How Long Will It Take to Restore Normal Sleep After Medication?
How much longer will it take to return to normal? Hello, doctor. I would like to inquire about my medication issue. I have been experiencing stomach pain due to autonomic nervous system dysfunction. I was prescribed Lorazepam (0.5 mg) at bedtime for over three months, and I had n...
Dr. Qiu Junda reply Psychiatry
Hello. Insomnia can sometimes be a symptom of autonomic nervous system dysregulation. Your situation is unlikely to be due to what you refer to as "brain damage from medication." Please do not worry excessively. The medication you are currently taking, Mirtazapine, is t...[Read More] How Long Will It Take to Restore Normal Sleep After Medication?
Understanding Personal Struggles: Navigating Mental Health Challenges
Personal health issues? Hello, doctor. Allow me to remind you that the following record is a bit disorganized; my thoughts are fragmented, and there may be some unclear points. When I was in elementary school, I felt particularly depressed and thought I had depression. Now that I...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions and self-harming behaviors. I hope you can cherish yourself, as your questions seem to indicate a desire for better mental and physical health. It appears that you are also confused about self-identity. I recommend that you cons...[Read More] Understanding Personal Struggles: Navigating Mental Health Challenges
Understanding Sleep Disorders: When to Seek Psychiatric Help
Sleep issues I've been having trouble falling asleep for the past week or two, taking about an hour to get comfortable before I can sleep. Once I do fall asleep, I wake up around 4 AM and can't go back to sleep. I have sleep apnea and I'm already using a CPAP machi...
Dr. Qiu Junda reply Psychiatry
Hello. Since you are using a machine to treat sleep apnea, it is recommended that you return to your original physician for sleep apnea to seek improvements. If the doctor believes that your recent issues may be related to other factors (such as psychological stress, etc.), they ...[Read More] Understanding Sleep Disorders: When to Seek Psychiatric Help
Should I Seek Help? Understanding Emotional Distress and Its Symptoms
Unsure whether to seek medical attention? Hello, doctor. When I feel emotionally low, I experience a sensation as if my neck is being constricted by a rope, or I have a feeling of depersonalization (my neck feels cold). I'm not sure if this is a symptom of any condition. Thi...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals occasional disturbances caused by negative emotions. Regardless of whether it aligns with the symptoms of depression or anxiety disorders, improving your mental and physical health is the most important thing. It is recommended that you take the time to co...[Read More] Should I Seek Help? Understanding Emotional Distress and Its Symptoms
Transitioning from Sleep Meds to Herbal Remedies: A Guide
Sleep issues It is recommended to gradually reduce the dosage of the 7.5 mg sleep aid tablet. Thank you. Can the 7.5 mg sleep aid tablet be discontinued in favor of traditional Chinese medicine?
Dr. Qiu Junda reply Psychiatry
Hello. It is possible to improve sleep with traditional Chinese medicine after discontinuing the health sleep film-coated tablets. However, it is still necessary to consult a traditional Chinese medicine practitioner for a proper diagnosis and prescription. Please follow the phys...[Read More] Transitioning from Sleep Meds to Herbal Remedies: A Guide
Can I Stop Sleeping Pills After Just Three Days of Use?
I really want to sleep? I have been taking 7.5 mg of a sleep aid, half a tablet for two days, and I slept well. On the third day, I took half a tablet and couldn't sleep at all. Can I stop taking the sleep medication after just three days of taking one and a half tablets? Th...
Dr. Qiu Junda reply Psychiatry
Hello: Although the sleep aid film-coated tablets may have the potential for addiction, theoretically, it should be possible to stop using them after a short-term use of three days. A better approach would be to taper off gradually (for example, if you were taking half a tablet, ...[Read More] Can I Stop Sleeping Pills After Just Three Days of Use?
Understanding Dissociative Identity Disorder: Can Your Partner's Past Shape His Present?
