Managing Medication for OCD: Concerns About Side Effects and Study Performance
Medication Consultation for Buprenorphine Hello Dr. Wang: I have been taking Prozac for over three weeks (for obsessive-compulsive disorder). I am currently a student retaking exams and taking one and a half pills (the doctor said to increase to two pills, but I feel it's no...
Dr. Wang Yaoting reply Psychiatry
Hello: The effects of antidepressants on mood improvement typically become more noticeable after 2-3 weeks, but side effects often appear earlier than the benefits. However, these side effects generally diminish with continued use of the medication. If one does not understand thi...[Read More] Managing Medication for OCD: Concerns About Side Effects and Study Performance
Overcoming Depression: Strategies for Emotional Control and Healing
Depression: A Sense of Hopelessness for the Future I have been taking medication, but it hasn't had much effect on my emotions. I often find myself complaining to my mom about various things. During my therapy sessions, I struggle to manage my emotions and ended up leaving t...
Dr. Wang Yaoting reply Psychiatry
Hello: Emotional disorders have many contributing factors, including emotions, stress, environment, and physical illnesses. It is recommended to first change unhealthy lifestyle habits, maintain a regular daily routine, and engage in exercise at least three times a week. Addition...[Read More] Overcoming Depression: Strategies for Emotional Control and Healing
Anxiety Medication Changes: Struggling with Increased Insomnia
After medication for anxiety, insomnia has worsened? I have anxiety and panic. I have already sought treatment from a psychiatrist, who prescribed me one capsule of Yongkangxu (安寧膠囊) in the morning and evening. Before bed, I take half a capsule of Daomeisleep (導美睡) and one capsul...
Dr. Wang Yaoting reply Psychiatry
Hello: Anning capsules are a short to intermediate-acting benzodiazepine (BZD) medication. After discontinuation, some individuals may indeed experience withdrawal symptoms such as anxiety, restlessness, and rebound insomnia. However, if you resume taking Anning capsules, you may...[Read More] Anxiety Medication Changes: Struggling with Increased Insomnia
Confronting Fear: Understanding Anxiety and Mental Pain in Everyday Life
Things that can cause fear and suffering? Hello, Dr. Wang. My question is as follows: There are many terrifying things in this world, such as wars, significant casualties, and homicides. I am very afraid that these things will happen to me, but I cannot avoid disasters. Even when...
Dr. Wang Yaoting reply Psychiatry
Hello Jeff: From your description, it’s clear that you are really scared, and life must be quite difficult for you. "Worry and anxiety" serve a fundamental purpose for humans: to avoid danger. When the future is filled with "uncertainty," how can we create mor...[Read More] Confronting Fear: Understanding Anxiety and Mental Pain in Everyday Life
Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
I'm not sure if it's mitral valve prolapse or panic disorder? I often feel short of breath and have the sensation that I'm not getting enough oxygen when I breathe. I constantly want to take deep breaths, but I can't. Sometimes, this leads me to feel the urge ...
Dr. Wang Yaoting reply Psychiatry
Hello, Xiaoxian: When experiencing discomfort in the body, it is important to first examine the symptoms that have arisen. For instance, regarding your concerns about shortness of breath and suspected mitral valve prolapse, you should first seek medical attention from a cardiolog...[Read More] Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
Understanding Side Effects of Psychiatric Medications: A Focus on Sexual Health
Drug side effects Hello Doctor: I have been taking "Yongkang Sugar-Coated Tablets," and recently I've experienced difficulty falling asleep, so I've also been taking "Health Sleep Film-Coated Tablets 7.5 mg." Besides the known side effect of dry mout...
Dr. Wang Yaoting reply Psychiatry
Mocalm (Flupentixol and Melitracen) and Imovane (Zopiclone) have a very low incidence of sexual dysfunction reported in adverse drug reaction reports, but it is difficult to rule out individual-specific reactions. If you are considering discontinuing the medication, it is advisab...[Read More] Understanding Side Effects of Psychiatric Medications: A Focus on Sexual Health
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is it autonomic nervous system dysfunction? Hello, doctor. About a month ago, I experienced muscle twitching for the first time around my eye socket and left calf, which made me very anxious and I frantically searched for information online, fearing it might be a motor neuron dis...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, it seems that your body is experiencing many atypical discomforts. It is recommended to first visit a family medicine or general internal medicine clinic. If the basic examination results are normal, then anxiety-related autonomic nervous system ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Autonomic Nervous System Disorders: Symptoms and Causes
Am I experiencing autonomic nervous system dysfunction? I suddenly experienced chest tightness, palpitations, nausea, and dizziness. I went to the hospital and had an electrocardiogram, ultrasound, and X-ray done in the cardiology department, all of which showed no issues. I also...
Dr. Wang Yaoting reply Psychiatry
Hello: The examination of bodily instruments must wait until organ tissues exhibit pathological changes to detect abnormalities. If the examination results are normal, it may indicate that the body is currently in a state of dysfunction. All tissues and organs in the body are reg...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Causes
Managing Tinnitus: Antidepressants and Anxiety Relief Options
Antidepressant medications and tinnitus symptoms issues? Hello! I am currently experiencing significant anxiety due to tinnitus, which is affecting my daily life and causing sleep difficulties. I am considering using antidepressants along with sedatives, but I have read articles ...
Dr. Wang Yaoting reply Psychiatry
Hello: Chronic tinnitus is often accompanied by symptoms such as depression, anxiety, stress, or insomnia. Antidepressant medications are more likely to help improve these accompanying emotional symptoms, and typically, when mood improves, tolerance for tinnitus also increases. H...[Read More] Managing Tinnitus: Antidepressants and Anxiety Relief Options
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting reply Psychiatry
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Body Pain: The Link Between Mental Health and Medication
Generalized bone pain? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Meishuyu (Mirtazapine) 50mg * 2 tablets, Silvacon (Sertraline) 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, Alprazolam 0.5mg * ...
