Understanding Sexual Dysfunction Related to Psychiatric Medications
Sexual desire issues Hello doctor, I visited the psychiatric department at Shuanghe on May 24, primarily due to anxiety (though I'm not sure), and was prescribed Risperidone and Paroxetine. Since I started taking these medications, I have been unable to experience pleasure d...
Dr. Qiu Junda Reply:
Hello. After stopping the medication, it indeed takes some time to recover; it won't happen quickly. Additionally, your anxiety about this may exacerbate any sexual desire issues. It's possible that while the side effects of the medication have resolved, there are still...[Read More] Understanding Sexual Dysfunction Related to Psychiatric Medications
Loss of Libido: Understanding the Impact of Psychiatric Medications
Loss of libido Hello doctor, I visited the psychiatric department at Shuanghe on May 24th and was prescribed Rexulti and Paroxetine due to anxiety. Since I started taking these medications, I have been unable to feel pleasure during masturbation, and I have little to no interest ...
Dr. Qiu Junda Reply:
Hello. If the sexual desire issues are caused by medication, they will gradually improve after discontinuing the drug and will not be irreversible. There's no need to worry.[Read More] Loss of Libido: Understanding the Impact of Psychiatric Medications
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang Reply:
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
Understanding Anxiety: Can Sleep Habits Affect Your Health?
Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...
Dr. Wu Enliang Reply:
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...[Read More] Understanding Anxiety: Can Sleep Habits Affect Your Health?
Understanding Medication Dosage for Generalized Anxiety Disorder
Medication dosage Last year, I was diagnosed with generalized anxiety disorder and was prescribed a medication regimen of Duloxetine 60mg and Clonazepam 1mg (with Flupentixol 0.25mg as a backup). 1. Is this dosage considered high? 2. I stopped taking the medication on my own in...
Dr. Qiu Junda Reply:
Hello. 1. Objectively, this dosage is not heavy. 2. The medication will be metabolized and will not cause irreversible damage to the brain, so there is no need to worry. 3. I am not aware of your actual situation, so I cannot provide specific advice. I only suggest that if you wi...[Read More] Understanding Medication Dosage for Generalized Anxiety Disorder
Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
Issues related to the effects of benzodiazepines? Hello, Doctor. I am a patient with obsessive-compulsive disorder (OCD) and have been undergoing treatment for six months, during which my symptoms have significantly improved. The medications prescribed to me are Zoloft (Sertralin...
Dr. Qiu Junda Reply:
Hello. 1. Clonazepam 1mg is metabolized in the body and excreted through urine, and it does not remain in the body (or brain) long-term, which alleviates your concern about irreversible cognitive impairment. 2. The dosage of Zoloft at 150mg, while not low, is still within the the...[Read More] Understanding Benzodiazepines: Long-Term Use and Cognitive Risks
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
Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Depression or schizophrenia? My brother has been suffering from a mental illness for five years. He is currently 30 years old. Initially, the doctor diagnosed him with schizophrenia, but about six months later, a different doctor said it was early symptoms of depression, includin...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about your family's depressive symptoms and the stress of mental health issues. 1. Facing an uncertain future, mental disorders are common in modern society and are chronic conditions that require long-term treatment for...[Read More] Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Exploring RTMS Treatment for Asperger's Syndrome: Can It Help?
RTMS treatment for Asperger's syndrome? Since childhood and now at 27 years old, I have always been very introverted. When I go home and encounter relatives, I tend to hide away. I feel more comfortable not chatting, and when I do engage in conversation, I often don’t know w...
Dr. Peng Yingjie Reply:
rTMS stands for repetitive transcranial magnetic stimulation. This treatment utilizes magnetic fields to induce microcurrents in the brain, increasing blood flow to emotion-related areas and modulating the activity of emotional circuits, thereby producing therapeutic effects. Its...[Read More] Exploring RTMS Treatment for Asperger's Syndrome: Can It Help?
Comparing MRI and NIRS for Brain Health in Schizophrenia Patients
MRI and NIRS Hello, doctor. I have been diagnosed with unspecified psychotic disorder and have been on medication for two years. Recently, I would like to get my brain checked for any degeneration. I would like to know which examination, MRI or NIRS, would provide clearer informa...
Dr. Xue Gengming Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Comparing MRI and NIRS for Brain Health in Schizophrenia Patients
Can Long-Term SSRI Use Cause Harm to Normal Individuals?
I'm sorry Doctor, I would like to ask: Q: If I am a normal person, is it possible that taking SSRIs for a long time or in excess could lead to depression or cause harm when not taking them? When I was 17 or 18 years old, I felt that I was easily anxious and took two tablets ...
