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Understanding Medications for Bipolar Disorder: Lithium, Latuda, and Invega

Lurasidone, Lithium salts, Aripiprazole Recently, I have switched to different prescriptions and doctors. I was originally taking lithium salts at bedtime for six months to a year, along with 0.5 mg of Risperidone. My most recent diagnosis was bipolar disorder during a depressive...


Dr. Qiu Junda reply Psychiatry
Hello. Lithium salts are mood stabilizers that help maintain emotional balance (neither manic nor depressive), while Lamotrigine has a broader pharmacological profile, including antidepressant and anxiolytic properties. However, the effectiveness of treatment varies from person t...

[Read More] Understanding Medications for Bipolar Disorder: Lithium, Latuda, and Invega


Managing Anxiety: Can I Alternate Medications for Better Results?

Medication inquiries? Hello! Due to anxiety disorder, the doctor prescribed Elysium (Escitalopram) and Xanax (Alprazolam) to be taken every night before bed. I have been taking them for two weeks. I am unsure how long the treatment will last and I am worried about the potential f...


Dr. Qiu Junda reply Psychiatry
Hello. The method of medication can vary from person to person in clinical practice. Therefore, whether you can take Eshoo every other day depends on your condition. If this regimen can still stabilize your symptoms, it might be worth trying. However, it is best to discuss this w...

[Read More] Managing Anxiety: Can I Alternate Medications for Better Results?


Understanding Self-Talk: Is It a Sign of Mental Health Issues?

Habitually talking to oneself? Hello doctor, I would like to ask about my situation. I tend to think deeply and take everything to heart, so sometimes when I'm alone or out by myself, I find myself having conversations with myself. For example, if something frustrates me or ...


Dr. Qiu Junda reply Psychiatry
Hello. Your situation, while not common, is not pathological. Some people may have similar habitual behaviors. As long as it does not cause you or others any distress, it is fine. If you are still concerned, you may consider consulting a mental health professional.

[Read More] Understanding Self-Talk: Is It a Sign of Mental Health Issues?


Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms

Uncontrollable tics similar to Tourette syndrome? Hello, doctor. I am a patient diagnosed with anxiety disorder and recurrent major depression, and I am currently undergoing medication treatment. I take my antidepressants and various supplements at a fixed time every day. Last ni...


Dr. Qiu Junda reply Psychiatry
Hello. Tics should be evaluated to determine if they are a symptom or related to medication. You can consult with your physician during your follow-up appointment (there's no need to see other specialists at this time). If necessary, a referral to another specialty will be a...

[Read More] Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms


Understanding Self-Talk: Is It a Sign of Mental Health Issues?

Habitually talking to oneself? Hello, doctor. I would like to ask about my situation. I tend to think deeply about things and often internalize my feelings. Sometimes, when I am alone or out by myself, I find myself having conversations with myself. For example, if something frus...


Dr. Qiu Junda reply Psychiatry
Hello. I have replied.

[Read More] Understanding Self-Talk: Is It a Sign of Mental Health Issues?


Assessing Gender Dysphoria: Ethical Concerns in Psychiatric Evaluations

Treatment approaches for gender identity disorder or gender dysphoria? Recently, due to gender dysphoria, I underwent a military re-evaluation at the psychiatric department of the Tri-Service General Hospital. During the evaluation, the physician requested to examine the style of...


Dr. Qiu Junda reply Psychiatry
Hello. The military service examination has its own procedures. If you have any concerns during the gender identity assessment process, you can communicate with the staff or the examining physician to avoid any negative feelings.

[Read More] Assessing Gender Dysphoria: Ethical Concerns in Psychiatric Evaluations


Understanding Nighttime Palpitations: Causes and Management

Waking up suddenly from sleep with palpitations? Three years ago, I frequently experienced palpitations, chest tightness, and a feeling of heat. I would wake up suddenly from sleep, feeling hot, sweating, and with a rapid heartbeat. After undergoing an electrocardiogram and echoc...


Dr. Qiu Junda reply Psychiatry
Hello. If thyroid issues are well-controlled but you still experience palpitations, you can inform your doctor during your follow-up visit for evaluation. You may also want to ask if there is a need for a consultation with a psychiatrist (for panic disorder or autonomic nervous s...

[Read More] Understanding Nighttime Palpitations: Causes and Management


Struggling with Payments: Understanding Mental Health Challenges

It can feel very difficult and strenuous to pay with cash at checkout? Recently, I find it very difficult to handle cash when making purchases. I feel a lot of discomfort using the items I buy, and I don't know what to do. What used to seem very simple has become quite chall...


Dr. Qiu Junda reply Psychiatry
Hello. Your condition requires further evaluation to determine if there are any physical or mental health issues. It is recommended that you make time to see a healthcare professional for improvement.

[Read More] Struggling with Payments: Understanding Mental Health Challenges


Understanding Auditory Hallucinations: A Guide for Mental Health Concerns

Hello Dr. Chiu: Are there any auditory hallucinations? Hello: Background: 1. This job is often looked down upon by others, yet it is still very much needed; it seems that aside from public health scholars and the National Health Insurance Bureau, doctors are the most despised....


Dr. Qiu Junda reply Psychiatry
Hello. At first glance, it does not appear to be a symptom of auditory hallucination. If it has caused you distress, I recommend scheduling an appointment with a psychiatrist for consultation to facilitate improvement.

[Read More] Understanding Auditory Hallucinations: A Guide for Mental Health Concerns


Managing Attention Issues: Alternatives to Abilify and Coping with Side Effects

Add-related questions? Hello, Doctor. I would like to ask about medication. About one or two months ago, I visited a psychiatrist due to issues with attention and concentration. After listening to my description of the situation, the doctor prescribed me Atomoxetine. Initially, I...


Dr. Qiu Junda reply Psychiatry
Hello. Amphetamine-based medications such as Adderall or lisdexamfetamine can be used for ADHD. The side effects are generally similar. Nausea and discomfort can be alleviated by taking them with food. Additionally, experiencing anxiety in challenging situations is not strongly r...

[Read More] Managing Attention Issues: Alternatives to Abilify and Coping with Side Effects


Understanding Auditory Hallucinations: When Can They Be Recorded?

Schizophrenia Hello Dr. Chiu, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions (suspected hallucinations). There are three ...


Dr. Qiu Junda reply Psychiatry
Hello. The issue is quite complex and cannot be addressed here. It would be best to consult with your attending physician during your follow-up appointment.

[Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?


Do Antidepressants Affect Your Menstrual Cycle? Understanding the Connection

Do antidepressants affect the menstrual cycle? Hello Doctor: I have been experiencing anxiety and irritability for the past one to two years, along with intrusive thoughts (I tend to be particularly sensitive and anxious when I hear ominous statements). After the 403 earthquake, ...


Dr. Qiu Junda reply Psychiatry
Hello. Medications and emotions can affect the menstrual cycle. You may not need to visit the obstetrics and gynecology department for an examination at this time. Please discuss your situation, including the use of Xinna tablets, with your psychiatrist during your next appointme...

[Read More] Do Antidepressants Affect Your Menstrual Cycle? Understanding the Connection


Interactions Between SSRIs and Cold Medications: What You Need to Know

Inquiry about the interaction between SSRI medications and cold medications? Thank you, doctor, for taking the time to read this. I am a patient with anxiety disorder and currently take one and a half tablets of Liyou (15 mg) daily. Recently, I have had a slight cold and, after t...


Dr. Qiu Junda reply Psychiatry
Hello. The dosage of one and a half anxiety medication taken occasionally with Tylenol should not have significant interactions or conflicts, and it is unlikely to cause any adverse effects on the body.

[Read More] Interactions Between SSRIs and Cold Medications: What You Need to Know


Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing

Negative thoughts and emotional instability? Hello, Doctor. Since childhood, due to family discord and being isolated by teachers and classmates, I have developed self-harming habits starting from fifth grade, using items like metal rulers and utility knives, and even having suic...


Dr. Qiu Junda reply Psychiatry
Hello. Your current physical and mental condition has caused significant distress. It is advisable to seek treatment at a mental health clinic to facilitate improvement. Additionally, you can call the 1925 mental health hotline for similar counseling services.

[Read More] Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing


Medication Consultation for Anxiety and Panic Disorders: Safety and Usage

Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...


Dr. Qiu Junda reply Psychiatry
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...

[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage


Understanding Anxiety-Induced Numbness and Its Symptoms

Numbness and anxiety? During a boat ride, there was initially localized paralysis, which later progressed to generalized paralysis, resulting in the palms curling inward and an inability to extend the fingers normally. The legs also became immobile. After calming down, the sympto...


Dr. Qiu Junda reply Psychiatry
Hello. It does seem like the anxiety response you mentioned. If you can manage to calm yourself down, it shouldn't be a major issue. However, if it occurs frequently and causes significant physical and mental distress, it would be necessary to seek medical treatment for impr...

[Read More] Understanding Anxiety-Induced Numbness and Its Symptoms


Can You Drink Hot Beverages While Taking Zoloft? SSRI Interactions Explained

SSRI Medication Consultation Hello, I am currently taking Zoloft (one pill daily). Can I drink hot beverages like bubble tea? I've heard that SSRI medications may interact with the ingredients in these drinks. Is it safe as long as I don't mix them long-term? Thank you!


Dr. Qiu Junda reply Psychiatry
Hello. There should not be much impact, as consuming hot beverages is only a short-term practice. Thank you.

[Read More] Can You Drink Hot Beverages While Taking Zoloft? SSRI Interactions Explained


Can I Alternate Between Zyprexa and Rifampin Safely?

Can two medications be taken alternately? Can I alternate between Zanaflex 0.5 mg and Rifampin 0.5 mg? Sometimes taking Rifampin and sometimes taking Zanaflex, switching between the two.


Dr. Qiu Junda reply Psychiatry
Hello. This method of eating is generally not recommended. If you find that it works well for you, please inform your physician for their reference.

[Read More] Can I Alternate Between Zyprexa and Rifampin Safely?


Managing Anxiety-Induced Nausea: Tips for Relief and Recovery

Consultation for nausea due to anxiety? Hello Doctor, sometimes when I am under a lot of stress, like during finals when I have many things to do, I suddenly lose my appetite. My intake drops to less than a third of normal (or even less; I'm not quite sure, but it’s signific...


Dr. Qiu Junda reply Psychiatry
Hello. Your condition has caused you physical and mental distress. It is advisable to consult a psychiatrist. Following the treatment should lead to improvement. While medications from the field of psychiatry may have side effects, they do not necessarily occur. If they do, adjus...

[Read More] Managing Anxiety-Induced Nausea: Tips for Relief and Recovery


Helping a Family Member with Internet Addiction and Emotional Issues

Assistance with medical consultation (family member struggling with internet addiction, insomnia, emotional abuse, and negative thoughts)? How to encourage a 31-year-old male family member to seek medical attention? (He is aware of his condition but has low motivation for treatme...


Dr. Qiu Junda reply Psychiatry
Hello. You can start by expressing your desire to seek consultation in the field of psychosomatic medicine. It would be helpful if a family member could accompany you. During the appointment, you can also mention any concerns regarding your family member and discuss potential way...

[Read More] Helping a Family Member with Internet Addiction and Emotional Issues


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