Managing Sexual Side Effects of Antidepressants: A Patient's Guide
Sexual side effects Hello Doctor, I started taking Sertraline (千憂解) three times a day since last week. After taking it, I noticed I have difficulty achieving an erection. A week later, I returned for an earlier follow-up, and the doctor mentioned that Sertraline, being a serotoni...
Dr. Qiu Junda Reply:
Hello. Changes in medication and side effects should be discussed with your attending physician. Please continue to attend follow-up appointments and cooperate with the treatment plan to help improve your condition.[Read More] Managing Sexual Side Effects of Antidepressants: A Patient's Guide
Is Vortioxetine Effective for Treating Anxiety Disorders?
Medication consultation is often overwhelming? Hello, doctor. Is the medication Fluvoxamine effective for treating anxiety disorders? I'm not quite sure about the mechanism of Fluvoxamine in treating anxiety disorders; I found online that it promotes melatonin, but does mela...
Dr. Qiu Junda Reply:
Hello. The medication can treat insomnia, depression, and anxiety disorders. It contains melatonin as an ingredient. The mechanism may be related to serotonin being a precursor to melatonin, and a deficiency in serotonin can affect mood, so melatonin "may" help stabiliz...[Read More] Is Vortioxetine Effective for Treating Anxiety Disorders?
Do Anxiety Medications Affect Sexual Function? A Guide to Anban and Moxifene
The psychiatric medications Anban (also known as amisulpride) and Moxifene (also known as mirtazapine) are used to treat various mental health conditions. Anban is primarily used for schizophrenia and depressive episodes, while Moxifene is commonly prescribed for major depressive...
Dr. Qiu Junda Reply:
Hello. Generally, these two medications do not commonly have side effects related to sexual function. However, your psychosomatic symptoms may be affecting your sexual function. Please continue to follow up with your physician to discuss this matter for a timely improvement in yo...[Read More] Do Anxiety Medications Affect Sexual Function? A Guide to Anban and Moxifene
Understanding Anxiety and Panic: Coping with Fatigue and Weakness
Anxiety panic disorder fatigue Hello doctor, I have been waking up feeling fatigued lately, and I often feel tired throughout the day. I am afraid that I might faint at any moment, and I frequently feel like my legs are about to give out. Are these normal symptoms of anxiety diso...
Dr. Qiu Junda Reply:
Hello. It could be symptoms of anxiety disorder or something else. If medication is needed, it is advisable to seek medical evaluation and treatment.[Read More] Understanding Anxiety and Panic: Coping with Fatigue and Weakness
Overcoming Mental Struggles: Finding Purpose and Direction in Life
After careful consideration, I couldn't come up with a solution? Hello, doctor. I apologize for bothering the online consultation physicians at Taiwan e-Hospital again. This time, I have chosen you, Dr. Li, to be my mentor and to provide me with consultation advice. My relev...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress regarding your ability to continue working and contribute value, which is commendable. Here are some suggestions: 1. In the face of an uncertain future, psychosomatic disorders, such as depression,...[Read More] Overcoming Mental Struggles: Finding Purpose and Direction in Life
Understanding Anxiety: Managing Fatigue and Panic Attacks
Anxiety disorder, fatigue, panic? Hello Doctor, I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently w...
Dr. Wu Enliang Reply:
Hello, doctor. I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? A: It is possible. After feeling very tense, sometimes there is a sensation of weakness, and often I wake up still feeling tired, lacking e...[Read More] Understanding Anxiety: Managing Fatigue and Panic Attacks
Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey
Medication issue: Withdrawal reactions from the discontinuation of methylphenidate? Hello, doctor. This issue has been troubling me for a long time. I am a patient with ADHD combined with depression, and the medications I am currently taking include Strattera, Ritalin, Vyvanse, a...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about potential interactions between lithium and antipsychotic medications may not be beneficial for your condition. As for the possibility of co-o...[Read More] Understanding Withdrawal Symptoms from ADHD Medications: A Personal Journey
Understanding Anxiety: Managing Fatigue and Panic Attacks
Anxiety disorder, fatigue, panic? Hello, doctor. I have experienced sudden fatigue and a feeling of weakness a few times at work. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently wa...
Dr. Wu Enliang Reply:
Hello, doctor. I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? A: It is possible. After feeling very tense, sometimes there is a sensation of weakness, and often I wake up still feeling tired, lacking e...[Read More] Understanding Anxiety: Managing Fatigue and Panic Attacks
Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks
Obsessive thinking Hello, doctor. I always worry and fear about contracting sexually transmitted diseases, especially HIV. Whenever I see blood or anything red, I become particularly anxious! About 3 to 4 years ago, I visited a psychiatrist who said I might be experiencing obsess...
Dr. Qiu Junda Reply:
Hello. Your condition still requires medical attention. Seeking medical care does not necessarily mean you need medication; sometimes, psychological therapy can be arranged. You can discuss this with your physician during your visit. If you still have concerns or find it inconven...[Read More] Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks
Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Is there a correlation between panic attacks and seasons? This afternoon, I took a nap and when I woke up, I experienced palpitations. After resting for a while, I used an electronic device to check my heart rate, which showed normal readings. Later, when I walked to the restroom...
