Could Stress Be Causing My Unexplained Physical Symptoms?
Am I sick? Hello, may I ask you a question? Recently, due to certain circumstances, I had to take on all the responsibilities of my company. Since then, I have started experiencing health issues. I have been suffering from gastroenteritis that has developed into gastritis, and de...
Dr. Tang Xinbei Reply:
Dear Little One: It seems that at such a young age, you have to bear many burdens and feel quite a bit of pressure! There is increasing evidence that when individuals face stress, various systems in the body are affected, including the neuroendocrine system (which involves cortis...[Read More] Could Stress Be Causing My Unexplained Physical Symptoms?
Understanding the Effects and Risks of Combining Psychiatric Medications
Medication consultation Hello Dr. Tang: I was originally taking only Stilnox (10mg) and Rivotril (2mg). Recently, it seems that these two medications have gradually lost their effectiveness, so my doctor has prescribed two additional medications for me: Prozac (20mg) and Scrcnal ...
Dr. Tang Xinbei Reply:
Dear Xiang-er, Among the four medications you are taking, Rivotril (2mg) and Serenal (10mg) belong to the benzodiazepine class of sedative-hypnotics. Long-term and high-dose use can lead to tolerance (meaning the medication gradually loses its effectiveness). When suddenly disco...[Read More] Understanding the Effects and Risks of Combining Psychiatric Medications
Understanding Abilify: Side Effects, Weight Gain, and Its Use in Schizophrenia
Psychiatric medications Abilify (aripiprazole) can have several side effects. Common side effects include weight gain and drowsiness. It may also exhibit side effects similar to older antipsychotic medications, such as extrapyramidal symptoms (EPS), which can include tremors, rig...
Dr. Tang Xinbei Reply:
Dear friend: You inquired about Abilify, which is an antipsychotic medication that was launched in Taiwan earlier this year and has also been available in other countries for only the past year or two, resulting in limited clinical experience. Regarding the side effects of this m...[Read More] Understanding Abilify: Side Effects, Weight Gain, and Its Use in Schizophrenia
Understanding Sleep Issues and Emotional Distress: When to Seek Help
Please ask your question? Hello Doctor: I often experience insomnia and dream frequently. I frequently feel emotionally low, suffer from headaches, restlessness, anxiety, and have a poor appetite. However, when I am feeling frustrated or under stress, I find myself unconsciously ...
Dr. Chen Wenyu Reply:
Hello Sue: The physiological and psychological aspects are mutually influential; physical issues can affect sleep and mood, and conversely, emotions can impact physical health. What have you been worrying about lately? What thoughts keep you awake at night? Have you identified th...[Read More] Understanding Sleep Issues and Emotional Distress: When to Seek Help
How to Encourage a Loved One with Mental Health Issues to Seek Help?
How to persuade someone with anosognosia to seek medical attention? My sister has been very irritable lately. She often throws things when she gets angry and repeatedly slams doors. In her daily life, she exhibits some repetitive behaviors, such as turning light switches on and o...
Dr. Chen Meizhu Reply:
Hello: Based on the description in your letter, it is evident that your sister exhibits symptoms of compulsive behavior and restlessness, which may indicate obsessive-compulsive disorder or could be precursor symptoms of other mental illnesses. It is important to seek medical tre...[Read More] How to Encourage a Loved One with Mental Health Issues to Seek Help?
Seeking Mental Health Support in New Taipei: A Patient's Journey
I would like to seek medical treatment in the northern region? Hello Dr. Chen, I am a patient who previously consulted with you in Taitung. I have now moved to the Xinzhuang area in the north and have been taking medication for nearly two months. However, regarding my condition, ...
Dr. Chen Mingzhe Reply:
Dear Vanessa, how are you adapting? You are still in the adjustment phase, so your emotions may fluctuate. With psychological support and stable treatment, you should gradually improve. Dr. Chen Jiongming from Taipei City Hospital's Psychiatry Department and Dr. Zhou Lizhi f...[Read More] Seeking Mental Health Support in New Taipei: A Patient's Journey
Understanding School-Related Headaches and Emotional Struggles in Teens
I'm sorry, but I need specific content or questions to assist you. Please provide the Hello, I often get angry over trivial matters. When I was in school, I frequently experienced headaches, which completely hindered my ability to think. Sometimes, I would act out irrational...
