Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns
Medication consultation: On the first day of taking antipsychotic medication, I have been feeling very sleepy? Hello, Doctor! I am a family member of the patient. The patient was previously hospitalized for schizophrenia and was discharged on Risperidone 2 mg (4 mg daily, taken a...
Dr. Wu Enliang reply Psychiatry
Hello, user: 1. Could this condition be caused by medication? Since it is a situation where the person cannot get out of bed at all? A: It is possible that the condition is caused by medication. 2. Is Ativan (Lorazepam) 0.5 mg a medication for insomnia? If there is no insomni...[Read More] Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns
Do I Need to Consult a Doctor for My Mental Health Concerns?
I'm not sure if I need to consult or see a doctor? Hello, doctor. I would like to know if my situation requires consulting a physician. It’s a bit lengthy, so I appreciate your patience in reading through it. Thank you for taking the time to help me! Since childhood, I have...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: It is recommended to first use the Mood Thermometer (https://www.tsos.org.tw/web/page/bsrs) to assess your emotional state over the past week. If your score is indeed above 10, it is advisable to talk to a professional, such as a mental health center at the ...[Read More] Do I Need to Consult a Doctor for My Mental Health Concerns?
Understanding Emotional Instability: When to Seek Mental Health Help
Emotional instability Hello, doctor. My mother is 50 years old and her stress comes from my grandmother. They often have conflicting views and find it difficult to get along. Whenever they disagree, my mother becomes sad and cries. This has been going on for about 10 years. Howev...
Dr. Wu Enliang reply Psychiatry
Hello, user: I suggest using a mood thermometer (https://www.tsos.org.tw/web/page/bsrs) to assess her emotional state over the past week. If her score is indeed above 10 or if she has moderate suicidal ideation, you could recommend seeing a physician or psychologist under the pre...[Read More] Understanding Emotional Instability: When to Seek Mental Health Help
Long-Term Use of Rifampin: Risks of Sleep Issues and Cognitive Decline
Is rifampicin used for depression? Doctor, I have trouble sleeping and take 0.5 mg of Risperidone every night. Will long-term use harm my brain or lead to dementia? Thank you.
Dr. Wu Enliang reply Psychiatry
Hello, netizen: There is currently no significant scientific evidence linking long-term use of sedative-hypnotic medications such as Rifampicin to dementia or brain damage. However, due to the potential for dependence with long-term use, it is recommended that after improvement o...[Read More] Long-Term Use of Rifampin: Risks of Sleep Issues and Cognitive Decline
Understanding Withdrawal Symptoms from Paroxetine: Muscle Pain Explained
Withdrawal symptoms from Buprenorphine? Hello Doctor: I have been taking Paroxetine for about two years due to social anxiety disorder. Recently, my living conditions and social interactions have improved, so I have been gradually tapering off the medication in coordination with ...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Muscle soreness is generally unrelated to the discontinuation of this medication. Symptoms that typically occur after sudden cessation include those similar to a cold, headaches, and anxiety. Dr. Wu En-liang.[Read More] Understanding Withdrawal Symptoms from Paroxetine: Muscle Pain Explained
Understanding Mirtazapine: Appetite Stimulation and Weight Gain Concerns
Mirtazapine is an antidepressant medication primarily used to treat major depressive disorder. It belongs to the class of medications known as noradrenergic and specific serotonergic Hello Dr. Wu! My father is experiencing depression, and after visiting a psychiatrist, he was pre...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: 1. Does the weight gain from Metoprolol occur because it stimulates appetite and increases food intake, or does Metoprolol inherently cause weight gain regardless of food intake, meaning that even if one eats less, weight will still increase? A: Not everyone wi...[Read More] Understanding Mirtazapine: Appetite Stimulation and Weight Gain Concerns
Understanding Self-Harm: Seeking Help for Emotional Distress
Self-harm related issues Hello Doctor, I have been feeling very down lately. When I get angry, I tend to scratch my hands, feet, and face with my nails, hit walls, pull my hair, and binge eat. After these actions, I feel terrible about myself. I also struggle with insomnia and of...
Dr. Wu Enliang reply Psychiatry
Hello: It is recommended to use a mood thermometer (link below, and there is also an app available for download) to assess your emotional state over the past week. If your score is above 10, it is advisable to seek help. If it exceeds 15, it is definitely time to consult a psychi...[Read More] Understanding Self-Harm: Seeking Help for Emotional Distress
Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Autonomic nervous system dysfunction, ventricular premature contractions (VPC)? Hello, Dr. Wu. I apologize for bothering you. I would like to ask if you have heard of VPC (ventricular premature contractions)? I experience a sensation of missed heartbeats, and my echocardiogram an...
Dr. Wu Enliang reply Psychiatry
Hello: If VPC is ruled out as a result of internal medicine issues, it is indeed possible that it may arise under conditions of significant psychological stress, such as panic disorder. It is advisable to seek consultation with a psychiatrist and consider undergoing psychotherapy...[Read More] Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Understanding Addiction Risks in Overdose and Self-Harm Behaviors
Can overdose lead to addiction? Hello doctor, I am 15 years old and have a two-year history of depression. My main issues include recurrent suicidal thoughts and self-harm (cutting, overdosing). Last week, I was hospitalized for taking an overdose of acetaminophen (24 tablets). I...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Repeated self-harming behavior likely has underlying psychological reasons, so it is recommended to undergo individual psychotherapy to address this internal anxiety and inner conflict. Dr. Wu Enliang[Read More] Understanding Addiction Risks in Overdose and Self-Harm Behaviors
Understanding Drug Interactions: SSRIs, TCAs, and Safety Concerns
SSRIs (Selective Serotonin Reuptake Inhib Psychiatry: Leeyo (Escitalopram) 10mg, 1 tablet; Eurodin 2mg, 2 tablets; Zolpidem 10mg, 2 tablets. Dermatology: Doxepin 25mg, 2 tablets at dinner; Doxepin 25mg, 2 tablets at bedtime; Lyrica (Pregabalin) 75mg, 2 tablets (for skin itching...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: Interactions between medications are inevitable, especially in the elderly who may experience side effects. Therefore, it is advisable to ask the physician to prescribe fewer medications to minimize these effects and to utilize non-pharmacological methods to...[Read More] Understanding Drug Interactions: SSRIs, TCAs, and Safety Concerns
Finding Value in Existence: Overcoming Feelings of Worthlessness
The value of existence? Hello Dr. Wu: I have been thinking about whether my existence is necessary. My parents give me the impression that it doesn't matter whether I am here or not, as there are other outstanding siblings in the family. At work, I can be quickly replaced, a...
Dr. Wu Enliang reply Psychiatry
Hello, everyone: Each person has intrinsic value, just waiting for you to discover it. Let us work together to identify our worth. If you find it particularly challenging to uncover, I recommend seeking psychological therapy where a professional psychologist can discuss this with...[Read More] Finding Value in Existence: Overcoming Feelings of Worthlessness
Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Zanax for sleep assistance? Hello Doctor, I have previously been diagnosed with Generalized Anxiety Disorder due to my inability to attend school, severe hand tremors, and insomnia. Later, another doctor diagnosed me with Adjustment Disorder with anxiety and worry. I then consult...
