Understanding Bipolar Disorder: Navigating a Spouse's Crisis
My wife has bipolar disorder? Hello Doctor, I have been in a relationship with my wife for seven years and we have been married for nine months. She started taking the antidepressant Paroxetine (Paroxin F.C. Tablets 20mg) since the beginning of the year. Initially, she took one t...
Dr. Qiu Junda reply Psychiatry
Hello. It appears that your wife is experiencing an acute manic episode, and hospitalization for treatment is indeed necessary. It may take more than a month for her condition to gradually improve. Her symptoms include inappropriate thoughts and behaviors regarding relationships,...[Read More] Understanding Bipolar Disorder: Navigating a Spouse's Crisis
Struggling with Insomnia and Excessive Sleepiness: A Common Dilemma
Insomnia and hypersomnia??? I work in the service industry, where I have to talk and move around constantly. After work, I often find that I still have a lot of energy until bedtime, and I end up falling asleep at least two hours later than my intended bedtime. The next day, I se...
Dr. Qiu Junda reply Psychiatry
Hello. It is recommended that you take the time to visit a psychosomatic medicine clinic for consultation with a physician to discuss and address your concerns.[Read More] Struggling with Insomnia and Excessive Sleepiness: A Common Dilemma
Understanding Delusions and Bipolar Disorder: Helping a Loved One
Delusions, obstinacy, bipolar disorder? Hello, doctor. My father had a history of depression and bipolar disorder several years ago. His condition had improved over the past few years, but recently, due to significant work-related stress, it seems to have relapsed. However, he do...
Dr. Qiu Junda reply Psychiatry
Hello. If there are signs of an episode, regardless of whether there are delusional symptoms, prompt medication treatment should be initiated (over-the-counter medications are not appropriate). You can contact the hospital where you previously received treatment for an appointmen...[Read More] Understanding Delusions and Bipolar Disorder: Helping a Loved One
Am I Really Me? Understanding Identity Confusion in Mental Health
I don't know if I am myself? I often find myself not knowing who I am, and I suddenly forget who is speaking. I question whether the current version of myself is truly me; it feels as if I am inside another person's body, yet this is supposed to be my body. Everything f...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that there have been long-term psychological issues. You can first consult by calling the Ministry of Health and Welfare's helpline at 1925. If there is a need for medical treatment, they will also assist with referrals and other recommendations. Thank you.[Read More] Am I Really Me? Understanding Identity Confusion in Mental Health
Understanding the Recurrence of Auditory Hallucinations in Bipolar Disorder
Family hallucinations My sister has been taking medication for bipolar disorder and experienced auditory hallucinations two years ago. The doctor prescribed Lurasidone for her, but she stopped taking it after the hallucinations disappeared. Yesterday, she mentioned that the hallu...
Dr. Qiu Junda reply Psychiatry
Hello. Patients with bipolar disorder exhibit a wide range of symptoms, and auditory hallucinations are one of them. If you notice any signs of relapse in your sister, please assist her in returning to the outpatient clinic for evaluation and treatment as soon as possible to stab...[Read More] Understanding the Recurrence of Auditory Hallucinations in Bipolar Disorder
Does Klonopin Worsen Delusions and Paranoia in Patients?
Issues with Klonopin? Hello, doctor. I recently received some information and I'm not sure if it's correct. Does Klonopin exacerbate delusions and paranoia associated with psychosis? Thank you.
Dr. Qiu Junda reply Psychiatry
Hello. I was not aware of this information. This medication is commonly known as Rifampin. Under normal circumstances, the use of this drug should not lead to more severe issues such as delusions and paranoia associated with psychosis.[Read More] Does Klonopin Worsen Delusions and Paranoia in Patients?
Understanding Sleep Disturbances: When to Seek Help from a Specialist
Sleep disturbances Hello, doctor. I tend to be a person who can't sit still and don't often feel fatigued. I fall asleep immediately when my body runs out of energy, unlike others who feel tired and want to sleep for a while. However, I have very little sleep time, and ...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that the quality of sleep is not very good, but it may not be necessary to seek medical attention immediately. I suggest you first look up some educational information on sleep hygiene and try some tips (such as taking a warm bath before bed or having a small suga...[Read More] Understanding Sleep Disturbances: When to Seek Help from a Specialist
Understanding Binge Eating and Restriction: A Mental Health Perspective
Binge eating followed by dieting? Hello, doctor. I often binge eat when I'm emotionally unstable or on the verge of a breakdown, but after a few days, I start to lose my appetite entirely, only eating breakfast or sometimes not eating at all. Is this situation normal, or cou...
