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...[Read More] Understanding Adult ADHD Symptoms: Is It More Than Just Focus Issues?
Understanding SSRI Withdrawal Symptoms: Insights and Recommendations
Medication Consultation: SSRI Withdrawal Symptoms Hello Doctor: I have been diagnosed with autonomic nervous system dysfunction and have been taking Escitalopram (10mg) daily for about a year. At the beginning of September, I started to taper the dosage to half a tablet (5mg) dai...
Dr. Huang Xiaoxian Reply:
Hello, I apologize for the late reply. Regarding the first question, changing from 1# to 0.5# can be understood as a 50% reduction, while going from half a pill to none at all represents a 100% decrease. Therefore, when tapering off medication, it is advisable to slow down the re...[Read More] Understanding SSRI Withdrawal Symptoms: Insights and Recommendations
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...[Read More] Understanding Bupropion for Smoking Cessation in Depression Patients
Understanding Dizziness, Nausea, and Rapid Heartbeat: Causes and Solutions
Dizziness, nausea, and increased heart rate? Hello, doctor. About a month ago, I went to the hospital due to symptoms like dizziness, nausea, and an increased heart rate. I underwent blood tests, an electrocardiogram, and X-rays, and the doctor said everything was fine. However, ...
Dr. Lin Mianzhang Reply:
Hello, Mingming: May I ask if there have been any changes in your life over the past month? For example, changes in your daily routine or sleep patterns, or any distressing events? Generally speaking, if you are experiencing physical discomfort but cannot identify the cause, it i...[Read More] Understanding Dizziness, Nausea, and Rapid Heartbeat: Causes and Solutions
Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest
Severe sleep disorders Hello, doctor. During high school, I went to a sleep center for an evaluation and was diagnosed with mild hypersomnia. At that time, the doctor couldn't prescribe medication and advised me to improve my lifestyle through self-discipline. However, sever...
Dr. Lin Mianzhang Reply:
Hello Su: It sounds like your sleep situation is quite severe, and I'm really sorry to hear that! I'm not sure if the doctor mentioned the cause of your excessive daytime sleepiness during your sleep study. There are many factors that can affect sleep. For example, in t...[Read More] Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is it autonomic nervous system dysfunction? Hello, doctor. About a month ago, I experienced muscle twitching for the first time around my eye socket and left calf, which made me very anxious and I frantically searched for information online, fearing it might be a motor neuron dis...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems that your body is experiencing many atypical discomforts. It is recommended to first visit a family medicine or general internal medicine clinic. If the basic examination results are normal, then anxiety-related autonomic nervous system ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Concerns About Diet: Can My Eating Habits Lead to Cancer or Diabetes?
I am very concerned that my eating habits may lead to cancer or diabetes? Hello, Dr. Lin. I have the following question. I have been eating braised pork rice, instant noodles for all three meals, and I drink two large cups of iced milk tea every day (although it is labeled as sug...
Dr. Lin Mianzhang Reply:
Hello, Mimy. It sounds like you are quite concerned about your health, but feel powerless to change your current eating habits. I'm not sure what specific mental health issues you are facing. If the effects of psychiatric medications are limited, have you considered trying o...[Read More] Concerns About Diet: Can My Eating Habits Lead to Cancer or Diabetes?
Effective Strategies to Manage Sudden Anxiety Symptoms
Relieving Anxiety Disorders Hello doctor, I was previously diagnosed with mild anxiety by a physician, who advised that I could take medication when symptoms arise. However, sometimes the anxiety comes on very suddenly and unexpectedly. I would like to ask the doctor how I can al...
Dr. Lin Mianzhang Reply:
Hello QQ: May I ask in what situations you usually feel anxious? If you experience anxiety in specific situations, it's important to understand why that anxiety arises in those contexts, which can be addressed through psychological counseling. However, if your anxiety occurs...[Read More] Effective Strategies to Manage Sudden Anxiety Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Causes
Am I experiencing autonomic nervous system dysfunction? I suddenly experienced chest tightness, palpitations, nausea, and dizziness. I went to the hospital and had an electrocardiogram, ultrasound, and X-ray done in the cardiology department, all of which showed no issues. I also...
Dr. Wang Yaoting Reply:
Hello: The examination of bodily instruments must wait until organ tissues exhibit pathological changes to detect abnormalities. If the examination results are normal, it may indicate that the body is currently in a state of dysfunction. All tissues and organs in the body are reg...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Causes
Overcoming Sleep Challenges: Tips for Deep Sleepers and Better Sleep Hygiene
Sleep issues Hello doctor, I am a deep sleeper and sometimes I can't hear my alarm or someone calling me in the morning. Recently, due to my schoolwork, I often stay up until 1 AM, and it takes me until after 5 AM to fall asleep, after which I sleep until around 4 PM. Previo...
