Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding the Chinese Names for Common Psychiatric Diagnoses
What is the Chinese name for this primary diagnosis? The Chinese name for the primary diagnosis is as follows: Question 1: F411 Generalized Anxiety Disorder Question 2: F341 Dysthymic Disorder Thank you, doctor, for your assistance.
Dr. Huang Xiaoxian Reply:
1. It is generalized anxiety disorder. 2. It is persistent depressive disorder. Wishing you well.[Read More] Understanding the Chinese Names for Common Psychiatric Diagnoses
Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Is it possible for schizophrenia to occur suddenly and without any apparent reason? This matter has weighed heavily on my heart for many years. A close colleague of mine developed schizophrenia due to work-related issues. Although we worked in different departments, we collaborat...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Regarding your question about whether work-related stress leads to schizophrenia or if schizophrenia manifests due to stress, it seems challenging to establish a clear causal relationship between the two. Both conditions can be observe...[Read More] Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Am I Gay? Understanding Sexual Orientation and OCD Concerns
Am I gay? Hello, doctor. I am a 24-year-old male and have been in a long-term relationship with my girlfriend. I really want to continue with her, but recently I've been feeling uncertain about my sexual orientation. I came across the term "sexual orientation OCD" ...
Dr. Wang Yazhen Reply:
Hello: In psychiatric diagnosis, the presence of "physiological responses to a specific gender" is not used to determine whether an individual has "gender dysphoria." Sexual physiological responses can be triggered through various pathways and are not directly...[Read More] Am I Gay? Understanding Sexual Orientation and OCD Concerns
Understanding Your Mental Health Diagnosis and Medication Dosage
Differential diagnosis and dosage? Hello, doctor. I recently visited a psychiatrist for the first time, and my doctor only mentioned that I have Generalized Anxiety Disorder. However, when I checked my health records using the National Health Insurance app, it showed the primary ...
Dr. Liang Sunyuan Reply:
Hello: Each physician has a different habit of writing medical records. These three diagnoses may be confirmed diagnoses or they may only be suspected diagnoses that need to be verified or ruled out during future follow-up treatment. If there are any concerns, you can discuss the...[Read More] Understanding Your Mental Health Diagnosis and Medication Dosage
Understanding Depression: Breathing Issues and Emotional Responses
Psychological distress and difficulty in breathing? Hello, doctor: Whenever I feel very depressed, it feels like my chest is being compressed, and the air I breathe in seems to be only half of what I usually get when I'm in a good mood. It feels like there's something b...
Dr. Peng Liyun Reply:
Hello, from your letter, it is evident that you are experiencing discomfort and distress. The diagnosis requires discussion with a physician, and confirming depression necessitates a more in-depth evaluation. However, it is important to ask yourself if you have coping strategies ...[Read More] Understanding Depression: Breathing Issues and Emotional Responses
Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
ADHD test results and health insurance medication issues? Hello, Doctor. I am Lin, the student who previously inquired. I went to review my ADHD report today. After the doctor reviewed it, he prescribed me Adderall, but since I had not been prescribed long-acting medications like...
Dr. Wang Yazhen Reply:
Dear Student Lin, Thank you for your trust. Regarding your questions: 1. Testing cannot replace a doctor's diagnosis; it serves as a reference for the physician's assessment. 2. There isn't a definitive reason for what medications are covered by health insurance....[Read More] Understanding ADHD Diagnosis and Medication Coverage Issues in Taiwan
Navigating Mental Health: Is a Low Dose of Medication Enough?
The heart always feels heavy? I would like to ask the doctor if taking half a 10mg Escitalopram daily is considered a low dosage? I still feel conflicted about whether I will have to take medication for life or if I should gradually reduce it to a quarter daily and aim to stop al...
Dr. Lin Mianzhang Reply:
Hello, Soul: Your feelings are shared by many patients—wondering if they will have to take medication for a lifetime. Generally speaking, many psychiatric medications can be gradually reduced as one ages. On the other hand, with advancements in medical treatment, it is possible t...[Read More] Navigating Mental Health: Is a Low Dose of Medication Enough?
Understanding OCD: When Perfectionism Affects Your Daily Life
Is it obsessive-compulsive disorder (OCD)? Hello, doctor. I am currently a high school junior preparing to advance to senior year. However, since the beginning of my sophomore year (I didn't have this issue in freshman year), I've been experiencing a peculiar phenomenon...
Dr. Wang Yazhen Reply:
Hello Xiao Ming: The situation you described indeed resembles obsessive thoughts and behaviors, and these behaviors have started to affect your time management. It is advisable to seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible for dia...[Read More] Understanding OCD: When Perfectionism Affects Your Daily Life
Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
"#157730 Adult Attention Deficit Disorder and Anxiety Disorder?" Follow-up? Hello, doctor. Thank you very much for your previous response. After reading your reply, I went to the pediatric psychiatry department at a regional hospital, but I encountered the following iss...
Dr. Wang Yazhen Reply:
Hello, Chen: Diagnosing adult ADHD is indeed challenging. 1. Even if someone had ADHD in childhood, most cases tend to improve with age. Therefore, it is difficult to retrospectively diagnose it in adulthood. 2. Regarding medication, there are specific regulations under the ...[Read More] Challenges in Adult ADHD Diagnosis: Navigating Mental Health Care
Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Adult Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders? Hello, Doctor. I am a 23-year-old male student and would like to inquire about adult Attention Deficit Hyperactivity Disorder (ADHD). Regarding my background: I exhibited some behavioral issues in elemen...
