Understanding the Interaction Between Glaucoma Drops and Psychiatric Medications
Glaucoma eye drops/drug interactions I am currently using a beta-blocker glaucoma eye drop and feel heaviness in my limbs. I'm unsure if this is related to the glaucoma medication, the psychiatric medications, or a drug interaction. Prior to using the eye drops, I did not ex...
Dr. Wu Enliang reply Psychiatry
Hello: Eye drops are intended for local action on the eyes and are unlikely to cause heaviness in the limbs. You may want to consult your ophthalmologist again. You did not experience heaviness in your limbs before using the eye drops, so it is probably not caused by psychiatric ...[Read More] Understanding the Interaction Between Glaucoma Drops and Psychiatric Medications
Can You Safely Combine 5-HTP with Your Current Antidepressant?
Drug interactions I have been taking Yongkangxu once a day for a year and would like to add 5-HTP. Is it okay to do so? My goal is to gradually stop taking Yongkangxu.
Dr. Wu Enliang reply Psychiatry
Hello, netizen: It should not be very difficult to discontinue Yongkangxu. As for 5-HTP, it is a dietary supplement with unclear efficacy, but it's fine to give it a try. Dr. Wu Enliang[Read More] Can You Safely Combine 5-HTP with Your Current Antidepressant?
Coping with Emotional Distress After Leaving a Beloved Teaching Role
Depression Hello, Doctor: I recently finished my internship at an elementary school, and before the graduation ceremony, I felt very reluctant to leave the school and the children, especially a girl I particularly liked. She possesses many qualities I admire, and we interacted fr...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I understand your feelings of separation, which indicates that you have invested deeply this time. Usually, these feelings will improve over time as life takes on other focuses. If you still feel very uncomfortable, I suggest you talk to a psychologist to ex...[Read More] Coping with Emotional Distress After Leaving a Beloved Teaching Role
Overcoming Insecurity: Understanding Self-Esteem and Emotional Control
Feeling insecure and lacking self-esteem? Hello Dr. Wu, I have always felt very insecure and self-conscious about myself, but my self-esteem is particularly strong. In the past, I thought I had no friends because I didn't look good, but now when someone says something though...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: If the issue is simply low self-esteem and a lack of security, without problems like depression or anxiety, it may not necessarily be classified as a mental illness but rather a personality issue. Since it can significantly affect your daily life, it is advisable ...[Read More] Overcoming Insecurity: Understanding Self-Esteem and Emotional Control
Can I Get My Psychiatric Medication from a Nearby Hospital?
Follow-up visit and medication issue? Hello Dr. Wu, I originally planned to visit your clinic to pick up my medication in early February, but due to the COVID-19 situation in Taoyuan, I would like to avoid going there. May I ask if I can pick up the same medication at a nearby ho...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: You can certainly obtain the same medication at a nearby hospital or clinic. You should briefly explain the reason for your visit to the Taoyuan Medical Center, and the physician will also check the health insurance cloud system. Taoyuan Medical Center has o...[Read More] Can I Get My Psychiatric Medication from a Nearby Hospital?
Understanding Medication Resistance: Comparing Stinose, Xanax, and Zanaflex
Zanamivir, Oseltamivir, and Stenotrophomonas resistance? Hello Doctor: My main issues currently are anxiety and sleep problems. I am taking one Stinous before bed every day and using Jing An Ning as needed. Recently, I feel that the effectiveness of one Stinous is not as good as ...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Q1. I would like to ask if the two medications are exactly the same, or is it just my personal perception that they feel different? A1. The two medications contain the same chemical ingredients, but there may be differences in quality due to different manufactu...[Read More] Understanding Medication Resistance: Comparing Stinose, Xanax, and Zanaflex
How to Encourage Hypochondriac Patients to Seek Medical Help
How to encourage patients with illness anxiety to seek medical care? Hello, doctor. My brother is 28 years old and has often experienced discomfort in specific areas of his body since childhood. He frequently undergoes examinations and exhibits anxiety, constantly researching onl...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Seeking medical attention should not be forced. You might try to persuade him by saying, "When certain elements in the brain are imbalanced, the body can become very sensitive. What may start as slight vision problems can escalate to significant difficu...[Read More] How to Encourage Hypochondriac Patients to Seek Medical Help
Understanding Compulsive Questioning: A Guide for Families
Family members often keep asking the same questions or bringing up the same issues repeatedly? Hello, doctor. My sister has some obsessive symptoms. In addition to washing her hands multiple times a day, she often repeatedly asks the same questions, regardless of whether she has ...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Her condition may not necessarily be obsessive-compulsive disorder. It is recommended to seek early medical attention at a mental health facility for a proper differential diagnosis, and then receive appropriate treatment. Dr. Wu Enliang[Read More] Understanding Compulsive Questioning: A Guide for Families
Understanding Transference in Psychiatric Care: A Teen's Journey
Transference Hello, Doctor: I have been seeing a male physician regularly since the third year of junior high school due to bullying in school and family background issues. Now I am in the second year of high school and have been diagnosed with depression and anxiety. I have week...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I suggest considering a change of physician! It seems that this treatment relationship is bringing about negative emotions instead. Alternatively, you might need to incorporate psychotherapy alongside your treatment; discussing these feelings with your thera...[Read More] Understanding Transference in Psychiatric Care: A Teen's Journey
Understanding and Managing Voices: A Guide to Dissociative Identity Disorder
Dissociative Identity Disorder (DID) Hello, I would like to describe my symptoms. Since I was in fifth grade, I have been hearing a voice of a girl about my age calling me in my head. I initially thought it was a classmate, but I realized everyone was busy and it was impossible f...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: If it bothers your daily life and makes it difficult to focus on school, it is advisable to seek medical attention! Dr. Wu En-Liang[Read More] Understanding and Managing Voices: A Guide to Dissociative Identity Disorder
Understanding Dissociation: Voices in Your Head After Loss
I suspect that I am experiencing dissociation? Hello, Doctor. Ever since a very important person passed away a year ago, I have been sad for a long time. About six months ago, I started hearing voices in my head. The voices are different in tone and style; some want to help me, w...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: It seems that your mind may be unwell. I suggest seeking medical attention at a mental health facility as soon as possible. Dr. Wu En-Liang[Read More] Understanding Dissociation: Voices in Your Head After Loss
Understanding Dry Mouth as a Side Effect of Antidepressants
Drug side effects Is it normal to feel dry mouth after taking half a tablet of Ubiquinone? For example, if I start feeling dry mouth tonight after taking it and it continues until tomorrow night, could this be a side effect of the medication? Thank you.
