Consultation, Psychiatry FAQ - Page 8

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Medication Consultation for Sleep Issues During Pandemic

Medication consultation for sleep issues? Hello, doctor. Due to the recent surge in the pandemic, there are some confirmed cases near my home, making it inconvenient to visit the hospital to consult my attending physician. I would like to ask about taking Mirtazapine 3 mg, Olanza...


Dr. Wu Enliang Reply:
The medication "Good Silence" is an anxiolytic that can indeed help some individuals reduce their anxiety levels and improve their sleep. However, the required dosage varies from person to person. Antidepressant medications cannot be used to infer the severity of depres...

[Read More] Medication Consultation for Sleep Issues During Pandemic


Understanding Autonomic Nervous System Disorders and Muscle Symptoms

Autonomic nervous system dysfunction related to muscle issues? Hello Doctor, I have recently experienced symptoms such as involuntary trembling of my fingers when raised and a rapid heartbeat. I had my thyroid function tested, which came back normal. I then consulted a neurologis...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...

[Read More] Understanding Autonomic Nervous System Disorders and Muscle Symptoms


Excessive Sleep and Its Impact on Mental Health: A Guide

Excessive sleep duration can lead to physical and mental lethargy? Hello Doctor, I previously took Funnix for a few months, and my depressive tendencies improved somewhat, but I developed severe social anxiety. Recently, I switched to venlafaxine, starting with 37.5 mg twice dail...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your tendencies toward depression and severe social anxiety, which require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders ...

[Read More] Excessive Sleep and Its Impact on Mental Health: A Guide


Can Brain Imaging Tools Help Diagnose Mental Health Symptoms?

Is there an imaging device in peach therapy that can directly determine the type of symptoms in the brain? As per the inquiry, if there is a possibility, can it be done? I sincerely request your assistance in determining (2) the severe disability assessment - I really appreciate ...


Dr. Wu Enliang Reply:
Hello everyone: I answered your questions in person during the follow-up appointment yesterday (February 24)! Dr. Wu En-Liang

[Read More] Can Brain Imaging Tools Help Diagnose Mental Health Symptoms?


Medication Concerns for Severe Sleepiness in Depression Patients

Medication issues related to severe hypersomnia in depression? Hello, my situation is that I had visited a hospital for treatment and medication about a year ago. After that, I stopped taking the medication for nearly a year, but recently I noticed that my symptoms have returned,...


Dr. Qiu Junda Reply:
Hello. Sometimes, excessive sleepiness can resemble a lack of motivation, and both may be symptoms of depression. However, the quality of sleep may be poor. If you have informed your doctor about your excessive sleep, and they still prescribed sleeping pills, there may be specifi...

[Read More] Medication Concerns for Severe Sleepiness in Depression Patients


Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey

Insomnia. Fatigue? I used to frequently wake up in the middle of the night, but I could fall back asleep quickly, so I rarely felt fatigued. However, ever since I received my second dose of the BNT vaccine last year, I have become more anxious and live in fear of getting sick eve...


Dr. Peng Liyun Reply:
Hello, I understand your discomfort and concerns, and I appreciate your efforts! Due to possible character limits, I'm not sure what your specific issue is. However, based on your description, I recommend that you seek evaluation and treatment from a psychosomatic specialist...

[Read More] Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey


Do I Need a Follow-Up Appointment to Confirm My Anxiety is Gone?

Is a follow-up appointment necessary to confirm whether the anxiety disorder has improved? Hello, Doctor. I truly appreciate your tireless efforts in addressing my concerns as mentioned earlier. For the past 2 to 3 years, I have been living without symptoms of anxiety and everyth...


Dr. Wu Enliang Reply:
Hello everyone: I don't think there's a need to worry about this matter. If you feel that having a certificate would provide more peace of mind, then please ask your physician to issue one. Dr. Wu En-Liang

[Read More] Do I Need a Follow-Up Appointment to Confirm My Anxiety is Gone?


Do I Need a Follow-Up Appointment to Confirm My Anxiety is Gone?

Is a follow-up appointment necessary to confirm if the anxiety disorder has improved? Hello, Doctor. I truly appreciate your tireless efforts in clarifying my concerns. As mentioned earlier, I have been living without symptoms of anxiety for the past 2 to 3 years, and everything ...


Dr. Wu Enliang Reply:
Hello everyone: I don't think there's a need to worry about this matter. If you feel that having a certificate would provide more peace of mind, then please ask your physician to issue one. Dr. Wu En-Liang

[Read More] Do I Need a Follow-Up Appointment to Confirm My Anxiety is Gone?


Understanding the Link Between Headaches and Mental Health Medications

Headaches require psychiatric medication, while coughing necessitates gastrointestinal medication? I suddenly find myself in a strange situation and want to vent a little. I have been experiencing headaches that require psychiatric medication, and I have a cough that necessitates...


Dr. Wu Enliang Reply:
Hello, regarding your three questions (Do I need to continue taking psychiatric medication for my headache? I still have headaches despite taking neurology medication; should I continue taking it? Based on my previous experiences, my constitution may cause stomach medication to t...