Dr. Tang Xinbei Reply:
Dear friend: It seems that you are experiencing quite a bit of difficulty in your interpersonal relationships. "People who struggle to interact with others often have few friends," and it appears that you lack self-confidence, fearing that you might say the wrong thing ...[Read More] Understanding School-Related Headaches and Emotional Struggles in Teens
Understanding Eye Strain and Headaches: A Psychological Perspective
How to improve this situation? I often experience soreness and fatigue in my eyes when exposed to light or sharp objects, and I also have headaches in specific areas. This condition has persisted since childhood without improvement, fluctuating between better and worse. Even when...
Dr. Lin Yanhong Reply:
Hello, your eyes often feel sore and fatigued in response to light and sharp objects, and you also experience headaches. This condition has not improved since childhood, and despite consulting ophthalmologists, family medicine doctors, and neurologists, there are no issues found ...[Read More] Understanding Eye Strain and Headaches: A Psychological Perspective
Struggling with Mental Health: Coping with Sleep Issues and Overwhelming Stress
I'm sorry, but I Hello Doctor: Recently, my sleep quality has been deteriorating. I often wake up in the middle of the night; it used to be once a night, but now it's four times a night. I feel exhausted every day at work. Additionally, I have had poor health since chil...
Dr. Tang Xinbei Reply:
Dear friend: It seems that you are facing quite a few challenges, not only emotionally but also physically, with stress from daily life as well as family and interpersonal relationships. You appear to be significantly troubled by your physical discomfort, which seems to have pers...[Read More] Struggling with Mental Health: Coping with Sleep Issues and Overwhelming Stress
Do I Have Panic Disorder? Understanding Symptoms and Seeking Help
Do I have panic disorder? Hello... I have seen the symptoms of panic disorder... I suspect that I have panic disorder... because I have several symptoms... but I have never seen a doctor... so I don't know if I actually have panic disorder... Could you please help me with th...
Dr. Lin Yanhong Reply:
Hello, panic disorder is a type of severe anxiety disorder that can occur without any warning or obvious reason. The overwhelming fear of dying is much more intense than the typical anxiety experienced by most people. Symptoms of a panic attack include: *rapid heartbeat*shortness...[Read More] Do I Have Panic Disorder? Understanding Symptoms and Seeking Help
Dealing with a Jealous Partner: Seeking Help for Mental Health Struggles
I would like to consult with the doctor? Hello, doctor. I have a question I would like to ask you. I currently have a close boyfriend, but I am going crazy lately. I have known for a long time that he is a flirt; he constantly talks about which girl he likes or how beautiful some...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Ren of the Psychiatric Department at Tainan Hospital, Executive Yuan Health Department, Based on your letter, it seems that your boyfriend may have a tendency to undermine others' self-esteem to satisfy his own vanity. If this is the case and you are una...[Read More] Dealing with a Jealous Partner: Seeking Help for Mental Health Struggles
Am I Depressed? Understanding Emotional Turmoil and Seeking Help
Am I suffering from depression? Dear Dr. Chen, I often feel like crying for no reason. I experience sadness, irritability, and frequent outbursts of anger, and I cannot control my emotions. I also suffer from insomnia; even when I do fall asleep, I only sleep for about three hour...
Dr. Lin Yanhong Reply:
Hello, what should I do? I can see your feelings of helplessness. However, what you need to overcome right now is the shame associated with facing emotional and psychological issues. Your fear of being ridiculed by others reflects your attitude towards handling the problem. While...[Read More] Am I Depressed? Understanding Emotional Turmoil and Seeking Help
Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
What is wrong with me? Hello Doctor: Over the past two years, I feel like I've changed. I've become irritable and easily angered; even the smallest things can make me explode in rage and curse. If someone almost hits me while I'm riding my bike, I will yell, but af...
Dr. Chen Guangpeng Reply:
Hello, patient with anxiety: Based on your description, your symptoms are associated with both anxiety and depression. Some patients begin with long-term sleep disturbances, leading to excessive sympathetic nervous system activation the next day, resulting in emotional instabilit...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
Understanding Scalp Tightness: A Common Symptom of Depression
Scalp tightness Hello, Doctor Zhou. I previously experienced tightness in my scalp, difficulty concentrating, and insomnia, and was diagnosed with depression. After taking antidepressants for over a year, my concentration and sleep have improved, but I still feel tightness in my ...
