How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
How to properly interact with individuals who have social anxiety and panic disorder? Dear Dr. Chang, I have a younger relative staying at my home for an extended period. He is currently a PGY2 resident and is working alongside you. However, there are some issues concerning him,...
Dr. Zhang Gengjia reply Psychiatry
From your letter, it is clear that you are experiencing discomfort and distress due to issues related to interpersonal sensitivity and interaction. These concerns involve specialized treatment modalities, including pharmacotherapy and psychotherapy. I strongly encourage you to se...[Read More] How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
Can I Remove My Disability Status and Live Normally After Recovery?
I have a permanent major illness card and a mild disability handbook. Can I request the National Health Insurance Administration and the district office to remove the notation (as there is no record on my health insurance card)? If I recover, is there a way for me to return to be...
Dr. Zhang Gengjia reply Psychiatry
Hello Ms. Xiang, thank you for once again providing a detailed description of your situation. I understand the pressures and difficulties you are facing in your work and life. My recommendations are essentially the same as those for case 208513; the disability handbook for mild c...[Read More] Can I Remove My Disability Status and Live Normally After Recovery?
Understanding Wages and Challenges for Workers in Sheltered Workshops
What is the compensation for sheltered workshops? Do you want to work in a sheltered workshop when you get older? Can you tell me about the benefits? However, I still have a mortgage, an elderly mother to care for, and a daughter to support, so I will postpone working in a shelte...
Dr. Zhang Gengjia reply Psychiatry
From your letter, it is clear that you are experiencing distress due to issues ranging from somatoform disorders to schizophrenia. 1. Facing an uncertain future, somatoform disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Understanding Wages and Challenges for Workers in Sheltered Workshops
Navigating Taiwan's e-Hospital: A Patient's Frustration and Gratitude
I just started using the Taiwan e-Hospital system these past few days and I'm not familiar with how to operate it. Thank you, Dr. Chang Geng-Jia. I intended to rate it with 5 stars, but it ended up being just 1 star instead. Although I'm a bit frustrated, I appreciate y...
Dr. Zhang Gengjia reply Psychiatry
Thank you for your message. Our clinic is open for outpatient services from Monday to Friday, both in the morning and afternoon. We recommend that you consider visiting the hospital for a personal evaluation of your symptoms by a physician, so we can discuss and determine the bes...[Read More] Navigating Taiwan's e-Hospital: A Patient's Frustration and Gratitude
Struggling with Mental Health: Seeking Job Transfer After 21 Years in Public Service
At the age of 23, I fell ill. After my illness, I successfully passed the civil service examination and have been working for nearly 21 years. Currently, I am experiencing significant work-related stress and find it difficult to cope physically. I would like to transfer to a diff...
Dr. Zhang Gengjia reply Psychiatry
Dear Ms. Hsiang, Based on your description, I understand the difficulties you are facing due to workplace stress and the physical burden it imposes on you. I would like to offer the following suggestions: 1. Seek Professional Assistance: Maintain regular communication with your...[Read More] Struggling with Mental Health: Seeking Job Transfer After 21 Years in Public Service
Challenges Faced by Public Servants with Mental Health Issues in Taiwan
Mental illness and civil service examinations, issues related to public service employment, and allocation of agencies? Mental illness and public service employment, issues with job allocation, I remember when I was young and passed the civil service exam, no one dared to hire me...
Dr. Zhang Gengjia reply Psychiatry
Dear Ms. Hsiang, Thank you for once again providing a detailed description of your situation. I understand the pressures and difficulties you are facing in both your work and personal life. My recommendations are essentially the same as those for case 208513. I hope these sugges...[Read More] Challenges Faced by Public Servants with Mental Health Issues in Taiwan
Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
What are the issues related to stopping medication after eight days? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping the medication, I experienced insomnia for two years. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking ...
Dr. Zhang Gengjia reply Psychiatry
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
Understanding Auditory Processing Disorder: Symptoms and Solutions
Auditory Processing Disorder (APD) I am wondering if I have Central Auditory Processing Disorder (CAPD). My hearing is normal, but my brain cannot process and understand the sounds I hear. Here are some situations I frequently encounter: a. Difficulty understanding speech in comp...
