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Understanding Anxiety and Its Connection to Mental Health Concerns

Feeling very anxious..? Hello, doctor. I often feel very anxious because I have depression, and I'm also worried that I might develop schizophrenia. A few months ago, I spent a lot of time researching the symptoms of schizophrenia online. I found that some symptoms include f...


Dr. Zhang Zhehong reply Psychiatry
Hello: It seems that you are experiencing significant anxiety. I recommend that you visit a mental health specialist for a thorough evaluation and to discuss a treatment plan with a physician.

[Read More] Understanding Anxiety and Its Connection to Mental Health Concerns


Understanding Autonomic Nervous System Disorders: Symptoms and Self-Management Tips

Autonomic Nervous System Dysfunction Hello doctor, in recent months, I have been troubled by facial numbness, headaches, and dry eyes. Sometimes I also feel a sensation of a foreign body in my throat. I have seen neurologists and ophthalmologists, and they all said there is nothi...


Dr. Zhang Zhehong reply Psychiatry
Hello: 1. Symptoms of autonomic nervous system dysfunction can often be diverse and complex. Facial numbness, headaches, and dry eyes may be signs of autonomic nervous system disorders. Please seek medical evaluation by a physician for confirmation. 2. The treatment plan includes...

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Self-Management Tips


Am I Experiencing Auditory Hallucinations or Schizophrenia?

Do I have hallucinations? Or am I experiencing schizophrenia? Hello, doctor. I have always been an outgoing person since childhood, considered an invincible source of happiness by my family and friends. I am always the life of the party during celebrations, farewells, and April F...


Dr. Zhang Zhehong reply Psychiatry
Hello: Your psychiatric symptoms may include auditory hallucinations, depression, and anxiety. 1. First, there are physiological issues; elevated liver enzymes and weight loss require prompt medical attention. Please consult an internist for evaluation and treatment of internal m...

[Read More] Am I Experiencing Auditory Hallucinations or Schizophrenia?


Concerns About Employment and Mental Health Privacy in Taiwan

Worried about being unemployed? Hello, doctor. I have a mental illness, and since I will be starting a job soon, the company requires me to provide a photocopy of my health insurance card, both front and back. I would like to know if they can access my previous medical records an...


Dr. Zhang Zhehong reply Psychiatry
Hello: 1. The company should not be able to access your medical records through the health insurance card. 2. Outpatient physicians must check medication records via the health insurance card to prevent duplicate prescriptions.

[Read More] Concerns About Employment and Mental Health Privacy in Taiwan


Managing Schizophrenia and Insomnia: Can You Combine Medications?

Schizophrenia, sleep? I have a mental illness. I used to take antidepressants that allowed me to sleep normally, but later I found out I have schizophrenia, so I switched to another psychiatrist. However, the new medication does not help with my insomnia, so I continue to take th...


Dr. Zhang Zhehong reply Psychiatry
Hello: 1. Regarding insomnia, you might try practicing anxiety relaxation techniques and incorporating diverse leisure activities and exercise into your routine. 2. For the medication management of schizophrenia, it is important to adjust the medication to suit the individual cas...

[Read More] Managing Schizophrenia and Insomnia: Can You Combine Medications?


How to Handle a Relative Showing Signs of Mental Illness?

A relative is suspected of having schizophrenia and often warns us not to... What should we do? The son of a relative lives upstairs (5th floor). A few months ago, he started making noise at night, banging things around, and we can all hear it. He often runs down to the 4th floor...


Dr. Zhang Zhehong reply Psychiatry
1. If the individual has trusted family members, they can suggest seeking medical attention through a caring approach using less sensitive language (such as citing emotional distress, insomnia, etc.). Mentioning mental illness may be difficult for the individual to accept. 2. I...

[Read More] How to Handle a Relative Showing Signs of Mental Illness?


Understanding Strange Thoughts: Are They Signs of Paranoia or Just Doubts?

Strange thoughts I have recently been experiencing strange thoughts and I'm unsure if I have a tendency towards delusions. For instance, when others are talking, I sometimes wonder if they are speaking ill of me, or I think about whether the sound of birds might be revealing...


