Understanding Illness Awareness in Elderly Patients: A Guide for Families
Elderly patients' awareness of their illness Hello Doctor: My family member is over seventy years old and usually has clear thinking, but he is unable to recognize his own physical condition. For example, when it comes to visual recognition, he struggles to identify objects ...
Dr. Wang Yaoting reply Psychiatry
Hello: Elderly individuals may experience a decline in object recognition abilities due to degeneration of the eyes or brain. It is recommended to assist them in seeking medical care through discussion or guidance, rather than questioning their reasons. Pay attention to any other...[Read More] Understanding Illness Awareness in Elderly Patients: A Guide for Families
Impact of 25mg Medication on Mediterranean Anemia Patients
Possible side effects of 25 mg of Quetiapine? If a person with Mediterranean anemia takes this medication, what implications might there be? Alternatively, what effects could arise from taking this medication alone?
Dr. Wang Yaoting reply Psychiatry
Hello: Quetiapine may cause side effects such as leukopenia, constipation, and hypersalivation, but 25 mg is considered a low dose, so the likelihood of side effects occurring is low. There is no literature clearly indicating that patients with thalassemia have any specific react...[Read More] Impact of 25mg Medication on Mediterranean Anemia Patients
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system dysfunction? Hello Dr. Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks. I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system...
Dr. Wang Yaoting reply Psychiatry
Hello: **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, ...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Long-Acting Injections: A Solution for Schizophrenia Treatment?
Long-acting injectable medication If medication treatment is not successful, would injectable forms of treatment be more effective? I am referring to schizophrenia. Additionally, if someone frequently watches adult films and becomes overly aware of their genital sensations, leadi...
Dr. Wang Yaoting reply Psychiatry
Hello: The active ingredients in long-acting injectable antipsychotics are actually the same as those in oral medications, so it is advisable to first find an oral medication that suits you before switching to a long-acting injection. The benefit of the new generation of long-act...[Read More] Long-Acting Injections: A Solution for Schizophrenia Treatment?
Managing Withdrawal Symptoms from Antidepressants: A Guide
Withdrawal symptoms will surely improve? Hello Dr. Wang, I have been taking Wellbutrin for over six months (two pills daily). Recently, I have been experiencing significant bloating and a tendency to feel overly stimulated from the medication (I checked the side effects and it s...
Dr. Wang Yaoting reply Psychiatry
Hello: If you really want to discontinue your medication, it is advisable to do so gradually to avoid withdrawal symptoms related to serotonin (such as the dizziness you are experiencing). Start by reducing your dosage to 1.5 pills and maintain that for a week. If you feel fine, ...[Read More] Managing Withdrawal Symptoms from Antidepressants: A Guide
Understanding Adult Attachment to Dolls: A Psychological Perspective
Adult dependence on dolls (toys)? Hello, doctor. I am currently an adult male, and I believe the situation should be explained starting from middle school. In the first year of junior high, I bought a stuffed toy (non-human shaped), which can be understood as a pillow or a small ...
Dr. Wang Yaoting reply Psychiatry
Hello: Usually, these dolls are not just simple objects; they are often imbued with greater significance by individuals, reflecting deeper psychological needs. Generally, as people age and develop interpersonal relationships, they tend to gradually let go of these substitute atta...[Read More] Understanding Adult Attachment to Dolls: A Psychological Perspective
Managing GERD: The Impact of Antidepressants and Treatment Options
Medications for gastroesophageal reflux disease (GERD)? Hello, Doctor: Since February of this year, I have been experiencing gastroesophageal reflux disease (GERD) and acid reflux. My symptoms include a sensation of excessive stomach acid, resulting in a burning feeling in my sto...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. Two medications can be taken together, and it is recommended to pair them with a gastric medication. 2. These medications belong to the benzodiazepine class (abbreviated as BZD), which can be used clinically to treat anxiety and insomnia. They can be taken with PPIs wit...[Read More] Managing GERD: The Impact of Antidepressants and Treatment Options
Managing Side Effects of Antidepressants: Understanding Hypomania Risks
Medication Consultation: Ubiquinone for Mild Mania Hello Dr. Wang, I have obsessive-compulsive disorder and take two tablets of Ubiquinone daily. Recently, I have noticed that after taking the medication, I experience heightened excitement, increased energy, elevated confidence,...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. There are numerous case reports of antidepressants triggering mania or hypomania, but there is still some controversy surrounding this issue. While it may be caused by the medication, it could also be a result of the disease's progression. However, current research...[Read More] Managing Side Effects of Antidepressants: Understanding Hypomania Risks
Managing Gas and Discomfort While Taking Antidepressants: Tips and Advice
Medication Consultation - Ubiquinone for Bloating Hello, Doctor: I have obsessive-compulsive disorder and currently take two capsules of Sertraline daily. However, I often experience bloating, flatulence, and a sense of urgency to have a bowel movement after taking the medication...
