Overcoming OCD: Managing Cleanliness Standards and Anxiety in Daily Life
I have obsessive-compulsive disorder (OCD) with a focus on cleanliness. I have questions regarding improvement and standards of cleanliness? Hello, Doctor. I am currently a university student. I started experiencing obsessive cleanliness behaviors since the first year of junior h...
Dr. Huang Xiaoxian Reply:
Dear Oda, based on your description, it seems that your standards for cleanliness are higher than average, and your anxiety levels are quite elevated. I wonder if you've ever felt that your fear of dirt is unreasonable but difficult to control? If this may be related to obse...[Read More] Overcoming OCD: Managing Cleanliness Standards and Anxiety in Daily Life
Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Does OCD Without Medication Affect Intelligence and Memory?
Obsessive-Compulsive Disorder Consultation Hello Dr. Lin: I would like to ask if not taking medication for obsessive-compulsive disorder (OCD) can lead to cognitive decline or memory loss? I also feel that my comprehension seems to be getting worse. Why could this be happening? (...
Dr. Lin Mianzhang Reply:
Hello! Obsessive-Compulsive Disorder (OCD) does not lead to cognitive decline if medication is not taken; however, when your mind is filled with various worries and conflicting thoughts, it can affect your concentration. When concentration is impaired, you may find it more challe...[Read More] Does OCD Without Medication Affect Intelligence and Memory?
Managing Medication for OCD: Concerns About Side Effects and Study Performance
Medication Consultation for Buprenorphine Hello Dr. Wang: I have been taking Prozac for over three weeks (for obsessive-compulsive disorder). I am currently a student retaking exams and taking one and a half pills (the doctor said to increase to two pills, but I feel it's no...
Dr. Wang Yaoting Reply:
Hello: The effects of antidepressants on mood improvement typically become more noticeable after 2-3 weeks, but side effects often appear earlier than the benefits. However, these side effects generally diminish with continued use of the medication. If one does not understand thi...[Read More] Managing Medication for OCD: Concerns About Side Effects and Study Performance
Understanding Symptoms: Is Anxiety Linked to OCD and Medication?
Symptom inquiry Hello Dr. Lin: I have obsessive-compulsive disorder and would like to ask about my symptoms. My heart rate is fast (over 100 beats per minute), I feel anxious (even when there’s nothing to worry about, I can't relax), and my shoulders are habitually tense. Ar...
Dr. Lin Mianzhang Reply:
Hello: Individuals with obsessive-compulsive symptoms often experience higher levels of anxiety. When a person is anxious, they may experience muscle tension, difficulty relaxing, and an increased heart rate. Therefore, the symptoms you mentioned are actually manifestations of an...[Read More] Understanding Symptoms: Is Anxiety Linked to OCD and Medication?
Understanding OCD: Coping with Cleanliness Anxiety in Daily Life
Is it obsessive-compulsive disorder? When I first joined the company, I learned that the boss would let their small dogs out for walks. The dogs would defecate everywhere, and sometimes the boss would clean it up, while other times we had to help. However, there was one time when...
Dr. Lin Mianzhang Reply:
Hello, Hsiao-Ping: Thank you for your hard work! An important point in determining whether you have obsessive-compulsive disorder (OCD) is whether you feel "forced" to perform these cleaning actions, especially if you believe your behavior is excessive. If you do feel t...[Read More] Understanding OCD: Coping with Cleanliness Anxiety in Daily Life
Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
In addition to continuing medication, patients with obsessive-compulsive disorder (OCD) should engage in cognitive-behavioral strategies to communicate with their inner self that is filled with obsession and fear. Techniques such as exposure and response prevention (ERP) can be e...
Dr. Wu Enliang Reply:
Hello, online user: Regarding non-pharmacological treatments for obsessive-compulsive disorder (OCD), it is generally recommended to engage in behavioral therapies similar to what you mentioned. For detailed discussions, it is advisable to address these during psychological thera...[Read More] Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
Understanding OCD: Coping with Contamination Fears and Anxiety
Obsessive-Compulsive Disorder (OCD) with a focus on cleanliness? Hello, doctor: Four years ago, I had gastroenteritis and experienced diarrhea, which caused some fecal matter to accidentally get on my pants. I washed them in the washing machine along with my clothes, and since th...
Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! Being troubled by such symptoms can be very distressing. Your symptoms seem to indicate a high possibility of obsessive-compulsive disorder (OCD), but a definitive diagnosis can only be made through an in-person evaluation by a physician. It a...[Read More] Understanding OCD: Coping with Contamination Fears and Anxiety
Concerns About Taking Prozac: Effects on Brain Function and Memory
Medication - Paxil Hello Dr. Wu: I would like to ask about taking Prozac (fluoxetine). 1. Will it harm the brain's nerves? 2. Will it make me less intelligent? 3. Will it cause memory decline? 4. Will it affect my ability to concentrate? I am a repeat exam taker with mild ob...
Dr. Wu Enliang Reply:
Hello, netizen: There is currently no scientific evidence that Prozac (fluoxetine) causes damage to brain neurons, cognitive impairment, memory decline, or difficulty concentrating. Non-pharmacological treatments for obsessive-compulsive disorder (OCD) to consider include psychot...[Read More] Concerns About Taking Prozac: Effects on Brain Function and Memory
Understanding Anxiety and Compulsive Checking in Exam Candidates
Symptom inquiry Hello Dr. Lin: As a repeat examinee, I feel that whenever I experience anxiety or pressure, I tend to check things (like my clothes) repeatedly. Since there is significant pressure in the review class, I find myself checking more often, although I only do it once ...
Dr. Lin Mianzhang Reply:
Hello A: Thank you for your hard work! It sounds like checking things has become a way for you to alleviate anxiety. If it's just a brief check and doesn't take up much time or cause you distress, then it shouldn't be a problem. However, if you find yourself spendi...[Read More] Understanding Anxiety and Compulsive Checking in Exam Candidates
Concerns About Prozac: Memory Issues and Cognitive Effects for Students
Medication Issues: Prozac Hello, Doctor: Thank you very much for taking the time to respond. I am a repeat examinee with obsessive-compulsive disorder. Today, I visited the hospital, and the doctor prescribed Prozac for me. I have read online that Prozac can cause cognitive dulln...
Dr. Lin Mianzhang Reply:
Hello Ms. Liu: Each individual may have different reactions to medications due to variations in their physiology. Therefore, taking Paxil (Paroxetine) does not necessarily mean you will experience the symptoms that others have reported. Generally speaking, Paxil is less likely to...[Read More] Concerns About Prozac: Memory Issues and Cognitive Effects for Students
Is This Obsessive-Compulsive Behavior? Understanding Your Concerns
Is this obsessive-compulsive disorder? Doctor, when I need to throw something away, like product boxes or packaging, I find myself overly concerned about the printed production dates, expiration dates, batch numbers, or barcodes. I often feel compelled to memorize these numbers, ...
Dr. Lin Mianzhang Reply:
Hello Tsai: It seems that you have many symptoms similar to obsessive-compulsive disorder (OCD). To differentiate whether it is OCD, the most important factor is how you feel when performing these actions. Do you ever feel "forced" to do these actions while checking? Do...[Read More] Is This Obsessive-Compulsive Behavior? Understanding Your Concerns
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Overcoming Obsessive Cleanliness: A Teen's Guide to Managing Germ Anxiety
Obsessive-Compulsive Disorder (OCD) related to cleanliness? Hello Doctor, I am currently a high school student. Whenever something falls on the floor at school, I constantly feel that it is contaminated with bacteria and I want to clean it. Also, I am afraid to touch the faucet i...
Dr. Li Zhengfeng Reply:
Hello: Based on the information provided in your letter, it may be symptoms of obsessive-compulsive disorder (OCD). It is recommended to consult a psychiatrist, and medication treatment may be necessary. This could significantly reduce the interference of symptoms. Wishing you al...[Read More] Overcoming Obsessive Cleanliness: A Teen's Guide to Managing Germ Anxiety
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda Reply:
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders