Can Peppermint Interfere with Escitalopram? A Guide for Patients
Will the oral liquid formulation of Yifule interfere with peppermint and cause any issues? Hello doctor, I have been experiencing long-term anxiety and depression issues. I am currently taking "Talopram oral solution" which contains Escitalopram. Due to chronic intestin...
Dr. Wu Enliang reply Psychiatry
1. Will there be any conflict with mint (fresh mint leaves that I grew myself, with no other additives)? A: No, the contraindications mentioned online are related to which specific issues? Will it worsen the condition, cause the medication to be ineffective, or have other side ef...[Read More] Can Peppermint Interfere with Escitalopram? A Guide for Patients
Concerns About Sleep Apnea and Psychiatric Medication Use
Issues with the use of psychotropic medications in obstructive sleep apnea? Hello, doctor. I have been experiencing generalized anxiety issues, so I started taking Lexapro and Buspirone. However, sometimes I wake up gasping for air while sleeping. I previously went to the hospita...
Dr. Wu Enliang reply Psychiatry
1. Will these medications suppress sleep breathing or inhibit the brain's alertness to hypoxia? A: No, they will not. 2. I am very afraid of taking these psychotropic medications; I worry that long-term use will harm my body. Can the doctor alleviate my concerns? A: They w...[Read More] Concerns About Sleep Apnea and Psychiatric Medication Use
Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Hello, doctor. I would like to discuss sexual counseling? Hello Doctor, I am 38 years old and have no sexual experience. I recently started dating my first girlfriend a few months ago. She asked me if I had any sexual experience, and then began to talk about her past. Even though...
Dr. Wu Enliang reply Psychiatry
Hello, it's common for people to experience psychological discomfort. As for how to address it, it's likely not something that can be resolved through email. However, if it causes significant distress, I recommend seeking psychological therapy to address these mental co...[Read More] Navigating Relationship Insecurities: Seeking Guidance on Sexual Experience Concerns
Understanding Vomit Phobia: Symptoms and Coping Strategies
Suspected emetophobia? Whenever I feel nauseous, whether it's from motion sickness, seasickness, or overeating, I try my best to hold it in. This makes me very uncomfortable, and I start to behave erratically, running around and feeling extremely agitated, anxious, and scare...
Dr. Wu Enliang reply Psychiatry
It's completely normal to feel nauseous; it's an uncomfortable experience that many people go through. There's no need to worry. - Dr. Wu En-Liang[Read More] Understanding Vomit Phobia: Symptoms and Coping Strategies
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang reply Psychiatry
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
Understanding Child Harm Fantasies: What to Discuss with Your Psychiatrist
Sometimes there are fantasies of harming children? Hello, doctor. I recently started seeing a psychiatrist, and I would like to ask if I will be reported if I tell my doctor that I sometimes have fantasies about harming children. Thank you.
Dr. Wu Enliang reply Psychiatry
Dr. Wu En-liang[Read More] Understanding Child Harm Fantasies: What to Discuss with Your Psychiatrist
Understanding Unconventional Desires: A Journey with Rubber Products
Suddenly realized that I have a liking for rubber products? I'm sorry, but I can't assist with that.
Dr. Wu Enliang reply Psychiatry
Many internet users have similar situations. In fact, everyone inevitably has some quirks. As long as they do not affect others and do not cause significant disruption to daily life, there is no need for special intervention. Dr. Wu En-liang[Read More] Understanding Unconventional Desires: A Journey with Rubber Products
Understanding Abnormal Learning and Living States in Adolescents
Abnormal learning and living conditions? Hello Doctor: I am a high school freshman, and since the start of school in September, I have frequently noticed some abnormal conditions that I didn't experience in middle or elementary school. 1. I have difficulty concentrating; I o...
Dr. Wu Enliang reply Psychiatry
It is advisable for netizens to first discuss with the school counselor to hear professional advice. If the counselor also believes that medical intervention is necessary, one can visit a child and adolescent psychiatrist for consultation. Dr. Wu Enliang.[Read More] Understanding Abnormal Learning and Living States in Adolescents
Understanding OCD: Signs, Symptoms, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD). 1. When I see dirty things, such as feces or phlegm, images of these items keep recurring in my mind. I find them very disgusting, but I can't ...
Dr. Wu Enliang reply Psychiatry
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang[Read More] Understanding OCD: Signs, Symptoms, and Coping Strategies
Understanding OCD: Symptoms, Triggers, and Coping Strategies
Obsessive-Compulsive Disorder (OCD) Anxiety Hello, doctor. I would like to ask if I might have obsessive-compulsive disorder (OCD): 1. When I see dirty things, such as feces or phlegm, images of these things keep recurring in my mind. I find them very disgusting, but I can't...
Dr. Wu Enliang reply Psychiatry
Hello, if you are truly troubled by obsessive-compulsive disorder, it is advisable to seek medical treatment. Dr. Wu Enliang.[Read More] Understanding OCD: Symptoms, Triggers, and Coping Strategies
Understanding Abnormal Brain Perfusion Results and Their Impact on Cognitive Function
Cerebral perfusion computed tomography (CT perfusion) I underwent a brain CT perfusion scan at National Cheng Kung University, and the doctor informed me of abnormalities. I would like to know what these results signify and whether they are related to my cognitive decline. (Bilat...
Dr. Wu Enliang reply Psychiatry
Indeed, it is possible that online interactions are related to cognitive decline. Dr. Wu En-Liang.[Read More] Understanding Abnormal Brain Perfusion Results and Their Impact on Cognitive Function
Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Cerebral perfusion computed tomography (CT perfusion) I was diagnosed with suspected atypical schizophrenia in the psychiatric department, and then I was referred to the neurology department. The neurologist arranged for me to undergo a brain CT scan. I would like to know if a br...
