Understanding the Sexual Side Effects of Valdoxan and Lozepam
The issues related to side effects of medications associated with sexual activity, including excessive flashing and changes in mood? Hello Dr. Wu, last year a relative of mine passed away by suicide, which has led to insomnia and mild depressive symptoms. I started seeing a psych...
Dr. Wu Enliang Reply:
Valdoxan (agomelatine) rarely causes sexual dysfunction and is one of the preferred medications for major depressive disorder in patients who are concerned about sexual side effects. Lozepam (loxapine), a benzodiazepine sedative, is more likely to cause sexual dysfunction and is ...[Read More] Understanding the Sexual Side Effects of Valdoxan and Lozepam
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda Reply:
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, making it increasingly difficult for me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleeping medications during breastfeeding, it is advisable to have your condition evaluated by a physician. As for which medication is better between ...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, which has made it increasingly difficul...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleep medications during breastfeeding, it is advisable to have your condition evaluated by a physician. Regarding the combination of medications, a p...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Adult Attention Deficit Disorder (ADD) As I grow older, I find myself forgetting more and more things. I can completely forget what I just heard a second ago, and I often forget to execute the goals I set for myself or become restless during the process. In class, I constantly lo...
Dr. Wu Enliang Reply:
Netizens suggest seeking consultation at the Department of Psychiatry (Psychosomatic Medicine). Dr. Wu Enliang.[Read More] Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Insomnia, loss of appetite, and decreased motivation for two days—how can I determine if I can manage this on my own, or should I schedule an appointment with a psychiatrist? I have tendencies towards depression, and for the past two days, I've been experiencing sleep distur...
Dr. Lin Mianzhang Reply:
Hello Ting Ting: It seems that you have occasionally experienced insomnia and loss of appetite in the past. I would like to know how frequently these issues occur. If they happen quite often, such as every few days or even once a week, I recommend seeking evaluation from a psychi...[Read More] Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Bloating, belching, and a sensation of something stuck in the throat? Hello doctor, for the past four months, I have been experiencing bloating almost every day, along with persistent burping. I feel a sensation of something being stuck below my Adam's apple, and swallowing ...
Dr. Lin Mianzhang Reply:
Hello: It seems that you may have a more anxious personality. If you find it difficult to relax and are easily nervous, you may be more prone to insomnia. Additionally, some people unconsciously swallow air while swallowing saliva when they are tense, which can lead to bloating a...[Read More] Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Father's emotional fluctuations? My dad often explodes over trivial matters. I try to ask him to calm down and talk things over, but it usually doesn't help; he ends up saying hurtful and extremely vulgar things. Once, in a fit of rage, he threw a box at home, which sca...
Dr. Qiu Junda Reply:
Hello. You can explain to your dad that seeking medical help is just for consultation and not necessarily for treatment. You can express that you are experiencing mental and emotional distress and would like to see a psychiatrist. It might help to suggest that you would like him ...[Read More] Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Managing Panic Disorder: Medication Interactions and Sleep Challenges
Drug interactions with anxiolytics? Hello Doctor, I have anxiety and panic disorder. It started about ten years ago, and I initially saw improvement with Lexapro, but since then, I have developed insomnia. For over a decade, I have been living intermittently with panic and anxiet...
Dr. Wu Enliang Reply:
It's highly recommended to discuss your questions thoroughly with your physician. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Medication Interactions and Sleep Challenges
Managing Weight Gain on Antipsychotics: Switching Medications Safely
Schizophrenia with acute thought disorder, treated with Lurasidone? Hello Dr. Tang: I have been taking Risperidone for a year since my onset of illness in July 2023. I originally took one and a half pills a day, but I have reduced it to one pill every two days. However, I have ga...
Dr. Tang Jiahong Reply:
Hello: According to the prescribing information for lurasidone, the average weight gain in the LATUDA treatment group was 0.43 kg, while the average weight loss in the placebo group was 0.02 kg. In short-term placebo-controlled trials for schizophrenia in adults, the incidence of...[Read More] Managing Weight Gain on Antipsychotics: Switching Medications Safely
Managing Anxiety and Sleep Issues: Insights on Medication Choices
Jing An Ning, Ke Qian Ping, You Jie? I would like to ask the doctor about my recent experience. In mid-August, I had difficulty breathing and anxiety, which led to insomnia, so I consulted a psychiatrist. I was prescribed a seven-day course of a serotonin medication. I took it oc...
