Headache, Psychiatry FAQ

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Understanding Auditory Hallucinations: When Can They Be Recorded?

Schizophrenia Hello Dr. Hsueh, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions of reference (suspected hallucinations). Th...


Dr. Xue Gengming Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?


Understanding Auditory Hallucinations: When Can They Be Recorded?

Schizophrenia Hello Dr. Chiu, I would like to ask under what circumstances can auditory hallucinations be recorded? Previously, I consulted Dr. Lin Mianzhang, who confirmed that I indeed experience auditory hallucinations and delusions (suspected hallucinations). There are three ...


Dr. Qiu Junda Reply:
Hello. The issue is quite complex and cannot be addressed here. It would be best to consult with your attending physician during your follow-up appointment.

[Read More] Understanding Auditory Hallucinations: When Can They Be Recorded?


Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?

Narcolepsy? Autonomic nervous system dysfunction anemia? Since one day at work, I suddenly felt the urge to sleep without any reason, and since then, it has been happening every day. The timing of these episodes is unpredictable, but they are more likely to occur after meals. I f...


Dr. Lin Mianzhang Reply:
Hello Lia: Your condition may be due to autonomic nervous system dysfunction, anemia, or other causes. A detailed consultation with a physician is necessary, and further tests (such as blood tests, sleep studies, etc.) may be required to confirm the diagnosis. It is recommended t...

[Read More] Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?


Seeking Guidance on Mental Health Support in Rehabilitation Facilities

Hello Dr. Wu: I would like to inquire about issues related to nursing homes? Hello, 1. Background 1. My late father suffered from schizophrenia and was often verbally and physically abused during my childhood. 2. My parents had a rather unusual marriage and social lif...


Dr. Wu Enliang Reply:
It is highly recommended that you collaborate closely with a physician you are familiar with, and consider seeking psychological therapy to address these internal conflicts. Dr. Wu En-Liang.

[Read More] Seeking Guidance on Mental Health Support in Rehabilitation Facilities


Should You Consult a Mental Health Professional for Your Struggles?

Should I consult a mental health specialist? Hello, doctor. Over the past year, I have been focusing on studying for exams, but I find it difficult to concentrate. I often think thoughts like "Why am I still alive?" and "This has no meaning," which distracts m...


Dr. Wu Enliang Reply:
It is advisable for individuals experiencing significant emotional distress, along with obvious psychosomatic symptoms, to seek medical attention from a psychiatrist. Dr. Wu Enliang.

[Read More] Should You Consult a Mental Health Professional for Your Struggles?


Managing Anxiety and Medication Withdrawal: A Patient's Journey

Drug withdrawal Hello Doctor: I have been taking "Duloxetine 30 mg" for about 4 to 5 months due to long-term anxiety issues. This may stem from the six months I spent caring for my father, who had cancer, until his passing about six or seven years ago. I am unsure why I...


Dr. Wu Enliang Reply:
1. Should I continue taking the medication or reduce the dosage after some time? A: Given your current level of anxiety, it's best not to stop the medication for now. 2. If I want to reduce the dosage, how should I do it? One pill every two days, one every three days, or c...

[Read More] Managing Anxiety and Medication Withdrawal: A Patient's Journey


Can Panic Disorder Be Managed Without Medication?

Can panic disorder be managed without medication? Hello, doctor. I have been dealing with panic disorder for over a decade. I previously consulted a psychiatrist once but have never taken medication because I feel panic about taking drugs. I believe my condition does not currentl...


Dr. Qiu Junda Reply:
Hello. Since you feel that your current condition is not affecting your daily life and mood without medication, you can temporarily refrain from taking medication. If you can make adjustments, not taking medication should not lead to a worsening of your condition. Additionally, y...

[Read More] Can Panic Disorder Be Managed Without Medication?


Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms

Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...


Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...

[Read More] Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms


Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections

Issues related to schizophrenia? Hello, doctor. From the moment I discovered this issue at the Chinese Medicine Hospital in Hsinchu, I have been prescribed over 20 different medications for the past three years, but none have been effective. I am very certain that this is not cau...


Dr. Li Guanying Reply:
Hello, thank you for your message. I can sense the complex emotions you are experiencing, as well as the detailed experiences and various painful feelings you've expressed. I recommend that you continue to seek treatment from a psychosomatic specialist and arrange for regula...

[Read More] Understanding the Overlooked Link Between Schizophrenia and Parasitic Infections


Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide

Fear of falling has become somewhat distressing, along with issues related to early awakening? Hello doctor, I have been waking up in the middle of the night recently. For instance, I woke up at 2 AM today and couldn't fall back asleep, even though I took sleeping pills befo...


Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chronic illness that requires lo...

[Read More] Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide


Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery

Effects after head trauma? I previously experienced a loss of balance and hit the back of my head against a step on the roadside. For a brief period, I was unable to breathe and could not get enough oxygen. After that, I suffered from severe headaches for nearly half a day, follo...


