Understanding Medication for Severe Depression with Psychotic Features
Medication consultation Hello Dr. Wu, I would like to ask you about my condition. I was diagnosed with severe major depressive disorder with psychotic features three years ago. I am currently taking the following medications: - Bupropion 2 mg, one tablet at dinner - Lurasidone ...
Dr. Wu Enliang reply Psychiatry
1. Is the current medication for sleep quite strong? A: Yes, it is quite strong. 2. Why has it been three years on medication without improvement, and instead, it has become more severe? A: This needs to be discussed with your physician. 3. Recently, taking sleep medication l...[Read More] Understanding Medication for Severe Depression with Psychotic Features
Navigating Grief and Mental Health: A Personal Journey of Loss and Reflection
Regarding personal issues? Hello, doctor. I'm not sure if my inquiries in the Taiwan e-Hospital's Q&A database have been documented, so I want to avoid redundancy. I apologize for bothering the doctors at Taiwan e-Hospital again. Since my mother passed away, I often...
Dr. Wu Enliang reply Psychiatry
There is always a way out, even in difficult times. If you are facing challenges, reach out to your loved ones, friends, or doctors to discuss your concerns and find direction in life. Keep going! Dr. Wu Enliang[Read More] Navigating Grief and Mental Health: A Personal Journey of Loss and Reflection
Interactions Between Lexapro and Seroquel: Can You Take Fish Oil?
The issue of co-administration of Leflunomide and Sulfasalazine? 1. Is there any interaction between one tablet of Lufor (Leflunomide) and one tablet of Sumatriptan? 2. Can I take fish oil while currently on these two medications?
Dr. Wu Enliang reply Psychiatry
1. There are rarely any interactions when both are used together. 2. You may consult Dr. Wu En-Liang.[Read More] Interactions Between Lexapro and Seroquel: Can You Take Fish Oil?
Understanding Medication Management for Severe Depression with Psychotic Features
Medication consultation Hello Dr. Wu, I would like to ask a few questions. Three years ago, I was diagnosed with severe major depressive disorder with psychotic features. I am currently taking the following medications: - Brintellix (vortioxetine) 2 mg at dinner - Lurasidone 40...
Dr. Wu Enliang reply Psychiatry
1. Is the current medication for sleep quite strong? A: Yes, it is quite strong. 2. Why has my condition worsened after taking medication for three years? A: This needs to be discussed with your physician. 3. Recently, I have been experiencing light sleep and waking up early ...[Read More] Understanding Medication Management for Severe Depression with Psychotic Features
Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Suspected autonomic nervous system dysfunction? Hello, doctor. This year, I started experiencing sudden hearing loss, where it feels like my ears are blocked. Within a few seconds, I can noticeably feel the surrounding sounds gradually diminishing, and it seems like I'm hear...
Dr. Wu Enliang reply Psychiatry
Hello everyone, please fill out this self-assessment questionnaire: https://www.typc.mohw.gov.tw/?aid=52&pid=100&page_name=detail&iid=271. If you have more than ten items, it may indicate autonomic nervous system dysregulation, or you may consider undergoing autonomic...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Understanding Weight Gain Risks with Psychiatric Medications
Drug side effects Since I gained weight after taking Seroquel, my weight has decreased after stopping the medication. I am currently taking Zyprexa, Effexor, and Deluxitene. I would like to know if these medications can also cause weight gain. Thank you, doctor.
Dr. Wu Enliang reply Psychiatry
Hello, it is unlikely that such medication would cause this. If there is an increase, it is generally related to poor dietary habits and lack of exercise. Dr. Wu Enliang.[Read More] Understanding Weight Gain Risks with Psychiatric Medications
Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Drug withdrawal? Hello, doctor. I originally had a sore throat that wouldn't improve for a long time. The clinic doctor suggested it might be gastroesophageal reflux disease (GERD), so I underwent an endoscopy, which showed mild GERD. I took medication for a month, but my th...
Dr. Wu Enliang reply Psychiatry
Netizens are open to relaxation training, psychotherapy, or other types of medication treatment. It is recommended to consult with a psychiatrist for discussion. Dr. Wu En-liang.[Read More] Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and did not dare to take medication. I only took a small dose of "Sertraline" occasionally during unp...
Dr. Wu Enliang reply Psychiatry
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing persistent palpitations? A: It is likely not the case. 2. Should I transfer to a psychosomatic specialist and follow medical advice to properly take my medication while gradually r...[Read More] Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang reply Psychiatry
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Managing Anxiety and Heart Palpitations: A Journey to Recovery
Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and didn't dare to take medication. I only took a small dose of "Xanax" during occasional panic ...
Dr. Wu Enliang reply Psychiatry
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing continuous palpitations? A: It should not be the case. 2. Should I consider transferring to a psychosomatic specialist and follow medical advice to properly take my medication whil...[Read More] Managing Anxiety and Heart Palpitations: A Journey to Recovery
Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
The doctor said they cannot prescribe the medication? I'm sorry, but I cannot provide medical advice or translate this content.
Dr. Wu Enliang reply Psychiatry
A: Yes, due to health insurance regulations, physicians are restricted from prescribing medications if the follow-up appointment has not yet occurred. I saw online that Anbang can be taken up to 4.0 mg a day, so why is my attending physician only able to prescribe 0.5 mg twice a ...[Read More] Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang reply Psychiatry
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Anxiety disorder relapsed without discontinuing medication? Seven years ago, I was diagnosed with anxiety disorder and have been consistently taking medication. I have been stable for seven years (calm), without stopping the medication. However, this year, for some unknown reason...
Dr. Wu Enliang reply Psychiatry
Anxiety disorders often have a tendency to relapse, and there are many reasons for this. However, most individuals experience symptom relief after treatment. It is important to patiently engage in therapy. Keep it up! - Dr. Wu Enliang[Read More] Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Understanding Anxiety: Can Sleep Habits Affect Your Health?
Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...
Dr. Wu Enliang reply Psychiatry
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...[Read More] Understanding Anxiety: Can Sleep Habits Affect Your Health?
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang reply Psychiatry
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding Panic Attacks After Starting Antidepressants: What to Know
Some conditions after using antidepressants? Hello Doctor: I have issues with anxiety, panic, and PPPD. I visited a doctor last Friday, and the prescription included an antidepressant at 10mg (half a pill daily for the first week, then one pill starting the second week) and Rital...
Dr. Wu Enliang reply Psychiatry
Hello, doctor. I would like to ask if my situation indicates that I am not suitable for using antidepressants? A: This episode should not be related to the medication, so it does not mean you are unsuitable for it. The doctor I consulted earlier did not inform me whether this is ...[Read More] Understanding Panic Attacks After Starting Antidepressants: What to Know
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. I have so many things I want to do during the summer, but I'm afraid I won't be abl...
Dr. Wu Enliang reply Psychiatry
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu Enliang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. There are so many things I want to do during the summer, but I'm afraid I won't be ...
Dr. Wu Enliang reply Psychiatry
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from the psychiatric day hospital, and in two and a half months, school will start. I have so many things I want to do during the summer, but I'm afraid I won't be able to...
Dr. Wu Enliang reply Psychiatry
It's recommended to follow up with your physician to discuss these concerns and issues. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Drug withdrawal Hello, doctor. I have some questions I would like to ask. Currently, I am taking the following medications: - Mirtazapine 1.5 tablets at bedtime - Clonazepam 25 mg at bedtime - Levetiracetam 2 mg at bedtime - Subutex 50 mg after each meal - Lorazepam 0.5 mg as n...
Dr. Wu Enliang reply Psychiatry
A: Based on what you've shared, tapering off Clonazepam (Klonopin) by reducing your dosage gradually over three weeks may be appropriate, but it's essential to consult with your physician before making any changes to your medication regimen. Clonazepam does have a poten...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues