Understanding Lip Picking: OCD or Anxiety Disorder?
Is this obsessive-compulsive disorder, or is it caused by anxiety? Hello, doctor. I am a senior student. For the past three years, my family has been constantly reminding me not to pick at my lips, but I don't know why I can't control it. In my memory, I started pulling...
Dr. Huang Xiaoxian Reply:
Dear Joseph, thank you for your question. I can tell that this situation is causing you a lot of distress. Many people exhibit repetitive behaviors to alleviate anxiety, such as leg shaking, nail-biting, or skin picking. Some individuals can regulate the frequency of these behavi...[Read More] Understanding Lip Picking: OCD or Anxiety Disorder?
Is There a Risk of Serotonin Syndrome with My Current Medications?
Is there a possibility of developing a fatal serotonin syndrome? Psychiatry: Before bedtime, YOU-JET (SERTRALINE) 50mg * 1 tablet, Eurodin 2mg * 2 tablets, Zolpidem 10mg * 2 tablets. Dermatology: After dinner, Doxepin 25mg * 2 tablets; before bedtime, Doxepin 25mg * 2 tablets; ...
Dr. Liang Sunyuan Reply:
Hello: The combination of medications should take into account the individual patient's condition and their metabolic capacity for the drugs. This requires an in-person assessment along with a detailed review of the medication history and treatment history. If you have any d...[Read More] Is There a Risk of Serotonin Syndrome with My Current Medications?
Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
ADHD test results and health insurance medication issues? Hello, Doctor. I am Lin, the student who previously inquired. I went to review my ADHD report today. After the doctor reviewed it, he prescribed me Adderall, but since I had not been prescribed long-acting medications like...
Dr. Wang Yazhen Reply:
Dear Student Lin, Thank you for your trust. Regarding your questions: 1. Testing cannot replace a doctor's diagnosis; it serves as a reference for the physician's assessment. 2. There isn't a definitive reason for what medications are covered by health insurance....[Read More] Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
Understanding Insomnia and the Risks of Lendormin Use
Insomnia and Sleeping Pills I'm sorry, doctor, I would like to ask you some questions. I previously visited a doctor and was diagnosed with autonomic nervous system dysfunction. During this time, I feel that I don't have any particular stress, and I exercise regularly, ...
Dr. Qiu Junda Reply:
Hello. There are many causes of insomnia, and stress is one of the common reasons. However, sleep issues can also occur without any specific stress. Most sedative-hypnotic medications have the potential for addiction, and Lendormin 0.25 mg is no exception. Nevertheless, if treatm...[Read More] Understanding Insomnia and the Risks of Lendormin Use
Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Adult Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders? Hello, Doctor. I am a 23-year-old male student and would like to inquire about adult Attention Deficit Hyperactivity Disorder (ADHD). Regarding my background: I exhibited some behavioral issues in elemen...
Dr. Wang Yazhen Reply:
Hello, Chen Dada: Thank you for providing such a detailed description of your situation. Regarding whether your condition may be ADHD, I recommend seeking an evaluation from a physician specializing in child and adolescent psychiatry. In short, there can be many reasons for diffi...[Read More] Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Understanding Frequent Urination: When to See a Urologist or Psychiatrist
Frequent urination issues? In situations involving long journeys or the inability to access a restroom, one may experience frequent urination, needing to go every 10 minutes. In daily life, this can lead to anxiety about finding a restroom, causing individuals to visit the bathro...
Dr. Wang Yazhen Reply:
Hello, Hong Li-Ya: As you mentioned, it is advisable to first consult a urologist to determine if there are any physiological factors involved. If physiological issues are identified, they should be addressed accordingly. If not, then it would be appropriate to seek a psychiatric...[Read More] Understanding Frequent Urination: When to See a Urologist or Psychiatrist
Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Physical condition Hello Doctor, five days ago I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists. Recently, the pain has lessened when I press on it, but there is still a continuous ache that has become more pronounced over the last ...
Dr. Liang Sunyuan Reply:
Hello, thank you for your hard work. Since the examination has already been scheduled, I recommend being patient and waiting. The body actually has a certain capacity for self-repair, and in a relaxed environment, many physical symptoms can gradually improve. It is advisable to s...[Read More] Understanding Your Symptoms: Navigating Anxiety and Health Concerns
Overcoming Negative Emotions: Seeking Help Without Guilt
Prolonged negative emotions and thoughts of death? Hello, Doctor: I apologize for reaching out again. Thank you for your response to my previous message. I have downloaded the mood thermometer app and initially gathered the courage to make an online appointment with a nearby ment...
Dr. Wu Enliang Reply:
Hello, netizen: May I ask what score you received on the mood thermometer? If it's 10 or below, I still recommend consulting a specialist. If it's 15 or above, or if you have suicidal thoughts rated at 2 or above, you definitely need to seek medical attention! Dr. Wu En...[Read More] Overcoming Negative Emotions: Seeking Help Without Guilt
Managing Panic and Anxiety: When to Seek Medical Help Again
Panic and Anxiety Hello, doctor! I was diagnosed with panic disorder and anxiety during high school, and I underwent medication treatment at that time, even experiencing severe episodes that required emergency care. For the first one to two years of college, I felt normal and had...
