Navigating Medication Challenges in Psychiatric Care: A Personal Journey
Is it a problem with the medication? I have forgotten why I initially sought psychiatric care at a regional hospital. At that time, the prescription was as follows: on June 19, 2017, I was prescribed "Xindong" Ambien 0.5 mg and Ulotin 2 mg (aluminum foil/plastic foil). ...
Dr. Huang Jiabin Reply:
Hello: Based on the medication you provided, it mainly consists of antidepressants and various sedative-hypnotics. I recommend that for your central nervous system medications, if possible, you should have a single physician prescribe them. This is because most of the medications...[Read More] Navigating Medication Challenges in Psychiatric Care: A Personal Journey
Understanding My Mental and Physical Health Struggles: A Personal Journey
I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...
Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey
Feeling Lost: A High Schooler's Struggle with Mental Health
It seems like I don't recognize myself anymore? I'm currently in my second year of high school, and I don't know when I started feeling this way. Every morning, I dread getting up and wish I could just sleep forever. On weekends, I mostly stay in my room and have l...
Dr. Huang Xiaoxian Reply:
Hello, it sounds like you have been experiencing significant changes in your mood lately, even having thoughts of hopelessness. I'm not sure if there have been any other major events in your life. I recommend seeking professional medical assistance to clarify your symptoms a...[Read More] Feeling Lost: A High Schooler's Struggle with Mental Health
Understanding Dissociative Identity: Signs, Symptoms, and Seeking Help
Dissociative Identity Disorder (DID) Hello, doctor. I don't know what's wrong with me, but my classmates say that sometimes I am completely different from my usual self. Normally, I am very talkative, optimistic, and love to make people laugh. However, during a recent d...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text are quite diverse, but there seems to be a predominance of negative emotional behaviors, including suicidal (self-harming) actions. I hope you can cherish yourself. Just as you are asking questions, it is likely that you hope to improve y...[Read More] Understanding Dissociative Identity: Signs, Symptoms, and Seeking Help
Understanding Touch Aversion: Is It Linked to Severe Depression?
Dislike being touched by others? I do not like to be touched by anyone, whether it's my boyfriend, male friends, or female friends. I feel very uncomfortable whenever they touch me. I also dislike exposing my skin; even in hot weather, I wear long sleeves and long pants. Thi...
Dr. Qiu Junda Reply:
Hello. The situation described in the text requires more information for assessment and judgment. It is also important to consider whether there is a history of major depressive disorder, as it can lead to negative thought patterns. For instance, feeling aversion towards intimate...[Read More] Understanding Touch Aversion: Is It Linked to Severe Depression?
Understanding My Mental Health: From Nail Biting to Dark Impulses
What illness do I have? Since I was young, I have had the habit of biting and picking at my nails. Now that I am 20 years old, the situation has become increasingly severe. Sometimes I pick until the nail tissue turns gray or bleeds, yet I cannot stop the urge to pick all my nail...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text are likely adverse reactions to stress, causing significant distress both physically and mentally. Regardless of the specific illness (which still needs to be evaluated), I recommend that you first search for information on stress managem...[Read More] Understanding My Mental Health: From Nail Biting to Dark Impulses
Understanding Childhood Trauma and Its Impact on Mental Health
Dissociative Identity Disorder (DID) When I was a child, before I started elementary school, I would throw tantrums, and my mother would call the police to our house. The police would then press a shield against me. After I calmed down, they would stop using the shield. When I wa...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, In your letter, you mentioned some past issues, including your parents' disciplinary methods and attitudes, as well as concerns about how your childhood may have impacted your personality. I believe your thoughts are very valid and important. You also mentio...[Read More] Understanding Childhood Trauma and Its Impact on Mental Health
Understanding the Role of Psychiatrists: Questions and Challenges in Mental Health Care
Psychiatrist Why do psychiatrists seem like they're conducting a background check? They keep asking how old you are, how many siblings you have, your home address... they don't stop asking questions. Not speaking means you have auditory hallucinations... When I say the ...
Dr. Liang Sunyuan Reply:
Hello: During the initial consultation in psychiatry, a detailed medical history inquiry is usually conducted. This is crucial for understanding your condition and determining the causes of your symptoms. The more detailed the questions, the more it indicates the physician's...[Read More] Understanding the Role of Psychiatrists: Questions and Challenges in Mental Health Care
Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Mirtazapine, also known as Remeron? Previously, I visited a family medicine clinic for insomnia, where the doctor prescribed "Suvorexant." Later, during a consultation with a psychiatrist, the doctor suggested that Suvorexant was not very effective and switched the pres...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I apologize for the delay in my response, as your question was forwarded to me by the supervising unit on April 19 due to the previous physician's departure. Regarding the medication "Zolpidem" (known as "導美睡"...[Read More] Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Understanding Xanax XR: Managing Anxiety and Withdrawal Symptoms
Xanax XR (Alprazolam Extended Release) Recently, I haven't been feeling well, and with the stress of taking leave from work, I consulted a cardiologist. They performed an electrocardiogram and X-ray, which showed no issues, but my blood pressure was slightly elevated. After ...
Dr. Qiu Junda Reply:
Hello. Xanax has anxiolytic and sleep-inducing effects, and it is indeed possible to experience withdrawal symptoms. However, it is not accurate to say that one will never be able to sleep naturally again. If you wish to discontinue the medication, it is important to discuss a gr...[Read More] Understanding Xanax XR: Managing Anxiety and Withdrawal Symptoms
Understanding Insomnia and Trust Issues in Psychiatric Care
Insomnia and consultation issues? There are some uncertainties regarding whether I am experiencing insomnia. For about five years now, whenever I close my eyes, I feel like there is an eye in the darkness in front of me. Just one eye, looking to the right from the side. I always ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the process you described, I can sense the discomfort and sleep disturbances you have experienced over the past few years. We are also concerned about how such sleep issues may affect your daytime academics, work, and daily life. You mentioned that provi...[Read More] Understanding Insomnia and Trust Issues in Psychiatric Care
Understanding Intrusive Thoughts and Self-Harm in Mental Health
There may be suicidal thoughts or imagery in the mind? Whenever I encounter some stress and feel down, I start to feel worthless, and images of self-harm come to my mind, along with thoughts of suicide. Last year, I went through some significant events that made things very serio...
