Throat and Heart Issues: Should You See a Psychologist?
Throat issues Heart problems I have been experiencing a sensation of a foreign body in my throat for several months. I have undergone a nasal endoscopy, gastroscopy, and thyroid ultrasound, all of which showed no issues or growths. Occasionally, I experience chest tightness, ches...
Dr. Peng Liyun reply Psychiatry
Hello: Based on your description, it is recommended to seek a comprehensive evaluation from a psychiatrist specializing in mental health. Thank you for your inquiry! Dr. Peng Liyun, Department of Child and Adolescent Psychiatry, Chianan Psychiatric Hospital.[Read More] Throat and Heart Issues: Should You See a Psychologist?
Understanding and Addressing Separation Anxiety in Preschoolers
Child Psychology Hello Doctor: My daughter is 3 years and 2 months old. Due to work commitments, I leave home early, and her grandmother takes care of her. Usually, when I leave, my daughter is still asleep. Recently, she started attending preschool, and this is the third week. H...
Dr. Peng Liyun reply Psychiatry
Hello, Mom. I can sense that you are very attentive and concerned about your daughter's emotions. The ability to communicate thoughts depends on your daughter's cognitive development. However, most children at this age may struggle to articulate or explain complex emoti...[Read More] Understanding and Addressing Separation Anxiety in Preschoolers
Understanding Sleep Issues: Fast Sleep Onset and Early Awakening Concerns
Could you please provide more details about the sleep issues? Hello, doctor. Here's the situation: I used to dream a lot, including having nightmares. Recently, due to some health issues, I sought medical advice, and the doctor suggested that I adjust my lifestyle and exerci...
Dr. Peng Liyun reply Psychiatry
Hello! Here is my response. Question 1: Not necessarily! Falling asleep within half an hour of lying down is considered normal, and many factors can influence the duration of time it takes to fall asleep. Question 2: No. Most people actually envy such a sleep state! Questio...[Read More] Understanding Sleep Issues: Fast Sleep Onset and Early Awakening Concerns
How to Work at Night and Still Sleep Well: Tips for Better Rest
If I have tasks to do in the evening, I will definitely have a poor night's sleep? Hello Doctor, I find it very troubling that even if I work just two hours before bedtime and manage to calm my emotions, I still have trouble sleeping. I can only sleep well if I do not work a...
Dr. Peng Liyun reply Psychiatry
Hello! Regarding your concerns, we need to further understand your perception of working from home (as cognition affects emotions, which in turn influence behavior) and assess for any other anxiety symptoms. It is recommended to consult a psychosomatic specialist for a comprehens...[Read More] How to Work at Night and Still Sleep Well: Tips for Better Rest
Medication Consultation for Anxiety and Depression in Teens
Medication consultation Is Liyou suitable for adolescents under 18? Should it be taken 1 hour before bedtime? It is classified as a selective serotonin reuptake inhibitor (SSRI), which aims to increase serotonin levels, correct? Why is it called a reuptake inhibitor? My condition...
Dr. Peng Liyun reply Psychiatry
Hello~ I can sense your anxiety regarding medication, but most questions require an in-person consultation for a comprehensive assessment, such as which medication is suitable for you or whether you absolutely need to take medication, etc. I can explain that the mechanism of sele...[Read More] Medication Consultation for Anxiety and Depression in Teens
Can Stimulants and Antidepressants Be Taken Together Safely?
Stenosis Uretheritis Can Stanozolol and Urokinase be taken together? Are there any drug interactions?
Dr. Peng Liyun reply Psychiatry
Hello, two medications can be taken together, both of which are sedatives. It is important to be aware of their side effects, as combining them can make it difficult to assess their effects. It is recommended to discuss their use with a specialist physician. Thank you for your in...[Read More] Can Stimulants and Antidepressants Be Taken Together Safely?
Overcoming Anxiety and Appetite Issues in Social Dining Situations
Anxiety, tension, and loss of appetite? Hello Doctor, I have been experiencing a lack of appetite for a long time (over five years), especially in the mornings and afternoons. I initially thought it was due to my sleeping habits (waking up around 10 AM), but I have realized that ...
