Diagnosis, Psychiatry FAQ

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 ...

Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello doctor, a few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I faced them with my teacher in a confrontation, they always claimed they had no issues with me, but in reality, they openly mocked...

Dr. Lin Mianzhang Reply:
Hello, classmate: Your situation requires an in-person evaluation by a physician to make a clear diagnosis! It could be just an adjustment disorder, or it might be anxiety disorder, depression, or other conditions. I recommend that you seek medical attention in person to receive ...

Managing Schizophrenia: Medication Challenges and Anxiety Concerns

Medication use in schizophrenia and accompanying anxiety? Hello, doctor. I am here to ask a question because a family member is suffering from this illness. Four years ago, my brother was diagnosed with schizophrenia, experiencing auditory hallucinations and delusions. He took me...

Dr. Lin Mianzhang Reply:
Hello A-Cheng: The condition of schizophrenia can sometimes be influenced by changes in life stress, daily routines, and medication adherence. Even with regular medication, symptoms can fluctuate. Therefore, your brother's changes in condition may require careful evaluation ...

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

Understanding Side Effects of Psychiatric Medications: A Patient's Concerns

Drug side effects Hello, doctor. I have been taking a medication called Uruan for a while now. In the first two days of taking it, I heard a 2-second piece of music, but I'm not sure if it was a mistake from my phone. Yesterday afternoon, I seemed to hear my mother calling m...

Dr. Qiu Junda Reply:
Hello. Youran tablets are anxiolytics. The side effects you mentioned are generally uncommon. However, the other three medications you are taking may also have some side effects. It could also be a reaction to the stress you mentioned. I recommend learning some simple stress mana...

Guidelines for Diagnosing Schizophrenia and Assessing Severity

Schizophrenia When diagnosing schizophrenia, are there any specific criteria? And how is the severity assessed?

Dr. Lin Mianzhang Reply:
Hello! The diagnostic criteria for schizophrenia include four main aspects: 1. Symptoms: These include delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, and negative symptoms. At least two of these symptoms must persist for more than one month, a...

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...

Understanding Social Anxiety Disorder: A Student's Struggle and Solutions

Social Anxiety Disorder Hello, doctor. I am currently a high school sophomore. I have a naturally introverted personality and tend to be quiet around strangers, but I didn't experience panic until three years ago when a close friend, whom I relied on, transferred schools. Si...

Dr. Wu Menghuan Reply:
Hello: It is recommended to visit a child and adolescent psychiatry outpatient clinic to discuss with a physician, including differential diagnosis, types of medications being taken, their effects, and side effects; additionally, you can also discuss with the physician about refe...

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...

Understanding Anxiety: Differentiating Between Everyday Worry and Anxiety Disorders

Anxiety disorder issues Hello, doctor. Previously, I was afraid of heavy metal poisoning (because I read online that it can cause involuntary anxiety symptoms), so I was very scared of batteries. I had seen a psychiatrist once and was diagnosed with anxiety disorder. After contin...

Dr. Wu Enliang Reply:
Hello everyone: The main difference between anxiety and an anxiety disorder lies in whether it causes significant distress and impairment in daily functioning. Dr. Wu En-Liang

Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, they openly mocke...

Dr. Lin Mianzhang Reply:
Hi there! I can sense your anxiety and concerns. Although I have previously addressed your questions, if you are still feeling worried, I strongly recommend that you seek medical attention as soon as possible. Anxiety disorder is just a diagnosis; even if you have it, it's e...

Understanding Tardive Dyskinesia: Treatment Options and Self-Management

Tardive dyskinesia I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), with my face contorting and my lips constantly moving. As a result, I stopped the medication. It has been six m...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress, as indicated by your facial grimacing and the constant movement of your lips. Whether this is a case of tardive dyskinesia requires a professional diagnosis from a physician. 1. I...

Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, Doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated significantly. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, the...

Dr. Lin Mianzhang Reply:
Hi there! I can sense your anxiety and concern. Although I've previously addressed your questions, if you're still feeling worried, I recommend seeking medical attention as soon as possible. Anxiety disorder is just a diagnosis; even if you have it, it's essential ...

Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Dr. Lin Mianzhang Reply:
Hi there! It seems that the changes in your relationships with classmates have affected not only your emotions but also led to physical symptoms such as insomnia and nausea. While anxiety appears to be the primary symptom, it is important to assess whether you may also be experie...

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...

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.

Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?

Experiencing a rapid heartbeat while sleeping? Hello Doctor, I would like to ask you a question. Last August, I went to the hospital for a cardiac examination and had an echocardiogram. I have been having blood tests every three months, and currently, there are no significant iss...

Dr. Lin Mianzhang Reply:
Hello Mr. Wang: It sounds like your heart is not in serious trouble. The possibility of experiencing a rapid heartbeat while sleeping may be related to your thyroid. I wonder if you have a history of hyperthyroidism? Did you experience similar symptoms when you had hyperthyroidis...

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...

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...

Understanding Eating Disorders: Seeking Clarity on Diagnosis and Treatment

Hello, I would like to ask the doctor about the diagnosis and issues related to binge eating disorder? First, there is the issue of the doctor inputting the diagnosis. I have depression and anxiety, but I noticed on my health insurance app that the doctor I usually see has only r...

Dr. Cai Qijin Reply:
Hello: The psychiatric diagnostic system is a classification system that facilitates communication among healthcare professionals. Different physicians may have varying thought processes and diagnoses. You can discuss your concerns and worries with a trusted physician, focusing o...

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