Consultation, Psychiatry FAQ

Concerns About Medication: Navigating Psychiatric Prescriptions Safely

Medication issues Hello, doctor. I visited a psychiatric clinic last Saturday. Although I found the consultation somewhat strange, I chose to trust the physician's diagnosis. The doctor mentioned that I seem to have depression and prescribed Xanax 0.25 mg (alprazolam) and Es...

Dr. Huang Xiaoxian Reply:
Hello Ms. Li: Regarding the situation you mentioned, it seems there may be some concerns about the diagnosis? Since I am not familiar with your actual condition, I recommend discussing it further with your physician to obtain more information. As for the medications prescribed, t...

Understanding Intrusive Thoughts and Compulsive Behaviors in Mental Health

Improving small movements, hoping to be a bit sunnier? I apologize for the interruption, but I have some questions I would like to ask the doctor. My organizational skills are poor, so I appreciate your help! Sometimes, I have strange thoughts that pop into my mind unexpectedly, ...

Dr. Wang Zhenyang Reply:
Hello, Miss: I recommend that you seek consultation at a psychiatry or psychosomatic medicine clinic. The physician will need to ask you further questions about your condition in order to diagnose your issues and provide treatment options. Thank you for your message, and I wish y...

Understanding the Struggle: Navigating Depression and Identity Crisis

I don't know who I am? Hello Doctor, I have been diagnosed with depression and generalized anxiety disorder. During my appointments, I often mention to my doctor that I feel like there are two versions of myself inside my body, but the doctor seems to dismiss it. For example...

Dr. Huang Xiaoxian Reply:
Dear Little Raindrop: Hello, thank you for your question. The voices you mentioned, along with the thoughts from different aspects of yourself, may require further clarification regarding their origins. Various situations can lead to the aforementioned experiences. From a psychol...

Struggling with Health Anxiety: When to Seek Mental Health Support

I think I have a mental illness? Hello, doctor. I feel that my tendency to worry about illness is getting out of control. Ever since I discovered a swollen lymph node in my neck over two months ago that hasn't gone down, I've been obsessively visiting various hospitals ...

Dr. Huang Xiaoxian Reply:
Hello, Xiao K. I'm sorry to hear that you are troubled by health-related anxiety. The fear of illness is a common issue that many people encounter throughout their lives. Some individuals may experience anxiety about death when faced with stressful life events or when friend...

Managing Sleep Issues and Emotional Distress: A Guide for Teens

Sleep and Emotional Disturbance Hello, I have been struggling with an issue. Since fifth grade, I have gradually become more withdrawn, often not smiling and starting to have negative thoughts. When I entered junior high, there was a brief improvement, but later on, I found mysel...

Dr. Huang Huiqun Reply:
Dear Giotto, thank you for your inquiry. You mentioned that starting from fifth grade, you gradually became more withdrawn, experienced lower mood, and had negative thoughts. There was a brief improvement during middle school, but later on, feelings of jealousy intensified, leadi...

Is It Delusion? Understanding Anxiety and Intrusive Thoughts

Is it a delusion? Hello, doctor. I have been suffering from generalized anxiety disorder for a long time, and for the past two years, my biggest worry has been whether I might develop schizophrenia. I constantly worry about this, so I often search online for information about the...

Dr. Lin Mianzhang Reply:
Hello, based on your description, it seems possible that you are experiencing symptoms of obsessive thinking. However, whether it is obsessive-compulsive disorder (OCD) requires a comprehensive evaluation of other factors, such as any underlying physiological issues or effects fr...

Is a 25ml Dose of Pentobarbital Sodium 250mg/ml Fatal? Symptoms Explained

Could you please provide more details about the medication refill issue #143883? Taking 25 ml of pentobarbital sodium at a concentration of 250 mg/ml would result in a total dose of 6250 mg. This amount is significantly higher than the therapeutic dose and could potentially be le...

Dr. Huang Xiaoxian Reply:
Dear Cream, regarding your inquiry, I have verified through the National Health Insurance Administration's website that this medication was revoked in 2013 and cannot be legally obtained in the country. This medication is classified as a Schedule III controlled substance, an...

Understanding the Risks of Untreated Bipolar Disorder: Hallucinations and More

Will patients with bipolar disorder who refuse to seek medical treatment and take medication experience severe hallucinations? Dear Dr. Hsueh, My mother has been exhibiting symptoms of bipolar disorder for over 20 years. However, since my father accompanied her to the psychiatri...

Dr. Xue Gengming Reply:
Regarding patients with bipolar disorder who refuse to seek medical treatment or take medication, severe cases may indeed experience hallucinations. It is advisable to consult a physician for an appropriate assessment of the condition. Wishing you good health.

Impact of Video Game Addiction on Mental Health and Cognition

Addiction to video games can lead to physical and mental health issues? Is it true that video game addiction can affect cognition or have other impacts? I've heard it has been classified as a mental disorder, especially since people spend several hours online every day. Cogn...

