Understanding Neurological Medications: Are They Right for Your Symptoms?
Neuropharmaceuticals I visited a psychiatrist who did not provide me with a specific diagnosis. I reported various symptoms that are similar to autonomic nervous system dysregulation, but the doctor advised me to go home and take Escitalopram to repair my brain's neurotransm...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and anxiety. Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression. Currently, the use of medication can ...[Read More] Understanding Neurological Medications: Are They Right for Your Symptoms?
Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Psychoneurosis, insomnia, stress? Hello, Doctor regarding question 153436: Today I obtained my medical records from the clinic. The primary diagnosis is F51.04, which is classified as "Psychophysiological Insomnia," and the secondary diagnosis is F43.23, which refers to...
Dr. Wu Enliang Reply:
Hello, user: This diagnosis indicates that at that time, you experienced insomnia, short-term anxiety, and depressive symptoms due to life stress. Dr. Wu En-Liang.[Read More] Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? One night in late February, I suddenly felt a bit short of breath (I wanted to take deep breaths, and after about 30 seconds, I would feel the urge to breathe deeply again). There was a slight tightness in my chest. I went to the pulmonology ...
Dr. Wang Yazhen Reply:
Hello, The cardiologist has conducted a thorough examination and ruled out any heart-related issues. Therefore, it is indeed possible that your sudden increase in heart rate is influenced by emotions. Regarding your anxiety response, if it reaches the level of an "anxiety ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Is a diagnosis of a mental disorder... depression? Hello, doctor: I would like to ask about my situation. In November 2017, due to workplace conflicts with colleagues, I experienced significant negative emotions and stress, to the point where I didn't want to go to work or s...
Dr. Wu Enliang Reply:
Hello, based on my understanding, issues with insurance denial are more likely to occur only in cases of significant mental illnesses such as schizophrenia or bipolar disorder. It is not the case that simply seeing a psychiatrist or psychologist would lead to a denial of coverage...[Read More] Am I Diagnosed with Depression? Understanding Mental Health Evaluations
Understanding Sleep Disorders: Do Dreams Affect Rest and Aging?
Sleep issues Hello, Doctor: I have sleep disorders, so I need to take half a sleeping pill before bed in order to sleep. I go to bed at 8 PM and wake up at 5 AM the next day, but I usually wake up 2 to 3 times during the night. After waking up, it takes me more than half an hour ...
Dr. Qiu Junda Reply:
Hello: To briefly answer your questions. 1: Six hours of sleep should be sufficient for your age. 2: We all dream every day, but we still experience sleep that allows the brain to rest. 3: Please do not worry; this is not related to dementia. Worrying about it may actually worsen...[Read More] Understanding Sleep Disorders: Do Dreams Affect Rest and Aging?
When Should You Seek Help for Anxiety? Understanding Your Symptoms
At what level of anxiety should one seek medical attention? Hello, I am a second-year high school student, and I really don't know what to do. Since before I graduated from elementary school, I have started to think about everything in a negative way, which has led me to be ...
Dr. Wang Yazhen Reply:
Hello Hsuan: Based on your description, it seems that you have experienced feelings of worry and anxiety since elementary school, and now you often find yourself dealing with negative thoughts, concerns, and fear regarding crowds and the future. These anxiety-like symptoms sugges...[Read More] When Should You Seek Help for Anxiety? Understanding Your Symptoms
Understanding Stress, Anxiety, and Tension: When to Seek Help
Stress, anxiety, and tension? Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experien...
Dr. Zhang Gengjia Reply:
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help
Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Frequent intrusive thoughts occur? Hello Dr. Wang: Recently, I have been experiencing disturbing thoughts in my mind, such as thoughts of accidents, harming others, or suicide. I often wish for my enemies and those who bully me to disappear, and I feel that life is meaningless an...
Dr. Wang Yazhen Reply:
Hello: It sounds like you are very troubled by persistent thoughts in your mind, many of which are accompanied by various emotions, including negative and frightening ones, and even thoughts of harming yourself or others. It is important to determine whether there are any underly...[Read More] Coping with Intrusive Thoughts: Understanding and Managing Disturbing Ideas
Can a General Hospital's Psychiatry Department Diagnose Depression?
Diagnosis of depression I recently visited a general mental health clinic and shared my current situation with the doctor. I asked him if I had any disorders, but he kept telling me that it wasn't important and that it was just for others to read. I have high levels of anxie...
Dr. Wu Enliang Reply:
Hello, online user: Both psychiatric clinics and hospital psychiatry departments should be able to diagnose depression. Dr. Wu Enliang.[Read More] Can a General Hospital's Psychiatry Department Diagnose Depression?
Managing Persistent Depression: Medication Dosage and Concerns
Psychiatric medications Hello Doctor: I am a patient with persistent depressive disorder. Currently, I am taking Purtraline 75 mg per day and Easyfor 150 mg per day. The latter medication was added after my diagnosis of "other depressive episodes" in the fall, but I hav...
Dr. Wu Enliang Reply:
Hello, netizen: Some individuals may have their medication dosage adjusted due to improvements in their condition, taking into account the past severity and the patient's tolerance. It is advisable to discuss this with your physician. Dr. Wu En-liang.[Read More] Managing Persistent Depression: Medication Dosage and Concerns
Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
Generalized Anxiety Disorder (GAD) I would like to ask the doctor how long it typically takes to stop medication for generalized anxiety disorder. I also don't understand why anxiety medications are similar to those used for depression, as they seem to have the same therapeu...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. There are many medication options for anxiety disorders, with the most common being benzodiazepines, which have anxiolytic effects and, as the name suggests, help induce relaxation. Additionally, anxiety disorder patients often experi...[Read More] Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
Understanding Long-Term Loss of Appetite: A Psychiatric Perspective
Long-term loss of appetite and inability to eat? Hello, doctor. My symptoms include a long-term lack of appetite, no feeling of hunger, and no desire to eat. Sometimes, while eating, I experience cold sweats, palpitations, and a sensation of darkness in front of my eyes, along wi...
