Understanding the Interaction Between Methylphenidate and Paliperidone
The issue of co-administration of Methylphenidate and Paliperidone? Hello, doctor. I have been diagnosed with depression and ADHD. Before receiving the long-acting injection of Strattera, I found the effects of Ritalin (both short-acting and long-acting formulations) to be effect...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, discontinuing medication due to concerns about the interaction between L-theanine and antipsychotic medications may not be beneficial for your condition. 1. Facing an uncertain future, ps...[Read More] Understanding the Interaction Between Methylphenidate and Paliperidone
Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Inability to concentrate on tasks, accompanied by cold sensations in the body and dizziness? Hello, doctor. I am currently seeing an endocrinologist and a neurologist. I have been on medication for about a year (for diabetes, lipid lowering, blood pressure, and heart rate). I am ...
Dr. Qiu Junda Reply:
Hello. The symptoms described are more indicative of anxiety and tension. It may be related to some stress you are experiencing. I recommend that you follow up with the endocrinology and neurology departments, where you can discuss this situation with your physician. After evalua...[Read More] Struggling with Focus and Cold Sensations: Is It Mental Health or Medication Effects?
Do I Need to See a Doctor? Understanding Depression and Medication
Do I need to see a doctor? Hello, Doctor: I would like to ask you a question. Using depression as an example, is medication prescribed to alleviate symptoms or does it serve another purpose? How is it possible that after taking medication to increase certain neurotransmitters, on...
Dr. Qiu Junda Reply:
Hello. 1. Taking depression as an example, patients often have a deficiency of certain neurotransmitters in their bodies due to the symptoms. Medication is used to counteract these changes in order to improve symptoms. 2. If one does not take medication, various adjustment method...[Read More] Do I Need to See a Doctor? Understanding Depression and Medication
Why Does My Husband Scratch His Head While Sleeping?
Sleeping and scratching the head? Hello doctor, my husband tends to scratch his head vigorously while sleeping at night. He scratches his head two to three times throughout the night, every few hours. When he wakes up in the morning, I ask him if his scalp itches, if he was dream...
Dr. Cai Yunlin Reply:
Hello, it is not easy to assess the actual behavior based solely on the description. Clinically, some sleep disorders may be associated with paroxysmal limb movements, but it is essential to first rule out any possible physical conditions. If your family member's situation i...[Read More] Why Does My Husband Scratch His Head While Sleeping?
Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...
Dr. Qiu Junda Reply:
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Do You Need to See a Doctor for Anxiety Symptoms?
Do I need to see a doctor? I have a very rational personality and tend not to express my emotions outwardly, which makes me somewhat repressed. I spend a lot of time working, maintain distance from others, rarely share my feelings, and am concerned about how others perceive me, o...
Dr. Qiu Junda Reply:
Hello. You have worked hard under the pressures of life, which can inevitably lead to feelings of anxiety and worry. I suggest you search for educational articles on stress management to learn some practical methods that may help. Of course, you can also take the time to visit a ...[Read More] Do You Need to See a Doctor for Anxiety Symptoms?
Understanding Binge Eating and Substance Abuse: A Path to Recovery
Long-term binge eating, substance abuse, and inability to self-regulate? I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional.
Dr. Lin Mianzhang Reply:
Hello, Mai Mai: First of all, I want to say that you have been through a lot! Maintaining a state of binge eating and purging for such a long time must have been very difficult for you. In clinical practice, when we encounter cases of eating disorders, the first priority is to en...[Read More] Understanding Binge Eating and Substance Abuse: A Path to Recovery
Managing Insomnia and Medication Withdrawal: A Patient's Journey
Insomnia and medication withdrawal? Hello, doctor. On March 11, I encountered some stress in my interpersonal relationships, which led to sleep disturbances (difficulty falling asleep and waking up easily). Later, on March 17, I consulted a psychiatrist and asked if it could be a...
Dr. Lin Mianzhang Reply:
Hello Lai Lai: Jing An Ning is a short-acting and potent sedative that can lead to dependence with prolonged use, and sudden discontinuation may result in withdrawal symptoms. If you are concerned about the difficulty of tapering off, you can ask your physician to switch you to a...[Read More] Managing Insomnia and Medication Withdrawal: A Patient's Journey
Understanding ADHD Medication: Should You Take It If Life Is Low-Stress?
ADHD medication issues? Hello Doctor: I would like to ask, if I have been diagnosed with ADHD by a physician, but my current life situation does not require high efficiency, would taking Strattera have any negative effects? I hope to clarify my understanding of medication use and...
Dr. Wu Enliang Reply:
One of the concerns among netizens is the fear of medication side effects, such as decreased appetite. - Dr. Wu Enliang[Read More] Understanding ADHD Medication: Should You Take It If Life Is Low-Stress?
Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
How can hypochondriasis be cured? Hello Doctor, since I discovered spots in my mouth at the end of 2018, I started googling my symptoms. With the onset of the pandemic and the stress from my job at that time, I became uncomfortable and began a series of health anxiety behaviors. ...
Dr. Qiu Junda Reply:
Hello. Regarding the issues of autonomic nervous system dysfunction and health anxiety, although long-term treatment is necessary and it may not be possible to completely cure it without medication as you mentioned, significant improvement can be achieved with regular and consist...[Read More] Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
Coping with Health Anxiety: Managing Worries About a Partner's Well-Being
Excessive worry about his health? Since childhood, I have experienced health anxiety, initially focused on myself, but over time I found ways to coexist with my anxiety and health concerns. However, after starting a relationship with my boyfriend, my health anxiety has intensifie...
