Dr. Peng Liyun reply Psychiatry Question

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Feeling Lost in Mental Health Care: A Patient's Struggle for Understanding

I'm really not sure what to do? Dr. Peng, I am the person who previously wrote over a thousand words to you regarding the issues with the outpatient attitude; you should know who I am. That message was quite blunt, so please don’t take it too personally; it was my genuine fe...


Dr. Peng Liyun reply Psychiatry
Hello, I sense that you are in a lot of pain. Both medication and psychotherapy require patience and cooperation to achieve the best results. I recommend that you return for a follow-up consultation or seek assistance from other mental health specialists. Wishing you well, Dr. Li...

[Read More] Feeling Lost in Mental Health Care: A Patient's Struggle for Understanding


Understanding Premorbid Schizophrenia: What It Means for You

What does schizoaffective disorder mean? One of the diagnoses given by the physician is schizoaffective disorder. I have been wondering what this actually means. I didn't ask the doctor before, thinking it wasn't very important. However, I really want to know what this ...


Dr. Peng Liyun reply Psychiatry
Hello, the main symptoms of schizoaffective disorder include inappropriate emotional responses, peculiar behaviors or appearance, poor interpersonal relationships, unusual beliefs, rumination, atypical perceptions without thought, or occasional brief psychotic episodes, and these...

[Read More] Understanding Premorbid Schizophrenia: What It Means for You


Understanding the Lack of Empathy in Psychiatry: A Patient's Perspective

Why is the attitude of psychiatrists like this? Here are my reflections on my interactions with psychiatrists, and I would like to share them with you and, if possible, receive some feedback. I feel that some psychiatrists lack appropriate empathy; they seem to believe that medic...


Dr. Peng Liyun reply Psychiatry
Hello: We understand your concerns. Illness and individuals are complex, and communication is equally so. Both the medical profession and patient experiences deserve respect. The doctor-patient relationship is also an important factor in treatment. We recommend continuing to comm...

[Read More] Understanding the Lack of Empathy in Psychiatry: A Patient's Perspective


Do Attention Medications Causing Rapid Heartbeat Pose Health Risks?

Does the increased heart rate caused by attention medications lead to health problems? I apologize, but I would like to ask if the increased heart rate (over 100 beats per minute) caused by attention medications can lead to health problems in the long term? Or is it acceptable as...


Dr. Peng Liyun reply Psychiatry
Hello, it is recommended that you continue to monitor your heart rate and blood pressure, and discuss with your physician whether further examination or medication adjustment is necessary. Thank you for your inquiry. Best regards, Dr. Peng Liyun, Department of Child and Adolescen...

[Read More] Do Attention Medications Causing Rapid Heartbeat Pose Health Risks?


Can You Stop Long-Acting Injections for Schizophrenia Treatment?

Can long-acting injectable antipsychotics be discontinued? I once experienced symptoms of auditory hallucinations and paranoid delusions, and at that time, the doctor diagnosed me with schizophrenia. I have been receiving long-acting injectable medication for over three years, du...


Dr. Peng Liyun reply Psychiatry
Hello, schizophrenia is a chronic mental disorder that requires long-term medication. If you are considering discontinuing medication, it is advisable to have a thorough discussion with your physician to understand the associated risks and benefits. Thank you for your inquiry. Dr...

[Read More] Can You Stop Long-Acting Injections for Schizophrenia Treatment?


Understanding Mental Health Emergencies: Which Specialty to Consult?

Inquire about the disease condition and the appropriate department for registration? Hello, doctor. When my friend was admitted to the emergency department, the doctor noted the reason for the emergency as "T424X2A poisoning due to self-harm with phenylhydrazine salts, initi...


Dr. Peng Liyun reply Psychiatry
Hello: I understand your concern for your friends and family regarding their health conditions. However, it is not possible to assess a case solely based on a diagnosis. I recommend that you communicate with your loved ones to understand their situation better. It may be advisabl...

[Read More] Understanding Mental Health Emergencies: Which Specialty to Consult?


Managing Dizziness from ADHD Medication: Tips and Solutions

Drug side effects Hello, I have currently visited a clinic and have been diagnosed with ADHD. The doctor has prescribed me with Ritalin, and I have been taking it for 7 days. However, since this past Monday until today, I have been experiencing dizziness after taking the medicati...


Dr. Peng Liyun reply Psychiatry
Hello: Thank you for your hard work. In such situations, you can first confirm whether it is a side effect of the medication by trying to stop the medication temporarily. If the discomfort disappears after stopping the medication and reappears upon resuming, it can be confirmed a...

[Read More] Managing Dizziness from ADHD Medication: Tips and Solutions


Overcoming OCD and Mental Health Challenges: A Personal Journey

Question for consultation? Hello, doctor. I am here to discuss some difficulties I am facing, and I appreciate you taking the time to respond. I have been suffering from my condition since I was 20 years old and am still seeing a psychiatrist. Some people have said that I have ma...


Dr. Peng Liyun reply Psychiatry
Hello, For question one, a comprehensive assessment of your workload, daily routine, medication adherence, and emotional symptoms is necessary to identify potential causes. For question two, I recommend you document the details of your obsessive-compulsive symptoms (content, ...

[Read More] Overcoming OCD and Mental Health Challenges: A Personal Journey


Do I Need Therapy? Understanding Emotional Distress and Healing

Do symptoms require treatment? Recently, I have been feeling emotionally down and have been hesitating about whether I should seek psychological counseling. I want to ask if I need treatment. During my middle school to high school years, I experienced several instances of sexual ...


Dr. Peng Liyun reply Psychiatry
Hello, thank you for your hard work! I can sense the pain you have been enduring for a long time, which is truly heartbreaking. I recommend that you seek treatment from a mental health specialist as soon as possible. An evaluation and treatment by a professional can help improve ...

[Read More] Do I Need Therapy? Understanding Emotional Distress and Healing


Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey

Insomnia. Fatigue? I used to frequently wake up in the middle of the night, but I could fall back asleep quickly, so I rarely felt fatigued. However, ever since I received my second dose of the BNT vaccine last year, I have become more anxious and live in fear of getting sick eve...


Dr. Peng Liyun reply Psychiatry
Hello, I understand your discomfort and concerns, and I appreciate your efforts! Due to possible character limits, I'm not sure what your specific issue is. However, based on your description, I recommend that you seek evaluation and treatment from a psychosomatic specialist...

[Read More] Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey


Is It a Mental Disorder or Just Low IQ? Understanding Your Symptoms

Is this a medical condition or simply low intelligence? In recent years, as I have grown older and gained a better understanding of myself, I have started to notice that when I am doing something that I usually do correctly, if someone suddenly reminds me of how to do it, I becom...


Dr. Peng Liyun reply Psychiatry
Hello, I apologize, but it is not possible to determine whether there is a mental illness based solely on your description. I recommend that you visit a mental health specialist for a comprehensive evaluation. Thank you for your inquiry! Sincerely, Peng Li-Yun, Department of Chil...

[Read More] Is It a Mental Disorder or Just Low IQ? Understanding Your Symptoms


When Will Sleep Disorders Improve After Stopping Lorazepam?

When will the sleep disturbances caused by discontinuing medication for six months improve? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam for over three months at a dosage of 0.5 mg before bedtime. After disconti...


Dr. Peng Liyun reply Psychiatry
Hello, I understand your concerns. It is uncommon to experience insomnia due to withdrawal from a low dose of Lamotrigine after discontinuation for six months. I recommend a reevaluation of your insomnia and autonomic nervous system dysregulation, and it is important to rule out ...

[Read More] When Will Sleep Disorders Improve After Stopping Lorazepam?


How Long Will It Take to Restore Normal Sleep After Medication?

How much longer will it take to return to normal? Hello Doctor, I would like to inquire about my medication. I have been experiencing stomach pain due to autonomic nervous system dysfunction. I was prescribed Lorazepam (0.5 mg) at bedtime for over three months, and I had never ex...


Dr. Peng Liyun reply Psychiatry
Dear Sir/Madam, I understand your anxiety regarding your current condition. Short-term use of antidepressants will not cause brain damage or long-term insomnia. Instead, the situation of autonomic nervous system dysregulation requires a comprehensive and accurate assessment and ...

[Read More] How Long Will It Take to Restore Normal Sleep After Medication?


Does Seroquel Help with Stress Relief and Anxiety Management?

Could you please clarify your question regarding the medication Seroquel? Seroquel has anxiolytic and antidepressant effects; does this medication also have stress-relieving effects?


