Understanding Long-Term Side Effects of Antidepressants: A Focus on Neurological Issues
Drug side effects Drug consultation Long-term use of Anliflu (5 mg/day for over 10 years, with the last 2-3 years at this dosage) may lead to symptoms such as ataxia, weakness in the hands, poor wrist control, difficulty touching the back of the head, hand weakness after taking h...
Dr. Qiu Junda reply Psychiatry
Hello. I'm not sure what the causes and symptoms are for your visit to the neurology department. It can be difficult to determine whether they are side effects of medication or symptoms of the underlying condition. However, since you are visiting the neurology department, yo...[Read More] Understanding Long-Term Side Effects of Antidepressants: A Focus on Neurological Issues
Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Inability to concentrate on tasks, accompanied by cold sensations in the body and dizziness? Hello, doctor. I am currently seeing an endocrinologist and a neurologist. I have been on medication for about a year (for diabetes, lipid lowering, blood pressure, and heart rate). I am ...
Dr. Qiu Junda reply Psychiatry
Hello. The symptoms described are more indicative of anxiety and tension. It may be related to some stress you are experiencing. I recommend that you follow up with the endocrinology and neurology departments, where you can discuss this situation with your physician. After evalua...[Read More] Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Do I Need to See a Doctor? Understanding Depression and Medication
Do I need to see a doctor? Hello, Doctor: I would like to ask you a question. Using depression as an example, is medication prescribed to alleviate symptoms or does it serve another purpose? How is it possible that after taking medication to increase certain neurotransmitters, on...
Dr. Qiu Junda reply Psychiatry
Hello. 1. Taking depression as an example, patients often have a deficiency of certain neurotransmitters in their bodies due to the symptoms. Medication is used to counteract these changes in order to improve symptoms. 2. If one does not take medication, various adjustment method...[Read More] Do I Need to See a Doctor? Understanding Depression and Medication
Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...
Dr. Qiu Junda reply Psychiatry
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Do You Need to See a Doctor for Anxiety Symptoms?
Do I need to see a doctor? I have a very rational personality and tend not to express my emotions outwardly, which makes me somewhat repressed. I spend a lot of time working, maintain distance from others, rarely share my feelings, and am concerned about how others perceive me, o...
Dr. Qiu Junda reply Psychiatry
Hello. You have worked hard under the pressures of life, which can inevitably lead to feelings of anxiety and worry. I suggest you search for educational articles on stress management to learn some practical methods that may help. Of course, you can also take the time to visit a ...[Read More] Do You Need to See a Doctor for Anxiety Symptoms?
Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
How can hypochondriasis be cured? Hello Doctor, since I discovered spots in my mouth at the end of 2018, I started googling my symptoms. With the onset of the pandemic and the stress from my job at that time, I became uncomfortable and began a series of health anxiety behaviors. ...
Dr. Qiu Junda reply Psychiatry
Hello. Regarding the issues of autonomic nervous system dysfunction and health anxiety, although long-term treatment is necessary and it may not be possible to completely cure it without medication as you mentioned, significant improvement can be achieved with regular and consist...[Read More] Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
Coping with Health Anxiety: Managing Worries About a Partner's Well-Being
Excessive worry about his health? Since childhood, I have experienced health anxiety, initially focused on myself, but over time I found ways to coexist with my anxiety and health concerns. However, after starting a relationship with my boyfriend, my health anxiety has intensifie...
Dr. Qiu Junda reply Psychiatry
Hello. Based on the description in the text, your anxiety has clearly caused significant distress both physically and mentally. It is still recommended that you make time to visit a psychosomatic medicine clinic as soon as possible for improvement.[Read More] Coping with Health Anxiety: Managing Worries About a Partner's Well-Being
Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Is this considered obsessive-compulsive disorder (OCD)? Hello doctor, I used to live a normal life, but ever since certain events occurred, I have developed the impression that my living room is very dirty, as if cockroaches have crawled through. Therefore, whenever I touch cloth...
Dr. Qiu Junda reply Psychiatry
Hello. The situation you described may not necessarily be a symptom of obsessive-compulsive disorder; rather, it resembles a phobia related to dirt. However, both obsession and fear of dirt fall under anxiety symptoms. Although your condition, as you mentioned, has not yet become...[Read More] Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Understanding Psychogenic Aphonia: Causes, Treatment, and Recovery Tips
Psychogenic aphonia Recently, my friend suddenly lost the ability to speak. After a doctor's examination, it was diagnosed as psychogenic aphonia. I really want to help him, but I can't find much information about it. Will this condition improve? Besides taking medicati...
Dr. Qiu Junda reply Psychiatry
Hello. Although this situation is quite challenging, there is still a chance for recovery. You can assist him by ensuring regular outpatient visits and adhering to the physician's treatment plan, which is the most helpful support.[Read More] Understanding Psychogenic Aphonia: Causes, Treatment, and Recovery Tips
Can Long-Term SSRI Use Cause Harm to Normal Individuals?
I'm sorry Doctor, I would like to ask: Q: If I am a normal person, is it possible that taking SSRIs for a long time or in excess could lead to depression or cause harm when not taking them? When I was 17 or 18 years old, I felt that I was easily anxious and took two tablets ...
Dr. Qiu Junda reply Psychiatry
Hello. SSRIs are antidepressants that should be used long-term by patients with depression, although the dosage can be adjusted. If a patient stops taking them and experiences a relapse of depression, it further proves that one should not discontinue the medication without guidan...[Read More] Can Long-Term SSRI Use Cause Harm to Normal Individuals?
Understanding Morning Anxiety: Is It Overthinking or a Mental Health Issue?
Feeling very troubled? Hello Dr. Chiu: I apologize for the interruption. I would like to ask about my situation. In the mornings, I find it difficult to concentrate as I keep overthinking things I have already planned. I tend to imagine many scenarios in a negative light, feeling...
Dr. Qiu Junda reply Psychiatry
Hello. It is necessary to observe and assess the extent of the illness. Initially, it seems to be a negative response in thoughts and behaviors related to certain stressors. I wonder if you have been experiencing any stress in your daily life. I suggest searching online for educa...[Read More] Understanding Morning Anxiety: Is It Overthinking or a Mental Health Issue?
Understanding Binge Eating Disorder: When to Seek Help for Your Symptoms
Regarding binge eating disorder? Hello doctor, about six months ago, I felt that I was overweight, and one day after eating a bit too much, I induced vomiting. Since then, whenever I eat a little more than usual, I have been inducing vomiting, increasing from once or twice a week...
Dr. Qiu Junda reply Psychiatry
Hello. Your condition regarding binge eating disorder still needs to be evaluated, and it is important to seek improvement. It is recommended that you visit a mental health professional (psychiatrist) to facilitate early recovery.[Read More] Understanding Binge Eating Disorder: When to Seek Help for Your Symptoms
Morning Mind Racing: Understanding and Managing Mental Clarity Issues
In the morning, my mind keeps racing with thoughts? Hello, doctor: In the morning, my mind keeps racing with thoughts, and even during class, I can't help but think about various things. However, in the afternoon, I don't have the same urge to think. In the morning, it ...
Dr. Qiu Junda reply Psychiatry
Hello. It doesn't seem to be an unusual situation. I'm not sure which aspect you are concerned about. When you think about it, do you feel any anxiety or worry? Or is it a source of stress for you? Or are you just thinking about it casually? You might try taking some de...[Read More] Morning Mind Racing: Understanding and Managing Mental Clarity Issues
Understanding Anxiety: Symptoms and Solutions for Everyday Challenges
Anxiety and restlessness? 1. Hello Doctor, my previous symptoms included a rapid heartbeat and a feeling of intense nervousness as soon as I stepped outside, as if I were about to faint. However, I have improved significantly. Currently, my symptoms occur only when I go out to ea...
Dr. Qiu Junda reply Psychiatry
Hello. 1. How have your previous symptoms improved? If you have sought medical attention, please return for follow-up treatment. If you have not sought medical care, I still recommend that you take the time to consult a healthcare professional regarding your current symptoms to e...[Read More] Understanding Anxiety: Symptoms and Solutions for Everyday Challenges
Struggling with Sleep: Early Waking After Medication Changes
Going to bed before 11 PM and waking up very early? If you are taking medication and find that you can fall asleep easily but wake up before 2 AM, whereas previously you could sleep until at least 6 AM, this could indicate a problem. You mentioned that you have been prescribed ps...
Dr. Qiu Junda reply Psychiatry
Hello. There are various options for sleep medications in the field of psychosomatic medicine. The effectiveness of these medications, including the duration of sleep, varies from person to person. If you find that you still frequently wake up and do not sleep for long periods af...[Read More] Struggling with Sleep: Early Waking After Medication Changes
Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Anxiety disorder and insomnia? Hello, I have been diagnosed with anxiety disorder, and my insomnia has recently become more severe than before. I often feel anxious and have palpitations, and sometimes I even experience panic. I frequently feel nauseous, dizzy, or have trembling ...
Dr. Qiu Junda reply Psychiatry
Hello. The physical symptoms you described, including insomnia, fall within the range of anxiety disorders. Sometimes, factors such as stress and the environment can affect the severity of the symptoms. I recommend that you take the time to consult a psychiatrist. If you have con...[Read More] Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Should I See a Doctor for My Anxiety and Fear Issues?
Do I need to see a doctor? Hello, doctor. I am currently a senior in high school. Due to certain reasons, I had previously sought treatment from a mental health specialist a few years ago, but I stopped going for personal reasons. My anxiety and fear have improved somewhat after ...
Dr. Qiu Junda reply Psychiatry
Hello. If it's inconvenient for you to seek medical attention, you can try to self-adjust your current situation. If you encounter any obstacles that you find difficult to overcome, you can consider using the 1925 mental health hotline for online counseling, which may be hel...[Read More] Should I See a Doctor for My Anxiety and Fear Issues?
Is It Anxiety? Understanding Your Thoughts and Feelings
Are these symptoms related to anxiety disorders? I often find myself overthinking when I'm outside, and I feel that it's much better to stay at home. I frequently have thoughts that I don't want to think about, and I'm not afraid of them. Thank you, doctor.
Dr. Qiu Junda reply Psychiatry
Hello. From a preliminary assessment, it does not seem to reach the level of an anxiety disorder. However, if you are feeling quite troubled by it, you might consider taking some time to consult with a mental health specialist.[Read More] Is It Anxiety? Understanding Your Thoughts and Feelings
Is XET 20mg Safe? Understanding Its Effects on Mental Health
Will taking XET 20mg harm my health? Hello Doctor: I have been seeing a psychiatrist for severe panic disorder for two years. Recently, I was laid off due to company politics, which has led to deep feelings of guilt and resentment. Every time I interview for a new job, I have to ...
Dr. Qiu Junda reply Psychiatry
Hello. XET 20mg is an antidepressant. Generally, it takes more than two weeks to see if it is effective. It often has gastrointestinal side effects, but after a few days of use, one can gradually adapt and improve. It is not harmful to the body and is metabolized by the liver. If...[Read More] Is XET 20mg Safe? Understanding Its Effects on Mental Health
Medication Timing: When to Take Brain Relaxant and Mood Stabilizer?
Medication Timing Could you please clarify which medication, Brain Relaxing (腦樂靜) or Happy Power (樂力靜), is taken at bedtime and which one is taken in the morning? The medication bags are divided into two, one marked for bedtime and the other for morning, and there may have been a...
Dr. Qiu Junda reply Psychiatry
Hello. If medication is prescribed for your symptoms, generally, Clonazepam (Klonopin) is taken at bedtime due to its sedative effects. On the other hand, Buspirone (Buspar) not only aids in sleep but also has anxiolytic properties, so it may be taken in the morning to alleviate ...[Read More] Medication Timing: When to Take Brain Relaxant and Mood Stabilizer?