Dr. Wu Enliang reply Psychiatry
Hello, online user: It could be a side effect of the medication, but it usually resolves after a few days. There's no need to stop the medication due to such minor side effects. Dr. Wu Enliang[Read More] Understanding Dry Mouth as a Side Effect of Antidepressants
Finding Trauma Counseling Specialists in Taichung for Better Mental Health
Trauma Syndrome Psychological Counseling Due to a certain event, I am experiencing panic. Are there any trauma therapists in Taichung? I am afraid that seeking counseling might worsen my condition. My quality of life is currently poor, and I urgently need information and support ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Typically, psychiatrists work in conjunction with clinical psychologists to provide psychological treatment for patients in need. I often refer or suggest that patients seek psychological therapy. You can directly ask your psychiatrist if you have a need for...[Read More] Finding Trauma Counseling Specialists in Taichung for Better Mental Health
Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
In addition to continuing medication, patients with obsessive-compulsive disorder (OCD) should engage in cognitive-behavioral strategies to communicate with their inner self that is filled with obsession and fear. Techniques such as exposure and response prevention (ERP) can be e...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Regarding non-pharmacological treatments for obsessive-compulsive disorder (OCD), it is generally recommended to engage in behavioral therapies similar to what you mentioned. For detailed discussions, it is advisable to address these during psychological thera...[Read More] Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
Understanding Emotional Instability: Signs, Causes, and Solutions
Emotional instability I am an optimistic person and live a happy life without any special circumstances. However, I often feel very sad, sometimes for no reason and sometimes influenced by others or external events. Regardless of the cause, I find myself immersed in sadness for a...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It seems that this emotional distress is significantly affecting your life. It is indeed possible that you may be experiencing depression or anxiety. I recommend that you seek medical attention at a nearby mental health facility. If you're unsure where ...[Read More] Understanding Emotional Instability: Signs, Causes, and Solutions
Understanding Emotional Instability: Insights into Mental Health Challenges
Emotional instability I am an optimistic person and live a happy life without any special circumstances. However, I often feel very sad, sometimes without any reason, and at other times influenced by others or external events. Regardless of the cause, I find myself immersed in sa...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It seems that this emotional distress is significantly affecting your life. It is indeed possible that you may be experiencing depression or anxiety. I recommend that you seek medical attention at a nearby mental health facility. If you're unsure where ...[Read More] Understanding Emotional Instability: Insights into Mental Health Challenges
Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
Mild Depression Generalized Anxiety Disorder Currently, the health insurance app shows a diagnosis of mild depression and generalized anxiety disorder. From what I've seen online, mild depression doesn't necessarily require medication, and some people can recover on the...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Question 1: Can I reduce the dosage of my antidepressants? The first doctor has prescribed: morning and evening, 12.5 mg of Clomipramine (克憂果) 1 tablet; at bedtime: 0.5 mg of Zolpidem (讚安諾) 1 tablet, 50 mg of Mirtazapine (美舒鬱) 1 tablet, and 1 mg of Buspirone (悠然...[Read More] Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
Concerns About Taking Prozac: Effects on Brain Function and Memory
Medication - Paxil Hello Dr. Wu: I would like to ask about taking Prozac (fluoxetine). 1. Will it harm the brain's nerves? 2. Will it make me less intelligent? 3. Will it cause memory decline? 4. Will it affect my ability to concentrate? I am a repeat exam taker with mild ob...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: There is currently no scientific evidence that Prozac (fluoxetine) causes damage to brain neurons, cognitive impairment, memory decline, or difficulty concentrating. Non-pharmacological treatments for obsessive-compulsive disorder (OCD) to consider include psychot...[Read More] Concerns About Taking Prozac: Effects on Brain Function and Memory
Is It Safe to Take Escitalopram While Breastfeeding?
Ezetimibe and Breastfeeding Hello, doctor! I've been experiencing symptoms of depression for a long time, and they have worsened recently after having a baby, which has made me take it more seriously. The doctor prescribed Escitalopram for me. Although the doctor mentioned t...
Dr. Wu Enliang reply Psychiatry
Hello, online user: 1. Can I take Escitalopram while breastfeeding? A: Generally, the principle is to avoid taking any medication while breastfeeding, but there is no clear scientific evidence indicating that taking Escitalopram causes any serious adverse reactions in infants dur...[Read More] Is It Safe to Take Escitalopram While Breastfeeding?
Managing Medication Side Effects: From Agitation to Excessive Sleepiness
The patient previously hospitalized for treatment exhibited restlessness after taking medication, which changed to drowsiness after the medication was switched? Hello, doctor! I am a family member of the patient. The patient was previously hospitalized and experienced restlessnes...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Please discuss this immediately with your attending physician. Dr. Wu En-Liang.[Read More] Managing Medication Side Effects: From Agitation to Excessive Sleepiness