Managing Schizophrenia: Medication Adherence and Dosage Concerns
Hello, doctor. My uncle, Huang, has schizophrenia and is your patient? Hello, doctor. My uncle, Huang, has schizophrenia and is your patient. He is currently taking a considerable amount of psychiatric medication. He is 61 years old, and I have his medication bag from when he was...
Dr. Wu Enliang reply Psychiatry
Hello Mr. Huang: *Can we reduce his medication? No, do not reduce the medication; we will reassess at the next follow-up appointment.* Can he take the medication from two or three years ago? No, do not take medication from two or three years ago; the quality of the medication may...[Read More] Managing Schizophrenia: Medication Adherence and Dosage Concerns
Understanding Workplace Stigma: Navigating Mental Health Challenges
Is it considered bullying? Hello, Doctor: Due to some mental health issues, I would like to take a leave of absence for medical treatment. However, my company has a negative perception of individuals with mental illnesses, making it difficult to request time off. This situation c...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Why didn't we discuss this topic during today's follow-up appointment? I suggest we take some time to think about it together during our next visit.[Read More] Understanding Workplace Stigma: Navigating Mental Health Challenges
Understanding When to Seek Help for Severe Depression Symptoms
Depression issues I previously attempted suicide twice, and my doctor diagnosed me with major depressive disorder. My condition was very poor, but after leaving my sources of stress for a month, I have finally stabilized a lot. Therefore, I have not returned for follow-up appoint...
Dr. Wu Enliang reply Psychiatry
Depression does not necessarily require medication; pharmacological treatment is just one option. Some individuals improve after distancing themselves from stressors, while others benefit from psychotherapy. Additionally, some find relief through extensive physical exercise, and ...[Read More] Understanding When to Seek Help for Severe Depression Symptoms
Overcoming Internet Addiction: Building Meaningful Relationships
Internet Addiction and Interpersonal Relationships Hello Dr. Wu, I would like to consult you: Due to my limited social circle, even though I have a stable job that is relatively easy, during my free time, I often find myself just scrolling through my phone. I really enjoy livel...
Dr. Wu Enliang reply Psychiatry
Hello, A-Mei: You discussed this issue during your follow-up appointment on July 27, 2016. If you have any further questions, we can discuss them during your next outpatient visit. Thank you![Read More] Overcoming Internet Addiction: Building Meaningful Relationships
Understanding Dizziness: Is Anxiety the Hidden Cause?
Regarding issues related to dizziness? Hello, doctor. For the past six months, I have been experiencing dizziness and lightheadedness, which become particularly pronounced after meals or when I am tired from lack of sleep. The symptoms are intermittent. I have visited several maj...
Dr. Wu Enliang reply Psychiatry
It is indeed possible that anxiety disorders can cause dizziness. Psychological conditions can affect physical health, which is known as psychosomatic disorders. Obsessive-compulsive disorder (OCD) is also a type of anxiety disorder. It is recommended to seek treatment at a nearb...[Read More] Understanding Dizziness: Is Anxiety the Hidden Cause?
Exploring the Connection Between Anal Sex Interest and Bisexuality
The correlation between a preference for anal intercourse and bisexuality? Hello Dr. Wu: Up to now, I have not had any sexual experience with either males or females. I am quite certain that I have both physiological and psychological interest in girls; I enjoy looking at attract...
Dr. Wu Enliang reply Psychiatry
Regardless of whether one is homosexual, bisexual, or heterosexual, none of these orientations are considered a disorder. No one can determine your orientation for you; it is something you must experience for yourself. The only important thing to keep in mind is that practicing s...[Read More] Exploring the Connection Between Anal Sex Interest and Bisexuality
Managing Medication and Symptoms in Mental Health: Key Questions Answered
Please consult regarding medication? Hello, doctor. Thank you for your previous response on https://adoctor.tw/article/106772 regarding the heart skipping a beat after every ten beats, which may indicate arrhythmia. The cardiologist said there was nothing to worry about, but I sh...
