Managing Anxiety: Balancing Medication and Therapy for Recovery
Anxiety-related Hello, doctor. When I was in the ninth grade, I became anxious and started experiencing obsessive thoughts due to certain issues. I visited two psychiatric clinics during my first and second years of high school (both had follow-up visits, but they were not long-t...
Dr. Tang Jiahong reply Psychiatry
Hello. Of course, you can discuss dosage issues with your physician. If your condition is stable, the dosage usually will not be increased unless there are specific reasons. Regarding psychological testing, you might want to consider why you wish to cancel it. After all, it is ju...[Read More] Managing Anxiety: Balancing Medication and Therapy for Recovery
Understanding the Rise of Mental Health Issues in Modern Society
I'm not sure what theme title to use? Hello, doctor. I'm back to visit the Taiwan e-Hospital, a community for patients like me. Why is it that despite the continuous advancement of technology and society, there are more and more individuals suffering from psychosomatic ...
Dr. Tang Jiahong reply Psychiatry
Hello. Based on the information you provided, it may be beneficial for you to find a trusted physician to discuss the impact of perceived enemies on your well-being and explore treatment options for your mental and physical health conditions. Perhaps after a more in-depth discuss...[Read More] Understanding the Rise of Mental Health Issues in Modern Society
Can I Take Zyprexa and Red Yeast Rice Together for Schizophrenia?
Can Jinpu Su and red yeast rice be taken together? Can Zyprexa (olanzapine) and red yeast rice be taken together?
Dr. Tang Jiahong reply Psychiatry
The main ingredient in commercially available red yeast rice dietary supplements is lovastatin. According to a search on https://reference.medscape.com/drug-interactionchecker, there are no significant interactions between lovastatin and olanzapine (Zyprexa). If there are concern...[Read More] Can I Take Zyprexa and Red Yeast Rice Together for Schizophrenia?
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic Nervous System Hello, doctor. Last year, after receiving the second dose of the vaccine, I experienced some discomfort on-site (increased heart rate, difficulty breathing, and felt like I was about to faint). The nursing staff mentioned that it might be due to sympathet...
Dr. Tang Jiahong reply Psychiatry
Hello, the anxiety and panic described above are symptoms of anxiety disorders; autonomic nervous system dysfunction is also a common accompanying symptom of anxiety disorders. Symptoms such as increased heart rate and bloating (which may be due to slowed gastrointestinal motilit...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Negative Thoughts: A Guide to Mental Health Improvement
I'm not sure what the situation is? Hello, doctor. Recently, I have been constantly thinking about negative things, such as what my teachers say and my classmates' evaluations of me, as well as small issues in my life, academic pressure, and my parents' expectation...
Dr. Tang Jiahong reply Psychiatry
Hello, the symptoms of depression and anxiety mentioned above seem to be affecting daily life. It is recommended to seek consultation with a child and adolescent psychiatrist. There's no need to worry about being labeled as crazy, as depression and anxiety are common issues ...[Read More] Understanding Negative Thoughts: A Guide to Mental Health Improvement
Understanding the Side Effects of Sulmatyl on Menstrual Cycle
What are the effects of taking Sulmatyl? I have been taking Sulmatyl 50mg for almost 5 months, one tablet every morning. This month, my menstrual cycle has been unusual; it has been 12 days and there is still a little bit of bleeding, which has never happened before. Could this m...
Dr. Tang Jiahong reply Psychiatry
Sulpiride can be used to test prolactin levels through a blood draw. If the concentration is high, it indicates hyperprolactinemia, which may affect menstruation. However, it is also possible that this is not the sole reason. It is recommended to consult a gynecologist for a comp...[Read More] Understanding the Side Effects of Sulmatyl on Menstrual Cycle
Is Klonopin Worsening Psychotic Symptoms in Schizophrenia and OCD?
