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...[Read More] Understanding Paranoia: Coping with Family Conflict and Mental Health
Can Brain Imaging Tools Help Diagnose Mental Health Symptoms?
Is there an imaging device in peach therapy that can directly determine the type of symptoms in the brain? As per the inquiry, if there is a possibility, can it be done? I sincerely request your assistance in determining (2) the severe disability assessment - I really appreciate ...
Dr. Wu Enliang Reply:
Hello everyone: I answered your questions in person during the follow-up appointment yesterday (February 24)! Dr. Wu En-Liang[Read More] Can Brain Imaging Tools Help Diagnose Mental Health Symptoms?
Medication Concerns for Severe Sleepiness in Depression Patients
Medication issues related to severe hypersomnia in depression? Hello, my situation is that I had visited a hospital for treatment and medication about a year ago. After that, I stopped taking the medication for nearly a year, but recently I noticed that my symptoms have returned,...
Dr. Qiu Junda Reply:
Hello. Sometimes, excessive sleepiness can resemble a lack of motivation, and both may be symptoms of depression. However, the quality of sleep may be poor. If you have informed your doctor about your excessive sleep, and they still prescribed sleeping pills, there may be specifi...[Read More] Medication Concerns for Severe Sleepiness in Depression Patients
Navigating Medication Hesitation in Mental Health Treatment
Hesitation in taking medication? Hello Doctor, I have been experiencing irregular episodes of rapid heartbeat (90 bpm while lying down, 100-120 bpm while sitting) and chest tightness. I went to the emergency room where blood tests and X-rays indicated that my heart is fine. Subse...
Dr. Wu Enliang Reply:
1. A friend mentioned that the doctor said Epram and Leeyo have the same effect, and Leeyo should be fine. However, the doctor prescribed me a different medication at a dosage of 10mg. I am a bit apprehensive about the initial 5mg of Leeyo since this new medication is similar, an...[Read More] Navigating Medication Hesitation in Mental Health Treatment
Navigating Referral Processes for Mental Health Rehabilitation in Taiwan
Regarding the issuance of a referral form to a rehabilitation center during the initial consultation, thank you for taking the time to review this, and I would appreciate your assistance? Dear Dr. Wu, My brother was diagnosed with schizophrenia in May 2019. Prior to his diagnosi...
Dr. Wu Enliang Reply:
Hello, netizen: Alright, I will do my best to assist Dr. Wu Enliang.[Read More] Navigating Referral Processes for Mental Health Rehabilitation in Taiwan
Struggling to Sleep After Waking Up: Insights from Psychiatry
Difficulty falling back asleep after waking up in the middle of the night? I have been experiencing sleep disturbances for a while now. It started over three years ago when I began seeing a psychiatrist and started medication. At the end of October, I wanted to reduce my medicati...
Dr. Wu Enliang Reply:
Hello, online user: The causes of long-term insomnia need to be discussed with your physician. Are there issues related to depression or anxiety that need to be addressed? Are there any problems with your sleep hygiene? Relying on sleeping pills is a temporary solution and does n...[Read More] Struggling to Sleep After Waking Up: Insights from Psychiatry
Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Sleep issues Hello, doctor. I have a question... I have always had difficulty falling asleep, often tossing and turning in bed for several hours without being able to sleep! Even when I finally manage to fall asleep, my sleep is very light, and I wake up at the slightest noise, m...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia, dizziness, and headaches. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires long-...[Read More] Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Managing Breath Awareness in Anxiety and Panic Disorders
Constantly monitor your breathing? Hello, doctor. I have seen you answer related questions, and recently I have started to pay close attention to my breathing. When I am still, about 50% of my focus is on it, and when I am watching TV or doing other activities, it is about 20%. I...
Dr. Wu Enliang Reply:
Hello, netizen: You can practice some relaxation techniques such as diaphragmatic breathing, meditation, or progressive muscle relaxation. If you find it difficult to learn these methods, you may ask your physician to arrange biofeedback training. Dr. Wu En-Liang[Read More] Managing Breath Awareness in Anxiety and Panic Disorders
Tolerance Issues with Sleep Aids and Anxiety Medications: Can Effects Return?
Tolerance issues with sleeping pills or anti-anxiety medications? Long-term use of sleeping pills and anxiolytics to improve sleep can lead to tolerance, requiring an increased dosage to achieve the same effect. If the medication is discontinued for a period of time, is it possib...
Dr. Peng Liyun Reply:
Hello! The answer is that recovery is not guaranteed. The complexity of drug tolerance, along with changes in the condition and environmental factors, can influence the situation. If you are experiencing such issues, it is recommended to seek a comprehensive evaluation from a psy...[Read More] Tolerance Issues with Sleep Aids and Anxiety Medications: Can Effects Return?
Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Sleep issues I don't know if it's due to the lack of choices for further education that has led to excessive stress, but my sleep quality has noticeably declined over the past month. I used to be able to sleep from 10 PM to 9 AM, but now I wake up suddenly before 6 AM a...
Dr. Wu Enliang Reply:
Hello, online user: The most common cause of short-term insomnia is anxiety due to life stress. It is recommended to avoid napping during the day, engage in regular exercise, and pay attention to sleep hygiene (which can be found online). If necessary, short-term use of sedatives...[Read More] Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Can I Stop Sleeping Pills After Just Three Days of Use?
I really want to sleep? I have been taking 7.5 mg of a sleep aid, half a tablet for two days, and I slept well. On the third day, I took half a tablet and couldn't sleep at all. Can I stop taking the sleep medication after just three days of taking one and a half tablets? Th...
