Understanding the Connection Between Disability Assessment and Involuntary Hospitalization
Disability assessment Is there a connection between disability assessment and involuntary hospitalization? My certification will expire on November 1st of this year, and I have an appointment for a disability outpatient consultation at the social work office of Donggang Antai Hos...
Dr. Zhang Fangrong reply Psychiatry
Hello, the assessment for disability and involuntary hospitalization are not related. Thank you.[Read More] Understanding the Connection Between Disability Assessment and Involuntary Hospitalization
Understanding Sleep Violence: When Dreams Turn into Nightmares
I tend to hit my bed partner while sleeping? Hello Doctor, I am a college student and have experienced sleep issues such as vivid dreaming and bruxism since puberty, which continue to this day. I also had episodes of sleepwalking, which were more common in elementary school but h...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is more likely to be "REM Sleep Behavior Disorder." However, most sleepwalkers do not remember what happened. First, it is important to rule out whether any medications, including cold m...[Read More] Understanding Sleep Violence: When Dreams Turn into Nightmares
Is It Safe to Combine Zyprexa and Nopron in Psychiatric Treatment?
Is it safe to co-administer Zynlonta and Nobivon? I am taking Xanax 0.5 mg twice a day, along with the following medications: Aspirin 100 mg once daily, a muscle relaxant Befon 10 mg, an antihypertensive medication Co-Diovan, and Gabapentin 300 mg.
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, In response to your inquiry, Nobishu is a combination cold medication that primarily includes analgesics, antipyretics, cough suppressants, and decongestants. After taking your medication, it is important to monitor for any signs of excessive sedation or drowsine...[Read More] Is It Safe to Combine Zyprexa and Nopron in Psychiatric Treatment?
Impact of Taking Medications in the Morning vs. Evening for Anxiety
Does it make a difference whether Bedoshu is taken in the morning or at night? Due to autonomic nervous system dysfunction, I experience palpitations, hand tremors, and anxiety. My previous doctor prescribed one tablet of Propranolol at night and one tablet of Fluoxetine in the m...
Dr. Zhang Fangrong reply Psychiatry
Hello, in response to your previous inquiry, Bipolar and Beteshu are the same medication, just manufactured by different companies. Although the names differ, the active ingredients are the same. This type of medication is commonly prescribed for daytime use; however, it can also...[Read More] Impact of Taking Medications in the Morning vs. Evening for Anxiety
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after stopping Lorazepam, which I took for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were limited to ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your response. You mentioned concerns about the effects of discontinuing medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is gene...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had taken for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were l...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. You mentioned concerns about the effects of stopping medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is generally ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Understanding Sleep Issues: Insights into Mental Health Challenges
Sleep issues I have been feeling increasingly drowsy lately, especially during the day or when I'm about to sleep. My entire body, including my face, jaw, and shoulders, feels like it's about to collapse. Sometimes I fall asleep without realizing it, but I wake up sudde...
Dr. Zhang Fangrong reply Psychiatry
Dear Ms. You, Based on your description, we can sense your discomfort and the issues you're experiencing with sleep. We are also concerned about how this sleep disturbance may affect your daytime academics, work, and daily life. You have also noted that, in addition to chan...[Read More] Understanding Sleep Issues: Insights into Mental Health Challenges
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Is it possible for schizophrenia to occur suddenly and without any apparent reason? This matter has weighed heavily on my heart for many years. A close colleague of mine developed schizophrenia due to work-related issues. Although we worked in different departments, we collaborat...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Regarding your question about whether work-related stress leads to schizophrenia or if schizophrenia manifests due to stress, it seems challenging to establish a clear causal relationship between the two. Both conditions can be observe...[Read More] Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Understanding Anxiety Disorders: Are You Experiencing General Anxiety or Something More?
Is this generalized anxiety disorder or simply anxiety disorder? I'm sorry to hear that you're feeling this way. It's really important to talk to someone who can help you, such as a mental health professional.
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, I apologize for the delay in responding to your letter, as I have been busy with the COVID-19 prevention efforts. I sincerely regret any inconvenience this may have caused. Based on your detailed description, it is clear that you have been experiencing long-term ...[Read More] Understanding Anxiety Disorders: Are You Experiencing General Anxiety or Something More?
