Understanding Stilnox Use: Addiction and Tolerance in Sleep Disorders
Use of Sitagliptin Is it common for individuals using Stilnox (zolpidem) to develop drug dependence and tolerance, leading to the need for increasing doses to achieve sleep? What percentage of the overall users does this represent? Thank you.
Dr. Qiu Junda reply Psychiatry
Hello. Stilnox (zolpidem) does have the potential for drug dependence and increased drug tolerance. However, I apologize that I couldn't find strong statistics regarding the rates. This is also related to the patient's medication habits and surrounding environmental fac...[Read More] Understanding Stilnox Use: Addiction and Tolerance in Sleep Disorders
Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Use of sleeping pills 1. The article states that medications containing Zolpidem, Zopiclone, or Zaleplon may indicate underlying issues if increasing doses are needed to achieve sleep. The most common underlying condition is depression, while physiological issues often include fo...
Dr. Qiu Junda reply Psychiatry
Hello. It is true that sleeping pills can lead to addiction and drug tolerance, resulting in the need for increasing doses to achieve sleep. However, not everyone experiences this, and it is not limited to individuals with specific body types. Importantly, as you mentioned, (coll...[Read More] Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Understanding Touch Aversion: Is It Linked to Severe Depression?
Dislike being touched by others? I do not like to be touched by anyone, whether it's my boyfriend, male friends, or female friends. I feel very uncomfortable whenever they touch me. I also dislike exposing my skin; even in hot weather, I wear long sleeves and long pants. Thi...
Dr. Qiu Junda reply Psychiatry
Hello. The situation described in the text requires more information for assessment and judgment. It is also important to consider whether there is a history of major depressive disorder, as it can lead to negative thought patterns. For instance, feeling aversion towards intimate...[Read More] Understanding Touch Aversion: Is It Linked to Severe Depression?
Understanding Concentration Issues and Stress in Mental Health
Attention Deficit and Stress Issues Hello, doctor. I am a university student currently interning and I have two questions I would like to ask. Due to being bullied by someone I thought was a friend when I was younger, I have developed a strong aversion to school. Just seeing my c...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals a long-term expression of negative emotions. Unpleasant experiences from early years (such as being bullied) and current life stressors may be significant factors. It seems that this has also led to a lack of trust in others and a lack of self-confidence (...[Read More] Understanding Concentration Issues and Stress in Mental Health
Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Erectile dysfunction, ejaculation difficulties? I have been taking sleeping pills for a while, and I have noticed that erectile dysfunction and difficulty with ejaculation are becoming more pronounced. I would like to know which of these medications might be causing it: Anbaining...
Dr. Qiu Junda reply Psychiatry
Hello. Some psychiatric medications do indeed have side effects related to sexual function. The medication mentioned in your letter, such as escitalopram, may have such side effects (you can find this information through a quick Google search). However, issues with sexual functio...[Read More] Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Understanding My Mental Health: From Nail Biting to Dark Impulses
What illness do I have? Since I was young, I have had the habit of biting and picking at my nails. Now that I am 20 years old, the situation has become increasingly severe. Sometimes I pick until the nail tissue turns gray or bleeds, yet I cannot stop the urge to pick all my nail...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described in the text are likely adverse reactions to stress, causing significant distress both physically and mentally. Regardless of the specific illness (which still needs to be evaluated), I recommend that you first search for information on stress managem...[Read More] Understanding My Mental Health: From Nail Biting to Dark Impulses
Understanding Dissociative Identity Disorder: My Journey with Five Personalities
Dissociative Identity Disorder (DID) I have five personalities. The first one is my younger brother; he is very cute and childlike. The second one is Ayou; he has depression, hates himself, and often thinks about suicide. The third one is nameless; he is very perverse and can do ...
Dr. Qiu Junda reply Psychiatry
Hello. The diagnosis of dissociative identity disorder is relatively rigorous and complex in medicine. It may not be possible to make a definitive judgment based solely on the description provided in your letter. I recommend that you take the time to consult with a psychiatrist a...[Read More] Understanding Dissociative Identity Disorder: My Journey with Five Personalities
Understanding Unexplained Dizziness: Possible Causes and Solutions
Unexplained dizziness? I would like to ask the doctor, I have been experiencing dizziness for over two years. The symptoms include pain in my left side, a heavy feeling in the back of my head, dizziness that feels like I'm moving up and down in an elevator, occasional throbb...
Dr. Qiu Junda reply Psychiatry
Hello. The letter describes not only dizziness symptoms but also issues in multiple areas of the body. If many physical examinations have been conducted without finding significant problems, it is indeed necessary to consider whether it is caused by autonomic nervous system dysfu...[Read More] Understanding Unexplained Dizziness: Possible Causes and Solutions
Understanding Xanax XR: Managing Anxiety and Withdrawal Symptoms
Xanax XR (Alprazolam Extended Release) Recently, I haven't been feeling well, and with the stress of taking leave from work, I consulted a cardiologist. They performed an electrocardiogram and X-ray, which showed no issues, but my blood pressure was slightly elevated. After ...
Dr. Qiu Junda reply Psychiatry
Hello. Xanax has anxiolytic and sleep-inducing effects, and it is indeed possible to experience withdrawal symptoms. However, it is not accurate to say that one will never be able to sleep naturally again. If you wish to discontinue the medication, it is important to discuss a gr...[Read More] Understanding Xanax XR: Managing Anxiety and Withdrawal Symptoms
Do Energy Drinks Help with Focus During Long Exams?
Study for exams? Are energy drinks like Red Bull or Monster effective during exams or studying? If they are not effective, how can one maintain focus during a continuous 9-hour test?
Dr. Qiu Junda reply Psychiatry
The effects of energy drinks are not absolute; they may serve as an auxiliary role. As for methods to maintain focus while studying or taking exams, it is recommended to be well-prepared, maintain a regular daily routine, and keep a calm mindset (with appropriate relaxation to re...[Read More] Do Energy Drinks Help with Focus During Long Exams?
Understanding Behavioral Issues in Aging: A Guide for Families
Blame, criticism, self-centeredness, resentment, anxiety, stubbornness, closed-mindedness, withdrawal? Hello Dr. Chiu, I would like to inquire about my father's condition as I am quite worried that there may be pathological issues. I am concerned about whether we are interac...
Dr. Qiu Junda reply Psychiatry
Hello. Your father's condition may require further observation and evaluation for any pathological issues. Based on the problems described in your letter, I personally do not see any obvious abnormal manifestations. It is common for individuals of similar age and circumstanc...[Read More] Understanding Behavioral Issues in Aging: A Guide for Families
Understanding Intrusive Thoughts and Self-Harm in Mental Health
There may be suicidal thoughts or imagery in the mind? Whenever I encounter some stress and feel down, I start to feel worthless, and images of self-harm come to my mind, along with thoughts of suicide. Last year, I went through some significant events that made things very serio...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals negative emotional thoughts. I'm glad you can cherish yourself (just like you would tell yourself not to commit suicide). Regardless of whether it is depression or not, I suggest you consult a mental health professional. If that's not convenient,...[Read More] Understanding Intrusive Thoughts and Self-Harm in Mental Health
Understanding Mental Health: Navigating Feelings of Worthlessness and Despair
I'm not sure what's wrong? Hello Doctor: Since middle school, I have often imagined why someone like me, who feels incapable of anything, should continue to live. I constantly feel that I do not belong in this world and that I only cause trouble for others. As a result,...
