Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Can my condition, bipolar disorder, be cured? I previously took Lurasidone, Lamotrigine, and Zolpidem. The clinic didn't have Lamotrigine and said Lurasidone wasn't effective, so I switched to Perphenazine, Lithium (2 tablets), and Mirtazapine. As a result, I felt depre...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms mentioned seem to be primarily negative emotions. The medication mainly consists of antidepressants and mood stabilizers, which is appropriate. If there are any side effects, you can discuss with your physician whether to adjust the medication. With patience i...[Read More] Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Understanding Medication Dosage for Generalized Anxiety Disorder
Medication dosage Last year, I was diagnosed with generalized anxiety disorder and was prescribed a medication regimen of Duloxetine 60mg and Clonazepam 1mg (with Flupentixol 0.25mg as a backup). 1. Is this dosage considered high? 2. I stopped taking the medication on my own in...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Objectively, this dosage is not heavy. 2. The medication will be metabolized and will not cause irreversible damage to the brain, so there is no need to worry. 3. I am not aware of your actual situation, so I cannot provide specific advice. I only suggest that if you wi...[Read More] Understanding Medication Dosage for Generalized Anxiety Disorder
Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda reply Psychiatry
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Issues related to the effects of benzodiazepines? Hello, Doctor. I am a patient with obsessive-compulsive disorder (OCD) and have been undergoing treatment for six months, during which my symptoms have significantly improved. The medications prescribed to me are Zoloft (Sertralin...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Clonazepam 1mg is metabolized in the body and excreted through urine, and it does not remain in the body (or brain) long-term, which alleviates your concern about irreversible cognitive impairment. 2. The dosage of Zoloft at 150mg, while not low, is still within the the...[Read More] Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Understanding Lithium Side Effects and Managing Mood Disorders
Bipolar disorder / Medication side effects Hello, doctor. I have been taking lithium for about a week, but during this time, I have reduced the dosage on my own due to side effects. 1. I would like to ask if this behavior is appropriate. When I visited the hospital, the doctor as...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Lithium salts are a type of mood stabilizer. The situation you described is relatively uncommon. I'm not sure if you are using any other medications concurrently. I recommend that you follow up with your physician for a discussion. If it is indeed related to lithiu...[Read More] Understanding Lithium Side Effects and Managing Mood Disorders
Managing Emotional Outbursts After Waking Up: Tips and Insights
Loss of emotional control upon waking up? I sometimes fall asleep in the evening, and when I wake up, I start to lose control of my emotions, regretting that I fell asleep and feeling overwhelmed by my academic responsibilities. In severe cases, I might hit my head or my limbs, b...
Dr. Qiu Junda reply Psychiatry
Hello. At first glance, it seems that certain pressures are leading to negative emotional behaviors. I recommend that you promptly discuss this with your family and teachers and seek consultation with a pediatric mental health specialist for improvement. If it's not convenie...[Read More] Managing Emotional Outbursts After Waking Up: Tips and Insights
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Questions regarding the efficacy of Rifampin in treating physical symptoms? Hello Doctor: After being diagnosed in January this year, I began experiencing symptoms in February, such as severe insomnia, difficulty concentrating, dizziness, lightheadedness, slow focus switching bet...
Dr. Qiu Junda reply Psychiatry
Hello. Medications like Librium and other benzodiazepines have sedative effects, primarily aimed at improving insomnia in your case. They are unlikely to help with other issues such as dizziness, lightheadedness, or cognitive impairments. If there is no improvement in your insomn...[Read More] Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Understanding Drug Interactions: Sulpiride and Escitalopram Effects
Drug interactions Sulpiride and escitalopram can interact with each other, but the nature of their interaction is complex. Sulpiride, an atypical antipsychotic, may enhance the effects of escitalopram, a selective serotonin reuptake inhibitor (SSRI), potentially leading to increa...
Dr. Qiu Junda reply Psychiatry
Hello: 1. There are no significant interactions between the two. 2. I am not aware of your symptoms. If you are being treated for depressive symptoms, the physician likely prescribed these two medications with the intention of them working synergistically. 3. There is no differen...[Read More] Understanding Drug Interactions: Sulpiride and Escitalopram Effects
Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Fear of developing a rare or serious illness as reported can lead to feelings of guilt when trying to rest, making it difficult to fully relax? Hello, doctor. I am 15 years old and just finished my junior high school entrance exams. Recently, I thought about taking a few days to ...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that you have high self-expectations or feel pressure from your parents' expectations. It appears that you are putting a lot of strain on yourself, which is leading to unhappiness in your life and excessive worry. I suggest you take a bold step to relax (sinc...[Read More] Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda reply Psychiatry
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Nervous tremors and rapid heartbeat? Hello Doctor, I am currently studying abroad and I tend to get anxious, which has led to some difficulties in my daily life, prompting me to seek assistance. Previously, I had issues with arrhythmia (I underwent an electrocardiogram in Taiwan)...
Dr. Qiu Junda reply Psychiatry
Hello. You can use Entacapone before going on stage, either 2# or with meals, depending on which method works better for you. Additionally, your concerns seem to lean towards anxiety. It needs to be assessed whether it has reached a panic level. After returning to your country, y...[Read More] Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Managing Anxiety and Eye Pressure: Exploring Medication Options
Psychiatric medications Hello Doctor, I previously experienced anxiety for about a year, which led to symptoms similar to autonomic nervous system dysfunction, including frequent urination and urgency. The doctor prescribed me FLUOXETINE 20mg to take monthly for a year. After sto...
Dr. Qiu Junda reply Psychiatry
Hello. This medication does not contain steroids. If you are experiencing anxiety or other physical and mental distress, it is recommended that you have regular follow-up appointments and adhere to the prescribed treatment plan, including medication, to facilitate improvement.[Read More] Managing Anxiety and Eye Pressure: Exploring Medication Options
Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Psychiatric medications I have anxiety disorder, so I have been taking medication for it. However, after a while, I felt it wasn't effective, and my doctor switched my medication. Although the new medication seems to be working, I have noticed a significant weight gain. Duri...
Dr. Qiu Junda reply Psychiatry
Hello. These medications do not cause indigestion. Whether weight gain is related to the medication is still to be evaluated. You may try discontinuing SUNPYLON TABLETS 50MG to see if there is any improvement. Additionally, you can seek assistance from a hospital's weight ma...[Read More] Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Is Using Nicotine for Focus in Studying a Safe Approach?
Is it appropriate to use nicotine in the short term to maintain focus while studying? I have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) since childhood. I am currently 22 years old. During high school, I felt very frustrated and insecure about my inabilit...
Dr. Qiu Junda reply Psychiatry
Hello. Nicotine is a central nervous system stimulant and is classified as an addictive substance. Long-term use generally has more adverse effects on both physical and mental health. I personally have doubts about the claim that nicotine can maintain focus while studying, as I h...[Read More] Is Using Nicotine for Focus in Studying a Safe Approach?
Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...
Dr. Qiu Junda reply Psychiatry
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...[Read More] Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
Inquire about the differences between medications? Hello Doctor: I have depression and am currently taking Lexapro and Cymbalta (not at the same time). I later discovered that the two medications have different active ingredients, but both can serve as fundamental treatments for ...
Dr. Qiu Junda reply Psychiatry
Hello. Both of these medications with different ingredients can be used as treatments for depression because they are both SSRIs (Selective Serotonin Reuptake Inhibitors) that help prevent low serotonin levels in the body. The efficacy and side effects are theoretically not signi...[Read More] Understanding the Differences Between Lexapro and Cymbalta for Depression Treatment
Medications for Panic Disorder: Which Contain MAO Inhibitors?
Medications for panic anxiety disorder that include monoamine oxidase inhibitors (MAOIs) are as follows: 1. Phenelzine (Nardil) 2. Tranylcypromine (Parnate) 3. Isocarboxazid (Marplan) These medications are used to treat depression and anxiety disorders, including panic disorde...
Dr. Qiu Junda reply Psychiatry
Hello. The medications you mentioned are not monoamine oxidase inhibitors.[Read More] Medications for Panic Disorder: Which Contain MAO Inhibitors?
Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace
How can I stop being overly anxious and worrying about the worst-case scenarios? Fearing car accidents while riding a bike or driving, worrying about my 900-degree myopia leading to retinal detachment or macular degeneration, seeing numerous news stories about gang violence and t...
Dr. Qiu Junda reply Psychiatry
Hello. In modern society, life moves quickly and stress is ever-present. Many people experience some level of anxiety in their daily lives. To improve this, you already have some good ideas: engaging in conversations with friends and family or cultivating hobbies to help normaliz...[Read More] Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace