Dr. Qiu Junda reply Psychiatry Question - Page 2

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Struggling with Mental Health: Seeking Answers and Finding Hope

Continuation of question #208680? I'm feeling like I can't hold on any longer! I just want to end all of this. I've been going crazy for four days without sleep, constantly searching for answers, unable to stop myself. It feels like these actions are the only value...


Dr. Qiu Junda reply Psychiatry
Hello. As mentioned before, insurance disputes are indeed outside the scope of a physician's professional expertise. You may need to consult a professional unit similar to a lawyer (such as a legal aid organization) for assistance. I hope you try to inquire about this. Pleas...

[Read More] Struggling with Mental Health: Seeking Answers and Finding Hope


Who to Consult for Accurate Mental Health Diagnosis?

Diagnosis of diseases? To determine which specific mental illness you may have that is recognized by law, you should seek a licensed mental health professional, such as a psychiatrist or a clinical psychologist. These professionals can conduct a thorough evaluation of your curren...


Dr. Qiu Junda reply Psychiatry
Hello. The key point of your question is not about which specific mental illness has legal recognition. The previous suggestion to seek assistance from legal professionals was based on the fact that insurance companies are more knowledgeable and professional regarding certain cla...

[Read More] Who to Consult for Accurate Mental Health Diagnosis?


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system dysfunction Last year, before undergoing laparoscopic surgery, I had a chest X-ray and an electrocardiogram, and the doctor did not mention any issues. However, in the past few months, I have occasionally experienced sudden back pain, dizziness, a feeling...


Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described may be related to autonomic nervous system dysfunction. However, a medical evaluation is necessary for a proper diagnosis. You may consider scheduling an appointment with a psychiatrist for an assessment to facilitate improvement.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Are My Mental Health Issues the Same Condition After 15 Years?

Do these two count as the same disease? In 2004, I sought treatment in the psychiatric department due to insomnia. At that time, I was using ecstasy and ketamine, but I didn't tell the doctor about it; I only mentioned my insomnia. My main goal was to obtain medication to he...


Dr. Qiu Junda reply Psychiatry
Hello. Insurance disputes are indeed outside the scope of a physician's professional expertise. You may need to consult a professional unit similar to a lawyer (such as a legal aid organization) for assistance. As for the distress caused by this issue, which may even lead to...

[Read More] Are My Mental Health Issues the Same Condition After 15 Years?


Managing Schizophrenia Medication Changes: Signs and Concerns

My family recently discussed with the doctor and switched the medication for schizophrenia treatment? Hello Doctor, I would like to consult you about the following situation: **Main Situation:** My sister, who is being treated for schizophrenia, has elevated prolactin levels. T...


Dr. Qiu Junda reply Psychiatry
Hello. Since you have just changed your medication, we can continue to observe the situation. The symptoms described do not initially appear to indicate an acute change. Additionally, with the long-acting injection to help stabilize your condition, there is no need to worry too m...

[Read More] Managing Schizophrenia Medication Changes: Signs and Concerns


Is 2mg Lorazepam Causing My Unsteady Walking?

Sedatives can cause unsteady gait? It is not uncommon to experience some degree of unsteadiness or dizziness after taking lorazepam, even at a dose of 2 mg. While this dosage is not considered very high, lorazepam is a benzodiazepine that can cause sedation and impair coordinatio...


Dr. Qiu Junda reply Psychiatry
Hello. This should be a side effect caused by the medication. Although 2 mg is not considered a high dose, it can still lead to this side effect. You might try reducing the dose by half to see if it improves.

[Read More] Is 2mg Lorazepam Causing My Unsteady Walking?


Can You Safely Combine Venlafaxine, Alprazolam, and Clonazepam?

Medication Consultation Hello, doctor. I am currently taking the following medications due to social anxiety: Venlafaxine 75 mg twice daily and Alprazolam 0.5 mg once daily before bed. A few days ago, I was prescribed Clonazepam 0.5 mg to take once daily before bed for tinnitus, ...


