Headache, Psychiatry FAQ

Understanding Anxiety: A 12-Year-Old's Struggle with Overthinking Health Issues

Is this considered an anxiety disorder? Hello, doctor. I am 12 years old. I have had a tendency to overthink since I was around 6 years old. For example, I can turn a simple cold into thoughts of various serious diseases. Now that I am older and have a smartphone, whenever I feel...

Dr. Wu Kunhong Reply:
It is highly recommended that you seek psychiatric care as soon as possible. Please trust a qualified professional to assess your condition and determine the appropriate course of action to ensure your mental and physical well-being. Wishing you all the best. Dr. Wu Kun-Hong

Managing Side Effects of Medications: Insights on Depression Treatment

Drug side effects I have been taking Bupropion for three weeks. My depression has improved somewhat, but I am experiencing mild headaches, dizziness, and difficulty relaxing. Will these side effects lessen over time?

Dr. Qiu Junda Reply:
Hello. Headaches and dizziness can be symptoms of depression or side effects of Betaserc. It's important to clarify this first. If it is a side effect, it may lessen over time as you adjust. However, it is advisable to follow up with your physician to discuss and clarify the...

Understanding Health Anxiety: Coping with Worries About Illness

Health anxiety concerns Hello Doctor: I have been experiencing health anxiety for the past three months. Since July, I have had chest tightness and pain (especially on the left side of my chest; I previously asked a question on Taiwan's e-hospital). I have been Googling my s...

Dr. Lin Mianzhang Reply:
Hello Zoe: It seems that you are experiencing a lot of physical discomfort. I recommend that you first visit an internal medicine or family medicine specialist to assess whether there are any underlying health issues. If the physician examines you and arranges for tests, and all ...

Managing Sexual Side Effects of Antidepressants: A Patient's Guide

Sexual side effects Hello Doctor, I started taking Sertraline (千憂解) three times a day since last week. After taking it, I noticed I have difficulty achieving an erection. A week later, I returned for an earlier follow-up, and the doctor mentioned that Sertraline, being a serotoni...

Dr. Qiu Junda Reply:
Hello. Changes in medication and side effects should be discussed with your attending physician. Please continue to attend follow-up appointments and cooperate with the treatment plan to help improve your condition.

Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry

Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...

Understanding Anxiety: Can Sleep Habits Affect Your Health?

Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...

Dr. Wu Enliang Reply:
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...

Understanding Anxiety and Panic: Heart Symptoms and Treatment Options

Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...

Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...

Do You Need to See a Doctor for Anxiety Symptoms?

Do I need to see a doctor? I have a very rational personality and tend not to express my emotions outwardly, which makes me somewhat repressed. I spend a lot of time working, maintain distance from others, rarely share my feelings, and am concerned about how others perceive me, o...

Dr. Qiu Junda Reply:
Hello. You have worked hard under the pressures of life, which can inevitably lead to feelings of anxiety and worry. I suggest you search for educational articles on stress management to learn some practical methods that may help. Of course, you can also take the time to visit a ...

Managing Mood Disorders: Navigating Medication Side Effects and Adjustments

The medication doesn't seem to be effective, and increasing the dosage makes me feel uncomfortable? Hello, doctor. I am being treated for bipolar disorder and I am taking half a tablet of Lurasidone along with other medications for anxiety and heart rhythm. Last week during ...

Dr. Tang Jiahong Reply:
According to the lurasidone prescribing information, the incidence of dizziness at doses of 20mg, 40mg, and 80mg is 6%, 4%, and 4%, respectively. The incidence of drowsiness at these doses is 15%, 16%, and 15%. If symptoms resolve upon discontinuation of the medication and reappe...

Overcoming Anxiety and Helplessness: Finding Support for Mental Health

Anxiety, fear, and a sense of helplessness? Hello, Doctor: Since graduating from university, I have been staying at home. I have often felt that life has no value since my student days. I am introverted, feel powerless about life, have no desire to go out, and lack interest in do...

Dr. Lin Mianzhang Reply:
Hello Zoe: I can sense your feelings of helplessness and despair, especially since you are a more introverted person. If you don't have a way to express your emotions, it can be very difficult to relieve the discomfort within. Although your previous experience with the docto...

Why Cognitive Testing is Essential After a Car Accident

Why is it necessary to conduct cognitive assessments after a car accident? Hello Doctor: I was in a car accident on January 6th of this year and have been undergoing rehabilitation and attending outpatient clinics since then. I am still experiencing dizziness and headaches, which...

Dr. Yan Congyou Reply:
Hello, Xiao Xiao: The arrangement for a psychological evaluation (intelligence testing) actually encompasses various functional assessments, including language, memory, processing, social skills, and attention. Each assessment can identify specific issues related to certain brain...

Struggling with Persistent Low Mood: Seeking Help and Understanding

Emotions have been consistently low? Hello, doctor. I don't know why my emotions have been so low. I've noticed that my coordination has worsened, and even when I try to feel angry, I can't. My libido seems to have diminished as well; I feel indifferent when seeing...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have arisen suddenly, it is important to consider whether they may be related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) define...

Managing Sleep Disturbances and Anxiety After Medication Changes

It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...

Dr. Tian Xinqiao Reply:
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...

Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety

Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...

Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...

Can You Safely Combine Antidepressants and Acetaminophen?

The issue of concurrently taking antidepressants, Xanax (Alprazolam), and pain relievers (Acetaminophen)? Hello Doctor, I am currently taking Epram (20 mg daily) and Xanax (0.5 mg daily). However, since I had a car accident a few years ago, I have been experiencing pain in the le...

Dr. Qiu Junda Reply:
Hello. It is possible to take them simultaneously.

Can You Take Anxiety Medication and Tylenol Together Safely?

Can anti-anxiety medications be taken simultaneously with Tylenol? Recently, I've been experiencing panic symptoms and insomnia at night. The doctor prescribed me "Xanax," but it didn't have much effect. I then switched to "Uran," and it has helped a...

Dr. Qiu Junda Reply:
Sure. Don't worry.

Are My Symptoms Side Effects of Depression Medication?

Is it a side effect of antidepressant medication? Hello, doctor. I started taking some psychiatric medications for depression two months ago, and I didn't experience any significant side effects until last week when my medication was adjusted. I switched from taking 1.5 tabl...

Dr. Qiu Junda Reply:
Hello. Since the occurrence happened after your medication adjustment, it is indeed possible that it could be a side effect of the medication. The addition of Anli Fu (Anxiolytic) should be considered. You may try to stop taking Anli Fu (or reduce the dosage by half) and then rep...

Understanding Occipital and Frontal Head Pain: Causes and Solutions

Pain in the back of the head and on both sides of the forehead? Recently, for some unknown reason, I could only sleep for 2-3 hours at a time, and I even felt so dizzy that I almost couldn't stand up. It was only after the doctor prescribed medication that I began to improve...

Dr. Lin Mianzhang Reply:
Hello Ms. Hsiao: Based on your description of the timing and location of your headaches, it is possible that your headaches are caused by excessive fatigue or stress. I recommend that you maintain adequate sleep and relax, which should help improve your headache condition. If the...

Understanding Sleep Disorders: Anxiety and Its Impact on Rest

Sleep issues A few days ago, I experienced some anxiety due to an upcoming exam, which led to insomnia every night. Initially, I would suddenly experience sleep paralysis while trying to sleep, and this would happen two to three times in one night. I got used to it, but after a f...

Dr. Wu Enliang Reply:
It is possible that the symptoms may be caused by some anxiety issues. It is recommended to follow up with a consultation for further treatment. Dr. Wu Enliang.

Understanding Sleep Disturbances: Causes and Concerns for Students

Sleep issues Hello Doctor, I am a fourth-year student preparing for the national exam. Recently, my roommate told me that often after I fall asleep, they hear me call out, sometimes in a loud voice, sometimes just a soft "uh," and I even roll around in bed. However, whe...

Dr. Qiu Junda Reply:
Hello. The sleep issues described in the text do not initially appear to have significant pathological problems. They may be a reaction occurring in a state of semi-consciousness. These sleep problems could also be related to stress. However, it seems they are not having a major ...

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