Dr. Zhou Sunyuan Reply:
Patients with depression may sometimes experience physical symptoms, such as headaches. Tension in your scalp could be one of these symptoms; however, it can be difficult to determine in a diagnosis. Generally, other physical illnesses need to be ruled out first before considerin...[Read More] Understanding Scalp Tightness: A Common Symptom of Depression
Understanding Auditory Hallucinations: When to Seek Psychiatric Help
Please provide the content you would like me to translate into English? I often feel like someone is talking near my ear, which makes me feel psychologically scared. I also experience insomnia and headaches. I'm unsure which specialist to consult.
Dr. Ye Baozhuan Reply:
Hello, I recommend that you seek help from a psychiatric outpatient clinic. Thank you![Read More] Understanding Auditory Hallucinations: When to Seek Psychiatric Help
Struggling with Anxiety: Four Years on Xanax and Deanxit
I have been taking Xanax 0.5 mg and Deanxit for four years? Director Chen: When I was young, I lived in a household with domestic violence, constantly worrying about when the violence would occur again. During middle school, I would get so nervous in open male restrooms that I co...
Dr. Chen Wenke Reply:
Hello Dandelion: From your description, it is clear that you frequently experience symptoms of anxiety. I believe this type of condition is indeed classified as a chronic illness, meaning that the likelihood of recurrence is quite high. Therefore, when you face significant stress...[Read More] Struggling with Anxiety: Four Years on Xanax and Deanxit
Managing Multiple Symptoms: A Guide to Mental Health Concerns
I'm sorry, but I Hello Director Lin, I have several symptoms and would like to know how to address them: 1. Headaches that sometimes come with dizziness 2. Stiffness and pain in the shoulders and neck 3. Itchy and sore eyes 4. Occasional episodes of rapid heartbeat 5....
Dr. Lin Yanhong Reply:
Hello, based on your symptoms, it appears to be a case of neurosis; however, a precise diagnosis requires a consultation. Once a clear diagnosis is established, appropriate medication treatment can be provided. Additionally, discussing your lifestyle and sources of stress, along ...[Read More] Managing Multiple Symptoms: A Guide to Mental Health Concerns
Excessive Sleep: Understanding the Impact on Mental Health
Excessive sleepiness? I usually sleep for over 12 hours, and sometimes even longer, which often leaves me with a headache upon waking. I prefer not to take headache medication, so I tend to go back to sleep. There was one time in middle school when I slept for 27 hours straight. ...
Dr. Ye Baozhuan Reply:
Hello! Hypersomnia may be a condition, and your issue seems to be excessive sleep duration rather than narcolepsy. However, the problem of prolonged sleep duration needs to be compared with your original (normal) sleep hours, as individual standards vary. Some people may sleep on...[Read More] Excessive Sleep: Understanding the Impact on Mental Health
Understanding Insomnia: Signs, Symptoms, and Sleep Patterns
Are you experiencing insomnia? Hello, doctor: I have a question. When I sleep, I often toss and turn. Sometimes I feel like I haven't slept at all throughout the night, but other times it seems like I slept soundly until morning. However, according to my recording, I am toss...
Dr. Sun Xiaoru Reply:
Insomnia, commonly referred to, can be roughly divided into two types: difficulty falling asleep and difficulty maintaining sleep. In the former, patients often complain of lying in bed, tossing and turning, struggling to fall asleep; in the latter, patients frequently report hav...[Read More] Understanding Insomnia: Signs, Symptoms, and Sleep Patterns
Understanding the Side Effects of Risperdal: Weight Gain and Concentration Issues
What are the potential side effects of Risperdal? A 53-year-old male patient with jealous-type delusions is taking 1.7 ml of Risperdal daily. What side effects might he experience? Will he gain weight or have difficulty concentrating? Initially, he experienced drowsiness when sta...
Dr. Tang Xinbei Reply:
Dear QQ: It seems that you are inquiring about medication for a family member. Risperdal (known in Chinese as "理思必妥") is a novel antipsychotic medication. According to information provided by the manufacturer's branch in Taiwan, common side effects of this medicati...[Read More] Understanding the Side Effects of Risperdal: Weight Gain and Concentration Issues