Concerns About OCD Medication and Its Impact on Glaucoma
Obsessive-Compulsive Disorder (OCD) Medication Issues Hello, Doctor. I have concealed my obsessive-compulsive disorder from my family for nearly six years. Finally, today I visited a psychiatrist and described my obsessive thoughts. The doctor also diagnosed me with obsessive-com...
Dr. Liang Sunyuan Reply:
Hello Peter: This medication will not worsen glaucoma, so there is no need to worry. Wishing you a speedy recovery.[Read More] Concerns About OCD Medication and Its Impact on Glaucoma
Struggling with Mental Health: Seeking Help Amidst Family Doubts
I want to save myself? Since I was in sixth grade, I have experienced sudden bouts of deep sadness and crying, feeling an overwhelming desire to die, as if I can't get through a single day. On average, these emotional breakdowns occur 1-2 times a year. Although I discussed t...
Dr. Liang Sunyuan Reply:
Hello: You have graduated from university, have a stable boyfriend, and are doing well at work, which is likely the result of your hard work. If you experience insomnia and anxiety about once a month, it may be worth noting if these episodes occur primarily before your menstrual ...[Read More] Struggling with Mental Health: Seeking Help Amidst Family Doubts
How to Treat Musical Ear Syndrome: Understanding and Managing Symptoms
If you are experiencing persistent auditory hallucinations, such as hearing music or voices, it is important to seek professional help. Treatment options may include: 1. **Psychotherapy**: Cognitive Behavioral Therapy (CBT) can help you manage and understand your Hello Doctor: A...
Dr. Dai Wanxiang Reply:
Ms. Jian: Based on your description, it is very likely to be what is known as benign auditory hallucinations (with no other psychiatric symptoms present). However, if it is causing distress, a low dose of antipsychotic medication could be considered (such as the medication you me...[Read More] How to Treat Musical Ear Syndrome: Understanding and Managing Symptoms
Understanding Anxiety: When Harmful Thoughts Cause Distress
My husband's anxiety issue is not about being victimized, but rather about being harmed. What should I do? Hello, doctor. I have read a lot about anxiety symptoms, and most of them seem to be related to excessive worry about being harmed. However, my husband has always had t...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your description, it is evident that your husband is experiencing discomfort and agitation, as the situation you outlined is quite serious and has been affecting his daily life and work. The best course of action at this point is to maintain regular medical ...[Read More] Understanding Anxiety: When Harmful Thoughts Cause Distress
Managing Complex Medication for Mental Health: A Patient's Journey
Taking Entresto (sacubitril/valsartan), Rifampin, and Zantac (ranitidine) together may lead to potential drug interactions that could affect heart rhythm. It is important to monitor for signs of arrhythmia, which can include palpitations, dizziness, or fainting. If you experience...
Dr. Cai Qijin Reply:
Hello: Psychosomatic symptoms need to rule out the influence of mental and physical disorders. Involuntary head shaking and auditory hallucinations require further evaluation for other issues. The medications you are using, including Lyrica, Rifampin, Zyprexa, and Atarax, are all...[Read More] Managing Complex Medication for Mental Health: A Patient's Journey
Understanding Intrusive Thoughts: Coping with Mental Health Challenges
I have persistent absurd thoughts that I can't seem to shake off and cannot control? Hello Doctor, my husband has been experiencing these issues for a long time, but he only opened up to me about his emotional struggles after we got married. Recently, he had another episode,...
Dr. Lin Niqi Reply:
Hello, you mentioned that your husband's mental condition has significantly affected his daily life, which necessitates medical treatment. As for the cause, diagnosis, and treatment methods, these can only be confirmed through a consultation with the patient. Therefore, plea...[Read More] Understanding Intrusive Thoughts: Coping with Mental Health Challenges
Understanding Panic Disorder vs. Anxiety: A Guide for Families
Is this panic disorder or anxiety panic disorder? Hello Doctor, My mother has become very anxious over the past few years due to my father's infidelity. I have taken her to see a doctor. Although my mother chose to forgive my father, and he apologized and promised to cut t...
