry
Hello Mr. Kuo: Although work can be challenging, it is a form of contribution, putting in effort for the company, and broadly speaking, it is also a contribution to society. For oneself, it also provides a source of income. Every day is a new beginning, and while there may be day...[Read More] Struggling with Work and Sleep: A Mental Health Perspective
How to Alleviate Daytime Sleepiness in Children with Depression
How to alleviate drowsiness? Hello, doctor. My child is suffering from depression and is currently taking Otsuka's Anri-fu (for anxiety) and Daomei Sleep at night, while during the day, she is on Buprion (recently switching to Wellbutrin, one tablet in the morning and one at...
Dr. Liang Sunyuan reply Psychiatry
Hello Ms. Wang: First, it may be necessary to ask about the child's sleep status at night—whether they are sleeping well and if there are any interruptions in their sleep. If their sleep is poor, reducing medication may lead to even worse sleep, resulting in more fatigue dur...[Read More] How to Alleviate Daytime Sleepiness in Children with Depression
Managing Anxiety: Navigating Medication and Doctor Visits
Palpitations due to anxiety? I would like to consult the doctor: I have been taking Escitalopram for 15 months and have currently reduced the dosage to 10 mg, taking half a tablet. My follow-up appointments have also changed to once a month. Each time, I ask the doctor when I can...
Dr. Liang Sunyuan reply Psychiatry
Hello: I believe that each physician has their own habits. Some physicians may inform patients that if they have fully recovered and have no further issues, there is no need for a follow-up appointment. Others may take a more conservative approach. The process of tapering medicat...[Read More] Managing Anxiety: Navigating Medication and Doctor Visits
Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...
Dr. Liang Sunyuan reply Psychiatry
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...[Read More] Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan reply Psychiatry
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Am I Sick? Understanding Mental Health and Self-Worth Issues
Not sure if there is something wrong with the heart? Hello, doctor: I am in my 30s, and unlike my siblings, I don't have a strong desire to earn money or start a family. I feel that having enough money is sufficient for me, and I value my freedom over romantic relationships....
Dr. Liang Sunyuan reply Psychiatry
Hello: Everyone has different personalities and pursuits. Family reminders usually stem from concern and worry, and conversations among family members often lack embellishment but are mostly rooted in love. If work is also not going well at this time, it is easy to feel frustrate...[Read More] Am I Sick? Understanding Mental Health and Self-Worth Issues
Understanding Your Mental Health Diagnosis and Medication Dosage
Differential diagnosis and dosage? Hello, doctor. I recently visited a psychiatrist for the first time, and my doctor only mentioned that I have Generalized Anxiety Disorder. However, when I checked my health records using the National Health Insurance app, it showed the primary ...
Dr. Liang Sunyuan reply Psychiatry
Hello: Each physician has a different habit of writing medical records. These three diagnoses may be confirmed diagnoses or they may only be suspected diagnoses that need to be verified or ruled out during future follow-up treatment. If there are any concerns, you can discuss the...[Read More] Understanding Your Mental Health Diagnosis and Medication Dosage
Understanding Emotional Turmoil: Am I Just Sensitive or Is There More?
Am I really overly sensitive, or am I just pretending? Or do I have a problem? I’ve been feeling really confused lately about my emotions; I don’t know if I’m sad or happy. My mood swings so quickly that when I return to my room, I either cry for two or three hours or feel comple...
Dr. Liang Sunyuan reply Psychiatry
Hello: Your decision to write this letter indicates a desire for change within you. The past is behind us, and every moment can be a new beginning. I suggest that you write down your feelings honestly, just as you did in this letter. Remind yourself to stop engaging in behaviors ...[Read More] Understanding Emotional Turmoil: Am I Just Sensitive or Is There More?
Struggling with Sleep: Can I Switch from AN LIN TAB to FM2?
I would like to ask if the sleep medication prescribed to me by Chiayi Veterans General Hospital is ineffective? Currently, the Veterans General Hospital has prescribed me AN LIN TAB 2MG, which is a Schedule III medication, to be taken two tablets every night. I take them before ...
Dr. Liang Sunyuan reply Psychiatry
Hello, if the medication is not effective, it is recommended to return for a follow-up appointment and discuss it with your physician in person. Each individual's situation is different, and the doctor should discuss solutions with you based on your specific condition. Wishi...[Read More] Struggling with Sleep: Can I Switch from AN LIN TAB to FM2?
Is There a Risk of Serotonin Syndrome with My Current Medications?
Is there a possibility of developing a fatal serotonin syndrome? Psychiatry: Before bedtime, YOU-JET (SERTRALINE) 50mg * 1 tablet, Eurodin 2mg * 2 tablets, Zolpidem 10mg * 2 tablets. Dermatology: After dinner, Doxepin 25mg * 2 tablets; before bedtime, Doxepin 25mg * 2 tablets; ...
Dr. Liang Sunyuan reply Psychiatry
Hello: The combination of medications should take into account the individual patient's condition and their metabolic capacity for the drugs. This requires an in-person assessment along with a detailed review of the medication history and treatment history. If you have any d...[Read More] Is There a Risk of Serotonin Syndrome with My Current Medications?
