Struggling with Schizophrenia: A Journey of Isolation and Hope
Not wanting to make an effort? Hello, doctor. I am a patient in psychiatry with a diagnosis of schizophrenia and have been regularly attending follow-up appointments and taking medication. To keep it brief, I will summarize my situation. When I was younger, I can't recall my...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint. It is recommended to seek consultation with a psychiatrist.[Read More] Struggling with Schizophrenia: A Journey of Isolation and Hope
Managing Medication Withdrawal: Insights on Lorazepam and Sleep Issues
Medication discontinuation issues? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping, I experienced insomnia. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking it, I was able to fall asleep naturally, but now it's wors...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress; however, deciding not to take medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are comm...[Read More] Managing Medication Withdrawal: Insights on Lorazepam and Sleep Issues
Overcorrecting Personality: How to Manage Stress and Pressure at Work
A personality that is prone to overcorrection? After entering the workforce, I was criticized by my colleagues for being too slow, which led me to adopt an extreme approach to correct this. Whether at work or after hours, I rush through tasks, demanding speed and efficiency. When...
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing discomfort and distress due to your perfectionistic personality and the pressures of interpersonal interactions. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic ...[Read More] Overcorrecting Personality: How to Manage Stress and Pressure at Work
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
Distinguishing Between Normal Sadness and Clinical Depression
Unable to distinguish between depressive mood or disorder? I have been experiencing a depressive episode for quite some time. I used to be a positive and happy person, but recently I have been feeling increasingly down. I am wondering if this is just a normal depressive mood. Lif...
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing discomfort and distress due to both depressive symptoms and interpersonal pressures. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires long...[Read More] Distinguishing Between Normal Sadness and Clinical Depression
Understanding Court-Mandated Mental Health Evaluations in Taiwan
Regarding court guardianship declaration? My family has filed for a guardianship declaration case at the Taoyuan District Court, and today I received a call from the court clerk saying that a mental health evaluation is required, possibly arranged at Taoyuan Psychiatric Hospital ...
Dr. Wu Kunhong Reply:
The forensic evaluation process at our institution is as follows: The court notifies the examinee and their family of the evaluation date --> On the evaluation day, the examinee and their family should report to the registration/payment counter with the court document at 8:30 ...[Read More] Understanding Court-Mandated Mental Health Evaluations in Taiwan
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
Managing ADHD and Emotional Challenges: Beyond Medication Solutions
ADHD/ADD and Emotional Regulation Hello, Doctor: I have had symptoms similar to ADHD since childhood. I was taken to National Taiwan University for an evaluation during kindergarten or early elementary school, but I was not given a detailed diagnosis and the doctor attributed it ...
Dr. Li Jite Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about ADHD and anxiety. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires long-term treatmen...[Read More] Managing ADHD and Emotional Challenges: Beyond Medication Solutions
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?
Understanding the Risks of Combining Zoloft and Deanxit for Mood Disorders
Risks of Drug Interactions Hello Dr. Wu, I recently visited two hospitals, and both doctors prescribed me mood stabilizers Zoloft and Deanxit. According to the information provided, both medications have mood-stabilizing effects. I would like to know if it is safe to use them tog...
Dr. Wu Enliang Reply:
Dr. Wu Enliang is available for consultation.[Read More] Understanding the Risks of Combining Zoloft and Deanxit for Mood Disorders
Managing Sleep Disturbances and Anxiety After Medication Changes
It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...
Dr. Tian Xinqiao Reply:
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...[Read More] Managing Sleep Disturbances and Anxiety After Medication Changes
Understanding OCD: Experiencing Disconnection and Loss of Reality
Obsessive-compulsive disorder can lead to a sense of detachment, as if one has lost touch with reality? Hello Doctor: I have been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. When my condition is stable, I hardly experience any symptoms, and even when ...
Dr. Wu Enliang Reply:
It is indeed possible that the symptoms are caused by obsessive-compulsive disorder (OCD), as individuals may experience feelings of derealization when they are anxious. Dr. Wu En-Liang.[Read More] Understanding OCD: Experiencing Disconnection and Loss of Reality
Understanding Earworms: Are They a Form of Obsessive Thinking?
Will earworms disappear, or is it a form of obsessive thinking? Hello Doctor: I am currently a second-year junior high school student. Since early November, I have been experiencing symptoms similar to an earworm, but they have intensified and are affecting my daily life. One Fri...
Dr. Wu Enliang Reply:
Some early symptoms of serious mental illnesses can indeed resemble this. It is strongly advised to seek consultation with a psychiatrist as soon as possible. Dr. Wu Enliang[Read More] Understanding Earworms: Are They a Form of Obsessive Thinking?
Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Post-COVID Syndrome - Brain Fog Hello, doctor. I already have mental health issues (schizophrenia and obsessive-compulsive disorder), which affect my memory and ability to concentrate, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. The Centers for Disease Control and Prevention (CDC) in the United States has defined the symptoms arising from the long-term effects of acute COVID-19 infection as "Post-COVI...[Read More] Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
I'm not sure what to do~ I hope the doctor can help me? Your question: Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and developed insomnia, which I never experienc...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of stomach pain. Whether this is related to the medication Lorazepam requires a professional diagnosis by a physician. ...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
Consultation on Medication Addiction and Tapering Strategies
Substance addiction counseling and medication tapering consultation? Hello, doctor. Over a year ago, I developed autonomic nervous system dysregulation due to anxiety disorder, and I am currently undergoing treatment. The medications I am taking include one tablet of Xyprexa in t...
Dr. Qiu Junda Reply:
Hello. Generally, sleeping medications do have the potential for addiction, and the sleep medication you are using falls into this category. Whether the dosage is too high varies depending on the condition, so please discuss this with your attending physician. If you wish to redu...[Read More] Consultation on Medication Addiction and Tapering Strategies
Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Side effects of Jinfusu? Hello Dr. Lee: I have been taking Risperidone for 16 years, but after a miscarriage in 2020, my menstrual cycle has been irregular. Blood tests at the obstetrics and gynecology department showed elevated prolactin levels. Could this be caused by taking Ri...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to irregular menstruation and elevated prolactin levels. Whether this is related to the medication Cabergoline requires a professional diagnosis. 1. Facing an uncertain future, s...[Read More] Understanding Prolactin Elevation from Long-Term Use of Antipsychotics
Understanding Emotional Instability: Anxiety and Coping Mechanisms
Emotional issues, anxiety, emotional instability? Sometimes when I argue with others, I can't control myself and feel very anxious. Since childhood, I've been accustomed to hitting the wall to vent my emotions and would secretly hide to cry. Around middle school, I star...
Dr. Qiu Junda Reply:
Hello. Regardless of whether it is normal or not, this is an inappropriate emotional expression pattern, especially with self-harming behavior. It is recommended to seek consultation and evaluation from a mental health professional to facilitate early improvement.[Read More] Understanding Emotional Instability: Anxiety and Coping Mechanisms
Is My Boyfriend's Mom Exhibiting Signs of Bipolar Disorder?
My boyfriend's mother loves to talk to herself? My boyfriend's mother loves to talk to herself and is very chatty. Sometimes when everyone is in the living room, she will ramble on without a specific target; other times, when no one is around, she continues to talk or m...
Dr. Qiu Junda Reply:
Whether the condition reaches the level of a disorder (such as bipolar disorder or others) requires further evaluation. If the individual is willing, assistance can be provided for a consultation (informing the individual that seeking consultation does not necessarily mean they h...[Read More] Is My Boyfriend's Mom Exhibiting Signs of Bipolar Disorder?
Improving Focus and Energy for Graduate Students: Tips and Solutions
Difficulty concentrating? Hello Doctor, I am a graduate school candidate living a routine of studying from waking up to going to bed. I usually sleep around 1 AM and wake up naturally between 8 and 9 AM. I often experience chest tightness and palpitations, which may be due to caf...
Dr. Qiu Junda Reply:
Hello. Postprandial blood sugar levels increase. My study efficiency is already low, and exam stress can also have an impact. I suggest, as you mentioned, to seek a consultation (with a psychiatrist) for quicker improvement.[Read More] Improving Focus and Energy for Graduate Students: Tips and Solutions