Dr. Lin Mianzhang Reply:
Hello, Xiang: Climate changes may affect the autonomic nervous system, which in turn can influence symptoms of anxiety. Additionally, diet can also impact the autonomic nervous system; for example, caffeine found in tea and coffee can increase heart rate and exacerbate feelings o...[Read More] Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Managing Anxiety with Medications: Concerns About Side Effects
Anxiolytic medication Hello doctor, my gastrointestinal health is poor and I easily get nervous and vomit. Initially, the doctor prescribed me Metoclopramide, which I took for about six months. However, I started experiencing panic attacks in the last two months. Recently, my doc...
Dr. Wu Enliang Reply:
It is advisable for users to continue taking the medication after meals or reduce the dosage to half a pill. If it is truly intolerable, then consider switching to a different medication. - Dr. Wu En-Liang[Read More] Managing Anxiety with Medications: Concerns About Side Effects
Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Sleep issues Hello Doctor, I often have nightmares during sleep, and whenever I do, my heart races significantly. However, I'm not sure if this is related to the nightmares. I consulted a cardiologist, and after examination, the doctor said my heart is normal and referred me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery. ...[Read More] Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery
Medication-induced anxiety disorder Due to previous relationship issues, I experienced some sudden mental health problems and sought help from a psychiatrist. It seems I have symptoms of obsessive thinking and anxiety. For example, I would say some morally questionable things to ...
Dr. Lin Mianzhang Reply:
Hello Ms. Hsieh: It seems that you have recently started experiencing symptoms of anxiety and possible obsessive thoughts again. I recommend that you return for a follow-up appointment with your physician to discuss whether to continue medication or consider therapy as a treatmen...[Read More] Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery
Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective
Anxiety, obsessive-compulsive, or personality issues? Hello Doctor: Due to some relationship issues, I experienced a sudden impact on my mental health, which led me to seek help from a psychiatrist. I was diagnosed with obsessive thoughts and anxiety symptoms. For example, I woul...
Dr. Qiu Junda Reply:
Hello. Whether it's anxiety, obsessive-compulsive symptoms, or personality issues, if they have caused physical and mental distress, it is advisable to seek medical attention. Your current situation does not appear to be severe at first glance, so you may try self-adjustment...[Read More] Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective
Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives
Insomnia, anxiety, and medication issues? Hello, I have been taking Xanax for nearly six months due to insomnia caused by anxiety. However, I only take it the night before I have to go to school; if I don’t take it, I can’t sleep all night and my heart races. In short, when it’s ...
Dr. Wu Enliang Reply:
Hello, I have been experiencing insomnia due to anxiety, so I have been taking Zolpidem for almost half a year. However, I only take it on the nights before school; if I don’t take it, I can’t sleep all night and my heart races. In short, I feel very anxious and scared when it’s ...[Read More] Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives
Managing Anxiety and Depression: Coping with Chronic Pain and Loss
Anxiety and Depression Treatment Initially, it was due to work-related stress, followed by a period of rest, which resulted in issues with my lumbar and cervical spine, leading to frequent pain. I couldn't find a cure, and any slight discomfort would make me feel like I had ...
Dr. Qiu Junda Reply:
Hello. Anxiety and depression are treatable conditions, but they require patience. Please consult a mental health clinic and cooperate with the treatment plan. Continuous follow-up is necessary, as improvements may not be immediate, to facilitate a quicker recovery.[Read More] Managing Anxiety and Depression: Coping with Chronic Pain and Loss
Understanding Depression and ADHD: Insights from a Patient's Journey
Depression and ADHD-related issues? Hello Dr. Li, I would like to ask for your help in reviewing my information below: This is some data from my childhood. The doctor only mentioned that I had significant attention deficit and noted that my math skills were decent. I don't...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about the pressures of your family members dealing with depression and ADHD. 1. Facing an uncertain future, mental health disorders are common in modern society. These are chronic conditions that require long-term treatment f...[Read More] Understanding Depression and ADHD: Insights from a Patient's Journey
Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Hypochondria and salivary secretion issues? Hello Doctor, since I fell ill some time ago, I have been experiencing symptoms of health anxiety for several years. I have visited doctors multiple times because I believed I was unwell, but everything turned out to be fine. A few days...
Dr. Qiu Junda Reply:
Hello. Health anxiety is also a form of anxiety and has caused you physical and mental distress. You can start by searching for educational articles on combating anxiety and relaxing the mind and body. Learn about the feasible methods from these resources. If you find that the ef...[Read More] Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Understanding Flupentixol: Immediate vs. Long-term Effects for Mood Disorders
Regarding the issue of tranquility? Flupentixol 0.5 mg is an antipsychotic medication that is often used to treat anxiety and depressive disorders. It typically requires daily administration for a period of time to achieve its full therapeutic effect. While some individuals may e...
Dr. Qiu Junda Reply:
Hello. Taking Anpingjing at the moment may have some immediate effects, but the benefits might not be very noticeable. It usually takes a period of time for the medication to exert its effects and improve symptoms.[Read More] Understanding Flupentixol: Immediate vs. Long-term Effects for Mood Disorders