Dr. Wu Enliang reply Psychiatry
Hello, Xiao Bi: 1. Why is it that after experiencing autonomic nervous system dysfunction, I feel more dizzy and have chest tightness when using a computer or smartphone compared to before I got sick? Is it due to factors in the brain? The concept of psychosomatic disorders sugg...[Read More] Managing Medication and Symptoms in Mental Health: Key Questions Answered
Addressing Four Key Questions on Autonomic Nervous System Disorders
Please ask your four questions? Thank you, doctor, for your previous response on https://adoctor.tw/article/106596. I would like to ask a few questions. 1. Sometimes, individuals with autonomic nervous system dysfunction feel very uncomfortable (for example, dizziness, head pre...
Dr. Wu Enliang reply Psychiatry
Hello, Xiao Bi: 1. Autonomic nervous system disorders can sometimes make you feel very uncomfortable (such as dizziness, head pressure, rapid breathing, and palpitations). However, there are times when you feel okay, but the symptoms may recur the next day due to changes in temp...[Read More] Addressing Four Key Questions on Autonomic Nervous System Disorders
Understanding Determinism: A Psychiatric Perspective on Free Will
Please help me clarify my doubts, doctor? Hello, Doctor. I often have the thought that the next second is already predetermined. From the smallest chemical changes to the vast workings of the universe, everything follows its (or His) laws; how can human behavior be an exception? ...
Dr. Wu Enliang reply Psychiatry
Hello: Your question is a philosophical one, and I am not an expert in that field. However, everyone has different imaginations and perspectives on life, which I believe is harmless.[Read More] Understanding Determinism: A Psychiatric Perspective on Free Will
Understanding Alprazolam and Propranolol: Usage, Dosage, and Effects
Alprazolam and the antiarrhythmic medication Propranolol? Thank you for your previous response, Doctor. I would like to ask a few more questions. 1. Alprazolam is best used for the short term; how short is "short term"? 2. When needed, what is the appropriate dosage ...
Dr. Wu Enliang reply Psychiatry
Hello: 1. Alprazolam should ideally be used for short-term treatment. What is considered "short-term"? Generally, "short-term" refers to approximately one month, as continuous use beyond one month may lead to dependence. 2. When needed, what is the appropr...[Read More] Understanding Alprazolam and Propranolol: Usage, Dosage, and Effects
Struggling with Binge Eating and Anxiety: A College Student's Journey
I'm not sure if I have binge eating disorder or anxiety disorder? Recently, I felt that going to college was meaningless, thinking that what I learn every day may not be applicable to my future job. However, I am only a freshman, and this feeling was particularly strong on M...
Dr. Wu Enliang reply Psychiatry
It seems that your life is indeed filled with a lot of stress, leading to significant anxiety. Your parents' divorce during your childhood is not your fault, and worrying about family or not wanting to go to school are also common sources of life stress. It is important to t...[Read More] Struggling with Binge Eating and Anxiety: A College Student's Journey
Managing Anxiety and Autonomic Dysfunction: Medication and Lifestyle Tips
Could you please provide more context or specify the medication you are inquiring about? Hello, Doctor. Last October, I underwent autonomic nervous system testing at a health check-up center and was diagnosed with moderate autonomic dysfunction. I suspect this may be related to r...
Dr. Wu Enliang reply Psychiatry
1. In my situation, should I not reduce the dosage of Alprazolam, and would it be better to continue taking 0.25 mg twice daily? A: Alprazolam is best used for the short term, but since you are still experiencing anxiety symptoms, you might try taking 0.25 mg twice daily to see i...[Read More] Managing Anxiety and Autonomic Dysfunction: Medication and Lifestyle Tips
Overcoming Morning Anxiety and Time-Related Sleep Disorders
Morning anxiety and chronophobia? I sleep from 1:00 AM to 10:00 AM or from 2:00 AM to 11:00 AM, averaging 2 to 3 nighttime urinations. I have many bedtime rituals that help me feel secure and fall asleep. However, during the night, I can't help but be curious about the time....
Dr. Wu Enliang reply Psychiatry
Hello Dora, it seems that this issue has significantly affected your life. It may be related to anxiety disorder or obsessive-compulsive disorder, both of which are not difficult to treat. I recommend seeking care at a nearby mental health facility.[Read More] Overcoming Morning Anxiety and Time-Related Sleep Disorders
Can Psychiatric Medications Be Mixed with Milk Powder?
Can psychiatric medications be taken with milk powder? Hello, doctor. I would like to ask about medication issues. A few months ago, a family member was hospitalized in a psychiatric ward due to irritability and hallucinations and received medication treatment. Their condition is...
