Seeking Guidance: Navigating Mental Health Challenges and Support
Inquiry Dear Dr. Tang Xinbei, I would like to ask if you were the psychiatrist who once practiced in Chiayi or Pingtung and helped patients on the Taiwan e-Hospital platform. This is Xiao Jie, the Xiao Jie who was quite bothersome during our previous consultations! After so many...
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie, I am Dr. Tang, the one who used to assist in answering patients' questions at Taiwan e-Hospital. I have not left my position at the Chi Nan Psychiatric Hospital under the Department of Health. I apologize for stepping back from the medical consultation servic...[Read More] Seeking Guidance: Navigating Mental Health Challenges and Support
Cymbalta vs. Prozac: Efficacy, Side Effects, and Organ Impact
Medication Consultation Hello, Doctor: I would like to ask about Cymbalta (30 mg), known in Chinese as [千憂解]. How does its efficacy compare to [百憂解]? Additionally, what are the side effects and long-term consequences of both medications? Which one has a greater impact on liver an...
Dr. Tang Xinbei reply Psychiatry
Dear Weiwei, Cymbalta (30 mg), known generically as Duloxetine, is currently not available at our hospital, and I have no personal experience with its use. After reviewing relevant literature and consulting information provided by the original manufacturer, I found that this med...[Read More] Cymbalta vs. Prozac: Efficacy, Side Effects, and Organ Impact
Understanding Psychiatric Medications: Key Questions Answered
Clarification Hello Dr. Tang: I apologize for the interruption, but I have a few questions regarding medications that I would like to ask you. Thank you for your assistance! 1. What is the difference between Serotec 20mg (Xiwuyou capsules) and Prozac 20mg (tablets)? 2. Which on...
Dr. Tang Xinbei reply Psychiatry
Dear Yi Yi, Upon checking the Ministry of Health and Welfare's drug approval database, I found that the ingredient in "Xiwuyou Capsules" at 20 mg is FLUOXETINE, which is the same active ingredient as Prozac. Both are produced by Shunsheng Pharmaceutical Co., Ltd. ...[Read More] Understanding Psychiatric Medications: Key Questions Answered
Top Psychiatrists in Taoyuan for Schizophrenia Treatment
Regarding peach therapy physicians? Hello, doctor: Based on your knowledge, could you recommend a psychiatrist at Taoyuan Rehabilitation Hospital who is particularly skilled in treating schizophrenia and has a good understanding of antipsychotic medications?
Dr. Tang Xinbei reply Psychiatry
Dear Peter, I believe I have already clarified my position regarding online consultations in my previous letter. Concerning recommendations for hospitals or physicians, as well as questions about which medications to use, I am unable to recommend specific drugs or healthcare fac...[Read More] Top Psychiatrists in Taoyuan for Schizophrenia Treatment
Managing Drooling Side Effects from Antipsychotic Medications
Antipsychotic medications It is quite common to experience drooling as a side effect of antipsychotic medications. If you are looking for alternatives or ways to manage this side effect, it is important to consult with your healthcare provider. They may consider adjusting your do...
Dr. Tang Xinbei reply Psychiatry
Dear friend: Based on your statement and my personal clinical experience, the antipsychotic medication you are taking may be a traditional antipsychotic or a second-generation antipsychotic, which can lead to certain side effects due to the nature of the drugs. According to some ...[Read More] Managing Drooling Side Effects from Antipsychotic Medications
Long-Term Antipsychotic Use: Risks, Recommendations, and Sleep Aids
Psychiatric medications Hello, doctor. I would like to ask if long-term use of antipsychotic medications can lead to the birth of malformed children. Based on your medical records, which antipsychotic medication is most commonly prescribed for schizophrenia (with hallucinations)?...
Dr. Tang Xinbei reply Psychiatry
Dear Peter, Your questions are divided into several parts. Regarding my experience, most patients with schizophrenia who experience auditory hallucinations are prescribed which medication? This question is difficult to answer definitively. I have been a psychiatrist for eighteen...[Read More] Long-Term Antipsychotic Use: Risks, Recommendations, and Sleep Aids
Could Stress Be Causing My Unexplained Physical Symptoms?
Am I sick? Hello, may I ask you a question? Recently, due to certain circumstances, I had to take on all the responsibilities of my company. Since then, I have started experiencing health issues. I have been suffering from gastroenteritis that has developed into gastritis, and de...
