Navigating School Policies for Children with Depression: A Parent's Guide
The child has experienced depression and has had suicidal thoughts? The school has requested that the child engage in home study due to a previous incident of jumping from a height. They require us to provide a certificate from a public hospital in order to grant an extended leav...
Dr. Lin Mianzhang Reply:
Hello, Ms. Chi: If your child's condition is not good and you cannot get an appointment at an outpatient clinic, you can go to the emergency department for medical care. However, if a public hospital is fully booked, have you considered looking for other public hospitals? At...[Read More] Navigating School Policies for Children with Depression: A Parent's Guide
Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
It may have been misdiagnosed in the past..? Hello, doctor. I am the patient who has been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. Recently, I recalled something: throughout these years, every psychiatrist I have seen has only diagnosed me with OCD...
Dr. Lin Mianzhang Reply:
Hello Ayue: First of all, being prescribed medication for schizophrenia (formerly known as schizophrenia) does not necessarily mean that you have the disorder. To understand why the previous physician informed you that way, you may need to ask him directly. Additionally, insuranc...[Read More] Misdiagnosis in Mental Health: Understanding Its Impact on Your Life
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Understanding Sleep Disorders: Causes, Treatments, and Management Tips
Sleep disorders Hello, Doctor. On March 11, I encountered some stress in my life, and that night I began experiencing sleep disturbances (difficulty falling asleep and waking up frequently during the night), along with palpitations and feelings of tension. On March 17, I visited ...
Dr. Lin Mianzhang Reply:
Hello KK: 1. Autonomic nervous system dysfunction is not a precise diagnosis; it is more of a general syndrome. Many functions related to the autonomic nervous system, such as respiration, heart rate, blood pressure, gastrointestinal activity, sweating, and sleep, can be termed ...[Read More] Understanding Sleep Disorders: Causes, Treatments, and Management Tips
Dealing with Family Dynamics and Paranoia in Young Adults
Family interactions, paranoid delusions? I'm sorry to hear about your situation. It sounds like your cousin is exhibiting some concerning behaviors that may indicate underlying psychological issues. Given her history of trauma, such as being verbally and physically reprimand...
Dr. Yan Congyou Reply:
Hello: It sounds like your cousin's situation is causing you a lot of distress. Since a patient cannot be forcibly hospitalized without a diagnosis of a severe mental illness or a history of psychiatric hospitalization, it is advisable to first seek assistance from the local...[Read More] Dealing with Family Dynamics and Paranoia in Young Adults
Managing Medication Side Effects in Psychiatry: Seeking Solutions
Drug side effects Hello Dr. Li, I am currently taking Bupropion, but I am unable to sit still and find myself pacing around. The doctor has added medication to alleviate the side effects, but taking Bupropion causes visual disturbances, and taking Sertraline and Clonazepam makes ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of changing medications and the possibility of hospitalization. Whether this is related to the medication Mirtazapine requires a professional diagnosis by a phys...[Read More] Managing Medication Side Effects in Psychiatry: Seeking Solutions
Understanding Your Mental Health Diagnosis: Should You Ask Your Doctor?
I would like to know my diagnosis? Hello, doctor. I have been seeing a psychiatrist for over a year, and I feel that I have a good rapport with my doctor. However, during this time, the doctor has not explained to me what exactly my condition is; I only see the diagnosis written ...
Dr. Lin Mianzhang Reply:
Hello, 月: Patients have the right to understand their medical condition, and physicians have the obligation to inform patients about their health status. It is advisable for you to ask your doctor. If you are concerned about taking too much time, you can write down the questions ...[Read More] Understanding Your Mental Health Diagnosis: Should You Ask Your Doctor?
Are Impulse Control Disorders Considered Neurotic Disorders?
Is adjustment disorder or impulse control disorder classified as a neurosis? Hello Dr. Hsueh, I am a recent graduate this year, and I would like to apply for a voluntary military service. However, during my middle school years, I visited the pediatric psychiatry department at Nat...
Dr. Xue Gengming Reply:
Recommendation: Please consult a psychiatrist at the mental health clinic. Thank you. Wishing you good health![Read More] Are Impulse Control Disorders Considered Neurotic Disorders?
Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...
Dr. Qiu Junda Reply:
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Managing Insomnia and Medication Withdrawal: A Patient's Journey
Insomnia and medication withdrawal? Hello, doctor. On March 11, I encountered some stress in my interpersonal relationships, which led to sleep disturbances (difficulty falling asleep and waking up easily). Later, on March 17, I consulted a psychiatrist and asked if it could be a...
