Overcoming Swallowing Anxiety: Understanding Panic and Treatment Options
Dysphagia phobia or swallowing anxiety? Hello Dr. Chiu, I would like to inquire about the issue of swallowing anxiety. Currently, I am experiencing a fear of swallowing, and if I am forced to swallow or feel something stuck, it triggers a panic attack. During swallowing, I find m...
Dr. Qiu Junda reply Psychiatry
Hello. Your issue is more related to psychosomatic aspects. However, it is advisable to first consult a neurologist to assess whether there are any swallowing function problems. If the examination results are normal, the physician will likely refer you to a psychosomatic speciali...[Read More] Overcoming Swallowing Anxiety: Understanding Panic and Treatment Options
Post-Surgery Delirium: Understanding Symptoms and Recovery in Elderly Patients
Postoperative agitation and the emergence of delirium after anesthesia? Hello Doctor, my father is 67 years old and recently underwent minimally invasive surgery for artificial disc replacement and nerve decompression due to lumbar vertebral collapse. The surgery lasted for 9 hou...
Dr. Qiu Junda reply Psychiatry
Hello. Your father's condition is occasionally seen and does resemble symptoms of delirium. However, once the underlying cause is addressed, there should not be any lasting effects. He is expected to recover within one to two weeks, and it should not impact his memory or oth...[Read More] Post-Surgery Delirium: Understanding Symptoms and Recovery in Elderly Patients
Managing Anxiety-Induced Nausea: Insights and Solutions
Issues related to anxiety and nausea? Hello, Doctor. I have some questions I would like to ask you: Current situation: When I eat a little too much, I feel a tightness in my throat (around the junction of my head and neck) and have the urge to vomit. I also feel a bit nauseous wh...
Dr. Qiu Junda reply Psychiatry
Hello. Feeling nervous and nauseous before an exam are symptoms of anxiety. You can start by searching online for information on overcoming nervousness and learn some non-pharmacological methods, such as deep breathing and progressive muscle relaxation techniques. If these method...[Read More] Managing Anxiety-Induced Nausea: Insights and Solutions
Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Feeling unwell without improvement, but the examination shows no significant issues? Hello Doctor: Previously (it should have been last year), I felt very anxious and sad due to noticeable heartbeats and palpitations, often wanting to cry, so I went to see a cardiologist. After t...
Dr. Qiu Junda reply Psychiatry
Hello. As you described, most of the results from your physical examination are normal. It may be worth considering whether psychological factors are contributing to your physical discomfort. The issues mentioned in your description do lean towards concerns such as anxiety, panic...[Read More] Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Can L-Theanine and Sertraline Be Taken Together? Effects Explained
Psychiatric medication issues? Can L-arginine and Sertraline be taken together? Will it affect the effectiveness of L-arginine?
Dr. Qiu Junda reply Psychiatry
Hello: They can be taken together without affecting their effectiveness.[Read More] Can L-Theanine and Sertraline Be Taken Together? Effects Explained
Understanding Extrapyramidal Symptoms: Causes, Risks, and Recovery
Extrapyramidal syndrome Last week, I tested positive for COVID-19. On the third day of isolation, I experienced EPS (extrapyramidal symptoms) as a side effect of medication in the evening. My tongue felt stiff, I had slurred speech, my head tilted to one side, and I could only ma...
Dr. Qiu Junda reply Psychiatry
Hello: 1. The occurrence of extrapyramidal side effects (EPS) after taking Primperan is occasional, but it does not indicate any underlying problem. Please do not worry. 2. As long as you stop the medication, there will be no permanent damage to the brain. However, if you have fu...[Read More] Understanding Extrapyramidal Symptoms: Causes, Risks, and Recovery
Understanding and Managing Acrophobia: Seeking Help and Support
Specific Phobia Hello doctor, I have had acrophobia since childhood, but it seems to be getting worse now. I find it difficult to come down from the fifth floor of my school without assistance from friends. When I go out, I can't use escalators or glass elevators. Over time,...
