Medications, Psychiatry FAQ

Should You Continue Medication for OCD After Symptoms Improve?

Should I continue taking medication for obsessive-compulsive disorder (OCD)? Dr. Liao: I have been on medication for about 2 months, and my obsessive-compulsive symptoms have mostly disappeared. Currently, this medication seems to be the most ideal for me (not considering switchi...

Dr. Liao Dinglie Reply:
Hello, user: It is truly reassuring that the current medications can be helpful! As for your desire for an improved condition, including alleviating some unusual sensations, it may be beneficial to discuss with your physician how to achieve the best balance with your medications....

Managing OCD Medication: Side Effects and the Decision to Reduce or Stop

The medications I take and their side effects? Dr. Wang: I have obsessive-compulsive disorder (OCD) and have been on medication for about two months. The symptoms of OCD have mostly disappeared. However, I have been experiencing persistent uncomfortable side effects (a strange fe...

Dr. Wang Yaoting Reply:
Hello: Your feelings are shared by many patients. Medications can be effective, but they also have side effects. The question is whether to continue taking the medication. Generally speaking, if you can tolerate the side effects and the medication significantly improves your symp...

Coping with Death Anxiety: Strategies for Finding Peace of Mind

Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...

Managing Mental Health: Concerns About Medication Interruption and Symptoms

I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...

SSRIs and Memory: Do They Enhance or Impair Cognitive Function?

SSRI (Selective Serotonin Reuptake Inhibitor) Dr. Dai: I am taking an SSRI, and I saw on PTT that some people feel their memory has worsened after taking it. However, SSRIs are supposed to increase serotonin, and isn't serotonin supposed to enhance memory? I would like to as...

Dr. Dai Wanxiang Reply:
Hello, patients with depression not only experience symptoms such as low mood, loss of interest, negative thoughts, and insomnia, but they can also be affected in terms of cognitive functions like memory and attention. Selective Serotonin Reuptake Inhibitors (SSRIs) can help alle...

Managing Insomnia During Pregnancy: Tips for Better Sleep

Insomnia during pregnancy Since I found out I was pregnant, I've been experiencing insomnia from time to time. Sometimes I can't fall asleep until 4 or 5 in the morning, and I have to work during the day, which is really exhausting. I feel psychological pressure, fearin...

Dr. Lin Mianzhang Reply:
Hello QQ: First of all, congratulations on your pregnancy! It seems that you are experiencing insomnia since you found out you were pregnant. I wonder what kind of stress pregnancy might be causing you. If you are unable to relieve this stress, it can naturally affect your sleep,...

Managing Panic Palpitations: Medication Dilemmas and Solutions

Panic palpitations I take 1.5 tablets of Fuxu, 1 tablet of Xinyu, and 1 tablet of Anbining every day. Recently, I still often feel my heart beating strongly. Tonight, I experienced a bit of a panic attack. What should I do? Can I take 2 tablets of Xinyu? The family medicine docto...

Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: The medications you are taking include an antidepressant (Fuxu), a medication for lowering heart rate and blood pressure (Xinlv Ding), and an anxiolytic (Anbining). The antidepressant works by regulating the autonomic nervous system, which helps reduce the frequen...

How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?

How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic...

Dr. Tang Jiahong Reply:
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...

How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?

How much longer will it take to return to normal? I previously took Lorazepam for over three months, and stopping the medication has caused insomnia. It has now been three months since I stopped, and I have been experiencing insomnia for the entire duration. This insomnia is not ...

Understanding Drug Interactions and Medication Overload in Psychiatry

Drug interactions and medication exacerbation? The patient has the following conditions with ICD codes: F31.60, I10, J31.0, M47.21, M47.26, K64.9, E78.2. The medication regimen includes: Anxieties 0.5 mg twice daily, Allegra 60 mg twice daily, Zyprexa Zydis 5 mg at bedtime, Lexap...

Dr. Tang Jiahong Reply:
Hello, among these medications, zolpidem (Stilnox), tramacet which contains tramadol, codeine, and morphine are relatively more likely to be addictive. It is advisable to seek assistance from an addiction psychiatrist. Thank you.

