Brain, Psychiatry FAQ - Page 13

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Understanding Illness Anxiety: When Physical Symptoms Signal Mental Health Issues

Hypochondriasis consultation Hello, Doctor. First, thank you for providing us with this platform and the opportunity to clarify our questions, giving us direction and hope. A few years ago, my family member experienced mild knee pain, which was noticeable but not severe. He activ...


Dr. Qiu Junda Reply:
Hello. Based on the situation described in your letter, there is a need for a psychiatric evaluation. I recommend that you assist your family member in visiting a mental health (psychiatry) clinic. You can communicate to them that it is just for counseling and not necessarily ind...

[Read More] Understanding Illness Anxiety: When Physical Symptoms Signal Mental Health Issues


Navigating Life with Paranoid Schizophrenia: Seeking Guidance and Support

Please provide more context or specific information for me to give you an opinion? Today, during my job search, I mentioned my early diagnosis, but my current diagnosis is "paranoid schizophrenia." I'm unsure how to communicate my diagnosis to others. Perhaps I can...


Dr. Cai Qijin Reply:
Hello, the exact causes of schizophrenia are still not fully understood, but it can lead to abnormalities in the secretion of neurotransmitters in the brain, which can severely affect thinking and cause hallucinations, among other symptoms. You might explain to others that schizo...

[Read More] Navigating Life with Paranoid Schizophrenia: Seeking Guidance and Support


Navigating Gender Identity: A Personal Journey Towards Transition

Regarding gender transition? Hello, Doctor: I first attempted to dress as a woman around the middle grades of elementary school, and no one noticed. Since middle school until now, I have dressed as a woman alone in my room, and again, no one knows because I am not yet mentally pr...


Dr. Huang Jiabin Reply:
Hello: From the perspective of gender issues, a person's gender encompasses many layers: biological sex, gender identity, sexual orientation, and gender roles, among others. It seems that you are most troubled by the physical characteristics of biological sex. In the clinica...

[Read More] Navigating Gender Identity: A Personal Journey Towards Transition


Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns

Psychiatric medications Hello, doctor. A few years ago, I visited a hospital for depression, and the doctor prescribed me one tablet of Prozac and a sedative to take before bed. The first time I took the medication, I finished it around 11 PM, and by the next evening, around 7 PM...


Dr. Huang Jiabin Reply:
Hello: In all things, moderation is key. Serotonin is an important neurotransmitter that maintains physiological processes in the brain; however, other parts of the body, such as the gastrointestinal tract, also rely on serotonin for daily bodily functions. When levels are excess...

[Read More] Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns


Concerns About Long-Term Effects of Fluoxetine on Brain Function

Medication Consultation: Medication Side Effects Hello, doctor! I would like to ask about my previous history of obsessive-compulsive disorder. I was taking Sinzac capsules (20 mg) containing Fluoxetine, two capsules daily for nine months. After that, I stopped taking the medicat...


Dr. Wang Zhenbang Reply:
Hello, when using antidepressants under a physician's guidance, even with long-term use, there will not be permanent damage to brain function. If you discontinue the medication on your own, you may experience withdrawal symptoms in the short term (within two weeks), but it w...

[Read More] Concerns About Long-Term Effects of Fluoxetine on Brain Function


Understanding Medication Side Effects and Consultation for OCD Treatment

Drug side effects Drug consultation Hello, doctor! 1. I previously took Inderal (propranolol), Sinzac (fluoxetine), and Rivotril (clonazepam) for my obsessive-compulsive disorder, with each medication at a dosage of two pills daily for nine months. After that, I stopped taking ...


Dr. Huang Jiabin Reply:
Hello: It's great that you have done your homework on your treatment options; keep it up and continue discussing with your outpatient physician. Here are my attempts to answer your questions: 1. After discontinuing medication for a period, the serotonin receptors in your bod...

