the Importance of Visiting a Psychosomatic Specialist

Last question?

Dr.
Zhong, could you please explain why you suggested that I visit a psychiatric department at the hospital? Isn't this the same as the psychiatric clinic where I am currently receiving medication? The doctor there is a psychiatrist.

Additionally, I would like to ask:
1.
Will the medications prescribed by the clinic doctor, such as 0.5 mg of Mecobalamin (B12), 0.25 mg of Sertraline (Zoloft) taken before sleep, 0.5 mg of Carbamazepine, and 500 mg of Calcium Carbonate, cause long-term damage to my brain?
2.
Last time, I asked why I experience a tingling sensation and a feeling of pressure in my head.

3.
I have not taken the above medications for a month and a half.
I only take the sleep medication at night when I can't sleep, but it seems that after taking it, I can only sleep for a little longer before waking up.
I wake up five to six times a night.

Cai Xiansheng, 40~49 year old female. Ask Date: 2016/10/09

Dr. Zhong Mingxun reply Psychiatry

I suggest that you have a thorough discussion with the physician who is currently prescribing your medication about these issues.
I can provide you with relevant medical or pharmacological knowledge, but each individual's physiology is unique and may not necessarily align with your situation.
Since it seems you have inquired about related issues multiple times, I recommend discussing them in detail with your doctor to avoid receiving fragmented answers from different physicians, which could further complicate your concerns.
If you still do not have confidence in your current physician, I advise you to find a doctor you trust and have a comprehensive discussion with them.

Reply Date: 2016/10/09

More Info

Visiting a psychosomatic specialist can be a crucial step in addressing both mental and physical health issues, particularly when symptoms overlap or manifest in ways that are not easily categorized. Psychosomatic medicine focuses on the interplay between psychological factors and physical health, recognizing that emotional and mental states can significantly influence bodily functions and vice versa.
1. Understanding the Role of Psychosomatic Specialists: Psychosomatic specialists are trained to evaluate and treat conditions where psychological factors contribute to physical symptoms. This can include chronic pain, gastrointestinal issues, and even neurological symptoms that do not have a clear medical explanation. They employ a holistic approach, considering the patient's emotional, psychological, and social context in their treatment plans. This is particularly important for individuals who may not respond well to traditional medical treatments alone.

2. Concerns About Long-term Medication Use: You mentioned taking medications such as methylcobalamin (甲鈷胺明) and other psychotropic drugs. Long-term use of certain medications can lead to side effects, including potential impacts on brain function. For instance, some medications can cause cognitive dulling or emotional blunting, which might exacerbate feelings of disconnection or numbness. It is essential to have regular consultations with your prescribing physician to monitor these effects and adjust your treatment plan as necessary. If you have concerns about the medications you are taking, discussing these with a psychosomatic specialist could provide additional insights and alternatives.

3. Addressing Physical Symptoms: The sensations you describe, such as tingling or pressure in the head, can be distressing and may stem from various causes, including anxiety, stress, or even medication side effects. A psychosomatic specialist can help determine whether these sensations are purely physiological or if they are influenced by psychological factors. They can also recommend therapies or interventions that address both the mind and body, such as cognitive-behavioral therapy (CBT), mindfulness practices, or relaxation techniques.

4. Sleep Issues and Medication: Your experience with sleep disturbances, including waking multiple times during the night, is common among individuals dealing with anxiety or stress. While medications can help, they are often most effective when combined with behavioral strategies. A psychosomatic specialist can guide you in developing a comprehensive sleep hygiene routine, which may include establishing a regular sleep schedule, creating a restful environment, and incorporating relaxation techniques before bedtime.

5. The Importance of Comprehensive Care: It is vital to understand that mental health and physical health are interconnected. Conditions like anxiety and depression can manifest as physical symptoms, and vice versa. By visiting a psychosomatic specialist, you can receive a more integrated approach to your health, addressing both your mental and physical symptoms in a coordinated manner.

In conclusion, seeking the help of a psychosomatic specialist can provide you with a deeper understanding of your health issues and a more effective treatment plan. It is essential to communicate openly with your healthcare providers about your symptoms, concerns regarding medications, and any changes in your condition. This collaborative approach will empower you to take control of your health and work towards a better quality of life.

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