Should You Continue Taking Antidepressants If Blood Pressure Rises?
Should I continue taking Li-Yu if my blood pressure has increased? Hello, doctor. A year and a half ago, I experienced high blood pressure of unknown origin, along with long-term insomnia, chest tightness, shortness of breath, night sweats, and other symptoms. I felt it was due t...
Dr. Qiu Junda reply Psychiatry
Hello. It is relatively uncommon to experience elevated blood pressure as a side effect. Your increase in blood pressure may not necessarily be related to the medication. I recommend that you return for a follow-up appointment to discuss this with your physician. If it is indeed ...[Read More] Should You Continue Taking Antidepressants If Blood Pressure Rises?
Understanding Anxiety and Its Physical Manifestations: A Patient's Journey
Could you please provide more details or specify your question? Hello, doctor. I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication from a psychiatrist. My diet is not particularly health-con...
Dr. Qiu Junda reply Psychiatry
Hello. I would like to know if you have been continuously taking psychiatric medications recently. The symptoms you described still seem to fall within the realm of anxiety. I recommend that you continue to follow up with your doctor and discuss your current condition. Your atten...[Read More] Understanding Anxiety and Its Physical Manifestations: A Patient's Journey
Managing Recurring Thoughts of Depression and Anxiety: A Guide
Depression and anxiety disorders? Hello Doctor: Five years ago, due to relationship issues, I experienced persistent thoughts of jumping off a building every day for several months, which caused me significant distress and anxiety. I was afraid that I might actually jump or becom...
Dr. Qiu Junda reply Psychiatry
Hello: Previously, changing jobs to shift your focus was indeed a good method. Recently, it seems that exercising hasn't been as effective. I suggest that in addition to exercising, engaging in social interactions may be more beneficial. After work, chatting with friends or ...[Read More] Managing Recurring Thoughts of Depression and Anxiety: A Guide
Does Anxiety Disorder Contribute to Cognitive Decline in Young Adults?
Does anxiety disorder affect brain degeneration? Dear Dr. Chiu, I am currently a high school senior. During my preparation for exams last year, I worked hard and set high goals for myself, feeling quite confident. However, since November, after receiving disappointing results fr...
Dr. Qiu Junda reply Psychiatry
Hello: Anxiety disorders do not lead to actual degeneration of the brain. However, the symptoms of anxiety can affect our performance in work, studies, and daily life, making us feel mentally sluggish and leading us to believe that we are experiencing cognitive decline. The text ...[Read More] Does Anxiety Disorder Contribute to Cognitive Decline in Young Adults?
Struggling with Focus: Understanding Mental Fatigue in Young Adults
Difficulty concentrating? Hello Doctor, I am currently a 22-year-old young man. My mind is usually filled with inspiration, whether it's writing or working, I am full of energy and quick to react. However, recently, things have changed. I feel like I've become less shar...
Dr. Qiu Junda reply Psychiatry
Hello. First, please rule out any connection to COVID-19. If there is none, consider whether you have been experiencing any recent emotional or stress-related issues. Negative emotions can easily lead to the situation you described. I recommend that you take the time to consult a...[Read More] Struggling with Focus: Understanding Mental Fatigue in Young Adults
Is My Husband Sleepwalking? Understanding Sleep Disorders and Symptoms
Suspected sleepwalking? Hello, my husband (50 years old) seems to have a problem with sleep apnea, as he snores and breathes through his mouth. He often wakes up in the middle of the night to drink water and use the bathroom (approximately every two hours). This morning around 5 ...
Dr. Qiu Junda reply Psychiatry
Hello. Since this is the first time an abnormality has been observed, we can monitor the situation further. Additionally, it is important to consider whether the patient is taking any sleep aids. If not, but the frequency of episodes similar to sleepwalking increases, it is advis...[Read More] Is My Husband Sleepwalking? Understanding Sleep Disorders and Symptoms
Managing Bipolar Disorder While Planning for Pregnancy: Safety Concerns and Medication Adjustments
Bipolar disorder and pregnancy considerations? Hello Doctor: I have been diagnosed with bipolar disorder for 12 years and have been consistently taking medication. Recently, due to plans for pregnancy, I have been in continuous communication with my doctor about the treatment dir...