Dr. Qiu Junda Reply:
Hello: Although the sleep aid film-coated tablets may have the potential for addiction, theoretically, it should be possible to stop using them after a short-term use of three days. A better approach would be to taper off gradually (for example, if you were taking half a tablet, ...[Read More] Can I Stop Sleeping Pills After Just Three Days of Use?
Managing Severe Medication Side Effects and Insomnia in Psychiatry
Side effects and insomnia issues? Hello, doctor. I have two questions to ask: 1. I experience severe nausea as a side effect of my medication. Several times after taking the medication, I vomited everything, and there have even been instances where I vomited into a drainage dit...
Dr. Wu Enliang Reply:
Hello, I have a serious issue with nausea as a side effect of my medication. Several times after taking the medication, I have vomited everything, and there have even been instances where I vomited into a gutter while walking. I have confirmed that it is not a stomach issue, but ...[Read More] Managing Severe Medication Side Effects and Insomnia in Psychiatry
Understanding Withdrawal Symptoms and Their Impact on Mental Health
Various discomforts experienced by the body after drug withdrawal? Hello Doctor: I do not have a history of anxiety or depression, have never taken such medications, and do not experience insomnia, headaches, or stiffness in my shoulders and neck. About a year ago, I felt a sensa...
Dr. Wu Enliang Reply:
Hello, user: 1. Could my symptoms be caused by autonomic nervous system imbalance after stopping these medications? The symptoms of autonomic nervous system dysregulation are quite complex and variable, including dizziness, chest tightness, palpitations, difficulty inhaling, mus...[Read More] Understanding Withdrawal Symptoms and Their Impact on Mental Health
Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Will long-term use of sleeping pills lead to dementia? Hello Doctor, I previously sought medical attention for my insomnia. After taking Stilnox, my insomnia has improved, but I am very concerned about the long-term use and whether it could lead to dementia. I would like to consu...
Dr. Lin Mianzhang Reply:
Hello, Wen: Because you are relatively young, if you are experiencing insomnia at such a young age, it is important to consider whether there are any underlying conditions, such as depression, anxiety, or post-traumatic stress disorder. If any of these are present, they should be...[Read More] Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Struggling with Depression: The Dangers of Sleep Medications
Depression and self-harm after taking sleeping pills? I often find myself trapped in inexplicable feelings of sadness. Perhaps others can't notice it during work, but once I'm off the clock and alone, feelings of depression, crying, and negative thoughts constantly aris...
Dr. Wu Enliang Reply:
Hello, user: This is somnambulism caused by Zolidem (the chemical name for Zipsoon, which is produced by various manufacturers in Taiwan with the same active ingredient). This indicates that your body is not suited for this type of medication. Regarding your feelings of sadness, ...[Read More] Struggling with Depression: The Dangers of Sleep Medications
Navigating Forced Treatment for Mental Health: A Mother's Dilemma
Involuntary treatment in psychiatry? Hello, doctor. I am a single mother, and my son has developed a habit of taking sleeping pills. I was not aware of this until recently; he has been taking 10 mg of Zolpidem. About three to four months ago, he lost his job, and I later found ou...
Dr. Wu Enliang Reply:
Hello, netizen: Thank you for your hard work. I suggest you first contact the local community mental health center or health station for assistance. Call and inform the mental health caseworker about your son's situation; a public health nurse will come to assess him. In som...[Read More] Navigating Forced Treatment for Mental Health: A Mother's Dilemma
Managing Withdrawal Symptoms from Sleep Medications in Psychiatry
Medication issues Doctor, I'm sorry to ask, but what should I do if I'm experiencing withdrawal symptoms from sleeping pills? 😭 Will I have to take sleeping pills for the rest of my life? 😭 Thank you, doctor.
Dr. Wu Enliang Reply:
Hello, netizen: You may consider using medications that are less likely to cause dependence as a substitute, and enhance sleep hygiene, such as increasing physical activity. Ultimately, success is achievable. Dr. Wu Enliang[Read More] Managing Withdrawal Symptoms from Sleep Medications in Psychiatry
Understanding Insomnia: Managing Sleep Issues and Medication Concerns
Sleep issues Hello, doctor. I would like to ask about my insomnia issue. My situation is as follows: before taking medication, I had a period where I could only sleep about 2 hours every 2 days, but I still felt quite energetic. Even though my mind felt a bit dull during that tim...
Dr. Lin Mianzhang Reply:
Hello, Miss Lin: Difficulty sleeping is indeed a troubling issue. While sleeping pills can help one fall asleep quickly, they are merely a temporary solution. It is essential to identify the underlying causes of insomnia for a more effective treatment. For instance, factors such ...[Read More] Understanding Insomnia: Managing Sleep Issues and Medication Concerns
Can Calcium and Vitamins Help Improve Sleep Quality?
Can calcium supplements and vitamins be taken together? Since taking care of a sick family member until their passing, I have been experiencing nightmares and crying every night as the primary caregiver. I am also unwell myself. During the time I was caring for my family member, ...
Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! It sounds like you have made a lot of efforts regarding your current insomnia situation. However, there is currently insufficient evidence to support that B vitamins, calcium supplements, or tryptophan are effective in improving insomnia. Ther...[Read More] Can Calcium and Vitamins Help Improve Sleep Quality?
Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?
The sedative effects of the sleeping pills are too strong? I have been experiencing sleep disturbances due to depression, so my doctor prescribed me sleeping pills. Although I still experience interruptions in my sleep, I can go back to sleep after waking up. However, my doctor i...
Dr. Wang Yaoting Reply:
Hello: If there is an issue with the dosage or the medication regarding the use of sleeping pills, it is advisable to consult your physician earlier to avoid further complications. Additionally, it is recommended to modify your sleep habits, such as reducing the intake of tea or ...[Read More] Managing Sleep Disruptions: Should You Adjust Your Sleeping Medication?