Dr. Qiu Junda reply Psychiatry
Hello. The text indicates that you are using dietary behaviors to cope with emotional issues, which can be considered a coping mechanism. However, this pattern (binge eating or restrictive dieting) is not appropriate. Excessive behaviors may lead to what you refer to as psycholog...[Read More] Understanding Binge Eating and Restriction: A Mental Health Perspective
Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
I'm not sure how to use the medication? I have been experiencing insomnia for over a year after discontinuing Lorazepam (Ativan) which I had taken for more than three months. I stopped the medication a year ago, and I am unsure if stopping too quickly after three weeks contr...
Dr. Qiu Junda reply Psychiatry
Hello. From the perspective of substance addiction issues, the first clinic (Dongjian) that prescribes Quetiapine and similar medications may be more suitable. Theoretically, Quetiapine has a lower potential for addiction compared to other medications like Lurasidone. However, ma...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
Managing Nausea and Appetite Loss from Ritalin: What to Do?
Side effects of taking Ritalin? Hello, I would like to consult a doctor. My son is 25 years old and is taking 10 mg of short-acting Ritalin. However, he is experiencing significant side effects, particularly nausea and a lack of appetite. The appetite issue is manageable if he ta...
Dr. Qiu Junda reply Psychiatry
Hello. You may first consult a family physician or an internist regarding the treatment of side effects. It is advisable to inform the physician that you are using Atomoxetine. Generally, there should be no conflicts, and the physician should evaluate and prescribe appropriate me...[Read More] Managing Nausea and Appetite Loss from Ritalin: What to Do?
Struggling with Vivid Dreams: Tips for Better Sleep and Mental Health
Experiencing vivid dreams during sleep and being able to remember them clearly can be concerning. If this is affecting your sleep quality or daily life, it may be helpful to consult a healthcare professional or a sleep specialist. They can provide guidance on potential underlying...
Dr. Qiu Junda reply Psychiatry
Hello. Dreaming is a part of the sleep cycle that cannot be avoided. Everyone dreams, but most people do not remember or feel their dreams, which can lead to sleep disturbances. If you have a sleep disorder and are using psychiatric sleep medications, it may be related to your is...[Read More] Struggling with Vivid Dreams: Tips for Better Sleep and Mental Health
Understanding Sexual Dysfunction: Causes and Solutions for Low Libido
Sexual issues Doctor, I have been feeling a lack of interest in sex for the past few months. Although I still have physiological responses, I don't experience climax or pleasure during self-stimulation, and I don't feel as attracted to the opposite sex as I used to. I f...
Dr. Qiu Junda reply Psychiatry
Hello. The reasons you mentioned in the text are all possible and require further evaluation. It is recommended to first consult a psychiatrist for improvement. If the physician determines that a referral to another specialty (such as urology, etc.) is necessary, they will assist...[Read More] Understanding Sexual Dysfunction: Causes and Solutions for Low Libido
Struggling with Decision-Making: Understanding Your Mental Health
Often very annoying? Dr. Chiu: Recently, I often find myself unable to make decisions and hesitate for a long time (several days). I feel a bit dizzy in my head, and about every two days, there are one or two things I can't decide on, which makes it difficult for me to conce...
Dr. Qiu Junda reply Psychiatry
Hello. Modern society is constantly changing, bringing both advantages and disadvantages. There are various sources of stress that can lead to physical and mental distress, which require adjustment and confrontation. Consider it a part of personal growth and experience. I suggest...[Read More] Struggling with Decision-Making: Understanding Your Mental Health
Understanding Panic Attacks: Coping with Anxiety After Trauma
Panic + dry heaving Since my friend passed away in a car accident, I have been feeling very anxious every night. I used to be very brave, but since then, I no longer dare to go to the bathroom alone at night. Additionally, after recently moving into a new rental place and living ...