Dr. Wu Enliang reply Psychiatry
Hello, user: Zolpidem itself should not cause insomnia and anxiety; it likely refers to the body's dependence that may develop from long-term daily use, which can lead to insomnia and anxiety. Your anxiety symptoms should not be managed solely with sedatives; it is advisable...[Read More] Understanding the Effects of Zolpidem on Anxiety and Sleep Disorders
Managing Anxiety and Depression Medication: Addressing Withdrawal and Side Effects
Issues with Discontinuing Medication for Anxiety and Depression Hello, Doctor. I have been diagnosed with anxiety, panic disorder, depression, and sleep disturbances. Currently, I am taking medication: one capsule of Yongkangxu and one capsule of Anning in the morning and evening...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Q1: I experience heightened anxiety mostly between 8 to 10 PM. I'm not sure if it's due to insufficient medication levels or if it's a psychological issue. A: The tranquilizer capsule is a sedative, and taking it continuously for three months may...[Read More] Managing Anxiety and Depression Medication: Addressing Withdrawal and Side Effects
Understanding Emotional Struggles: A College Student's Journey
Emotional issues Hello, doctor. I am a freshman this year and have felt that something is wrong for a long time. Since I started middle school, I have felt that my life has no meaning, which led me to self-harm. Even though I have many friends around me, I still can't feel h...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I suggest you first visit the counseling center at your school and talk to a school counselor. This service is included in your tuition, so you should make good use of it. In any case, if you're experiencing emotional distress, it's important to co...[Read More] Understanding Emotional Struggles: A College Student's Journey
Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Ampernix medication I would like to inquire about the long-term side effects of using Ambien. If there are any, does long-term use affect sperm count in men who are planning to have children?
Dr. Wu Enliang reply Psychiatry
Hello, netizen: The main side effect of sedative-hypnotic medications like Ambien is the development of dependence. When not used, individuals may experience anxiety and insomnia. It is recommended to use them only when necessary, such as during episodes of anxiety, and not on a ...[Read More] Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Schizophrenia and Medication Costs Issues Dear Dr. Wu, I was diagnosed with delusional disorder (mild schizophrenia) at the beginning of last year. I experienced auditory hallucinations for about two months, which later resolved on their own. The delusional aspects have stabiliz...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Q: Will taking medication for schizophrenia lead to brain atrophy in the long term? A: No, in fact, not taking medication and experiencing repeated episodes can lead to brain atrophy. Q: Although delusions and hallucinations have resolved, is there still d...[Read More] Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
Is this obsessive thinking? Delusion? Or schizophrenia? Hello, Doctor. Here’s the situation: I have obsessive-compulsive disorder, and recently I have been very worried that I might have schizophrenia. Whenever I hear a sound, have a certain thought, or see some light or shadow, ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: This is obsessive thinking, not schizophrenia. However, the treatment for obsessive-compulsive disorder (OCD) does not seem to be very effective. It is recommended to discuss this further with your doctor. Dr. Wu En-Liang.[Read More] Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
Overcoming Social Anxiety: Strategies for Better Interpersonal Relationships
The way of getting along with others? I have had difficulty interacting with others since childhood, which has led to my reluctance to go out and seek employment due to a fear of conflict. Additionally, I have a very passive personality. Could you please provide your advice, doct...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Actually, you can still engage in work that allows for more solitary efforts without needing to interact much with others! Dr. Wu Enliang[Read More] Overcoming Social Anxiety: Strategies for Better Interpersonal Relationships
Can Hypnosis Help Recover Memories from Decades Ago?
Can hypnosis assist with memory recall? I would like to ask a physician about memories from decades ago that are only vaguely remembered. I once saw a movie that depicted a protagonist using hypnotherapy to reconstruct past events. I wonder if modern hypnotherapy can also restore...
Dr. Wu Enliang reply Psychiatry
Hello, online user: There is no scientific evidence supporting the use of hypnosis for memory recovery, but it also does not have any significant side effects. If you have the means to find a good therapist and want to give it a try, it may be worth considering. Dr. Wu En-Liang[Read More] Can Hypnosis Help Recover Memories from Decades Ago?
Is It Just Sadness or Signs of Depression and Anxiety?
Is it depression or major depressive disorder? Hello, I have been feeling inexplicably low and irritable for about four months, possibly due to the upcoming exams. I feel like there is something weighing on my mind. My classmates say I look unhappy and don't smile, which has...
Dr. Wu Enliang reply Psychiatry
Hello, online user: If you are experiencing persistent depression and a lack of interest in everything, it is indeed possible that you may be suffering from depression. It could be that the pressure from the academic exams is too overwhelming for your brain to handle. I recommend...[Read More] Is It Just Sadness or Signs of Depression and Anxiety?