Dr. Peng Liyun reply Psychiatry
Hello~ Since Seroquel has the ability to regulate norepinephrine and dopamine, it not only improves attention but also has the function of adjusting mood. However, there is no specific mention of its capacity to enhance stress resilience. Thank you for your inquiry! Best regards,...

[Read More] Does Seroquel Help with Stress Relief and Anxiety Management?


Distinguishing Between High Sensitivity and Autonomic Nervous System Disorders

How to distinguish between high sensitivity and autonomic nervous system dysfunction? I wanted to understand medications and information related to ADHD, so I consulted a psychiatrist. The doctor mentioned that my condition might be related to high sensitivity or autonomic nervou...


Dr. Peng Liyun reply Psychiatry
Dear Sir/Madam, High sensitivity and autonomic nervous system dysregulation are different concepts. The former is an innate trait, while the latter is usually caused by anxiety and tension, leading to various physiological discomforts. Individuals with high sensitivity may also ...

[Read More] Distinguishing Between High Sensitivity and Autonomic Nervous System Disorders


Struggling with Sleep and Emotions: When to Seek Mental Health Help

Difficulty falling asleep, emotional issues? Hello Doctor: I often take two to three hours to fall asleep and frequently feel an inexplicable urge to cry. My condition was most severe around July and August, during which I almost thought about suicide every day. I experienced ins...


Dr. Peng Liyun reply Psychiatry
Hello: Based on your description, although there has been an improvement in emotional symptoms, cognitive abilities still present issues. It is recommended that you visit a psychosomatic medicine department for a comprehensive evaluation to confirm your condition, which will allo...

[Read More] Struggling with Sleep and Emotions: When to Seek Mental Health Help


Understanding ADHD: Seeking Help for Adult Learning Challenges

ADHD-related issues Hello Doctor: I was diagnosed with a learning disability when I was young, but since I started working, my error rate has been excessively high. I often forget things and lack logical reasoning, which has led me to only stay in each job for a month or two, or ...


Dr. Peng Liyun reply Psychiatry
Hello, I understand your concerns and have seriously looked for relevant information. I suggest that you seek an evaluation from a psychiatrist or a psychosomatic specialist. Since you are an adult, it is not necessary to have your parents attend the outpatient consultation. Than...

[Read More] Understanding ADHD: Seeking Help for Adult Learning Challenges


Understanding Memory Issues and Medication Overdose in Mental Health

Clinic Memory Medication Overdose I'm sorry, Doctor. This is my second time reaching out to a doctor on this website, and I truly apologize for the disturbance. I would like to ask a few questions. I have already started seeing a psychiatrist and taking medication, but I fee...


Dr. Peng Liyun reply Psychiatry
Hello, whether you need to change doctors is something I cannot assess for you. You should evaluate factors such as your compatibility with the physician and the convenience of receiving care. However, I would like to remind you that the treatment of psychiatric disorders often r...

[Read More] Understanding Memory Issues and Medication Overdose in Mental Health


Should I Seek Specialized Help for Weight Loss and Anxiety Issues?

Should I seek additional medical attention for weight loss and anxiety issues? Hello Doctor, I recently just started my sophomore year and have experienced a weight drop from 54 kg to 45 kg over the past year. My height is 159 cm, and I haven't intentionally tried to lose we...


Dr. Peng Liyun reply Psychiatry
Hello, based on the symptoms you described (social anxiety, negative thoughts, loss of appetite, and weight loss), in addition to psychological counseling, it is important to rule out other physiological and psychological issues. I recommend that you undergo a comprehensive evalu...

[Read More] Should I Seek Specialized Help for Weight Loss and Anxiety Issues?


Understanding Headaches Before Crying: A Mental Health Perspective

When I feel like crying, my head starts to hurt? Hello, doctor. I am currently in a state of drug withdrawal, but recently I often have thoughts of wanting to leave this world. My life is not unhappy; it’s just that whenever I have a moment of quiet, my mind fills with these thou...


Dr. Peng Liyun reply Psychiatry
Hello, thank you for your hard work. I can sense the pain that illness brings you. I recommend that you seek assistance again from a psychosomatic specialist. It is common for psychological factors to influence physical health. The headaches you described may be related to your e...

[Read More] Understanding Headaches Before Crying: A Mental Health Perspective


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