Dr. Huang Weiqin Reply:
Hello, regarding your description of your mother's emotions and behaviors, it seems she may be experiencing depression combined with anxiety and autonomic nervous system dysregulation due to the stress from the infidelity incident. The damage to mutual trust, self-confidence...[Read More] Understanding Panic Disorder vs. Anxiety: A Guide for Families
Is It Panic Disorder or Depression? Understanding Your Mental Health Symptoms
I'm not sure if this is panic disorder or depression? I remember during the Lunar New Year when I was 19 years old, I took a train and there were so many people that I couldn't find a seat, so I stood in the aisle. Shortly after the train departed, I suddenly felt dizzy...
Dr. Huang Weiqin Reply:
Hello, user: Based on your description of your emotional and physical condition, it is indeed possible that you are experiencing panic disorder and secondary depression as a result of panic. Panic disorder is a type of autonomic nervous system dysfunction. With appropriate medica...[Read More] Is It Panic Disorder or Depression? Understanding Your Mental Health Symptoms
Can Long-Term Use of Controlled Release Tablets Be Safe for Epilepsy?
Can enteric-coated tablets be taken long-term? Hello, doctor! My husband experienced a sudden full-body seizure three months ago, with his eyes rolling back, lasting about 1-2 minutes, and he has no memory of this episode. The tests showed no abnormalities, but he did have a feve...
Dr. Zhan Jiaxiang Reply:
Hello: 1. The use of this medication should be assessed by a physician based on individual patient conditions to determine if long-term use is appropriate or necessary. For patients with renal impairment, dosage adjustments are required. In patients with severe hepatic impairme...[Read More] Can Long-Term Use of Controlled Release Tablets Be Safe for Epilepsy?
Understanding the Side Effects of Zyprexa for Panic Disorder Treatment
Side effects of Xanax? Doctor, I have panic disorder, which has led to chronic headaches and digestive issues. The doctor prescribed me Xanax and stomach medication, but I am afraid of the side effects and haven't taken them yet. If I develop tolerance, how long will it take...
Dr. Dai Wanxiang Reply:
Hello, Mr. Mirror: If a diagnosis of panic disorder is confirmed, it is possible to prescribe selective serotonin reuptake inhibitors (SSRIs) or anxiolytic medications (such as Xanax) for treatment. Cognitive behavioral therapy (CBT) can also be used in conjunction with medicatio...[Read More] Understanding the Side Effects of Zyprexa for Panic Disorder Treatment
Overcoming Fear of Therapy: Addressing Mental Health Stigma
Fear of going to work? I want to ask about seeing a psychiatrist because I have friends who have seen doctors, and after taking medication, they appear dazed. This is one of the reasons I am afraid to see a doctor. If I want to apply for insurance, the insurance agent will know a...
Dr. Dai Wanxiang Reply:
Hello, Miss: If you are experiencing emotional distress, most people can recover through self-adjustment abilities, support and care from family and friends, or assistance from psychological counseling. If the recovery process is not smooth or if the condition is more severe, the...[Read More] Overcoming Fear of Therapy: Addressing Mental Health Stigma
Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Anxiety Panic Disorder Hello, Doctor. I have some questions I would like to ask you. Since I had an episode of hyperventilation after a meal during a business trip last July, I experienced another episode of hyperventilation in October that made me feel scared, and I was later di...
Dr. Dai Wanxiang Reply:
Hello, Mr. Wen: Based on your description, the symptoms that appeared after changing medication could indeed be withdrawal symptoms. However, it is essential to discuss this with your treating physician to determine the best pharmacological treatment approach. Xanax is an effecti...[Read More] Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Understanding Obsessive-Compulsive Disorder: A Personal Struggle
Mental health issues I am very afraid to go outside because I fear being hit by a car. I am scared of scissors on the table when I leave the house, and I have to ask whether I should bring my glasses. My ability to make decisions is very poor; I have to ask about everything, like...
