Diagnosis, Psychiatry FAQ - Page 10

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Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts

Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...


Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...

[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts


Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks

At night, there is a pressure to curl up my whole body and scream? Hello Dr. Lin: I have been struggling with insomnia for over 30 years. I am aware that it is due to generalized anxiety, primarily stemming from my father, who was placed in a nursing home two years ago. He is now...


Dr. Lin Mianzhang Reply:
Hello Ah-Hsien: The symptoms you experience while sleeping are somewhat similar to those of sleep terror disorder. Symptoms include sudden awakening, screaming, increased heart rate and breathing, and cold sweats. The causes can include stress, excessive fatigue, lack of sleep, a...

[Read More] Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks


Understanding OCD: Coping with Cleanliness Anxiety in Daily Life

Is it obsessive-compulsive disorder? When I first joined the company, I learned that the boss would let their small dogs out for walks. The dogs would defecate everywhere, and sometimes the boss would clean it up, while other times we had to help. However, there was one time when...


Dr. Lin Mianzhang Reply:
Hello, Hsiao-Ping: Thank you for your hard work! An important point in determining whether you have obsessive-compulsive disorder (OCD) is whether you feel "forced" to perform these cleaning actions, especially if you believe your behavior is excessive. If you do feel t...

[Read More] Understanding OCD: Coping with Cleanliness Anxiety in Daily Life


Understanding OCD: Coping with Contamination Fears and Anxiety

Obsessive-Compulsive Disorder (OCD) with a focus on cleanliness? Hello, doctor: Four years ago, I had gastroenteritis and experienced diarrhea, which caused some fecal matter to accidentally get on my pants. I washed them in the washing machine along with my clothes, and since th...


Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! Being troubled by such symptoms can be very distressing. Your symptoms seem to indicate a high possibility of obsessive-compulsive disorder (OCD), but a definitive diagnosis can only be made through an in-person evaluation by a physician. It a...

[Read More] Understanding OCD: Coping with Contamination Fears and Anxiety


Understanding Your Diagnosis: Navigating Life with Schizophrenia

Invasive diagnosis I have been diagnosed with schizophrenia, which qualifies me as a person with a disability and allows me to apply for a disability certificate. This diagnosis makes me very concerned about becoming a disabled person. Although my doctor mentioned that I am an at...


Dr. Lin Mianzhang Reply:
Hello: The disability handbook is a tool that protects the rights of individuals with disabilities, allowing those in need to receive certain benefits and assistance. Having a disability handbook (now referred to as a disability certificate) simply indicates that there is an abno...

[Read More] Understanding Your Diagnosis: Navigating Life with Schizophrenia


Understanding Atypical Schizophrenia: Key Insights and Definitions

Atypical patient Atypical schizophrenia refers to a subtype of schizophrenia that presents with symptoms that do not fit the typical patterns of the disorder. Patients may experience a mix of symptoms, including mood disturbances, anxiety, and psychotic features, but may not exhi...


Dr. Huang Xiaoxian Reply:
Hello, this usually means that although the patient exhibits some characteristics consistent with schizophrenia, many of the traits are not common symptoms, suggesting that it may not actually be schizophrenia.

[Read More] Understanding Atypical Schizophrenia: Key Insights and Definitions


Dealing with Reluctant Family Members Seeking Medical Help

Family members are unwilling to seek medical care? My mother has been experiencing throat issues for the past three months. She clears her throat approximately every minute, sometimes coughs, and even wakes up coughing during the night. However, she is quite averse to seeing a do...


Dr. Xiao Minghong Reply:
Hello Sir: In our country, we place great importance on patient rights and emphasize patient autonomy. Therefore, under normal circumstances, it is not possible to force a patient to seek medical care. It is best to encourage the individual to willingly seek treatment. However, s...

[Read More] Dealing with Reluctant Family Members Seeking Medical Help


Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives

Mild Depression Generalized Anxiety Disorder Currently, the health insurance app shows a diagnosis of mild depression and generalized anxiety disorder. From what I've seen online, mild depression doesn't necessarily require medication, and some people can recover on the...


Dr. Wu Enliang Reply:
Hello, netizen: Question 1: Can I reduce the dosage of my antidepressants? The first doctor has prescribed: morning and evening, 12.5 mg of Clomipramine (克憂果) 1 tablet; at bedtime: 0.5 mg of Zolpidem (讚安諾) 1 tablet, 50 mg of Mirtazapine (美舒鬱) 1 tablet, and 1 mg of Buspirone (悠然...

[Read More] Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives


Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?

Symptoms related to adult ADHD? Hello, doctor. In 2018, I visited the psychiatry department at Far Eastern Memorial Hospital primarily because I was unable to focus at work. At that time, I was diagnosed with ADHD - unspecified type, but no medication was prescribed. The doctor t...