Dr. Qiu Junda reply Psychiatry
Hello. I can imagine that your friend's situation has been a significant blow to you. The circumstances described may be related to this and can be referred to as a stress response (to this event). Panic and dry heaving are the primary symptoms that arise as a result. Genera...[Read More] Understanding Panic Attacks: Coping with Anxiety After Trauma
Understanding Unconscious Talking: Insights from Psychiatry
Unconscious soliloquy? Consulting a physician: Whenever my husband enters the bathroom to take a shower, he starts talking continuously. When he comes out, I ask him what he just said, and he claims he didn't say anything. After several instances, or if I immediately ask him...
Dr. Qiu Junda reply Psychiatry
Hello. This situation is not uncommon based on experience, and it is not considered pathological. As you mentioned, it does not affect daily life. Sometimes, it may be that the individual recalls a previous situation and feels that they should have responded differently at that t...[Read More] Understanding Unconscious Talking: Insights from Psychiatry
Understanding Asperger's Syndrome: Symptoms and Self-Assessment Guide
Suspected Asperger's syndrome? Hello, I would like to ask some questions regarding Asperger's syndrome, as I have encountered some interpersonal issues. After taking some online tests, I feel that I might have Asperger's syndrome or ADHD. Therefore, I would like to...
Dr. Qiu Junda reply Psychiatry
Hello. Although I am not an expert in this condition, based on the text, I personally believe that this can be considered a personal trait as you have speculated, and it does not qualify as suspected Asperger's syndrome or a mental health issue. However, if this causes some ...[Read More] Understanding Asperger's Syndrome: Symptoms and Self-Assessment Guide
Applying for Major Illness Card for Schizophrenia: Requirements Explained
Application for Major Illness Card for Schizophrenia Hello, doctor. I would like to ask if a patient diagnosed with schizophrenia needs to have been under treatment for more than six months before applying for a major illness card, or if a diagnosis of schizophrenia is sufficient...
Dr. Qiu Junda reply Psychiatry
Hello. A general diagnosis of schizophrenia should be eligible for application. It is necessary to have consultations for six months or longer to confirm the diagnosis. As for the chronicity of the condition, it means that the acute phase of the illness has subsided (regardless o...[Read More] Applying for Major Illness Card for Schizophrenia: Requirements Explained
Is My Relationship Anxiety a Sign of Mental Health Issues?
Is this not quite normal? I have had two boyfriends and, due to various factors such as pressure from family and friends and a desire to experience the emotions that come with love, I agreed to enter into relationships. However, after starting to date, I often feel disgusted or e...
Dr. Qiu Junda reply Psychiatry
Hello. Although issues related to gender are not my specialty, it seems that this situation is not unusual and does not necessarily indicate that you have a mental illness, as you may be concerned. However, this situation can indeed cause you mental and emotional distress. I reco...[Read More] Is My Relationship Anxiety a Sign of Mental Health Issues?
Understanding Tolerance and Dosage Issues with Sleep Medications
The issue of tolerance and dosage in sleeping medications? I would like to ask a hypothetical question. I have been taking sleeping pills for a long time, starting with estazolam at 2mg and increasing to 4mg, but it became less effective. Then I switched to flurazepam at 15mg, an...
Dr. Qiu Junda reply Psychiatry
Hello. The recovery time for tolerance to sleep medications varies from person to person. It can be as short as one to two weeks. Generally, the larger the dosage and the longer the duration of use, the more difficult it may be to recover, and the required time may be longer. A d...[Read More] Understanding Tolerance and Dosage Issues with Sleep Medications
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Autonomic Nervous System Dysfunction Hello Doctor, these are my symptoms: 1. Bloating 2. Nausea 3. Indigestion 4. Hair loss (started last May) 5. Weight loss (due to decreased appetite) 6. Decreased appetite. All symptoms except for hair loss appeared suddenly two and a half mont...
Dr. Qiu Junda reply Psychiatry
Hello. If the symptoms persist, you should make time to see a doctor. You can visit a psychosomatic (psychiatry) clinic. The physician will assess and determine whether it is a gastrointestinal issue or autonomic nervous system dysfunction. However, please rest assured that it is...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns