Managing OCD Medication: Side Effects and the Decision to Reduce or Stop
The medications I take and their side effects? Dr. Wang: I have obsessive-compulsive disorder (OCD) and have been on medication for about two months. The symptoms of OCD have mostly disappeared. However, I have been experiencing persistent uncomfortable side effects (a strange fe...
Dr. Wang Yaoting reply Psychiatry
Hello: Your feelings are shared by many patients. Medications can be effective, but they also have side effects. The question is whether to continue taking the medication. Generally speaking, if you can tolerate the side effects and the medication significantly improves your symp...[Read More] Managing OCD Medication: Side Effects and the Decision to Reduce or Stop
Understanding SSRI Effects and Concerns About Antipsychotic Medications
Medication issues Dr. Wang: 1. After taking SSRIs, I feel indifferent towards things and a bit lethargic, which only started after I began the medication. I would like to know if this condition will improve after the treatment ends and I stop taking the medication, or will it per...
Dr. Wang Yaoting reply Psychiatry
Hello, I apologize for the late response as I just saw the system notification. 1. SSRIs can enhance the effects of serotonin in the brain, generally improving your mood, making you feel calmer, suppressing feelings of fear, dulling negative emotions, and becoming more rational...[Read More] Understanding SSRI Effects and Concerns About Antipsychotic Medications
Medication Side Effects vs. Willpower: Understanding Your Mental Health
Drug side effects? Willpower? Hello Dr. Wang, I apologize for the lengthy message. Here is my situation: I have obsessive-compulsive disorder (OCD) and I am taking Fluoxetine (Prozac) once a day. I have been on this medication for about a month. Recently, I am preparing for an e...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, you seem to be feeling anxious about whether you need to take medication, and you may have some conflicting emotions. It is advisable to consult a psychiatrist who can conduct an interview, blood tests, and psychological assessments to determine ...[Read More] Medication Side Effects vs. Willpower: Understanding Your Mental Health
How Long Will It Take to Recover from Medication-Induced Insomnia?
How much longer will it take to return to normal? Your question: Hello doctor, I would like to inquire about medication issues. I have been experiencing stomach pain due to autonomic nervous system dysfunction, and I never had insomnia before taking the medication. After being pr...
Dr. Wang Yaoting reply Psychiatry
Hello: "Rebound insomnia" caused by sedative medications occurs because our brain produces certain inhibitory neurotransmitters under the influence of these drugs, leading to changes in nerve cells. As a result, the sleep center becomes lethargic, and it may take severa...[Read More] How Long Will It Take to Recover from Medication-Induced Insomnia?
Should I Take Medication for Anxiety and Focus Issues?
Medication issues? Dr. Wang: I apologize for interrupting you, but I would like to ask a few questions. 1. Sometimes I feel anxious over trivial matters (for example, I worry about forgetting what I need to do in the evening, which prevents me from concentrating on other tasks ...
Dr. Wang Yaoting reply Psychiatry
Hello, I apologize for the late response. 1. Feeling irritable over minor issues does not necessarily indicate an illness. It's important to reflect on whether your irritability has become excessive. If both you and those around you find your state acceptable and it does n...[Read More] Should I Take Medication for Anxiety and Focus Issues?
How Long Does It Take to Recover After Stopping Medication?
How long will it take to recover after stopping medication for three months? Hello Doctor, I would like to inquire about medication issues. I have been experiencing gastric pain due to autonomic nervous system dysfunction, and I never had insomnia before taking the medication. Af...
Dr. Wang Yaoting reply Psychiatry
Hello: I apologize for the delay in my response as I just saw the notification from the system. Levofloxacin is considered a relatively mild sedative, so there is not much concern regarding addiction. However, stopping it too quickly may lead to rebound insomnia. I believe that y...[Read More] How Long Does It Take to Recover After Stopping Medication?
Difficulty Breathing While Sleeping: Understanding Anxiety and Insomnia
Difficulty breathing or feeling like you can't get enough air while sleeping? I have been experiencing insomnia for about five years. Recently, in the past year, I have been suddenly unable to breathe properly in my chest while trying to sleep. This sensation has been occurr...