Dr. Qiu Junda Reply:
Hello. Based on the description in the text, your anxiety has clearly caused significant distress both physically and mentally. It is still recommended that you make time to visit a psychosomatic medicine clinic as soon as possible for improvement.[Read More] Coping with Health Anxiety: Managing Worries About a Partner's Well-Being
Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Is this considered obsessive-compulsive disorder (OCD)? Hello doctor, I used to live a normal life, but ever since certain events occurred, I have developed the impression that my living room is very dirty, as if cockroaches have crawled through. Therefore, whenever I touch cloth...
Dr. Qiu Junda Reply:
Hello. The situation you described may not necessarily be a symptom of obsessive-compulsive disorder; rather, it resembles a phobia related to dirt. However, both obsession and fear of dirt fall under anxiety symptoms. Although your condition, as you mentioned, has not yet become...[Read More] Is This Obsessive-Compulsive Disorder? Understanding Your Symptoms
Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Frequently feeling unwell? Hello, doctor. I tend to be easily nervous and anxious, and I am quite sensitive. I often worry excessively about my health; whenever I feel even a slight discomfort, I can't help but focus on that "discomfort," which only intensifies my ...
Dr. Lin Mianzhang Reply:
Hi there! Your situation is quite typical of illness anxiety disorder. It’s clear that you are making a strong effort to feel better, which leads you to pay more attention to your bodily sensations. However, paradoxically, the more you focus on your physical condition, the more a...[Read More] Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Understanding Morning Anxiety: Is It Overthinking or a Mental Health Issue?
Feeling very troubled? Hello Dr. Chiu: I apologize for the interruption. I would like to ask about my situation. In the mornings, I find it difficult to concentrate as I keep overthinking things I have already planned. I tend to imagine many scenarios in a negative light, feeling...
Dr. Qiu Junda Reply:
Hello. It is necessary to observe and assess the extent of the illness. Initially, it seems to be a negative response in thoughts and behaviors related to certain stressors. I wonder if you have been experiencing any stress in your daily life. I suggest searching online for educa...[Read More] Understanding Morning Anxiety: Is It Overthinking or a Mental Health Issue?
Understanding OCD Symptoms: When to Seek Help and Managing Triggers
Obsessive-Compulsive Disorder (OCD) Symptoms Hello, doctor. 1. I have been suffering from obsessive-compulsive disorder (OCD) for many years. However, with the guidance of my family and my own gradual acceptance of past events, I am now willing to confront them. When I recall s...
Dr. Wu Enliang Reply:
Hello, it is indeed possible that this is obsessive thinking, but if it does not affect daily life, there may not be a need for medical treatment. Dr. Wu En-Liang.[Read More] Understanding OCD Symptoms: When to Seek Help and Managing Triggers
Morning Mind Racing: Understanding and Managing Mental Clarity Issues
In the morning, my mind keeps racing with thoughts? Hello, doctor: In the morning, my mind keeps racing with thoughts, and even during class, I can't help but think about various things. However, in the afternoon, I don't have the same urge to think. In the morning, it ...
Dr. Qiu Junda Reply:
Hello. It doesn't seem to be an unusual situation. I'm not sure which aspect you are concerned about. When you think about it, do you feel any anxiety or worry? Or is it a source of stress for you? Or are you just thinking about it casually? You might try taking some de...[Read More] Morning Mind Racing: Understanding and Managing Mental Clarity Issues
Managing Anxiety and Panic: Non-Medication Strategies for Relief
Anxiety and Panic Hello Dr. Wu, I apologize for bothering you. I would like to ask about my situation. I have been experiencing panic and anxiety for about three years. I took an antidepressant for over a year, and after gradually tapering off, I felt somewhat better. However, re...
Dr. Wu Enliang Reply:
Cold hands and fingers can indeed be a physical symptom of anxiety. Non-pharmacological treatment methods such as psychotherapy, relaxation training, high-purity DHA fish oil, or devices like CES, as you mentioned, may be helpful. The time it takes to feel the effects of regular ...[Read More] Managing Anxiety and Panic: Non-Medication Strategies for Relief
Can Counseling Alone Effectively Treat Depression Without Medication?
Adjustment Disorder Hello, doctor: Is it possible to manage depression effectively through psychotherapy alone? (Is there a chance it could be as effective as medication while avoiding side effects?) Currently, the most stressful and unhappy part of my life is the medication and ...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to your struggles with depression and the pressure of worrying about medication side effects. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic i...[Read More] Can Counseling Alone Effectively Treat Depression Without Medication?
Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
What are the issues related to stopping medication after eight days? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping the medication, I experienced insomnia for two years. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking ...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
Understanding Auditory Processing Disorder: Symptoms and Solutions
Auditory Processing Disorder (APD) I am wondering if I have Central Auditory Processing Disorder (CAPD). My hearing is normal, but my brain cannot process and understand the sounds I hear. Here are some situations I frequently encounter: a. Difficulty understanding speech in comp...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an attention assessment. Our clinic is open Monday to Friday, both in the morning and afternoon. I suggest you consider coming in for a personal e...[Read More] Understanding Auditory Processing Disorder: Symptoms and Solutions