Dr. Li Zhengfeng Reply:
Hello: In addition to medication treatment for obsessive-compulsive disorder (OCD), psychological therapy and behavioral therapy can be combined, which may help improve the condition. You may discuss this with your primary physician. Wishing you a speedy recovery.[Read More] Understanding Obsessive-Compulsive Disorder: A Personal Struggle
Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Regarding issues related to antidepressant medications? The diagnostic symptoms are F328 and F341. The reason for the consultation is persistent self-harm, which has been ongoing for nearly a month. The patient is currently on a regimen of 0.5 mg of Lurasidone and 10 mg of Desven...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Regarding the use of medication for depression, it typically takes about one to two weeks for the drug concentration in the brain to stabilize and take effect. Therefore, you may want to continue monitoring the adjustment of your medic...[Read More] Understanding Medication Issues in Depression: Impact on Sleep and Self-Harm
Why Taking Anti-Anxiety Medications After Meals Can Cause Discomfort
Is it true that anti-anxiety medication should not be taken within 30 minutes after a meal? It is quite strange that after taking the medication "Yuli Shupan" (containing fludiazepam 0.25mg) within 30 minutes after breakfast, I experience discomfort between my stomach a...
Dr. Liang Sunyuan Reply:
Hello: Everyone's constitution is different, and I have not heard of other patients having similar experiences in the past. Additionally, it is important to determine whether this is a one-time experience or if you feel this way every time. If it is just a one-time sensation...[Read More] Why Taking Anti-Anxiety Medications After Meals Can Cause Discomfort
Managing Long-Term Sleep Issues: When Medication Isn't Enough
Long-term use of sleep medications? If I experience insomnia 3 to 4 times a night and need to change medications, does that mean I really have to rely on medication to sleep? Is hospitalization necessary in this case? In outpatient care, aside from medication, I feel like I can...
Dr. Liang Sunyuan Reply:
Hello: Most insomnia issues can be treated on an outpatient basis. Insomnia can be addressed by a psychiatrist (or psychosomatic medicine specialist). In addition to pharmacological treatment, it is recommended to develop good sleep habits, such as going to bed at a fixed time, r...[Read More] Managing Long-Term Sleep Issues: When Medication Isn't Enough
Concerns About Medication Overdose in Elderly Patients with Anxiety and Insomnia
Is there a concern about the possibility of overdose with my mother's current prescriptions? Hello Doctor: My mother was hospitalized at a medical center in southern Taiwan in early February for the treatment of hyponatremia, during which she also experienced symptoms of ins...
Dr. Li Zhengfeng Reply:
Hello: The medication dosage should be adjusted based on the patient's constitution and condition. It is recommended to return for a follow-up visit and discuss the adjustment of medication type and dosage with the attending physician. Wishing her a speedy recovery.[Read More] Concerns About Medication Overdose in Elderly Patients with Anxiety and Insomnia
Understanding Sleepiness Despite Taking Adderall: Possible Causes Explained
Medication consultation Hello doctor, the patient is experiencing excessive sleepiness and has been taking Modafinil, but there has been no improvement in alertness, nor any side effects of insomnia. The patient still falls asleep easily but does not feel rested upon waking. What...
Dr. Li Zhengfeng Reply:
Hello: Treatment for hypersomnia is symptomatic and may include the prescription of stimulants such as armodafinil and modafinil. Behavioral changes (such as working at night and engaging in social activities that delay sleep) and modifications in dietary habits can also alleviat...[Read More] Understanding Sleepiness Despite Taking Adderall: Possible Causes Explained
Managing Sleep Disorders: Can L-Theanine Enhance Sleep Quality?
Sleep issues and additional supplementation? Hello, Doctor. I have been diagnosed with autonomic nervous system disorder for 2 years, with the main symptom being insomnia. The doctor prescribed Zopiclone 7.5 mg and Doxepin 25 mg, both to be taken before bedtime. I have been on th...
Dr. Wang Yixiang Reply:
Theanine is a food additive whose composition and mechanism of action are similar to that of sedative medications, and it may have a sleep-promoting effect; however, it is not a pharmaceutical product, so its efficacy is not guaranteed. Currently, there is no data indicating that...[Read More] Managing Sleep Disorders: Can L-Theanine Enhance Sleep Quality?
Can You Safely Combine Ulotar, Eszopiclone, and Rifampin?
Psychiatric medications Hello doctor, I would like to ask if it is safe to use Uledin, Yimianan, and Rifapentine together. Will there be any interactions between these medications, or will it help me sleep more soundly?
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry regarding the use of sleeping medications. To summarize, these three medications have some differences in their characteristics. For instance, Yimenan (Zolpidem) acts relatively quickly, Youleding (Eszopiclone) has a longer duration of ...[Read More] Can You Safely Combine Ulotar, Eszopiclone, and Rifampin?