Dr. Wang Yaoting reply Psychiatry
Hello: It sounds like it could be a case of obstructive sleep apnea. I recommend visiting an otolaryngologist or a sleep center for an evaluation, where an examination of the upper airway obstruction can be arranged. If the results are normal or show only minor abnormalities that...[Read More] Difficulty Breathing While Sleeping: Understanding Anxiety and Insomnia
Understanding Impulse Control Issues: Can They Lead to Harm?
Continuation of question #175052? I am the person who asked the previous question 175052. First of all, thank you for the doctor's response. I apologize for having another question. Since this is an issue of impulse control, is it possible that I could actually harm someone,...
Dr. Wang Yaoting reply Psychiatry
Hello: What I previously mentioned about the difficulty in controlling impulses refers to an internal desire that is hard to manage rationally, leading to reckless pursuit of those desires (your situation is an example of wanting to recover previous losses without considering the...[Read More] Understanding Impulse Control Issues: Can They Lead to Harm?
Understanding OCD, Anxiety, and Panic in Workplace Dynamics
Obsessive-Compulsive Disorder (OCD), Anxiety, Panic? Hello, Doctor. I am currently facing some interpersonal issues at work. Over the past two years, one or two colleagues have seemingly teamed up with others to exclude me. Since I am privately preparing for a national examinatio...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, it seems you are experiencing issues with stress adaptation, leading to emotional instability, interpersonal sensitivity, and a tendency for over-association. I recommend that you visit a mental health clinic nearby, where a physician can assess ...[Read More] Understanding OCD, Anxiety, and Panic in Workplace Dynamics
Understanding Gambling Addiction and Impulse Control Issues
Gambling addiction? Impulse control issues? Hello Doctor, I am a person with obsessive-compulsive disorder, but today's issue may not be closely related to it. Here's the situation: Recently, I came across a foreign website related to an online game I usually play. Th...
Dr. Wang Yaoting reply Psychiatry
Hello: Your situation does not seem to reach the level of "gambling addiction." Gambling addiction is characterized by a persistent need to gamble, where individuals continue despite being aware of the negative consequences. They may feel restless, depressed, or irritab...[Read More] Understanding Gambling Addiction and Impulse Control Issues
Is My Dad's Behavior a Sign of Mental Decline After Retirement?
I would like to inquire if my father is sick? My father is currently 63 years old. In recent years, I've noticed that he has become increasingly difficult to get along with; he has become more stubborn, irritable, and prone to taking out his frustrations on others. Since ret...
Dr. Wang Yaoting reply Psychiatry
Hello: It seems that your father is starting to exhibit personality changes, decreased language expression, impaired comprehension, gambling behavior, stubbornness, worsening short-term memory, and diminished visuospatial skills. This progression is gradual and slow. Clinically, ...[Read More] Is My Dad's Behavior a Sign of Mental Decline After Retirement?
Understanding Anxiety and Depression: Sleep Issues and Emotional Struggles
Anxiety and Depression Hello, doctor. I have been struggling with insomnia for a long time, often having difficulty falling asleep and staying asleep. Even when I finally manage to fall asleep, I wake up easily and spend a long time tossing and turning in bed. I was previously pr...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, it seems more like an adjustment disorder due to stress, but there may be depressive tendencies. The tranquilizer you mentioned belongs to the category of sedatives and sleep aids. I would recommend making the following adjustments: 1. Maintain a...[Read More] Understanding Anxiety and Depression: Sleep Issues and Emotional Struggles
Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Withdrawal symptoms Hello, doctor. I originally took (Prozac 40mg + Xanax 0.5mg) once at bedtime for anxiety and panic for a year and a half. Later, I reduced the Xanax to half a pill and have been on that for a month. Recently, I started receiving RTMS treatment on my right brai...
