Understanding Dopamine Balance: Navigating Joy and Addiction Risks
Dopamine homeostasis issues? Hello, Doctor. Following up on the previous question, this information primarily comes from Dr. Anna Lembke's book "Dopamine Nation." So, we normal individuals have a physiological mechanism to maintain a balance of dopamine in our bodi...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Yes, please don't worry. Dr. Wu En-liang.[Read More] Understanding Dopamine Balance: Navigating Joy and Addiction Risks
Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we can'...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
The Balance of Dopamine in the Brain: Understanding Joy and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we cannot be...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang[Read More] The Balance of Dopamine in the Brain: Understanding Joy and Mood Swings
The Balance of Dopamine in the Brain: Understanding Happiness and Mood Swings
Dopamine homeostasis in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feeling down? Doesn't this imply that we cannot be happy all the...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] The Balance of Dopamine in the Brain: Understanding Happiness and Mood Swings
Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we cannot be...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
Anxiety due to physiological conditions? Hello, doctor. In August of this year, I was diagnosed with neurosis (insomnia, anxiety, panic) by a psychiatrist. I have been undergoing medication treatment and am currently stabilizing and gradually reducing my medication. I am now only...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I believe there is no need for further examinations. You have already seen many doctors and undergone numerous tests. It is likely a psychosomatic disorder. I recommend continuing to work with your psychiatrist, and you may also consider incorporating psycho...[Read More] Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
Feeling Watched: A Social Worker’s Struggle with Mental Health Challenges
I feel like someone is constantly monitoring me? I am a social worker, but I have been unable to work in the field for over three years. I graduated from the Department of Cultural and Social Welfare and passed the social worker examination. However, after developing autism and e...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I wonder if you have discussed these matters with your physician? Generally, after adjusting medication, conditions tend to improve. Of course, I am also concerned that you may not be consistently taking your medication or receiving long-acting injection the...[Read More] Feeling Watched: A Social Worker’s Struggle with Mental Health Challenges
Struggling to Sleep After Waking Up: Insights from Psychiatry
Difficulty falling back asleep after waking up in the middle of the night? I have been experiencing sleep disturbances for a while now. It started over three years ago when I began seeing a psychiatrist and started medication. At the end of October, I wanted to reduce my medicati...
Dr. Wu Enliang reply Psychiatry
Hello, online user: The causes of long-term insomnia need to be discussed with your physician. Are there issues related to depression or anxiety that need to be addressed? Are there any problems with your sleep hygiene? Relying on sleeping pills is a temporary solution and does n...[Read More] Struggling to Sleep After Waking Up: Insights from Psychiatry
Understanding Emotional Instability: Signs and Solutions for Moms
Emotional instability Hello Doctor: Seven years ago, after giving birth, I became a full-time mom due to various factors. Recently, over the past year, I've found it increasingly difficult to control my emotions. I often get angry over small things and have no patience for a...
Dr. Wu Enliang reply Psychiatry
Hello, it does seem like it could be depression. Depression is treatable, and I recommend visiting a nearby mental health facility for evaluation and care. Dr. Wu En-Liang[Read More] Understanding Emotional Instability: Signs and Solutions for Moms
Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Adjustment Disorder I am currently studying in graduate school, and my teacher initially planned to let me take my oral exam early. However, when I discovered errors in my research data, I fell into a state of negative emotions and anxiety, even contemplating death. I didn't...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Some individuals with anxiety-related adjustment disorders can indeed recover in a short period of time. However, sometimes due to excessive stress, it may develop into depression or anxiety disorders. It is advisable to collaborate and discuss with your psy...[Read More] Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Obsessive-Compulsive Disorder (OCD) - Obsessive Thoughts Hello Doctor, I have been suffering from panic disorder for 21 years and have become accustomed to panic attacks. I previously saw a doctor for a year and took Lexapro, and after improving with medication and exercise, I st...
Dr. Wu Enliang reply Psychiatry
Hello, online user: It is recommended to see a psychiatrist or a psychosomatic specialist. The new generation of antidepressants is unlikely to cause urinary difficulties. If you prefer non-pharmacological methods, you can ask your doctor for a referral to a clinical psychologist...[Read More] Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Understanding Medication Consultation and Diagnosis in Psychiatry
Medication consultation and diagnostic issues? Two questions: First, the doctor mentioned that Depakote can enhance the effects of Lexapro, so could it be that patients with pure major depressive disorder or those who need Lexapro, who may also have anxiety disorders, might be pr...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: First: The doctor said that Depakote can enhance the effects of Lexapro, so is it possible that patients with simple depression or those who need Lexapro, who may also have anxiety disorders, could be prescribed Depakote, which is primarily a mood stabilizer? A:...[Read More] Understanding Medication Consultation and Diagnosis in Psychiatry
Understanding Medication Side Effects in OCD and Depression Treatment
Drug side effects Hello Dr. Wu, I apologize for the lengthy message. Here’s my situation: I have obsessive-compulsive disorder (OCD) and have been taking Sertraline (Zoloft) for about a month. Recently, I am preparing for an exam. Before taking the medication, I felt more motiva...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: There could be various reasons for this. Studying for exams can indeed be boring and tedious. If you're concerned about potential side effects from the medication, you might consider taking half a dose. However, I still recommend discussing this with yo...[Read More] Understanding Medication Side Effects in OCD and Depression Treatment
Is Severe Memory Loss After Starting Work a Sign of Early-Onset Dementia?