Dr. Lin Mianzhang Reply:
Hello Lai Lai: Jing An Ning is a short-acting and potent sedative that can lead to dependence with prolonged use, and sudden discontinuation may result in withdrawal symptoms. If you are concerned about the difficulty of tapering off, you can ask your physician to switch you to a...[Read More] Managing Insomnia and Medication Withdrawal: A Patient's Journey
Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
How can hypochondriasis be cured? Hello Doctor, since I discovered spots in my mouth at the end of 2018, I started googling my symptoms. With the onset of the pandemic and the stress from my job at that time, I became uncomfortable and began a series of health anxiety behaviors. ...
Dr. Qiu Junda Reply:
Hello. Regarding the issues of autonomic nervous system dysfunction and health anxiety, although long-term treatment is necessary and it may not be possible to completely cure it without medication as you mentioned, significant improvement can be achieved with regular and consist...[Read More] Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
Overcoming Severe Anxiety: Strategies for Public Speaking Success
Severe anxiety Hello, Doctor! I've been struggling with anxiety for a long time. Whenever I have to give a presentation or speak in public, I start feeling anxious weeks in advance. In the nights leading up to the event, I often can't sleep. Even though I've practi...
Dr. Huang Zhijia Reply:
Hello: The more you care, the more anxious you become; the more anxious you are, the worse the situation gets, leading to a vicious cycle of increased concern. Practicing not to care is easier said than done; it is advisable to engage in other interesting activities to distract y...[Read More] Overcoming Severe Anxiety: Strategies for Public Speaking Success
Understanding Panic Disorder: Symptoms and Management Tips
Hello, doctor. I would like to inquire about anxiety and panic? Hello Doctor, I used to experience sudden palpitations and uncontrollable anxiety, similar to panic disorder, especially when I went out. However, I feel much better now. I only feel anxious when eating out or on the...
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 consult a psychiatrist.[Read More] Understanding Panic Disorder: Symptoms and Management Tips
Understanding Munchausen Syndrome: A Deep Dive into Its Psychological Aspects
Menkes syndrome I recently became aware of my issues in this regard. I feel envious of how others appear when they are sick, yet I don't know what exactly I'm envious of; I once exaggerated a clinic diagnosis of "depressive mood" into "depression" wh...
Dr. Liang Sunyuan Reply:
Hello: The situation you described may be indicative of adjustment disorder or mood disorders, and it could also be Munchausen syndrome. If it has caused significant distress, it is advisable to seek medical evaluation and discuss intervention methods with a physician.[Read More] Understanding Munchausen Syndrome: A Deep Dive into Its Psychological Aspects
Can You Donate Blood While Taking Medication for Bipolar Disorder?
Can individuals taking medication for bipolar disorder donate blood? Hello, I am a nurse. Due to a long period of not communicating with my husband and having no common ground, I have developed thoughts of wanting a divorce and have already considered my path after the divorce. H...
Dr. Tang Jiahong Reply:
Hello, it is currently difficult to determine a diagnosis. In my personal opinion, medication can be considered a tool; if it is effective and has no side effects, why not use it? Regarding blood donation, although the "Taiwan Blood Services Foundation > Medication Guidel...[Read More] Can You Donate Blood While Taking Medication for Bipolar Disorder?
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
Understanding Recent Anxiety in Crowded Places: A Student's Experience
Recently, I've been feeling quite uncomfortable when walking in crowded places? Hello Doctor, I am a university student. Until last week, I never felt uncomfortable walking into crowds, but starting last week, I began to feel quite uneasy in crowded places, experiencing slig...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint. It is recommended to consult a psychiatrist.[Read More] Understanding Recent Anxiety in Crowded Places: A Student's Experience
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
Struggling with Insomnia After Lorazepam: Seeking Expert Advice
I don't know what to do~ I hope the doctor can help me? The doctor prescribed Lorazepam 0.5 mg, and after taking it for over three months, I stopped the medication but developed insomnia. I never had insomnia before, and I deeply suspect that it was caused by the medication....
Dr. Wu Enliang Reply:
Hello, it's difficult to answer your question. There are many causes of insomnia. However, if you have been experiencing persistent insomnia without resolution, it might be a good idea to spend a night at a sleep center for a more accurate diagnosis, which will help in provi...[Read More] Struggling with Insomnia After Lorazepam: Seeking Expert Advice