Dissociative Identity Disorder (DID) My boyfriend says he doesn't remember much about his life before the age of 11. Friends describe him as having a bad temper, being dangerous, disobedient, manipulative, and violent. After turning 11, he had a teacher who cared for him and...
Dr. Qiu Junda reply Psychiatry
Hello: Dissociative Identity Disorder is a more complex issue that requires a professional and detailed assessment. Sometimes, what we commonly refer to as having a "split personality" may not necessarily align with the psychiatric diagnosis of Dissociative Identity Dis...[Read More] Understanding Dissociative Identity Disorder: Can Your Partner's Past Shape His Present?
Understanding Autonomic Nervous System Dysregulation vs Anxiety Disorders
Autonomic Nervous System or Anxiety I find myself experiencing random thoughts and feelings of discomfort in my stomach whenever I come across news about funerals or related topics on my phone. I also feel tightness in the back of my neck and dizziness, accompanied by a sense of ...
Dr. Qiu Junda reply Psychiatry
Hello. Autonomic nervous system dysfunction and anxiety disorders are similar diagnostic terms and do not require a significant distinction. The situation you described could indeed be related to these issues (autonomic nervous system dysfunction or anxiety disorder). It would be...[Read More] Understanding Autonomic Nervous System Dysregulation vs Anxiety Disorders
Am I Suffering from Dissociative Identity Disorder and PTSD?
Is it possible to have dissociative identity disorder and PTSD? Event 1: I remember when I was very young, I went to the creek to have a barbecue. I went down to play in the water by myself and ended up drowning. The current was too strong for me to swim back up, and I forgot wha...
Dr. Qiu Junda reply Psychiatry
Hello. Your letter reveals a long-standing expression of negative emotions since childhood, which may be related to the impact of your parents and family life events. However, there is no need to rush into a diagnosis for yourself. It seems that you have been trying to adjust thr...[Read More] Am I Suffering from Dissociative Identity Disorder and PTSD?
Managing Anxiety-Induced Insomnia: Medication Consultation and Alternatives
Sleep issues and medication consultation? Hello Doctor, due to anxiety and insomnia, I experienced weight loss in December. After seeing a doctor, I was prescribed Alprazolam 0.5mg (to be taken once at bedtime), and I have been taking it for over a month and a half now. My weight...
Dr. Qiu Junda reply Psychiatry
Hello. Alprazolam and SSRIs are different classes of medications. SSRIs are theoretically less addictive, but it is uncertain whether they can help with your sleep. Alprazolam, like other sedative-hypnotics, has the potential for addiction. It is not possible to immediately deter...[Read More] Managing Anxiety-Induced Insomnia: Medication Consultation and Alternatives
Do I Really Need Hospitalization for My Mental Health Issues?
Is hospitalization necessary? Will a follow-up appointment be needed? Hello, doctor. I am reaching out because I have been in a lot of pain lately. I previously had depression and was hospitalized due to a suicide attempt, but shortly after being discharged, I stopped taking my m...
Dr. Qiu Junda reply Psychiatry
Hello. The diagnosis of depression or bipolar disorder requires long-term assessment and cannot be addressed here. The physician's recommendation for hospitalization is likely a suggestion. You have the right to make choices. However, your condition should be monitored throu...[Read More] Do I Really Need Hospitalization for My Mental Health Issues?
Am I Gay? Understanding Sexual Attraction and Identity at 21
Is my behavior homosexual? I am 21 years old and have been questioning my sexual orientation for some time. I find myself attracted to the bodies of men, specifically those who are muscular and fit. Sometimes looking at them makes me aroused, but other times it doesn’t. Occasiona...
