Others, Psychiatry FAQ

Understanding Medication Side Effects: Salivation Issues with Rivotril and Others

Drug side effects Hello Dr. Chiu, I would like to inquire about a medication issue. My mother is taking Rivotril (clonazepam) 2mg and receiving intramuscular injections of Vistacon (bromocriptine). She is experiencing excessive salivation. Could this be a side effect of the medic...

Dr. Qiu Junda Reply:
Hello. The Vistaton injection may still have extrapyramidal symptoms. Patients receiving Vistaton may experience tremors, rigidity, and drooling, among other symptoms. If you are referring to excessive salivation, it could be considered a side effect of the medication. It is impo...

Overcoming Anxiety and Emotional Distress in Troubled Relationships

Anxiety, negative emotions, emotional distress, depression? Hello, doctor! Recently, I have been feeling very powerless and hopeless regarding my marriage and parenting. In my marriage, due to my husband's past infidelity, although I chose to forgive him, I still cannot forg...

Dr. Wu Enliang Reply:
Hello, online friend: I understand your pain and discomfort. I suggest visiting a nearby mental health clinic to seek help from a physician or psychologist. You can download the "Mood Meter" app to assess your emotional state and find local mental health resources. Many...

Understanding Paranoia: Coping with Family Conflict and Mental Health

Paranoia Hello Dr. Wu: For the past six months, I have been in conflict with my mother, who strongly suspects that my boyfriend is trying to deceive me for my house and money. My father has also been persuaded by her to confront me, leading to intense arguments multiple times, ev...

Dr. Wu Enliang Reply:
It is advisable for the patient to discuss the issues causing distress with their physician. If possible, the physician could arrange for family therapy and invite the patient's mother to participate in the discussion. If the situation becomes too overwhelming, it may be bes...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system disorder Hello Doctor: I have been experiencing hiccups for the past month, difficulty taking deep breaths, involuntary deep inhalations through my mouth, dizziness, frequent urination, and excessive sleepiness. I also have mild coughing, which has recent...

Dr. Lin Mianzhang Reply:
Hello, Miss Jian: It seems that your various discomforts began about a month ago. I wonder if there were any changes in your life around that time? The physiological and psychological aspects of a person can influence each other. If you are experiencing psychological stress, it m...

Overcoming OCD and Mental Health Challenges: A Personal Journey

Question for consultation? Hello, doctor. I am here to discuss some difficulties I am facing, and I appreciate you taking the time to respond. I have been suffering from my condition since I was 20 years old and am still seeing a psychiatrist. Some people have said that I have ma...

Dr. Peng Liyun Reply:
Hello, For question one, a comprehensive assessment of your workload, daily routine, medication adherence, and emotional symptoms is necessary to identify potential causes. For question two, I recommend you document the details of your obsessive-compulsive symptoms (content, ...

Do I Need Therapy? Understanding Emotional Distress and Healing

Do symptoms require treatment? Recently, I have been feeling emotionally down and have been hesitating about whether I should seek psychological counseling. I want to ask if I need treatment. During my middle school to high school years, I experienced several instances of sexual ...

Dr. Peng Liyun Reply:
Hello, thank you for your hard work! I can sense the pain you have been enduring for a long time, which is truly heartbreaking. I recommend that you seek treatment from a mental health specialist as soon as possible. An evaluation and treatment by a professional can help improve ...

Understanding Attention Issues: Overcoming Exam Anxiety and Focus Challenges

Cognitive speed, attention? I currently have generalized anxiety disorder, and both my counselor and previous psychiatrist suspect that I may have attention deficit issues. I would like to inquire about the problem of never being able to finish exams. Despite being well-prepared ...

Dr. Liao Dinglie Reply:
Hello, internet user: From your description, you are concerned that you may have Attention Deficit Hyperactivity Disorder (ADHD). You feel that your attention is not focused, and you often find yourself unable to complete exams. Even though you understand subjects like mathematic...

Managing Panic Attacks: Questions About Medication and Treatment Options

Hello, I would like to inquire about a medication issue? Over the past two years, I have been taking 10mg of an antidepressant and 1.5 capsules of Rifuxin daily for about three months. My panic attacks significantly improved, and I experienced no side effects from the medication....

Dr. Lin Mianzhang Reply:
Hello Kiki: 1. The antidepressant and Liyou contain the same active ingredient. 2. Yes, starting with a low dose can reduce the likelihood of side effects. 3. Both options are fine; some people may feel sleepy after taking it and can take it before bed, while others can take it d...

Understanding Cancer Fears in CNC Work Environments: A Mental Health Perspective

Can the work environment be carcinogenic? Doctor, I am a patient undergoing treatment for anxiety disorder and obsessive-compulsive disorder. One of my symptoms is a severe fear of "cancer." Due to this fear, whenever I start a new job, I tend to catastrophize and magni...

Dr. Lin Mianzhang Reply:
Hello James: Formaldehyde and nitrites are indeed carcinogens (formaldehyde is classified as Group 1, and nitrites as Group 2A). However, many substances in our daily lives are also carcinogenic, such as sunlight, air pollution, cigarettes, secondhand smoke, alcohol, and processe...

Helping a Family Member with Suspected Schizophrenia: Tips for Encouragement

Inquiry on behalf of a family member - Schizophrenia? My mother exhibits symptoms suggestive of schizophrenia, such as fixed delusions, auditory hallucinations, disorganized thinking, and a loss of interest in daily activities. These behaviors have become more pronounced since th...

