Do I Need to See a Doctor? Understanding Cognitive Changes in Young Professionals
Do I need to seek medical attention? Hello, doctor. I am a recently graduated office worker. Due to the distance, I need to ride my motorcycle for an hour to get to work. I have previously fallen asleep while riding and have been in accidents, but I felt that there was no way to ...
Dr. Liang Sunyuan Reply:
Hello: Falling asleep while riding a motorcycle is quite dangerous, and it is advisable to seek medical attention for an examination. Additionally, systemic lupus erythematosus (SLE) requires continuous medication to prevent exacerbation, as poorly controlled SLE can also affect ...[Read More] Do I Need to See a Doctor? Understanding Cognitive Changes in Young Professionals
Concerns About Overdosing on 54mg of Concerta: What You Need to Know
Overdose of Dexamethasone 54mg? Hello Doctor: I have been taking medication for attention deficit for four years, and my weight is 48 kg. Recently, I have been taking 36 mg of Dexedrine for the past three months, but I switched to 54 mg of Dexedrine. I take one Dexedrine on an em...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, According to current knowledge regarding drug reactions, the peak plasma concentration of the medication is reached 6-8 hours after administration, after which the plasma concentration gradually decreases. Therefore, theoretically, by the next day, the drug conce...[Read More] Concerns About Overdosing on 54mg of Concerta: What You Need to Know
Understanding Nightmares: Why Do They Feel So Real and Painful?
Nightmare issues Hello, Doctor: I would like to ask about nightmares. I often hear people say that there is no sensation of pain in dreams, which is why some people pinch themselves to confirm whether they are dreaming. However, when I frequently have nightmares where I am killed...
Dr. Zhong Mingxun Reply:
The human brain continues to function during sleep, which is why it is normal to feel pain vividly during nightmares. Upon waking, it is sometimes difficult to distinguish whether certain events actually occurred or were part of a dream, indicating that one may not yet be fully a...[Read More] Understanding Nightmares: Why Do They Feel So Real and Painful?
Understanding Panic Disorder and Its Emotional Impact on Families
My mother has depression? Hello, Doctor! I apologize for the lengthy message, so I have divided it into two parts. Thank you for your help! Background: My mother has been diagnosed with panic disorder for quite some time, about a year now. She used to be a strong woman who work...
Dr. Liang Sunyuan Reply:
Hello: Panic disorder and depression are both treatable conditions, and with patience and perseverance, most individuals can see improvement. For those who are depressed, feeling understood by those around them and having someone willing to accept and accompany them can provide s...[Read More] Understanding Panic Disorder and Its Emotional Impact on Families
Understanding the Delay in Antidepressant Effects for Autonomic Nervous Disorders
Autonomic nervous system dysfunction I would like to ask another question: why do antidepressant medications for treating autonomic nervous system disorders take more than two weeks to become effective? Is there a treatment for this in traditional Chinese medicine? I really want ...
Dr. Liang Sunyuan Reply:
Hello, Xiao Chen: Because medications must act on the brain to produce therapeutic effects, the receptors of neurotransmitters in the brain will change their activity only after sensing a sustained change in the concentration of neurotransmitters over a period of time, which lead...[Read More] Understanding the Delay in Antidepressant Effects for Autonomic Nervous Disorders
Understanding Heavy Head Symptoms: Is Sleep Apnea the Culprit?
The back of the head has been heavy for nine months? Hello doctor, I started experiencing a heavy sensation in the back of my head at the beginning of February this year. Initially, I thought it was a cold, but after more than a month, I went to see a doctor. The doctor said I wa...
Dr. Liang Sunyuan Reply:
Hello Alvin: If you have been diagnosed with sleep apnea, it is advisable to continuously wear a CPAP machine while sleeping. Since all tests show no significant abnormalities and you are experiencing weight loss and physical discomfort, it is recommended that you consult a psych...[Read More] Understanding Heavy Head Symptoms: Is Sleep Apnea the Culprit?
Struggling with Focus and Thought: Understanding Anxiety and Mental Health
Inability to think and concentrate? Hello Dr. Sun, I know that I have an anxious personality, lack self-confidence, and tend to rely on rote memorization when studying. I remember that during exam periods, I suddenly found it very difficult to think; whenever I tried to use my br...