Dr. Qiu Junda reply Psychiatry
Hello. Your fear of heights is indeed beyond the average level and is clearly causing you distress. I recommend that you seek treatment from a mental health specialist for improvement. As for your friends, you can bravely share your issue with them; they should be understanding.[Read More] Understanding and Managing Acrophobia: Seeking Help and Support
Interactions Between Eye Drops and Psychiatric Medications: What You Need to Know
Interactions between medications and drugs? Hello, Doctor. I am currently using "Alcon" Lumigan 0.03% eye drops (manufactured in Ireland). After my eye examination, the doctor informed me that I have early symptoms of glaucoma and that I need to continue follow-up visit...
Dr. Qiu Junda reply Psychiatry
Hello: The 10 mg Liyou film-coated tablets and the 50 mg Mirtazapine tablets contain anticholinergic components, which may cause side effects such as constipation, dry mouth, and blurred vision (though not everyone will experience these). Regarding concerns about glaucoma, you ha...[Read More] Interactions Between Eye Drops and Psychiatric Medications: What You Need to Know
Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Drug withdrawal Hello, doctor. Due to work-related issues, I have been experiencing sleep deprivation for the past two weeks, waking up around 4-5 AM. I visited a psychiatrist to see if there were any solutions. The doctor used instruments to test and diagnosed me with mild auton...
Dr. Qiu Junda reply Psychiatry
Hello. Anxiolytic medications generally have fewer withdrawal issues (theoretically, they are less addictive). If there are withdrawal symptoms, they are likely related to sleep and anti-anxiety medications. However, improvement should typically be seen after about two weeks. Reg...[Read More] Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Understanding Emotional Turmoil: Navigating Depression and Dissociation
I feel quite strange? Hello, doctor. I was diagnosed with depression two to three years ago, and later stopped treatment because I didn't want to continue taking medication. During that time, my emotions were relatively stable. However, recently, for some unknown reason, I h...
Dr. Qiu Junda reply Psychiatry
Hello. The text reveals predominantly negative emotions. Regardless of the underlying condition, due to the distress it has already caused to your mental and physical well-being, it is advisable for you to seek evaluation at a mental health clinic as soon as possible to help stab...[Read More] Understanding Emotional Turmoil: Navigating Depression and Dissociation
Is It Normal to Experience Changes in Thoughts After Taking Medication?
Is it normal to have reactions after taking medication? Hello Doctor: Is it normal to experience some changes in thoughts before and after taking medication? For example: 1. Before taking the medication, I would put sticky notes on my desk with reminders to focus, but after start...
Dr. Qiu Junda reply Psychiatry
Hello. Since I am not aware of the specific issue for which you are taking SSRI medication, I cannot determine whether the situation you described is related to the medication, including whether it may be a possible reaction to the treatment. I recommend that you return to your d...[Read More] Is It Normal to Experience Changes in Thoughts After Taking Medication?
Managing Anxiety: Is Half a Dose of Medication Enough?
Medication issues If you have anxiety and are considering taking half a tablet of an antidepressant like Ubiquinone, is that sufficient, or is it generally recommended to take a full tablet? Sometimes, when sitting and scrolling on your phone, you might feel a bit tense and unabl...
Dr. Qiu Junda reply Psychiatry
Hello. The medication Ubiquinol should be prescribed by a physician, and the dosage should be indicated. I'm not sure what the dosage of one Ubiquinol capsule is. However, if taking half a capsule improves your condition, it should be fine to take half a capsule. Thank you.[Read More] Managing Anxiety: Is Half a Dose of Medication Enough?
Understanding Mental Health: Concerns About SSRIs and Stress Management
Many worries? Doctor: I'm not sure if this is an illness or just a poor mindset; it might be due to high stress, which makes me feel anxious. I'm uncertain if the level of anxiety is within a normal range, but I feel completely fine during holidays. 1. If it were an ill...
Dr. Qiu Junda reply Psychiatry
Hello. I'm not sure if you have ever been treated with SSRIs (selective serotonin reuptake inhibitors) for depression. If you have used them, these medications can actually help prevent the shrinkage of the hippocampus, so there’s no need to worry. As for whether you should ...[Read More] Understanding Mental Health: Concerns About SSRIs and Stress Management
Understanding the Need for Attention: A Deep Dive into Mental Health Issues
I can't figure out why I'm doing this? Hello, doctor. In recent years, I have realized that I have been intentionally engaging in certain behaviors to attract the attention of specific people. I even feel that I must be very negative for them to care about me. I am unsu...
