Others, Psychiatry FAQ

Is Marriage a Good Option for Someone with Schizophrenia?

Is it suitable for marriage? I have been diagnosed with paranoid schizophrenia for nine years. I would like to ask if it is suitable for me to get married, or should I only consider foreign partners due to my less favorable circumstances and lack of work experience outside the ho...

Dr. Liao Dinglie Reply:
Hello, internet user: Living with schizophrenia can be very challenging, as almost all jobs require mental effort. Having someone to help at home can also be beneficial for the family. Choosing to marry a foreign spouse may alleviate the need to search for a girlfriend and can ex...

Understanding Nightmares: Anxiety, Performance Fear, and Treatment Options

Frequent nightmares? Hello, doctor. Due to my field of study, I often have to perform in front of others. In the past, I felt slightly anxious about public speaking, but recently, for some reason, my fear has intensified. It's no longer limited to just the fear of speaking; ...

Dr. Lin Mianzhang Reply:
Hello Jasmine: Thank you for your hard work! Regarding your recent frequent nightmares, if you visit a psychiatrist, the doctor will likely want to understand when this situation began and what changes occurred in your life prior to these experiences. For example, they may inquir...

Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?

Symptoms related to adult ADHD? Hello, doctor. In 2018, I visited the psychiatry department at Far Eastern Memorial Hospital primarily because I was unable to focus at work. At that time, I was diagnosed with ADHD - unspecified type, but no medication was prescribed. The doctor t...

Dr. Liu Shikai Reply:
Dear Miss Hsiao-Hua, There are many factors that can affect concentration. In addition to the medical factors associated with Attention Deficit Hyperactivity Disorder (ADHD), it is also important to consider the impact of other medical conditions, as well as the interplay of fac...

Understanding Self-Harm: Seeking Confidential Counseling Support

Psychological counseling for self-harm? Hello, doctor. I have had a habit of self-harm for many years, although it hasn't been too frequent. Recently, due to various issues, my mental state has worsened, and I feel like I am becoming addicted to self-harm. I want to seek cou...

Dr. Peng Liyun Reply:
Hello, first of all, I commend you for being willing to seek professional help. Self-harm is an issue that needs to be addressed properly. Whether to inform others about self-harming behavior can only be confirmed after a thorough assessment by a therapist and a discussion with y...

Understanding Bupropion for Smoking Cessation in Depression Patients

Using Bupropion for Smoking Cessation I would like to consult a physician. I have been suffering from depression for many years and have also been a long-term smoker. The medication prescribed by my doctor includes Bupropion, which I found out can also be used for smoking cessati...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to smoking. In fact, the process of quitting smoking can exacerbate various complex psychological and emotional responses, such as anxiety, depression, panic, denial, anger, and...

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...

Feeling Trapped: Seeking Help for Mental Health Struggles

I'm not sure what to do? Dear Doctor, Thank you for taking the time to read this letter amidst your busy schedule. I am unsure about what to do. I have been experiencing symptoms for several years, and they have recently been worsening. My symptoms include a persistent feel...

Dr. Guo Jialun Reply:
Based on your description, these symptoms have already impacted your work and daily life. It is advisable to seek evaluation and treatment from a psychiatrist. If your parents still oppose seeking treatment, you could ask them to accompany you to the appointment to hear the medic...

Understanding Relapses in Depression and Anxiety: A Personal Journey

Feeling depressed and anxious has relapsed again? A few months ago, I started experiencing emotional decline due to interpersonal and family issues, as well as academic problems, which led to self-harm. I sought help from a mental health specialist and was diagnosed with depressi...

Dr. Yan Congyou Reply:
Dear Lili, Based on your description, it appears to be a complex situation that requires a definitive diagnosis and a discussion of treatment options such as medication, psychotherapy, or family therapy. I would recommend that you establish a regular and stable follow-up with a ...

Do I Need to Consult a Doctor for My Mental Health Concerns?

I'm not sure if I need to consult or see a doctor? Hello, doctor. I would like to know if my situation requires consulting a physician. It’s a bit lengthy, so I appreciate your patience in reading through it. Thank you for taking the time to help me! Since childhood, I have...

Dr. Wu Enliang Reply:
Hello, online friend: It is recommended to first use the Mood Thermometer (https://www.tsos.org.tw/web/page/bsrs) to assess your emotional state over the past week. If your score is indeed above 10, it is advisable to talk to a professional, such as a mental health center at the ...

Overcoming Depression and Work Fatigue: A Personal Journey

Depressive tendencies, work fatigue? I have been somewhat introverted and shy since childhood, even feeling inferior and not liking to answer questions. I dislike going out to buy things or paying for them. However, due to my family's situation, I have to work. I have previo...