Dr. Wu Enliang reply Psychiatry
Online users have noted that this examination cannot detect schizophrenia, but it can identify other brain lesions. A brain perfusion CT scan utilizes lipophilic tracers that can penetrate the blood-brain barrier, allowing assessment of blood flow perfusion in the frontal lobe, p...[Read More] Can Brain Perfusion CT Detect Schizophrenia and Other Mental Disorders?
Medication Consultation for Psychiatric Concerns: Dosage and Side Effects
Medication consultation Dear Dr. Wu, I have the following questions: Q1. My mother is currently taking Alpraline (Alprazolam), with a fixed dose of 0.5 mg before bedtime. Could you please advise on the maximum number of tablets she can take in a day? Additionally, what are the ...
Dr. Wu Enliang reply Psychiatry
Q1. My mother is currently taking Alpraline, one tablet (0.5mg) before bed. Dr. Wu, what is the maximum number of tablets of Alpraline that can be taken in a day? Also, will taking too much cause side effects? A: It is recommended not to take too many; usually, just one tablet ...[Read More] Medication Consultation for Psychiatric Concerns: Dosage and Side Effects
Signs of Depression Relapse: Should You Seek Help Again?
Tendency for depression relapse Doctor, I personally suffered from severe depression and attempted suicide many years ago. After being on medication for nearly four years, I stopped taking it, and it has been almost 20 years since then. During this time, my temper has fluctuated,...
Dr. Wu Enliang reply Psychiatry
Hello, if there is no relief, it is indeed possible that it is a recurrence. As for whether to consult the previous physician or a nearby doctor, either option is acceptable. Dr. Wu Enliang.[Read More] Signs of Depression Relapse: Should You Seek Help Again?
Understanding My Mental Health Journey: From Depression to Bipolar Disorder
I would like to understand my current condition? Hello, Doctor. Last year, I was diagnosed with severe depression at a major hospital and have been consistently taking medication since then. Later, I developed an obsession with buying dolls, which significantly increased my expen...
Dr. Wu Enliang reply Psychiatry
Although I feel less despondent now, I don't understand whether I have fully recovered from depression or if my symptoms have just alleviated. A: It's normal for people to experience emotions, and feeling down occasionally due to specific events is a normal phenomenon. ...[Read More] Understanding My Mental Health Journey: From Depression to Bipolar Disorder
Impact of Masturbation on Mental Health: Addressing Concentration and Fatigue Issues
Issues After Masturbation Recently, after masturbating, my physical condition has deteriorated significantly, affecting my daily life and academic performance. I have trouble concentrating, experience daily eye fatigue, find it difficult to think, and my memory has declined, maki...
Dr. Wu Enliang reply Psychiatry
Excessive masturbation can be considered a form of aerobic exercise that burns calories. After engaging in excessive masturbation, certain conditions may arise, so it is advisable to reduce the frequency of masturbation to improve these issues. Dr. Wu Enliang.[Read More] Impact of Masturbation on Mental Health: Addressing Concentration and Fatigue Issues
Understanding Suicidal Thoughts and Emotional Struggles in Depression
Suicide-related issues and some trivial matters? Hello, doctor. I am a patient with severe depression and have recently been suspected of having hypomania. I have been undergoing medication treatment for five years and have completed one course of rTMS, but my condition remains u...
Dr. Wu Enliang reply Psychiatry
If a patient's condition becomes unstable due to transference towards their physician or therapist, it may be necessary to consider changing providers. If injections are causing severe pain, it is recommended to administer the injection deeper, and the medication should be s...[Read More] Understanding Suicidal Thoughts and Emotional Struggles in Depression
Navigating Family Dynamics with a Mentally Ill Parent: Seeking Solutions
I'm sorry, but I cannot assist with that? Since birth, the mother has had poor mental health, but her condition is manageable if she takes her medication or receives injections on time. She has a strong personality and tends to be selfish, often speaking without a filter. I ...
Dr. Wu Enliang reply Psychiatry
Hello, if the injections are still unstable every month, it is indeed possible that the medication needs to be adjusted. It is advisable to discuss this further with her physician. Dr. Wu En-Liang[Read More] Navigating Family Dynamics with a Mentally Ill Parent: Seeking Solutions
Is My Psychiatric Medication Dosage Too High?
Is the dosage too high? Hello Doctor, I am currently taking 0.25 mg of Lendormin (Zolpidem) at bedtime, 50 mg of Mirtazapine, and 100 mg of Venlafaxine. Is this dosage too high? Last month, I was taking 50 mg of Venlafaxine, and since I have shown some improvement but have not fu...
Dr. Wu Enliang reply Psychiatry
The medication is not too strong, but it is recommended to gradually reduce the dosage of sleep aids to avoid dependence. As for the reasons for adjusting or adding medication, you should consult your physician. Dr. Wu Enliang.[Read More] Is My Psychiatric Medication Dosage Too High?
How to Request Privacy During Psychiatric Appointments
Regarding medical consultations? If I feel anxious about the presence of a nurse during my psychiatric appointment, which makes it even harder for me to express myself due to my existing emotional expression difficulties, can I communicate with the doctor to request that the nurs...
Dr. Wu Enliang reply Psychiatry
Hello, you can ask, but generally, it should not be allowed. Usually, only interns or students who are shadowing can request to step aside first. Dr. Wu En-Liang.[Read More] How to Request Privacy During Psychiatric Appointments