Overcoming Severe Sleep Issues: A Student's Struggle with Anxiety and Motivation
Severe sleep disturbances? Hello, doctor. I am a university student about to graduate and pursue graduate studies. Sleep issues have been a long-standing problem for me. Whenever I don't have classes, I usually sleep until noon or even 1 or 2 PM. Even if I wake up early (aro...
Dr. Liang Sunyuan reply Psychiatry
Hello Lin, Your goal is very clear; you hope to wake up early but have not been able to do so, which has affected your mood. Indeed, depression and anxiety can lead to procrastination and avoidance. However, every day is a new beginning. I suggest reminding yourself each night ...[Read More] Overcoming Severe Sleep Issues: A Student's Struggle with Anxiety and Motivation
What to Do If You Encounter Police While Carrying Xanax?
Encountering Police While Carrying Medication Hello, I have generalized anxiety disorder and I take Xanax. I carry a few pills with me, and I'm wondering what would happen if I encounter a police checkpoint and they find it. It is a Schedule IV controlled substance; will I b...
Dr. Liang Sunyuan reply Psychiatry
Hello: If the doctor prescribes it for treatment use and it is not sold to others, there will be no issues, so please do not worry.[Read More] What to Do If You Encounter Police While Carrying Xanax?
Understanding Health Anxiety: When Worry Becomes Overwhelming
Hypochondria, fear of illness? It has become so severe that I feel I will contract COVID-19 just by seeing a bat, and I am firmly convinced of this. I often worry about uncertain matters, which leaves me mentally and physically exhausted, unable to eat or sleep well. Should I con...
Dr. Liang Sunyuan reply Psychiatry
Hello: It is advisable to remind yourself that these are excessive worries, turn around and focus on the tasks you are supposed to do. Even if worries arise again, just smile and return to your original work. If you are still feeling troubled, it is recommended to seek medical as...[Read More] Understanding Health Anxiety: When Worry Becomes Overwhelming
Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Physical condition Hello Doctor, five days ago I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists. Recently, the pain has lessened when I press on it, but there is still a continuous ache that has become more pronounced over the last ...
Dr. Liang Sunyuan reply Psychiatry
Hello, thank you for your hard work. Since the examination has already been scheduled, I recommend being patient and waiting. The body actually has a certain capacity for self-repair, and in a relaxed environment, many physical symptoms can gradually improve. It is advisable to s...[Read More] Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Navigating Mental Health Medications: Confusion and Concerns
Regarding pharmacotherapy? If I could, I would wish I had never seen a psychiatrist, as I feel my life has become a mess because of it. Each doctor has a different diagnosis; some say it's depression, others say generalized anxiety disorder, some mention ADHD, and others cla...
Dr. Liang Sunyuan reply Psychiatry
Hello: A multi-faceted approach is most effective for treating psychiatric symptoms. Regular routines, adequate sleep, balanced nutrition, consistent exercise, and healthy leisure activities all contribute positively. When seeking medical care and undergoing pharmacotherapy, it i...[Read More] Navigating Mental Health Medications: Confusion and Concerns
Understanding Anxiety and Nausea: Signs of Mental Health Issues
Easily anxious and feeling nauseous? Hello, doctor. I've been easily nervous and nauseous since childhood. In elementary school, I often felt nauseous before and after the start of the school year, even though going to school didn't stress me out and I had no issues wit...
Dr. Liang Sunyuan reply Psychiatry
Hello: The tendency to feel nauseous when nervous may be due to a naturally sensitive temperament, which could also indicate a more sensitive gastrointestinal system. The various symptoms that began in your sophomore year could indeed be related to anxiety or depression if they p...[Read More] Understanding Anxiety and Nausea: Signs of Mental Health Issues
Coping with Sjögren's Syndrome and Rheumatoid Arthritis: A Young Adult's Journey
Sjögren's syndrome and rheumatoid arthritis? Why am I so unfortunate to have these two major illnesses? How should I cope with this? I haven't even graduated from college yet. Does this mean I won't be able to work in the future? Will my hands become deformed and d...
Dr. Liang Sunyuan reply Psychiatry
Hello: It's normal to initially find it difficult to accept, and I suggest giving yourself more time to adjust. For the treatment options and prognosis of these two conditions, it's advisable to have a thorough discussion with a rheumatologist. Typically, the situation ...[Read More] Coping with Sjögren's Syndrome and Rheumatoid Arthritis: A Young Adult's Journey
How to Support a Partner with Paranoia and Mental Health Issues?
My girlfriend is exhibiting moderate symptoms of paranoid delusions (schizophrenia). How can I gently guide her towards seeking medical help? I have been in a relationship with my girlfriend for over four years, but due to my studies abroad, I have been unable to closely monitor ...
Dr. Liang Sunyuan reply Psychiatry
Hello Mr. Zheng, based on her symptoms, it seems she needs to seek medical attention. It is advisable to encourage her in a way that she can accept, such as discussing her symptoms like insomnia, restless sleep, or muscle tension, and see if these physical symptoms can motivate h...[Read More] How to Support a Partner with Paranoia and Mental Health Issues?