Dr. Li Zhengfeng Reply:
Hello: Based on your letter, it seems you may be experiencing symptoms of depression. Treatment for depression can include both pharmacological and non-pharmacological approaches, such as antidepressant medications or psychotherapy, as well as activity therapy. It is advisable to...

Managing Anxiety: Navigating Medication and Doctor Visits

Palpitations due to anxiety? I would like to consult the doctor: I have been taking Escitalopram for 15 months and have currently reduced the dosage to 10 mg, taking half a tablet. My follow-up appointments have also changed to once a month. Each time, I ask the doctor when I can...

Dr. Liang Sunyuan Reply:
Hello: I believe that each physician has their own habits. Some physicians may inform patients that if they have fully recovered and have no further issues, there is no need for a follow-up appointment. Others may take a more conservative approach. The process of tapering medicat...

Understanding Bipolar Disorder Medications and Family Support Strategies

Bipolar disorder medication issues and consultation information? Hello, doctor. Thank you very much for your patient reading and professional response. My family member has bipolar disorder and has been visiting a clinic for about one to two years. However, a little over a month ...

Dr. Huang Xiaoxian Reply:
Hello! At first glance, the symptoms of your family member do resemble those of mania or hypomania, and indeed, there are no mood stabilizers specifically for the treatment of mania included in the medication regimen. Regarding counseling, our institution does provide services on...

Understanding Long-Term Disruptive Symptoms of Life and Learning

Long-term disruptive symptoms of living and learning? Hello Doctor, I am a 22-year-old woman. Since elementary school, I have experienced intrusive thoughts, such as believing that if my right foot is not placed on the top step of the stairs, I will lose my friends (which has l...

Dr. Huang Xiaoxian Reply:
Hello, Yan Yan. I understand that this fear makes your life quite difficult. However, these symptoms are treatable. I recommend that you seek an evaluation from a mental health professional for early intervention. You can also communicate with healthcare providers and your family...

Overcoming Fear of Illness: Coping with Health Anxiety and MS Concerns

Anxiety about the fear of becoming ill in the future? Hello, doctor. I visited a neurologist and expressed my concerns about multiple sclerosis. He ordered relevant tests for me. Recently, I've been feeling tired and dizzy in the afternoons and evenings, and I keep yawning. ...

Dr. Huang Xiaoxian Reply:
Hello, if the test results come back and the neurologist confirms that it is not MS, but you are still worried about the likelihood of being ill, it is recommended that you seek an evaluation from a psychosomatic specialist and receive treatment to achieve a goal of living in pea...

Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One

Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...

Dr. Liang Sunyuan Reply:
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...

Understanding Dissociative Identity: Signs and Symptoms Explained

I feel like I have a split personality? I'm not quite sure; others often tell me that I sometimes act strangely, but I have no recollection of it. There are also times during the day when time seems to pass without any memory of it.

Dr. Huang Xiaoxian Reply:
Dear TSS, it sounds like there are some occurrences that you don't have a clear memory of. First, it's important to clarify the timing of these events (day or night) and whether you consumed alcohol or used any other substances, as well as your emotional state at the ti...

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 ...

Understanding Urinary Retention and Stevens-Johnson Syndrome Risks with Medications

Qianyoujie, urinary retention, Stephen-Johnson syndrome? Since elementary school, through middle school and into college, I have been unable to urinate in public if there are others around. I have had a pathological fear of urinating and need to ensure that no one is in the restr...

Dr. Wang Zhenyang Reply:
Hello, The package insert for Cymbalta does indeed mention these two side effects: 5.6 Severe Skin Reactions: The use of Cymbalta may lead to severe skin reactions, including Erythema Multiforme and Stevens-Johnson Syndrome (SJS). The reported incidence of SJS associated with...

Managing Urinary Issues: Concerns About Medications and Bladder Function

Qianyoujie 30mg, Mirtazapine 50mg (2 tablets), Siloxetine 50mg (1 tablet) Since elementary school through high school and into college, I have been unable to urinate in public restrooms if there are others around. I have had a pathological urge to hold my urine since childhood, n...

Struggling with Mental Health: Frequent Doctor Visits and Isolation

Asking questions multiple times? I often search online and have consulted many doctors multiple times, so they should have some impression of me! I am reclusive and do not fit in with others. I have no friends and have been seeing a psychiatrist for 17 years. I frequently feel un...

Dr. Huang Xiaoxian Reply:
Dear qq, regarding interpersonal interactions, it is indeed a profound question. I understand that your medical history has been long and filled with frustrations. I suggest considering regular psychotherapy to analyze and seek improvement. Wishing you the best.

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