Dr. Qiu Junda Reply:
Hello. The text reveals negative emotional thoughts. I'm glad you can cherish yourself (just like you would tell yourself not to commit suicide). Regardless of whether it is depression or not, I suggest you consult a mental health professional. If that's not convenient,...[Read More] Understanding Intrusive Thoughts and Self-Harm in Mental Health
Unsure About Depression: Should I Seek Help from a Psychiatrist?
I'm not sure if it's depression, and I'm uncertain whether I should visit a clinic? The situation has been ongoing for a long time and is somewhat complicated, making it difficult for me to understand my own circumstances and the key issues. I apologize for the len...
Dr. Liang Sunyuan Reply:
Hello: Self-harm can indeed become addictive. Feelings of emptiness and pain are part of our emotional experience. It is advisable to first accept these emotions and gradually build resilience against them. Avoid rushing into self-harm; instead, take the time to understand what i...[Read More] Unsure About Depression: Should I Seek Help from a Psychiatrist?
Managing Anxiety and Medication: Insights for Patients with Lumps
Inquiries about emotional and medication issues? Hello Doctor, about a month and a half ago, I noticed a lump under my left neck near the clavicle. Its size hasn't changed significantly, remaining less than one centimeter, and it feels somewhat flat (it seems to fluctuate in...
Dr. Liang Sunyuan Reply:
Hello, Xiao Ke: Since you have already seen three doctors who all believe it is a lymph node issue, you should not worry too much about it. It is advisable to accept that you tend to be anxious and not to focus too much on whether you are touching that lymph node. Remind yourself...[Read More] Managing Anxiety and Medication: Insights for Patients with Lumps
Understanding Family Rights in Schizophrenia Care and Communication
The right of family members to be informed about the condition of a patient with schizophrenia? Hello, my brother (32 years old) is suspected of having schizophrenia. He has stated that he was diagnosed with schizophrenia by a psychiatrist, and he argued that he is being stigmati...
Dr. Xiao Minghong Reply:
Dear Ms. S, In order to reduce stigma, schizophrenia is now referred to as schizophrenia spectrum disorder. One of the most common symptoms is lack of insight, where patients believe they are not ill and therefore do not see the need for treatment, which can sometimes cause dist...[Read More] Understanding Family Rights in Schizophrenia Care and Communication
Understanding Emotional Outbursts: Is It Normal for Family Members?
Is it normal to dwell on past grievances and lash out at family members? Hello, Dr. Huang. My mother is 56 years old and has been orphaned since childhood. She constantly dwells on things that family members have said or past events, leading to self-pity. She often experiences an...
Dr. Huang Huiqun Reply:
Dear Guo Meijun, Hello. I see that you have described your mother's condition. It seems that your mother is often in a negative emotional state, and when facing significant stress, her emotions become even harder to control. Additionally, she lacks appropriate outlets for h...[Read More] Understanding Emotional Outbursts: Is It Normal for Family Members?
Am I Experiencing Depression? Understanding Emotional and Physical Struggles
Could this be depression...? I've recently been thinking about some things my ex-boyfriend said when we broke up, as well as the happy times we had together, and I've been crying a lot. It feels so unreal. Additionally, the pressure from schoolwork and financial stress ...
Dr. Huang Huiqun Reply:
Dear Ms. Lin, based on your description, you have been experiencing significant symptoms of depression recently. It is recommended that you visit a psychosomatic medicine clinic for further consultation and evaluation with a physician.[Read More] Am I Experiencing Depression? Understanding Emotional and Physical Struggles
Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
I don't know what's wrong with me? Hello doctor, while I am organizing things or handling company affairs, I often forget things that others have reminded me of or taught me after a while. Keeping a journal or notebook hasn’t helped (sometimes I even forget to bring the...
Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions, which seem to be affecting your physical and mental health as well as your social and occupational functioning. I recommend that you consult a mental health professional (what you referred to as a psychologist) as soon as possi...[Read More] Understanding My Mental Struggles: Seeking Help for Memory and Mood Issues
Managing Performance Anxiety: Should You Combine Xanax and Propranolol?
Medication consultation I am a piano student, but I get particularly nervous every time I perform on stage, my heart races, and my hands feel cold. I have an exam coming up, so I consulted a psychiatrist who prescribed me "ALPRAZOLAM" (Xanax 0.5mg) and "PROPRANOLOL...
Dr. Liang Sunyuan Reply:
Hello Mr. Chen: If Xanax is ineffective, you may switch to propranolol, which has better control over heart rate. If issues persist, it is recommended to return for a follow-up consultation with your physician. Best wishes to you.[Read More] Managing Performance Anxiety: Should You Combine Xanax and Propranolol?
Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Lower esophageal sphincter relaxation gastroesophageal reflux disease (GERD) Hello Doctor: I experienced a panic attack at the end of December two years ago, which led to a diagnosis of anxiety disorder, and I have been continuously using psychiatric medication since then. Later,...
Dr. Qiu Junda Reply:
Hello. Patients with anxiety disorders often experience various physiological symptoms, which can occur in different parts of the body. Gastrointestinal issues, including gastroesophageal reflux disease (GERD), are also commonly observed. It is advisable for you to seek consultat...[Read More] Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease