Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda Reply:
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Understanding Panic Attacks: Symptoms, Heart Rate, and Anxiety Management
Is it panic disorder? Dr. Lin, I apologize for bothering you. Three years ago, I experienced panic anxiety and took medication (Prozac) for two years. I also underwent rTMS treatment. Although I sometimes feel anxious and tense, I was able to live a relatively normal life and suc...
Dr. Lin Mianzhang Reply:
Hello Andy: It seems that you are experiencing significant anxiety. Whether this is a panic attack depends on whether you have other symptoms in addition to a rapid heartbeat, such as sweating, trembling, shortness of breath, chest or abdominal discomfort, dizziness, etc. Severe ...[Read More] Understanding Panic Attacks: Symptoms, Heart Rate, and Anxiety Management
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang Reply:
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding Panic Attacks After Starting Antidepressants: What to Know
Some conditions after using antidepressants? Hello Doctor: I have issues with anxiety, panic, and PPPD. I visited a doctor last Friday, and the prescription included an antidepressant at 10mg (half a pill daily for the first week, then one pill starting the second week) and Rital...
Dr. Wu Enliang Reply:
Hello, doctor. I would like to ask if my situation indicates that I am not suitable for using antidepressants? A: This episode should not be related to the medication, so it does not mean you are unsuitable for it. The doctor I consulted earlier did not inform me whether this is ...[Read More] Understanding Panic Attacks After Starting Antidepressants: What to Know
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. I have so many things I want to do during the summer, but I'm afraid I won't be abl...
Dr. Wu Enliang Reply:
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu Enliang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from a psychiatric day hospital, and in two and a half months, school will start again. There are so many things I want to do during the summer, but I'm afraid I won't be ...
Dr. Wu Enliang Reply:
It's recommended to schedule a follow-up appointment and discuss these concerns and issues with your physician. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Post-discharge planning (fear of not being able to manage it) Hello, doctor. I recently discharged from the psychiatric day hospital, and in two and a half months, school will start. I have so many things I want to do during the summer, but I'm afraid I won't be able to...
Dr. Wu Enliang Reply:
It's recommended to follow up with your physician to discuss these concerns and issues. Dr. Wu En-Liang.[Read More] Post-Discharge Planning: Overcoming Anxiety and Self-Doubt
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Occupational therapy issues related to obsessive-compulsive disorder and anxiety disorders? Hello, doctor. I am a patient with obsessive-compulsive disorder (OCD) and anxiety disorder. I was discharged from the psychiatric ward at the hospital at the end of April and am currently...
Dr. Lin Mianzhang Reply:
Hello, Xiao Chen: The treatment for obsessive-compulsive disorder (OCD) and anxiety disorders primarily involves medication and psychotherapy. Occupational therapy aims to enhance your ability to adapt to daily life and can be used as an adjunct, but it is not the primary treatme...[Read More] Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda Reply:
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Drug withdrawal Hello, doctor. I have some questions I would like to ask. Currently, I am taking the following medications: - Mirtazapine 1.5 tablets at bedtime - Clonazepam 25 mg at bedtime - Levetiracetam 2 mg at bedtime - Subutex 50 mg after each meal - Lorazepam 0.5 mg as n...
Dr. Wu Enliang Reply:
A: Based on what you've shared, tapering off Clonazepam (Klonopin) by reducing your dosage gradually over three weeks may be appropriate, but it's essential to consult with your physician before making any changes to your medication regimen. Clonazepam does have a poten...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Sleep Issues
Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Fear of developing a rare or serious illness as reported can lead to feelings of guilt when trying to rest, making it difficult to fully relax? Hello, doctor. I am 15 years old and just finished my junior high school entrance exams. Recently, I thought about taking a few days to ...
Dr. Qiu Junda Reply:
Hello. It seems that you have high self-expectations or feel pressure from your parents' expectations. It appears that you are putting a lot of strain on yourself, which is leading to unhappiness in your life and excessive worry. I suggest you take a bold step to relax (sinc...[Read More] Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety
Hello Dr. Lin, I have some questions regarding swallowing disorders? Hello Dr. Lin, I have been suffering from swallowing difficulties (dysphagia) and related anxiety for a long time. I have already undergone throat examinations at the hospital and have seen a rehabilitation spec...
Dr. Lin Mianzhang Reply:
Hi there! If you are experiencing difficulty swallowing, it is generally recommended to visit an otolaryngologist for an examination. If the examination results are normal, it is advisable to seek care from a psychiatrist. Your condition may likely be what is known as "globu...[Read More] Seeking Help for Swallowing Disorders: Overcoming Fear and Anxiety
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Nervous tremors and rapid heartbeat? Hello Doctor, I am currently studying abroad and I tend to get anxious, which has led to some difficulties in my daily life, prompting me to seek assistance. Previously, I had issues with arrhythmia (I underwent an electrocardiogram in Taiwan)...
Dr. Qiu Junda Reply:
Hello. You can use Entacapone before going on stage, either 2# or with meals, depending on which method works better for you. Additionally, your concerns seem to lean towards anxiety. It needs to be assessed whether it has reached a panic level. After returning to your country, y...[Read More] Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Managing Anxiety and Eye Pressure: Exploring Medication Options
Psychiatric medications Hello Doctor, I previously experienced anxiety for about a year, which led to symptoms similar to autonomic nervous system dysfunction, including frequent urination and urgency. The doctor prescribed me FLUOXETINE 20mg to take monthly for a year. After sto...
Dr. Qiu Junda Reply:
Hello. This medication does not contain steroids. If you are experiencing anxiety or other physical and mental distress, it is recommended that you have regular follow-up appointments and adhere to the prescribed treatment plan, including medication, to facilitate improvement.[Read More] Managing Anxiety and Eye Pressure: Exploring Medication Options
Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Psychiatric medications I have anxiety disorder, so I have been taking medication for it. However, after a while, I felt it wasn't effective, and my doctor switched my medication. Although the new medication seems to be working, I have noticed a significant weight gain. Duri...
Dr. Qiu Junda Reply:
Hello. These medications do not cause indigestion. Whether weight gain is related to the medication is still to be evaluated. You may try discontinuing SUNPYLON TABLETS 50MG to see if there is any improvement. Additionally, you can seek assistance from a hospital's weight ma...[Read More] Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Medications for Generalized Anxiety Disorder - Klonopin (Clonazepam) Hello, Doctor. I would like to ask you about my situation. I have been diagnosed with generalized anxiety disorder and have been on medication for two years. Throughout my treatment, I have faced issues with med...
Dr. Wu Enliang Reply:
Hello, is the dosage of the sleeping medication I am using considered high? A: Yes, the dosage of the sleeping medication is somewhat high. Will it be difficult to withdraw from it later? A: It varies from person to person. By the way, is there currently any clear evidence linkin...[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives