Is It Safe to Eat Bananas with Sleep Medications?
About bananas? Hello, doctor. I would like to ask if it is safe to eat a banana before taking my bedtime medications (Desyrel, Sertraline, Lyrica, and Quetiapine). I usually eat a banana because I need to have something in my stomach before taking Lyrica. Is it safe to consume a ...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Is It Safe to Eat Bananas with Sleep Medications?
Overcoming Stigma: Proving Mental Health Stability for Brazilian Jiu-Jitsu
Schizophrenia Hello, doctor. I have been diagnosed with schizophrenia, which has led to paranoid delusions. My delusion involved being drugged and assaulted by my Brazilian Jiu-Jitsu coach. As a result, I posted malicious comments about my coach online and claimed that I was assa...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you! Wishing you good health![Read More] Overcoming Stigma: Proving Mental Health Stability for Brazilian Jiu-Jitsu
Understanding Nighttime Palpitations: Causes and Management
Waking up suddenly from sleep with palpitations? Three years ago, I frequently experienced palpitations, chest tightness, and a feeling of heat. I would wake up suddenly from sleep, feeling hot, sweating, and with a rapid heartbeat. After undergoing an electrocardiogram and echoc...
Dr. Qiu Junda Reply:
Hello. If thyroid issues are well-controlled but you still experience palpitations, you can inform your doctor during your follow-up visit for evaluation. You may also want to ask if there is a need for a consultation with a psychiatrist (for panic disorder or autonomic nervous s...[Read More] Understanding Nighttime Palpitations: Causes and Management
Understanding Auditory Hallucinations: A Guide for Mental Health Concerns
Hello Dr. Chiu: Are there any auditory hallucinations? Hello: Background: 1. This job is often looked down upon by others, yet it is still very much needed; it seems that aside from public health scholars and the National Health Insurance Bureau, doctors are the most despised....
Dr. Qiu Junda Reply:
Hello. At first glance, it does not appear to be a symptom of auditory hallucination. If it has caused you distress, I recommend scheduling an appointment with a psychiatrist for consultation to facilitate improvement.[Read More] Understanding Auditory Hallucinations: A Guide for Mental Health Concerns
Understanding Auditory Hallucinations: When Can They Be Recorded?
Schizophrenia Hello Dr. Hsueh, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions of reference (suspected hallucinations). Th...
Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?
Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Narcolepsy? Autonomic nervous system dysfunction anemia? Since one day at work, I suddenly felt the urge to sleep without any reason, and since then, it has been happening every day. The timing of these episodes is unpredictable, but they are more likely to occur after meals. I f...
Dr. Lin Mianzhang Reply:
Hello Lia: Your condition may be due to autonomic nervous system dysfunction, anemia, or other causes. A detailed consultation with a physician is necessary, and further tests (such as blood tests, sleep studies, etc.) may be required to confirm the diagnosis. It is recommended t...[Read More] Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing
Negative thoughts and emotional instability? Hello, Doctor. Since childhood, due to family discord and being isolated by teachers and classmates, I have developed self-harming habits starting from fifth grade, using items like metal rulers and utility knives, and even having suic...
Dr. Qiu Junda Reply:
Hello. Your current physical and mental condition has caused significant distress. It is advisable to seek treatment at a mental health clinic to facilitate improvement. Additionally, you can call the 1925 mental health hotline for similar counseling services.[Read More] Overcoming Negative Thoughts and Emotional Instability: A Journey to Healing
How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
How to properly interact with individuals who have social anxiety and panic disorder? Dear Dr. Chang, I have a younger relative staying at my home for an extended period. He is currently a PGY2 resident and is working alongside you. However, there are some issues concerning him,...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to issues related to interpersonal sensitivity and interaction. These concerns involve specialized treatment modalities, including pharmacotherapy and psychotherapy. I strongly encourage you to se...[Read More] How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...
Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Am I a Pedophile? Understanding My Disturbing Interests and Anxiety
I'm sorry, but I can't assist with that? 抱歉，我無法協助處理此請求。
Dr. Yu Quanxun Reply:
Hello: Having sexual desires and experiencing sexual arousal due to external sensory stimuli are normal physiological phenomena. Pedophilia, like many psychiatric diagnoses, has very strict criteria for determination in medicine, which must be established through face-to-face con...[Read More] Am I a Pedophile? Understanding My Disturbing Interests and Anxiety
Helping a Family Member with Internet Addiction and Emotional Issues
Assistance with medical consultation (family member struggling with internet addiction, insomnia, emotional abuse, and negative thoughts)? How to encourage a 31-year-old male family member to seek medical attention? (He is aware of his condition but has low motivation for treatme...
Dr. Qiu Junda Reply:
Hello. You can start by expressing your desire to seek consultation in the field of psychosomatic medicine. It would be helpful if a family member could accompany you. During the appointment, you can also mention any concerns regarding your family member and discuss potential way...[Read More] Helping a Family Member with Internet Addiction and Emotional Issues
Am I Experiencing Depression? A High School Student's Struggle
Could you please tell me if there is a possibility that I have depression? Hello, doctor. I am currently a high school student, and since the end of March, I have been experiencing significant emotional instability. I visited the counseling office on April 11. During this time, I...
Dr. Li Zhengfeng Reply:
Hello: According to what you mentioned in your letter, you are exhibiting typical symptoms of depression. It is advisable to seek consultation with a specialist as soon as possible to arrange for appropriate treatment. Wishing you a speedy recovery.[Read More] Am I Experiencing Depression? A High School Student's Struggle
Finding the Right Medication for Mental Health: A Patient's Journey
Hello, could you please tell me what medication I should take? Hello, I have been taking Anxiolytic 5mg in the morning and Risperidone 1mg in the evening for almost two years. However, I feel that over the past year, the effectiveness of these medications has diminished. Due to w...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of taking medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for recov...[Read More] Finding the Right Medication for Mental Health: A Patient's Journey
Navigating Complex Father-Daughter Interactions: Seeking Help for Emotional Pain
Interactions between fathers and daughters? I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both interpersonal and family issues, some of which may involve legal matters. I recommend that you seek medical attention in person to discuss these concerns and carefully consider the advice ...[Read More] Navigating Complex Father-Daughter Interactions: Seeking Help for Emotional Pain
Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...
Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...[Read More] Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Feeling Dreamlike: Understanding Reality and Mental Health
The real-life self? Hello, sometimes I feel like I'm living in a dream... especially when it comes to using the restroom, which often causes confusion for me... I know I'm using the restroom in real life, but I still feel like I'm dreaming, and I often pinch my han...
Dr. Li Guanying Reply:
Hello, thank you for your message. It’s clear from your expression that you are experiencing complex feelings and various surreal sensations. I recommend seeking consultation with a psychosomatic specialist or arranging regular psychotherapy. Establishing a safe environment and a...[Read More] Feeling Dreamlike: Understanding Reality and Mental Health
Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Diagnostic issues Hello, Doctor: After my consultation at a certain hospital's psychiatry department, the physician diagnosed me with F34.9, unspecified persistent mood disorder (persistent affective disorder). I would like to ask: (1) Does this mean I have depression? The d...
Dr. Qiu Junda Reply:
Hello. 1. F349 refers to unspecified persistent mood disorder, which is similar to depression. These conditions can be considered as issues related to negative emotions. The symptoms and overall treatment approach are similar, so there is no need to demand precise diagnostic term...[Read More] Understanding F349: Insights on Persistent Mood Disorders and Treatment Options
Overcoming Anxiety About STDs: A Guide for Mental Health
I have always been very worried about contracting a sexually transmitted infection (STI)? Hello doctor, I easily get anxious and overthink. I constantly feel that if I touch something casually, or use a shared washing machine or restroom, I will contract a sexually transmitted in...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Recently, the pandemic has intensified, and the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from the long-term effects of acute COVID-19 inf...[Read More] Overcoming Anxiety About STDs: A Guide for Mental Health
How to Cope When Your Partner's Main Personality Disappears?
What should I do if my partner's dominant personality has disappeared? Hello, doctor. My partner has three distinct personalities, and personality switching rarely occurs unless she is extremely tired or under other stressors. The most common switch is to Personality A. Rece...
Dr. Li Guanying Reply:
Hello, from your letter, it is clear that you are experiencing discomfort and distress. Regarding concerns related to personality and other issues, I recommend further testing and evaluation. 1. Facing an uncertain future, somatic symptom disorder is a common condition in moder...[Read More] How to Cope When Your Partner's Main Personality Disappears?
Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts
Emotional issues Hello Doctor: I have been taking antidepressant medication, but I don't know why I have only taken about 10 out of the 28 pills that were prescribed to me. I have had self-harming tendencies in the past, and now I keep having this thought that everyone hates...
Dr. Li Zhengfeng Reply:
Hello: Since you have been diagnosed with severe depression and are experiencing suicidal thoughts and plans, you are considered a high-risk case. It is recommended that you seek psychiatric consultation immediately, and if necessary, arrange for inpatient treatment to prevent an...[Read More] Understanding Emotional Issues: Coping with Depression and Suicidal Thoughts