Dr. Wu Enliang reply Psychiatry
Hello Mingming: Generally, warm or cold water mixed with milk should not affect the efficacy of the medication. It seems that the most important medications are Ruaning and Huanyou tablets, both of which have a fast-dissolving formulation that easily dissolves in water.[Read More] Can Psychiatric Medications Be Mixed with Milk Powder?
Understanding Male Desires and Mental Health: A Psychiatric Perspective
Could you please explain to me why I am experiencing this? 1. I feel an urge towards attractive female colleagues and women I see on the street. As a man, wanting to be with women but being unable to is very distressing. 2. I reported my former employer for tax evasion, which co...
Dr. Wu Enliang reply Psychiatry
Hello: It is normal for everyone, especially young people, to have sexual desires. It is advisable to start by developing healthy relationships, respecting women's bodies as one would respect their own. Additionally, redirecting attention through hobbies, interests, or exerc...[Read More] Understanding Male Desires and Mental Health: A Psychiatric Perspective
Am I Sick? Understanding Anxiety and Overthinking
Am I sick? In the past month, I've been feeling very restless and anxious. I tend to have a vivid imagination, but recently I've been experiencing some inexplicable thoughts. I know these things are unlikely to happen, yet I still feel scared. Sometimes I find it amusin...
Dr. Wu Enliang reply Psychiatry
Hello Mimi, if you suddenly feel inexplicably restless and anxious, and relaxation techniques do not help improve your condition, it may be worth considering a visit to a psychiatrist for a thorough evaluation and assessment. Conditions such as psychosomatic disorders or certain ...[Read More] Am I Sick? Understanding Anxiety and Overthinking
Managing Anxiety Medication: Concerns and Solutions for Students
Issues related to the use of medications for anxiety disorders? Hello, doctor: I would like to ask about the use of medication for anxiety disorders. Previously, during my college entrance exam preparation, I experienced significant stress and during a mock exam, I became so anxi...
Dr. Wu Enliang reply Psychiatry
Hello, Hsiao-Hsuan: Anti-anxiety medications can alleviate anxiety, but they do not teach you how to overcome anxiety or coexist with it. There are other non-pharmacological treatment options for anxiety disorders, such as reducing life stress, adjusting lifestyle habits, increas...[Read More] Managing Anxiety Medication: Concerns and Solutions for Students
Understanding Anxiety: Are My Thoughts Signs of Delusion or OCD?
I have a medical condition? Hello, doctor. I have been struggling with anxiety for a long time, and recently I've been experiencing some strange thoughts that I would like to ask about. For example, sometimes when I see others talking, I have a fleeting thought that they mig...
Dr. Wu Enliang reply Psychiatry
It sounds like these thoughts are not external but rather ones you have come up with yourself, thoughts that you don't want to think about but feel compelled to. This is very similar to obsessive thinking, which is a common symptom in individuals with anxiety disorders, and ...[Read More] Understanding Anxiety: Are My Thoughts Signs of Delusion or OCD?
Understanding Emotional Outbursts: Exploring Mental Health and Stress
Easily prone to tears? Hello, thank you for helping me with my concerns. I have been experiencing episodes of intense sadness and crying for about a month now, which come on suddenly. I usually don't cry in front of others, and I consider myself to be doing well socially and...
Dr. Wu Enliang reply Psychiatry
You might need an emotional outlet; "crying easily in private" is also a reasonable way to relieve stress. Of course, it's worth considering whether you are under too much pressure or too busy, and if you need to adjust the pace of your life.[Read More] Understanding Emotional Outbursts: Exploring Mental Health and Stress
Should I See a Doctor for Anxiety and Chest Pain Concerns?
Should I see a doctor? Hello, Doctor. I would like to ask a few questions. Over the past six months, I have frequently experienced chest pain, sometimes as sharp pain and other times as a sensation of pressure on my chest, as if someone were pressing down with their fingers. I al...
Dr. Wu Enliang reply Psychiatry
It sounds like you have been experiencing various physical discomforts over the past six months, such as chest pain, back pain, stomach pain, and palpitations, along with anxiety, tension, and restlessness, which can be quite overwhelming. It must be frustrating that even after s...[Read More] Should I See a Doctor for Anxiety and Chest Pain Concerns?