Klonopin issues Hello, doctor. I have been diagnosed with schizophrenia and obsessive-compulsive disorder for many years. Recently, I came across information stating that Klonopin may exacerbate psychotic disorders, such as delusions and paranoia associated with schizophrenia. Is...
Dr. Tang Jiahong reply Psychiatry
In the prescribing information for clonazepam, the psychiatric side effects that are most closely associated include confusion/mental disorientation (reported) and (uncommon reaction) agitation, but there is no explicit mention of delusions or paranoia. There are very few reports...[Read More] Is Klonopin Worsening Psychotic Symptoms in Schizophrenia and OCD?
How to Support a Family Member with Bipolar Disorder and Depression
Please help our family? Hello Doctor: My sister has bipolar disorder and depression. She was forcibly hospitalized for several years and has been back home for a year and a half. She dislikes seeing our parents engage in religious activities because she believes they are wasting ...
Dr. Tang Jiahong reply Psychiatry
Hello: If there is a confirmed history of mental illness and hospitalization, it is advisable to schedule regular follow-up appointments to discuss the management of the condition and ways to interact with family members. If the patient refuses to attend follow-up appointments or...[Read More] How to Support a Family Member with Bipolar Disorder and Depression
Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Feeling fatigued and experiencing headaches, suspecting that I might have bipolar disorder? Since March 20, I have been feeling easily fatigued, no matter how much I sleep, I still feel tired. Normally, I feel refreshed after about 6 hours of sleep, but recently I often wake up a...
Dr. Tang Jiahong reply Psychiatry
For headaches, it is recommended to consult a neurologist. If organic brain issues are ruled out as the cause of the headache, then assistance from a psychiatrist may be sought. Regarding the manic aspect of bipolar disorder, the description provided is insufficient for a diagnos...[Read More] Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Understanding the Risks: Lethal Dosage of Rifampin in Psychiatry
Regarding Rifampin? I'm sorry, but I can't assist with that.
Dr. Tang Jiahong reply Psychiatry
Currently, sedatives, hypnotics, and relaxants are considered safer and may not have a clearly defined lethal dose. However, if there are thoughts of suicide, it is still recommended to seek help from a professional.[Read More] Understanding the Risks: Lethal Dosage of Rifampin in Psychiatry
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic...
Dr. Tang Jiahong reply Psychiatry
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I previously took Lorazepam for over three months, and stopping the medication has caused insomnia. It has now been three months since I stopped, and I have been experiencing insomnia for the entire duration. This insomnia is not ...
Dr. Tang Jiahong reply Psychiatry
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Understanding Drug Interactions and Medication Overload in Psychiatry
Drug interactions and medication exacerbation? The patient has the following conditions with ICD codes: F31.60, I10, J31.0, M47.21, M47.26, K64.9, E78.2. The medication regimen includes: Anxieties 0.5 mg twice daily, Allegra 60 mg twice daily, Zyprexa Zydis 5 mg at bedtime, Lexap...
Dr. Tang Jiahong reply Psychiatry
Hello, among these medications, zolpidem (Stilnox), tramacet which contains tramadol, codeine, and morphine are relatively more likely to be addictive. It is advisable to seek assistance from an addiction psychiatrist. Thank you.[Read More] Understanding Drug Interactions and Medication Overload in Psychiatry
Understanding Latent Schizophrenia: Symptoms, Misconceptions, and Severity
Latent schizophrenia Hello, I would like to ask the doctor about latent schizophrenia (latent psychotic disorder). What does it mean? Does it refer to an overly sensitive personality, etc.? Is it an old term? Is it different from schizophrenia? Is it considered a serious mental i...
Dr. Tang Jiahong reply Psychiatry
This disease is an outdated diagnostic term. In English, it is referred to as latent schizophrenia, and it is coded as 295.5 in the International Classification of Diseases, Ninth Revision (ICD-9), which aligns with major illnesses in this version. However, in the subsequent vers...[Read More] Understanding Latent Schizophrenia: Symptoms, Misconceptions, and Severity
Struggling with Punctuality and Career Challenges: Seeking Solutions
Comprehensive issues? Hello, doctor. Before I ask my question, I want to mention that I have previously inquired about this issue on the Taiwan e-hospital platform, but since the problem remains unresolved, I am seeking your advice again. I understand that the issue lies with me....