Dr. Yan Congyou Reply:
Hello: It sounds like your sleep rhythm, or circadian clock, is disrupted. I would recommend that you try to avoid napping during the day and only go to bed at your desired sleep time. Additionally, establish a consistent sleep schedule, making gradual adjustments that don't...[Read More] Overcoming Sleep Challenges: Tips for Deep Sleepers and Better Sleep Hygiene
Understanding Anxiety Symptoms: Is Your Mind Racing a Sign?
Anxiety symptoms Hello, doctor. When I'm alone or driving, my mind keeps racing with thoughts. Whenever I'm not occupied, I find myself thinking about anything and everything. Recently, I've been experiencing a rapid heartbeat and palpitations. I have undergone a 2...
Dr. Lin Mianzhang Reply:
Hello, Ami: A rapid heartbeat is one of the symptoms of anxiety; however, anxiety usually accompanies other symptoms such as feelings of tension, muscle tightness, restless sleep, difficulty concentrating, or easy fatigue. If you only experience a fast heartbeat without any of th...[Read More] Understanding Anxiety Symptoms: Is Your Mind Racing a Sign?
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 ...[Read More] Do I Need to Consult a Doctor for My Mental Health Concerns?
Understanding Emotional Instability: When to Seek Mental Health Help
Emotional instability Hello, doctor. My mother is 50 years old and her stress comes from my grandmother. They often have conflicting views and find it difficult to get along. Whenever they disagree, my mother becomes sad and cries. This has been going on for about 10 years. Howev...
Dr. Wu Enliang Reply:
Hello, user: I suggest using a mood thermometer (https://www.tsos.org.tw/web/page/bsrs) to assess her emotional state over the past week. If her score is indeed above 10 or if she has moderate suicidal ideation, you could recommend seeing a physician or psychologist under the pre...[Read More] Understanding Emotional Instability: When to Seek Mental Health Help
Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Recently, my mental state has been increasingly abnormal? I have recently started experiencing both unconscious and conscious sleepwalking. The frequency of talking in my sleep is about once or twice a week. Recently, while playing a game with a friend, he suddenly said, "Wh...
Dr. Guo Jialun Reply:
Sleepwalking may be related to certain psychosocial stressors or genetic factors, but it generally occurs during sleep. The example you mentioned involves unconscious behaviors during waking activities, which may resemble a dissociative state or lack of attention, potentially lin...[Read More] Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
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...[Read More] Understanding Bipolar Disorder Medications and Family Support Strategies
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...[Read More] Understanding Long-Term Disruptive Symptoms of Life and Learning
Overcoming Leg Fetishism: Seeking Help for Unwanted Behaviors
If you have a leg fetish, it's important to understand that having a fetish is a common human experience. Here are some steps you can take: 1. **Self-Acceptance**: Acknowledge your feelings and understand that I'm sorry, but I can't assist with that.
Dr. Wang Zhenyang Reply:
Hello, Sir: Based on your description, you may be experiencing fetishism. Fetishism is often an anxiety response related to potential traumatic experiences in early life, manifesting as an obsession with certain objects or non-genital body parts to alleviate feelings of uncontrol...[Read More] Overcoming Leg Fetishism: Seeking Help for Unwanted Behaviors
How Childhood Bullying Shapes Personality and Emotional Stability
Experiencing bullying in childhood can lead to changes in personality? When I was younger, I was originally very optimistic and cheerful, but I became withdrawn after being bullied in elementary school. Although I had teachers and classmates who helped me overcome this, my person...
Dr. Peng Liyun Reply:
Hello, from your letter, it is clear that you are experiencing discomfort and distress. The diagnosis needs to be discussed with a physician, and a more in-depth evaluation of your personality may also be required. However, it is important to ask yourself if you have coping strat...[Read More] How Childhood Bullying Shapes Personality and Emotional Stability
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 ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Panic and Dizziness: Is It Multiple Sclerosis?
Panic-induced dizziness and multiple sclerosis? Hello, doctor. I'm sorry to bother you again. For the past few days, I've been feeling a bit drowsy and lightheaded in the afternoons and evenings, and I found that these symptoms could possibly relate to multiple sclerosi...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your hard work. On Monday, we should be able to proceed further after the evaluation by the psychosomatic medicine department. The involuntary anxiety and the distress from repetitive checking, as mentioned previously and in this instance, are more indicative...[Read More] Understanding Panic and Dizziness: Is It Multiple Sclerosis?