Understanding Daily Dizziness: When to Seek Further Medical Help
Feeling dizzy every day? Hello, doctor! About ten years ago, one night as I was preparing to sleep, I suddenly lay down and my head started spinning, with numbness in my hands and feet. My family quickly took me to the emergency room, where the doctor administered an IV and gave ...
Dr. Lin Mianzhang reply Psychiatry
Hello Mr. Lin: If you have seen a neurologist and the initial evaluation and tests are normal, there is no need for an MRI or CT scan. Your symptoms appear to be related to anxiety and hyperventilation. It is recommended that you practice diaphragmatic breathing, where your abdom...[Read More] Understanding Daily Dizziness: When to Seek Further Medical Help
Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Gradually worsening sleep issues? Hello Doctor, I have been experiencing sleep issues for the past six months, often lying in bed for two hours without being able to fall asleep. Even after I do fall asleep, I sometimes have nightmares or experience sleep paralysis, waking up fee...
Dr. Lin Mianzhang reply Psychiatry
Hello Mr. Lee: It seems that you are experiencing the following sleep issues: difficulty falling asleep, nightmares, and sleep paralysis. Sleep paralysis, often referred to as "ghost pressing," is actually a phenomenon that occurs during the REM (Rapid Eye Movement) sta...[Read More] Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Understanding Pedantic Speech in Asperger's Syndrome: A Simple Explanation
Pedantic language In the context of Asperger's syndrome, "pedantic speech" refers to a communication style characterized by an excessive focus on detail, formality, and precision in language. In simpler terms, it means speaking in a very formal or overly detailed w...
Dr. Lin Mianzhang reply Psychiatry
Hello: The term "pedantic language" refers to speech that is lengthy, overly detailed, contains many unnecessary repetitions or corrections, and employs a writing style of grammar rather than everyday spoken language. Wishing you peace and good health![Read More] Understanding Pedantic Speech in Asperger's Syndrome: A Simple Explanation
Understanding Side Effects of Long-Acting Antipsychotic Injections
Drug side effects Hello Dr. Lin, I have a question again! Regarding the long-acting injection of Sustenna that I am currently receiving, I have discovered that it has the side effect of hyperprolactinemia (sexual dysfunction). Today, during my follow-up appointment with the physi...
Dr. Lin Mianzhang reply Psychiatry
Hello: The physician may be concerned that if the medication is changed, the new drug may not effectively improve your psychiatric symptoms, which could increase the risk of relapse. Therefore, if a medication change is necessary, it is advisable to proceed in a gradual manner. D...[Read More] Understanding Side Effects of Long-Acting Antipsychotic Injections
Effective Communication with Your Doctor About Panic and Depression Medications
Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...
Dr. Lin Mianzhang reply Psychiatry
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...[Read More] Effective Communication with Your Doctor About Panic and Depression Medications
Understanding the Fine Line of Illness Awareness in Mental Health
The boundary of insight into illness? Hello, I have been diagnosed with schizophrenia. During my middle school years, I stayed in a rehabilitation center, but there wasn't a specific diagnosis given. My family didn't tell me much, but it was likely related to depressive...
Dr. Lin Mianzhang reply Psychiatry
Hello Alu: It seems that your condition is relatively mild and you are responding well to treatment, which is why you appear to be like a normal person. However, it is still recommended that you continue taking your medication to prevent relapse. Each relapse can cause harm to th...[Read More] Understanding the Fine Line of Illness Awareness in Mental Health
Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Drug side effects Hello Dr. Lin! I am currently receiving a long-acting injection called Seroquel, but I have recently noticed an issue with delayed ejaculation. This problem has been bothering me for quite some time. Could you please recommend a long-acting injection that does n...
Dr. Lin Mianzhang reply Psychiatry
Hello: You are likely experiencing symptoms of hyperprolactinemia, which can be caused by many antipsychotic medications. Among long-acting injectables, Abilify Maintena is less likely to have this side effect, but its effectiveness for you still needs to be evaluated by a physic...[Read More] Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
I'm really fed up with my mom? Hello, doctor: I have researched a lot about paranoid delusions and have scoured the internet for information, but I feel like I'm going crazy. I can't think of any way to get my mom to willingly (or trick her into) see a psychiatrist...
Dr. Lin Mianzhang reply Psychiatry
Hello, Your mother's condition is indeed very serious, and it can be quite challenging to live under the same roof with her. Although it seems difficult, there are solutions available. You can start by visiting the local health center and informing the public health nurse ...[Read More] Dealing with a Parent's Paranoia: Seeking Help for Delusional Disorders
Supporting a Sister with Depression: Effective Communication Strategies
My younger sister recently confided in me that she is struggling with depression and anxiety. She has sought help from a psychologist, but I'm unsure how to interact with her? According to what he said, she has seen a psychologist, who told her that she has a tendency to bot...
Dr. Lin Mianzhang reply Psychiatry
Hello Owen: I can sense your concern for your sister. What you can do is to provide her with care and support, letting her know that she is accepted. You might try asking if you can accompany her to see a doctor; during the visit, you can gain a better understanding of her situat...[Read More] Supporting a Sister with Depression: Effective Communication Strategies
Are You Overthinking? Understanding High Sensitivity and Anxiety
Are you worried too much or overthinking? Is it just high sensitivity? Hello, recently I experienced a lot of academic pressure which led to an emotional outburst. It affected my physical condition, and since it was my first time encountering such a situation, I became easily wor...
