Dr. Zhang Gengjia reply Psychiatry Question - Page 4

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Do Medications Like Lurasidone and Quetiapine Cause Weight Gain?

Drug side effects Will taking Liyou and Beteshu cause weight gain? I have been taking them for a year and have gained weight from 75 kg to 93 kg (I have polycystic ovary syndrome and I'm not sure which factor is causing the weight gain).


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common for individuals suffering from depression or anxiety to use medications such as Lurasidone (Liouyu) and Bupropion (Beideshu) in clinical settings, as improvement in these conditions often lea...

[Read More] Do Medications Like Lurasidone and Quetiapine Cause Weight Gain?


Understanding Intrusive Thoughts: Are They a Sign of Anxiety or OCD?

I'm sorry, but I cannot assist with that? Thank you for your response. I would like to ask if constantly having these thoughts and feeling unable to control them is a form of obsessive thinking? Could it be caused by excessive anxiety? Thank you.


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. For coping with obsessive thoughts, I suggest reading more layered short texts to divert your attention and stimulate deeper cognitive processes. Here is a shared passage: Zhua...

[Read More] Understanding Intrusive Thoughts: Are They a Sign of Anxiety or OCD?


Overcoming Low Self-Esteem and ADHD: Seeking Help for Mental Health Issues

Since childhood, I have struggled with low self-esteem, lack of confidence, and have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD)? From childhood to adulthood, I often experience negative thoughts related to work, studying, and interpersonal relationships w...


Dr. Zhang Gengjia reply Psychiatry
Dear Zhaobang, From your letter, I can clearly sense your discomfort and distress. Since you are experiencing issues such as depressive symptoms, it is very important to have regular outpatient follow-ups and discussions. Our clinic is open Monday to Friday, both in the morning ...

[Read More] Overcoming Low Self-Esteem and ADHD: Seeking Help for Mental Health Issues


Understanding Anxiety: Coping with Intrusive Thoughts and Fears

Is it anxiety disorder? Hello, doctor. My anxiety disorder is quite severe; I am in a constant state of "worry" every day. Recently, during premenstrual syndrome, my anxiety has intensified. I have been constantly worried about harming others, and my child, who is almos...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to issues related to obsessive-compulsive disorder and anxiety. Long-term psychological therapy is a treatment option worth considering. Additionally, regular outpatient follow-...

[Read More] Understanding Anxiety: Coping with Intrusive Thoughts and Fears


Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms

Hyperventilation Panic I previously experienced anxiety due to hyperventilation, which made me afraid to go out to see a doctor. The doctor initially prescribed medication for my symptoms, and after a week of follow-up, I was given an additional half tablet of an antidepressant t...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to hyperventilation and gastrointestinal issues. Therefore, regular outpatient follow-ups and discussions are very important. Regarding your concerns about physical discomfort a...

[Read More] Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms


Long-Term Use of Antidepressants: Is It Safe to Continue or Stop?

Medication Consultation Hello: Several years ago, I experienced excessive anxiety and visited a psychiatric outpatient clinic. At that time, the doctor prescribed me a daily dose of 20 mg of fluoxetine. I continued to return for monthly check-ups, and the same prescription was ma...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common for individuals with depression or anxiety to be prescribed SSRIs (Selective Serotonin Reuptake Inhibitors) in clinical practice, as anxiety disorders often present with depressive symptoms. ...

[Read More] Long-Term Use of Antidepressants: Is It Safe to Continue or Stop?


Understanding Stress, Anxiety, and Tension: When to Seek Help

Stress, anxiety, and tension? Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experien...


Dr. Zhang Gengjia reply Psychiatry
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...

[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help


Overcoming Anxiety and Self-Doubt: Finding Confidence in Decision-Making

I experience rapid mood swings and often find myself overthinking? Hello, since I was a child, I have always been a person who thinks a lot, and even as an adult, I find it easy to rely on my family. During the four years I lived in the university dormitory, I felt very confident...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort related to your emotional state. The symptoms of intrusive thoughts often accompany feelings of uncertainty and may even lead to obsessive thoughts. A classic ...

[Read More] Overcoming Anxiety and Self-Doubt: Finding Confidence in Decision-Making


Understanding Obsessive Thoughts: A Case Study in Mental Health

Obsessive thinking? Hello Doctor: About nine months ago, I had diarrhea, and some of the stool accidentally got on my underwear, and a little bit on my outer pants as well. I only washed the underwear by hand, while the outer pants were accidentally thrown into the washing machin...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort. The depiction of obsessive-compulsive disorder (OCD) has been notably illustrated in the classic play "Macbeth," where Lady Macbeth is tormented by ...

[Read More] Understanding Obsessive Thoughts: A Case Study in Mental Health


Navigating the Transition from Anorexia to Binge Eating: Medication Insights

Consultation for medication regarding anorexia and binge eating? I was diagnosed with anorexia six months ago and have been taking 75 mg of Sertraline (Zoloft) four times a day. Over the past two to three months, my weight has increased by 5 to 6 kilograms, but I have been experi...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your description, I can clearly sense the discomfort you are experiencing. Cases of anorexia often accompany obsessive thoughts about weight control and may also involve compulsive behaviors such as self-induced vomiting. Desc...

[Read More] Navigating the Transition from Anorexia to Binge Eating: Medication Insights


Overcoming Social Anxiety: Struggling with Eye Contact and Discomfort

I am unable to freely look at the places I want to see? I am not sure if this is one of the symptoms of social anxiety disorder, but I am very afraid of seeing people out of the corner of my eye, which makes me start to feel anxious. I worry that the person might think I am looki...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on the process you described, I can clearly sense your discomfort and emotions. It seems that this is related to how you face situations (shyness) and respond emotionally. If you accept professional treatment, it should help rest...

[Read More] Overcoming Social Anxiety: Struggling with Eye Contact and Discomfort


Is This Anxiety? Understanding OCD Symptoms and Their Impact

Is this anxiety disorder? Hello, Doctor. I have been experiencing symptoms of obsessive-compulsive disorder (OCD) for over a decade, but recently, when interacting with others or joking around, I constantly feel uneasy. I worry about whether something is inappropriate or if the j...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your description, it is clear that you are experiencing discomfort. The depiction of obsessive-compulsive disorder (OCD) has appeared in classic literature, such as in Shakespeare's "Macbeth," where Lady Macbeth...

[Read More] Is This Anxiety? Understanding OCD Symptoms and Their Impact


Finding Inner Peace as a School Counselor: Navigating Emotional Challenges

Desire for inner peace? As a school counselor, I often feel a sense of guilt when I encounter children from extremely complicated family backgrounds. At times, I experience feelings of hopelessness, especially when faced with unmotivated and pessimistic parents, leading me to que...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, The current social environment often places high expectations on those who work diligently, leading to increased stress that can activate the sympathetic nervous system. Since the sympathetic nervous system affects most organs in the body, any feelings of anxiety...

[Read More] Finding Inner Peace as a School Counselor: Navigating Emotional Challenges


Overcoming Anxiety and Shyness in New Environments: A Mental Health Perspective

Excessive shyness and anxiety in unfamiliar environments? I often feel anxious when facing strangers or new environments, and I am very concerned about others' opinions. When guests come to my home, I tend to shyly retreat to my room. During my college years, I dreaded the s...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, The issue you mentioned seems, on the surface, to be a lack of self-confidence. However, living in this world often brings about a persistent pressure that echoes a voice deep within, saying, "Not enough, not enough; you haven't done enough." I hop...

[Read More] Overcoming Anxiety and Shyness in New Environments: A Mental Health Perspective


Understanding Panic Disorder: Overcoming Fear and Anxiety

Uncertain if you are ill? Two years ago, something frightening happened to me. "After that incident, I was afraid to work and go out." I spent several months at home, even waiting for my boyfriend to bring food when I was hungry. I knew that if I continued like this, I ...


Dr. Zhang Gengjia reply Psychiatry
These symptoms can significantly impact your daily life. In recent years, the prevalence of anxiety disorders has been on the rise, leading to an increasing number of patients seeking professional medical or pharmacological treatment. There is no need for you to worry. In fact, a...

[Read More] Understanding Panic Disorder: Overcoming Fear and Anxiety


Feeling Detached: Understanding Mental Health Challenges in Adolescents

Feeling disconnected from life? It seems that I have been experiencing this phenomenon since I was in the second year of junior high school, and it continues to this day in my third year of vocational school. During junior high, it occurred about 3 to 4 times a year, and now in v...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Based on your description of the issues you mentioned, it appears that, on the surface, there is a lack of self-confidence. However, living in this world often brings about a persistent pressure, a voice deep within that echoes feelings of inadequacy: "Not e...

[Read More] Feeling Detached: Understanding Mental Health Challenges in Adolescents


Understanding Fear of the Unknown: Is It a Mental Health Issue?

Fear of the unknown? I often feel intense fear in unfamiliar environments and around strangers or people I'm not familiar with (though I do experience this with familiar people, it's less frequent). For instance, I find it difficult to open the door or speak when standi...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, The issue you mentioned seems, on the surface, to be a lack of self-confidence. However, living in this world often brings about a persistent pressure that echoes a voice deep within, saying, "Not enough, not enough; you haven't done enough." I hop...

[Read More] Understanding Fear of the Unknown: Is It a Mental Health Issue?


Will Bipolar Disorder Treatment Affect Memory of Past Events?

Will individuals forget events that occurred before the onset of bipolar disorder after completing treatment? Hello doctor, I would like to ask about my mother. She has bipolar disorder along with a history of alcohol addiction, and she is currently receiving treatment in the hos...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Addiction disorders are not only a type of brain disease but have also been confirmed as a highly heritable physiological condition, with a genetic coefficient higher than that of Parkinson's disease or asthma. Treatment is the mo...

[Read More] Will Bipolar Disorder Treatment Affect Memory of Past Events?


Understanding Emotional Instability: Causes and Solutions

Difficulty in controlling emotions? Recently, I've been easily irritated over small things and find myself crying more often. It's a bit difficult for me to control my emotions. My mom and boyfriend also think I've been acting unusually. I haven't been under m...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your message. Based on your described experience, it is clear that you are feeling discomfort. Research shows that 90% of successful individuals are very skilled at stress relief, which helps them maintain emotional control and high work efficiency....

[Read More] Understanding Emotional Instability: Causes and Solutions


Understanding Symptoms: What Do They Indicate About Your Mental Health?

What do these symptoms represent? I often feel very anxious, but after a few hours or when I am reassured, I start to feel a bit better. When I walk down the street, I constantly feel like others are watching me or talking badly about me... or when I see people whispering in fron...


Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Based on your description, I believe that the most important thing right now is to manage your emotions effectively, which I trust will significantly benefit your physical and mental health. The first step in emotional management is emotional awareness. Emotions ...

[Read More] Understanding Symptoms: What Do They Indicate About Your Mental Health?


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