Managing Medication Adjustments in Psychiatry: What to Expect
Medication consultation I was previously taking two tablets of Escitalopram 75 mg and one tablet of Sulpiride 50 mg. I felt some improvement in my symptoms, but I was very fatigued and somewhat drowsy throughout the day. After my follow-up appointment, the doctor reduced my Escit...
Dr. Qiu Junda reply Psychiatry
Hello. 1. After reducing the medication dosage, the amount will naturally decrease. However, the impact on efficacy needs to be evaluated. Typically, a balance must be struck between the medication dosage and side effects, so it is essential to discuss this with the attending phy...[Read More] Managing Medication Adjustments in Psychiatry: What to Expect
Managing Withdrawal from Antipsychotics and Antidepressants: A Guide
Schizophrenia, antidepressant withdrawal? Hello Doctor: Recently, I received treatment for schizophrenia and depression at a psychosomatic clinic. My primary physician prescribed half a tablet of Olanzapine, one tablet of Rifapentine, and one tablet of Ambien. It has been about a...
Dr. Qiu Junda reply Psychiatry
Hello: It is best to discuss the issue of tapering or discontinuing medication with your attending physician. The process of tapering Rifampicin and Ambenonium varies from person to person and does not follow a fixed order. The dependence on Rifampicin is not necessarily stronger...[Read More] Managing Withdrawal from Antipsychotics and Antidepressants: A Guide
Managing Physical Discomfort from Psychological Stress During Exams
How to alleviate physical discomfort caused by psychological factors? I have my final exams this week, and I started experiencing light sleep since last weekend, even not sleeping at all some nights. Gradually, my muscles have begun to feel very tense, especially my fingers, whic...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that the exam is causing you significant stress, leading to physical discomfort. The medications Xibing and Anli may also have physiological side effects. I recommend that you return for a follow-up appointment with your physician to discuss and clarify the causes...[Read More] Managing Physical Discomfort from Psychological Stress During Exams
How to Encourage a Family Member to Seek Mental Health Treatment?
How to persuade family members to seek medical attention? My sister has had communication issues since childhood, but we used to think it was just a phase of childhood stubbornness that our parents overlooked. However, now that she is an adult (20 years old), she remains indiffer...
Dr. Qiu Junda reply Psychiatry
Hello. You might consider the possibility that you are experiencing emotional distress and would like to visit a psychosomatic clinic to consult with a physician or therapist. However, you may feel hesitant to go alone and hope that your sister can accompany you. During your appo...[Read More] How to Encourage a Family Member to Seek Mental Health Treatment?
Guidelines for Tapering Antidepressants and Antipsychotics Safely
Reduction of medication for depression and psychosis? Currently, I am taking half a tablet of Otsuka Anri-Fu for two days, one tablet of Amberen, and one tablet of Rifampicin each for three days. I am maintaining half a tablet of Otsuka Anri-Fu while only taking Amberen and Rifam...
Dr. Qiu Junda reply Psychiatry
Hello. In principle, if your symptoms are stable, this reduction should be feasible. However, it is still recommended that you inform your attending physician of your actions to help maintain the stability of your condition.[Read More] Guidelines for Tapering Antidepressants and Antipsychotics Safely
Understanding Sleep Sensitivity: Tips for Overcoming Sleep Disturbances
Difficulty falling asleep Hello, doctor. I am very sensitive to sleep, and whenever I try to fall asleep, even the slightest noise can startle me awake. In recent months, as I attempt to sleep, my brain feels like it's being shocked or experiences involuntary jerks, causing ...
Dr. Qiu Junda reply Psychiatry
Hello. 1. The tendency to experience neck and shoulder tightness may be related to muscle tension or poor posture. It is advisable to set a reminder on your phone (e.g., every 30 minutes) to relax your shoulders and neck. This should help improve the situation. 2. Sleep issues ha...[Read More] Understanding Sleep Sensitivity: Tips for Overcoming Sleep Disturbances
Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Can antidepressants be ineffective? Hello Doctor: I started experiencing nasal congestion in April, which led to difficulty breathing and gradually increased anxiety that affected my sleep. Since August, I have been unable to sleep well. A psychiatrist prescribed "0.5 mg of ...
Dr. Qiu Junda reply Psychiatry
Hello. Antidepressants should not lose their effectiveness. The condition may fluctuate (stress from preparing for surgery can also affect the condition). It is not that the medication is ineffective. Hyperventilation can be alleviated with anxiolytics. I recommend that you conti...[Read More] Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Understanding Cognitive Decline: Overcoming Brain Fog and Mental Struggles
Cognitive decline, brain fog, neurological issues? I have recently been finding it very difficult to check out when shopping. It used to be a simple task, but now it feels very strenuous. My ability to adapt to my environment has also worsened; even the walk to the nearby conveni...
Dr. Qiu Junda reply Psychiatry
Hello. I wonder if you have experienced any recent changes or shocks in your life that have caused you stress or distress. It is advisable to seek medical attention (in the field of psychosomatic medicine) as soon as possible to facilitate improvement.[Read More] Understanding Cognitive Decline: Overcoming Brain Fog and Mental Struggles
Understanding Anxiety, Panic, and Depression: A Student's Struggle
Is this obsessive-compulsive disorder (OCD), anxiety disorder, panic disorder, or depression? I am a fifth-year design student in college, and I have been experiencing significant academic pressure lately. About two weeks ago, I had an emotional outburst due to stress, which led ...
Dr. Qiu Junda reply Psychiatry
Hello. Currently, it seems that we should maintain the diagnosis of Adjustment Disorder with Anxiety and Depressed Mood. This means that the emotional responses arising from stress (Stress-Related Adjustment Disorder) can include symptoms such as compulsions, anxiety, panic, and ...[Read More] Understanding Anxiety, Panic, and Depression: A Student's Struggle
Are Paroxetine Hydrochloride and Paroxetine Hydrochloride Hemihydrate the Same?
Medication consultation Hello, doctor. Are Anxiolytic and Paxil the same medication? I found online that the active ingredient in Anxiolytic is PAROXETINE HYDROCHLORIDE, while the active ingredient in Paxil is PAROXETINE HYDROCHLORIDE HEMIHYDRATE.
Dr. Qiu Junda reply Psychiatry
Hello. Anxiolytics such as Anxiolytic and Paxil are considered to have similar active ingredients as antidepressants.[Read More] Are Paroxetine Hydrochloride and Paroxetine Hydrochloride Hemihydrate the Same?
Managing Attention Issues and Depression: Medication Side Effects Explained
Memory loss, lack of concentration, depression, medication side effects? Hello, doctor. I have been dealing with depression for four years. I once stopped my medication and ended up having a mental breakdown. For the past year, I have been consistently taking my medication. Curre...
Dr. Qiu Junda reply Psychiatry
Hello. Distractibility can be a symptom or a side effect of medication. You are taking several medications, many of which can affect attention. It is recommended that you return for a follow-up appointment to discuss with your physician to clarify whether the issue is related to ...[Read More] Managing Attention Issues and Depression: Medication Side Effects Explained
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda reply Psychiatry
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Illness anxiety disorder and anxiety disorders cause distress? Hello, doctor. I apologize for taking your time with my concerns, and thank you for your attention. I am 22 years old and have been feeling unwell for a long time, convinced that there must be something wrong with my ...
Dr. Qiu Junda reply Psychiatry
Hello. These situations can indeed cause you significant physical and mental distress. Most of them fall under the symptoms related to psychosomatic disorders. Therefore, please continue your treatment with a psychiatrist and adhere to the prescribed medication (which may take so...[Read More] Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Medication consultation, drug side effects, panic, autonomic nervous system dysregulation? I would like to ask the doctor, I have a history of arrhythmia and have undergone echocardiography, a 24-hour Holter monitor, and an exercise stress test, which detected premature ventricul...
Dr. Qiu Junda reply Psychiatry
Hello. Your condition is likely related to anxiety (autonomic nervous system dysregulation). It is advisable to continue visiting a psychosomatic medicine specialist for improvement. You may use Yuli Shu as a backup medication. If you are concerned about potential side effects su...[Read More] Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Father's emotional fluctuations? My dad often explodes over trivial matters. I try to ask him to calm down and talk things over, but it usually doesn't help; he ends up saying hurtful and extremely vulgar things. Once, in a fit of rage, he threw a box at home, which sca...
Dr. Qiu Junda reply Psychiatry
Hello. You can explain to your dad that seeking medical help is just for consultation and not necessarily for treatment. You can express that you are experiencing mental and emotional distress and would like to see a psychiatrist. It might help to suggest that you would like him ...[Read More] Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Understanding Sound Sensitivity: When Noise Affects Your Mental Health
Sensitivity to surrounding sounds? Hello, doctor. Recently, my neighbor's footsteps have become louder, and there are vibrations that often startle me. Now, at night, my heart rate increases, and I feel a tightness in my chest. I have become very sensitive to surrounding sou...
Dr. Qiu Junda reply Psychiatry
Hello. You may want to consult a healthcare professional to determine if medication is necessary.[Read More] Understanding Sound Sensitivity: When Noise Affects Your Mental Health
Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle
It's not that I don't want to speak; it's that I can't? I have been experiencing social anxiety since elementary school. Some classmates would call me "mute" or "the one who can't speak." Whenever I had to speak in front of the class o...
Dr. Qiu Junda reply Psychiatry
Hello. Individuals with a tendency to be anxious may indeed face difficulties in daily life and social interactions, leading to physical and mental distress. I recommend looking into resources on how to overcome anxiety and nervousness to learn some coping strategies. Additionall...[Read More] Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle
Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Lerizole (Lerizine) for the treatment of bruising? Dear Dr. Chiu, I have been experiencing sleep issues, anxiety, and panic attacks recently. Before bed, I take one capsule of Yongkangxu and half a capsule of Le Li Jing. I've noticed that I have bruising on my calves and oc...
Dr. Qiu Junda reply Psychiatry
Hello. These two medications, along with fish oil and B vitamins, should not be related. If the bruising is severe, medical evaluation and treatment may be necessary.[Read More] Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding Depersonalization-Derealization Disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda reply Psychiatry
Hello. To maintain a stable condition (to prevent derealization from worsening), the approach is to consistently take medication as prescribed (currently Sertraline) and to regularly follow up with the physician for assessment.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement
Managing Derealization Disorder: Tips for Prevention and Improvement
Regarding depersonalization-derealization disorder? Hello Doctor: I have symptoms of derealization and have been taking 25 mg of Sertraline, six pills before bedtime, which has improved my condition for a while. I would like to ask how to prevent derealization from worsening. P.S...
Dr. Qiu Junda reply Psychiatry
Hello. The way to maintain a stable condition is to consistently take medication as prescribed and to regularly follow up with the physician for evaluation.[Read More] Managing Derealization Disorder: Tips for Prevention and Improvement