Understanding Auditory Hallucinations: When to Seek Help
Hallucination issues Hello Doctor: Three days ago in the evening, I suddenly thought I heard the sound of a garbage truck, but since it was a time when no garbage trucks would be passing by, I realized I was probably experiencing auditory hallucinations. Since that incident, I ha...
Dr. Lin Mianzhang Reply:
Hi there! The phenomenon you mentioned is known as "involuntary musical imagery," commonly referred to as an "earworm." This is actually a quite common occurrence, and most people have experienced it at some point. It is different from auditory hallucinations....[Read More] Understanding Auditory Hallucinations: When to Seek Help
Understanding the Habit of Talking to Oneself: Insights from Psychiatry
The habit of talking to oneself? Since elementary school, I have been talking to myself. When I turned 21, I felt emotionally unstable and sought medical help. At that time, I asked the doctor about my condition, but I did not mention that I was experiencing a mental illness. Now...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint.[Read More] Understanding the Habit of Talking to Oneself: Insights from Psychiatry
Imaginary Friends or Dissociative Identity? Understanding Your Experience
Imaginary friends or dissociative identity disorder? Hello, I have had imaginary friends for as long as I can remember (I am now 25 years old). Some leave, while new ones appear, and some even dislike me. We have conversations in my mind (or I talk to myself when alone). I know t...
Dr. Wu Enliang Reply:
Hello, netizen: It is indeed possible that there are other personalities. If they do not affect your daily life, it may be best to coexist peacefully with them. However, if they cause significant distress, it is advisable to seek medical treatment. Dr. Wu Enliang[Read More] Imaginary Friends or Dissociative Identity? Understanding Your Experience
Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles
Menkes syndrome Five years ago, after being diagnosed with severe depression and receiving care, I developed symptoms that I found online referred to as "Munchausen syndrome." My depressive feelings have mostly alleviated now, but my emotional fluctuations are more pron...
Dr. Wang Yaoting Reply:
Hello: After reading your description, it seems that you have been living in a state of emotional conflict for the past few years. You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptoms ar...[Read More] Understanding Munchausen Syndrome: Seeking Help for Mental Health Struggles
Understanding Xanax: Dosage, Diagnosis, and Mental Health Insights
Medication issues 1. I was prescribed Xanax 0.25 mg by my psychiatrist for the past two days, but I feel like the dosage might be too low since I haven't noticed much difference. I've heard that the medication takes effect quickly, or does it typically take two weeks to...
Dr. Lin Mianzhang Reply:
Hello, 1. Xanax has a rapid onset of action, typically taking about half an hour to take effect. If you do not feel its effects, it may be due to an insufficient dosage. 2. Xanax is used for the quick relief of anxiety symptoms. Because of its fast-acting nature, patients oft...[Read More] Understanding Xanax: Dosage, Diagnosis, and Mental Health Insights
Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions
Schizophrenia, excessive sleepiness for 12 hours, feeling tired during the day, and experiencing significant fatigue? Hello, Doctor (I apologize for the lengthy message): I have schizophrenia and experience excessive daytime sleepiness for about 12 hours daily, feeling very fatig...
Dr. Huang Xiaoxian Reply:
Hello Mr. Zhou, first of all, I want to commend you on your awareness of your condition. Understanding your illness and consistently taking your medication greatly contributes to your stability. Regarding Abilify, it does have a higher incidence of drowsiness as a side effect, wh...[Read More] Managing Excessive Sleepiness in Schizophrenia: Seeking Solutions
Feeling Trapped: Seeking Help for Mental Health Struggles
I'm not sure what to do? Dear Doctor, Thank you for taking the time to read this letter amidst your busy schedule. I am unsure about what to do. I have been experiencing symptoms for several years, and they have recently been worsening. My symptoms include a persistent feel...
Dr. Guo Jialun Reply:
Based on your description, these symptoms have already impacted your work and daily life. It is advisable to seek evaluation and treatment from a psychiatrist. If your parents still oppose seeking treatment, you could ask them to accompany you to the appointment to hear the medic...[Read More] Feeling Trapped: Seeking Help for Mental Health Struggles
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda Reply:
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Weakness in all four limbs? The doctor said that my urinary flow rate test and urodynamics showed abdominal voiding, bladder weakness, poor bladder contraction elasticity, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood and not darin...
Dr. Wang Yaoting Reply:
Hello: Sedative medications may have muscle relaxant effects and can lead to a sensation of limb weakness; however, individual responses may vary, and the dosage can also make a difference. Panic and anxiety can also cause somatic symptoms, including feelings of limb weakness. It...[Read More] Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Understanding Sleep-Related Auditory Hallucinations: Causes and Insights
Hypnagogic hallucinations? Hello Doctor: Recently, I have been feeling tense during the day, and for the past three months, I occasionally hear ringing sounds upon waking from a nap (though I am aware that these are internally generated sounds). I wanted to consult because last n...
Dr. Huang Xiaoxian Reply:
Hello Yuanping, it is actually possible for an average person to experience physiological hallucinations or illusions, especially in tense situations, such as hearing a phone ring while on duty or thinking someone is calling their name while walking down the street. It would be a...[Read More] Understanding Sleep-Related Auditory Hallucinations: Causes and Insights
Understanding and Managing Psychotic Disorders: A Personal Journey
Affective Disorder I have been diagnosed with schizophrenia, but I feel very unhappy every day. I experience auditory hallucinations where I hear people cursing at me, and I can barely tolerate it because it’s so loud. I have had sleep issues since childhood. I am currently a sen...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. Individuals with schizophrenia often experience similar concerns, worrying about their condition and how others perceive them. The treatment of psychiatric symptoms can indeed affect one's work performance and social interactions...[Read More] Understanding and Managing Psychotic Disorders: A Personal Journey
Understanding the Challenges of Diagnosing Mental Health Issues
The doctor is unable to determine whether there is a genuine mental health issue? Hello doctor, I started experiencing auditory hallucinations and delusions at the age of 23, but at that time, I didn't believe I was ill. My family forced me to seek medical help, and the doct...
Dr. Wang Zhenyang Reply:
Hello, online user: It sounds like some of your symptoms are indeed troubling you, but it seems that the doctors have not yet been able to resolve your issues. I recommend that you find a physician to regularly follow up with, so that they can truly understand your problems and p...[Read More] Understanding the Challenges of Diagnosing Mental Health Issues
Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Schizophrenia and Medication Costs Issues Dear Dr. Wu, I was diagnosed with delusional disorder (mild schizophrenia) at the beginning of last year. I experienced auditory hallucinations for about two months, which later resolved on their own. The delusional aspects have stabiliz...
Dr. Wu Enliang Reply:
Hello, online user: Q: Will taking medication for schizophrenia lead to brain atrophy in the long term? A: No, in fact, not taking medication and experiencing repeated episodes can lead to brain atrophy. Q: Although delusions and hallucinations have resolved, is there still d...[Read More] Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Understanding Self-Talk: Is It a Sign of Mental Health Issues?
Soliloquy It's not auditory hallucinations, but does that indicate a mental health issue? Additionally, I want to mention that my home environment is not harmonious; my sister has a very bad temper, and as her older brother, I don't know how to interact with her. My par...
Dr. Wang Yaoting Reply:
Hello: "Talking to oneself," simply put, is when a person speaks to themselves. Some individuals do this in private without anyone else present, while others may do so in the presence of others but without a specific target audience. Self-talk can sometimes serve as a f...[Read More] Understanding Self-Talk: Is It a Sign of Mental Health Issues?