Severe memory decline after work, could it be early-onset dementia? Hello, Doctor: I am a recent graduate and have just started working three months ago. During my studies, although my memory was not exceptional, it was sufficient to maintain a certain level of academic performan...
Dr. Wu Enliang reply Psychiatry
Hello, it's unlikely that you are experiencing early-onset dementia; it is more probable that anxiety is causing lapses in attention and focus. I still recommend discussing this further with your physician and learning relaxation techniques, as this generally leads to improv...[Read More] Is Severe Memory Loss After Starting Work a Sign of Early-Onset Dementia?
How Long Will It Take to Recover from Medication-Induced Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing the medication Lurasidone, which I took for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to auto...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It is recommended to incorporate sleep hygiene practices as follows (https://www1.cgmh.org.tw/intr/intr2/c3360/E_Sleep(Huang1).htm), and to avoid using the internet or mobile phones one hour before bedtime, which can facilitate the gradual discontinuation of...[Read More] How Long Will It Take to Recover from Medication-Induced Insomnia?
Are Intrusive Thoughts About Eternal Life a Sign of OCD?
If you are constantly preoccupied with strange thoughts that arise in your mind, could this be considered obsessive-compulsive disorder (OCD)? Hello, doctor. Due to my wife's faith, I have recently leaned towards Christianity, and I am very eager about the concept of eternal...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Do you think this line of thinking is reasonable? Or am I just overthinking? Do you spend more than an hour each day worrying? Has it caused significant disruptions in your life that affect your work and interpersonal relationships? If it has greatly impacted your...[Read More] Are Intrusive Thoughts About Eternal Life a Sign of OCD?
Understanding the Side Effects of Yuli Shupan Tablets in Stroke Recovery
The side effects of Yuli Shupan tablets? Hello, doctor. Due to an elderly family member experiencing a mild stroke at the end of September, there has been a slight motor impairment in the left hand (inability to control the fingers). After consultation with a vascular neurologist...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Currently, the weakness in your limbs may be caused by a stroke and is not necessarily related to this medication. This medication is prescribed to alleviate anxiety and muscle spasms. Whether discontinuing the medication will affect the treatment of the abn...[Read More] Understanding the Side Effects of Yuli Shupan Tablets in Stroke Recovery
Is It Fetishism? Understanding Sexual Fantasies and Habits
Is this considered a fetish? Hello doctor, I would like to ask about my habit of wanting to masturbate while wearing my school sports uniform and engaging in various sexual fantasies. I find that only specific colors of the sports uniform trigger my urge to masturbate. I'm w...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: May I ask if this has caused you significant distress in your daily life? If not, it may not be a condition that requires intervention. As for whether it is a bad habit, opinions may vary. As long as it does not affect others, it should be fine and does not necess...[Read More] Is It Fetishism? Understanding Sexual Fantasies and Habits
Understanding Weight Gain and Side Effects of Aripiprazole and Fluoxetine
Consultation on the side effects of Amway tablets and Paxil? Dear Dr. Wu, I have been suffering from obsessive-compulsive disorder (OCD) for seven years. When I am doing well, I have almost no symptoms, but during episodes, I experience bothersome intrusive thoughts. I am curren...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: 1. I would like to ask the doctor, does weight gain caused by a medication like Aripiprazole lead to localized fat accumulation similar to the moon face and buffalo hump caused by steroids, or is it just a general increase in weight? Additionally, if someone doe...[Read More] Understanding Weight Gain and Side Effects of Aripiprazole and Fluoxetine
Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Drug withdrawal, recent relapse? Hello Doctor: I have been taking medication for panic disorder and chronic post-traumatic stress disorder for 9 months (but I started to taper off the medication on my own in July of this year). As per usual, I was taking one "Luvox" aft...
Dr. Wu Enliang reply Psychiatry
Hello, online user: May I ask if, based on my situation, I still need to return to the original hospital for treatment? A: It is recommended that you seek treatment at a mental health facility, but it does not necessarily have to be the original hospital. Will the treatment need ...[Read More] Managing Panic Disorder: Navigating Withdrawal and Relapse Risks