Managing Intrusive Voices: Strategies for Mental Health Challenges
They are arguing? I sometimes hear two other voices in my head, and they argue with each other, but they seem unable to hear me telling them to be quiet. What should I do?
Dr. Wang Yazhen reply Psychiatry
Hello: It is difficult to determine the issue based solely on this situation, and it is also necessary to evaluate other aspects. If you are feeling troubled, I recommend seeking help from a psychiatrist or a psychosomatic medicine clinic. Thank you![Read More] Managing Intrusive Voices: Strategies for Mental Health Challenges
How Many Times Can You Take XinKangLe Tablets in One Day?
How many times can Xin Kangle tablets be taken in a day? I would like to ask about my recent relapse of obsessive-compulsive symptoms, which has caused me significant anxiety. My doctor prescribed me Liyou for treatment and a backup medication, Xanax, for when my anxiety symptoms...
Dr. Wang Yazhen reply Psychiatry
Hello, Xiao Li: Xin Kang Le is primarily used to alleviate anxiety and reduce heart rate, commonly available in 10 mg and 40 mg formulations. If your medication is 10 mg, it is generally recommended to take it 2-4 times a day. However, since we are unsure if you have other chroni...[Read More] How Many Times Can You Take XinKangLe Tablets in One Day?
Am I Gay? Understanding Sexual Orientation and OCD Concerns
Am I gay? Hello, doctor. I am a 24-year-old male and have been in a long-term relationship with my girlfriend. I really want to continue with her, but recently I've been feeling uncertain about my sexual orientation. I came across the term "sexual orientation OCD" ...
Dr. Wang Yazhen reply Psychiatry
Hello: In psychiatric diagnosis, the presence of "physiological responses to a specific gender" is not used to determine whether an individual has "gender dysphoria." Sexual physiological responses can be triggered through various pathways and are not directly...[Read More] Am I Gay? Understanding Sexual Orientation and OCD Concerns
Managing Multiple Chronic Conditions: Safety of Medications and Sleep Issues
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: Leeyo (Escitalopram) 10mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 1 tablet Dermatology: Before bedtime: Lyrica (Pregabalin) 75mg * 1 tablet, Doxepin 25m...
Dr. Wang Yazhen reply Psychiatry
Hello: After inquiry, it has been found that the dermatological medication Doxepin and the antidepressant Escitalopram may have very rare interaction symptoms. Due to their rarity, it is recommended to discuss the possibility of changing medications or the necessity of their use ...[Read More] Managing Multiple Chronic Conditions: Safety of Medications and Sleep Issues
Managing Excessive Sleep Due to Mirtazapine: A Patient's Dilemma
Mirtazapine causing excessive sleep duration issues? Hello Doctor, this is Lin, a student who wrote to you recently. Fortunately, the issue regarding my ADHD medication has been resolved (the doctor is willing to prescribe Strattera for me to try). However, as I continue to take ...
Dr. Wang Yazhen reply Psychiatry
Hello, Lin: I see that you are very meticulous in addressing medication consultation opinions, which shows you are a diligent researcher. Mirtazapine generally allows the body to adapt to its effects and maintain stable results after administration. It is less common, as you ment...[Read More] Managing Excessive Sleep Due to Mirtazapine: A Patient's Dilemma
Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
ADHD test results and health insurance medication issues? Hello, Doctor. I am Lin, the student who previously inquired. I went to review my ADHD report today. After the doctor reviewed it, he prescribed me Adderall, but since I had not been prescribed long-acting medications like...
Dr. Wang Yazhen reply Psychiatry
Dear Student Lin, Thank you for your trust. Regarding your questions: 1. Testing cannot replace a doctor's diagnosis; it serves as a reference for the physician's assessment. 2. There isn't a definitive reason for what medications are covered by health insurance....[Read More] Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
Understanding Drug Interactions: Mental Health and Dermatology Medications
Major Depressive Disorder Generalized Anxiety Disorder Psychiatry: At bedtime, YOU-JET (SERTRALINE) 50 mg * 1 tablet, Eurodin 2 mg * 2 tablets, Zolpidem 10 mg * 2 tablets. Dermatology: At dinner, Doxepin 25 mg * 2 tablets; at bedtime, Doxepin 25 mg * 2 tablets; LYRICA 75 mg * 2...
Dr. Wang Yazhen reply Psychiatry
Hello ERIC: After inquiry, it has been found that the dermatological medication Doxepin and the antidepressant You-Jet may have significant interactions, which could increase the concentration of Doxepin in the body, potentially leading to symptoms such as sedation, constipation,...[Read More] Understanding Drug Interactions: Mental Health and Dermatology Medications
Understanding OCD: When Perfectionism Affects Your Daily Life
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. I am currently a high school junior preparing to advance to senior year. However, since the beginning of my sophomore year (I didn't have this issue in freshman year), I've been experiencing a peculiar phenomenon...
Dr. Wang Yazhen reply Psychiatry
Hello Xiao Ming: The situation you described indeed resembles obsessive thoughts and behaviors, and these behaviors have started to affect your time management. It is advisable to seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible for dia...[Read More] Understanding OCD: When Perfectionism Affects Your Daily Life
Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Panic disorder prevents individuals from traveling far? Hello, I have been suffering from panic disorder for 19 years and have been seeing Dr. Zhao at the New Taipei City Hospital. I have taken medications including Lyrica and Xanax 0.5mg, but for the past several years, I have o...
Dr. Wang Yazhen reply Psychiatry
Hello, Mr. Lightning: The primary cause of panic disorder is actually anxiety issues. From physiological, psychological, and social perspectives, factors that may contribute to anxiety include inherent temperamental traits (such as perfectionism), accumulated experiences and feel...[Read More] Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Concerns About Mirtazapine and Ritalin: A Psychiatric Perspective
Questions about mirtazapine and Ritalin? Hello, Doctor. I am the student who inquired a few days ago. Thank you again for your enthusiastic response. I have a few questions to ask you: 1. I noticed that the contraindications for the medication Atomoxetine mention heart condition...
Dr. Wang Yazhen reply Psychiatry
Dear Lin, 1. If there is a severe congenital heart defect, it would be a contraindication for the use of methylphenidate. This medication may slightly increase blood pressure and heart rate. However, studies indicate that individuals with a family history of heart disease or tho...[Read More] Concerns About Mirtazapine and Ritalin: A Psychiatric Perspective
Understanding Tolerance to Mirtazapine: Can Your Body Adapt?
(One more question, sorry...) Concerns about drug resistance in anxiety disorder medications? Hello, doctor. I apologize for having another question that I forgot to ask. I would like to know if my body can develop tolerance to the medication mirtazapine. For example, I took this...
Dr. Wang Yazhen reply Psychiatry
Hello, Lin: From a theoretical standpoint, mirtazapine does not have issues with tolerance. However, medications such as barbiturates or benzodiazepines, including non-benzodiazepine drugs, are more likely to develop tolerance. Essentially, using the medication as prescribed and ...[Read More] Understanding Tolerance to Mirtazapine: Can Your Body Adapt?
Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
"#157730 Adult Attention Deficit Disorder and Anxiety Disorder?" Follow-up? Hello, doctor. Thank you very much for your previous response. After reading your reply, I went to the pediatric psychiatry department at a regional hospital, but I encountered the following iss...
Dr. Wang Yazhen reply Psychiatry
Hello, Chen: Diagnosing adult ADHD is indeed challenging. 1. Even if someone had ADHD in childhood, most cases tend to improve with age. Therefore, it is difficult to retrospectively diagnose it in adulthood. 2. Regarding medication, there are specific regulations under the ...[Read More] Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Adult Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders? Hello, Doctor. I am a 23-year-old male student and would like to inquire about adult Attention Deficit Hyperactivity Disorder (ADHD). Regarding my background: I exhibited some behavioral issues in elemen...
Dr. Wang Yazhen reply Psychiatry
Hello, Chen Dada: Thank you for providing such a detailed description of your situation. Regarding whether your condition may be ADHD, I recommend seeking an evaluation from a physician specializing in child and adolescent psychiatry. In short, there can be many reasons for diffi...[Read More] Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Understanding Frequent Urination: When to See a Urologist or Psychiatrist
Frequent urination issues? In situations involving long journeys or the inability to access a restroom, one may experience frequent urination, needing to go every 10 minutes. In daily life, this can lead to anxiety about finding a restroom, causing individuals to visit the bathro...