Dr. Qiu Junda Reply:
Hello. The addiction to video games or the internet is an increasingly pressing issue that indeed affects cognitive and emotional management as well as work and academic performance. Regardless of whether it qualifies as a mental disorder, I recommend engaging in general leisure ...

Understanding Dissociative Identity Disorder and Hypnosis in Mental Health

Dissociative Identity Disorder, Hypnosis, Others I have memories of certain things, but it feels like they don't belong to me; they seem more like someone else's memories. I exist within a world that has different phases: the original system, the temporary system, the n...

Dr. Qiu Junda Reply:
Hello. I apologize for any terminology in the message that may be unclear. I am unable to address your questions. I recommend that you visit a nearby mental health clinic or psychiatric institution for a face-to-face consultation, which would be more beneficial. Thank you.

Understanding Anxiety Symptoms: When Worry Becomes Overwhelming

I'm not sure what the symptoms are? I feel like I've been very afraid of various diseases over the past two years, which has led me to frequently visit hospitals, but all my tests have come back normal. I've also become quite anxious about death, worrying about dif...

Dr. Qiu Junda Reply:
Hello. The issues described in the text are primarily symptoms of anxiety and have significantly caused distress. There is a need for consultation. It is recommended that you seek advice from a mental health clinic as soon as possible. With proper treatment, your condition should...

Should I Seek Therapy for My Social Anxiety and Isolation?

Should I consider undergoing psychotherapy? I have been relatively introverted and reclusive since childhood. In a new environment, I never initiate friendships; I can only get to know people if someone approaches me first. If no one reaches out, I end up with no friends in class...

Dr. Qiu Junda Reply:
Hello. The situation described in your message has room for improvement. I recommend that you consult a mental health specialist (what you referred to as a psychologist). If that's not convenient, please reach out to Teacher Chang's hotline (1980). They also provide cou...

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...

Understanding Bipolar Disorder: Signs, Symptoms, and Self-Help

Is it bipolar disorder? When feeling depressed, I sometimes cry and blame myself for past events, feeling sorry for my family and having thoughts of suicide. I feel useless, have no friends, experience insomnia, and cannot smile. During hypomanic episodes, I feel excited, don...

Dr. Qiu Junda Reply:
Hello. The emotional changes described in the text need to be further evaluated to determine if they reach the level of bipolar disorder. It is recommended that you take the time to visit a nearby mental health (psychiatry) clinic for consultation. Communicate with the physician,...

Should I See a Doctor for My Mental Health Concerns?

Do I need to see a doctor? Hello, I am currently a high school freshman. Since last year, I have experienced several months of feeling down, poor sleep, frequent crying spells, and overall weakness. I have lost interest in other activities and often have very negative thoughts. H...

Dr. Huang Jiabin Reply:
Hello: Please seek medical attention as soon as possible; delaying it will have a greater impact on your life and result in more significant losses. The consultation fee is covered by the National Health Insurance, so it will only be a couple of hundred NT dollars at most, unless...

Seeking Guidance for Overcoming Negative Thoughts and Self-Harm

I hope to receive some suggestions? Hello, doctor. Due to the influence of my family since childhood, I realize that I have a very negative and closed personality, along with a strong capacity for endurance. Certain factors have led me to strongly dislike humanity. Additionally, ...

Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions and self-harming behavior. I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health. I recommend that you consult a mental health professional (what you refer to as a psycho...

Am I Exaggerating My Mental Health Issues? Understanding Self-Perception

Exaggerating symptoms? / Feeling like you're not yourself? Hello, doctor. This year, I have received psychiatric treatment. During my follow-up visits, the doctor asks me questions, and I always tend to focus on the negative aspects of my situation. For example, when asked i...

Dr. Huang Jiabin Reply:
Hello: The situation described above is referred to as "dissociation." Dissociation occurs when, under strong psychological pressure, our subconscious attempts to exclude certain experiences, leading to a temporary inability to connect with those experiences on a subjec...

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...

Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery

Social anxiety and unemployment with no clear future? I have been very introverted since childhood and have never dared to initiate conversations with others. Throughout my school years, my teachers consistently commented that I was not good at expressing myself. More than one te...

Dr. Wu Enliang Reply:
Hello, Nobody. Thank you for taking the time to write. You have truly faced many hardships over the years, and your situation is indeed very challenging. I will address your questions one by one: (1) Due to previous unpleasant experiences seeking help, I am actually very afraid ...

Is It Serious? Understanding Mental Health Struggles and Solutions

Is it serious? I force others to say what I want. I feel depressed every day, suffering constantly, often locking myself in my room without doing much, only thinking negative thoughts. As I think, thoughts arise in my mind: my life has no meaning, and if I die, I wouldn't ha...

Dr. Qiu Junda Reply:
Hello. The text indicates that you have been experiencing long-term negative emotions such as anxiety and depression, which have significantly affected your daily life and mental health. It is recommended that you seek treatment at a mental health clinic as soon as possible. If t...

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