Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Regarding issues related to antidepressant medications? The diagnostic symptoms are F328 and F341. The reason for the consultation is persistent self-harm, which has been ongoing for nearly a month. The patient is currently on a regimen of 0.5 mg of Lurasidone and 10 mg of Desven...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Regarding the use of medication for depression, it typically takes about one to two weeks for the drug concentration in the brain to stabilize and take effect. Therefore, you may want to continue monitoring the adjustment of your medic...[Read More] Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Understanding the Connection: Schizophrenia Symptoms and Personal Impact
Patients with schizophrenia often experience auditory hallucinations and delusions that revolve around themselves? Hello, Doctor. Recently, a senior colleague diagnosed with schizophrenia has joined our unit. Every time I partner with her at work or interact with her, she exhibit...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Encountering such situations in the workplace can indeed be quite troubling. I have a few suggestions and reminders. First, it is important to report your observations regarding your senior colleague's condition, as well as the ...[Read More] Understanding the Connection: Schizophrenia Symptoms and Personal Impact
Can You Safely Combine Ulotar, Eszopiclone, and Rifampin?
Psychiatric medications Hello doctor, I would like to ask if it is safe to use Uledin, Yimianan, and Rifapentine together. Will there be any interactions between these medications, or will it help me sleep more soundly?
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry regarding the use of sleeping medications. To summarize, these three medications have some differences in their characteristics. For instance, Yimenan (Zolpidem) acts relatively quickly, Youleding (Eszopiclone) has a longer duration of ...[Read More] Can You Safely Combine Ulotar, Eszopiclone, and Rifampin?
Understanding Schizophrenia: Cognitive Decline and Treatment Challenges
Schizophrenia I have been taking Risperidone 2mg for two years and ten months. Initially, I was concerned about others' attention, and I had delusions without hallucinations. However, during the medication process, I gradually experienced a decline in judgment, emotional fla...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on your description, I can sense your discomfort and concern. There are several aspects of your symptoms and changes that need to be considered. Your worry about "cognitive decline leading to ignorance akin to that of a newb...[Read More] Understanding Schizophrenia: Cognitive Decline and Treatment Challenges
Is My Heart Sick? Understanding Anxiety and Workplace Stress
Is my heart sick? Hello, doctor. First of all, thank you very much for reading this article. After graduating last year, I resigned from a job I held for nearly three years. The reason for leaving was that my boss often used sarcastic or belittling language towards employees. Alt...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for sharing your concerns. From your description, it is clear that you are experiencing workplace stress and recent changes in your physical and mental health that are causing you worry. However, I believe that your ability to maint...[Read More] Is My Heart Sick? Understanding Anxiety and Workplace Stress
Struggling with Insomnia: My Journey from Sleepless Nights to Seeking Help
Since April 16, I have suddenly been unable to sleep? Since April 16, I stayed at a hotel in Ximen, Taipei, with my girlfriend. I remember that I couldn't sleep that night and forced myself to try to sleep, but by noon the next day, I still hadn't slept. After that, I c...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on your description, it is evident that you are currently experiencing significant difficulties with sleep. You mentioned that you have sought treatment at multiple hospitals, but your condition has not improved significantly. I ...[Read More] Struggling with Insomnia: My Journey from Sleepless Nights to Seeking Help
Managing Anxiety and Hyperventilation Syndrome: Medication Strategies
Hyperventilation syndrome Hello Doctor: I have been suffering from anxiety disorder for 6-7 years, and during this time, I have been consistently taking medication: 0.5 mg of Xanax twice daily, 2 tablets of Lyrica at night, and one tablet of Ritalin + Xanax + Lunesta before bed. ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on your description, I can sense your discomfort and concern. In addition to pharmacological treatment, you may also consider biofeedback therapy. If you have not yet undergone this treatment, please discuss it with your primary ...[Read More] Managing Anxiety and Hyperventilation Syndrome: Medication Strategies
Understanding Emotional Instability: A Journey Through Mental Health Challenges
Emotional instability Hello Doctor: My condition has been ongoing for about a year, starting from mild symptoms to increasingly uncontrollable situations. Initially, I felt dizzy and unwell, but I thought it was nothing serious and continued with my life. This state lasted for ab...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is evident that you are experiencing discomfort, especially with the recent thoughts of hopelessness and suicidal ideation. I would like to remind you to communicate your current situation clearly...[Read More] Understanding Emotional Instability: A Journey Through Mental Health Challenges
Burnout or Depression? Understanding Your Mental Health Struggles
I don't know if it's occupational burnout or if I'm suffering from depression? Hello Doctor: I am an early childhood educator. At first, I had a lot of patience and interest! However, starting last Wednesday, I began to dread going to work! I want to take leave eve...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is evident that you are experiencing discomfort, especially with your feelings of wanting to cry out loud and wishing to be hit by a car. I encourage you to share your current situation and emotio...[Read More] Burnout or Depression? Understanding Your Mental Health Struggles
Understanding Schizophrenia: Treatment Challenges and Options for Families
Schizophrenia A family member has been diagnosed with schizophrenia and has been undergoing treatment for over six months. The medications have been changed frequently, and the dosage has increased. Currently, they are taking 30 mg of Aripiprazole, 20 mg of Ziprasidone, and one t...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the medication information you provided, the dosage your family member is taking is indeed high. It is occasionally observed in clinical practice that patients may have a poor response to medication treatment, leading to gradu...[Read More] Understanding Schizophrenia: Treatment Challenges and Options for Families
Understanding Sleepwalking: Signs, Symptoms, and Treatment Options
About sleepwalking? Hello Doctor: Recently, my father has been falling out of bed at night because he dreams of walking, falling, or being chased. Could this be a sign of sleepwalking? His body moves in accordance with his dreams. If we want to improve this situation, what should...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on your description, your father's physical movements during dreams are likely indicative of "REM Sleep Behavior Disorder." Typically, individuals who experience this disorder do not remember their actions. Current...[Read More] Understanding Sleepwalking: Signs, Symptoms, and Treatment Options
Coping with Anxiety: Tips for Managing Worry About Your Pet's Health
How to train to improve excessive anxiety? I have a very beloved cat whom I treat like my daughter. I have kept her by my side for 12 years, and she has been healthy until a year ago when she suddenly started sneezing. Whenever I hear her sneeze, I jump up and secretly check on h...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, in addition to anxiety, it is important to consider the possibility of depression (difficulty sleeping), dietary issues (loss of appetite), and poor work performance. If you have also experienced a s...[Read More] Coping with Anxiety: Tips for Managing Worry About Your Pet's Health
Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Concern about children's mental health and attention? It seems like I am experiencing some cognitive disturbances, especially when I close my eyes to sleep. I sometimes hear words like "ninja," "eating," or "company," but they don't seem to...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. I can sense your discomfort and distress from your message. I strongly recommend that you discuss and evaluate your situation with a psychiatrist as soon as possible. Whether you choose a large hospital or a clinic should not make much...[Read More] Understanding Children's Mental Health: Addressing Attention and Anxiety Issues
Understanding Schizoid Personality Disorder and Social Phobia Treatment Differences
Schizoid Personality Disorder I am a patient with social phobia and have been receiving treatment at a psychiatric hospital for nearly two years. In addition to medication, I have continuously forced myself to engage in cognitive behavioral therapy. Currently, I can go out to buy...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Strictly speaking, if Schizoid Personality Disorder is the correct diagnosis, it falls under the category of personality disorders. Treatment for this condition is primarily supportive therapy, as the likelihood of changing one's ...[Read More] Understanding Schizoid Personality Disorder and Social Phobia Treatment Differences
Understanding Anxiety, Panic Disorders, and Schizophrenia Symptoms
Schizophrenia, anxiety disorder, panic disorder, autonomic nervous system dysfunction? I have symptoms such as nervousness, hand tremors, chest tightness, insomnia, and vivid dreams. I researched online and found information about schizophrenia, which made me very anxious about p...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your letter. First, I would like to clarify that the term "schizophrenia" is now more accurately referred to as "schizophrenia spectrum and other psychotic disorders." "Thought" refers to cognition, while "percepti...[Read More] Understanding Anxiety, Panic Disorders, and Schizophrenia Symptoms
Managing Emotional Responses: Coping with Sadness and Empathy
Crying together? Embracing? I used to empathize with others' sadness when I heard about their sorrow, but I wouldn't cry. However, as I've gotten older, I've noticed that my eyes get red, and now I actually shed tears. It's troubling because watching TV, ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your description of emotions, particularly regarding sadness and tearfulness, it may be important to consider your personal emotional state, sleep patterns, appetite, weight, and overall lifestyle to assess the possibility of ...[Read More] Managing Emotional Responses: Coping with Sadness and Empathy
Am I Experiencing Autonomic Nervous System Dysfunction?
Am I experiencing autonomic nervous system dysfunction? Hello Doctor, I have some questions I would like to ask. Last year during my internship, I experienced palpitations and underwent tests such as echocardiography and electrocardiogram, which revealed issues with mitral valve ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Following your comprehensive physical examination, it has been found that you have mitral valve prolapse and tricuspid regurgitation. Therefore, please follow up with a cardiologist to monitor your condition and adjust your medications accordingly. Regarding th...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Understanding Dream-Like States: Are They Signs of Mental Health Issues?
Sometimes, the mind feels abnormal, as if in a dream yet not quite? In the past, I enjoyed watching horror movies or unsettling content, but now I find it extremely difficult to sleep at night due to intense anxiety, to the point of trembling. I feel paranoid and my mental state ...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Regarding your inquiry, I believe we can first differentiate based on the timing of the occurrences. If they happen during sleep, the likelihood of them being dreams is the highest. There is a saying: "What you think about during the day, you dream about at ...[Read More] Understanding Dream-Like States: Are They Signs of Mental Health Issues?
Understanding Emotional Control Issues and Violence in Relationships
Emotional regulation issues with tendencies towards violence? My boyfriend is 40 years old and works in the insurance industry. When we first started dating, he was a polite, introverted person who appeared graceful to outsiders, had a good temper, and rarely became impatient or ...
Dr. Zhang Fangrong reply Psychiatry
Hello: It is common for individuals with mental illness to be reluctant to seek medical treatment, and this is a frequent occurrence. Based on your description of your boyfriend's situation, it seems he is experiencing early signs of social withdrawal and low mood, which may...[Read More] Understanding Emotional Control Issues and Violence in Relationships
Is Overusing Sleeping Pills Dangerous for Insomnia Sufferers?
Is it okay to take too many sleeping pills when you can't sleep? Dear Dr. Chang, I have been experiencing insomnia for some time and consulted a doctor who prescribed a medication called Suan Zhi Meng for me. Initially, I found that I couldn't sleep for long and would...
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is evident that this issue has significantly affected your daily life and sleep. You mentioned the need for sleeping pills; considering the duration and severity of your sleep disorder, as well as...[Read More] Is Overusing Sleeping Pills Dangerous for Insomnia Sufferers?