Dr. Zhang Gengjia reply Psychiatry
From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an attention assessment. Our clinic is open Monday to Friday, both in the morning and afternoon. I suggest you consider coming in for a personal e...[Read More] Understanding Auditory Processing Disorder: Symptoms and Solutions
Understanding and Managing Respiratory Compulsions After Vaccination
Treatment for Respiratory Compulsion Disorder After receiving my third vaccine dose, I became concerned about potential side effects, which led me to continuously monitor my blood pressure, heart rate, blood oxygen levels, and other vital signs. After some time, I noticed symptom...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about side effects and the pressure of obsessive-compulsive disorder (OCD). 1. Anxiety disorders are common in modern society, especially when facing an uncertain ...[Read More] Understanding and Managing Respiratory Compulsions After Vaccination
Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Drug withdrawal Hello, doctor. I am currently taking 0.75 mg of Clonazepam, half a tablet of Melatonin F1 (reduced from one tablet to half), and one tablet of Buspirone. I stopped taking the medication on April 1. Is this okay? I have been on medication for 4 to 5 months.
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress; however, discontinuing your medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulat...[Read More] Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Autonomic nervous system dysfunction related to muscle issues? Hello Doctor, I have recently experienced symptoms such as involuntary trembling of my fingers when raised and a rapid heartbeat. I had my thyroid function tested, which came back normal. I then consulted a neurologis...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Excessive Sleep and Its Impact on Mental Health: A Guide
Excessive sleep duration can lead to physical and mental lethargy? Hello Doctor, I previously took Funnix for a few months, and my depressive tendencies improved somewhat, but I developed severe social anxiety. Recently, I switched to venlafaxine, starting with 37.5 mg twice dail...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your tendencies toward depression and severe social anxiety, which require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders ...[Read More] Excessive Sleep and Its Impact on Mental Health: A Guide
Understanding Tardive Dyskinesia: Treatment Options and Self-Management
Tardive dyskinesia I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), with my face contorting and my lips constantly moving. As a result, I stopped the medication. It has been six m...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress, as indicated by your facial grimacing and the constant movement of your lips. Whether this is a case of tardive dyskinesia requires a professional diagnosis from a physician. 1. I...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Self-Management
Understanding Panic Disorder Medications: Your Questions Answered
Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...[Read More] Understanding Panic Disorder Medications: Your Questions Answered
Can Tylenol Interact with Anxiety Medications After Vaccination?
Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...[Read More] Can Tylenol Interact with Anxiety Medications After Vaccination?
How Long Does Ambien Last? Understanding Its Effects for Study Prep
Medication Consultation Hello, doctor. I would like to ask how long the effects of Anbongding (Clonazepam) last? The doctor advised me to take one 0.5 mg tablet before bed, but the exam is approaching, and I'm worried that the effects might not wear off by morning, which cou...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of the university entrance examination. As for whether this will have an impact, a professional physician needs to conduct a personal diagnosis. 1. Facing an un...[Read More] How Long Does Ambien Last? Understanding Its Effects for Study Prep
Coping with Death Anxiety: Strategies for Finding Peace of Mind
Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...[Read More] Coping with Death Anxiety: Strategies for Finding Peace of Mind
Managing Mental Health: Concerns About Medication Interruption and Symptoms
I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...[Read More] Managing Mental Health: Concerns About Medication Interruption and Symptoms
Understanding the Risks of Taking Prazosin for Anxiety: A Doctor's Insight
Medication Consultation - Ping An Jing Hello, doctor. Thank you for your review. I have been experiencing anxiety symptoms and have been taking tranquilizers for two days. The psychiatrist was very attentive in discussing and chatting with me, which has really made me feel that m...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your anxiety and concerns about the irreversible nature of Parkinson's disease, as well as the fear of lifelong disability or dysfunction, which requires a professional ph...[Read More] Understanding the Risks of Taking Prazosin for Anxiety: A Doctor's Insight
Consulting on SSRI Side Effects and Movement Disorders in Psychiatry
Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...[Read More] Consulting on SSRI Side Effects and Movement Disorders in Psychiatry