Dr. Lin Mianzhang reply Psychiatry
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability. To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that low...[Read More] Are You Overthinking? Understanding High Sensitivity and Anxiety
Finding Hope: Navigating Depression and Mental Health Challenges
Will I really get better? Hello Doctor, I have been diagnosed with depression or persistent depressive disorder, and I have a history of social anxiety disorder which has since resolved. Recently, my physician suspects I may have hypomania. Although I am relatively young, my medi...
Dr. Lin Mianzhang reply Psychiatry
Hello Eunice: Thank you for your hard work! From your situation, it seems that you really need a stable doctor-patient relationship so that the physician can understand your condition and provide you with the most suitable treatment. If you frequently change doctors (even if it&#...[Read More] Finding Hope: Navigating Depression and Mental Health Challenges
Understanding Fluctuating Focus: When to Seek Help for Attention Issues
Attention fluctuates? Hello, doctor. I have had issues with inattention since childhood. Later, I became passionate about writing and reading, which made me heavily reliant on visible text. When I can't see words, I often struggle to articulate my thoughts when speaking in p...
Dr. Lin Mianzhang reply Psychiatry
Hello Ms. Chang: If you have had issues with inattention since childhood, it is possible that your difficulties with focus and organizing your thoughts and sentences could be symptoms of Attention Deficit Hyperactivity Disorder (ADHD). However, there are many factors that can aff...[Read More] Understanding Fluctuating Focus: When to Seek Help for Attention Issues
Understanding Drug Interactions in Psychiatric Medications: A Guide
Drug interactions Hello Dr. Lin, I apologize for the interruption. I was previously taking antidepressant and anti-anxiety medications, but due to recent issues with lymphadenitis, I need to take additional medications (listed below). I would like to ask if there are any potentia...
Dr. Lin Mianzhang reply Psychiatry
Hello Brisko: The medications you are taking do not have significant interactions with each other. The only thing to be aware of is to complete the full course of antibiotics as prescribed by your physician to prevent the development of antibiotic resistance. Additionally, since ...[Read More] Understanding Drug Interactions in Psychiatric Medications: A Guide
Overwhelming Exam Pressure: When to Seek Help for Mental Health
Feeling overwhelmed by stress to the point of wanting to commit suicide? I am a student preparing for the exam this year, and when I see my unsatisfactory grades, I feel like crying. Whether it's a major or minor exam, I come home and avoid using my phone, but I constantly f...
Dr. Lin Mianzhang reply Psychiatry
Hello, Xia: It seems that you are experiencing significant anxiety, irritability, insomnia, suicidal thoughts, and self-harming behaviors. It must be very distressing for you to take over three hours to fall asleep each night. Lack of sleep not only affects your mood but also imp...[Read More] Overwhelming Exam Pressure: When to Seek Help for Mental Health
Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...
Dr. Lin Mianzhang reply Psychiatry
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Managing Anxiety and Chest Tightness After Vaccination: A Guide
What should I do if I experience chest tightness? Hello doctor, after receiving the vaccine two years ago, I have been feeling anxious about any physical condition, worrying that I might be experiencing vaccine side effects. Initially, I thought this would improve within 2 to 3 m...
Dr. Lin Mianzhang reply Psychiatry
Hi there! It seems that you have undergone blood tests, X-rays, and electrocardiograms, all of which came back normal. This at least confirms that there is no serious physical illness. However, your concern about possibly having a severe illness or even dying is actually a sympto...[Read More] Managing Anxiety and Chest Tightness After Vaccination: A Guide
Understanding Obsessive Thoughts: Coping with Anxiety and Fear
I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...
Dr. Lin Mianzhang reply Psychiatry
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...[Read More] Understanding Obsessive Thoughts: Coping with Anxiety and Fear
Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Insomnia, loss of appetite, and decreased motivation for two days—how can I determine if I can manage this on my own, or should I schedule an appointment with a psychiatrist? I have tendencies towards depression, and for the past two days, I've been experiencing sleep distur...
Dr. Lin Mianzhang reply Psychiatry
Hello Ting Ting: It seems that you have occasionally experienced insomnia and loss of appetite in the past. I would like to know how frequently these issues occur. If they happen quite often, such as every few days or even once a week, I recommend seeking evaluation from a psychi...[Read More] Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Bloating, belching, and a sensation of something stuck in the throat? Hello doctor, for the past four months, I have been experiencing bloating almost every day, along with persistent burping. I feel a sensation of something being stuck below my Adam's apple, and swallowing ...
Dr. Lin Mianzhang reply Psychiatry
Hello: It seems that you may have a more anxious personality. If you find it difficult to relax and are easily nervous, you may be more prone to insomnia. Additionally, some people unconsciously swallow air while swallowing saliva when they are tense, which can lead to bloating a...[Read More] Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Managing Medication and Mental Health: Preparing for Pregnancy After Recovery
Medication consultation: After taking Lofepramine and Duloxetine for treatment, it is expected to discontinue medication for pregnancy preparation after recovery? Hello Doctor, I am currently experiencing severe obsessive-compulsive behaviors, anxiety, and depression that I canno...
Dr. Lin Mianzhang reply Psychiatry
Hello, Xiao Yu: It seems that you are responding well to the medication, and the tapering process is going smoothly, which is a good start. Here are the responses to your questions: 1) There is a possibility of discontinuing the medication, but it is recommended to continue wit...[Read More] Managing Medication and Mental Health: Preparing for Pregnancy After Recovery