[Read More] Understanding the Link Between Headaches and Mental Health Medications


Can Initial Psychiatric Evaluations Determine Disability Levels?

Can a disability assessment be conducted during the initial visit at your hospital? Hello Dr. Wu: Thank you for helping with the referral to the rehabilitation center during my brother's initial consultation. He has successfully been admitted. Wishing you great success and p...


Dr. Wu Enliang Reply:
Dear online user: Since you have already come to our hospital for a consultation, I suggest that we discuss these issues in person during your outpatient visit for clearer communication. Dr. Wu En-Liang

[Read More] Can Initial Psychiatric Evaluations Determine Disability Levels?


Understanding Anxiety and Sleep Disturbances: When to Seek Help

Frequent dreaming. Anxiety? For over a month, I have been feeling unwell and have undergone multiple examinations, including consultations with cardiology, infectious disease, and obstetrics and gynecology specialists, all of whom have told me that there is nothing wrong. This ha...


Dr. Wu Enliang Reply:
Hello, if you have seen many doctors without reaching a conclusion or finding results, it is indeed possible that it could be psychosomatic disorders (such as anxiety or depression) caused by recent high levels of stress in your life. It is advisable to consult a psychiatrist. Ha...

[Read More] Understanding Anxiety and Sleep Disturbances: When to Seek Help


Understanding Panic Disorder Medications: Your Questions Answered

Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...

[Read More] Understanding Panic Disorder Medications: Your Questions Answered


Navigating Referral Processes for Mental Health Rehabilitation in Taiwan

Regarding the issuance of a referral form to a rehabilitation center during the initial consultation, thank you for taking the time to review this, and I would appreciate your assistance? Dear Dr. Wu, My brother was diagnosed with schizophrenia in May 2019. Prior to his diagnosi...


Dr. Wu Enliang Reply:
Hello, netizen: Alright, I will do my best to assist Dr. Wu Enliang.

[Read More] Navigating Referral Processes for Mental Health Rehabilitation in Taiwan


Overcoming Sleep Anxiety: Strategies to Combat Insomnia Fears

Difficulty falling asleep? Hello Dr. Lin, I have always had good sleep quality, able to sleep through the night with few dreams, and I usually fall asleep within 10 to 15 minutes. However, since last Friday (January 7th), there have been some changes. My time to fall asleep has ...


Dr. Lin Mianzhang Reply:
Hello Cheryl: It seems that your main concern is about sleep, which is making it even harder for you to fall asleep. In such situations, you can focus your attention solely on your breathing. When other thoughts arise, gently bring your focus back to your breath. This is actually...

[Read More] Overcoming Sleep Anxiety: Strategies to Combat Insomnia Fears


Understanding Emotional Instability: When to Seek Psychiatric Help

Emotional instability Hello, doctor. Recently, I have been feeling sad and down for no apparent reason. My emotions fluctuate greatly; I might feel happy about something one moment, but then suddenly feel very low shortly after. I often cry for no reason, especially in the evenin...


Dr. Qiu Junda Reply:
Hello. The text indicates that there is emotional instability, predominantly negative emotions. If this is causing you distress, it is recommended that you consult a mental health professional for evaluation. If that is not convenient, please reach out to the Ministry of Health a...

[Read More] Understanding Emotional Instability: When to Seek Psychiatric Help


Can Tylenol Interact with Anxiety Medications After Vaccination?

Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...

[Read More] Can Tylenol Interact with Anxiety Medications After Vaccination?


How Long Does Ambien Last? Understanding Its Effects for Study Prep

Medication Consultation Hello, doctor. I would like to ask how long the effects of Anbongding (Clonazepam) last? The doctor advised me to take one 0.5 mg tablet before bed, but the exam is approaching, and I'm worried that the effects might not wear off by morning, which cou...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of the university entrance examination. As for whether this will have an impact, a professional physician needs to conduct a personal diagnosis. 1. Facing an un...

[Read More] How Long Does Ambien Last? Understanding Its Effects for Study Prep


Navigating Negative Emotions in a Toxic Workplace Environment

Negative emotions Hello, Doctor. I apologize for the lengthy message, but I really need your help. I am a person with congenital disabilities and have been unemployed for a long time. I finally found a company willing to hire me, and at first, I was genuinely grateful to all the ...


Dr. Qiu Junda Reply:
Hello. The negative emotional behaviors mentioned in the text are mostly related to the work environment and interpersonal relationships, and they have already caused physical and mental distress. It is recommended that you seek consultation and evaluation at a mental health clin...

[Read More] Navigating Negative Emotions in a Toxic Workplace Environment


Coping with Death Anxiety: Strategies for Finding Peace of Mind

Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...

[Read More] Coping with Death Anxiety: Strategies for Finding Peace of Mind


Managing Mental Health: Concerns About Medication Interruption and Symptoms

I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...

[Read More] Managing Mental Health: Concerns About Medication Interruption and Symptoms


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