Dr. Qiu Junda reply Psychiatry
Hello. Indeed, epilepsy and pregnancy can have a significant impact on the fetus. It is advisable to discontinue certain medications. Lamotrigine is relatively safe. However, the specific adjustment methods should be discussed with your attending physician, as this will also aid ...[Read More] Managing Bipolar Disorder While Planning for Pregnancy: Safety Concerns and Medication Adjustments
Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Is this a disease? When I am feeling down, my mind is sometimes filled with negative energy, but when I am happy, I feel more joyful than anyone else. However, I sometimes experience insomnia late at night, and my emotions seem to be in turmoil, often leading to breakdowns where ...
Dr. Qiu Junda reply Psychiatry
Hello. Regardless of whether it constitutes a condition such as depression, the text indeed indicates long-term negative emotions that are causing physical and mental distress. I recommend that you make time to visit a mental health clinic for counseling (you don't have to t...[Read More] Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Improving Sleep Quality and Managing Emotional Distress: A Guide
Emotional distress Hello, doctor. I would like to ask about my current sleep quality, which is not very good. I either wake up early, feel sleepy but can't fall asleep, or even sleep for a long time but still wake up feeling fatigued. Sometimes, I also experience unexplained...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals negative emotions that may cause physical and mental distress. It is recommended that you take the time to visit a mental health clinic for counseling, which could help improve your situation. If it's not convenient (due to the pandemic, etc.), you ca...[Read More] Improving Sleep Quality and Managing Emotional Distress: A Guide
Understanding Mental Health Symptoms Under Extreme Stress
A relative seems to be experiencing mental health issues? Hello, I would like to ask if excessive stress can lead to symptoms similar to mental illnesses. I have two cousins who are twins, but my aunt seems to prefer my older cousin over my younger cousin, often hitting or scoldi...
Dr. Qiu Junda reply Psychiatry
Hello. If your aunt's issues began after the passing of her cousin, it could be a grieving process related to the loss of a loved one. This situation typically requires time to heal. However, if it persists for an extended period (several months or more), it is advisable to ...[Read More] Understanding Mental Health Symptoms Under Extreme Stress
Managing a Relapse: Coping with a Mother's Schizophrenia Crisis
Mom's illness has relapsed again? My mother's schizophrenia has relapsed again, resembling her first episode 15 years ago, except she hasn't harmed herself or others. She talks to herself all day, either cursing or laughing while discussing various celebrities, eve...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that my mother's condition is indeed unstable. Arranging for hospitalization may be a better option. If she does not meet the criteria for mandatory hospitalization, we can try to communicate with the outpatient physician at the treating hospital to inform th...[Read More] Managing a Relapse: Coping with a Mother's Schizophrenia Crisis
Understanding Sleep Disturbances: Causes and Concerns for Students
Sleep issues Hello Doctor, I am a fourth-year student preparing for the national exam. Recently, my roommate told me that often after I fall asleep, they hear me call out, sometimes in a loud voice, sometimes just a soft "uh," and I even roll around in bed. However, whe...
Dr. Qiu Junda reply Psychiatry
Hello. The sleep issues described in the text do not initially appear to have significant pathological problems. They may be a reaction occurring in a state of semi-consciousness. These sleep problems could also be related to stress. However, it seems they are not having a major ...[Read More] Understanding Sleep Disturbances: Causes and Concerns for Students
Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and after stopping, I have been experiencing insomnia for more than nine months. I can fall asleep quickly, but I wake up after...
Dr. Qiu Junda reply Psychiatry
Hello. It is true that the use of benzodiazepines (BZD) can lead to dependence, resulting in insomnia after discontinuation. The duration for recovery varies from person to person and depends on the specific medication. However, the medication you are currently using, Silenor (do...[Read More] Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Understanding Sleep Disorders and Memory Issues: When to Seek Help
Sleep and memory issues? I have several questions and I'm not sure which specialty to consult, so I'll start with the memory issues. Since high school, I have noticed a significant decline in my memory. I struggle to remember vocabulary and texts, and I often forget wha...