Dr. Zhang Zhehong reply Psychiatry
Hello: If you are experiencing some strange thoughts and emotional fluctuations, please seek medical attention as soon as possible. A psychiatrist will evaluate your physiological and psychological functions, emotions, behaviors, cognition, and motivation. The doctor will discuss...

[Read More] Understanding Strange Thoughts: Are They Signs of Paranoia or Just Doubts?


Fears of Schizophrenia: Understanding Anxiety and Delusions

Fear of developing schizophrenia? Hello doctor, I previously heard someone online say that they had schizophrenia and believed they were possessed, as well as having apocalyptic thoughts. After hearing them talk, I've recently been thinking a lot about whether I am also poss...


Dr. Zhang Zhehong reply Psychiatry
Hello: Among anxiety disorders, there is a condition known as illness anxiety disorder, which involves exaggerating physical and mental symptoms and excessively worrying about having a disease. It may also be a secondary condition related to depression or generalized anxiety diso...

[Read More] Fears of Schizophrenia: Understanding Anxiety and Delusions


Managing Schizophrenia: Addressing Breast Changes from Medication

Schizophrenia with breast lesions? Hello, I have been taking Seroquel for schizophrenia for over five years and have recently reduced my dosage to half a pill. My condition is stable, but recently I have experienced pain and a lump in my left breast. I underwent an ultrasound, an...


Dr. Zhang Zhehong reply Psychiatry
Hello: The relationship between breast lesions and Sertraline is uncertain. If your surgeon suggests stopping or changing your medication, please discuss this with your psychiatrist as soon as possible. They will adjust your medication based on an assessment of your psychiatric s...

[Read More] Managing Schizophrenia: Addressing Breast Changes from Medication


Understanding Mental Health: Signs and Solutions for Caregivers

Is there a mental illness? I have a cousin who suffered a stroke two years ago that affected his mobility, so he returned to Taiwan for rehabilitation treatment in early November last year. However, he has no immediate family in Taiwan, so he asked for my help with his National H...


Dr. Zhang Zhehong reply Psychiatry
Hello, stroke and brain injury can be associated with various mental disorders. It is necessary to seek medical attention for an evaluation by a psychiatrist to assess physiological and psychological functions, emotions, behaviors, cognition, and motivation, and then develop a co...

[Read More] Understanding Mental Health: Signs and Solutions for Caregivers


How to Help My Twin Sister with Her Mental Health Crisis?

My sister keeps going to the police station? My sister has been feeling like someone is controlling her, and she has gone to the police station multiple times, causing disturbances with our landlord, employers, and family. She frequently suspects that others want to harm her, and...


Dr. Zhang Zhehong reply Psychiatry
Hello, if your family member is suspected of having psychiatric symptoms, it is necessary to differentiate between physiological and mental disorders. Please consult a nearby hospital with outpatient services and home treatment teams for a comprehensive approach. Contact a hospit...

[Read More] How to Help My Twin Sister with Her Mental Health Crisis?


Is It Laziness or a Mental Health Issue? Understanding Behavioral Changes

Is it laziness or a mental illness? Hello Doctor: My brother is currently 40 years old and has been living at home without working since he was discharged from the military (he is physically capable). He spent seven years in a vocational school but did not graduate. His teachers ...


Dr. Zhang Zhehong reply Psychiatry
Based on your description of your brother's psychiatric symptoms, please contact a hospital or community health nurse as soon as possible to arrange for a home assessment. Wishing you the best of luck.

[Read More] Is It Laziness or a Mental Health Issue? Understanding Behavioral Changes


Understanding Sudden Personality Changes in Friends: A Mental Health Perspective

Friends often change into different people? Hello, Doctor: My classmate has been acting very strangely lately. One day, she suddenly messaged me on Line saying: "I want to disappear, I want to be gone, I want to be replaced..." I kept asking her what was wrong, and she ...


Dr. Zhang Zhehong reply Psychiatry
If your friend is experiencing dissociative symptoms, you should assist her in seeking medical attention as soon as possible to arrange for a psychological and physiological evaluation and to develop a treatment plan.

[Read More] Understanding Sudden Personality Changes in Friends: A Mental Health Perspective


Latest Medications for Treating Schizophrenia: What You Need to Know

Are there any newly approved medications? Are there any newly approved medications for the treatment of schizophrenia that physicians can provide information about?


Dr. Zhang Zhehong reply Psychiatry
There is no miracle drug for schizophrenia. The efficacy of new medications for schizophrenia is not necessarily better than that of "Haldol" (haloperidol), which has a 52-year history; the main difference lies in the fact that traditional antipsychotics tend to have mo...

[Read More] Latest Medications for Treating Schizophrenia: What You Need to Know


Are There Any New Antipsychotic Medications Available?

Are there any newly approved medications? My doctor said that the current antipsychotic medications are ineffective for me and mentioned that there are new drugs that will be released soon. If they become available, he will prescribe them to me. So, the medications I am currently...


Dr. Zhang Zhehong reply Psychiatry
Hello, you can try practicing relaxation techniques for anxiety, engage in positive thinking, and arrange for diverse leisure activities and exercise. Please have the physician schedule a consultation with a psychologist, as each case has its uniqueness. For medications and their...

[Read More] Are There Any New Antipsychotic Medications Available?


Understanding Schizophrenia: Challenges of Living with the Condition

Schizophrenia issues I dropped out of my master's program at around the age of twenty-eight when I became ill. I went through a severe acute phase with intense hallucinations and delusions. I have been on medication for about five to six years now. To avoid affecting my fami...


Dr. Zhang Zhehong reply Psychiatry
Hello: You can develop a multifaceted plan that includes medical treatment such as medication and psychological counseling. It is important to arrange your daily routine, work, social activities, leisure, and exercise. Wishing you success!

[Read More] Understanding Schizophrenia: Challenges of Living with the Condition


Is Epine Similar to Serotonin? Understanding the Cost and Differences

Epinephrine Is the medication similar to Silvex? Why are there two different types, and why is this medication expensive?


Dr. Zhang Zhehong reply Psychiatry
The ingredients of Yijian and Silokang are the same, but they are manufactured by different pharmaceutical companies. The pricing of medications is determined by many factors and is ultimately approved by the pharmaceutical company and the National Health Insurance Administration...

[Read More] Is Epine Similar to Serotonin? Understanding the Cost and Differences


Why Is the Cost of Psychiatric Medication So High?

Yijian is very expensive? Why is the medication Yijian so expensive?


Dr. Zhang Zhehong reply Psychiatry
Hello, is the medication "Shida Brain Health" tablet 2mg? The pricing of medications is determined by many factors and is ultimately approved by the pharmaceutical company and the National Health Insurance Administration. If you have any questions, please discuss them w...

[Read More] Why Is the Cost of Psychiatric Medication So High?


Struggling with Body Image: A Journey Through Mental Health Challenges

Appearance issues I have always been very concerned about my appearance and proud of it, but three years ago, my nose was broken in an incident, and since then, I have become very withdrawn and unhappy. It has been three years, and I visit the same ENT specialist every week. He k...


Dr. Zhang Zhehong reply Psychiatry
Hello, you can try practicing anxiety relaxation techniques, positive thinking, and arranging diverse leisure activities and exercise. Please have the doctor arrange for counseling with a psychologist. Wishing you success.

[Read More] Struggling with Body Image: A Journey Through Mental Health Challenges


Understanding Depression Medications: Dosage, Effects, and Concerns

Regarding medication for depression? Hello, Doctor: I would like to present my medication list for your review: - Divalproex 500mg ×3, taken at bedtime - Nimetazepam 5mg ×2, taken at bedtime - Risperidone 2mg ×1, taken at bedtime - Clonazepam 0.5mg ×1, taken three times a ...


Dr. Zhang Zhehong reply Psychiatry
Hello, you can try practicing anxiety relaxation techniques, positive thinking, and arranging diverse leisure activities and exercise. Please have the physician arrange for counseling with a psychologist, as each case has its uniqueness. For questions regarding medication and sym...

[Read More] Understanding Depression Medications: Dosage, Effects, and Concerns


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