Understanding the Risks of Taking Prazosin for Anxiety: A Doctor's Insight

Medication Consultation - Ping An Jing Hello, doctor. Thank you for your review. I have been experiencing anxiety symptoms and have been taking tranquilizers for two days. The psychiatrist was very attentive in discussing and chatting with me, which has really made me feel that m...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your anxiety and concerns about the irreversible nature of Parkinson's disease, as well as the fear of lifelong disability or dysfunction, which requires a professional ph...

Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers

Metoprolol and Anaprilin? Hello, doctor. This summer, I experienced difficulty falling asleep and visited a nearby family medicine clinic, where the physician prescribed me 0.5 mg of Alprazolam. Initially, I only took it occasionally when I had trouble sleeping, but it later evol...

Dr. Lin Mianzhang Reply:
Hello: It seems that you are troubled by difficulties sleeping and various situations arising from medication use; I empathize with you! First of all, insomnia is usually just a symptom, and when it occurs, we need to understand why it happens. Factors such as stress, changes in ...

Understanding SSRI Effects and Concerns About Antipsychotic Medications

Medication issues Dr. Wang: 1. After taking SSRIs, I feel indifferent towards things and a bit lethargic, which only started after I began the medication. I would like to know if this condition will improve after the treatment ends and I stop taking the medication, or will it per...

Dr. Wang Yaoting Reply:
Hello, I apologize for the late response as I just saw the system notification. 1. SSRIs can enhance the effects of serotonin in the brain, generally improving your mood, making you feel calmer, suppressing feelings of fear, dulling negative emotions, and becoming more rational...

Understanding SSRIs and Their Effects on OCD and Depression Treatment

Medication Consultation Dr. Lin: Situation: Obsessive-Compulsive Disorder/Depression 1. After taking SSRIs, I feel somewhat indifferent to things and a bit lethargic, which started after I began the medication. I would like to know if this condition will improve after the treatm...

Dr. Lin Mianzhang Reply:
1. The feeling of being somewhat lethargic and fatigued usually improves after taking medication for a period of time; however, a general indifference and a more laid-back attitude may persist, which can actually help alleviate feelings of anxiety. 2. Anli Fu (Amisulpride) is cla...

Consulting on SSRI Side Effects and Movement Disorders in Psychiatry

Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...

Struggling to Sleep After Waking Up: Insights from Psychiatry

Difficulty falling back asleep after waking up in the middle of the night? I have been experiencing sleep disturbances for a while now. It started over three years ago when I began seeing a psychiatrist and started medication. At the end of October, I wanted to reduce my medicati...

Dr. Wu Enliang Reply:
Hello, online user: The causes of long-term insomnia need to be discussed with your physician. Are there issues related to depression or anxiety that need to be addressed? Are there any problems with your sleep hygiene? Relying on sleeping pills is a temporary solution and does n...

Understanding Sound-Only Dreams: Are They Normal?

A dream with only sound and no imagery? Summary: A few days after my grandfather passed away, one night I had a dream with no images, only hearing my grandfather calling my name. Is it normal to have a dream that consists solely of sound without any imagery? The doctor's res...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. The issue you mentioned falls within the realm of neuroscience research. In Taiwan, the most renowned researcher in the study of dreams in normal individuals is Professor Hsieh Po-Rang from the Department of Psycho...

Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft

The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...

Is Dreaming with Only Sound Normal? Exploring Auditory Dreams

In the dream, there are only sounds? It is not uncommon for dreams to lack visual imagery and consist solely of sounds or voices. This phenomenon can occur during different stages of sleep, particularly during REM sleep when dreaming is most vivid. The experience of hearing a fam...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is likely related to "REM sleep behavior disorder." First, it is important to rule out whether you were taking any medications at the time, including cold medications. Additionally, we n...

Understanding Affective Psychosis: Differences, Recovery, and Hallucinations

Affective Psychosis Hello, doctor. I would like to ask: 1. Is there a difference between schizoaffective disorder and mood disorder with psychotic features? My prescription states "major depressive disorder in remission, schizoaffective disorder," but when I asked my ...

Dr. Lin Mianzhang Reply:
Hello Evonne: 1. Schizoaffective disorder and affective psychosis are merely differences in translation; they refer to the same condition, which is known in English as schizoaffective disorder. "Schizo-" refers to splitting, while "affective" pertains to emo...

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