Addressing Concerns About Asperger's and ADHD in Young Adults
Questions related to my younger brother (suspected Asperger's syndrome and ADHD) - I hope the doctor can provide answers? Hello Doctor: My younger brother, when he was around 7-8 years old, was diagnosed with Asperger's syndrome and tendencies towards attention deficit ...
Dr. Liang Sunyuan Reply:
Hello, the military service aspect must be assessed based on the recent condition. A confirmed diagnosis of autism qualifies for exemption from service. If there were suspicions of Asperger's syndrome in childhood, a detailed evaluation of the current level of social impairm...[Read More] Addressing Concerns About Asperger's and ADHD in Young Adults
Finding Long-Term Care Solutions for a Mother with Bipolar Disorder
The mother has a long history of depression and bipolar disorder? My mother has been emotionally unstable for as long as I can remember. When I was a child, I would accompany her to see doctors regularly and try to cheer her up. However, as I grew older, her condition worsened. M...
Dr. Qiu Junda Reply:
Hello: Since your mother has a medical history at Shin Kong Hospital, it is advisable to seek assistance from the hospital and discuss with the physician the most appropriate treatment for her condition. While involuntary hospitalization requires certain conditions, it is not ext...[Read More] Finding Long-Term Care Solutions for a Mother with Bipolar Disorder
Addressing Medication Challenges in Sleep Disorders and OSA Management
Medication issues? Dear Director, I have a sleep disorder but do not experience insomnia. I have mild obstructive sleep apnea (OSA) with a postoperative apnea-hypopnea index (AHI) of less than 10, but my respiratory disturbance index (RDI) is still high at 18 events per hour. My ...
Dr. Xie Yongfeng Reply:
Hello: Regarding your question, if you have a regular physician or hospital, it is recommended that you consult your original physician to discuss your symptoms and whether your medication can be adjusted. Thank you.[Read More] Addressing Medication Challenges in Sleep Disorders and OSA Management
Struggling with Sleep Disorders After Night Shift: Seeking Solutions
Sleep disorders Hello, doctor. I used to work the night shift, but I have recently resigned and plan to switch back to day shifts. I worked night shifts for about two and a half years, and during that time, I didn't have any significant sleep issues; I would usually sleep du...
Dr. Li Zhengfeng Reply:
Hello: There are many causes of insomnia, and the treatment methods vary. Some cases can be managed with non-pharmacological treatments, while others may require medication. However, chronic insomnia can adversely affect health, so it is advisable to seek medical attention early....[Read More] Struggling with Sleep Disorders After Night Shift: Seeking Solutions
Understanding Simple Schizophrenia: A Personal Journey and Insights
I would like to understand patients with schizophrenia? Hello doctor, I am 26 years old and was diagnosed with simple schizophrenia at the age of 16. I initially sought help from a psychiatrist because I felt that I had certain issues that were different from others, which led my...
Dr. Liang Sunyuan Reply:
Hello, Miss Jiang: One of the most common symptoms of schizophrenia is indeed delusions of reference (the belief that many things are related to oneself), where the brain involuntarily makes excessive associations. Medication treatment can improve symptoms for most individuals, b...[Read More] Understanding Simple Schizophrenia: A Personal Journey and Insights
Why Antidepressants May Worsen Mood Swings in Depression and Insomnia
Medication for insomnia related to depression? My mother has been experiencing mental and emotional instability for many years. She previously denied having any related mental health issues, but recently she finally sought treatment and is now taking medication for depression and...
Dr. Liang Sunyuan Reply:
Hello, there could be different reasons for this. One possibility is that medications for depression typically require a period of consistent use before they start to take effect, usually between two to six weeks. Therefore, if this is during the early stages of treatment, the ef...[Read More] Why Antidepressants May Worsen Mood Swings in Depression and Insomnia
Understanding Drug Interactions: Can You Combine SSRIs with Cough Medicine?
Drug interaction issues Hello, doctor. I am currently taking "Suyue" (75 mg daily in the morning) for my mental health. Recently, I have been experiencing cold symptoms (coughing, phlegm, etc.) at work, possibly due to poor air quality (I have a history of allergies). S...