Dr. Qiu Junda Reply:
Hello. The duration of effects after a head injury can vary. Given your age, you should be able to recover quickly. The issues you mentioned, such as feeling that your learning ability is not as good as before and a decline in cognitive function, can also gradually improve. Addit...

[Read More] Impact of Head Trauma on Mental Health: Understanding Symptoms and Recovery


Managing Anxiety: Navigating Medication Withdrawal and Treatment Options

Anxiety Disorder Consultation I have anxiety disorder and, due to the lack of side effects from the medication, I gradually reduced my dosage. I changed my intake of Lexapro from two pills a day to one pill a day, but my mental state remained poor. So, I switched to taking one pi...


Dr. Qiu Junda Reply:
Hello. Treatment for anxiety disorders is a long-term process. Symptoms may fluctuate during this time. Adjustments to medication (including increasing or decreasing dosages) should be carefully evaluated. It is recommended that if you wish to reduce medication, you should discus...

[Read More] Managing Anxiety: Navigating Medication Withdrawal and Treatment Options


Overcoming Negative Thoughts and Memory Issues in Adolescents

Negative thoughts and forgetfulness? Hello, Doctor: Although I am only a first-year junior high school student, I have been troubled by some mental health issues recently, which have caused my mental state to deteriorate. I would like to ask if you could provide me with some advi...


Dr. Wu Menghuan Reply:
Hello: A1. Sudden forgetfulness about tasks and frequent lapses in memory may stem from an inability to maintain focus, which prevents information from being fully received by the brain, stored temporarily, or converted into short-term memory. There are many factors that can affe...

[Read More] Overcoming Negative Thoughts and Memory Issues in Adolescents


Understanding Medication Effects on Sexual Desire in Psychiatric Treatment

Medication Consultation Hello, Doctor: I would like to briefly introduce my background. I started receiving psychiatric treatment in Nagasaki during the 8th and 9th grades. My current diagnoses are Obsessive-Compulsive Disorder (OCD), Depersonalization/Derealization (DP/DR) sympt...


Dr. Wu Menghuan Reply:
Hello: Antidepressants can indeed have side effects related to sexual function, but abruptly discontinuing the medication may lead to instability in mental symptoms, dizziness, headaches, nausea, anxiety, mood swings, and sleep disturbances. Therefore, it is not advisable to adju...

[Read More] Understanding Medication Effects on Sexual Desire in Psychiatric Treatment


Effective Communication with Your Doctor About Panic and Depression Medications

Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...


Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...

[Read More] Effective Communication with Your Doctor About Panic and Depression Medications


Can My Child Participate in PE Classes While on Strattera?

Can I participate in physical education classes after using Spironolactone? Hello Doctor, my daughter is currently in the 4th grade and has previously been diagnosed with ADHD. She is currently taking Concerta 18mg. She has been experiencing symptoms such as loss of appetite and ...


Dr. Wu Enliang Reply:
Online users can attend classes normally without any impact. Dr. Wu En-liang.

[Read More] Can My Child Participate in PE Classes While on Strattera?


Managing Anxiety and Panic: Understanding Symptoms and Treatment Options

Anxiety/Panic-related Hello Doctor, my issue began over a year ago. Initially, I frequently experienced rapid heartbeats, shortness of breath, tingling in my scalp, and anxiety, which required me to lie down for a while to recover. The situation escalated after a workout when I c...


Dr. Wu Enliang Reply:
The issue truly escalated after a certain exercise session when I couldn't calm down, experiencing hyperventilation, dizziness, and seeing only black and white outlines, which led me to take an ambulance to the emergency room. For several days, I had these symptoms, causing ...

[Read More] Managing Anxiety and Panic: Understanding Symptoms and Treatment Options


Understanding Side Effects of Antipsychotic Medications: A Patient's Guide

Schizophrenia Doctor, I took Ubiquinone and Anxiolytic medication last night, and when I woke up the next morning, I felt groggy and had a headache. Are these side effects? Is this considered normal?


Dr. Cai Qijin Reply:
Hello: When starting treatment with Sertraline (Zoloft) and Aripiprazole (Abilify), a small number of individuals may experience side effects such as nausea, headache, and drowsiness. If these side effects are not severe, it is usually advisable to monitor them for a few days, as...

[Read More] Understanding Side Effects of Antipsychotic Medications: A Patient's Guide


Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps

Is there a disorder of the autonomic nervous system? Hello Doctor: I have been experiencing chest tightness and pain for a year now, and gradually I sometimes feel hot flashes similar to menopause. Over the past few months, I have frequently noticed pain in my upper right back, w...


Dr. Wang Pengnian Reply:
It is recommended to go to a general hospital for a thorough examination.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps


Understanding Autonomic Nervous System Disorders: Symptoms and Concerns

Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...


Dr. Li Zhengfeng Reply:
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns


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