Dr. Liang Sunyuan Reply:
Hello: These symptoms are likely related to stress and emotions. It is recommended to consult a psychosomatic medicine or psychiatry specialist. Psychosomatic medicine and psychiatry refer to the same field, but may have different names in various hospitals. Wishing you all the b...[Read More] Struggling with Focus and Thought: Understanding Anxiety and Mental Health
Coping with Adaptation Disorders: Overcoming Anxiety and Social Fears
Adjustment disorder, characterized by increased anxiety? Hello, doctor. I have schizophrenia and I'm currently on medication. I am very afraid of crowds and talking to strangers. I am very introverted, speak very little, and I am scared to go out. Whenever I step outside, I ...
Dr. Liang Sunyuan Reply:
Hello: Your feelings of anxiety and tension may be related to the symptoms of schizophrenia (formerly known as schizophrenia), which can cause heightened sensitivity and excessive associations with the people, events, and things around you, leading to a state of hyper-vigilance. ...[Read More] Coping with Adaptation Disorders: Overcoming Anxiety and Social Fears
Understanding Mental Blankness: A Guide for Students Facing Stress
Blank stare? Hello, doctor. I am a student preparing for re-examination. I've noticed that recently, when I study, I often find myself zoning out. For example, when I try to memorize the word "apple," I end up staring blankly and just reciting "a p p l e"...
Dr. Liang Sunyuan Reply:
Hello: Preparing for exams can be a challenging process, and when you become too fatigued, it may lead to a lack of concentration. It is advisable to take a moderate break and see if your condition improves afterward. Sometimes, feeling down can also affect your learning, so it&#...[Read More] Understanding Mental Blankness: A Guide for Students Facing Stress
Constantly Imagining Others' Sexual Actions: Should I Seek Help?
Constantly imagining the sexual actions of others? This issue has troubled me for several years, and I haven't dared to ask anyone about it. I don't know what to do! Am I sick? When I'm walking down the street, I inexplicably have sexual fantasies about strangers, ...
Dr. Ding Shuyan Reply:
Hello, our minds often generate thoughts spontaneously. This is a characteristic of the mind; it doesn't only activate when we consciously try to think, but rather, the brain operates in the background at all times and will produce thoughts during idle moments. It's nor...[Read More] Constantly Imagining Others' Sexual Actions: Should I Seek Help?
Can Women with Schizophrenia Safely Stop Medication During Pregnancy?
Can a person with schizophrenia stop medication during pregnancy? Hello doctor, I am 24 years old and have been diagnosed with this condition during my youth. I have a few questions I would like to ask you: 1. Initially, I experienced auditory hallucinations for about 3 to 6 mo...
Dr. Liu Runqian Reply:
If schizophrenia (formerly known as schizophrenia) is diagnosed and symptoms reappear after stopping medication, it is generally recommended to maintain long-term management. If pregnancy is a consideration and may affect the fetus, in addition to discontinuing medication, medica...[Read More] Can Women with Schizophrenia Safely Stop Medication During Pregnancy?
Understanding the Importance of Visiting a Psychosomatic Specialist
Last question? Dr. Zhong, could you please explain why you suggested that I visit a psychiatric department at the hospital? Isn't this the same as the psychiatric clinic where I am currently receiving medication? The doctor there is a psychiatrist. Additionally, I would li...
Dr. Zhong Mingxun Reply:
I suggest that you have a thorough discussion with the physician who is currently prescribing your medication about these issues. I can provide you with relevant medical or pharmacological knowledge, but each individual's physiology is unique and may not necessarily align wi...[Read More] Understanding the Importance of Visiting a Psychosomatic Specialist
Understanding Head Pressure and Tingling: Insights on Insomnia and Neurological Health
Insomnia... with frequent tingling and pressure sensations in the head? Hello Dr. Zhong, may I ask why I often feel a tingling and pressure sensation in my head, as if blood is rushing out? (The doctor prescribed this medication to stabilize my nerves.) I take a sleep medication ...
Dr. Zhong Mingxun Reply:
Mr. Tsai, please seek medical attention from a mental health specialist as soon as possible! Find a physician you can truly trust and have a thorough discussion about your situation with them. Constantly hesitating and seeking help from various sources will only prolong your cond...[Read More] Understanding Head Pressure and Tingling: Insights on Insomnia and Neurological Health
Understanding Emotional Instability: Signs of Depression or Stress?