Dr. Wang Yaoting reply Psychiatry
Hello: Prozac is a long-acting antidepressant. After repeated dosing, its half-life can extend to 4-6 days, and upon metabolism in the body, it produces an active metabolite, norfluoxetine, which has a half-life of up to 7 days. Therefore, withdrawal symptoms are rarely observed ...[Read More] Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Navigating Relationships and Sexual Urges: A Mental Health Perspective
Seeing someone of the opposite sex often makes one want to date? When I interact with women, I often want to ask if they have a boyfriend and if we could consider dating. Sometimes, I experience sexual urges, which I know are normal. I have been masturbating since I was young, an...
Dr. Wang Yaoting reply Psychiatry
Hello: Most boys actually learn how to interact with the opposite sex gradually during their development. If some primal urges are difficult to control, it is advisable to use alternative methods to manage them, such as engaging in physical exercise to tire oneself out, which can...[Read More] Navigating Relationships and Sexual Urges: A Mental Health Perspective
Can I Take Antidepressants After Receiving the AZ Vaccine?
Vaccine issues Can I take Eulizhu Pan tablets and Anxiolytic enteric-coated tablets after receiving the AZ vaccine?
Dr. Wang Yaoting reply Psychiatry
Hello: Current research shows no evidence of conflict between psychiatric medications and the administration of the AZ vaccine, so it is safe to continue medication treatment.[Read More] Can I Take Antidepressants After Receiving the AZ Vaccine?
Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Auditory hallucinations occur when lying flat? Hello, doctor. My mother just turned 80 years old. Since she was young, she often mentioned that a devil has been following her, whether she is outside or at home. Occasionally, she complains that the devil appears intentionally for ...
Dr. Wang Yaoting reply Psychiatry
Hello: Auditory hallucinations occur when there are no obvious external sounds, yet the individual's cerebral cortex is firing, leading them to perceive sounds. Auditory hallucinations can indeed manifest in certain mental illnesses, such as schizophrenia and dementia, but t...[Read More] Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Can You Use Wellbutrin While Quitting Amphetamines?
Amphetamine Can I take Wellbutrin while quitting methamphetamine? I don't want to continue living like this; it's so frustrating and exhausting.
Dr. Wang Yaoting reply Psychiatry
Hello: Past studies have indicated that Vivitrol (naltrexone) has short-term efficacy in treating mild to moderate amphetamine dependence. However, it is important to note that it may need to be combined with psychotherapy or cognitive-behavioral therapy to achieve longer-term ma...[Read More] Can You Use Wellbutrin While Quitting Amphetamines?
Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Experiencing anxiety and panic symptoms following missed heartbeats, please consult a physician? Hello Dr. Wang, thank you for your dedication and professionalism in addressing everyone's concerns. After reading your previous responses, I believe you are a very knowledgeable...
Dr. Wang Yaoting reply Psychiatry
Hello: Anxiety disorders and autonomic nervous system dysregulation often influence each other, creating a vicious cycle that typically requires some changes for improvement. Most causes of onset are not due to a single event; both physiological and psychological factors may cont...[Read More] Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Understanding My Father's Mental Health Challenges After Divorce
My father's mental condition? Hello Doctor, Family situation: There are four people in my family. I am the eldest son, and I have a father, a mother, and a younger sister. Both my sister and I work overseas and cannot return to Taiwan frequently due to the pandemic. Desc...
Dr. Wang Yaoting reply Psychiatry
Hello, it sounds like your father is experiencing a situation that is understandably concerning for the family, and it can be distressing not knowing how to help him. Based on your description, it is difficult to make a complete assessment. However, if the issue with emotional co...[Read More] Understanding My Father's Mental Health Challenges After Divorce
Managing Relapse in Autonomic Nervous System Disorders: Medication Insights
Issues with Medication for Autonomic Nervous System Dysregulation Hello Doctor: Previously, I experienced persistent dizziness, headaches, a feeling of tightness in my head, and elevated intraocular pressure. After being diagnosed with autonomic nervous system dysregulation by a ...
Dr. Wang Yaoting reply Psychiatry
Hello: **If symptoms suddenly recur without any apparent reason, it is advisable to visit a hospital for a general examination regarding the discomfort. If most results are normal or only show mild abnormalities that cannot explain the bodily discomfort, it may indicate a relapse...[Read More] Managing Relapse in Autonomic Nervous System Disorders: Medication Insights