Dr. Liu Shikai Reply:
Dear Miss Hsiao-Hua, There are many factors that can affect concentration. In addition to the medical factors associated with Attention Deficit Hyperactivity Disorder (ADHD), it is also important to consider the impact of other medical conditions, as well as the interplay of fac...

[Read More] Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?


Is This Obsessive-Compulsive Behavior? Understanding Your Concerns

Is this obsessive-compulsive disorder? Doctor, when I need to throw something away, like product boxes or packaging, I find myself overly concerned about the printed production dates, expiration dates, batch numbers, or barcodes. I often feel compelled to memorize these numbers, ...


Dr. Lin Mianzhang Reply:
Hello Tsai: It seems that you have many symptoms similar to obsessive-compulsive disorder (OCD). To differentiate whether it is OCD, the most important factor is how you feel when performing these actions. Do you ever feel "forced" to do these actions while checking? Do...

[Read More] Is This Obsessive-Compulsive Behavior? Understanding Your Concerns


Understanding Relapses in Depression and Anxiety: A Personal Journey

Feeling depressed and anxious has relapsed again? A few months ago, I started experiencing emotional decline due to interpersonal and family issues, as well as academic problems, which led to self-harm. I sought help from a mental health specialist and was diagnosed with depressi...


Dr. Yan Congyou Reply:
Dear Lili, Based on your description, it appears to be a complex situation that requires a definitive diagnosis and a discussion of treatment options such as medication, psychotherapy, or family therapy. I would recommend that you establish a regular and stable follow-up with a ...

[Read More] Understanding Relapses in Depression and Anxiety: A Personal Journey


Managing Panic During MS Diagnosis: Expert Advice and Support

Finally, I would like to ask the doctor? Hello, I am the person who recently asked you about multiple sclerosis. (1) What should I do if I find myself in a panic during this month (with tests scheduled for the end of the month)? (2) Based on your last response, do you think I hav...


Dr. Huang Xiaoxian Reply:
Dear Chullukechul, 1. When you find yourself in a panic, it is recommended to practice diaphragmatic breathing, engage in simple stretching exercises, or seek pharmacological treatment for relaxation. 2. I believe you do not have multiple sclerosis; however, it is evident that...

[Read More] Managing Panic During MS Diagnosis: Expert Advice and Support


Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered

Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...


Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...

[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered


Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One

Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...


Dr. Liang Sunyuan Reply:
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...

[Read More] Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One


How Childhood Bullying Shapes Personality and Emotional Stability

Experiencing bullying in childhood can lead to changes in personality? When I was younger, I was originally very optimistic and cheerful, but I became withdrawn after being bullied in elementary school. Although I had teachers and classmates who helped me overcome this, my person...


Dr. Peng Liyun Reply:
Hello, from your letter, it is clear that you are experiencing discomfort and distress. The diagnosis needs to be discussed with a physician, and a more in-depth evaluation of your personality may also be required. However, it is important to ask yourself if you have coping strat...

[Read More] How Childhood Bullying Shapes Personality and Emotional Stability


Managing Dry Eye Syndrome and Psychiatric Medications: Key Considerations

(H04122) Dry Eye Syndrome of the Left Lacrimal Gland Ophthalmology Diagnosis: (H04122) Dry Eye Syndrome of Left Lacrimal Gland Question 1: The cornea of one eye is thinner than normal. Is it possible for it to continue thinning? If it continues to thin, could it potentially lead...


Dr. Huang Xiaoxian Reply:
Hello Coollo, regarding your mention that there is no clear evidence of a causal relationship between psychiatric medications and glaucoma, it is advisable to consult with an ophthalmologist for further insights. Wishing you the best! Here is the reference: https://pubmed.ncbi.nl...

[Read More] Managing Dry Eye Syndrome and Psychiatric Medications: Key Considerations


Understanding Severe Mental Health Disorders and Medication Concerns

Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...


Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...

[Read More] Understanding Severe Mental Health Disorders and Medication Concerns


Understanding Your MS Concerns: Insights from a Psychiatrist

Regarding the previous question? Hello, doctor. I am the person asking about multiple sclerosis. I have pondered your response for a long time, and I am not quite sure if you meant to say: "You might have MS!" The psychiatrists who told you that no further examination i...


Dr. Huang Xiaoxian Reply:
Hello, I understand that it can be very difficult in such an anxious situation. What I mean is that it is unlikely you have multiple sclerosis (MS). I recommend that you visit a mental health specialist for an evaluation to address your anxiety issues. Wishing you all the best.

[Read More] Understanding Your MS Concerns: Insights from a Psychiatrist


Understanding Severe Mental Health Disorders and Medication Concerns

Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...


Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.

[Read More] Understanding Severe Mental Health Disorders and Medication Concerns


Understanding Severe Mental Health Disorders and Medication Concerns

Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...


Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)

[Read More] Understanding Severe Mental Health Disorders and Medication Concerns


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