Emotional instability I want to ask why I've been feeling very angry lately. When I try to explain the reasons for my anger to my partner and want to argue, I end up feeling even angrier and wanting to cry. Am I suffering from depression or is it just too much stress? This h...
Dr. Liang Sunyuan Reply:
Hello Vivi: The speed of emotional transmission in the brain is much faster than that of language, so emotions may arise first, causing one to cry even before words are expressed. Crying is also a form of emotional release; after crying, emotions may be alleviated, allowing for a...[Read More] Understanding Emotional Instability: Signs of Depression or Stress?
Understanding Dizziness: Exploring Autonomic Nervous System Disorders
Dizziness issues? Doctor, I would like to ask if this condition is related to autonomic nervous system dysfunction. On June 20, 2016, I woke up feeling dizzy, and then I experienced fainting spells, especially when turning my head, which made me feel particularly dizzy, accompani...
Dr. Zhong Mingxun Reply:
Indeed, anxiety and emotional distress can lead to dizziness; however, medication can only help alleviate your symptoms and cannot cure the underlying issues. I recommend that you seek a physician who specializes in psychotherapy to thoroughly discuss the sources of your stress. ...[Read More] Understanding Dizziness: Exploring Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders: Anxiety and Panic Explained
Autonomic nervous system dysfunction, anxiety, and panic? Hello Dr. Chiu, I am 22 years old and have Tourette syndrome, but I have almost no symptoms now. I used to take antidepressants (Venlafaxine) and medication for Tourette syndrome for nearly two years, but I have been off m...
Dr. Qiu Junda Reply:
Hello: It appears that the level of anxiety is quite high, and the presence of physical symptoms indeed indicates a problem related to autonomic nervous system dysregulation. Therefore, it is advisable to continue seeking treatment from a mental health (psychiatry) clinic, as med...[Read More] Understanding Autonomic Nervous System Disorders: Anxiety and Panic Explained
Should I Continue My Mental Health Treatment?
Should I continue seeking medical treatment? Hello Dr. Zhong, Please forgive me for not being able to disclose my real name. I am currently in my fourth year of a five-year vocational program and began seeing a psychiatrist in early January. I was hospitalized for over ten days ...
Dr. Zhong Mingxun Reply:
Classmate: I was very concerned to see your letter. Based on your description, you may be experiencing auditory hallucinations, visual hallucinations, and delusions of reference, which are psychiatric symptoms. However, it is also possible that these are just transient phenomena....[Read More] Should I Continue My Mental Health Treatment?
Understanding Your Mental Health: Signs You Might Need Help
Mental status I often experience stomach pain, headaches, dizziness, and chest tightness, but all my medical examinations have come back normal. I feel the urge to sleep all the time, yet I can't fall asleep when others do. I've lost interest in things I used to enjoy a...
Dr. Chen Wenke Reply:
Hello, based on your description, I have a few observations for your consideration. Firstly, it seems that your daily routine is quite unstable, which can certainly increase the likelihood of emotional fluctuations and decreased concentration, creating a vicious cycle. It appears...[Read More] Understanding Your Mental Health: Signs You Might Need Help
Understanding When to Seek Help for Severe Depression Symptoms
Depression issues I previously attempted suicide twice, and my doctor diagnosed me with major depressive disorder. My condition was very poor, but after leaving my sources of stress for a month, I have finally stabilized a lot. Therefore, I have not returned for follow-up appoint...
Dr. Wu Enliang Reply:
Depression does not necessarily require medication; pharmacological treatment is just one option. Some individuals improve after distancing themselves from stressors, while others benefit from psychotherapy. Additionally, some find relief through extensive physical exercise, and ...[Read More] Understanding When to Seek Help for Severe Depression Symptoms
Understanding Sleep Monitoring and Its Impact on Mental Health
Sleep monitoring and issues related to sleep cycles? Hello, Doctor. I would appreciate it if you could take the time to answer the following questions: 1. Are the current sleep monitoring software and hardware devices effective in tracking sleep cycles? If I want to record slee...
Dr. Zhong Mingxun Reply:
1. Currently, do the available sleep monitoring hardware and software effectively track sleep cycles? If one wants to record sleep quality, which factors (such as caffeine, emotions, bedtime) can impact sleep quality? --> To effectively monitor sleep cycles, one must go to a s...[Read More] Understanding Sleep Monitoring and Its Impact on Mental Health