Struggling with Sleep: Understanding My Mental Health Challenges
I, who do not like to sleep? Hello Dr. Chiu, I recently realized that I am really unwell. It turns out that I haven't been sleeping properly for the past 20 years, and I feel so exhausted... Yesterday, my husband wanted to take me to a restaurant for barbecue, and I actually...
Dr. Qiu Junda reply Psychiatry
Hello: From your letter, it seems that you are experiencing some stress, which has led to negative emotional and physical reactions over the years, such as tension, irritability, and insomnia. I hope you can visit a nearby mental health clinic or medical facility as soon as possi...[Read More] Struggling with Sleep: Understanding My Mental Health Challenges
Understanding Emotional Issues: Signs of Mental Health Struggles
Emotional issues In the past two years, whenever I argue with others, I tend to yell, throw things, and sometimes even resort to physical violence. My concentration has significantly decreased, I feel increasingly lazy, I have little motivation for the future, I experience insomn...
Dr. Qiu Junda reply Psychiatry
Hello: I'm glad you brought up this issue, as it shows your motivation to improve yourself. Emotional regulation is indeed an important topic. If you've been experiencing such issues over the past two years, it might be helpful to identify any underlying sources of stre...[Read More] Understanding Emotional Issues: Signs of Mental Health Struggles
Understanding Your Father's Mental Health: Panic Disorder or Something Else?
Panic disorder!? Depression? Or something else? Hello Doctor: My father had a panic disorder ten years ago, which was treated successfully, but it has relapsed in the past two to three years. However, I am uncertain if he is experiencing panic disorder again, as he does not seem ...
Dr. Qiu Junda reply Psychiatry
Hello: Based on your letter, it seems that your father's symptoms cannot lead to an immediate diagnosis, but he may be experiencing psychological (emotional) distress. Since he is considering seeking medical help and has a history of overcoming panic disorder, it would be be...[Read More] Understanding Your Father's Mental Health: Panic Disorder or Something Else?
Understanding Anxiety and Social Fear: A College Student's Struggle
Anxiety, social phobia? Hello doctor, I am a college student. I have a few close friends in class, but I am not very comfortable interacting with others. Sometimes, when someone asks me a question, even though I can calmly respond, I feel extremely nervous every time. When a teac...
Dr. Qiu Junda reply Psychiatry
Hello: It seems that your pace of life is quite tense, and you have high expectations of yourself. While it may not reach the level of illness, it is indeed causing you distress. I suggest that you slow down and look for articles related to anxiety disorders, social phobia, and s...[Read More] Understanding Anxiety and Social Fear: A College Student's Struggle
Understanding Withdrawal Symptoms After Stopping Antidepressants
Discontinuation of Antidepressants Hello Doctor: Two weeks ago, I experienced symptoms related to health anxiety (palpitations, a desire to see a doctor for various health checks, and anxiety). After visiting a cardiologist, the doctor prescribed me a pink medication for palpitat...
Dr. Qiu Junda reply Psychiatry
Hello: It is true that abruptly discontinuing general anxiolytics after taking them for a period of time can lead to withdrawal symptoms. If the dosage is not high, these symptoms should gradually alleviate within a few days. However, if gastrointestinal symptoms persist after so...[Read More] Understanding Withdrawal Symptoms After Stopping Antidepressants
Understanding Obsession: When High Achievers Fall for Scams
Obsessed with being scammed? I have a relative, a highly educated male in his fifties, who has been targeted by an international scam group. He communicates with them in English all day and has even served six months in prison (I won't go into details). After his release, he...
Dr. Qiu Junda reply Psychiatry
Hello: Since the initial assessment indicates that there should be no concerns regarding mental disorders, this kind of paranoia may temporarily be considered a part of the individual's personality, which is indeed difficult to change. It is still recommended that you choose...[Read More] Understanding Obsession: When High Achievers Fall for Scams
Impact of Untreated Bipolar and Panic Disorders on Children's Growth
Bipolar disorder and panic disorder? Will a child with bipolar disorder and panic disorder who does not receive medical treatment affect their height in adulthood?