Dr. Wang Yazhen Reply:
Hello Kakaf: The medications prescribed by the physician have effects on improving low mood, appetite, and sleep. Regarding your symptoms, although you have explained them as thoroughly as possible, the physician cannot conduct an online consultation and needs to clarify and unde...[Read More] Understanding Long-Term Loss of Appetite: A Psychiatric Perspective
Signs Your Brother May Be Experiencing Paranoia: A Guide for Concerned Family
I believe my brother is experiencing persecutory delusions, relational delusions, and grandiose delusions? My brother is 24 years old, and during our recent long conversation, I felt that his thoughts were quite strange; he seems paranoid and overly sensitive. Situation 1: He bel...
Dr. Liu Shikai Reply:
Hello, Based on your letter, it appears that your brother is experiencing delusional thinking, illogical reasoning, and firm beliefs in these thoughts. Clinically, it is essential to consider the presence of delusional symptoms and to confirm whether there are other related sym...[Read More] Signs Your Brother May Be Experiencing Paranoia: A Guide for Concerned Family
Overcoming Nail Biting and Leg Shaking: Tips for Managing Anxiety
Frequently shaking legs and biting nails? I am reaching out because my situation has become quite serious, and I am looking for possible solutions. I have been biting my nails since childhood; initially, I started because I saw my classmates doing it, but now it has been over ten...
Dr. Liu Shikai Reply:
Dear Ms. En, Based on the content of your message, it seems that you are experiencing repetitive and difficult-to-control movements. However, due to limited information, there are several diagnoses that need to be differentiated. A definitive diagnosis is necessary before formul...[Read More] Overcoming Nail Biting and Leg Shaking: Tips for Managing Anxiety
Managing Schizophrenia: Navigating Independence and Medication
Schizophrenia The diagnosis is depersonalization-derealization disorder, and patients often return to the clinic for medication adjustments due to persistent symptoms. The advantage is that they do not require occupational therapy; they only need to consult with the physician to ...
Dr. Wu Enliang Reply:
Hello, netizen: The government offers various vocational training programs for individuals with physical and mental disabilities. It is recommended to participate in these training programs to develop a skill, which can lead to employment opportunities. Dr. Wu Enliang[Read More] Managing Schizophrenia: Navigating Independence and Medication
Understanding Disability Certification for Schizophrenia: Key Insights
Disability Handbook I would like to ask if I am diagnosed with schizophrenia but my thoughts are clear and I am able to take care of myself, does that mean I do not qualify for a disability certificate? My current goal is to avoid obtaining a disability certificate. Can the docto...
Dr. Wu Enliang Reply:
Hello, everyone: Many people are diagnosed with schizophrenia but do not have a disability certificate because their daily functioning is not impaired; they are individuals in recovery. Have you seen the movie "A Beautiful Mind"? It is based on a true story. John Nash, ...[Read More] Understanding Disability Certification for Schizophrenia: Key Insights
Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Involuntary tension and auditory hallucinations? Hello, doctor! I am currently retaking my university entrance exams. I have always excelled academically since childhood, which has made my parents proud, and I have a good relationship with my family. However, after entering a pre...
Dr. Huang Xiaoxian Reply:
Dear Bonnie, From your description, it sounds like you are experiencing a lot of stress and worries in your life. I'm sorry to hear that! If your family does not allow you to seek medical help, perhaps you can try reaching out to mental health centers in various counties fo...[Read More] Understanding Involuntary Tension and Auditory Hallucinations in Adolescents
Understanding Numbness and Anxiety: Is Your Condition Psychological?
It is common to experience numbness or tingling in the hands and feet? Doctor, I have been experiencing frequent numbness and pain in my hands and feet, and sometimes my face also feels numb. Occasionally, I suddenly feel very anxious with a rapid heartbeat. After resting for a n...
Dr. Wu Enliang Reply:
Hello, netizen: If it is confirmed that there are bone spurs on the cervical spine, then it is not caused by anxiety disorder. May I ask if the physician has conducted any examinations to confirm the diagnosis? It is advisable to go to a major hospital for a thorough examination ...[Read More] Understanding Numbness and Anxiety: Is Your Condition Psychological?
Schizophrenia and Parenthood: Considerations for Family Planning
Schizophrenia Individuals with this diagnosis are generally advised against having children, correct? So, contraception should be used during sexual activity, right? I have tried dating, but once the other person finds out, there usually isn't any follow-up, so I'm unsu...
Dr. Wu Enliang Reply:
Hello, netizen: I personally believe that if one has the ability to raise children, they can certainly have children! Illness is just a part of life's journey, and scientific research shows that the vast majority of babies are healthy. Life is full of uncertainties, isn'...[Read More] Schizophrenia and Parenthood: Considerations for Family Planning
Talking to Yourself: Understanding Its Impact on Mental Health
Soliloquy Should I wear a mask when going outside? Sometimes, I have been seen talking to myself while working, and my classmates have told the teacher that I often talk to myself alone. I know this is not caused by auditory hallucinations, so medication has been ineffective. Can...
Dr. Wu Enliang Reply:
Hello, netizen: Wearing a mask outdoors is sometimes necessary to avoid the discomfort of others' strange looks. Talking to oneself may also be a manifestation of anxiety or obsessive-compulsive symptoms, and it is not necessarily caused by auditory hallucinations. If the si...[Read More] Talking to Yourself: Understanding Its Impact on Mental Health