Dr. Wang Yaoting reply Psychiatry
Hello: Bloating in the stomach is mostly caused by the accumulation of undigested material or the effects of medication on digestion. One way to alleviate bloating is to take medication with "warm water + easily digestible foods." Depending on your situation, it is best...[Read More] Managing Gas and Discomfort While Taking Antidepressants: Tips and Advice
Understanding Overdiagnosis in Psychiatry: When Medication Isn't Enough
Frequent visits to the doctor? Generally, those who seek medical consultation and medication are often diagnosed with neuroses or psychosis. Conditions outside of these, such as autism and personality disorders, are typically not treatable with medication alone. I have undergone ...
Dr. Wang Yaoting reply Psychiatry
Hello: In clinical practice, many conditions in the field of psychosomatic medicine require physicians to prescribe medications to assist in treatment. Some more severe mental illnesses, such as autism and schizophrenia, indeed require long-term medication management, as current ...[Read More] Understanding Overdiagnosis in Psychiatry: When Medication Isn't Enough
Understanding Sexual Orientation: Common Questions and Concerns
Some issues regarding sexual orientation? As per the title, I would like to ask a few questions and apologize for taking up a few minutes of your time. 1. Are there any standards in medicine to determine sexual orientation? 2. I am currently in high school, and before puberty, I ...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. In medicine, assessments are generally used for evaluation, and while there are no standardized tests, many such assessment tools can be found through online searches. 2. During puberty, both the body and physiology undergo changes, with an increase in sex hormones lead...[Read More] Understanding Sexual Orientation: Common Questions and Concerns
Understanding the Impact of Schizophrenia on Mental Health
Health issues I have schizophrenia, and sometimes I feel that my thoughts affect my emotions. At times, I experience a sensation of having a foreign object on my forehead, and sometimes sensory stimuli influence my thoughts. Is this a psychiatric issue, or which specialty should ...
Dr. Wang Yaoting reply Psychiatry
Hello: Schizophrenia is a disorder characterized by an imbalance in brain chemistry, leading to abnormalities in thought processes and sensory experiences. Therefore, it is indeed possible to have some unusual sensory experiences. I recommend that if you experience physical sympt...[Read More] Understanding the Impact of Schizophrenia on Mental Health
Alternatives to SSRIs: Managing Anxiety Without Bone Density Loss
Medication issues Dear Doctor, I have been taking Clonazepam 12.5mg for about 10 years due to anxiety and panic issues. I also have osteoporosis that requires treatment. I found on Google that SSRIs can have side effects related to osteoporosis. I would like to ask if there are a...
Dr. Wang Yaoting reply Psychiatry
Hello: Research from abroad indicates that SSRIs, a class of antidepressants that regulate serotonin, may reduce bone density in individuals aged 65 and older. In high-risk groups (those with osteoporosis or a history of fractures), caution is advised when using these medications...[Read More] Alternatives to SSRIs: Managing Anxiety Without Bone Density Loss
Understanding Long-Term Effects of Brain Injury on Mental Health
Regarding brain injury? My husband has been suffering from hypoxic brain injury due to a myocardial infarction for over eight years. Initially, he experienced significant mood swings and exhibited violent behavior, but there were no signs of paranoia. Recently, after my mother pa...
Dr. Wang Yaoting reply Psychiatry
Hello: After hypoxic brain injury, there may be some deficits in memory, judgment, or cognitive function, and it is also possible to experience emotional disturbances or delusional symptoms. It is recommended to first seek evaluation at a psychiatric outpatient clinic. Typically,...[Read More] Understanding Long-Term Effects of Brain Injury on Mental Health
Managing Chronic Throat Wound and Anxiety: Seeking Solutions
What should I do about my health issues? I have a throat surgical wound that has not healed for two years. Since the wound appeared, I have been experiencing unexplained feelings of fear. However, when the wound is not too severe or swollen, the fear does not escalate. I previous...
Dr. Wang Yaoting reply Psychiatry
Hello: Your issue is quite complex and not typical of psychiatric symptoms, but it is evident that you are suffering daily. I recommend seeing a regular psychiatrist for treatment and stabilizing on medication for a period of time. In addition to Lamictal, there are many new anti...[Read More] Managing Chronic Throat Wound and Anxiety: Seeking Solutions
Navigating Mental Health Challenges: Coping with OCD, PTSD, and Medication Concerns
Anticipatory anxiety, insomnia, and years of seeking medical attention? OCD (first year, Fluoxetine - insomnia, constipation) PTSD (exempted from military service, previously hospitalized in an acute care unit) mild Asperger's (as noted by the military examination physician)...
Dr. Wang Yaoting reply Psychiatry
Excessive anxiety can often make your life difficult and complicate many situations. Try to simplify things and don’t let yourself be overwhelmed by your anxiety. OCD typically requires high doses of SSRI medication for treatment, and it is advisable to take them if you can toler...[Read More] Navigating Mental Health Challenges: Coping with OCD, PTSD, and Medication Concerns
Navigating Job Stress: Seeking Help for Depression Symptoms
Depressive tendencies Hello, Doctor. I recently changed jobs. I used to work at the front desk, where I interacted with clients and received professional feedback, which gave me a sense of accomplishment and confidence, aligning with my career plan. However, a little over a month...
Dr. Wang Yaoting reply Psychiatry
Hello: Many people experience difficulties when transitioning to a new job. Your current situation sounds like an adjustment disorder combined with symptoms of autonomic nervous system dysregulation. However, if the symptoms persist for more than three months, it may indicate a p...[Read More] Navigating Job Stress: Seeking Help for Depression Symptoms
Understanding Throbbing Head Pain in Schizophrenia: Causes and Concerns
The head experiences a throbbing pain? I have schizophrenia, and today I am experiencing a throbbing headache. Could this be tension-type headache? Is it related to my mental health condition? Additionally, I want to ask if, after talking to someone for a long time, they feel tha...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. If your headache persists without improvement, it is recommended to visit a neurology clinic for evaluation by a professional physician. 2. Schizophrenia can affect speech fluency and social skills; it is advisable to engage in psychiatric rehabilitation and participate...[Read More] Understanding Throbbing Head Pain in Schizophrenia: Causes and Concerns
Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles
Menkes syndrome Five years ago, after being diagnosed with severe depression and receiving care, I developed symptoms that I found online referred to as "Munchausen syndrome." My depressive feelings have mostly alleviated now, but my emotional fluctuations are more pron...
Dr. Wang Yaoting reply Psychiatry
Hello: After reading your description, it seems that you have been living in a state of emotional conflict for the past few years. You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptoms ar...[Read More] Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles
Understanding Medications for Social Anxiety and Depression
Medication consultation Hello, doctor. I have been seeing a psychiatrist for a month due to social anxiety and depression. I have been experiencing long-term mental distraction and difficulty concentrating. During my follow-up appointment today, I asked the doctor if I could be p...
Dr. Wang Yaoting reply Psychiatry
Hello: Wellbutrin and Zyban are medications with the same active ingredient (Bupropion), but they have different brand names.[Read More] Understanding Medications for Social Anxiety and Depression