Diagnosis, Psychiatry FAQ

Coping with Death Anxiety: Strategies for Finding Peace of Mind

Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...

Managing Mental Health: Concerns About Medication Interruption and Symptoms

I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...

Understanding the Risks of Taking Prazosin for Anxiety: A Doctor's Insight

Medication Consultation - Ping An Jing Hello, doctor. Thank you for your review. I have been experiencing anxiety symptoms and have been taking tranquilizers for two days. The psychiatrist was very attentive in discussing and chatting with me, which has really made me feel that m...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your anxiety and concerns about the irreversible nature of Parkinson's disease, as well as the fear of lifelong disability or dysfunction, which requires a professional ph...

Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers

Metoprolol and Anaprilin? Hello, doctor. This summer, I experienced difficulty falling asleep and visited a nearby family medicine clinic, where the physician prescribed me 0.5 mg of Alprazolam. Initially, I only took it occasionally when I had trouble sleeping, but it later evol...

Dr. Lin Mianzhang Reply:
Hello: It seems that you are troubled by difficulties sleeping and various situations arising from medication use; I empathize with you! First of all, insomnia is usually just a symptom, and when it occurs, we need to understand why it happens. Factors such as stress, changes in ...

Consulting on SSRI Side Effects and Movement Disorders in Psychiatry

Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...

Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?

Difficulty falling back asleep after waking up at 3 AM? Hello Doctor: A few years ago, I experienced symptoms of autonomic nervous system dysfunction (not officially diagnosed), including panic, palpitations, a heavy heartbeat, and dizziness with a sensation of swaying. I consult...

Dr. Lin Mianzhang Reply:
Hello, Hong: Autonomic nervous system dysfunction is a general term and not a specific medical diagnosis. It can encompass a variety of conditions, such as depression, anxiety disorders, panic disorders, insomnia, arrhythmias, and irritable bowel syndrome, among others, or even n...

Understanding Affective Psychosis: Differences, Recovery, and Hallucinations

Affective Psychosis Hello, doctor. I would like to ask: 1. Is there a difference between schizoaffective disorder and mood disorder with psychotic features? My prescription states "major depressive disorder in remission, schizoaffective disorder," but when I asked my ...

Dr. Lin Mianzhang Reply:
Hello Evonne: 1. Schizoaffective disorder and affective psychosis are merely differences in translation; they refer to the same condition, which is known in English as schizoaffective disorder. "Schizo-" refers to splitting, while "affective" pertains to emo...

Understanding Medication Consultation and Diagnosis in Psychiatry

Medication consultation and diagnostic issues? Two questions: First, the doctor mentioned that Depakote can enhance the effects of Lexapro, so could it be that patients with pure major depressive disorder or those who need Lexapro, who may also have anxiety disorders, might be pr...

Dr. Wu Enliang Reply:
Hello, netizen: First: The doctor said that Depakote can enhance the effects of Lexapro, so is it possible that patients with simple depression or those who need Lexapro, who may also have anxiety disorders, could be prescribed Depakote, which is primarily a mood stabilizer? A:...

Am I Experiencing Binge Eating? Understanding My Sweet Potato Cravings

I think I might have binge eating, but I'm not sure? Hello, doctor. I apologize for taking up your valuable time. Since mid-May, I have lost weight from 156 lbs to 147 lbs through dietary control (following a 168 diet) and exercise. However, since September, I have found mys...

Dr. Chen Yanzhi Reply:
Ms. Yan: Hello, based on the situation you provided, it seems to lean towards food preferences. To assess whether there are binge eating behaviors or to make a diagnosis, further evaluation through a consultation with a physician in the psychiatry department is necessary for conf...

Understanding Medication Side Effects in Psychiatric Treatment

Medication consultation, side effects Hello, Doctor: I have been diagnosed with autonomic nervous system dysfunction due to persistent symptoms of dizziness and headaches. Initially, the doctor prescribed one tablet of Clonazepam at bedtime, but after four weeks, the side effects...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to dizziness, headaches, and the stress associated with autonomic nervous system dysfunction. Whether this is indeed autonomic nervous system dysfunction requires a professional...

Understanding Emotional Pain: Seeking Help for Mental Health Issues

Frequently experiencing pain? Hello, Doctor: I apologize in advance if my writing is a bit disorganized. I started noticing something was off when I was in eighth grade; I would suddenly cry for no reason, and my temper became very volatile, often getting inexplicably angry at ot...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both emotional and physical pressures. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis by a physician. 1. Facing an uncertain f...

Understanding Teen Rebellion: Is It Depression or Just Growing Pains?

Rebellion phase, depression, or major depressive disorder? Hello, doctor: (I'm not sure how to express this, so it might come across as a bit disorganized.) From grades 1 to 6, I experienced verbal and social bullying, and for various reasons, I developed a strong aversion t...

Dr. Wu Menghuan Reply:
Hello: Stressful events experienced in early life can have significant impacts later on. Your description indicates that you have been feeling inexplicably low since the third grade, with a diminished sense of self-worth. In middle school, your feelings of sadness and depression ...

Can You Get Vaccinated with Recent Symptoms? A Mental Health Perspective

Can I get vaccinated if I have some recent symptoms? Recently, for about six months, I have been experiencing occasional chest pain and tightness (but the duration is very short), occasional back pain, and muscle and joint soreness. I usually go to bed around 1 AM and wake up aro...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to chest pain, tightness, and physiological symptoms. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis. 1. Facing an uncertain fut...

Understanding Latent Schizophrenia: Symptoms, Misconceptions, and Severity

Latent schizophrenia Hello, I would like to ask the doctor about latent schizophrenia (latent psychotic disorder). What does it mean? Does it refer to an overly sensitive personality, etc.? Is it an old term? Is it different from schizophrenia? Is it considered a serious mental i...

Dr. Tang Jiahong Reply:
This disease is an outdated diagnostic term. In English, it is referred to as latent schizophrenia, and it is coded as 295.5 in the International Classification of Diseases, Ninth Revision (ICD-9), which aligns with major illnesses in this version. However, in the subsequent vers...

Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders

Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...

Understanding My Mental Health: Voices, Memory Loss, and Emotional Turmoil

I want to know what is wrong with me? Recently, I sometimes struggle to recall specific words and people's names. I also hear voices in my head, and the last time one of them suddenly appeared, she was very frightened, experiencing chest tightness and a bit of shortness of b...

Dr. Lin Mianzhang Reply:
Hello Amu, your situation may be related to auditory hallucinations; however, I need to ask you more details for a differential diagnosis. I recommend that you visit a psychiatrist to seek professional help. Wishing you a speedy recovery!

Understanding Schizophrenia and Dissociative Identity Disorder: Diagnosis and Treatment Options

Schizophrenia, Dissociative Identity Disorder, Diagnostic Questionnaire I realized I had a mental health issue when I discovered I had other personalities, so I visited a clinic once. However, I didn't mention my other personalities at that time; I believed I was experiencin...

Dr. Wu Enliang Reply:
Hello, online user: The psychological assessments for differential diagnosis are covered by health insurance, so there will be no additional costs. It is recommended to seek treatment at other mental health facilities. Dr. Wu Enliang.

Understanding Cognitive Impairment: Diagnosis and Evaluation Process

Cognitive impairment Recently, having difficulty recalling certain things could indicate cognitive impairment. Is it possible to get an evaluation for this? Where can one get assessed, and what is the process for evaluation?

Dr. Liang Sunyuan Reply:
Hello, Xiao Qian: It is difficult to determine whether a single symptom indicates cognitive impairment. Factors such as mood, sleep, and brain function can all affect cognitive abilities. If these phenomena persist for more than two weeks or worsen, it is advisable to visit a psy...

Understanding Persistent Throat Discomfort: Is It Physical or Psychological?

I have what illness? Hello Doctor, I have a severe sensation of a foreign body and sharp pain in my oral cavity, throat, and pharyngeal wall, accompanied by unilateral tinnitus in my left ear for 24 hours. The base of my left tongue also experiences sharp pain. Whether I swallow ...

Dr. Lin Mianzhang Reply:
Hello Ms. Lin: It seems that you are raising your child alone without any supportive relatives, which must be quite stressful for you. Based on your description, you have seen many doctors and undergone various tests, but no significant issues have been found. I believe your symp...

Struggling with Punctuality and Career Challenges: Seeking Solutions

Comprehensive issues? Hello, doctor. Before I ask my question, I want to mention that I have previously inquired about this issue on the Taiwan e-hospital platform, but since the problem remains unresolved, I am seeking your advice again. I understand that the issue lies with me....

Dr. Tang Jiahong Reply:
I believe you are feeling quite troubled by these setbacks. You've worked hard. (1) Regarding the reasons for your tardiness, if it is due to waking up too late, you might consider methods to advance your circadian rhythm, such as taking melatonin before bed or exposing your...

Previous｜Page ｜Next