Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding Body Pain: The Link Between Mental Health and Medication
Generalized bone pain? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Meishuyu (Mirtazapine) 50mg * 2 tablets, Silvacon (Sertraline) 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, Alprazolam 0.5mg * ...
Dr. Wang Yaoting Reply:
Hello: Based on your description, you are still experiencing anxiety regarding your condition and medication, and excessive anxiety may also be contributing to your physical discomfort. Anxiety is a prospective emotional response to perceived threats in the future, a fear imagine...[Read More] Understanding Body Pain: The Link Between Mental Health and Medication
Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Weakness in all four limbs? The doctor said that my urinary flow rate test and urodynamics showed abdominal voiding, bladder weakness, poor bladder contraction elasticity, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood and not darin...
Dr. Wang Yaoting Reply:
Hello: Sedative medications may have muscle relaxant effects and can lead to a sensation of limb weakness; however, individual responses may vary, and the dosage can also make a difference. Panic and anxiety can also cause somatic symptoms, including feelings of limb weakness. It...[Read More] Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Inability to focus the eyes, obsessive-compulsive disorder (OCD)? Recently, I have been preparing for a retake and have been experiencing a symptom that I want to ask about. The symptom is difficulty concentrating, inability to focus my eyes, and a lack of concentration (my field...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text may also be a response to stress (such as from retaking exams). Prolonged excessive stress can indeed cause harm. What you mentioned about the brain being unable to handle it, leading to these symptoms, generally refers to issues related ...[Read More] Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Understanding Your Mental Health Diagnosis and Medication Dosage
Differential diagnosis and dosage? Hello, doctor. I recently visited a psychiatrist for the first time, and my doctor only mentioned that I have Generalized Anxiety Disorder. However, when I checked my health records using the National Health Insurance app, it showed the primary ...
Dr. Liang Sunyuan Reply:
Hello: Each physician has a different habit of writing medical records. These three diagnoses may be confirmed diagnoses or they may only be suspected diagnoses that need to be verified or ruled out during future follow-up treatment. If there are any concerns, you can discuss the...[Read More] Understanding Your Mental Health Diagnosis and Medication Dosage
Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
Is this obsessive thinking? Delusion? Or schizophrenia? Hello, Doctor. Here’s the situation: I have obsessive-compulsive disorder, and recently I have been very worried that I might have schizophrenia. Whenever I hear a sound, have a certain thought, or see some light or shadow, ...
Dr. Wu Enliang Reply:
Hello, internet user: This is obsessive thinking, not schizophrenia. However, the treatment for obsessive-compulsive disorder (OCD) does not seem to be very effective. It is recommended to discuss this further with your doctor. Dr. Wu En-Liang.[Read More] Understanding Obsessive Thoughts: Am I Experiencing Psychosis or Delusions?
Understanding OCD: Signs, Symptoms, and Coping Strategies
Is it obsessive-compulsive disorder (OCD)? Hello Doctor, five years ago I worked as a street cleaner, and I was often reported for not cleaning the streets properly. My supervisor would constantly ask me to go back and clean again for inspection, which caused me a lot of stress. ...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: Based on your situation, it has not yet reached the level of obsessive-compulsive disorder (OCD), but it does exhibit symptoms similar to OCD. Therefore, you can apply treatment methods used for OCD to address it. For obsessive symptoms, a non-pharmacological treat...[Read More] Understanding OCD: Signs, Symptoms, and Coping Strategies
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Overcoming OCD: Building Confidence Beyond Medication
Obsessive-Compulsive Disorder (OCD) and Lack of Self-Confidence? I often find myself repeatedly checking things at work due to a lack of confidence, but I later realized that I might have some obsessive-compulsive tendencies. I would like to ask how I can improve my symptoms asid...
Dr. Wu Enliang Reply:
If it is obsessive-compulsive disorder (OCD), the most scientifically supported treatment aside from medication is behavioral therapy. However, as you mentioned, a lack of confidence can sometimes lead to repetitive checking, which may not necessarily indicate OCD. To obtain a pr...[Read More] Overcoming OCD: Building Confidence Beyond Medication
Overcoming Obsessive Thoughts: Managing Anxiety and Compulsions
Obsessive thinking In recent years, I have been dealing with excessive worry, which I initially did not recognize as obsessive thinking. After seeing a doctor, I realized it was obsessive-compulsive disorder (OCD). I often worry about my health; for example, when I brush my teeth...
Dr. Liang Sunyuan Reply:
Hello, The coping strategies you have adopted are correct and effective. However, it is understandable that thoughts of wanting to confirm things may still occasionally arise. It's perfectly fine to pause or redirect your attention when that happens. In fact, regardless of...[Read More] Overcoming Obsessive Thoughts: Managing Anxiety and Compulsions
Overcoming OCD: Shifting Mindsets for a Healthier Life
How to Shift Thinking in Obsessive-Compulsive Disorder (OCD) Hello, doctor. I previously sought treatment for obsessive-compulsive disorder (OCD) during college, as I was very afraid of contracting HIV from using the restroom. I would get anxious seeing trash or toilets and would...