Dr. Qiu Junda Reply:
Hello. SSRIs are antidepressants that should be used long-term by patients with depression, although the dosage can be adjusted. If a patient stops taking them and experiences a relapse of depression, it further proves that one should not discontinue the medication without guidan...[Read More] Can Long-Term SSRI Use Cause Harm to Normal Individuals?
Managing Anxiety and Panic: Non-Medication Strategies for Relief
Anxiety and Panic Hello Dr. Wu, I apologize for bothering you. I would like to ask about my situation. I have been experiencing panic and anxiety for about three years. I took an antidepressant for over a year, and after gradually tapering off, I felt somewhat better. However, re...
Dr. Wu Enliang Reply:
Cold hands and fingers can indeed be a physical symptom of anxiety. Non-pharmacological treatment methods such as psychotherapy, relaxation training, high-purity DHA fish oil, or devices like CES, as you mentioned, may be helpful. The time it takes to feel the effects of regular ...[Read More] Managing Anxiety and Panic: Non-Medication Strategies for Relief
Understanding Auditory Processing Disorder: Symptoms and Solutions
Auditory Processing Disorder (APD) I am wondering if I have Central Auditory Processing Disorder (CAPD). My hearing is normal, but my brain cannot process and understand the sounds I hear. Here are some situations I frequently encounter: a. Difficulty understanding speech in comp...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an attention assessment. Our clinic is open Monday to Friday, both in the morning and afternoon. I suggest you consider coming in for a personal e...[Read More] Understanding Auditory Processing Disorder: Symptoms and Solutions
Understanding Mental Health: Navigating Treatment and Sensitivity Issues
Hello? I am currently undergoing treatment withdrawal, having experienced an initial onset and a subsequent relapse. My attending physician has provided me with a severe illness card, indicating that I should receive treatment for a sensory processing disorder, but I do not posse...
Dr. Li Zhengfeng Reply:
Hello: Schizophrenia is a chronic illness that requires long-term continuous treatment; otherwise, it is prone to relapse, leading to hallucinations, delusions, and harmful behaviors. It is advised that you do not give up on treatment, as this may increase the risk of relapse.[Read More] Understanding Mental Health: Navigating Treatment and Sensitivity Issues
Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues
Hello, doctor. I have a question I would like to ask? Hello, Doctor. Eight years ago, I used to abuse methamphetamine for about three to four years, which severely harmed my body. During that time, I experienced hallucinations and auditory delusions, feeling like someone was foll...
Dr. Yan Congyou Reply:
Hello, based on your description, if you have been abstinent from amphetamines for many years and have not experienced any hallucinations or delusions during this period, it is possible that your current symptoms are unrelated to amphetamine use. The leg twitching during sleep ma...[Read More] Overcoming Past Drug Use: Seeking Help for Ongoing Sleep Issues
Why Cognitive Testing is Essential After a Car Accident
Why is it necessary to conduct cognitive assessments after a car accident? Hello Doctor: I was in a car accident on January 6th of this year and have been undergoing rehabilitation and attending outpatient clinics since then. I am still experiencing dizziness and headaches, which...
Dr. Yan Congyou Reply:
Hello, Xiao Xiao: The arrangement for a psychological evaluation (intelligence testing) actually encompasses various functional assessments, including language, memory, processing, social skills, and attention. Each assessment can identify specific issues related to certain brain...[Read More] Why Cognitive Testing is Essential After a Car Accident
Struggling with Persistent Low Mood: Seeking Help and Understanding
Emotions have been consistently low? Hello, doctor. I don't know why my emotions have been so low. I've noticed that my coordination has worsened, and even when I try to feel angry, I can't. My libido seems to have diminished as well; I feel indifferent when seeing...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have arisen suddenly, it is important to consider whether they may be related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) define...[Read More] Struggling with Persistent Low Mood: Seeking Help and Understanding
Overcoming OCD and Depression: A Journey Towards Healing and Hope
Please help me? I shared my obsessive-compulsive disorder (OCD) and depression with my doctor: When I started seventh grade, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal. At that moment, I felt short of breath, had racing thought...
Dr. Liang Sunyuan Reply:
Hello Wei: 1. Obsessive-Compulsive Disorder (OCD) and depression can potentially be cured after treatment, but it requires patience and time. 2. These two medications can help alleviate anxiety and obsessive symptoms associated with OCD. 3. The symptoms you described are indeed c...[Read More] Overcoming OCD and Depression: A Journey Towards Healing and Hope
Understanding Memory Loss: Is It Medication Side Effects or Amnesia?
Forgetfulness + Memory Function Hello Doctor, I have been experiencing frequent forgetfulness over the past two weeks. For instance, while showering, I often forget which part I was washing, or I forget my appointments with others on the same day. I even write notes and stick the...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have arisen suddenly, it is essential to consider whether they may be related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) define...[Read More] Understanding Memory Loss: Is It Medication Side Effects or Amnesia?