Dr. Qiu Junda reply Psychiatry
Hello: There are many factors that influence height, and there should be no significant correlation between psychiatric disorders and height development.[Read More] Impact of Untreated Bipolar and Panic Disorders on Children's Growth
Finding Long-Term Care Solutions for a Mother with Bipolar Disorder
The mother has a long history of depression and bipolar disorder? My mother has been emotionally unstable for as long as I can remember. When I was a child, I would accompany her to see doctors regularly and try to cheer her up. However, as I grew older, her condition worsened. M...
Dr. Qiu Junda reply Psychiatry
Hello: Since your mother has a medical history at Shin Kong Hospital, it is advisable to seek assistance from the hospital and discuss with the physician the most appropriate treatment for her condition. While involuntary hospitalization requires certain conditions, it is not ext...[Read More] Finding Long-Term Care Solutions for a Mother with Bipolar Disorder
Sudden Confusion in Seniors: Understanding Causes and When to Seek Help
Elderly individuals suddenly speaking nonsensically? Sudden nonsensical speech and poor mental status in an elderly person, especially with a history of hypertension and diabetes, could be indicative of several underlying issues. These may include a stroke, transient ischemic att...
Dr. Qiu Junda reply Psychiatry
Hello: Based on the content of your letter, if an elderly person has no significant history of mental illness and suddenly exhibits symptoms such as delirium or incoherence, the primary consideration should be whether this is due to unstable control of pre-existing medical condit...[Read More] Sudden Confusion in Seniors: Understanding Causes and When to Seek Help
Understanding Anxiety Symptoms: Chest Tightness, Dizziness, and Rapid Heartbeat
Chest tightness / dizziness / rapid heartbeat Recently, I've been experiencing frequent chest tightness, dizziness, and a rapid heartbeat. It feels like my head is pounding as well. I have been taking antidepressant medication, but last week, due to the cold front, I decided...
Dr. Qiu Junda reply Psychiatry
Hello: From your letter, it seems that these symptoms may be manifestations of emotional distress, possibly indicating anxiety or depression. Of course, the side effects of taking antidepressants could also contribute to feelings of discomfort. However, since you are already bein...[Read More] Understanding Anxiety Symptoms: Chest Tightness, Dizziness, and Rapid Heartbeat
Understanding Champix: Cost, Availability, and Health Considerations
The use of Jiebishi (戒必適) should be followed carefully I want to help my boyfriend quit smoking, as he smokes about a pack every 2-3 days. I found a lot of information online about smoking cessation medications, but most of it is from 3-4 years ago. I would like to know the curre...
Dr. Qiu Junda reply Smoking Cessation
Hello: 1. Since our hospital does not have this smoking cessation medication, I am not very familiar with the price of Champix (varenicline), but it should be cheaper at the hospital due to subsidies compared to outside pharmacies. 2. There are no specific restrictions regarding ...[Read More] Understanding Champix: Cost, Availability, and Health Considerations
Navigating Mental Health, Relationships, and Sexuality Challenges
Regarding career and gender issues? Hello, doctor. I haven't taken medication for my psychiatric condition (I have obsessive-compulsive disorder) for over a year. My mother insists that I should take it, but I absolutely refuse. I don't understand why I have such diffic...
Dr. Qiu Junda reply Psychiatry
Hello: Issues related to career and relationships can inevitably cause anxiety and distress, and it seems that this has been ongoing for some time. Here are a few suggestions: 1. Seek out friends with whom you can share your troubles (providing an outlet for emotional expression)...[Read More] Navigating Mental Health, Relationships, and Sexuality Challenges
Understanding Psychological Stress and Its Physical Manifestations
I have been feeling a lot of stress lately and really want to cry? Hello, doctor. For the past month, I have hardly left the house as I am taking care of my child who has scabies. I held the child for about an hour and a half without any protection. Although I have been on prophy...
Dr. Qiu Junda reply Psychiatry
Hello: It is understandable that scabies can be distressing, and your concerns about it are valid. However, modern medical treatments are quite effective. If a physician has confirmed that there is no infection or that it has been treated, you should feel reassured. If you still ...[Read More] Understanding Psychological Stress and Its Physical Manifestations
Am I Really Depressed? Understanding My Mental Health Struggles
Could you please clarify if I have any issues? Hello, doctor. I have doubts about whether I truly have depression, even though I have been diagnosed. Recently, I've started to question it. I don't want to face my work or my life; I find work painful, no matter what I do...
Dr. Qiu Junda reply Psychiatry
Hello: Regardless of whether it is depression, the situation described in the text is indeed filled with negative emotions and thoughts, which are causing you physical and mental distress. I hope you seek an appointment with a mental health professional as soon as possible to rec...[Read More] Am I Really Depressed? Understanding My Mental Health Struggles
Concerns About Escitalo F.C. 5mg: Addiction and Withdrawal Symptoms
The medication Escitalo F.C. 5mg is used for the treatment of depression and anxiety disorders? Hello, Doctor: I would like to ask if taking this medication, Escitalopram 5mg and Stapam 0.5mg, can lead to addiction? Are there withdrawal symptoms associated with it? My doctor did ...
Dr. Qiu Junda reply Psychiatry
Hello: This should involve two types of medications. Medication E is a low-dose antidepressant (which may indeed have side effects such as nausea and vomiting, but these are not guaranteed to occur). Medication S is an anxiolytic, and suddenly discontinuing long-term use at high ...[Read More] Concerns About Escitalo F.C. 5mg: Addiction and Withdrawal Symptoms
Managing Anxiety and Panic: Concerns for Heart Patients on Medications
Anxiety and panic can lead to excessive rumination? I am a cardiovascular disease patient and had five coronary stents placed between 2008 and 2013. Two years ago, I began experiencing anxiety and panic, especially when traveling abroad or going far from home; I feel safer at hom...
Dr. Qiu Junda reply Psychiatry
Hello: The medication mentioned in the text may be "Deanxit." If so, this drug is a combination medication that may be effective for treating anxiety, depending on whether it improves your condition after use. The side effects of the medication do not necessarily occur ...[Read More] Managing Anxiety and Panic: Concerns for Heart Patients on Medications
Managing Anxiety and Emotional Stress During Exam Preparation
Anxiety and the urge to cry? I am currently a senior in high school, preparing for the university entrance exam, but I have been feeling very anxious and distressed lately. I often find myself crying while studying at home, and I feel like I might have some sleep disturbances. I ...
Dr. Qiu Junda reply Psychiatry
Hello: It seems that your message may be related to the stress response associated with preparing for the academic proficiency test. I understand that you have high self-expectations, but I hope that this pressure does not lead to the development of psychosomatic symptoms. The se...[Read More] Managing Anxiety and Emotional Stress During Exam Preparation
Understanding Right Head Throbbing: Causes and Treatment Options
Right-sided head twitching? On July 26, 2015, I accidentally bumped my head against a wooden board while standing up, and since then, I occasionally experience sharp pain in my head. I have a history of thyroid autoimmune disease and am on medication for it. Previously, I would s...
Dr. Qiu Junda reply Psychiatry
Hello: I am not sure about the force of the impact at that time, and whether you sought medical attention immediately. Generally, a typical bruise should gradually heal. However, if you are experiencing persistent pain, I recommend visiting a hospital's orthopedic or neurolo...[Read More] Understanding Right Head Throbbing: Causes and Treatment Options
Struggling with Mental Health: A Caregiver's Plea for Help
I'm really tired? Hello Dr. Chiu, my husband is 79 years old and he is experiencing all the symptoms that fall within your area of expertise. He has daily outbursts and even becomes physically aggressive. I have a history of panic disorder, and I am struggling to work while ...
Dr. Qiu Junda reply Psychiatry
Hello: The patient's condition may require a period of treatment. Since you have already seen a psychiatrist, please do not give up and continue with the appointments. If you are concerned about the side effects of the medication, you can inform the doctor to adjust the medi...[Read More] Struggling with Mental Health: A Caregiver's Plea for Help
Navigating Mental Health Challenges: Seeking Help for a Loved One
Please request assistance with your question? Hello Dr. Chiu: My mother began experiencing depression after giving birth to my younger brother when I was in kindergarten. Later, she attempted suicide by jumping from a building. Although she was saved, she has faced numerous healt...
Dr. Qiu Junda reply Psychiatry
Hello: Thank you for your hard work. Caring for your mother is indeed not easy, but please do not be overly pessimistic. In your letter, it seems that your mother has been suffering from a long-term illness and has not been receiving regular treatment, which has led to her curren...[Read More] Navigating Mental Health Challenges: Seeking Help for a Loved One