Understanding Social Anxiety Disorder: A Student's Struggle and Solutions
Social Anxiety Disorder Hello, doctor. I am currently a high school sophomore. I have a naturally introverted personality and tend to be quiet around strangers, but I didn't experience panic until three years ago when a close friend, whom I relied on, transferred schools. Si...
Dr. Wu Menghuan Reply:
Hello: It is recommended to visit a child and adolescent psychiatry outpatient clinic to discuss with a physician, including differential diagnosis, types of medications being taken, their effects, and side effects; additionally, you can also discuss with the physician about refe...[Read More] Understanding Social Anxiety Disorder: A Student's Struggle and Solutions
Navigating Medication Hesitation in Mental Health Treatment
Hesitation in taking medication? Hello Doctor, I have been experiencing irregular episodes of rapid heartbeat (90 bpm while lying down, 100-120 bpm while sitting) and chest tightness. I went to the emergency room where blood tests and X-rays indicated that my heart is fine. Subse...
Dr. Wu Enliang Reply:
1. A friend mentioned that the doctor said Epram and Leeyo have the same effect, and Leeyo should be fine. However, the doctor prescribed me a different medication at a dosage of 10mg. I am a bit apprehensive about the initial 5mg of Leeyo since this new medication is similar, an...[Read More] Navigating Medication Hesitation in Mental Health Treatment
Understanding Tardive Dyskinesia: Treatment Options and Recovery Insights
Tardive dyskinesia I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), with my face contorted and constantly making grimaces, along with persistent lip movements. Therefore, I stoppe...
Dr. Lin Mianzhang Reply:
Hello, The side effects you are experiencing after taking medication are certainly not what you or your physician would want to see. However, there is still a chance for recovery from tardive dyskinesia (TD), and I hope you do not lose hope. According to the literature, the rem...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Recovery Insights
Understanding the Link Between Headaches and Mental Health Medications
Headaches require psychiatric medication, while coughing necessitates gastrointestinal medication? I suddenly find myself in a strange situation and want to vent a little. I have been experiencing headaches that require psychiatric medication, and I have a cough that necessitates...
Dr. Wu Enliang Reply:
Hello, regarding your three questions (Do I need to continue taking psychiatric medication for my headache? I still have headaches despite taking neurology medication; should I continue taking it? Based on my previous experiences, my constitution may cause stomach medication to t...[Read More] Understanding the Link Between Headaches and Mental Health Medications
Can Initial Psychiatric Evaluations Determine Disability Levels?
Can a disability assessment be conducted during the initial visit at your hospital? Hello Dr. Wu: Thank you for helping with the referral to the rehabilitation center during my brother's initial consultation. He has successfully been admitted. Wishing you great success and p...
Dr. Wu Enliang Reply:
Dear online user: Since you have already come to our hospital for a consultation, I suggest that we discuss these issues in person during your outpatient visit for clearer communication. Dr. Wu En-Liang[Read More] Can Initial Psychiatric Evaluations Determine Disability Levels?
Understanding Tardive Dyskinesia: Treatment Options and Recovery Insights
Tardive dyskinesia? I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD) with grimacing facial expressions, constant lip movements, and making strange faces, so I stopped the medicatio...
Dr. Wu Enliang Reply:
Hello, everyone: 1. Are there any medications available to treat tardive dyskinesia? Currently, I am experiencing severe involuntary movements in my facial muscles, particularly in my lips, which makes me look grotesque. I am also having difficulty with head movements, which si...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Recovery Insights
Understanding Tardive Dyskinesia: Treatment Options and Self-Management
Tardive dyskinesia I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), with my face contorting and my lips constantly moving. As a result, I stopped the medication. It has been six m...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress, as indicated by your facial grimacing and the constant movement of your lips. Whether this is a case of tardive dyskinesia requires a professional diagnosis from a physician. 1. I...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Self-Management
When Will Sleep Disorders Improve After Stopping Lorazepam?
When will the sleep disturbances caused by discontinuing medication for six months improve? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam for over three months at a dosage of 0.5 mg before bedtime. After disconti...
Dr. Peng Liyun Reply:
Hello, I understand your concerns. It is uncommon to experience insomnia due to withdrawal from a low dose of Lamotrigine after discontinuation for six months. I recommend a reevaluation of your insomnia and autonomic nervous system dysregulation, and it is important to rule out ...[Read More] When Will Sleep Disorders Improve After Stopping Lorazepam?
Understanding Anxiety and Health Fears After Vaccination: A Personal Journey
Worried about developing a serious illness? A month ago, I experienced discomfort after receiving a vaccine and went to see a cardiologist. I had blood tests and an electrocardiogram (ECG), and after the examinations, I was told everything was fine and went home. The next day, I ...