Dr. Wang Yazhen reply Psychiatry
Hello, Hong Li-Ya: As you mentioned, it is advisable to first consult a urologist to determine if there are any physiological factors involved. If physiological issues are identified, they should be addressed accordingly. If not, then it would be appropriate to seek a psychiatric...[Read More] Understanding Frequent Urination: When to See a Urologist or Psychiatrist
Navigating Interpersonal Conflicts: Tips for Better Relationships
There are many questions? I have had poor interpersonal relationships since childhood, often getting into conflicts with others in various groups. Recently, while working in a public office, I was reprimanded by my supervisor, which has affected my mood. I’ve noticed that I often...
Dr. Wang Yazhen reply Psychiatry
Hello K: It's a great start that you've noticed your condition! Since interpersonal interactions involve various situations, it's important to clarify and discuss them carefully. I recommend that you consider psychological counseling or therapy to gain insight into...[Read More] Navigating Interpersonal Conflicts: Tips for Better Relationships
Understanding Muscle Twitches: Are They Signs of Anxiety?
Is prolonged muscle twitching a sign of anxiety disorder? Hello Doctor, since mid-April, I have noticed persistent twitching in my eyelids and calves, which led me to visit a nearby hospital's neurology department. I have seen the neurologist three times, during which I unde...
Dr. Wang Yazhen reply Psychiatry
Hello, Negative Seven: It seems that you have sought medical attention and undergone examinations for your physical symptoms as much as possible. Based on your description, in addition to experiencing some physical sensations, your anxiety response is also quite evident. I recomm...[Read More] Understanding Muscle Twitches: Are They Signs of Anxiety?
Navigating Sexual Orientation Doubts: Understanding Your Feelings
Sexual orientation issues Hello, Doctor! Recently, I've been constantly questioning my sexual orientation. Until now, I believed I was heterosexual, but about a month before my major exams, I started to think of myself as homosexual. However, in more relaxed situations, I do...
Dr. Wang Yazhen reply Psychiatry
Dear student, You are taking your situation very seriously, which is commendable, and I understand that it can be quite concerning for you. First of all, the notion of having a "boyish personality" inherently categorizes personality traits as male or female. In realit...[Read More] Navigating Sexual Orientation Doubts: Understanding Your Feelings
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? One night in late February, I suddenly felt a bit short of breath (I wanted to take deep breaths, and after about 30 seconds, I would feel the urge to breathe deeply again). There was a slight tightness in my chest. I went to the pulmonology ...
Dr. Wang Yazhen reply Psychiatry
Hello, The cardiologist has conducted a thorough examination and ruled out any heart-related issues. Therefore, it is indeed possible that your sudden increase in heart rate is influenced by emotions. Regarding your anxiety response, if it reaches the level of an "anxiety ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
When Should You Seek Help for Anxiety? Understanding Your Symptoms
At what level of anxiety should one seek medical attention? Hello, I am a second-year high school student, and I really don't know what to do. Since before I graduated from elementary school, I have started to think about everything in a negative way, which has led me to be ...
Dr. Wang Yazhen reply Psychiatry
Hello Hsuan: Based on your description, it seems that you have experienced feelings of worry and anxiety since elementary school, and now you often find yourself dealing with negative thoughts, concerns, and fear regarding crowds and the future. These anxiety-like symptoms sugges...[Read More] When Should You Seek Help for Anxiety? Understanding Your Symptoms
Should You Choose a Big Hospital or a Small Clinic for Mental Health?
Should I go to a large hospital or a small clinic? Hello, Doctor: I visited a psychiatric clinic yesterday for symptoms of obsessive-compulsive disorder, but the doctor only prescribed me antidepressants for a week and mentioned that I need to return for a follow-up next week. Is...
Dr. Wang Yazhen reply Psychiatry
Dear Ms. Ding, Whether you visit a clinic or a hospital, the physician will assess your condition to determine how often you should return for follow-up appointments. The frequency of follow-up visits is primarily to evaluate the effectiveness of the medication and to monitor an...[Read More] Should You Choose a Big Hospital or a Small Clinic for Mental Health?