Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Students are hesitant about whether to visit a clinic for medical care. Can they really recover without seeing a doctor? I previously visited a mental health specialist with my mother twice. After the first visit, I was diagnosed with anxiety disorder and prescribed medication, b...
Dr. Lin Mianzhang reply Psychiatry
Hello, classmate: Your anxiety, panic, depression, and insomnia have severely impacted your daily life and have caused you significant stress about attending school. This situation requires professional help. Through consultations with a physician, psychological counseling, and m...[Read More] Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Managing Bipolar Disorder: Strategies to Curb Impulsive Spending
Continuation #206129 Bipolar Disorder Issues Hello Dr. Lin, thank you for your response! My father is currently exhibiting a range of contradictory behaviors. He claims to be the poorest compared to his friends and relatives, yet he also says that having enough money is sufficien...
Dr. Lin Mianzhang reply Psychiatry
Hello: It is recommended that you contact the local health center near your home to inquire about the possibility of applying for a home visit, where a nurse can assess the situation at your home. Alternatively, you can also consult a psychiatrist regarding your father's con...[Read More] Managing Bipolar Disorder: Strategies to Curb Impulsive Spending
Should I See a Psychiatrist? Understanding My Mental Health Struggles
Should I see a psychiatrist? Hello, Dr. Lin! I apologize for bothering you. I haven't been doing well these past few years. During my student days, I often took leave due to my menstrual cycle, and when I returned to school, I frequently felt like I was falling behind everyo...
Dr. Lin Mianzhang reply Psychiatry
Hello, it seems that you have been experiencing symptoms of depression and anxiety for a long time, including feelings of sadness, difficulty sleeping, trouble concentrating, fatigue, and a lack of desire to go out, which can severely impact your ability to maintain a normal life...[Read More] Should I See a Psychiatrist? Understanding My Mental Health Struggles
Understanding Schizophrenia: A Patient's Journey Through Medication and Symptoms
Continuation #205880 issue? Dr. Lin, I apologize for the lengthy message, as I have a lot to say and may have omitted some details. Let me first report the medications I have taken, which are about ten types. - Ziprasidone 5 mg, 4 tablets at bedtime (I switched this due to exce...
Dr. Lin Mianzhang reply Psychiatry
Hello: Regarding the hallucinations, I can only determine if they are indeed hallucinations if I am certain that the experiences you describe are not perceived by those around you. However, if you have tried multiple medications without effective symptom relief, it may be worth c...[Read More] Understanding Schizophrenia: A Patient's Journey Through Medication and Symptoms
Navigating Mental Health: Coping with Hallucinations and Life Goals
Continuation #205884 issue I am not unable to interact normally with others; in fact, I understand how to make friends and how to win a girl's affection. However, I do experience auditory hallucinations, delusions, and possible visual hallucinations, which can be quite distr...
Dr. Lin Mianzhang reply Psychiatry
Hello: It seems that you have a good understanding of how to interact with people, which is great! I hope you achieve your goals soon, and I wish you peace and good health![Read More] Navigating Mental Health: Coping with Hallucinations and Life Goals
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder issues Hello, my father is in his 60s, and after observing his behavior for several months, we suspect he may have bipolar disorder. Below is a detailed description of his condition, and I would appreciate your response. Thank you. Around August of last year, h...
Dr. Lin Mianzhang reply Psychiatry
Hello: 1. The medication your father took, Meishuyu tablets, is typically used as a sleep aid, and the dosage is generally low, making it unlikely to trigger manic episodes. Additionally, since your father has not taken this medication since March or April of last year, and the...[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Understanding Schizophrenia: A Personal Journey Through Voices and Treatment
Schizophrenia Hello Dr. Lin, I would like to explain my condition. I started hearing three voices around August 2011, one male and one female, and occasionally a child's voice. At first, I couldn't understand what they were saying, but by April 2012, I began to recogniz...
Dr. Lin Mianzhang reply Psychiatry
Hello: Thank you for your hard work! It seems that you have a good understanding of your situation, but you are also quite troubled. Based on your description, you indeed exhibit symptoms of schizophrenia, including auditory hallucinations, delusions of reference (believing that ...[Read More] Understanding Schizophrenia: A Personal Journey Through Voices and Treatment
Understanding Auditory Hallucinations: A Guide to Schizophrenia Symptoms
Please provide the content you would like me to translate into English? Hello, Dr. Lin! Regarding the auditory hallucinations I mentioned in my previous question, they occur during conversations between people. While one person is talking to another, I only hear hallucinations. A...
