Struggling with Sleep Despite Medication: Is It the Side Effects or My Liver?
I still can't sleep well even after taking the medication? Hello, Doctor. I have been having trouble sleeping since the beginning of this year, and I have also been feeling depressed. Last week, the doctor prescribed me Trazodone and Doxepin to take before bed, but even afte...
Dr. Yan Congyou reply Psychiatry
Hello: Medications typically require an adjustment period during the initial use, usually stabilizing after about 6 to 8 weeks. During this time, if you experience uncomfortable side effects or if the medication seems ineffective, be sure to discuss this with the physician who pr...[Read More] Struggling with Sleep Despite Medication: Is It the Side Effects or My Liver?
Should You Take More Medication After Waking Up from Sedation?
Medication issue - The patient woke up three hours after taking the sedative? Do I need to take medication after waking up?
Dr. Yan Congyou reply Psychiatry
If treatment with a single-line sedative for sleep issues is still ineffective, it is likely that there are other underlying problems. Sleep issues may be just the tip of the iceberg among various concerns, and a comprehensive evaluation at a hospital is necessary.[Read More] Should You Take More Medication After Waking Up from Sedation?
Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Having nothing to say to family members? Due to family circumstances, I was raised by my uncle. People around me always say to listen to him because he has made many sacrifices to take care of me. However, during our conversations, he often imposes his own beliefs on me, and if I...
Dr. Yan Congyou reply Psychiatry
Hello: It sounds like your situation at home is quite oppressive and unhappy, which is a major source of your distress and unhappiness. Family issues are often the most challenging problems for individuals to handle and are something that everyone is forced to confront. These sit...[Read More] Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Nightmares, self-harm, auditory hallucinations, and tinnitus? Hello doctor, I am currently a high school sophomore. I have been having this nightmare since the third grade when I first learned that my brother left this world. The dream involves me watching two strangers kill my b...
Dr. Yan Congyou reply Psychiatry
Hello Hu Rou: I am very sorry to hear about your situation. Such a significant event must have seriously impacted your life and mood. Based on your description, it is essential for you to seek medical attention at a hospital as soon as possible. If your previous consultations hav...[Read More] Nightmares, Self-Harm, and Hallucinations: A Teen's Struggle
Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Judgment in patients with delusions? Sometimes when I'm bored, I think of unrealistic images, sounds, or plots. However, I came across an article online about the symptoms of delusions and started to wonder if I might also have delusional symptoms. But if what I experience c...
Dr. Yan Congyou reply Psychiatry
The definition of delusion is more stringent than simply having unrealistic thoughts or scenarios; it typically involves behaviors or emotions that are significantly impacted by these beliefs, affecting daily life (such as work, academics, and interpersonal relationships). The co...[Read More] Understanding Delusions: Are Creative Thoughts a Sign of Mental Illness?
Dealing with Family Dynamics and Paranoia in Young Adults
Family interactions, paranoid delusions? I'm sorry to hear about your situation. It sounds like your cousin is exhibiting some concerning behaviors that may indicate underlying psychological issues. Given her history of trauma, such as being verbally and physically reprimand...
Dr. Yan Congyou reply Psychiatry
Hello: It sounds like your cousin's situation is causing you a lot of distress. Since a patient cannot be forcibly hospitalized without a diagnosis of a severe mental illness or a history of psychiatric hospitalization, it is advisable to first seek assistance from the local...[Read More] Dealing with Family Dynamics and Paranoia in Young Adults
Understanding Withdrawal Symptoms and Medication Stability in Psychiatry
Medication issues Hello Doctor, I would like to ask if there are withdrawal symptoms associated with Jing An Ning and Mei Shu Yu. I have noticed that I seem to have trouble sleeping without these medications. Additionally, I left the medication in the trunk of my car for about fi...
Dr. Yan Congyou reply Psychiatry
Hello, A-Leh: The two medications you mentioned can be used without withdrawal symptoms when discontinued under a physician's guidance. Please do not adjust the dosage or stop the medication abruptly. The medications should not degrade when exposed to the temperature of a tr...[Read More] Understanding Withdrawal Symptoms and Medication Stability in Psychiatry
Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence
Medication issues Hello Doctor: My psychiatrist prescribed me one tablet of Clomipramine and half a tablet of Sertraline to treat the symptoms of obsessive thoughts associated with obsessive-compulsive disorder (OCD). I would like to ask if the role of Sertraline is to assist Clo...
Dr. Yan Congyou reply Psychiatry
Hello, Ms. Hsieh; during the medication period, the physician will discuss your mental state with you and how to overcome previous symptoms. If necessary, they may also refer you to a psychologist for therapy. Under the premise of complementary care, if you persist, I believe you...[Read More] Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence
Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues
Hello, doctor. I have a question I would like to ask? Hello, Doctor. Eight years ago, I used to abuse methamphetamine for about three to four years, which severely harmed my body. During that time, I experienced hallucinations and auditory delusions, feeling like someone was foll...
Dr. Yan Congyou reply Psychiatry
Hello, based on your description, if you have been abstinent from amphetamines for many years and have not experienced any hallucinations or delusions during this period, it is possible that your current symptoms are unrelated to amphetamine use. The leg twitching during sleep ma...[Read More] Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues
Why Cognitive Testing is Essential After a Car Accident
Why is it necessary to conduct cognitive assessments after a car accident? Hello Doctor: I was in a car accident on January 6th of this year and have been undergoing rehabilitation and attending outpatient clinics since then. I am still experiencing dizziness and headaches, which...
Dr. Yan Congyou reply Psychiatry
Hello, Xiao Xiao: The arrangement for a psychological evaluation (intelligence testing) actually encompasses various functional assessments, including language, memory, processing, social skills, and attention. Each assessment can identify specific issues related to certain brain...[Read More] Why Cognitive Testing is Essential After a Car Accident
Understanding Alcohol Withdrawal Symptoms in Long-Term Drinkers
Alcohol withdrawal issues? Hello doctor, my father has been drinking alcohol for at least thirty years. Occasionally, he experiences alcohol-induced delirium after drinking. He has now developed tremors and was hospitalized for cirrhosis about three weeks ago. During his hospital...
Dr. Yan Congyou reply Psychiatry
Hello: The symptoms you mentioned are related to alcohol withdrawal in individuals with alcohol dependence. After abstaining from alcohol, they may experience TPSD syndrome: Tremors usually appear 6 to 8 hours after cessation; Psychosis, characterized by emotional instability, ma...[Read More] Understanding Alcohol Withdrawal Symptoms in Long-Term Drinkers
Understanding Childhood Auditory Hallucinations and Their Impact on Mental Health
Can someone experience auditory hallucinations as early as five years old? If one attributes everything to "that voice," is it a way of shirking responsibility? Hello: My daughter has been diagnosed with depression since 2018 after the death of her close friend; however...
Dr. Yan Congyou reply Psychiatry
Dear Ms. Li, The occurrence of hallucinations can affect individuals of any age and can have various underlying causes. In addition to mental health conditions, there may also be physical health issues involved. Your daughter's behavior, which is chaotic due to hallucinatio...[Read More] Understanding Childhood Auditory Hallucinations and Their Impact on Mental Health
Sleep Issues and Attention Problems After BNT Vaccine: What to Know
After receiving the third dose of the BNT vaccine, there are concerns regarding mild insomnia and issues with concentration? Hello, doctor. After receiving my third dose of the BNT vaccine on June 14, I experienced pain at the injection site and insomnia that night (I felt very e...
Dr. Yan Congyou reply Psychiatry
Hello, Xiao Chen: Based on your situation, it is very likely that you are experiencing anxiety and depression. There can be many underlying causes, including stress, physical factors, and medications. You mentioned your concern about not being able to leave a medical record while...[Read More] Sleep Issues and Attention Problems After BNT Vaccine: What to Know
Exploring Side Effects of Otsuka's Anli Fu in Psychiatry Patients
Please provide information regarding the side effects of Otsuka's antidepressant medication? Hello, after taking Seroquel continuously for 5 years, I suddenly experienced a hypomanic episode last year. My psychiatrist prescribed Olanzapine for 14 days. During the treatment, ...
Dr. Yan Congyou reply Psychiatry
Hello: The more noticeable side effects of Otsuka's medication are often related to sedation, and the symptoms you mentioned are less commonly observed. Instead, your symptoms may likely indicate a transition from mania to depression. Treating depression is a challenging pro...[Read More] Exploring Side Effects of Otsuka's Anli Fu in Psychiatry Patients
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastric pain due to autonomic nervous system disorder, but I still have insomnia after stopping the medication. What should I do? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam f...
Dr. Yan Congyou reply Psychiatry
Hello: Based on your situation, it is recommended to combine other treatments for autonomic nervous system disorders, such as serotonin reuptake inhibitors. Additionally, insomnia is one of the symptoms of autonomic nervous system dysregulation and needs to be treated concurrentl...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Understanding Medication Interactions: Concerns with YOU-JET and Other Drugs
Questions related to the use of antidepressant medication? From the end of February to mid-May of this year, I consistently took the following medications: at 7:30 AM, I took one 20 mg of Lichangning after breakfast; at 7:00 PM, I took one 10 mg of Ritalin; and at around 11:00 PM...
Dr. Yan Congyou reply Psychiatry
Hello, Xiao Gan: Based on the symptoms you described, it seems that the side effects may be due to the sudden resumption of medication after a period of not taking the antidepressant. This type of selective serotonin reuptake inhibitor (SSRI) is recommended for long-term and stab...[Read More] Understanding Medication Interactions: Concerns with YOU-JET and Other Drugs
Feeling Dreamlike While Awake: Understanding a Disturbing Mental State
Suddenly feeling like you are dreaming while awake? Hello, doctor. Recently, I have been experiencing episodes where I suddenly feel like I am dreaming while I am awake, and everything seems unreal. Before these episodes, I am fully awake, functioning normally, and responding app...
Dr. Yan Congyou reply Psychiatry
Hello ZZ: The feelings you described are indeed a type of psychosomatic symptom known as dissociative syndrome. However, there are many potential causes for such feelings, including stress, depression, anxiety, or any trauma that affects the mind and body. Therefore, it is advisa...[Read More] Feeling Dreamlike While Awake: Understanding a Disturbing Mental State
Seeking Help for a Family Member with Bipolar-Like Symptoms
Family members exhibit symptoms similar to bipolar disorder? Hello, Director Yan. I have a family member who exhibits symptoms similar to bipolar disorder but has run away from home. They return home sporadically, throwing things around. When we had to forcibly take them to the h...
Dr. Yan Congyou reply Psychiatry
Hello: The situation you mentioned is indeed one of the most common issues faced by families dealing with psychiatric conditions, where the patient lacks insight into their illness and is unwilling to seek treatment. If the behavior is not severe enough to pose a risk of self-har...[Read More] Seeking Help for a Family Member with Bipolar-Like Symptoms
Understanding Relapses in Depression and Anxiety: A Personal Journey
Feeling depressed and anxious has relapsed again? A few months ago, I started experiencing emotional decline due to interpersonal and family issues, as well as academic problems, which led to self-harm. I sought help from a mental health specialist and was diagnosed with depressi...
Dr. Yan Congyou reply Psychiatry
Dear Lili, Based on your description, it appears to be a complex situation that requires a definitive diagnosis and a discussion of treatment options such as medication, psychotherapy, or family therapy. I would recommend that you establish a regular and stable follow-up with a ...[Read More] Understanding Relapses in Depression and Anxiety: A Personal Journey
Understanding Urinary Retention and Steven-Johnson Syndrome in Psychiatry
Urinary retention in Stephen Johnson syndrome? Psychiatry prescription: At bedtime: 30mg of Cymbalta (duloxetine) 1 capsule, 50mg of Mirtazapine 2 capsules, 50mg of Sertraline 1 capsule, 75mg of Lyrica (pregabalin) 2 capsules, 10mg of Zolpidem 2 capsules, 2mg of Flunitrazepam 2 c...
Dr. Yan Congyou reply Psychiatry
Hello: Based on the situation you described, this is not Stevens-Johnson syndrome (which involves a severe systemic allergic reaction). Regarding urinary retention, medications can indeed be a contributing factor, but they are not the only cause. Your condition also includes a ps...[Read More] Understanding Urinary Retention and Steven-Johnson Syndrome in Psychiatry