Dr. Qiu Junda reply Psychiatry
Hello. The text expresses long-term negative emotional behaviors and the hope to cherish oneself. You have received treatment in the field of mental health (psychiatry). Please continue with your medical follow-ups and consult with your physician to discuss whether this is a pers...[Read More] Understanding Mental Health: Navigating Feelings of Worthlessness and Despair
Understanding Self-Harm: Navigating Emotional Turmoil and Trust Issues
Self-harm may occur during periods of emotional instability? Hello, Doctor. I have attempted suicide in sixth grade and seventh grade, and I have engaged in self-harm from time to time. However, these issues gradually improved when I entered high school. But there are two things ...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals that negative emotions often lead to self-harming behaviors. I hope you can cherish yourself. Just as you are asking questions, it is also a hope for your mental and physical well-being. I suggest you consult a mental health professional as soon as possibl...[Read More] Understanding Self-Harm: Navigating Emotional Turmoil and Trust Issues
Understanding Anxiety: Causes and Effective Coping Strategies
Is it anxiety? What are some ways to improve it? Sometimes, like just a few seconds before the bell rings during an exam, when I have to read aloud in front of others, or when I feel like someone is watching me do something, I become completely tense. When I'm tense, my body...
Dr. Qiu Junda reply Psychiatry
Hello. The situation described in the text seems to primarily relate to symptoms of anxiety and tension, possibly triggered by one's personality and reactions to stress. I recommend searching for information on overcoming anxiety or stress management techniques. Learning met...[Read More] Understanding Anxiety: Causes and Effective Coping Strategies
Managing Auditory Hallucinations: Coping Strategies and Therapy Options
Alteration of auditory hallucinations? Hello Dr. Chiu, I am 25 years old and have been experiencing auditory hallucinations since I was around 14. The content of the hallucinations is limited to the voices of people I know (family or close friends) calling my name from nearby, o...
Dr. Qiu Junda reply Psychiatry
Hello. Hallucinations are an important pathological symptom in the study of psychiatric symptoms. It would be advisable for you to seek evaluation and clarification at a psychosomatic medical facility. Please discuss with your physician whether treatment is necessary or if you pr...[Read More] Managing Auditory Hallucinations: Coping Strategies and Therapy Options
Understanding Dissociative Disorders: A Guide for Families in Crisis
Somatic Dissociation Disorder Doctor, my sister is 23 years old. She was deeply affected by the death of her friend who passed away due to illness. At that moment, she broke down and cried, feeling regret because her friend wanted to see her, but she couldn't go due to work ...
Dr. Qiu Junda reply Psychiatry
Hello. Your sister's condition is ongoing and she is receiving treatment from the psychiatry department. She should gradually improve. Please encourage her to attend regular follow-up appointments and cooperate with her physician's treatment plan, including non-pharmaco...[Read More] Understanding Dissociative Disorders: A Guide for Families in Crisis
Am I Sick? Understanding Anxiety and Pressure in the Workplace
Am I sick? I am a vocational student, and I feel anxious about going back to work. Previously, when I was working, I was scolded for being slow, so I developed a habit of arriving early to lift the covers (I was already accustomed to arriving early before my shift started). I tho...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described in the text are likely adverse reactions to stress. Do you tend to have a personality that is more prone to anxiety and tension? I suggest you search for information on stress management. You can learn some methods from it, such as talking to friends...[Read More] Am I Sick? Understanding Anxiety and Pressure in the Workplace
Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Panic disorder relapse issues? Hello Doctor, about two years ago, I experienced rapid heartbeat and difficulty breathing. After a check-up that showed everything was normal, I was referred to a psychiatrist and diagnosed with panic disorder. To be honest, I still don't fully...
Dr. Qiu Junda reply Psychiatry
Hello. The situation mentioned in the text mostly pertains to symptoms of panic and anxiety. Since you have already consulted a psychiatrist and have shown improvement, it is recommended that you continue your follow-up appointments. If you wish to discontinue treatment, please d...[Read More] Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Understanding Memory Loss and Mental Fog in Young Adults
Forgetfulness and absent-mindedness? Doctor, I am asking on behalf of my girlfriend. She is 23 years old and has recently been experiencing forgetfulness. For example, when she wakes up and sees me, her mind feels blank, and it takes her a while to remember who I am. The day befo...
Dr. Qiu Junda reply Psychiatry
Hello. The information provided makes it difficult to clearly assess your girlfriend's situation. However, it is indeed important to consider whether the psychiatric medication (side effects) you mentioned is related to her symptoms (such as forgetfulness and feeling spaced ...[Read More] Understanding Memory Loss and Mental Fog in Young Adults