Dr. Wang Yaoting reply Psychiatry
Hello: Based on your description, you are still experiencing anxiety regarding your condition and medication, and excessive anxiety may also be contributing to your physical discomfort. Anxiety is a prospective emotional response to perceived threats in the future, a fear imagine...[Read More] Understanding Body Pain: The Link Between Mental Health and Medication
Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Severe insomnia The doctor said that my uroflowmetry and urodynamics tests indicate abdominal voiding, bladder weakness, poor bladder contractility, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood, which has caused damage. I have a p...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. In your medication regimen, "Zoloft (Sertraline) 50mg * 2 tablets and Meishuyu (Mirtazapine) 50mg * 2 tablets" will act on the serotonin system, but the risk of developing serotonin syndrome is extremely low, especially since you have been taking them for a wh...[Read More] Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Weakness in all four limbs? The doctor said that my urinary flow rate test and urodynamics showed abdominal voiding, bladder weakness, poor bladder contraction elasticity, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood and not darin...
Dr. Wang Yaoting reply Psychiatry
Hello: Sedative medications may have muscle relaxant effects and can lead to a sensation of limb weakness; however, individual responses may vary, and the dosage can also make a difference. Panic and anxiety can also cause somatic symptoms, including feelings of limb weakness. It...[Read More] Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Understanding Anxiety Medications: Effects on Urinary Function and Treatment
Anti-anxiety? The doctor said that my urinary flow rate test and urodynamics indicate abdominal voiding, bladder weakness, poor bladder elasticity, and reduced bladder capacity. I have long-term habits of holding my urine since childhood and am afraid to use public restrooms, whi...
Dr. Wang Yaoting reply Psychiatry
Hello: 1. Psychiatric medications that have antihistamine or anticholinergic effects may cause urinary retention and difficulty urinating, but it is uncertain whether this is related to your bladder weakness. It is advisable to discuss this with your prescribing physician, as the...[Read More] Understanding Anxiety Medications: Effects on Urinary Function and Treatment
Understanding the Need for Regulation of Antidepressants: A Patient's Dilemma
Why are antidepressants regulated? I am afraid to go to the hospital, but I still want to continue taking my medication. It's not good to hide in the counseling room all day, and my teacher wants me to see a doctor. I agreed, but I haven't followed through each time. Th...
Dr. Wang Yaoting reply Psychiatry
Hello: Many studies indicate that depression and anxiety are caused by multiple factors, but they are related to physiological imbalances in brain neurotransmitters. Antidepressants can help improve the imbalance of neurotransmitters in the brain, so a combination of medication a...[Read More] Understanding the Need for Regulation of Antidepressants: A Patient's Dilemma
Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Bipolar disorder episode Hello, doctor. Question 1: Can medication control the onset of bipolar disorder? If not, what should be done? Question 2: Will it get better on its own without medication? Question 3: How long does an episode typically last?
Dr. Wang Yaoting reply Psychiatry
Hello: 1. Currently, there are many medication options available for bipolar disorder, and most patients experience improvement after starting treatment. 2. Not taking medication can prolong the course of depression and mania; for example, during a manic episode, medication may l...[Read More] Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Bipolar disorder episode Hello, doctor. Question 1: Can medication control bipolar disorder during an episode? If not, what should be done? Question 2: Will it resolve on its own without medication? Question 3: How long does an episode typically last?
Dr. Wang Yaoting reply Psychiatry
Hello: 1. Currently, there are many medication options available for bipolar disorder, and most cases show improvement after treatment. 2. Not taking medication can prolong the course of depression and mania; for instance, during a manic episode, medication may lead to improvemen...[Read More] Managing Bipolar Disorder Episodes: Medication, Recovery, and Duration
Can Patients with Thalassemia Safely Use Latest Psychiatric Medications?
Is it safe to take Keterolac? I would like to know if I, having Mediterranean anemia, can take this medication. Is the latest drug Luspatercept? However, I experience leg tremors after taking it. Please advise, doctor!
Dr. Wang Yaoting reply Psychiatry
Hello: Patients with Mediterranean anemia can take Clozaril without any contraindications, meaning it does not have a significant impact on red blood cells. However, it is still necessary to regularly monitor white blood cell counts while on Clozaril, as there are a few cases whe...[Read More] Can Patients with Thalassemia Safely Use Latest Psychiatric Medications?
Understanding Dissociation: Is It Like Losing Touch with Reality?
I feel something is off? 1. Is dissociation the same as losing touch with reality? 2. Does the feeling of losing touch with reality feel like being in a dream? 3. If the second statement is true, what would it mean if I have experienced this for the past six years?
Dr. Wang Yaoting reply Psychiatry
1. Dissociation and depersonalization are different but often occur together. 2. Dissociation is more about feeling detached from one's body, experiences, memories, and thoughts, while depersonalization refers to a sense of detachment from the surrounding environment, leadin...[Read More] Understanding Dissociation: Is It Like Losing Touch with Reality?
Understanding Internet Addiction: Emotional Struggles and Treatment Options
Prolonged internet use Hello, doctor. Here is my situation. I clearly remember during my senior year of high school, due to a poor family atmosphere and the pressure of college entrance exams, I would sneak onto the computer to play games until one or two in the morning while my ...
Dr. Wang Yaoting reply Psychiatry
Hello Tina: Based on your description, it seems you are concerned about the possibility of internet addiction or depression. 1. Research indicates that individuals with internet addiction tend to have higher levels of depression. (1) Some people develop emotional issues after exp...[Read More] Understanding Internet Addiction: Emotional Struggles and Treatment Options