[Read More] Understanding Medication Side Effects and Consultation for OCD Treatment


Understanding Withdrawal Symptoms and Cognitive Effects of Rivotril®

Medication Issues: Side Effects of Medications Doctor!! I have been taking Rivotril® (clonazepam) due to anxiety for 11 months, at a dosage of 2 pills daily. After stopping the medication, I experienced confusion, memory decline, decreased concentration, and issues with comprehen...


Dr. Huang Jiabin Reply:
Hello: Librium belongs to the benzodiazepine class of medications, which act on the inhibitory neurotransmitter GABA receptors, resulting in a sedative effect. Withdrawal refers to the body's inability to adapt to the sudden absence of the medication, leading to an imbalance...

[Read More] Understanding Withdrawal Symptoms and Cognitive Effects of Rivotril®


Understanding Neurotransmitter Levels and Their Impact on Mental Health

Regarding neurotransmitters? Doctors and hospitals determine the levels of neurotransmitters in the serum, such as dopamine, epinephrine, norepinephrine, serotonin, and melatonin, through various laboratory tests. These tests often involve blood samples that are analyzed using te...


Dr. Huang Jiabin Reply:
Hello: Currently, the influence of neurotransmitters on psychiatric symptoms is referred to as the "monoamine hypothesis." This hypothesis is based on experimental methods that reduce the activity of neurotransmitters in the brain, combined with observations of external...

[Read More] Understanding Neurotransmitter Levels and Their Impact on Mental Health


Understanding OCD: The Struggle with Compulsive Promises and Fears

Obsessive-Compulsive Disorder (OCD) Since high school, I have been experiencing strange thoughts where I feel compelled to make promises to myself to do things I don't want to do, or else something bad will happen. It feels similar to making a vow (for example, I might promi...


Dr. Tian Xinqiao Reply:
Dear User, Thank you for your message. It is clear from your letter that you are experiencing significant distress due to obsessive-compulsive symptoms. The symptoms you described do indeed resemble those of obsessive-compulsive disorder (OCD). The intrusive thoughts (such as fe...

[Read More] Understanding OCD: The Struggle with Compulsive Promises and Fears


Understanding Dementia: Signs, Symptoms, and Next Steps for Care

Dementia Hello, doctor. I apologize for bothering you again. I previously asked about my father, who started experiencing headaches after using facial cleanser to clean the bathroom. He has also been making frequent wrong phone calls, and his behavior became more exaggerated on t...


Dr. Huang Jiabin Reply:
Hello, sir: Although I am not the physician who responded previously, I believe your father's current issues are related to behavioral disturbances and impaired judgment, and the situation is changing rapidly. What concerns me more is the potential impact of physiological fa...

[Read More] Understanding Dementia: Signs, Symptoms, and Next Steps for Care


Understanding My Mental and Physical Health Struggles: A Personal Journey

I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...


Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...

[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey


Understanding Behavioral Changes: Possible Mental Health Issues in Aging

Behavioral abnormalities I'm sorry to bother you, doctor. My father started experiencing headaches recently, and he often forgets things immediately after saying or doing them. He asks the same questions repeatedly. Today, while taking a shower, he suddenly used facial clean...


Dr. Huang Jiabin Reply:
Hello: Your father's condition sounds like some symptoms of dementia, such as a decline in executive function and changes in daily habits. However, I am more concerned about the fact that these abnormal behaviors appeared after he experienced a headache, raising the possibil...

[Read More] Understanding Behavioral Changes: Possible Mental Health Issues in Aging


Understanding Depression: Symptoms, Treatment, and Family Support

Could you please provide more details or specify what you would like to know about depression? Hello Doctor: My father suddenly lost control of his emotions one day a year ago and had an argument with my mother. The argument was about unpleasant experiences from the past. My fath...


Dr. Wu Enliang Reply:
1. Does my father have depression? To determine if he has depression, it is best to consult his psychiatrist, as a diagnosis requires a detailed interview, physical examination, and psychological testing. I have attached an educational article about depression for your reference....

