Understanding Depression and Insomnia: Medication Insights and Concerns
Depression and Insomnia 1. Currently receiving treatment at Chi Mei Medical Center: Medications: In the morning, one tablet of Sulpiride 50 mg and one tablet of Fluoxetine 20 mg for depression; at night, two tablets of Maprotiline HCL 25 mg and two tablets of Lorazepam 2 mg for i...
Dr. Zhang Xuncheng Reply:
Dr. Hsun-Cheng Chang from Tainan Hospital, Department of Health, replies to Ms. Hsiang-Lan Kuo: 1. Sulpiride (50mg) is commonly used as a gastric medication and for depression relief. 2. Fluoxetine belongs to a newer generation of antidepressants, while maprotiline is a traditio...[Read More] Understanding Depression and Insomnia: Medication Insights and Concerns
Understanding Insomnia: Causes and Solutions for Sleep Issues
Insomnia I previously experienced long working hours (from 8:00 AM to midnight) due to my job, which caused significant stress. However, my sleep was relatively normal. I often had headaches and stomach pain, and I underwent an endoscopy that revealed esophageal reflux as the cau...
Dr. Ye Baozhuan Reply:
Long-term work fatigue, extended working hours, and high stress can disrupt our autonomic nervous system and endocrine system, making it difficult to adhere to the physiological rhythm of "working at sunrise and resting at sunset." As a result, muscles that should be re...[Read More] Understanding Insomnia: Causes and Solutions for Sleep Issues
Understanding Insomnia: Medication Effects and Anxiety Management
Insomnia 1. Taking two tablets of Stilnox 10mg along with two tablets of EURODIN 2mg (plus one tablet of SINEQUAN 10mg) may increase the potential for drug dependence. 2. If you are taking medication for anxiety during the day and decide to stop it on your own, it may negativel...
Dr. Zhang Xuncheng Reply:
Dr. Hsün-Cheng Chang from Tainan Hospital, Department of Health, replies to Mr. Chien-Hsu Lin: *Eurodin is a traditional benzodiazepine medication, and long-term use of such drugs carries a risk of addiction. Depending on individual physiology, taking 1-2 pills daily for about 1-...[Read More] Understanding Insomnia: Medication Effects and Anxiety Management
Understanding Emotional Infidelity: Signs, Symptoms, and Solutions
Emotional infidelity My husband has been experiencing insomnia lately and often gets up at night to meditate. I really don't understand what he is panicking about. To prevent him from having any issues during the day that he won't share with me, I can only secretly obse...
Dr. Chen Guangpeng Reply:
Hello Ms. A-Jing, Regarding your husband's issues, I believe they should be divided into two parts: the first is the frequent phone calls to a certain woman, and the second is the insomnia and meditation attempts. For the first part, there are many details that need clari...[Read More] Understanding Emotional Infidelity: Signs, Symptoms, and Solutions
Overcoming Despair: Finding Hope Amidst Mental Health Struggles
Everything becomes dull if indulged in for too long? Good afternoon, Dr. Chen: I am currently facing the most frustrating situation that has led me to have suicidal thoughts, but it seems that fate is not on my side. I may not have cut deep enough. I am alive. When I think about ...
Dr. Chen Wenyu Reply:
Hello Xiaoqian: Based on the situation you described, it appears that you may be experiencing "severe depression with psychotic features." Relying solely on willpower, psychotherapy, or sedatives and sleeping pills will not resolve your current issues. The best course o...[Read More] Overcoming Despair: Finding Hope Amidst Mental Health Struggles
Understanding the Aftermath of Ecstasy: Symptoms and Recovery
What are the side effects of ecstasy? I am a patient who accidentally ingested ecstasy. On April 20th of this year, I first consumed ecstasy, initially taking two pills, after which I lost consciousness for two hours. I then took another pill, and subsequently experienced physiol...
Dr. Tang Xinbei Reply:
Dear Xiao Rui, Many young individuals, like yourself, have previously misused or accidentally ingested ecstasy. Are your symptoms indicative of acute amphetamine toxicity? Although ecstasy is classified as a substance similar to amphetamines, it possesses both central nervous sy...[Read More] Understanding the Aftermath of Ecstasy: Symptoms and Recovery
Can Dissociative Identity Disorder Be Treated Effectively?
Dissociative Identity Disorder (DID) Can dissociative identity disorder be treated?
Dr. Zhang Zhehong Reply:
Actually, dissociative identity disorder is very rare! Can you tell me the specific issues that are troubling you? For example: insomnia, emotional instability, interpersonal difficulties, auditory sensitivity, or feeling like someone is out to get you.[Read More] Can Dissociative Identity Disorder Be Treated Effectively?
Understanding Depression: A Student's Struggle with Sleep and Emotions
It should be depression? Hello: As a student, I am currently experiencing long-term insomnia and poor sleep quality due to adapting to a new environment, relying on sedatives. Since my freshman year until now in my sophomore year, my emotions have been very volatile; I can be ext...
Dr. Chen Wenke Reply:
Hello Rose: Your situation is just like your name, sometimes blooming and sometimes withering. A gentle breeze makes you sway beautifully, while a strong wind causes your petals to fall scattered. Life is like this; emotional ups and downs are common, so there’s no need to worry ...[Read More] Understanding Depression: A Student's Struggle with Sleep and Emotions
Is My Aunt Experiencing a Mental Health Crisis?
Is my aunt sick? I'm concerned that my aunt might be unwell. Ever since she lost her job, she has been staying at home and sleeping every day. Recently, she suddenly started watching TV, reading, and watching movies. Initially, I was happy for her, but then she began to talk...
Dr. Wang Zhenyang Reply:
It is evident that you are very worried and anxious about your aunt's situation, and you feel helpless. As you described, your aunt seems to be unwell; she may be experiencing symptoms such as paranoid delusions or relational delusions. However, a definitive diagnosis can on...[Read More] Is My Aunt Experiencing a Mental Health Crisis?
Am I Suffering from Depression? Understanding Your Symptoms and Next Steps
Am I sick? Doctor, why do I often feel so irritable? Sometimes I even feel like crying for no reason, and I don't understand why this happens suddenly. Sometimes I experience insomnia and have nightmares, and I feel a sense of helplessness. I have no goals in life and don&#x...
Dr. Lin Yanhong Reply:
Hello: Below are eighteen questions. If you have frequently experienced these phenomena in the past two weeks, there is a high possibility of depression. However, a definitive diagnosis should be made by a physician; it cannot be determined solely by this questionnaire. If you do...[Read More] Am I Suffering from Depression? Understanding Your Symptoms and Next Steps
Understanding Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Autonomic Nervous System Dysregulation vs. Functional Gastrointestinal Disorders (3) Dr. Chen: I apologize for the previous questions I asked you; I have some additional information: (1) On August 1st, I underwent another gastroscopy, and the results indicated a duodenal ulcer, w...
Dr. Chen Wenke Reply:
Hello Johnson: In response to your previous two emails regarding your current condition and to address your questions, there are no significant signs of gastric ulcers. It can be confirmed that many of your gastrointestinal discomfort symptoms are closely related to autonomic n...[Read More] Understanding Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Does Mom Need to See a Doctor for Anxiety and Suspicion?
Does mom need to see a doctor? Hello Dr. Chen, My mother has recently become more anxious and sensitive, possibly due to menopause. She often suspects my father and tries to monitor his actions. While some of my father's behaviors may warrant suspicion, my mother's fre...
Dr. Chen Wenke Reply:
I can sense the distress, helplessness, and panic you are experiencing from your letter. However, it is essential to approach the analysis and resolution of problems step by step; otherwise, it may increase unnecessary psychological stress and anxiety. Firstly, regarding the in...[Read More] Does Mom Need to See a Doctor for Anxiety and Suspicion?
Struggling with Sleep: Seeking Effective Solutions Without Medication
I wish to feel mentally clear and fully energized every day? Dear Director Chen, I have been suffering from insomnia for many years. I first encountered psychiatry about ten years ago at Chang Gung Memorial Hospital in Taipei, where I took sleeping pills and antidepressants for ...
Dr. Chen Wenke Reply:
Hello, Zhih-bin: Perhaps just as you understand yourself, you tend to think a lot but find it hard to control those thoughts, resulting in a persistent feeling of discomfort. I agree with your physician's perspective on pharmacotherapy; from your description, it seems that y...[Read More] Struggling with Sleep: Seeking Effective Solutions Without Medication
Understanding Depression: Symptoms and Seeking Help for Mental Health Issues
Depression Hello Dr. Chen: I would like to ask you about my situation. When I'm not working, I often find myself overthinking and have had suicidal thoughts in the past. There are many complicated issues in my mind that I can't seem to sort out, which makes me feel aiml...
Dr. Chen Wenke Reply:
Shih-Pei: Your description is typical of depression. Please consult a professional psychiatrist to discuss your feelings. There are many potential causes of depression, including life stressors, interpersonal difficulties, physical ailments, work-related stress, emotional pressur...[Read More] Understanding Depression: Symptoms and Seeking Help for Mental Health Issues
Differentiating Treatment Approaches for Dysautonomia and Depression
What are the differences in treatment methods for autonomic nervous system disorders and depression? How can they be distinguished? What are the differences in treatment approaches for autonomic nervous system disorders and depression? How can they be distinguished? My husband is...
Dr. Lin Yanhong Reply:
Hello: The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which originally function as a balance system in the body. Autonomic nervous system dysfunction refers to the loss of this balance, leading to symptoms related to either excessive or...[Read More] Differentiating Treatment Approaches for Dysautonomia and Depression
Is My Sister Depressed? Understanding Signs and Seeking Help
Is it depression? Hello, doctor. I have a younger sister who is 22 years old and a senior in college. Since she started university, she has been worried about her difficulties in making friends. Initially, we didn't think much of it, but over the past year, she has been stay...
Dr. Chen Meizhu Reply:
Hello Ms. Su: Your sister's condition may be indicative of a depressive state or other emotional disturbances. Based on your letter, it seems her social functioning and daily life are significantly affected, so I recommend seeking medical evaluation as soon as possible. You ...[Read More] Is My Sister Depressed? Understanding Signs and Seeking Help
Am I Sick? Understanding the Link Between Mental Health and Physical Symptoms
Do I have an illness? Is it a mental health issue or something else? Hello: Because I often get sick, I frequently visit doctors, both traditional Chinese medicine and Western medicine, and I receive regular treatments! I'm not sure if it's my body producing antibodies ...
Dr. Lin Yanhong Reply:
Hello: If you want to understand what illness you may have, it's difficult to make a complete determination from the letter alone. It seems there may be elements of depression, but whether there are other issues should be assessed by a professional physician. If you have con...[Read More] Am I Sick? Understanding the Link Between Mental Health and Physical Symptoms
Can Insomnia Be Cured? Understanding Treatment Options and Risks
Can insomnia be cured? Dear Doctor Hsieh, Hello, my father has been experiencing insomnia for many years and currently requires daily medication for treatment. There was an incident when he ran out of medication and forgot to see the doctor for a refill, which resulted in him be...
Dr. Xie Yongfeng Reply:
Hello Melody: There are many causes of insomnia, and it is best to consult a psychiatrist for treatment. Thank you.[Read More] Can Insomnia Be Cured? Understanding Treatment Options and Risks
Struggling with Insomnia and Anxiety: A Soldier's Mental Health Journey
I have been experiencing insomnia frequently lately? Hello, doctor. I am currently serving in the military, and for the past month, I have been experiencing frequent insomnia and very light sleep. I often feel my heart racing, sometimes in the 70s or 80s, and it has gone over 100...
Dr. Chen Wenyu Reply:
Hello, Little Bear: Based on your description, it seems that you have indeed been diagnosed with "Adjustment Disorder" by the Kaohsiung General Hospital of the National Military. While mental illnesses have a higher familial genetic component, it does not mean that it i...[Read More] Struggling with Insomnia and Anxiety: A Soldier's Mental Health Journey
Seeking Psychological Counseling for Overcoming Emotional Struggles
I really hope to have psychological counseling to help me? Hello Dr. Lin, I saw your reply yesterday, thank you very much! I feel that if I don't encounter any unfortunate events (the unfortunate events I refer to are just a few things that I care about deeply), my daily lif...
Dr. Lin Yanhong Reply:
Hello: From your reply, it seems that if the "ordinary" period you mentioned lasts for more than two years, it could potentially be classified as depressive neurosis. Whether or not to take medication should be assessed by a consulting physician. There are many more psy...[Read More] Seeking Psychological Counseling for Overcoming Emotional Struggles