Understanding Drug Interactions: Bupropion, Zolpidem, and Birth Control
Drug interactions Is it safe to take the antidepressant Bupropion in the morning, along with the sleep aid Zolpidem and the contraceptive pill Yaz at night? My overall condition has improved, but could there be any drug interactions that might affect the contraceptive effectivene...
Dr. Qiu Junda reply Psychiatry
Hello. These medications should not affect the contraceptive effectiveness of the birth control pill Yaz. You may also consult the obstetrician-gynecologist who prescribed Yaz for you. The doctor will be happy to answer your questions. Thank you.[Read More] Understanding Drug Interactions: Bupropion, Zolpidem, and Birth Control
Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: - Leeyo (Escitalopram) 10 mg * 2 tablets - Zolpidem 10 mg * 2 tablets - Flunitrazepam ...
Dr. Qiu Junda reply Psychiatry
Hello. 1. After stopping the medication, you should be able to resume taking doxepin without any conflicts. 2. 3. 4: Similar questions have been answered previously. Your attending physician (including those from other specialties) will adjust your medication based on your condit...[Read More] Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Recent Medication Adjustments in Psychiatry and Dermatology: A Patient's Journey
Recently, I visited a psychiatrist and had my medication regimen adjusted? Recently, I consulted with both a psychiatrist and a dermatologist, and my medications have been adjusted. I would like to thank the doctors. Psychiatry: - At bedtime: - Leeyo (Escitalopram) 10 mg, 2 ...
Dr. Qiu Junda reply Psychiatry
Hello. These psychiatric prescriptions are still within the normal acceptable range. They should be adjustments made by your attending physician based on your condition. We hope you can cooperate with the treatment. If you have any concerns, you can also discuss them with your ph...[Read More] Recent Medication Adjustments in Psychiatry and Dermatology: A Patient's Journey
Understanding Anxiety and Physical Symptoms in Teenagers
Anxiety and physical discomfort? Hello Doctor, I am a high school student and I tend to worry a lot. Whenever I experience any symptoms, I immediately search online, and what I find is often related to cancer or other serious illnesses, which frightens me. Recently, during finals...
Dr. Qiu Junda reply Psychiatry
Hello. The correspondence indicates feelings of anxiety and tension, which indeed suggest the possibility of autonomic nervous system dysfunction. Autonomic nervous system dysfunction is similar to anxiety disorders. Elevated blood pressure is also related to this (though it does...[Read More] Understanding Anxiety and Physical Symptoms in Teenagers
Do I Have Depression? Understanding Symptoms and Seeking Help
Is there depression? Doctor, my question is a bit long. I want to ask if I might have depression! I'm afraid that if I see a doctor and find out I don't have depression, it will be very awkward! Here are my symptoms: I have been taking depression screening scales for th...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions and self-harming behavior. I hope you can cherish yourself, as your questions indicate a desire for better mental and physical health. I recommend that you consult a mental health specialist (what you refer to as a psychological...[Read More] Do I Have Depression? Understanding Symptoms and Seeking Help
Understanding Drug Interactions: Leeyo and Doxepin in Psychiatric Care
Leeyo and doxepin? Psychiatry: At bedtime, Leeyo (ESCITALOPRAM) 10mg*1 tablet, Eurodin 2mg*2 tablets, Zolpidem 10mg*2 tablets. Dermatology: At dinner, Doxepin 25mg*2 tablets; at bedtime, Doxepin 25mg*2 tablets; Lyrica 75mg*2 tablets (for severe pruritus). Metabolism: Metformi...
Dr. Qiu Junda reply Psychiatry
Hello. The psychiatric and dermatological medications you are using (Leeyo and doxepin) raise concerns about co-administration primarily due to both having sedative effects. Combining them may lead to excessive sedation and drowsiness, especially since you are also using medicati...[Read More] Understanding Drug Interactions: Leeyo and Doxepin in Psychiatric Care
Understanding Insomnia and the Risks of Lendormin Use
Insomnia and Sleeping Pills I'm sorry, doctor, I would like to ask you some questions. I previously visited a doctor and was diagnosed with autonomic nervous system dysfunction. During this time, I feel that I don't have any particular stress, and I exercise regularly, ...