Dr. Wang Yaoting Reply:
Hello Ms. Fang: The condition that was originally well-controlled has suddenly worsened without any specific events. It may be necessary to consider whether this is caused by endocrine or other bodily factors, such as thyroid dysfunction or mitral valve prolapse, among others. If...[Read More] Managing Panic and Anxiety: When to Seek Medical Help Again
Understanding Memory Gaps: When Conversations Haunt Your Mind
Frequent occurrences of conversations in my mind, but I often experience memory lapses regarding when and where they took place? Recently, I have been experiencing a phenomenon where I suddenly recall certain phrases from conversations I had the previous day. These phrases pop in...
Dr. Wu Enliang Reply:
Hello, online user: There may be prodromal symptoms of disease recurrence, so it is advisable to return for a follow-up consultation as soon as possible to prevent it from becoming uncontrollable! Dr. Wu Enliang[Read More] Understanding Memory Gaps: When Conversations Haunt Your Mind
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
How to Support a Partner with Paranoia and Mental Health Issues?
My girlfriend is exhibiting moderate symptoms of paranoid delusions (schizophrenia). How can I gently guide her towards seeking medical help? I have been in a relationship with my girlfriend for over four years, but due to my studies abroad, I have been unable to closely monitor ...
Dr. Liang Sunyuan Reply:
Hello Mr. Zheng, based on her symptoms, it seems she needs to seek medical attention. It is advisable to encourage her in a way that she can accept, such as discussing her symptoms like insomnia, restless sleep, or muscle tension, and see if these physical symptoms can motivate h...[Read More] How to Support a Partner with Paranoia and Mental Health Issues?
Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Consultation on Medications for Sleep and Panic Anxiety Hello, Dr. Lin. I have been a patient with anxiety and panic for over 10 years. I have been taking Rifuxin (Lifuyou) once a day, every night before bed. However, recently I have been suffering from a stomach condition that h...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: Suemianos can be taken together with Rifampicin and Liyou, and the order of administration will not affect their efficacy. A small number of people may experience sleepwalking or amnesia while taking this medication, but whether these side effects occur can only be...[Read More] Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Struggling to Focus: Tips for Overcoming Distractions During Exam Prep
Unable to concentrate? I am a repeat examinee this year (re-taking university entrance exams). From more than 100 days ago, I started feeling anxious, thinking that I might not be able to finish studying. I couldn't concentrate on my studies and kept wanting to play on my ph...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of time. I would like to share some insights on life management and coping with stress. Living in this world inevitably brings about feelings of inadequacy and ...[Read More] Struggling to Focus: Tips for Overcoming Distractions During Exam Prep
Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Sleep issues I previously experienced a sudden onset of insomnia, which persisted afterward. I consulted a doctor who prescribed me anti-anxiety medication and sleeping pills. Later, I visited another doctor who suggested that I could sleep without medication, advising me to stop...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your description in the letter, it is evident that you are experiencing discomfort and anxiety. While it is difficult to determine your diagnosis at this moment, it is likely related to anxiety combined with insomnia. Currently, the primary treatment option ...[Read More] Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Understanding Bipolar Disorder: Headaches and Medication Concerns
Bipolar disorder-related issues? I used to be a patient with bipolar disorder but have not taken medication for two years (due to pregnancy). During this time off medication, I have not experienced any signs of relapse. However, today I suddenly had a severe headache that lasted ...
Dr. Peng Liyun Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your medication and headache issues. I recommend that you discuss these concerns directly with your physician. Additionally, regular outpatient follow-ups are very important....[Read More] Understanding Bipolar Disorder: Headaches and Medication Concerns
Overcoming Silence: Navigating Social Anxiety and Family Expectations
Unable to speak? I often have relatives telling me that I have a bad personality because I don't speak much. They say they have been enduring my silence for a long time, but in reality, I do want to talk. I know that I grew up in an environment filled with violence and oppre...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and anxiety. Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression or obsessive-compulsive disorder. In...[Read More] Overcoming Silence: Navigating Social Anxiety and Family Expectations
Do Medications Like Lurasidone and Quetiapine Cause Weight Gain?
Drug side effects Will taking Liyou and Beteshu cause weight gain? I have been taking them for a year and have gained weight from 75 kg to 93 kg (I have polycystic ovary syndrome and I'm not sure which factor is causing the weight gain).
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common for individuals suffering from depression or anxiety to use medications such as Lurasidone (Liouyu) and Bupropion (Beideshu) in clinical settings, as improvement in these conditions often lea...[Read More] Do Medications Like Lurasidone and Quetiapine Cause Weight Gain?
Understanding Intrusive Thoughts: Are They a Sign of Anxiety or OCD?
I'm sorry, but I cannot assist with that? Thank you for your response. I would like to ask if constantly having these thoughts and feeling unable to control them is a form of obsessive thinking? Could it be caused by excessive anxiety? Thank you.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. For coping with obsessive thoughts, I suggest reading more layered short texts to divert your attention and stimulate deeper cognitive processes. Here is a shared passage: Zhua...[Read More] Understanding Intrusive Thoughts: Are They a Sign of Anxiety or OCD?
Understanding Dementia: Hallucinations and Memory in Elderly Patients
Dementia issues Hello Doctor: My father, who is 72 years old, recently suffered a fall that injured his cervical spine. After surgery, he has been completely paralyzed and has been residing in a rehabilitation center for over three months. Recently, he has been experiencing persi...
Dr. Wu Enliang Reply:
Hello, online user: It sounds less like dementia and more like psychiatric symptoms caused by physical issues, such as delirium. I recommend considering hospitalization to determine the underlying cause of the illness. Does the care facility have contracted physicians available f...[Read More] Understanding Dementia: Hallucinations and Memory in Elderly Patients