Dr. Liang Sunyuan Reply:
Hello, you have been working very hard and doing a great job caring for and protecting your child. Children indeed need your hugs and love; when you engage in these activities, their emotions are nurtured, and their immunity is strengthened, with the benefits far outweighing the ...[Read More] Overcoming OCD: Shifting Mindsets for a Healthier Life
Overcoming Silence: Navigating Social Anxiety and Family Expectations
Unable to speak? I often have relatives telling me that I have a bad personality because I don't speak much. They say they have been enduring my silence for a long time, but in reality, I do want to talk. I know that I grew up in an environment filled with violence and oppre...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and anxiety. Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression or obsessive-compulsive disorder. In...[Read More] Overcoming Silence: Navigating Social Anxiety and Family Expectations
Understanding Anxiety: Coping with Intrusive Thoughts and Fears
Is it anxiety disorder? Hello, doctor. My anxiety disorder is quite severe; I am in a constant state of "worry" every day. Recently, during premenstrual syndrome, my anxiety has intensified. I have been constantly worried about harming others, and my child, who is almos...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to issues related to obsessive-compulsive disorder and anxiety. Long-term psychological therapy is a treatment option worth considering. Additionally, regular outpatient follow-...[Read More] Understanding Anxiety: Coping with Intrusive Thoughts and Fears
Should You Choose a Big Hospital or a Small Clinic for Mental Health?
Should I go to a large hospital or a small clinic? Hello, Doctor: I visited a psychiatric clinic yesterday for symptoms of obsessive-compulsive disorder, but the doctor only prescribed me antidepressants for a week and mentioned that I need to return for a follow-up next week. Is...
Dr. Wang Yazhen Reply:
Dear Ms. Ding, Whether you visit a clinic or a hospital, the physician will assess your condition to determine how often you should return for follow-up appointments. The frequency of follow-up visits is primarily to evaluate the effectiveness of the medication and to monitor an...[Read More] Should You Choose a Big Hospital or a Small Clinic for Mental Health?
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun Reply:
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
How to Cope with Intrusive Thoughts and Mental Health Issues
There are many questions? I often find myself talking to myself about psychiatric issues. What should I do if I can't stop dwelling on past events? It seems like this might be a condition. What can I do about my racing thoughts?
Dr. Wu Enliang Reply:
Hello, internet user: Talking to oneself can have many causes, ranging from minor to significant. It could be a normal condition, a precursor to schizophrenia, or related to obsessive-compulsive disorder, among other possibilities. It is advisable to seek an evaluation from a psy...[Read More] How to Cope with Intrusive Thoughts and Mental Health Issues
Understanding OCD: Coping with Intrusive Thoughts and Anxiety
Obsessive-Compulsive Disorder (OCD) Fear of bacteria and diseases leads to the belief that touching something contaminated will result in illness, prompting excessive handwashing until a sense of relief is achieved. When experiencing physical symptoms, there is a tendency to worr...
Dr. Huang Xiaoxian Reply:
Dear Cherry, it sounds like you are experiencing symptoms related to obsessive-compulsive disorder, and from your description, it is clear that it significantly impacts your life. I recommend that you visit a psychiatric outpatient clinic for further evaluation and to begin appro...[Read More] Understanding OCD: Coping with Intrusive Thoughts and Anxiety
Breaking the Cycle of Anger: Finding Peace After Trauma
If I don't change now, I will forever live in suffering? Hello, doctor. Since I had conflicts with others in the past, they have started to cause me trouble. The reason is that they were in the wrong first, and I shouldn't have retaliated in that way, which led to a cyc...
Dr. Liang Sunyuan Reply:
Hello Amin: Based on your description, you have gone through a lot of hardships and have made significant efforts, as well as developed some coping strategies. You mentioned that medication is effective for you, but you tend to lose control when not taking it. I recommend that yo...[Read More] Breaking the Cycle of Anger: Finding Peace After Trauma
Understanding Childhood-Onset Psychotic Disorders: A Guide for Students
What is meant by "psychotic disorders originating in childhood"? What are "psychotic disorders originating in childhood"? Are childhood-onset neurotic disorders considered "psychotic disorders originating in childhood"? I am currently a university st...
Dr. Huang Xiaoxian Reply:
Dear Chen, thank you for your question. You mentioned psychotic disorders originating in childhood, which generally refer to autism and pervasive developmental disorders, and your current symptoms fall into a different category, so there is no need to worry too much. Anxiety diso...[Read More] Understanding Childhood-Onset Psychotic Disorders: A Guide for Students
Obsessive-Compulsive Disorder: Navigating Thoughts of Life and Death
Obsessive-Compulsive Disorder (OCD), suicide or no suicide? Dear Doctor: I apologize for the interruption, and I appreciate your willingness to read the following content. I suffer from obsessive-compulsive disorder (OCD), primarily characterized not by frequent cleaning behavior...
Dr. Huang Xiaoxian Reply:
Dear Happy, First of all, thank you for your question, and I want to commend you for being willing to express your concerns! From what you’ve described, your obsessive symptoms are causing you significant distress, and you also have many worries related to interpersonal interac...[Read More] Obsessive-Compulsive Disorder: Navigating Thoughts of Life and Death