Dr. Wu Enliang Reply:
Hello, netizens: It is very likely that psychosomatic symptoms (stress, anxiety, depression) are causing discomfort in various parts of the body. It is recommended to seek medical attention from a psychiatrist. Dr. Wu Enliang.[Read More] Understanding Anxiety and Health Fears After Vaccination: A Personal Journey
Understanding Tardive Dyskinesia: Treatment Options and Coping Strategies
Tardive dyskinesia? I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), which manifests as grimacing and constant lip movements, along with some head shaking. Therefore, I stopped th...
Dr. Wu Enliang Reply:
Hello, everyone: 1. Are there any medications available to treat tardive dyskinesia? I am currently experiencing severe facial grimacing and uncontrollable lip movements, which significantly affect my ability to eat, bathe, and brush my teeth. I am afraid to go out, and my head...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Coping Strategies
Understanding Tardive Dyskinesia: Treatment Options and Self-Management
Delayed onset motor difficulties (TD) I have been taking Seroquel at Far Eastern Memorial Hospital's psychiatry department for a year, but I developed severe tardive dyskinesia (TD), characterized by grimacing, tongue protrusion, and lip smacking, along with constant lip mov...
Dr. Wang Yaoting Reply:
Tardive dyskinesia (TD) may occur due to long-term use of antipsychotic medications, leading to hyperfunction of dopamine in the brain regions that control movement, which results in hyperkinetic movements in certain body parts and subsequently causes movement disorders. The prim...[Read More] Understanding Tardive Dyskinesia: Treatment Options and Self-Management
Understanding Panic Disorder Medications: Your Questions Answered
Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...[Read More] Understanding Panic Disorder Medications: Your Questions Answered
Can You Get the BNT Vaccine While on Psychiatric Medications?
Medications and the BNT Vaccine Currently, I take 6.25 mg of Sustanon long-acting tablets, 0.5 mg of Rifampicin tablets, and 30 mg of Apo-Paroxetine before bed. Can I receive the BNT vaccine? I have had 1 dose of AZ, 2 doses of AZ, and 3 doses of BNT.
Dr. Qiu Junda Reply:
Hello. These medications should not conflict with the BNT vaccine. When administering the vaccine, the physician will also assess your health condition. Please rest assured.[Read More] Can You Get the BNT Vaccine While on Psychiatric Medications?
Managing Anxiety: Questions About Medication Effectiveness and Communication with Your Doctor
Inquire about medication issues? Hello, doctor! My condition began when I was 17 years old due to a car accident, which caused me to become overly anxious and fearful of riding in any vehicle. I later consulted a psychiatrist who prescribed me milder medications, but the issues d...
Dr. Wu Enliang Reply:
Hello, online friend: Clonazepam is effective compared to other long-acting medications. If the improvement is limited, it is indeed necessary to adjust the medication and incorporate non-pharmacological treatments such as psychotherapy, biofeedback training, and microcurrent sti...[Read More] Managing Anxiety: Questions About Medication Effectiveness and Communication with Your Doctor
Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Missed medication dose Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system disorder for six months, and there haven't been any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of E...
Dr. Qiu Junda Reply:
Replied.[Read More] Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Missed medication dose? Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system dysfunction for six months, and I haven't had any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of En...
Dr. Qiu Junda Reply:
Hello. You can stop taking the medication Qianyoujie and Entelai after waking up on January 14th, as you have already taken the medication at 2:20 AM on January 14th. You can resume your usual medication schedule afterward. There is no significant impact from the missed dose, so ...[Read More] Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Can Tylenol Interact with Anxiety Medications After Vaccination?
Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...[Read More] Can Tylenol Interact with Anxiety Medications After Vaccination?
How Long Does Ambien Last? Understanding Its Effects for Study Prep
Medication Consultation Hello, doctor. I would like to ask how long the effects of Anbongding (Clonazepam) last? The doctor advised me to take one 0.5 mg tablet before bed, but the exam is approaching, and I'm worried that the effects might not wear off by morning, which cou...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of the university entrance examination. As for whether this will have an impact, a professional physician needs to conduct a personal diagnosis. 1. Facing an un...[Read More] How Long Does Ambien Last? Understanding Its Effects for Study Prep
Managing Sleep Medications: Finding the Right Balance for Mental Health
Medication issues Thank you for your detailed response last time, Doctor. You asked why I take Mirtazapine first and then take Anxiolytic before bed a few hours later. This is because my psychiatrist mentioned that taking Mirtazapine a few hours before bedtime is more effective, ...
Dr. Lin Mianzhang Reply:
Hello: Jing An Ning is classified as a sedative, and long-term use can indeed lead to dependence and tolerance, so it is not recommended for prolonged use. It is acceptable to alternate between half a tablet and a quarter tablet. If you wish to taper off the medication, the princ...[Read More] Managing Sleep Medications: Finding the Right Balance for Mental Health
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...
Dr. Huang Zhijia Reply:
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?