Dr. Qiu Junda reply Psychiatry
Hello. 1. If it helps with the symptoms, it is fine to take them together. 2. Stopping Rifampicin after one month of use may carry a higher risk (there could be withdrawal symptoms). It may be better to first reduce the dosage by half and then gradually discontinue the medication...

[Read More] Can You Safely Combine Venlafaxine, Alprazolam, and Clonazepam?


Can Panic Disorder Be Managed Without Medication?

Can panic disorder be managed without medication? Hello, doctor. I have been dealing with panic disorder for over a decade. I previously consulted a psychiatrist once but have never taken medication because I feel panic about taking drugs. I believe my condition does not currentl...


Dr. Qiu Junda reply Psychiatry
Hello. Since you feel that your current condition is not affecting your daily life and mood without medication, you can temporarily refrain from taking medication. If you can make adjustments, not taking medication should not lead to a worsening of your condition. Additionally, y...

[Read More] Can Panic Disorder Be Managed Without Medication?


Can I Take Heart Rhythm Medication with Eslizapine and Zanaflex?

Zanamivir and Oseltamivir I have only mild autonomic nervous system dysfunction. Can I take a half tablet of heart rhythm medication along with a half tablet of Ezetimibe 5 mg and a half tablet of Xanax 0.25 before bed?


Dr. Qiu Junda reply Psychiatry
Hello. This usage is acceptable. However, it is still important to have regular follow-up appointments to ensure that the condition remains stable.

[Read More] Can I Take Heart Rhythm Medication with Eslizapine and Zanaflex?


Understanding F349: Insights on Persistent Mood Disorders and Treatment Options

Diagnostic issues Hello, Doctor: After my consultation at a certain hospital's psychiatry department, the physician diagnosed me with F34.9, unspecified persistent mood disorder (persistent affective disorder). I would like to ask: (1) Does this mean I have depression? The d...


Dr. Qiu Junda reply Psychiatry
Hello. 1. F349 refers to unspecified persistent mood disorder, which is similar to depression. These conditions can be considered as issues related to negative emotions. The symptoms and overall treatment approach are similar, so there is no need to demand precise diagnostic term...

[Read More] Understanding F349: Insights on Persistent Mood Disorders and Treatment Options


Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide

Sudden mood swings, insomnia, chest tightness, feelings of wanting to cry, and binge eating? Hello, doctor. Recently, over the past two to three weeks, I've suddenly felt very strange. First, I've been experiencing inexplicable feelings of sadness. I initially thought t...


Dr. Qiu Junda reply Psychiatry
Hello. The described situation often involves negative physical and mental reactions. It may be helpful to clarify whether there has been any recent stress contributing to this. This way, you can address the stress or improve stress management (you can refer to educational resour...

[Read More] Understanding Sudden Mood Swings and Eating Disorders: A Mental Health Guide


Understanding Learning Disabilities: Seeking Help and Support in the Workplace

Learning disabilities Hello, Doctor. I have been diagnosed with a learning disability since middle school and hold a "learning disability certificate." Throughout middle school to university, the school's recommendation was to attend resource classes, and there was...


Dr. Qiu Junda reply Psychiatry
Hello. You can first consult with a psychiatrist for an evaluation. If necessary, the physician will also assist in arranging for an intelligence test.

[Read More] Understanding Learning Disabilities: Seeking Help and Support in the Workplace


Understanding Emotional Instability: Coping with Family Conflict and Trauma

Emotional instability? Hello, doctor. I am reaching out because I have experienced this situation many times. I have a younger brother in fifth grade, but he does not have these issues. My parents often argue, and it has become increasingly severe since I was in elementary school...


Dr. Qiu Junda reply Psychiatry
Hello. The described situation of unstable emotional control is a response to external stimuli (such as the father's behavior). While it may be somewhat intense, it can also be considered a form of emotional release. If you feel troubled by this reaction, you may seek evalua...

[Read More] Understanding Emotional Instability: Coping with Family Conflict and Trauma


Understanding Emotional Distraction: Is Daydreaming a Coping Mechanism?

