Understanding Family Dynamics in Bipolar Disorder Management
Bipolar disorder in family members? Hello, Doctor! A family member has been suffering from depression for many years, and last year it suddenly shifted to hypomania. After experiencing various events, it reverted back to depression, and they have been hospitalized several times. ...
Dr. Qiu Junda reply Psychiatry
Hello. 1. The family member has had a long-standing medical history, and their condition has only recently stabilized. It may not be realistic to expect a quick return to their previous level of function and daily routine (including getting out of bed, bathing, and brushing teeth...[Read More] Understanding Family Dynamics in Bipolar Disorder Management
Understanding Emotional Instability: Coping with Anxiety, Depression, and Sleep Issues
Emotional instability, stress issues, anxiety, depression, sleep problems, negative thoughts, insomnia? Since starting high school, I've been feeling down almost every day, and nothing seems to go right. Every time I change jobs (part-time work), the adjustment to the new po...
Dr. Qiu Junda reply Psychiatry
Hello. The content indicates long-term emotional issues that have affected daily life and interpersonal interactions. Your inquiries suggest a desire for improvement in your mental and physical well-being. I recommend considering telephone counseling (by calling the 1925 Mental H...[Read More] Understanding Emotional Instability: Coping with Anxiety, Depression, and Sleep Issues
Understanding Anxiety Medications: Effects of Serotonin and Heart Rate Pills
Medications for Anxiety Disorders I have been suffering from anxiety for many years. My psychiatrist has prescribed me serotonin medications and anxiolytics (to be taken before bed), as well as antiarrhythmic medications (to be taken as needed). However, in the past few months, m...
Dr. Qiu Junda reply Psychiatry
Hello. Heart rhythm medications are generally used to help treat symptoms of rapid heartbeat caused by anxiety. By calming the heart rate, they can also improve feelings of anxiety. Essentially, these medications are not addictive. If heart rhythm medications are helpful, they ca...[Read More] Understanding Anxiety Medications: Effects of Serotonin and Heart Rate Pills
Understanding Premorbid Schizophrenia: What You Need to Know
What is schizoaffective disorder? The term "schizophrenia spectrum and other primary psychotic disorders" refers to a group of mental health conditions characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions. The...
Dr. Qiu Junda reply Psychiatry
Hello. The diagnosis of atypical schizophrenia is generally rare. The term "atypical" suggests that a particular case's condition and symptoms are similar to, but not quite reaching, the criteria for schizophrenia. Careful evaluation and observation are necessary t...[Read More] Understanding Premorbid Schizophrenia: What You Need to Know
Overcoming Emotional Trauma: Navigating Trust Issues in Friendships
Psychological counseling Last year, during the middle of the year, I was hurt by friends whom I valued greatly, and I fell into a deep low point in my life that I couldn't recover from for a long time. I even experienced feelings akin to paranoia, believing that whatever the...
Dr. Qiu Junda reply Psychiatry
Hello. If these concerns are causing you psychological distress, you can call the 1925 Mental Health Hotline. They will provide counseling, guidance, and referral services, which should help alleviate your distress.[Read More] Overcoming Emotional Trauma: Navigating Trust Issues in Friendships
Should I Seek Help from a Mental Health Professional?
I'm not sure whether to see a psychiatrist or psychologist? Hello, Doctor. I have a question as stated in the title, and this matter has been troubling me. It might be a bit lengthy, so I apologize in advance. Background: I started having slight suicidal thoughts around el...
Dr. Qiu Junda reply Psychiatry
Hello. The content indicates that there are indeed mental and physical disturbances affecting work and daily life. It is recommended to seek treatment at a mental health clinic for improvement. If you are still hesitant, you can first utilize the 1925 mental health hotline for co...[Read More] Should I Seek Help from a Mental Health Professional?
Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues
Autonomic nervous system dysfunction Hello Doctor, I have been experiencing bloating, nausea, and loss of appetite for two months. I have seen a doctor who suspected that exam stress caused autonomic nervous system dysfunction. I was prescribed gastrointestinal medication and anx...
Dr. Qiu Junda reply Psychiatry
Hello. 1. It could be a simple gastrointestinal issue: If it is very bothersome, you should seek medical attention. 2. When experiencing stomach discomfort, it is occasionally acceptable to skip meals. There's no need to force yourself to eat, and it shouldn't cause har...[Read More] Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues
Managing Depression Relapse: Exploring Medication and Alternative Treatments
Recurrence of Depression I have been taking medication for depression for 10 years, consistently attending follow-up appointments and adhering to my medication regimen (without any dosage reductions or discontinuations). However, in the past two years, I have experienced three re...
Dr. Qiu Junda reply Psychiatry
Hello. In addition to medication, it is best to incorporate non-pharmacological support in the treatment of depression. Simply put, engaging in leisure activities regularly can help prevent excessive boredom and distress in daily life. It is commendable that you have been consist...[Read More] Managing Depression Relapse: Exploring Medication and Alternative Treatments
Coping with Paranoia: Managing a Father's Delusions in Family Care
Paranoia My older brother passed away early, and my sister-in-law has been living with my parents ever since. My mother had long-term health issues, and my father is heavily in debt. After my mother passed away five years ago, my father became suspicious that my sister-in-law was...
Dr. Qiu Junda reply Psychiatry
Hello. Your father's condition requires further evaluation. If he is unable to cooperate with medical treatment, you may first consult with your sister-in-law at a psychiatric facility (or with the physician he previously visited) to discuss how to address your father's...[Read More] Coping with Paranoia: Managing a Father's Delusions in Family Care
Can You Take Anxiety Medication and Tylenol Together Safely?
Can anti-anxiety medications be taken simultaneously with Tylenol? Recently, I've been experiencing panic symptoms and insomnia at night. The doctor prescribed me "Xanax," but it didn't have much effect. I then switched to "Uran," and it has helped a...
Dr. Qiu Junda reply Psychiatry
Sure. Don't worry.[Read More] Can You Take Anxiety Medication and Tylenol Together Safely?
Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?
Could you please tell me if I have dissociative identity disorder or just forgetfulness? Recently, I found a piece of paper on my desk with my handwriting, but it contained very strange questions that I have no memory of writing. I live alone, and this made me reflect on some odd...
Dr. Qiu Junda reply Psychiatry
Hello. The diagnosis of dissociative identity disorder or multiple personality disorder is not common and requires careful evaluation. The same goes for amnesia. I wonder if you have a habit of using alcohol or drugs, as this could also contribute to the symptoms you described. I...[Read More] Am I Experiencing Dissociative Identity Disorder or Just Forgetfulness?
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic Nervous System Dysregulation Hello Doctor, after staying up late in June (around 3 AM, not due to exams), I experienced nausea, bloating, and loss of appetite, which has persisted until now. I consulted a doctor and had an X-ray, which revealed excessive air in the gast...
Dr. Qiu Junda reply Psychiatry
Hello. These issues can be explained as psychosomatic symptoms caused by stress. The symptoms are similar to those of autonomic nervous system dysregulation. You can search for information on stress management and learn some methods (such as deep breathing, chatting with friends,...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Do Anxiety Medications Harm Your Liver and Kidneys?
Does taking anxiety medication harm the liver and kidneys? Hello, doctor: I have been taking anxiety medication for 10 months. Will it harm my liver or kidneys? (I am afraid of needles and do not dare to get a blood test). Thank you.
Dr. Qiu Junda reply Psychiatry
Hello. If you follow the prescribed dosage and administration as directed by your physician, and do not take extra or misuse the medication, there should be no risk of liver or kidney damage. Please rest assured.[Read More] Do Anxiety Medications Harm Your Liver and Kidneys?
Why Prescription Sleep Aids May Not Work for Your Insomnia
Insomnia medications are ineffective? Hello Doctor: I previously took Rifampicin, but the effect was limited. Later, my doctor switched me to Seroquel, which had even worse results. However, I saw on the prescription that Seroquel is suitable for severe insomnia. Why didn't ...