Dr. Wang Yaoting Reply:
Hello: Your mother is experiencing such conditions, and it's understandable that the family is worried and distressed about how to help her. If the psychiatric symptoms appeared suddenly, it is important to first rule out any physical causes (such as thyroid dysfunction) or ...

Voices in My Head: Navigating Mental Health Challenges and Emotional Turmoil

I constantly hear voices in my head, and my emotions fluctuate dramatically? Hello, doctor. Since I was a child, I have had the impression that there are voices in my head talking to me. At first, I thought everyone experienced this, so I would directly converse with them. Later,...

Dr. Lin Mianzhang Reply:
Hello Li, It appears that you are experiencing auditory hallucinations and may also be dealing with depression. I recommend that you seek medical attention from a psychiatrist as soon as possible. With medication and psychotherapy, these conditions can significantly improve! On...

Overcoming the Fear of Vomiting Sounds: A Mental Health Perspective

I am very afraid of the sound of vomiting? Hello, doctor. When I was a child, I was quite afraid of the sound of vomiting. There was an incident when my dad was vomiting, and I cried uncontrollably. Even now, when a friend says something like, "I think I'm going to thro...

Dr. Huang Zhijia Reply:
Hello: Everyone has their own specific fears, such as common ones like cockroaches, snakes, spiders, confined spaces, or heights. If these fears do not severely impact daily life, cognitive behavioral therapy (CBT) can be utilized. The method currently being used by this individu...

Understanding Social Perceptions: Insights for Mental Health Challenges

What is the situation? I am tall and have a decent appearance, but those who interact with me often find my conversations boring. I tend to discuss reasoning, life philosophy, and news reports. When I was a student, I frequently asked about these topics, and my classmates thought...

Dr. Liao Dinglie Reply:
Hello, online friend: Have you felt that your conversations don't attract others? I'm not sure if you're interested in social interactions. Engaging in social activities is actually a great thing; we can gain new knowledge, enjoy life, find companionship, and provi...

Can Initial Psychiatric Evaluations Determine Disability Levels?

Can a disability assessment be conducted during the initial visit at your hospital? Hello Dr. Wu: Thank you for helping with the referral to the rehabilitation center during my brother's initial consultation. He has successfully been admitted. Wishing you great success and p...

Dr. Wu Enliang Reply:
Dear online user: Since you have already come to our hospital for a consultation, I suggest that we discuss these issues in person during your outpatient visit for clearer communication. Dr. Wu En-Liang

Understanding Anxiety and Health Fears After Vaccination: A Personal Journey

Worried about developing a serious illness? A month ago, I experienced discomfort after receiving a vaccine and went to see a cardiologist. I had blood tests and an electrocardiogram (ECG), and after the examinations, I was told everything was fine and went home. The next day, I ...

Dr. Wu Enliang Reply:
Hello, netizens: It is very likely that psychosomatic symptoms (stress, anxiety, depression) are causing discomfort in various parts of the body. It is recommended to seek medical attention from a psychiatrist. Dr. Wu Enliang.

Overcoming Fear: Strategies for Managing Anxiety and Sleep Issues

Easily startled? I have a very timid personality and feel insecure when I'm alone. For instance, when I'm sleeping in my room at night, any sound from outside scares me. There have been one or two occasions when a loud noise startled me, causing my hands, feet, and body...

Dr. Lin Mianzhang Reply:
Hello, Xiaoya: It seems that you have a more sensitive constitution, making you prone to reactions of fright and fear. Generally speaking, if the symptoms are mild, you can improve your autonomic nervous system sensitivity through exercise (especially aerobic activities such as j...

Should I Distance Myself from My Family for Mental Health?

Should I stay away from my family? I'm not sure how to describe this mental illness. I've read a lot of similar labels, but it seems like I'm the only one who thinks uncontrollably. Since elementary school, due to my family's difficult situation, I have a pair...

Dr. Wu Enliang Reply:
Hello, netizen: It is indeed worth considering to meet occasionally; an overly close relationship can create significant stress. A little separation can be more refreshing than a new marriage. Dr. Wu En-Liang

Navigating Complex Mental Health Challenges and Family Dynamics

The issues are complex and numerous? Hello, doctor. I am currently facing some difficulties as a patient with a psychiatric disorder. I have a thought disorder, but I have never been hospitalized in a psychiatric ward. I was once taken to the emergency room due to emotional insta...

Dr. Wu Enliang Reply:
Hello, netizen: There is always a way out in difficult times. Remember to discuss any challenges you face in life with your physician or healthcare team members. Together, we will work towards recovery! Dr. Wu Enliang

Understanding Anxiety-Induced Nausea: When to Seek Help

Easily anxious and feeling nauseous? I am currently a senior in college. During high school, I often experienced anxiety and a poor appetite, but I was still able to eat. Recently, however, when I go out with others, I find myself feeling increasingly anxious (with tense nerves a...

Dr. Qiu Junda Reply:
Hello. The situation described in the text likely falls under anxiety (autonomic nervous system dysregulation and anxiety disorders are similar; it's just a different way of saying it). I recommend searching for information on stress management techniques to learn some relax...

Concerns About Side Effects of Antidepressants: A Patient's Dilemma

Concern about the side effects of Prozac? Dear Dr. Wu, I am the individual who previously consulted you (case number 174365). As I mentioned last time, I have been suffering from obsessive-compulsive disorder (OCD) for seven years. In the first couple of years, I regularly took ...

Dr. Wu Enliang Reply:
Hello, netizen: 1. If taking Prozac causes emotional flatness or numbness, will it return to normal after stopping the medication? Is it possible that taking the medication changes me into a different person, and if I stop taking it, can I revert back? A: Clinically, I have no...

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