When feeling sad, one may unconsciously zone out and quickly forget the things that made them sad? Hello, doctor. Since I was young, I have often found myself daydreaming and unable to concentrate, and my memory has always been poor, with little recollection of most things. Recen...


Dr. Qiu Junda reply Psychiatry
Hello. Your situation falls within the normal range of psychological responses. Some people experience similar situations. There's no need to worry.

[Read More] Understanding Emotional Distraction: Is Daydreaming a Coping Mechanism?


Long-Term Use of Medications for Autonomic Nervous System Disorders

Pharmacological Treatment for Autonomic Nervous System Dysregulation Hello, doctor. I have been suffering from autonomic nervous system dysregulation for three years. During my visits, the doctor prescribed me Xinjie (Mirtazapine), and I feel better when I stop taking it, but my ...


Dr. Qiu Junda reply Psychiatry
Hello. Xin Jie can be taken long-term. If you wish to discontinue it, you should discuss it with your physician first.

[Read More] Long-Term Use of Medications for Autonomic Nervous System Disorders


Understanding Social Anxiety: When to Seek Help for Your Symptoms

Social Anxiety Disorder I can engage in normal conversations, but I struggle to actively integrate into groups and feel resistant to participating in social activities. Descriptions of social anxiety found online, such as negative thoughts about myself and fear of making mistakes...


Dr. Qiu Junda reply Psychiatry
Hello. You can seek consultation in the Department of Psychiatry and Behavioral Science. With appropriate treatment, improvement is possible.

[Read More] Understanding Social Anxiety: When to Seek Help for Your Symptoms


Understanding Self-Harm in Middle School: A Mental Health Perspective

After entering junior high school, there is a tendency for self-harm? Hello Doctor, after entering junior high school, although the academic pressure has increased, my parents tell me, "Just don't make the same mistakes next time." However, I often overhear them ch...


Dr. Qiu Junda reply Psychiatry
Hello. Your situation has caused significant distress both physically and mentally. It is important to inform a trusted adult to assist you in seeking an appointment with a pediatric mental health specialist as soon as possible. During this time, if you experience feelings of sad...

[Read More] Understanding Self-Harm in Middle School: A Mental Health Perspective


Can I Switch from A Hospital to B Hospital for Mental Health Care?

Transfer issues Hello doctor, is it possible to switch to a closer hospital, Hospital B, for my medication (one month) during my treatment at Hospital A? (Hospital B is my first visit, and the reason for the switch is that I have graduated from the school near Hospital A and want...


Dr. Qiu Junda reply Psychiatry
Hello. Yes, this makes it convenient for the consultation.

[Read More] Can I Switch from A Hospital to B Hospital for Mental Health Care?


Overcoming Health Anxiety: Coping with Hypochondria and Self-Doubt

I have always suspected that I have a disease? Hello, doctor. I think I might have a tendency towards hypochondria. Previously, I experienced muscle twitching all over my body and felt weakness in my legs, which led me to suspect that I might be developing amyotrophic lateral scl...


Dr. Qiu Junda reply Psychiatry
Hello. The described situation mostly falls under the category of anxiety symptoms and has caused physical and mental distress. It is recommended to seek consultation at a psychosomatic medicine clinic. With proper treatment, improvement should be seen relatively quickly.

[Read More] Overcoming Health Anxiety: Coping with Hypochondria and Self-Doubt


Overcoming Mental Health Struggles: A Journey Towards Self-Discovery

I'm not sure what theme title to use? Hello, doctor. I apologize for reaching out late at night, but I am troubled and unable to sleep. I am a mental health patient with a handbook and a major card. Recently, due to various issues, I have been feeling quite disturbed! Additi...


Dr. Qiu Junda reply Psychiatry
Hello. You have a medical history. Please continue to attend regular follow-up appointments. If you have any psychological or emotional concerns, you can consult with your attending physician to discuss possible solutions for improvement.

[Read More] Overcoming Mental Health Struggles: A Journey Towards Self-Discovery


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