Dr. Wang Yazhen Reply:
Hello, Chen Dada: Thank you for providing such a detailed description of your situation. Regarding whether your condition may be ADHD, I recommend seeking an evaluation from a physician specializing in child and adolescent psychiatry. In short, there can be many reasons for diffi...[Read More] Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Navigating Mental Health Medications: Confusion and Concerns
Regarding pharmacotherapy? If I could, I would wish I had never seen a psychiatrist, as I feel my life has become a mess because of it. Each doctor has a different diagnosis; some say it's depression, others say generalized anxiety disorder, some mention ADHD, and others cla...
Dr. Liang Sunyuan Reply:
Hello: A multi-faceted approach is most effective for treating psychiatric symptoms. Regular routines, adequate sleep, balanced nutrition, consistent exercise, and healthy leisure activities all contribute positively. When seeking medical care and undergoing pharmacotherapy, it i...[Read More] Navigating Mental Health Medications: Confusion and Concerns
Do I Suffer from Depression or Dissociative Identity Disorder?
Am I suffering from depression or dissociative identity disorder? Hello Dr. Peng, I am facing a complex issue that seems to have some underlying connections, yet also appears disjointed. I would like your professional opinion on whether I should see a psychologist or if I can ma...
Dr. Peng Liyun Reply:
Hello, from your letter, it is evident 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 be necessary. However, it is important to ask yourself if you have coping strateg...[Read More] Do I Suffer from Depression or Dissociative Identity Disorder?
Understanding Sjögren's Syndrome: Coping with Emotional Challenges
Sjögren's syndrome A few days ago, I was told that I might have Sjögren's syndrome, and I'm feeling really upset...
Dr. Wu Enliang Reply:
Hello, netizen: It's natural to feel shocked and have difficulty accepting a new diagnosis. I recommend working closely with a rheumatologist to receive proper treatment; your symptoms will definitely improve. Dr. Wu En-Liang[Read More] Understanding Sjögren's Syndrome: Coping with Emotional Challenges
Overcoming OCD: Building Confidence Beyond Medication
Obsessive-Compulsive Disorder (OCD) and Lack of Self-Confidence? I often find myself repeatedly checking things at work due to a lack of confidence, but I later realized that I might have some obsessive-compulsive tendencies. I would like to ask how I can improve my symptoms asid...
Dr. Wu Enliang Reply:
If it is obsessive-compulsive disorder (OCD), the most scientifically supported treatment aside from medication is behavioral therapy. However, as you mentioned, a lack of confidence can sometimes lead to repetitive checking, which may not necessarily indicate OCD. To obtain a pr...[Read More] Overcoming OCD: Building Confidence Beyond Medication
Understanding Restless Legs: Insights on Mental Health and Diagnosis
Legs moving around? I experience this condition while sitting, and taking Ritalin hasn't significantly improved it. I have consulted a neurologist, but no issues were found. I would like to ask for your opinion, doctor. Additionally, do all patients with schizophrenia qualif...
Dr. Wang Yaoting Reply:
1. The movement of the legs may not necessarily be a side effect of medication; other conditions such as anxiety and physical health issues can also contribute to this. The specific medications you are taking, as well as the timing and frequency of the symptoms, can affect the as...[Read More] Understanding Restless Legs: Insights on Mental Health and Diagnosis
Understanding Borderline Personality Disorder: Causes and Concerns
Borderline Personality Disorder (BPD) is a mental health condition characterized by unstable moods, behavior, and relationships. Individuals with BPD often experience intense emotions and have difficulty managing their feelings, leading to impulsive actions and challenges in main...
Dr. Peng Liyun Reply:
Hello, from your letter, it is evident that you are experiencing discomfort and distress. It is important to discuss your diagnosis with a physician, but equally important is to ask yourself if you have coping strategies for these situations. If you cannot find suitable ways to m...[Read More] Understanding Borderline Personality Disorder: Causes and Concerns
Is the Major Illness Card Permanent for Schizophrenia Diagnosis?
Major Illness Card Is the major illness card issued for a diagnosis of schizophrenia permanently valid, or is there a specific duration for its validity? Thank you.
Dr. Yu Quanxun Reply:
Hello, according to the Central Health Insurance Administration, the update on April 11, 2019, regarding the "Major Illness Items and Their Certification Validity Period Regulations," the validity period for the major illness card for schizophrenia can be permanent. Tha...[Read More] Is the Major Illness Card Permanent for Schizophrenia Diagnosis?
Do You Struggle with Attention Issues? Understanding ADHD Symptoms and Solutions
It seems like there may be an attention deficit issue? Hello, doctor. I am currently 23 years old and feel that I have been experiencing attention deficit issues. Although I can concentrate during class and listen to the teacher (when the class is boring, I might stretch or shake...
Dr. Cai Yunlin Reply:
Procrastination and lack of concentration can be symptoms of a disorder, but a proper diagnosis can only be made by a healthcare professional. It is advisable to seek medical attention for an accurate assessment.[Read More] Do You Struggle with Attention Issues? Understanding ADHD Symptoms and Solutions
Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Sleep issues I previously experienced a sudden onset of insomnia, which persisted afterward. I consulted a doctor who prescribed me anti-anxiety medication and sleeping pills. Later, I visited another doctor who suggested that I could sleep without medication, advising me to stop...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your description in the letter, it is evident that you are experiencing discomfort and anxiety. While it is difficult to determine your diagnosis at this moment, it is likely related to anxiety combined with insomnia. Currently, the primary treatment option ...[Read More] Understanding Sleep Issues: Anxiety, Medication, and Finding Rest