Dr. Qiu Junda reply Psychiatry
Hello. Issues related to gender identity are quite complex and require professional assessment and diagnosis. The information provided in your message is insufficient for confirmation. I recommend that you take the time to visit a mental health clinic for evaluation and consultat...[Read More] Am I Gay? Understanding Sexual Attraction and Identity at 21
Navigating the Turbulent Waters of Mental Illness in the Family
Intermittent illness? I would like to hear the doctor's advice, thank you! A family member has been diagnosed with a mental illness but has never sought medical attention personally; an elder consulted privately. His condition fluctuates between normalcy and sudden episodes....
Dr. Qiu Junda reply Psychiatry
Hello. The focus for family members with mental health issues is primarily on encouraging medical care, and for now, it is best to let the elders make the judgment. Regarding the difficulties you mentioned in your interactions with family and the part where you stated, "I al...[Read More] Navigating the Turbulent Waters of Mental Illness in the Family
Overcoming Anxiety: Understanding Health Fears and Seeking Help
Excessive anxiety Hello doctor, I am 20 years old. In August 2020, I sought medical attention due to breast discharge, and since then, I have been worried about whether I have breast cancer or other types of cancer. The blood test results indicated elevated prolactin levels, but ...
Dr. Qiu Junda reply Psychiatry
Hello. Your situation is similar to the subject of your question: excessive anxiety that has affected your daily life. Picking at your toes may also be related to a similar condition. There are effective treatment options available for anxiety symptoms today. I recommend that you...[Read More] Overcoming Anxiety: Understanding Health Fears and Seeking Help
Understanding Self-Harm: Headaches and Mental Health Consultation
Consultation for headaches and other symptoms resulting from long-term self-harm? When I encounter unpleasant situations, I tend to strike a specific area of my head forcefully with my finger joints, which occasionally causes pain in that area. This symptom has persisted since hi...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described in the text may be a way of expressing emotions, but this is not a healthy pattern and may even involve self-harming behaviors. It is recommended that you search for information on emotional intelligence (EQ) management or stress coping strategies. Y...[Read More] Understanding Self-Harm: Headaches and Mental Health Consultation
Understanding Emotional Instability: Is It Just Adolescence or Something More?
Emotional instability Hello, doctor. I am currently in the second year of junior high school and I have issues with emotional instability. I often cry for no apparent reason. Sometimes, when my emotions suddenly surge or when I encounter certain situations, I feel very irritable ...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals negative emotions and self-harming thoughts. I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health. Regardless of whether this is a rebellious phase or emotional issues, I recommend that you consult...[Read More] Understanding Emotional Instability: Is It Just Adolescence or Something More?
Understanding Stress: A Young Adult's Mental Health Journey
Too much stress...? Hello, doctor. I am a vocational student about to take the standardized test. Recently, I went to see a physician due to severe rectal bleeding and hair loss. I was initially worried it might be cancer, but once I entered the consultation room, the doctor said...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described in the text are likely adverse reactions to stress. Throughout life, it is inevitable to encounter stress. However, we hope it does not lead to physical or mental distress. I suggest you search for information on stress management. You can learn some...[Read More] Understanding Stress: A Young Adult's Mental Health Journey
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda reply Psychiatry
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Understanding Serotonin Syndrome Risks with Multiple Medications
Three months of sleeplessness with complete inability to sleep indicates severe insomnia? Psychiatry before bed: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, ALPRAZOLAM 0...
Dr. Qiu Junda reply Psychiatry
Hello. As long as you follow the prescribed usage and dosage, it should not lead to serotonin syndrome, unless you increase the dosage on your own. Thank you.[Read More] Understanding Serotonin Syndrome Risks with Multiple Medications
Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Inability to focus the eyes, obsessive-compulsive disorder (OCD)? Recently, I have been preparing for a retake and have been experiencing a symptom that I want to ask about. The symptom is difficulty concentrating, inability to focus my eyes, and a lack of concentration (my field...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described in the text may also be a response to stress (such as from retaking exams). Prolonged excessive stress can indeed cause harm. What you mentioned about the brain being unable to handle it, leading to these symptoms, generally refers to issues related ...[Read More] Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery