Understanding the Fine Line of Illness Awareness in Mental Health
The boundary of insight into illness? Hello, I have been diagnosed with schizophrenia. During my middle school years, I stayed in a rehabilitation center, but there wasn't a specific diagnosis given. My family didn't tell me much, but it was likely related to depressive...
Dr. Lin Mianzhang Reply:
Hello Alu: It seems that your condition is relatively mild and you are responding well to treatment, which is why you appear to be like a normal person. However, it is still recommended that you continue taking your medication to prevent relapse. Each relapse can cause harm to th...[Read More] Understanding the Fine Line of Illness Awareness in Mental Health
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang Reply:
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Drug side effects Hello Dr. Lin! I am currently receiving a long-acting injection called Seroquel, but I have recently noticed an issue with delayed ejaculation. This problem has been bothering me for quite some time. Could you please recommend a long-acting injection that does n...
Dr. Lin Mianzhang Reply:
Hello: You are likely experiencing symptoms of hyperprolactinemia, which can be caused by many antipsychotic medications. Among long-acting injectables, Abilify Maintena is less likely to have this side effect, but its effectiveness for you still needs to be evaluated by a physic...[Read More] Managing Delayed Ejaculation from Long-Acting Psychiatric Injections
Managing Physical Discomfort from Psychological Stress During Exams
How to alleviate physical discomfort caused by psychological factors? I have my final exams this week, and I started experiencing light sleep since last weekend, even not sleeping at all some nights. Gradually, my muscles have begun to feel very tense, especially my fingers, whic...
Dr. Qiu Junda Reply:
Hello. It seems that the exam is causing you significant stress, leading to physical discomfort. The medications Xibing and Anli may also have physiological side effects. I recommend that you return for a follow-up appointment with your physician to discuss and clarify the causes...[Read More] Managing Physical Discomfort from Psychological Stress During Exams
Are You Overthinking? Understanding High Sensitivity and Anxiety
Are you worried too much or overthinking? Is it just high sensitivity? Hello, recently I experienced a lot of academic pressure which led to an emotional outburst. It affected my physical condition, and since it was my first time encountering such a situation, I became easily wor...
Dr. Lin Mianzhang Reply:
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability. To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that low...[Read More] Are You Overthinking? Understanding High Sensitivity and Anxiety
Finding Hope: Navigating Depression and Mental Health Challenges
Will I really get better? Hello Doctor, I have been diagnosed with depression or persistent depressive disorder, and I have a history of social anxiety disorder which has since resolved. Recently, my physician suspects I may have hypomania. Although I am relatively young, my medi...
Dr. Lin Mianzhang Reply:
Hello Eunice: Thank you for your hard work! From your situation, it seems that you really need a stable doctor-patient relationship so that the physician can understand your condition and provide you with the most suitable treatment. If you frequently change doctors (even if it...[Read More] Finding Hope: Navigating Depression and Mental Health Challenges
Can You Take Sleep Medications and B12 Together? Expert Advice
Is it necessary to stagger the timing of taking sleep medications and vitamin B12? Hello, doctor. My mother is getting older and has been experiencing poor sleep quality in recent years. During a recent consultation, the doctor prescribed Uledin, which is a sleeping medication. S...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Can You Take Sleep Medications and B12 Together? Expert Advice
Understanding Drug Interactions in Psychiatric Medications: A Guide
Drug interactions Hello Dr. Lin, I apologize for the interruption. I was previously taking antidepressant and anti-anxiety medications, but due to recent issues with lymphadenitis, I need to take additional medications (listed below). I would like to ask if there are any potentia...
Dr. Lin Mianzhang Reply:
Hello Brisko: The medications you are taking do not have significant interactions with each other. The only thing to be aware of is to complete the full course of antibiotics as prescribed by your physician to prevent the development of antibiotic resistance. Additionally, since ...[Read More] Understanding Drug Interactions in Psychiatric Medications: A Guide
Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...
Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....[Read More] Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Studying Abroad with Schizophrenia: Challenges and Solutions
Schizophrenia and issues related to studying abroad! Hello Dr. Tang, I am a 40-year-old male diagnosed with schizophrenia, and I have been dealing with this condition for about 16 years. I initially experienced symptoms such as flat affect, delayed responses, delusions, and audi...
Dr. Tang Jiahong Reply:
Hello: Regarding medications, according to the National Health Insurance Administration's website: "Chronic patients with continuous prescriptions who are scheduled to travel abroad, return to offshore islands, or are crew members of deep-sea fishing vessels or internat...[Read More] Studying Abroad with Schizophrenia: Challenges and Solutions
Can You Take Zapline and Alprazolam on an Empty Stomach?
Medication Consultation Hello Doctor, may I ask if Zapline 50mg (take half a tablet before bedtime) and ALPRAZOLAM 0.5mg (take one tablet as needed) can be taken on an empty stomach? Or is it recommended to eat something before taking them, or what is the best way to take them? I...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about the side effects of medication. 1. Anxiety disorders and psychosomatic disorders are common in modern society, often stemming from the uncertainty of the fut...[Read More] Can You Take Zapline and Alprazolam on an Empty Stomach?
Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...
Dr. Lin Mianzhang Reply:
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Can antidepressants be ineffective? Hello Doctor: I started experiencing nasal congestion in April, which led to difficulty breathing and gradually increased anxiety that affected my sleep. Since August, I have been unable to sleep well. A psychiatrist prescribed "0.5 mg of ...
Dr. Qiu Junda Reply:
Hello. Antidepressants should not lose their effectiveness. The condition may fluctuate (stress from preparing for surgery can also affect the condition). It is not that the medication is ineffective. Hyperventilation can be alleviated with anxiolytics. I recommend that you conti...[Read More] Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Understanding Your Medication: Managing Side Effects and Long-Term Treatment
Paranoid delusions Hello Doctor, here are the medications I am taking at the clinic. I have been going to bed early and waking up early, getting up at 8 AM and sleeping at 10 PM. Could you please take a look at my medication list and let me know if there is anything I should be a...
Dr. Wu Enliang Reply:
Fallep Tablets 2mg is a sleeping pill; it's best to take it sparingly, with the hope of eventually not needing it. It's important to exercise regularly and manage your diet to avoid weight gain. Please arrange for annual blood tests to check blood sugar and lipid levels...[Read More] Understanding Your Medication: Managing Side Effects and Long-Term Treatment
Managing Medication for Schizophrenia: Side Effects and Long-Term Solutions
Paranoid delusions Hello Doctor, here are the medications I am taking at the clinic. I have been going to bed early and waking up early, getting up at 8 AM and sleeping at 10 PM. Could you please review my medication list and let me know if there is anything I should be aware of?...
Dr. Wu Enliang Reply:
Fallep Tablets 2mg is a sleeping pill; it's best to take it sparingly and hope to eventually stop using it. It's important to exercise regularly and control your diet to avoid weight gain. Please arrange for annual blood tests to check blood sugar and lipid levels with ...[Read More] Managing Medication for Schizophrenia: Side Effects and Long-Term Solutions
Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Medication consultation Hello doctor... I have a sleep disorder and usually take sleep aids before bed. Recently, I've been having frequent nightmares, so the doctor prescribed enteric-coated antidepressants to take before sleep. Could you please tell me what side effects I ...
Dr. Wu Enliang Reply:
Hello, if there are side effects, they are generally gastrointestinal, such as nausea, vomiting, and diarrhea. It is advisable not to take the medication on an empty stomach and to start with a low dose to generally avoid side effects. As for sexual dysfunction, it can also occur...[Read More] Understanding Side Effects of Sleep Medications: Constipation and Sexual Dysfunction
Understanding Side Effects of Qian You Jie: A Patient's Experience
Side effects of Qianyoujie (also known as "Qianyoujie" or "Qian You Jie")? Hello doctor, I have been taking Qianyoujie for six years, two pills a day, always in the morning. Recently, I couldn't get an appointment for a follow-up visit, so I stopped takin...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to concerns about the side effects of your medication. 1. Anxiety disorders are common in modern society, characterized by uncertainty about the future. This is a chronic condit...[Read More] Understanding Side Effects of Qian You Jie: A Patient's Experience
Understanding the Use and Efficacy of Long-Acting Injectable Antipsychotics
The usage cycle and administration sites for Anleuprolide acetate long-acting injection? Hello, doctor! I have a friend who is about the same age as me and received an injection of Paliperidone 300 mg. They mentioned that the effect lasted only 3 days, but I found online that thi...
Dr. Wu Enliang Reply:
User Q: I have a friend who is about the same age as me and received an injection of Aripiprazole 300mg. They mentioned that the effects lasted only 3 days, but I found online that this medication is supposed to be administered once a month. Can you help me inquire if this inject...[Read More] Understanding the Use and Efficacy of Long-Acting Injectable Antipsychotics
Understanding the Effects of Lurasidone on Menstrual Cycle and Mental Health
The effects of taking Lurasidone? Hello, doctor! I was hospitalized at the beginning of 2022 and diagnosed with schizophrenia. I have been steadily taking medication for almost two years now, currently on Lurasidone, a muscle relaxant, and a sleeping pill. The dosage of Lurasidon...
Dr. Cai Qijin Reply:
Common side effects of Lurasidone include increased prolactin levels, extrapyramidal symptoms, drowsiness, and restlessness. The increase in prolactin levels may lead to delayed or missed menstrual periods. These side effects can vary from person to person, and not everyone will ...[Read More] Understanding the Effects of Lurasidone on Menstrual Cycle and Mental Health