Dr. Liang Sunyuan Reply:
Dextromethorphan is used as a cough suppressant and is metabolized by the liver enzyme CYP2D6. The use of SNRIs (such as venlafaxine) can inhibit the activity of this enzyme, leading to increased concentrations of Dextromethorphan. Additionally, if these two medications are used ...[Read More] Understanding Drug Interactions: Can You Combine SSRIs with Cough Medicine?
Understanding Anxiety: Its Impact on Heart Health and Treatment Options
Anxiety issues? Thank you for your previous response. I have already followed up with the cardiology department to review my report. The diagnosis is autonomic dysfunction causing benign arrhythmia. The cardiologist informed me that this is due to emotional tension and stress. Ho...
Dr. Ding Shuyan Reply:
Hello, if there are no issues with your heart but rather with your emotions and autonomic nervous system, I believe it would be better to consult a psychiatrist or a psychosomatic medicine specialist. This is not to say that your cardiologist is not good; rather, different specia...[Read More] Understanding Anxiety: Its Impact on Heart Health and Treatment Options
Managing Insomnia: Can New Medications Help with Dizziness?
Medication consultation Hello Doctor, I have insomnia issues. I was originally prescribed one tablet of Ambien in the morning. I have tried several sleeping medications (such as Starnoc and Lunesta). Currently, I take 1.5 tablets of Eszopiclone and 1 tablet of Lamotrigine befor...
Dr. Liang Sunyuan Reply:
Hello Mr. Chen: If your dizziness is related to anxiety, depression, or autonomic nervous system dysfunction, taking Qianyoujie may be effective. If your dizziness is related to the residual effects of your bedtime medication, you may need to consider adjusting your nighttime med...[Read More] Managing Insomnia: Can New Medications Help with Dizziness?
Understanding Postpartum Depression: Navigating Emotions and Treatment Challenges
Postpartum depression Hello, doctor. I am experiencing postpartum depression. My husband and I do not live together, and every time I see him, I feel like he has another family outside, and that my child and I are the third party. I feel that when I go out with him, no matter how...
Dr. Zhong Mingxun Reply:
Hello! Your situation is truly concerning. It seems that your emotions are difficult to control, leading to impulsive actions and self-harming behaviors, which are manifestations of the overwhelming emotions you are currently experiencing. For your own well-being and that of your...[Read More] Understanding Postpartum Depression: Navigating Emotions and Treatment Challenges
Understanding the Differences Between Sedatives: Ativan, Relaxation Pills, and More
I would like to ask questions regarding sedatives? Recently, due to severe insomnia, my doctor prescribed me Urethane (also known as Lorazepam). It is very helpful when I feel anxious, but I don’t experience an immediate feeling of drowsiness. Additionally, after taking it for a ...
Dr. Wang Xiumei Reply:
Youyouan tablets and Ativan contain the same active ingredient. The strength of their effects depends on the dosage. All three have similar sedative and anxiolytic effects, and some also have hypnotic properties. Individual responses can vary based on personal constitution, the s...[Read More] Understanding the Differences Between Sedatives: Ativan, Relaxation Pills, and More
Latest Medications for Treating Schizophrenia: What You Need to Know
Are there any newly approved medications? Are there any newly approved medications for the treatment of schizophrenia that physicians can provide information about?
Dr. Zhang Zhehong Reply:
There is no miracle drug for schizophrenia. The efficacy of new medications for schizophrenia is not necessarily better than that of "Haldol" (haloperidol), which has a 52-year history; the main difference lies in the fact that traditional antipsychotics tend to have mo...[Read More] Latest Medications for Treating Schizophrenia: What You Need to Know
Are There Any New Antipsychotic Medications Available?
Are there any newly approved medications? My doctor said that the current antipsychotic medications are ineffective for me and mentioned that there are new drugs that will be released soon. If they become available, he will prescribe them to me. So, the medications I am currently...
Dr. Zhang Zhehong Reply:
Hello, you can try practicing relaxation techniques for anxiety, engage in positive thinking, and arrange for diverse leisure activities and exercise. Please have the physician schedule a consultation with a psychologist, as each case has its uniqueness. For medications and their...[Read More] Are There Any New Antipsychotic Medications Available?