Understanding Semi-Awake Masturbation: A Psychological Perspective
Half-awake masturbation I often find myself in a state of confusion after falling asleep for 1 or 2 hours, realizing that I am masturbating (sometimes it just feels pleasurable, and I am not fully aware that I am doing it). Usually, I am close to ejaculation at that point, and on...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. Considering your age, you may first think of nocturnal emissions during the day or while awake. If there is masturbation involved, it typically results in an erection and ejaculation. For males after puberty, noctu...[Read More] Understanding Semi-Awake Masturbation: A Psychological Perspective
Understanding Medication Challenges in Treating Insomnia and Depression
Medication issues I have been suffering from long-term insomnia and have been taking medications: Mirtazapine, Midazolam, and Clonazepam, but my sleep remains very light and I wake up easily. I would like to ask the doctor a few questions. 1. My primary physician prescribed an ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common in clinical practice for individuals with depression and insomnia to be prescribed SSRIs, as insomnia is a symptom of depression itself. As the depression improves, sleep quality often improv...[Read More] Understanding Medication Challenges in Treating Insomnia and Depression
Understanding Childhood Trauma and Its Impact on Mental Health
Dissociative Identity Disorder (DID) When I was a child, before I started elementary school, I would throw tantrums, and my mother would call the police to our house. The police would then press a shield against me. After I calmed down, they would stop using the shield. When I wa...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, In your letter, you mentioned some past issues, including your parents' disciplinary methods and attitudes, as well as concerns about how your childhood may have impacted your personality. I believe your thoughts are very valid and important. You also mentio...[Read More] Understanding Childhood Trauma and Its Impact on Mental Health
Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Mirtazapine, also known as Remeron? Previously, I visited a family medicine clinic for insomnia, where the doctor prescribed "Suvorexant." Later, during a consultation with a psychiatrist, the doctor suggested that Suvorexant was not very effective and switched the pres...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. I apologize for the delay in my response, as your question was forwarded to me by the supervising unit on April 19 due to the previous physician's departure. Regarding the medication "Zolpidem" (known as "導美睡"...[Read More] Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Understanding Insomnia and Trust Issues in Psychiatric Care
Insomnia and consultation issues? There are some uncertainties regarding whether I am experiencing insomnia. For about five years now, whenever I close my eyes, I feel like there is an eye in the darkness in front of me. Just one eye, looking to the right from the side. I always ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Based on the process you described, I can sense the discomfort and sleep disturbances you have experienced over the past few years. We are also concerned about how such sleep issues may affect your daytime academics, work, and daily life. You mentioned that provi...[Read More] Understanding Insomnia and Trust Issues in Psychiatric Care
Understanding Emotional Instability: Defining the Fine Line in Counseling
Emotional instability Hello, teacher. I am a psychological counselor from mainland China. I would like to ask about the definition of emotional instability. Recently, I encountered a scam that took some money from us for a training course. I felt extremely low and angry at that t...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, I noticed that you have recently encountered some uncomfortable situations, and I can sense your passion and dedication to the counseling profession, which is commendable. Of course, in life and in the workplace, it is inevitable to face disappointments. However,...[Read More] Understanding Emotional Instability: Defining the Fine Line in Counseling
Understanding Persistent Chest Pain and Breathing Issues: A Psychiatric Perspective
Prolonged chest pain with difficulty breathing? Hello Doctor: I have issues with autonomic nervous system dysfunction and mitral valve prolapse. Currently, I am experiencing headaches, dizziness, shortness of breath, wheezing, intercostal neuralgia, chest pain, and insomnia. I ta...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and mitral valve prolapse. Therefore, regular outpatient follow-ups and discussions are very important. Regarding your concerns abou...[Read More] Understanding Persistent Chest Pain and Breathing Issues: A Psychiatric Perspective
Understanding Dissociative Identity: Coping with Emotional Turmoil
Dissociative Identity Disorder (DID) My situation is that I often face events that can harm my mental well-being, such as arguing with my girlfriend. During these times, I feel like I become a different person, becoming indifferent and only speaking for my own interests. Addition...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your message. I believe this may be your way of expressing your feelings and confronting situations. You can bring it up for discussion, which also indicates that you are aware of or concerned about the matter. Moving forward, I would recommend that...[Read More] Understanding Dissociative Identity: Coping with Emotional Turmoil
Struggling with Mental Health: A Journey Through Trauma and Isolation
I am sick? I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional.
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your response. From your description, I can sense the pressure you are experiencing, particularly regarding your interactions with family and classmates. I also notice that your self-awareness and concern are quite commendable, ...[Read More] Struggling with Mental Health: A Journey Through Trauma and Isolation