Dr. Qiu Junda reply Psychiatry
Hello. There are various types of medications for treating insomnia. Although the ingredients of these medications may theoretically differ in strength, their suitability for you is what matters clinically, and it does not necessarily correlate with the potency of the medication....[Read More] Why Prescription Sleep Aids May Not Work for Your Insomnia
Struggling with Sleep Issues: Seeking Help for Insomnia and Anxiety
Sleep issues I have been unable to sleep at night for the past three months, and sometimes I even feel nauseous. I haven't used any electronic devices before bed. This issue has been very distressing for me. I lie down at midnight to sleep but can’t fall asleep no matter how...
Dr. Qiu Junda reply Psychiatry
Hello. If the problem is too serious, it is important to take the time to see a doctor (preferably a nearby mental health clinic). At this stage, you can search online for educational information on stress management and sleep hygiene to learn methods for improvement. Additionall...[Read More] Struggling with Sleep Issues: Seeking Help for Insomnia and Anxiety
Managing Mixed Depression and Anxiety: When to Seek a Second Opinion
Adjustment disorder with mixed anxiety and depressed mood? Doctor, I was diagnosed with "adjustment disorder with mixed anxiety and depressed mood" by a psychiatrist six months ago after experiencing significant emotional distress from my girlfriend's infidelity. I...
Dr. Qiu Junda reply Psychiatry
Hello, the description in the text suggests that there shouldn't be significant issues with the physician's treatment. However, the effectiveness may not meet your expectations, and it is evident that the stimulation at that time was indeed substantial. You can choose t...[Read More] Managing Mixed Depression and Anxiety: When to Seek a Second Opinion
Weight Gain Concerns After Discontinuing Zyprexa: What to Expect
Jinpu Su (Jinpu Su Suspension) medication cessation? Hello Dr. Chiu, I have been taking 5mg of Zyprexa (Olanzapine) for over a year now. My diet has remained unchanged compared to when I was not on medication, but I have been experiencing a continuous increase in weight every mon...
Dr. Qiu Junda reply Psychiatry
Hello. If weight gain is related to the use of this medication (as a side effect), theoretically, it should gradually return to normal after discontinuation of the drug. It should not be irreversible. However, weight loss requires patience and determination. I hope that by incorp...[Read More] Weight Gain Concerns After Discontinuing Zyprexa: What to Expect
The Effects of Taking Bipolar Medication Without a Diagnosis
Taking medication without having a medical condition? What happens if someone without a mental illness takes medication for bipolar disorder?
Dr. Qiu Junda reply Psychiatry
Hello. There are many types of medications for bipolar disorder, each with its own side effects. Some may cause drowsiness (excessive sedation) and other effects. I'm not sure which specific medication you are referring to. It's best to avoid taking these medications if...[Read More] The Effects of Taking Bipolar Medication Without a Diagnosis
Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Bipolar disorder with anxiety disorder? I have a height of 164 cm and a weight of 44 kg. Last summer, I lost weight down to 39 kg, sleeping over ten hours a day and having no desire to eat. A recent doctor mentioned that I was in a depressive phase at that time. In December, I wa...
Dr. Qiu Junda reply Psychiatry
Hello. If the diagnosis is bipolar disorder, stopping antidepressants is a concern because they may trigger manic symptoms. Whether the symptoms you described are manifestations of bipolar disorder should be discussed with your treating physician. You can also discuss when to inc...[Read More] Understanding Bipolar Disorder and Anxiety: A Personal Journey Through Diagnosis and Treatment
Are My Symptoms Side Effects of Depression Medication?
Is it a side effect of antidepressant medication? Hello, doctor. I started taking some psychiatric medications for depression two months ago, and I didn't experience any significant side effects until last week when my medication was adjusted. I switched from taking 1.5 tabl...
Dr. Qiu Junda reply Psychiatry
Hello. Since the occurrence happened after your medication adjustment, it is indeed possible that it could be a side effect of the medication. The addition of Anli Fu (Anxiolytic) should be considered. You may try to stop taking Anli Fu (or reduce the dosage by half) and then rep...[Read More] Are My Symptoms Side Effects of Depression Medication?