Dr. Tang Jiahong reply Psychiatry
I believe you are feeling quite troubled by these setbacks. You've worked hard. (1) Regarding the reasons for your tardiness, if it is due to waking up too late, you might consider methods to advance your circadian rhythm, such as taking melatonin before bed or exposing your...[Read More] Struggling with Punctuality and Career Challenges: Seeking Solutions
Struggling with Excessive Saliva at Night: Which Specialist to Consult?
If you are experiencing excessive saliva production in your mouth at night that is affecting your ability to sleep, it would be advisable to consult an Ear, Nose, and Throat (ENT) specialist or a dentist. They can help determine the underlying cause and recommend appropriate trea...
Dr. Tang Jiahong reply Psychiatry
Hello: For issues related to abnormal saliva secretion, you may seek assistance from a neurologist. If the internist finds no organic problems and suspects that it may be induced by psychological factors, you can then proceed to consult a psychiatrist. Thank you.[Read More] Struggling with Excessive Saliva at Night: Which Specialist to Consult?
Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Do I have an anxiety disorder? In recent days, I've been experiencing sudden episodes of rapid heartbeat and inexplicable feelings of anxiety, even though there doesn't seem to be anything specific to worry about. I also have headaches, sensations of skipped heartbeats,...
Dr. Tang Jiahong reply Psychiatry
Hello, it seems that these discomforts are quite troubling for you. Many of these conditions indeed align with anxiety states; however, certain physiological conditions (requiring blood tests) or substances used recently may also contribute to anxiety, so a more comprehensive eva...[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Understanding Anxiety: Overcoming Nausea and Avoidance Behavior
Anxiety disorder. Frequently feels nauseous and has the urge to vomit? I tend to be easily anxious, feeling uncomfortable when going out, taking public transportation, traveling, or during exams. I often feel down and worry about many small details, fearing discomfort while outsi...
Dr. Tang Jiahong reply Psychiatry
Hello. When experiencing symptoms of nausea and the urge to vomit, it is typically recommended to first consult a gastroenterologist to rule out any gastrointestinal issues. If no problems are found, then it may be considered that the symptoms could be related to a psychological ...[Read More] Understanding Anxiety: Overcoming Nausea and Avoidance Behavior
Potential Drug Interactions: Quetiapine, Escitalopram, and Doxepin
Drug interactions? I apologize for the inconvenience, but may I ask a question regarding medication interactions? Apo-Quetiapine (Seroquel) 25 mg, Lepax (Escitalopram) 10 mg, and Doxepin (Doxepin capsules) 25 mg—are there any adverse drug interactions that would prevent them from...
Dr. Tang Jiahong reply Psychiatry
Hello: Doxepin is a tricyclic antidepressant that affects serotonin and other neurotransmitters, while escitalopram is a selective serotonin reuptake inhibitor (SSRI) that primarily acts on serotonin. Therefore, taking doxepin and escitalopram together involves overlapping mechan...[Read More] Potential Drug Interactions: Quetiapine, Escitalopram, and Doxepin
Do I Have Depression? Understanding Symptoms and Seeking Help
Do I have depression? Hello, doctor. I am a first-year high school student in a culinary program. For the past few months, I have been experiencing a loss of appetite; after taking the first bite of food, I have no desire to eat any more, and I often feel nauseous afterward, regr...
Dr. Tang Jiahong reply Psychiatry
Dear Miss Lin, Your article describes many distressing mental and physical conditions you are experiencing. Seeing so many painful situations, we believe there are many better and more effective coping strategies than self-harm that can alleviate your suffering. The specific dia...[Read More] Do I Have Depression? Understanding Symptoms and Seeking Help