Understanding Sleep Deprivation and Its Impact on Mental Health
Sleep deprivation and mental illness? Hello, I have been feeling unrefreshed despite sleeping 7-8 hours every day. I wake up with headaches, a heavy feeling in my head, and fatigue throughout the day. My internal medicine check-up showed no issues, and I have undergone several sl...
Dr. Wang Xiumei Reply:
Dogmatyl at low doses has multiple uses. The management of psychotic symptoms is just one of them and may not necessarily be the intended use. You may want to consult your physician about their considerations.[Read More] Understanding Sleep Deprivation and Its Impact on Mental Health
Impact of Escitalopram on Male Fertility and Pregnancy Outcomes
Escitalopram medication Hello Dr. Liang, I would like to ask about trying to conceive. We have tried four times without success, and the male partner has been taking Escitalopram 10 mg tablets for 7 to 8 years. Does this medication affect sperm fertility or the health of the chil...
Dr. Liang Sunyuan Reply:
Hello Genelle: Escitalopram does not affect sperm health or motility, nor does it have any significant impact on fetal health or fertility. However, taking antidepressant medications can potentially decrease sexual desire. This medication is primarily used to treat depression, an...[Read More] Impact of Escitalopram on Male Fertility and Pregnancy Outcomes
Understanding Psychiatric Diagnoses: When to Question Medication Prescriptions
Is there definitely a problem? Hello Doctor, the patient's symptoms have many possibilities. After consulting with the psychosomatic department several times, I noticed that the doctors always seem to find some diagnoses (for example, there is no insomnia, yet the diagnosis ...
Dr. Liang Sunyuan Reply:
Hello: Many medications indeed have multiple indications. When a physician prescribes a certain medication to you, it does not mean they believe you have all the diseases associated with that medication. The best approach is to consult your physician in person; most doctors are w...[Read More] Understanding Psychiatric Diagnoses: When to Question Medication Prescriptions
Managing Generalized Anxiety Disorder: Medication Concerns and Solutions
Anxiety disorder issues? Doctor: Hello! I have generalized anxiety disorder. Currently, I take 0.5 mg of Alprazolam during the day and at night, I take 1.5 mg of Eszopiclone along with one Lamotrigine. I feel dizzy all day after waking up. I would like to know the feasibility of ...
Dr. Wang Xiumei Reply:
It is advisable to discuss any medication issues and side effects with your primary care physician for a more comprehensive understanding.[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Solutions
Supporting a Family Member with OCD: Strategies for Caregivers
If a family member has obsessive-compulsive disorder (OCD), how can the family assist her? Hello Dr. Ding, 1. My sister is a patient with obsessive-compulsive disorder (OCD) and has been seeing a doctor for quite a long time. Although she is still undergoing treatment, she has s...
Dr. Ding Shuyan Reply:
Hello, the treatment for obsessive-compulsive disorder (OCD) indeed requires time and patience. Not only may the medication need to be taken at higher doses, but it is also quite common for a patient to switch to a different medication if the first one is ineffective. The medicat...[Read More] Supporting a Family Member with OCD: Strategies for Caregivers
Understanding Social Anxiety: Navigating Fear and Isolation
Social anxiety and anxiety? Hello, doctor. I might be having some negative and selfish thoughts... I have unknowingly developed social anxiety. Although I haven't reached the point of not being able to make friends, I feel very nervous about interacting with strangers, espec...
Dr. Ding Shuyan Reply:
Social anxiety is quite common among us Easterners, though the severity varies. Those who do not experience this issue may perceive us as overthinking or find it difficult to engage in social activities, lacking assertiveness. Your sister's reaction seems to reflect a simila...[Read More] Understanding Social Anxiety: Navigating Fear and Isolation
Understanding the Differences Between Yuekang and Suyue in Psychiatry
Yuekang, Suyue 1. I have a neurosis and previously took Seroquel at Kaohsiung Medical University. Now that I am studying in Taipei, almost all clinics prescribe Quetiapine. I would like to know if there is a difference between the two? Are there any cases where patients experienc...
Dr. Liang Sunyuan Reply:
Hello: These two medications contain the same active ingredient but are manufactured by different companies. Theoretically, their efficacy should be the same, but some individuals do perceive differences. Taking antidepressants while consuming alcohol may increase the burden on t...[Read More] Understanding the Differences Between Yuekang and Suyue in Psychiatry