Dr. Qiu Junda reply Psychiatry
Hello. The issues of sleep and memory described in the text require further evaluation to determine the underlying causes and whether medical intervention is necessary. It is recommended to consult a mental health clinic for assessment. Thank you.[Read More] Understanding Sleep Disorders and Memory Issues: When to Seek Help
Understanding Self-Harm in Relationships: Addressing Communication Issues
My fiancé slaps himself when we argue? He is usually not very expressive and often gives simple answers when I ask him questions. He can accompany me for an entire evening without saying a word, just being there beside me. I already knew that he has a more reserved and taciturn p...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that your fiancé is exhibiting inappropriate emotional regulation (EQ management) responses. Engaging in harmful behaviors such as slapping and throwing his helmet during conflicts are unhealthy ways to express emotions. It is indeed important to communicate effec...[Read More] Understanding Self-Harm in Relationships: Addressing Communication Issues
Understanding Alprazolam: Sleep Aid or Stomach Risk?
Medication Administration and Its Effects (1) Alprazolam, marketed under the brand name Xanax, is primarily an anxiolytic medication that belongs to the benzodiazepine class. While it can have sedative effects and may help with sleep in some cases, it is not specifically classifi...
Dr. Qiu Junda reply Psychiatry
Hello: 1. Jing An Ning is an anxiolytic that also has sedative effects. It primarily helps with sleep by alleviating anxiety, thus relaxing both the mind and body. 2. This medication can be taken on an empty stomach before bedtime without causing stomach irritation. Thank you.[Read More] Understanding Alprazolam: Sleep Aid or Stomach Risk?
Understanding Medication Side Effects: Salivation Issues with Rivotril and Others
Drug side effects Hello Dr. Chiu, I would like to inquire about a medication issue. My mother is taking Rivotril (clonazepam) 2mg and receiving intramuscular injections of Vistacon (bromocriptine). She is experiencing excessive salivation. Could this be a side effect of the medic...
Dr. Qiu Junda reply Psychiatry
Hello. The Vistaton injection may still have extrapyramidal symptoms. Patients receiving Vistaton may experience tremors, rigidity, and drooling, among other symptoms. If you are referring to excessive salivation, it could be considered a side effect of the medication. It is impo...[Read More] Understanding Medication Side Effects: Salivation Issues with Rivotril and Others
Understanding Fear of Darkness and Shaking Hands: A Psychiatric Perspective
Fear of darkness and hand tremors? Today, there was a sudden power outage, and my first instinct was to leave the dark place. I immediately rushed outside, not caring about what I bumped into along the way. My heart started racing, and it only returned to normal once the power wa...
Dr. Qiu Junda reply Psychiatry
Hello. Although your reaction is more intense, it is still within the normal range. In the future, when you encounter similar situations, try taking a few slow, deep breaths after feeling tense; this should help. Please consider this suggestion.[Read More] Understanding Fear of Darkness and Shaking Hands: A Psychiatric Perspective
Understanding Unexplained Physical Symptoms: A Psychiatric Perspective
Feeling unwell? Hello, doctor. Recently, I have been experiencing various physical issues and feel that something is off with my body, but I can't pinpoint exactly what the problem is. Besides having gastroesophageal reflux disease, I also frequently experience dry mouth (wh...
Dr. Qiu Junda reply Psychiatry
Hello. At first glance, it seems to be primarily psychological. I'm not sure if you have been under significant stress recently that could be contributing to these issues. Psychological factors can affect the body and lead to physical symptoms. I recommend that you take the ...[Read More] Understanding Unexplained Physical Symptoms: A Psychiatric Perspective
Managing Anxiety: Can You Combine Medications with Supplements Safely?
About Anxiety Disorders Hello Doctor, I would like to ask a question. I am currently taking medication for anxiety, specifically Xanax 0.25 mg and Entact 10 mg. Can I take these two medications together with B vitamins or fish oil? Additionally, while these medications seem to be...
Dr. Qiu Junda reply Psychiatry
Hello: 1. It can be taken together with B vitamins or fish oil. 2. These two medications can be used multiple times a day depending on the condition, so they can be taken in the morning and evening. However, it is important to discuss and evaluate the appropriate dosage with your...[Read More] Managing Anxiety: Can You Combine Medications with Supplements Safely?