Dr. Lin Mianzhang reply Psychiatry
Hello: Currently, there is generally no distinction made between the types of schizophrenia, as the treatment medications are the same. Your symptoms are quite common, and the severity depends on their impact on your daily life and functioning. If these symptoms prevent you from ...[Read More] Understanding Auditory Hallucinations: A Guide to Schizophrenia Symptoms
Can You Safely Combine Sleep Medications: Lepec and Ulotar?
Insomnia and Sleep Medications Hello, can I take 7.5 mg of Leplon (Zolpidem) and 2 mg of Ulotar (Lorazepam) together? Also, can I take 7.5 mg of Leplon (Zolpidem) and 4 mg of Ulotar (Lorazepam) together? Thank you.
Dr. Lin Mianzhang reply Psychiatry
Hello John: I apologize for the delayed response as I was abroad and unable to log in to the page. Levofloxacin and Urokinase can be taken together, regardless of whether Urokinase is 2mg or 4mg. However, it is important to monitor the dosage when combining with 4mg Urokinase to ...[Read More] Can You Safely Combine Sleep Medications: Lepec and Ulotar?
Understanding Weight Gain Risks with Long-Acting Antipsychotic Injections
Drug side effects Hello Dr. Lin, I'm back with another question. Regarding the concern I previously raised about whether the long-acting injection of Anleptin (安立復美達) would lead to weight gain, I recently switched to Anleptin on the 1st of this month. Although you mentioned ...
Dr. Lin Mianzhang reply Psychiatry
Hello: I apologize for the delayed response as I was abroad and unable to log in to the page. According to the clinical trial data provided by the manufacturer, the weight gain rate among subjects using Anifrolumab is 17%, while the weight gain rate among subjects using the place...[Read More] Understanding Weight Gain Risks with Long-Acting Antipsychotic Injections
Understanding Neck Pain: When to See a Psychiatrist for Symptoms
There is a sharp pain point in the neck? There is a point on the right side of my neck that causes a sharp pain, which can become severe and feel like intermittent bursts, even leading to the appearance of small bumps. Sometimes, it feels like an electric current is passing throu...
Dr. Lin Mianzhang reply Psychiatry
Hello, Mao Mao: I apologize for the delayed response as I was abroad and unable to log in. It seems you are experiencing pain in the front of your neck and chest. If there are no issues with the bones, we should consider the possibility of muscle or soft tissue problems. I recomm...[Read More] Understanding Neck Pain: When to See a Psychiatrist for Symptoms
Overcoming OCD: The Struggles of Compulsive Hand Washing
Obsessive-Compulsive Disorder (OCD) with compulsive handwashing? Hello doctor, my symptoms are that I feel extremely dirty when I come into contact with a male's genital area. If a colleague I dislike is talking to me and their genital area is touching the edge of the table,...
Dr. Lin Mianzhang reply Psychiatry
Hello Ace: You are exhibiting symptoms of obsessive-compulsive disorder (OCD), which include obsessive thoughts and compulsive behaviors. These symptoms require psychological therapy or combined pharmacological treatment for improvement. You might want to read a book titled "...[Read More] Overcoming OCD: The Struggles of Compulsive Hand Washing
Understanding and Managing Intrusive Thoughts in OCD: A Guide
Obsessive-Compulsive Behaviors Hello Doctor: I have obsessive-compulsive behaviors! I'm not sure when it started, but I often have intrusive thoughts in my mind, thinking negative things about people I know and even strangers (like if I don't do certain things, somethin...
Dr. Lin Mianzhang reply Psychiatry
Hello: Your situation falls under obsessive thinking, which can indeed be difficult to control with willpower alone. Even if I tell you that your thoughts are irrational, you will still continue to dwell on them. However, this can be improved through medication and psychotherapy....[Read More] Understanding and Managing Intrusive Thoughts in OCD: A Guide
Does Long-Acting Antipsychotic Injection Cause Weight Gain?