Dr. Qiu Junda reply Psychiatry
Hello. There are many causes of insomnia, and stress is one of the common reasons. However, sleep issues can also occur without any specific stress. Most sedative-hypnotic medications have the potential for addiction, and Lendormin 0.25 mg is no exception. Nevertheless, if treatm...[Read More] Understanding Insomnia and the Risks of Lendormin Use
Understanding Persistent Head Heaviness and Numbness: A Psychiatric Perspective
My head feels numb and heavy? Since April of last year, I have been experiencing a heavy and numb sensation in my head. I have consulted both a neurologist and an orthopedic specialist, and MRI scans of my head and neck showed no abnormalities. Currently, I experience heavy numbn...
Dr. Qiu Junda reply Psychiatry
Hello. If you have already consulted with neurology and orthopedics to rule out any physical issues, it may be related to your autonomic nervous system dysfunction. Symptoms such as a heavy or tingling head can also be indicative of autonomic nervous system dysfunction. It is rec...[Read More] Understanding Persistent Head Heaviness and Numbness: A Psychiatric Perspective
Understanding Self-Harm: Seeking Help Beyond Hidden Pain
Even though I'm not feeling very sad, I still want to self-harm? I used to self-harm when I wanted to punish myself or when I felt complicated and depressed, but recently I've been wanting to self-harm more and more, even though I'm not particularly sad. Maybe I ju...
Dr. Qiu Junda reply Psychiatry
Hello. Although the text states (that you are not very sad), it is filled with negative emotions and includes self-harming behaviors. I hope you can cherish yourself. Just as you are asking questions, it is likely that you wish to improve your mental and physical well-being. I re...[Read More] Understanding Self-Harm: Seeking Help Beyond Hidden Pain
Understanding Sleep Disturbances During Fever: Is It a Psychological Issue?
Sleep issues When I have a fever, I find myself waking up in the middle of sleep, but my eyes are closed. During this time, I experience a very frightening "sensation." I am awake, and there are no images, so it is not a dream. This sensation comes in a somewhat intermi...
Dr. Qiu Junda reply Psychiatry
Hello. The text indicates that sleep issues are related to fever. If sleep quality is generally good in the absence of fever, there is no need to overly worry about the possibility of a psychological disorder. Of course, it can be beneficial to consult a healthcare facility when ...[Read More] Understanding Sleep Disturbances During Fever: Is It a Psychological Issue?
Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Medication issues Hello doctor, I have been experiencing insomnia recently and visited a psychiatrist. I also have symptoms of chest tightness and anxiety. The doctor prescribed me propranolol 10mg, aripiprazole 5mg, fluoxetine 20mg, rivopam 2mg, mocalm, and zolpidem 10mg. Is it ...
Dr. Qiu Junda reply Psychiatry
Hello. These are all psychiatric medications. Since you have already consulted with a psychiatrist, the doctor should be treating your condition. I hope you can cooperate with the treatment. If you have any concerns after starting the medication (such as side effects, effectivene...[Read More] Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Understanding Intrusive Thoughts and Sleep Issues: A Mental Health Guide
I think I am sick? Hello doctor, I have been troubled by this issue for a long time. I often find myself repeatedly thinking about past events, and it happens frequently. For example, after I go out and come back, I keep wondering, "Why did I ride my bike like that?" I ...
Dr. Qiu Junda reply Psychiatry
Hello. Based on the initial review of your message, it seems that the severity of the condition may not reach a clinical level. It could be related to personality traits. I wonder if you often experience tension or anxiety, or if you tend to pursue perfection. If this is causing ...[Read More] Understanding Intrusive Thoughts and Sleep Issues: A Mental Health Guide
Understanding My Inner Struggles: Seeking Help for Emotional Turmoil
This version of myself? Hello doctor, I am currently 22 years old. I was doing well and was very cheerful until the third grade of elementary school. However, since the fourth grade, my mother confessed to me that the father listed on my ID card is not my biological father, but s...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals long-term negative emotions and self-harming behaviors. I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health. The family issues you mentioned are indeed significant factors affecting your mental an...[Read More] Understanding My Inner Struggles: Seeking Help for Emotional Turmoil
Understanding Sleep Disorders: Do Dreams Affect Rest and Aging?
Sleep issues Hello, Doctor: I have sleep disorders, so I need to take half a sleeping pill before bed in order to sleep. I go to bed at 8 PM and wake up at 5 AM the next day, but I usually wake up 2 to 3 times during the night. After waking up, it takes me more than half an hour ...
Dr. Qiu Junda reply Psychiatry
Hello: To briefly answer your questions. 1: Six hours of sleep should be sufficient for your age. 2: We all dream every day, but we still experience sleep that allows the brain to rest. 3: Please do not worry; this is not related to dementia. Worrying about it may actually worsen...[Read More] Understanding Sleep Disorders: Do Dreams Affect Rest and Aging?
Is It Schizophrenia? Understanding Paranoia and Its Symptoms
Is it schizophrenia? Hello, Dr. Chiu. My sister's neighbor (female) has been verbally abusing my sister and her family with insulting and vulgar language for over ten years! Often, this harassment can last continuously for 10 to 20 minutes (most of the time, we can't re...
Dr. Qiu Junda reply Psychiatry
Hello. The information provided in the letter is limited, making it impossible to assess whether the case is that of a patient with schizophrenia (now referred to as schizophrenia spectrum disorder). Thank you.[Read More] Is It Schizophrenia? Understanding Paranoia and Its Symptoms
Impact of Video Game Addiction on Mental Health and Cognition
Addiction to video games can lead to physical and mental health issues? Is it true that video game addiction can affect cognition or have other impacts? I've heard it has been classified as a mental disorder, especially since people spend several hours online every day. Cogn...
Dr. Qiu Junda reply Psychiatry
Hello. The addiction to video games or the internet is an increasingly pressing issue that indeed affects cognitive and emotional management as well as work and academic performance. Regardless of whether it qualifies as a mental disorder, I recommend engaging in general leisure ...[Read More] Impact of Video Game Addiction on Mental Health and Cognition
How to Obtain a Medical Certificate for Aquaphobia Exemption
Application for Hydrophobia Certification Hello, Dr. Chiu. I am currently a senior in college, and swimming is a required course at my school. However, I nearly drowned when I was younger, and since then, I have developed a fear of water. Whenever I get into the water, my heart s...
Dr. Qiu Junda reply Psychiatry
Hello. If such an incident and reaction occur, you can visit a mental health clinic for evaluation. If you need documentation, the physician should be able to assist you in providing it.[Read More] How to Obtain a Medical Certificate for Aquaphobia Exemption
Managing Side Effects of Depakote: Seeking Solutions for Better Health
Side effects of Depakote? Hello, doctor. After continuously taking the medication Depakote, I have been experiencing many side effects, such as easy bruising and bleeding from minor bumps, intermittent hand tremors, a strong urge to sleep right after taking the medication (making...
Dr. Qiu Junda reply Psychiatry
Hello. Since side effects have occurred and caused significant distress, the physician should assist in the process of discontinuing or switching medications. You can further communicate with the physician. Additionally, you may request the physician to order tests related to the...[Read More] Managing Side Effects of Depakote: Seeking Solutions for Better Health
Am I Just Overthinking? Understanding Mental Health Concerns
Is this a disease? I tend to overthink a lot; I constantly worry about whether I've done or said something wrong in every little thing. I care deeply about everything. Although I usually love to laugh, I feel exhausted, as if I'm forcing myself to smile to meet some exp...
Dr. Qiu Junda reply Psychiatry
Hello. The situation described in the text reveals negative emotions. It is initially considered to be within the normal range, but it has caused distress. Efforts should be made to improve this. I suggest you search for information on emotional management (EQ) to learn some meth...[Read More] Am I Just Overthinking? Understanding Mental Health Concerns
Understanding Dissociative Identity Disorder and Hypnosis in Mental Health
Dissociative Identity Disorder, Hypnosis, Others I have memories of certain things, but it feels like they don't belong to me; they seem more like someone else's memories. I exist within a world that has different phases: the original system, the temporary system, the n...
Dr. Qiu Junda reply Psychiatry
Hello. I apologize for any terminology in the message that may be unclear. I am unable to address your questions. I recommend that you visit a nearby mental health clinic or psychiatric institution for a face-to-face consultation, which would be more beneficial. Thank you.[Read More] Understanding Dissociative Identity Disorder and Hypnosis in Mental Health