[Read More] Understanding Depression: Symptoms, Treatment, and Family Support


Understanding Anxiety and Panic Disorders in Mothers: Seeking Help

Anxiety Panic Disorder Hello Dr. Wu: I have two sons who are both adults and have stable jobs, but I find the role of "mother" to be overwhelming. I am constantly worried about them, and recently it has become very severe. I have thought countless times about using deat...


Dr. Wu Enliang Reply:
Hello, life is very precious. There are many people in Taiwanese society (including myself) who are willing to help you through difficult times. I wonder if you might be suffering from depression? Depression is not a sign of weakness; it is a condition caused by a decrease in bra...

[Read More] Understanding Anxiety and Panic Disorders in Mothers: Seeking Help


Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey

Anxiety and autonomic nervous system dysregulation? Hello, doctor. I previously experienced anxiety during the summer vacation, but it improved later. However, it relapsed during this winter vacation, and I feel very frustrated. The reason for the relapse was due to gastritis, wh...


Dr. Liang Sunyuan Reply:
Hello, Xiao Lan: The medications for anxiety require patience. If the current treatment is effective, it is advisable to maintain stability for a period before discussing the possibility of gradually tapering off the medication with your physician. Getting enough sleep, exercisin...

[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey


Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition

Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...


Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...

[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition


Managing Anxiety and Medication: Insights for Patients with Lumps

Inquiries about emotional and medication issues? Hello Doctor, about a month and a half ago, I noticed a lump under my left neck near the clavicle. Its size hasn't changed significantly, remaining less than one centimeter, and it feels somewhat flat (it seems to fluctuate in...


Dr. Liang Sunyuan Reply:
Hello, Xiao Ke: Since you have already seen three doctors who all believe it is a lymph node issue, you should not worry too much about it. It is advisable to accept that you tend to be anxious and not to focus too much on whether you are touching that lymph node. Remind yourself...

[Read More] Managing Anxiety and Medication: Insights for Patients with Lumps


Understanding Sleep Talking: When to Seek Help for Sleep Disorders

Sleep talking I have been talking in my sleep frequently since I was quite young, and I occasionally sleepwalk and kick or punch. Now, I only talk in my sleep (almost every day), and the content usually involves cursing. I am not aware of it, but my sister, who sleeps next to me,...


Dr. Zhan Jiaxiang Reply:
Dear Sir/Madam, Talking in one's sleep occurs because certain areas of the brain remain active during deep sleep. Occasional sleep talking is generally considered a normal physiological phenomenon, as long as you feel well-rested, have sufficient energy during the day, and ...

[Read More] Understanding Sleep Talking: When to Seek Help for Sleep Disorders


Struggling with Addiction: A Journey from K-Hole to Recovery

I want to quit ketamine and "bath salts." Hello, doctor. I'm really sorry; it's all my fault. When I was young, I entered society early at 17 and got involved with the wrong crowd. Back then, I was young and had no connections, so my friends were mostly those ...


Dr. Zhan Jiaxiang Reply:
Hello, based on your description, you have previously used ketamine and, in an attempt to quit it, started using caffeine, which has led to greater difficulties. Since drugs can cause various levels of damage to the brain, using a second substance to quit the first often does not...

[Read More] Struggling with Addiction: A Journey from K-Hole to Recovery


How to Support an Emotionally Unstable Father Without Losing Yourself

If your father is experiencing emotional instability, here are some ways to help him without letting it affect you: 1. **Set Boundaries**: Clearly define what behaviors you can tolerate and what you cannot. This helps protect your emotional well-being. 2. **Practice Self-Care**...


Dr. Liang Sunyuan Reply:
Hello: Issues related to personality and temper are not easy to change, but change is not impossible. To initiate change, it is essential to first understand the situation. Your analysis and speculations may have some relevance. The best approach is to help your father become awa...

[Read More] How to Support an Emotionally Unstable Father Without Losing Yourself


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