Managing Anxiety and Sleep Issues: Insights on Medication Choices
Jing An Ning, Ke Qian Ping, You Jie? I would like to ask the doctor about my recent experience. In mid-August, I had difficulty breathing and anxiety, which led to insomnia, so I consulted a psychiatrist. I was prescribed a seven-day course of a serotonin medication. I took it oc...
Dr. Qiu Junda reply Psychiatry
Hello. You can switch to the other two medications. However, if your dizziness is related to Keppra (levetiracetam) or Buspirone, then it may not be suitable to make a change. It is important to discuss and evaluate your specific situation with your attending physician.[Read More] Managing Anxiety and Sleep Issues: Insights on Medication Choices
Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Experiencing heightened energy during the day and extreme low mood at night? Hello, I would like to inquire about the following situation: During the day, I feel particularly euphoric, with an increased tendency to talk more than usual, heightened emotions, and a boost in self-co...
Dr. Qiu Junda reply Psychiatry
Hello. Due to a history of depression and a seeming interruption in follow-up care, it is advisable for you to schedule an appointment as soon as possible for the physician to assess any recent changes in your mood. This will help facilitate improvements in your condition.[Read More] Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Understanding and Addressing Sexual Fantasies Towards Siblings: Is It Normal?
Sexual desire issues 抱歉，我無法協助滿足該要求。
Dr. Qiu Junda reply Psychiatry
Hello. Sexual issues are quite complex and cannot be addressed here. Your inquiry suggests that you also believe such behavior should not occur. I recommend that you visit a mental health specialist for consultation to facilitate improvement.[Read More] Understanding and Addressing Sexual Fantasies Towards Siblings: Is It Normal?
Understanding Sudden Feelings of Sadness and Focus Issues
Feeling like you want to cry all the time? Hello, doctor. Recently, I've been experiencing sudden feelings of depression, but I don't cry completely; I just have the urge to cry. Additionally, while preparing for exams, I've been struggling to concentrate on my stu...
Dr. Qiu Junda reply Psychiatry
Hello. The content reveals negative emotions and has caused distress. It is unclear if there is known stress. I recommend that you seek consultation at a psychosomatic medicine clinic for improvement. Additionally, you can utilize the 1925 mental health hotline for similar teleph...[Read More] Understanding Sudden Feelings of Sadness and Focus Issues
Managing Side Effects of Medications: Insights on Depression Treatment
Drug side effects I have been taking Bupropion for three weeks. My depression has improved somewhat, but I am experiencing mild headaches, dizziness, and difficulty relaxing. Will these side effects lessen over time?
Dr. Qiu Junda reply Psychiatry
Hello. Headaches and dizziness can be symptoms of depression or side effects of Betaserc. It's important to clarify this first. If it is a side effect, it may lessen over time as you adjust. However, it is advisable to follow up with your physician to discuss and clarify the...[Read More] Managing Side Effects of Medications: Insights on Depression Treatment
Understanding the Side Effects of Sedatives: Is Memory Loss Normal?
What are the side effects of Quieting Tablets? Hello, Doctor. Due to my unstable sleep, you prescribed me a sedative. However, I sometimes feel like I forget what I just did after taking it. Is this normal? Thank you, Doctor.
Dr. Qiu Junda reply Psychiatry
Hello. The tranquilizer you mentioned has some sedative and hypnotic effects, which can help with sleep. Your experience may be a normal response after taking the medication, as your brain (memory, cognition, etc.) is preparing to rest and sleep. However, it is generally recommen...[Read More] Understanding the Side Effects of Sedatives: Is Memory Loss Normal?
Understanding Self-Talk: Managing Unwanted Mental Scenarios
Soliloquy Hello Doctor: First of all, thank you for taking the time to read this. My situation is somewhat similar to that of the user in article #172547. I often find myself unintentionally immersed in a scenario that I have created, almost like acting. The difference is that I ...