Dr. Qiu Junda Reply:
Hello. You can switch to the other two medications. However, if your dizziness is related to Keppra (levetiracetam) or Buspirone, then it may not be suitable to make a change. It is important to discuss and evaluate your specific situation with your attending physician.[Read More] Managing Anxiety and Sleep Issues: Insights on Medication Choices
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
Struggling with Identity: Coping with Depression During Internship
Since my internship, I have become unrecognizable to myself? In July, just the thought of going to work kept me awake at night. I went to a beauty store to buy sleep aids, and initially, I took them. However, I felt that taking them continuously wasn't good for my health, so...
Dr. Wu Enliang Reply:
Hello, I was also wondering if you might be suffering from depression. I recommend seeking treatment at a nearby mental health facility. Dr. Wu Enliang.[Read More] Struggling with Identity: Coping with Depression During Internship
Dealing with a Father's Mental Health Struggles: A Family's Dilemma
Dad is unwilling to believe the doctors and family? Hello, I believe my father's personality is influenced by his insecurities, making him more prone to suspicion and highly sensitive to his surroundings. He often struggles to sleep due to noise from neighbors, which frustra...
Dr. Wu Enliang Reply:
If possible, try to empathize with his discomfort, as physical illness can also affect one's mood. You can communicate in a more casual way, mentioning that conditions like neuroses or autonomic nervous system disorders can be treated with certain brain-supporting medication...[Read More] Dealing with a Father's Mental Health Struggles: A Family's Dilemma
Effects of Lorazepam on Open-Angle Glaucoma Patients
The effects of sleeping pills on glaucoma? Hello Doctor, I have open-angle glaucoma and recently visited a psychiatrist due to insomnia. The doctor prescribed me "Lorazepam," but I forgot to ask if this medication is safe for someone with glaucoma. Can I continue to use...
Dr. Wu Kunhong Reply:
It is highly recommended that you promptly seek medical attention from an ophthalmologist and a psychiatrist. Please trust the assessment of qualified professionals to determine the appropriate treatment and medication to ensure your health. Wishing you all the best. Dr. Wu Kun-H...[Read More] Effects of Lorazepam on Open-Angle Glaucoma Patients
Is Vortioxetine Effective for Treating Anxiety Disorders?
Medication consultation is often overwhelming? Hello, doctor. Is the medication Fluvoxamine effective for treating anxiety disorders? I'm not quite sure about the mechanism of Fluvoxamine in treating anxiety disorders; I found online that it promotes melatonin, but does mela...
Dr. Qiu Junda Reply:
Hello. The medication can treat insomnia, depression, and anxiety disorders. It contains melatonin as an ingredient. The mechanism may be related to serotonin being a precursor to melatonin, and a deficiency in serotonin can affect mood, so melatonin "may" help stabiliz...[Read More] Is Vortioxetine Effective for Treating Anxiety Disorders?
Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Sleep issues Hello Doctor, I often have nightmares during sleep, and whenever I do, my heart races significantly. However, I'm not sure if this is related to the nightmares. I consulted a cardiologist, and after examination, the doctor said my heart is normal and referred me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery. ...[Read More] Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues
Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives
Insomnia, anxiety, and medication issues? Hello, I have been taking Xanax for nearly six months due to insomnia caused by anxiety. However, I only take it the night before I have to go to school; if I don’t take it, I can’t sleep all night and my heart races. In short, when it’s ...
Dr. Wu Enliang Reply:
Hello, I have been experiencing insomnia due to anxiety, so I have been taking Zolpidem for almost half a year. However, I only take it on the nights before school; if I don’t take it, I can’t sleep all night and my heart races. In short, I feel very anxious and scared when it’s ...[Read More] Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives
Managing Anxiety and Depression: Coping with Chronic Pain and Loss
Anxiety and Depression Treatment Initially, it was due to work-related stress, followed by a period of rest, which resulted in issues with my lumbar and cervical spine, leading to frequent pain. I couldn't find a cure, and any slight discomfort would make me feel like I had ...
Dr. Qiu Junda Reply:
Hello. Anxiety and depression are treatable conditions, but they require patience. Please consult a mental health clinic and cooperate with the treatment plan. Continuous follow-up is necessary, as improvements may not be immediate, to facilitate a quicker recovery.[Read More] Managing Anxiety and Depression: Coping with Chronic Pain and Loss