Dr. Qiu Junda reply Psychiatry
Hello. These issues, regardless of whether they reach the level of a medical condition, have caused you mental and physical distress. It is recommended that you call the 1925 Mental Health Hotline to discuss your concerns and engage in online counseling to help alleviate your dis...[Read More] Understanding the Need for Attention: A Deep Dive into Mental Health Issues
Is rTMS an Effective Treatment for Insomnia?
Is rTMS effective for treating insomnia? Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and experienced insomnia, which I never had before. I deeply suspect that it is a ...
Dr. Qiu Junda reply Psychiatry
Hello. I don't have experience in this area and cannot share with you. However, rTMS (repetitive Transcranial Magnetic Stimulation) is primarily used to treat patients with treatment-resistant depression (currently out-of-pocket as it is not covered by insurance). It is rare...[Read More] Is rTMS an Effective Treatment for Insomnia?
Consultation on Medication Addiction and Tapering Strategies
Substance addiction counseling and medication tapering consultation? Hello, doctor. Over a year ago, I developed autonomic nervous system dysregulation due to anxiety disorder, and I am currently undergoing treatment. The medications I am taking include one tablet of Xyprexa in t...
Dr. Qiu Junda reply Psychiatry
Hello. Generally, sleeping medications do have the potential for addiction, and the sleep medication you are using falls into this category. Whether the dosage is too high varies depending on the condition, so please discuss this with your attending physician. If you wish to redu...[Read More] Consultation on Medication Addiction and Tapering Strategies
Am I Struggling with Adjustment Disorder? Understanding My Mental Health
Am I experiencing adjustment disorder? This makes me feel like I'm not doing well? I am a first-year master's student, and since entering the program, I have been feeling very depressed. I have checked various depression scales online, and my scores have reached the hig...
Dr. Qiu Junda reply Psychiatry
Hello. Whether it is adjustment disorder or depression, the text reveals a long-term struggle with negative emotions. I hope you will continue with outpatient follow-up treatment to facilitate improvement. Please also take care of yourself and avoid self-harming behaviors. If you...[Read More] Am I Struggling with Adjustment Disorder? Understanding My Mental Health
Understanding Bipolar Disorder: Managing Medication Side Effects
Bipolar disorder medication side effects Hello, doctor. I have been diagnosed with bipolar disorder and have been taking apo-divalproex 500 mg, three times a day, for about six months. Recently, I have experienced symptoms such as dizziness, vomiting, and loss of appetite. I am c...
Dr. Qiu Junda reply Psychiatry
Hello. Side effects of medications are usually noticed shortly after taking them and are less likely to occur after six months of use. However, it is important to monitor liver function while on this medication. It is recommended that you return to your physician for an evaluatio...[Read More] Understanding Bipolar Disorder: Managing Medication Side Effects
Can Bupropion 150 mg Treat Attention Deficit Issues?
Medication Inquiry Doctor: Can the sustained-release 150 mg Bupropion tablet be used to treat attention deficit?
Dr. Qiu Junda reply Psychiatry
Hello. Bupropion is a medication that has been used to treat depression and assist with smoking cessation. It may be effective for issues related to concentration or mental focus caused by depression.[Read More] Can Bupropion 150 mg Treat Attention Deficit Issues?
Is There Autonomic Nervous System Near the Tibia? Understanding Leg Pain
Is there autonomic nervous system activity near the tibia? Hello Doctor: I have been suffering from autonomic nervous system dysfunction and generalized anxiety disorder for a year and am currently on medication. Recently, I have been experiencing a dull pain in the mid-section o...
Dr. Qiu Junda reply Psychiatry
Hello. Symptoms related to autonomic nervous system dysfunction are rare. You may first consult an orthopedic specialist. If it is indeed related to autonomic nervous system dysfunction, the physician will also assess whether a referral to a psychosomatic medicine specialist is n...[Read More] Is There Autonomic Nervous System Near the Tibia? Understanding Leg Pain