Dr. Peng Liyun reply Psychiatry
Hello: It seems that this situation has caused you significant distress. Your condition requires a comprehensive evaluation, such as understanding the origins and persistence of your thoughts about food completion, the severity of your anxiety, etc., in order to determine whether...[Read More] Overcoming Anxiety and Appetite Issues in Social Dining Situations
Tolerance Issues with Sleep Aids and Anxiety Medications: Can Effects Return?
Tolerance issues with sleeping pills or anti-anxiety medications? Long-term use of sleeping pills and anxiolytics to improve sleep can lead to tolerance, requiring an increased dosage to achieve the same effect. If the medication is discontinued for a period of time, is it possib...
Dr. Peng Liyun reply Psychiatry
Hello! The answer is that recovery is not guaranteed. The complexity of drug tolerance, along with changes in the condition and environmental factors, can influence the situation. If you are experiencing such issues, it is recommended to seek a comprehensive evaluation from a psy...[Read More] Tolerance Issues with Sleep Aids and Anxiety Medications: Can Effects Return?
Understanding ADHD: Why Do I Fidget While Trying to Focus?
Issues related to focus and leg shaking in ADHD? Hello, Doctor! I have been taking Strattera for over a year and a half. Whenever I need to focus on studying or researching online, I find myself unconsciously shaking my legs. Could you please explain the reason for this and wheth...
Dr. Peng Liyun reply Psychiatry
Hello! I understand that you are quite troubled by your leg shaking. The treatment effects of medication will focus on attention and emotional aspects. Leg shaking is likely related to habits or anxiety, and behavioral therapy tends to be more effective. I still recommend that yo...[Read More] Understanding ADHD: Why Do I Fidget While Trying to Focus?
Understanding Sleepwalking: Is It Just a Dream or a Split Personality?
It is unclear whether it is sleepwalking or dissociative identity disorder? Recently, I have been experiencing frequent sleepwalking episodes where I engage in many actions that I cannot accept. During these episodes, I feel quite clever and tend to leave behind clues (like makin...
Dr. Peng Liyun reply Psychiatry
Hello! Based on your description alone, it is not possible to determine your condition, such as the need to rule out physiological diseases or substance use, the timing of the episodes, and other detailed information. I recommend that you visit a mental health specialist for a co...[Read More] Understanding Sleepwalking: Is It Just a Dream or a Split Personality?
Understanding the Dopamine and Norepinephrine Release in ADHD Medications
Issues related to ADHD medications? Previously, it was inquired whether the adrenal medulla secretes both norepinephrine and dopamine simultaneously. Are both substances secreted in high quantities, or is the secretion of dopamine comparatively lower?
Dr. Peng Liyun reply Psychiatry
Hello, the pharmacological action of Sirex is to increase the concentrations of norepinephrine and dopamine in the brain. The drug primarily acts by inhibiting the reuptake of norepinephrine receptors, which in turn affects the reuptake of dopamine. This mechanism does not involv...[Read More] Understanding the Dopamine and Norepinephrine Release in ADHD Medications
Can You Take A Acid and Uriel Together? Side Effects Explained
The side effects of medication A (Isotretinoin)? Hello, doctor. 1. I have been taking an antidepressant (Ulipristal 10mg) for about 3 days, but I have also been taking oral isotretinoin. Can these two medications be taken together? I take isotretinoin with breakfast and take Ul...
Dr. Peng Liyun reply Psychiatry
Hello! Here are the answers to your questions: 1. Oral isotretinoin and fluoxetine do not have any drug interactions and can be used simultaneously. 2. The more common gastrointestinal side effects of fluoxetine include decreased appetite, nausea, and constipation; however, it ma...[Read More] Can You Take A Acid and Uriel Together? Side Effects Explained
Managing Side Effects of Lofepramine: When to Stop Medication?
If the side effects of Lofepramine are intolerable, can I stop taking the medication on my own? I have been undergoing treatment for depression for many years, and my previous primary medication was Venlafaxine. On the 17th, my doctor switched my medication to Lofepramine due to ...
Dr. Peng Liyun reply Psychiatry
Hello, the half-life of Lofepramine is approximately 11 hours, and the side effects of the medication typically resolve within two days. The situation you described should still consider the possibility of withdrawal symptoms or drug interactions. It is recommended that you consu...[Read More] Managing Side Effects of Lofepramine: When to Stop Medication?
Overcoming Nausea: Coping with Medication Side Effects in Psychiatry
Nausea after taking medication? I have been taking psychiatric medication for five years, but in the past couple of years, I have experienced what seems to be a psychological barrier related to medication. Whenever I take psychiatric drugs, I feel nauseous, but I do not feel naus...
Dr. Peng Liyun reply Psychiatry
Hello, thank you for your hard work. The answer to the first question is yes. Common solutions for side effects include using symptomatic relief medications, adjusting the medication dosage, and switching medications. If psychological factors are involved, which can be more compl...[Read More] Overcoming Nausea: Coping with Medication Side Effects in Psychiatry
Is It Normal to Stare at Others? Understanding Social Behavior Issues
Staring at others? Since elementary school until now, I sometimes find myself staring at others without realizing it. I only become aware of it when someone scolds or reminds me, after which I stop staring. This happens about 3 to 4 times a day. It's less frequent now, but i...
Dr. Peng Liyun reply Psychiatry
Hello, based on your description, this situation has caused you distress and affected your social life. More information is needed to develop appropriate improvement strategies. It is recommended that you seek a comprehensive evaluation from a psychiatrist. Best wishes, Dr. Peng ...[Read More] Is It Normal to Stare at Others? Understanding Social Behavior Issues
Seeking Help for ADHD and Depression: A Family's Journey
I hope my family will be willing to accompany me to see a doctor for my depression and ADHD? I have a learning disability in mathematics and have attended resource classes from elementary school through high school. After four years in the workforce, I have changed jobs ten times...
Dr. Peng Liyun reply Psychiatry
Hello! Thank you for your hard work! Based on your description, I initially suggest that you help your family fully understand the difficulties you are currently facing and the efforts you have previously made. It is important for them to recognize that you need professional medi...[Read More] Seeking Help for ADHD and Depression: A Family's Journey
Understanding Memory Loss in Middle-Aged Women: Is It Normal?
Mom's forgetfulness? My mother is about 53 years old and has been experiencing increasing forgetfulness over the past two years. I'm wondering if this could be related to her approaching menopause. For instance, today she suddenly searched for her EasyCard, which has be...
Dr. Peng Liyun reply Psychiatry
Hello, based on your description, your mother's declining memory requires a comprehensive evaluation and cannot be solely attributed to age, menopause, or work-related stress. It is recommended that you accompany your mother to a nearby mental health clinic for further asses...[Read More] Understanding Memory Loss in Middle-Aged Women: Is It Normal?
Understanding the Effects of Strattera on Dopamine and Norepinephrine
ADHD-related issues and concerns? Does the Siree capsule enhance the effects of both dopamine and norepinephrine, or does it only enhance the action of norepinephrine without affecting dopamine secretion? Please clarify, thank you.
Dr. Peng Liyun reply Psychiatry
Hello! Although SNRIs are selective norepinephrine reuptake inhibitors, they also increase dopamine levels in the brain in addition to affecting norepinephrine concentrations. Thank you for your inquiry. Best wishes, Pediatric and Adolescent Psychiatry, Peng Li-Yun.[Read More] Understanding the Effects of Strattera on Dopamine and Norepinephrine
Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders
Is this sleepwalking? In the past month, I have experienced two similar incidents where I woke up in the morning to find that my clothes were different from what I was wearing when I fell asleep. It seems that I walked to the wardrobe to change. (I wonder if this is related to th...
Dr. Peng Liyun reply Psychiatry
Dear Sir/Madam, From your description, it is evident that the issue has caused you considerable concern. The areas of the brain involved in memory formation are quite extensive and complex; it is not solely the hippocampus that is responsible, and this situation has not yet invo...[Read More] Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders
Understanding Symptoms of Mental Health Struggles: When to Seek Help
I'm not sure if I'm sick; what are the symptoms? I have a history of self-harm and wrist-cutting suicide attempts, but I am now in vocational school. Recently, I have been feeling very annoyed and exhausted, easily irritated, and I find everything and everyone around me...
Dr. Peng Liyun reply Psychiatry
Hello: Based on your description, I can sense your discomfort and efforts. It seems that your symptoms encompass emotional, cognitive, and physiological aspects, which have also affected your daily life. However, from your current description, I cannot immediately determine what ...[Read More] Understanding Symptoms of Mental Health Struggles: When to Seek Help