Understanding Depression and ADHD: Insights from a Patient's Journey
Depression and ADHD-related issues? Hello Dr. Li, I would like to ask for your help in reviewing my information below: This is some data from my childhood. The doctor only mentioned that I had significant attention deficit and noted that my math skills were decent. I don't...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about the pressures of your family members dealing with depression and ADHD. 1. Facing an uncertain future, mental health disorders are common in modern society. These are chronic conditions that require long-term treatment f...[Read More] Understanding Depression and ADHD: Insights from a Patient's Journey
Understanding Nocturnal Auditory Hallucinations: When to Seek Help
It is uncertain whether it qualifies as a hallucination? Hello, occasionally I hear a voice calling my name from the door in the early morning, and sometimes there are two knocks on the door, but it only happens once and then stops. This wakes me up, and I have confirmed that my ...
Dr. Cai Qijin Reply:
Hello: Hypnagogic and hypnopompic hallucinations – These auditory hallucinations are associated with the brain being in a semi-dream state. The sounds may call your name or say short phrases, and they typically disappear upon waking, usually without significant concern. Insomnia ...[Read More] Understanding Nocturnal Auditory Hallucinations: When to Seek Help
Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Hypochondria and salivary secretion issues? Hello Doctor, since I fell ill some time ago, I have been experiencing symptoms of health anxiety for several years. I have visited doctors multiple times because I believed I was unwell, but everything turned out to be fine. A few days...
Dr. Qiu Junda Reply:
Hello. Health anxiety is also a form of anxiety and has caused you physical and mental distress. You can start by searching for educational articles on combating anxiety and relaxing the mind and body. Learn about the feasible methods from these resources. If you find that the ef...[Read More] Understanding Anxiety: Is Dry Mouth a Symptom of Worry?
Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Diagnosis and Definition of Delusions I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing distress due to concerns about psychiatric symptoms such as delusions. 1. Facing an uncertain future, psychiatric disorders are common in modern society. These are chronic conditions that require long-term treatment for ...[Read More] Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...[Read More] Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Navigating Mental Health Challenges: A Personal Journey of Resilience
Living conditions Hello, Doctor. This is Jason, who previously asked you some questions. Do you remember me? I forgot when my last follow-up appointment was. I apologize; I live in the Northeast Coast area, which is considered the eastern part of Taiwan. I only remember that duri...
Dr. Tang Jiahong Reply:
Hello: Regarding the difficulties you are currently facing, it is important to prioritize the sources of stress and address them one by one. Additionally, frequently recalling past traumas can be addressed by referring to articles written by professionals online, such as "Ho...[Read More] Navigating Mental Health Challenges: A Personal Journey of Resilience
Understanding Possible Bipolar Symptoms in a Family Member
Family member suspected of bipolar disorder? Hello: Mr. A is currently 22 years old. He has been relatively passive and lacking in ideas since childhood, and due to family factors, his parents have been quite tolerant of him. Later, it was discovered that he faced difficulties in...
Dr. Qiu Junda Reply:
Hello. 1. Bipolar disorder is considered a more severe condition in terms of psychopathology. Sometimes, alcohol or substance abuse, as well as poor emotional regulation (EQ), can present similar symptoms. It is essential to conduct a careful assessment and not jump to conclusion...[Read More] Understanding Possible Bipolar Symptoms in a Family Member
Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Autonomic nervous system dysfunction, dementia? Hello Dr. Lin, I would like to ask you about my husband. He has been taking medication for autonomic nervous system disorder for many years. The side effects of the sedatives can lead to memory decline, and he often finds himself di...
Dr. Lin Mianzhang Reply:
Hello: Current research indicates that long-term use of sedatives does not lead to dementia; in fact, for patients with higher levels of anxiety, sedatives can help alleviate anxiety and improve short-term memory. Ideally, for older patients, it is best to use low doses of shorte...[Read More] Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Can my condition, bipolar disorder, be cured? I previously took Lurasidone, Lamotrigine, and Zolpidem. The clinic didn't have Lamotrigine and said Lurasidone wasn't effective, so I switched to Perphenazine, Lithium (2 tablets), and Mirtazapine. As a result, I felt depre...
Dr. Qiu Junda Reply:
Hello. The symptoms mentioned seem to be primarily negative emotions. The medication mainly consists of antidepressants and mood stabilizers, which is appropriate. If there are any side effects, you can discuss with your physician whether to adjust the medication. With patience i...[Read More] Can Bipolar Disorder Be Cured? Understanding Treatment Options and Challenges
Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Unsure if it is a side effect of the medication? Hello, doctor. I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to alleviate the muscle stiffness side effects of Risperidone, but I stopped Benztro...
Dr. Qiu Junda Reply:
Hello. The causes of decreased libido are quite complex. Factors such as emotions, stress, and medications (side effects) can all play a role. The two medications you mentioned do indeed have limited mention of such side effects in their prescribing information. Since you have st...[Read More] Understanding Medication Side Effects: Addressing Sexual Dysfunction and Memory Issues
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Some inquiries about obsessive-compulsive disorder (OCD)? Hello Dr. Wu, I am a patient currently undergoing medication treatment with Fluoxetine. I started showing signs of anxiety in middle school, and during my first year of college, I experienced a severe episode. I began tak...
Dr. Wu Enliang Reply:
Hello, I am a patient currently undergoing medication treatment with Fluoxetine. I have shown signs of this condition since middle school, and it became severe for the first time during college. I started taking medication in my freshman year and, after some time of medication co...[Read More] Understanding OCD Relapses: Medication, Therapy, and Stress Factors
Understanding OCD: Common Concerns and Treatment Insights for Students
Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...
Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students
Do I Need to See a Psychiatrist Again? Understanding My Mental Health
I would like to ask if I need to see a psychiatrist based on my current condition? Hello Doctor, I am currently 18 years old and graduated from high school. Over a year ago, I went to see a psychiatrist without my family's knowledge due to symptoms like persistent sadness an...
Dr. Lin Mianzhang Reply:
Hello Ms. U: I believe you are here to inquire because you are somewhat troubled by your situation, yet unsure of its severity. There is no definitive standard for whether one needs to seek medical attention. I have encountered individuals who come for consultations simply to det...[Read More] Do I Need to See a Psychiatrist Again? Understanding My Mental Health
Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms
Questions regarding the efficacy of Rifampin in treating physical symptoms? Hello Doctor: After being diagnosed in January this year, I began experiencing symptoms in February, such as severe insomnia, difficulty concentrating, dizziness, lightheadedness, slow focus switching bet...
Dr. Qiu Junda Reply:
Hello. Medications like Librium and other benzodiazepines have sedative effects, primarily aimed at improving insomnia in your case. They are unlikely to help with other issues such as dizziness, lightheadedness, or cognitive impairments. If there is no improvement in your insomn...[Read More] Concerns About the Efficacy of Rifampin in Treating Psychiatric Symptoms