Dr. Qiu Junda reply Psychiatry Question - Page 3

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Neck Sensations and Insomnia: Understanding the Connection

Neck issues, insomnia? Sometimes, there is no physical presence on my neck, yet I feel as if something is touching it. This sensation can sometimes affect my sleep. Recently, even though I feel tired at night, I find it difficult to fall asleep while lying down; it takes me a whi...


Dr. Qiu Junda reply Psychiatry
If you are feeling troubled, it is advisable to seek medical evaluation for improvement.

[Read More] Neck Sensations and Insomnia: Understanding the Connection


Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration

Medication consultation Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I was previously taking Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The doctor mentioned a six-mont...


Dr. Qiu Junda reply Psychiatry
Hello. 1. Lexapro 75mg (also known as Escitalopram) has antidepressant, anxiolytic, and anti-panic properties. Sucralfate 50mg can be used as a gastric medication, while Atenolol 10mg can reduce heart rate and has anxiolytic effects. 2. Medications are metabolized daily and do no...

[Read More] Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration


Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery

Effects after head trauma? I previously experienced a loss of balance and hit the back of my head against a step on the roadside. For a brief period, I was unable to breathe and could not get enough oxygen. After that, I suffered from severe headaches for nearly half a day, follo...


Dr. Qiu Junda reply Psychiatry
Hello. The duration of effects after a head injury can vary. Given your age, you should be able to recover quickly. The issues you mentioned, such as feeling that your learning ability is not as good as before and a decline in cognitive function, can also gradually improve. Addit...

[Read More] Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery


Are Sexual Fantasies About Others a Sign of Delusional Disorder?

Is having fantasies about others a form of delusional disorder? Hello doctor, my friend has expressed to me that they are having sexual fantasies about a tutor, while their other work and daily life are normal. My friend has a history of delusional disorder and is concerned wheth...


Dr. Qiu Junda reply Psychiatry
Hello. Your friend's situation does not seem to be a case of delusional disorder in psychiatric terms. Others may have similar fantasies but may not express them. There's no need to worry for now; let's observe the situation further.

[Read More] Are Sexual Fantasies About Others a Sign of Delusional Disorder?


Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained

Questions about medications for treating anxiety? Hello, doctor. Due to diarrhea-predominant irritable bowel syndrome causing chronic anxiety symptoms, I visited National Taiwan University Hospital, where the physician prescribed Bromazepam (Lexotan). The dosage instructed was ha...


Dr. Qiu Junda reply Psychiatry
Hello. Your letter indeed reflects your anxiety and concerns. 1. You have researched BZD medications, which do carry a risk of withdrawal and addiction. However, why do doctors still prescribe them? Because they have anxiolytic effects that can help alleviate your symptoms. It&...

[Read More] Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained


Safe Medication for Pregnant Women: Managing Anxiety and Depression

Medications during pregnancy Due to depression, anxiety, and panic attacks, I previously took Xanax during sudden emergencies, but I can no longer take Xanax during my pregnancy. My doctor prescribed me 2 tablets of Cymbalta (duloxetine) to take every night, stating that it is sa...


Dr. Qiu Junda reply Psychiatry
Hello. 1. Pregnant women can use antidepressants. 2. The itching may be related to nutritional factors and emotional psychological factors. 3. Theoretically, the emergency use of antidepressants may not be very effective; medications like anxiolytics would be more effective.

[Read More] Safe Medication for Pregnant Women: Managing Anxiety and Depression


Optimal Timing for Taking Zapline: A Guide for Patients

Regarding Zapline? I recently visited a psychiatrist, and the doctor prescribed this medication (50mg) for me to take before bedtime. However, due to my academic commitments, my schedule is not consistent, and sometimes I just fall asleep from exhaustion. I would like to ask if i...


Dr. Qiu Junda reply Psychiatry
Hello. You can eat after dinner (around 7 PM). There isn't a specific time mentioned that would be better for eating. However, if certain foods make you feel sleepy, then they are certainly not suitable for daytime consumption.

[Read More] Optimal Timing for Taking Zapline: A Guide for Patients


Do You Really Need to See a Doctor for Mental Health Issues?

Inquire whether it is really necessary to see a doctor? For several years, I have experienced feelings of inferiority and occasionally cried. Whenever someone criticizes me, I wonder if I should even exist or if I am not good enough, which can lead to breakdowns and even hitting ...


Dr. Qiu Junda reply Psychiatry
Hello. Your situation seems to have caused psychological distress and affected your daily life. It is recommended that you make time to consult or seek treatment at a mental health clinic as soon as possible to facilitate early improvement.

[Read More] Do You Really Need to See a Doctor for Mental Health Issues?


Understanding Anxiety Symptoms During Travel: A Teen's Experience

Feeling short of breath while riding in a vehicle and needing to use the restroom? Hello Doctor, I am in the first year of junior high school. Every time I go out with my family or participate in school outdoor activities, I have to take transportation. However, as soon as I get ...


Dr. Qiu Junda reply Psychiatry
Hello. It seems that getting into the car triggers anxiety symptoms for you. Trying a few deep and slow breaths may help a bit. If that doesn't work well, you might consider asking a family member to take you for a consultation and evaluation at a pediatric mental health cli...

[Read More] Understanding Anxiety Symptoms During Travel: A Teen's Experience


Understanding Depression: When to Seek Help for Yourself and Your Partner

Depression may occur? Hello Doctor: I would like to ask, in the past couple of months, my girlfriend's depression seems to have affected me, and my emotions have become very unstable, often feeling down. Online depression tests indicate that I may have depression and suggest...


Dr. Qiu Junda reply Psychiatry
Hello: Online tests can serve as an initial screening. Visiting a mental health specialist can provide further assessment and treatment (including counseling). It does not necessarily mean that you have a disorder. Your girlfriend's situation is similar to the adjustment dis...

[Read More] Understanding Depression: When to Seek Help for Yourself and Your Partner


Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help

Bipolar disorder, negative thoughts? Hello Dr. Chiu, I suspect that I might have bipolar disorder or intermittent explosive disorder. I have been experiencing the following symptoms for over three years. I have always wanted to seek a professional evaluation, but being a minor an...


Dr. Qiu Junda reply Psychiatry
Hello. You can first seek assistance from your school teacher or use the 1925 mental health hotline for online counseling. You may also ask a family member to take you to a pediatric mental health clinic for a consultation (not for treatment) to help address your concerns.

[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help


Managing Anxiety: Navigating Medication Withdrawal and Treatment Options

Anxiety Disorder Consultation I have anxiety disorder and, due to the lack of side effects from the medication, I gradually reduced my dosage. I changed my intake of Lexapro from two pills a day to one pill a day, but my mental state remained poor. So, I switched to taking one pi...


Dr. Qiu Junda reply Psychiatry
Hello. Treatment for anxiety disorders is a long-term process. Symptoms may fluctuate during this time. Adjustments to medication (including increasing or decreasing dosages) should be carefully evaluated. It is recommended that if you wish to reduce medication, you should discus...

[Read More] Managing Anxiety: Navigating Medication Withdrawal and Treatment Options


Understanding Bipolar Disorder: Treatment and Coping Strategies

Treatment and Management of Bipolar Disorder Hello Dr. Chiu, last year I was involuntarily hospitalized for a week due to experiencing auditory hallucinations and delusions that affected others. At that time, I was diagnosed with schizophrenia. After being discharged, I felt that...


Dr. Qiu Junda reply Psychiatry
Hello. Generally, bipolar disorder stabilizes with treatment. It is recommended to continue medication management to maintain long-term stability and reduce the risk of relapse. If your current condition is still unstable (and you may be in a depressive phase), it is even more im...

[Read More] Understanding Bipolar Disorder: Treatment and Coping Strategies


Unspoken Struggles: Navigating Mental Health and Hidden Desires

Some things that even psychologists and doctors are hesitant to discuss? I have been in therapy for over five years and have established a good rapport with most of my therapists. My medical needs have also been adequately addressed, and I have a strong sense of trust in the doct...


Dr. Qiu Junda reply Psychiatry
Hello. The issue is quite complex and cannot be addressed here. However, regarding your concerns (things you are hesitant to share with a therapist or doctor), I suggest you consider calling the 1925 Mental Health Hotline. This way, you won't have to face someone in person, ...

[Read More] Unspoken Struggles: Navigating Mental Health and Hidden Desires


Managing Anxiety and Tension in Crowded Environments: Tips and Insights

Mental tension Hello, I apologize for the interruption. I would like to ask about issues related to mental tension in specific situations. I tend to feel fatigued and anxious in crowded places, and sometimes I even experience anger, muscle tension, and involuntary irritation, whi...


Dr. Qiu Junda reply Psychiatry
Hello. Your concerns mostly relate to anxiety responses. It seems to be an anxious reaction to stress (such as crowded places). I recommend gathering some educational articles on stress management. You can learn various techniques from them (such as muscle relaxation training, et...

[Read More] Managing Anxiety and Tension in Crowded Environments: Tips and Insights


Do Antipsychotics Make You More Sensitive to Cold?

Antipsychotic medications and sensitivity to cold? Is it common to become more sensitive to cold when taking antipsychotic medication? I take Lurasidone 80mg, and I often feel very cold in winter, which I didn't experience before.


Dr. Qiu Junda reply Psychiatry
Hello: There is no correlation between taking antipsychotic medications and the phenomenon of feeling cold. Please feel free to use them and discuss with your attending physician. Thank you.

[Read More] Do Antipsychotics Make You More Sensitive to Cold?


Understanding Anxiety-Related Physical Symptoms in College Students

Anxiety-related physical symptoms Hello, doctor. Since I started university last September, I've been feeling uncomfortable with the school environment and the food. I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty b...


Dr. Qiu Junda reply Psychiatry
Hello. Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety). Some may not even know the underlying cause. However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress th...

[Read More] Understanding Anxiety-Related Physical Symptoms in College Students


How Long Should My Girlfriend Stay on Antidepressants?

Duration of Antidepressant Discontinuation Hello, doctor. My girlfriend has depression. She is currently a freshman, the same age as me. She had depression in her senior year of high school and sought treatment on her own, paying out of pocket (her father does not acknowledge her...


Dr. Qiu Junda reply Psychiatry
Hello: The decision to discontinue medication for depression must be carefully evaluated. It varies depending on the patient's condition, and there is no standard answer. Generally, if the patient's condition is stable while on medication, a gradual reduction in dosage ...

[Read More] How Long Should My Girlfriend Stay on Antidepressants?


Understanding Organic Psychosis: Diagnosis and Thyroid Influence

Inquiry on Organic Mental Disorders Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I would like to inquire about the diagnosis of organic psychosis. My family member exhibited symptoms of delusional disorder a year and a half ago, ...


Dr. Qiu Junda reply Psychiatry
Hello: 1. Organic mental disorders refer to psychiatric conditions that may be caused by tangible (organic) factors, such as brain injuries, physiological issues, electrolyte imbalances, or drug-induced effects. Since the causes can be identified or inferred, they are collectivel...

[Read More] Understanding Organic Psychosis: Diagnosis and Thyroid Influence


Understanding Auditory Hallucinations in Schizophrenia: A Family Perspective

I would like to inquire about the issue of auditory hallucinations in family members? Hello Doctor, the article is a bit long QAQ. The general situation is that my sister, who is being treated for schizophrenia, has recently been experiencing persistent auditory hallucinations....


Dr. Qiu Junda reply Psychiatry
Hello. Regarding your sister's condition, as you mentioned: the doctor has noted that some individuals may occasionally experience symptoms due to factors such as weather changes. If there are no significant disturbances or impacts, her condition should be considered stable....

[Read More] Understanding Auditory Hallucinations in Schizophrenia: A Family Perspective


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