Dr. Tang Xinbei reply Psychiatry
Dear Little One: It seems that at such a young age, you have to bear many burdens and feel quite a bit of pressure! There is increasing evidence that when individuals face stress, various systems in the body are affected, including the neuroendocrine system (which involves cortis...[Read More] Could Stress Be Causing My Unexplained Physical Symptoms?
Understanding Why Your Loved Ones Resist Quitting Smoking
Smoking cessation Hello, I'm asking on behalf of my mother. I tell her to quit smoking, but she doesn't listen and then gets angry at me.
Dr. Tang Xinbei reply Smoking Cessation
Dear friend, I admire your efforts for your mother's health! It takes great courage for someone to encourage their elders to make changes, and it can often lead to misunderstandings and feelings of resentment. I can imagine your mother might say, "I've been smokin...[Read More] Understanding Why Your Loved Ones Resist Quitting Smoking
Coping with Heartbreak: Understanding Loss of Appetite and Dizziness
Loss of appetite and dizziness after a breakup? Hello, doctor... I recently broke up with my boyfriend after nearly three years together. He was my first love, and during our relationship, I became very dependent on him, making him the center of my life. Since he proposed the bre...
Dr. Tang Xinbei reply Psychiatry
Dear Ms. Y: Just after the Qixi Festival, on the eve of the Mid-Autumn Festival, you suddenly broke up with your first love after nearly three years of dating. This is indeed a significant blow for many people! I can understand the intense feelings of separation and loss that yo...[Read More] Coping with Heartbreak: Understanding Loss of Appetite and Dizziness
Understanding the Effects and Risks of Combining Psychiatric Medications
Medication consultation Hello Dr. Tang: I was originally taking only Stilnox (10mg) and Rivotril (2mg). Recently, it seems that these two medications have gradually lost their effectiveness, so my doctor has prescribed two additional medications for me: Prozac (20mg) and Scrcnal ...
Dr. Tang Xinbei reply Psychiatry
Dear Xiang-er, Among the four medications you are taking, Rivotril (2mg) and Serenal (10mg) belong to the benzodiazepine class of sedative-hypnotics. Long-term and high-dose use can lead to tolerance (meaning the medication gradually loses its effectiveness). When suddenly disco...[Read More] Understanding the Effects and Risks of Combining Psychiatric Medications
Is Being Born Afraid of Water Considered a Mental Disorder?
Is being born with a fear of water considered a disorder? Hello, Dr. Tang. I have some questions to ask! Is a natural fear of water considered a condition? Since high school and now as I prepare to enter college, there has always been a swimming class, but I am too afraid to get ...
Dr. Tang Xinbei reply Psychiatry
Dear Hong, It seems that your fear of water has reached a level that is significantly distressing and is affecting certain aspects of your schoolwork and life. Based on your description, your condition generally aligns with "specific phobia," which refers to an excessi...[Read More] Is Being Born Afraid of Water Considered a Mental Disorder?
Understanding Abilify: Side Effects, Weight Gain, and Its Use in Schizophrenia
Psychiatric medications Abilify (aripiprazole) can have several side effects. Common side effects include weight gain and drowsiness. It may also exhibit side effects similar to older antipsychotic medications, such as extrapyramidal symptoms (EPS), which can include tremors, rig...
Dr. Tang Xinbei reply Psychiatry
Dear friend: You inquired about Abilify, which is an antipsychotic medication that was launched in Taiwan earlier this year and has also been available in other countries for only the past year or two, resulting in limited clinical experience. Regarding the side effects of this m...[Read More] Understanding Abilify: Side Effects, Weight Gain, and Its Use in Schizophrenia
How to Regain Lung Capacity After Quitting Smoking: Tips and Exercises
Regretting smoking... Help me...!!! I have already quit... but..? Although I smoked before I turned 18, I have already quit. However, I still feel a lot of resentment about it. I want to regain my lung capacity, as I’ve heard that smoking can reduce it. During middle school, most...
Dr. Tang Xinbei reply Smoking Cessation
Dear Ade, I’m glad to hear that you have quit smoking! It seems that you are looking forward to restoring your body to the condition it was in before you started smoking, especially regarding your lung capacity, and you may feel regret about having smoked. While I am not a pulmo...[Read More] How to Regain Lung Capacity After Quitting Smoking: Tips and Exercises
Understanding Nightmares: Causes, Effects, and Solutions for Better Sleep
Having nightmares? Hello Dr. Tang, I experienced a persistent issue last night that has been troubling me for a long time: nightmares. I have at least one nightmare every month, and after waking up from them, I find it impossible to fall back asleep. My mind keeps replaying the ...
Dr. Tang Xinbei reply Psychiatry
Dear friend, It seems that your sleep disturbances have been ongoing for quite some time. As you mentioned, taking sleeping pills can indeed help facilitate short-term sleep, but it only addresses the symptoms rather than the underlying issue, which still persists. Dreaming is a...[Read More] Understanding Nightmares: Causes, Effects, and Solutions for Better Sleep
Understanding School-Related Headaches and Emotional Struggles in Teens
I'm sorry, but I need specific content or questions to assist you. Please provide the Hello, I often get angry over trivial matters. When I was in school, I frequently experienced headaches, which completely hindered my ability to think. Sometimes, I would act out irrational...
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you are experiencing quite a bit of difficulty in your interpersonal relationships. "People who struggle to interact with others often have few friends," and it appears that you lack self-confidence, fearing that you might say the wrong thing ...[Read More] Understanding School-Related Headaches and Emotional Struggles in Teens
Understanding Coughing After Quitting Smoking: Is It Withdrawal?
It seems that no one has mentioned severe coughing..? Hello Doctor, my first serious cough occurred during military training when I couldn't smoke. The military doctor mentioned it might be a withdrawal symptom. Later, it disappeared as I continued to smoke. However, now tha...
Dr. Tang Xinbei reply Smoking Cessation
Dear Xia, It seems that you have made the decision to quit smoking, but you are experiencing an inexplicable "severe cough" and are confused because you cannot find a clear cause or a way to improve it. From my understanding, currently, there is no mention of "sev...[Read More] Understanding Coughing After Quitting Smoking: Is It Withdrawal?
Cognitive Therapy for Panic Disorder: Understanding Treatment Options
Cognitive Therapy for Panic Disorder Hello, doctor. I would like to ask you a few questions: My father had a consultation at Chimei Medical Center. The doctor mentioned that there are some shadows on his chest X-ray and advised long-term follow-up treatment. This has caused him t...
Dr. Tang Xinbei reply Psychiatry
Dear May, It seems that you are quite concerned about your father's condition. Based solely on your description, I cannot determine whether your father is experiencing panic disorder. Panic disorder refers to a condition characterized by recurrent, unexpected episodes of in...[Read More] Cognitive Therapy for Panic Disorder: Understanding Treatment Options
Understanding Violence and Anger Disorders: A Case Study
Violence and Aggression Disorders I met a male friend in Hualien who exhibits violent and aggressive behavior. He often speaks loudly to his girlfriend or relatives, whether intentionally or unintentionally, causing his girlfriend to experience mental stress, insomnia, and autono...
Dr. Tang Xinbei reply Psychiatry
Dear Limey, Your question is somewhat complex, so I will try to clarify a few points: 1. Your friend, who is only twenty years old, seems to be troubled by her boyfriend's issues. Her boyfriend has been using drugs, specifically methamphetamine, which appears to have alte...[Read More] Understanding Violence and Anger Disorders: A Case Study
Building Relationships: Schizophrenia Patients and Romantic Connections
Schizophrenia How can individuals with schizophrenia communicate and interact with the opposite sex, and even get married? Thank you.
Dr. Tang Xinbei reply Psychiatry
Dear Peter, Your question is brief, but it addresses a complex issue. Individuals with schizophrenia certainly have the same rights as anyone else to form friendships, choose partners, and establish families. The processes and methods are similar to those of the general populati...[Read More] Building Relationships: Schizophrenia Patients and Romantic Connections
Struggling with Mental Health: Coping with Sleep Issues and Overwhelming Stress
I'm sorry, but I Hello Doctor: Recently, my sleep quality has been deteriorating. I often wake up in the middle of the night; it used to be once a night, but now it's four times a night. I feel exhausted every day at work. Additionally, I have had poor health since chil...
Dr. Tang Xinbei reply Psychiatry
Dear friend: It seems that you are facing quite a few challenges, not only emotionally but also physically, with stress from daily life as well as family and interpersonal relationships. You appear to be significantly troubled by your physical discomfort, which seems to have pers...[Read More] Struggling with Mental Health: Coping with Sleep Issues and Overwhelming Stress