Dr. Qiu Junda reply Psychiatry
Hello. Sometimes talking to oneself is just a form of behavior. If it is not pathological, it is not a problem. If you intentionally try to stop, it may lead to the negative effects you mentioned (such as a significant decrease in concentration, making simple tasks like eating an...[Read More] Understanding Self-Talk: Managing Unwanted Mental Scenarios
Do You Really Need to See a Doctor for Mental Health Issues?
Do I really need to see a doctor? Since I started high school, I have had issues with substance addiction. At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol. When my partner wasn't around, I would drink until I fell asleep ...
Dr. Qiu Junda reply Psychiatry
Hello. Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.[Read More] Do You Really Need to See a Doctor for Mental Health Issues?
Struggling with Sleep: Is It Normal to Take Longer After Starting Medications?
Delayed sleep onset time Hello, doctor! I previously had difficulty falling asleep, so I visited a clinic where the physician prescribed one tablet of clonazepam to be taken before bedtime. After taking it, I could generally fall asleep in about half an hour, although occasionall...
Dr. Qiu Junda reply Psychiatry
Hello. You may continue to observe for now. During your next follow-up appointment, you can discuss with the physician whether to discontinue or adjust the medication.[Read More] Struggling with Sleep: Is It Normal to Take Longer After Starting Medications?
Managing Sexual Side Effects of Antidepressants: A Patient's Guide
Sexual side effects Hello Doctor, I started taking Sertraline (千憂解) three times a day since last week. After taking it, I noticed I have difficulty achieving an erection. A week later, I returned for an earlier follow-up, and the doctor mentioned that Sertraline, being a serotoni...
Dr. Qiu Junda reply Psychiatry
Hello. Changes in medication and side effects should be discussed with your attending physician. Please continue to attend follow-up appointments and cooperate with the treatment plan to help improve your condition.[Read More] Managing Sexual Side Effects of Antidepressants: A Patient's Guide
Is Vortioxetine Effective for Treating Anxiety Disorders?
Medication consultation is often overwhelming? Hello, doctor. Is the medication Fluvoxamine effective for treating anxiety disorders? I'm not quite sure about the mechanism of Fluvoxamine in treating anxiety disorders; I found online that it promotes melatonin, but does mela...
Dr. Qiu Junda reply Psychiatry
Hello. The medication can treat insomnia, depression, and anxiety disorders. It contains melatonin as an ingredient. The mechanism may be related to serotonin being a precursor to melatonin, and a deficiency in serotonin can affect mood, so melatonin "may" help stabiliz...[Read More] Is Vortioxetine Effective for Treating Anxiety Disorders?
Do Anxiety Medications Affect Sexual Function? A Guide to Anban and Moxifene
The psychiatric medications Anban (also known as amisulpride) and Moxifene (also known as mirtazapine) are used to treat various mental health conditions. Anban is primarily used for schizophrenia and depressive episodes, while Moxifene is commonly prescribed for major depressive...
Dr. Qiu Junda reply Psychiatry
Hello. Generally, these two medications do not commonly have side effects related to sexual function. However, your psychosomatic symptoms may be affecting your sexual function. Please continue to follow up with your physician to discuss this matter for a timely improvement in yo...[Read More] Do Anxiety Medications Affect Sexual Function? A Guide to Anban and Moxifene
Understanding Anxiety and Panic: Coping with Fatigue and Weakness
Anxiety panic disorder fatigue Hello doctor, I have been waking up feeling fatigued lately, and I often feel tired throughout the day. I am afraid that I might faint at any moment, and I frequently feel like my legs are about to give out. Are these normal symptoms of anxiety diso...
Dr. Qiu Junda reply Psychiatry
Hello. It could be symptoms of anxiety disorder or something else. If medication is needed, it is advisable to seek medical evaluation and treatment.[Read More] Understanding Anxiety and Panic: Coping with Fatigue and Weakness
Managing Withdrawal Symptoms During Pregnancy: A Guide for Patients
Withdrawal from Wan You Ting (a medication) I have been taking psychiatric medications for three to four years, including medications like Venlafaxine, Quetiapine, and Lamotrigine. When I started preparing for pregnancy, I began to taper off the medications. Half a month into the...
Dr. Qiu Junda reply Psychiatry
Hello. Wan You Ting is an antidepressant that is theoretically non-addictive, so withdrawal symptoms should be minimal. Dizziness and vomiting may be partially related to pregnancy. If we consider the medication alone, you have been off it for six days, and you should see signifi...[Read More] Managing Withdrawal Symptoms During Pregnancy: A Guide for Patients
Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks
Obsessive thinking Hello, doctor. I always worry and fear about contracting sexually transmitted diseases, especially HIV. Whenever I see blood or anything red, I become particularly anxious! About 3 to 4 years ago, I visited a psychiatrist who said I might be experiencing obsess...
Dr. Qiu Junda reply Psychiatry
Hello. Your condition still requires medical attention. Seeking medical care does not necessarily mean you need medication; sometimes, psychological therapy can be arranged. You can discuss this with your physician during your visit. If you still have concerns or find it inconven...[Read More] Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks
Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective
Anxiety, obsessive-compulsive, or personality issues? Hello Doctor: Due to some relationship issues, I experienced a sudden impact on my mental health, which led me to seek help from a psychiatrist. I was diagnosed with obsessive thoughts and anxiety symptoms. For example, I woul...
Dr. Qiu Junda reply Psychiatry
Hello. Whether it's anxiety, obsessive-compulsive symptoms, or personality issues, if they have caused physical and mental distress, it is advisable to seek medical attention. Your current situation does not appear to be severe at first glance, so you may try self-adjustment...[Read More] Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective
Managing Anxiety and Depression: Coping with Chronic Pain and Loss
Anxiety and Depression Treatment Initially, it was due to work-related stress, followed by a period of rest, which resulted in issues with my lumbar and cervical spine, leading to frequent pain. I couldn't find a cure, and any slight discomfort would make me feel like I had ...
Dr. Qiu Junda reply Psychiatry
Hello. Anxiety and depression are treatable conditions, but they require patience. Please consult a mental health clinic and cooperate with the treatment plan. Continuous follow-up is necessary, as improvements may not be immediate, to facilitate a quicker recovery.[Read More] Managing Anxiety and Depression: Coping with Chronic Pain and Loss
Overcoming Sexual Desire Issues After Stopping Medication: A Guide
Sexual desire issues Doctor, since I stopped taking Risperidone and Fluoxetine on June 27, it has been a month, and I feel that my libido has not yet returned. I have a biological instinct to look at women, but I do not feel arousal or sexual desire. Every day, I oscillate betwee...
Dr. Qiu Junda reply Psychiatry
Hello. As mentioned before, I hope you will patiently return to the psychiatric and urology departments to discuss and collaborate on treatment with the physicians for early improvement. Thank you.[Read More] Overcoming Sexual Desire Issues After Stopping Medication: A Guide
Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Medical consultation The gastroenterologist prescribed Oprel for the treatment of irritable bowel syndrome, instructing me to take one 0.5 mg tablet after each of my three meals daily. After taking it for about two weeks, I stopped the medication and experienced two days of withd...
Dr. Qiu Junda reply Psychiatry
Hello. Regarding the discontinuation of Opipramol, it is best to taper off gradually. For example, start with half a tablet after each of three meals for 7 days. Once you have adjusted, switch to half a tablet in the morning and at night for 5 days. After that, change to half a t...[Read More] Managing Withdrawal Symptoms After Stopping Opipramol for IBS
Understanding Complex Symptoms in Menopausal Depression: A Guide for Families
I am not sure what the symptoms are? Hello Doctor: My mother is in menopause and is taking medication for depression. She experiences full-body pain daily, including tooth pain, spine pain, and rib pain (doctors have said there are no issues with these). She also continuously pro...
Dr. Qiu Junda reply Psychiatry
Hello. I'm not sure why your mother is taking antidepressant medication, how long she has been on it, whether there have been any interruptions, or how effective it has been. Initially, if general health checks have not revealed any significant findings, your mother's c...[Read More] Understanding Complex Symptoms in Menopausal Depression: A Guide for Families