Drug side effects Could you please ask Dr. Lin if the long-acting injection of Anleptin (or similar medication) is likely to cause weight gain?
Dr. Lin Mianzhang reply Psychiatry
Hello: Paliperidone palmitate is considered one of the long-acting injectable second-generation antipsychotics that is least likely to cause weight gain. In contrast, long-acting injectable first-generation antipsychotics are also less likely to lead to weight gain, but they may ...[Read More] Does Long-Acting Antipsychotic Injection Cause Weight Gain?
Is It Safe to Use Sleep Aids for Afternoon Naps?
If you are unable to fall asleep during a nap and feel fatigued, is it appropriate to take sleeping pills? Hello, Doctor. I work in education and have always had a habit of taking a nap. However, since September of last year, after having lunch, I feel empty for about 15 minutes ...
Dr. Lin Mianzhang reply Psychiatry
Dear Ms. Li, The concerns you have raised are indeed valid. Generally, it is not recommended to take sleeping pills just for the purpose of napping, as the effects of these medications do not last only half an hour. If you take sleeping pills to nap, it will certainly affect you...[Read More] Is It Safe to Use Sleep Aids for Afternoon Naps?
Understanding School Bullying and Its Impact on Mental Health
School bullying Hello, doctor. I am a middle school student who has been bullied since the sixth grade and continues to be a victim of bullying in the eighth grade. Specifically, the bullying I experience is mainly relational bullying (exclusion) and verbal bullying. I hear class...
Dr. Lin Mianzhang reply Psychiatry
Hello Afa: Living under the dual pressures of family and school can be really tough for you! I suggest that you seek assistance from the psychiatric department at a hospital, where there are doctors, psychologists, and social workers available to help you address your concerns. A...[Read More] Understanding School Bullying and Its Impact on Mental Health
Do I Need to See a Mental Health Specialist as a Teen?
Do I need to see a psychiatrist? Hello, Doctor: I am a 17-year-old high school senior. I have seen online that there are some restrictions for minors seeking psychiatric care, and I want to avoid wasting medical resources, so I would like to consult online first. My situation is ...
Dr. Lin Mianzhang reply Psychiatry
Hello, student: Given your age, your sleep duration is a bit short. Ideally, it would be better to aim for over 8 hours of sleep, unless you feel refreshed and well-rested every morning, in which case you might need less sleep. Regarding your emotional state, it appears that you ...[Read More] Do I Need to See a Mental Health Specialist as a Teen?
Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Medication Consultation Dr. Lin, thank you for your selfless dedication in helping everyone with professional questions. I would like to ask about the four medications: Paxil (Paroxetine), Lexapro (Escitalopram), Zoloft (Sertraline), and Prozac (Fluoxetine). I understand that the...
Dr. Lin Mianzhang reply Psychiatry
Hello, little lamb: The likelihood of these medications affecting the heart is very low, and occurrences of palpitations are not common. However, some individuals may experience increased anxiety during the initial phase of taking Prozac, which could lead to a faster heartbeat; t...[Read More] Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Understanding Bowel Noises: Are They Linked to Anxiety?
Borborygmi Hello, doctor. Recently, I have been preparing for the national exam and I go to a tutoring center almost every day. The classes are conducted with each student using their own computer to watch recorded lectures, and the environment is very closed and quiet. Initially...
Dr. Lin Mianzhang reply Psychiatry
Hello Ting, If you have undergone a gastrointestinal examination and everything is normal, there should be no major concerns. The intestines are constantly in motion, but most people do not pay attention to the sounds of intestinal peristalsis. Unless you experience symptoms su...[Read More] Understanding Bowel Noises: Are They Linked to Anxiety?
Coping Strategies for Adults with Asperger's Syndrome in Social Situations
Asperger's syndrome I have been diagnosed with Asperger's syndrome. In other words, I have difficulty interacting and working with others. What should I do? Since I struggle with social interactions, I mostly stay at home and work with my parents. My parents and doctor ...
Dr. Lin Mianzhang reply Psychiatry
Hi there! There are various courses available for individuals with Asperger's syndrome that can help you learn how to improve interpersonal interaction skills. You can also seek psychological counseling or participate in group therapy to learn how to enhance this situation. ...[Read More] Coping Strategies for Adults with Asperger's Syndrome in Social Situations