Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...
Dr. Huang Zhijia Reply:
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Understanding Side Effects of Antipsychotic Medications: A Patient's Guide
Schizophrenia Doctor, I took Ubiquinone and Anxiolytic medication last night, and when I woke up the next morning, I felt groggy and had a headache. Are these side effects? Is this considered normal?
Dr. Cai Qijin Reply:
Hello: When starting treatment with Sertraline (Zoloft) and Aripiprazole (Abilify), a small number of individuals may experience side effects such as nausea, headache, and drowsiness. If these side effects are not severe, it is usually advisable to monitor them for a few days, as...[Read More] Understanding Side Effects of Antipsychotic Medications: A Patient's Guide
Can Schizophrenia Medication Be Stopped After Recovery?
Can antipsychotic medication be discontinued for schizophrenia? Hello, doctor. I was recently diagnosed with schizophrenia (with delusions and hallucinations lasting less than two weeks) and have been taking Lurasidone 10 mg. I also adjusted my daily routine and slowed down my pa...
Dr. Wu Enliang Reply:
Generally, schizophrenia is characterized by symptoms such as delusions and hallucinations lasting for more than a month. Has your doctor diagnosed you with schizophrenia? If it is confirmed to be schizophrenia, due to the high relapse rate, it is typically recommended to maintai...[Read More] Can Schizophrenia Medication Be Stopped After Recovery?
Understanding Sexual Orientation: Questions About Identity and Acceptance
Sexual orientation issues Hello doctor, I like girls and I also want to be a girl... Is there something abnormal about my sexual orientation?
Dr. Wu Enliang Reply:
There are no abnormalities reported by the netizen. Dr. Wu Enliang.[Read More] Understanding Sexual Orientation: Questions About Identity and Acceptance
Understanding Psychiatric Hospitalization and Medication Effects
Psychiatric hospitalization I would like to ask when I can return to the psychiatric ward after being discharged. Also, will the medication Yongkangxu make me feel like I'm not myself, with reduced sensation in my limbs? Or is it the effect of the sleep medication? I have be...
Dr. Wu Enliang Reply:
If you are not experiencing any symptoms, there is no need to return to the hospital. The medication Yongkangxu will not alter your consciousness or cause numbness in your limbs; this may be due to sedative or sleep medications, such as Zolpidem. Dr. Wu Enliang.[Read More] Understanding Psychiatric Hospitalization and Medication Effects
Understanding Psychiatric Hospitalization: Concerns After Discharge
Inpatient psychiatric care? Hello, I am the person who just asked a question. I used to take only Daytime Lishuding and at night Lian Duomian, Fan Duoshan, and half a pill of Zannuo and Siluokang. I did not experience any confusion, dry mouth, or numbness in my hands and feet. Ho...
Dr. Wu Enliang Reply:
Hello, it's best to discuss with your physician whether to discontinue Yongkangxu. If you are only experiencing feelings of restlessness, hospitalization may not be necessary. It's important to talk to your doctor about the possible causes and further management. Dr. Wu...[Read More] Understanding Psychiatric Hospitalization: Concerns After Discharge
Understanding Schizophrenia: Job Instability and Delusional Thoughts
Schizophrenia, frequent job changes, and delusional issues? Hello, doctor. I often quit my job after just a few days because I feel anxious, and in the mornings, I experience auditory hallucinations telling me to leave the company. I follow these hallucinations and resign, which ...
Dr. Wu Enliang Reply:
If you are experiencing symptoms of schizophrenia that are troubling and affecting your work, it is advisable to return for a follow-up appointment with your physician to see if medication adjustments can be made. Dr. Wu En-Liang.[Read More] Understanding Schizophrenia: Job Instability and Delusional Thoughts
Understanding the Sexual Side Effects of Valdoxan and Lozepam
The issues related to side effects of medications associated with sexual activity, including excessive flashing and changes in mood? Hello Dr. Wu, last year a relative of mine passed away by suicide, which has led to insomnia and mild depressive symptoms. I started seeing a psych...
Dr. Wu Enliang Reply:
Valdoxan (agomelatine) rarely causes sexual dysfunction and is one of the preferred medications for major depressive disorder in patients who are concerned about sexual side effects. Lozepam (loxapine), a benzodiazepine sedative, is more likely to cause sexual dysfunction and is ...[Read More] Understanding the Sexual Side Effects of Valdoxan and Lozepam
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda Reply:
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Dear Doctor, My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for netizens to consult the physician they previously visited, as seeking advice from a physician who has not treated them before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu Enliang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Hello Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for netizens to consult the physician they previously visited, as seeing a physician who is unfamiliar with their medical history may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-Liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, making it increasingly difficult for me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleeping medications during breastfeeding, it is advisable to have your condition evaluated by a physician. As for which medication is better between ...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Managing Anxiety and Depression: When Medication Stops Working
The medication I have been taking for over a year is no longer effective? Hello, Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for the user to consult the physician they previously visited. Consulting a physician who has not seen the patient before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Constantly scratching the scalp? Hello Doctor: I have had the habit of picking at my scalp since high school. Even when reminded, I can't stop myself from picking, which has caused wounds on my scalp (I'm really worried that my hair won't grow back). This happens e...
Dr. Wu Enliang Reply:
1. Do I need to see a doctor? A: If it has caused disruptions in your daily life, it is necessary to see a doctor. 2. How can I stop the behavior of skin picking? A: Medication treatment combined with psychotherapy. 3. This month, there were two nights when I inexplicably fel...[Read More] Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Can Amberen be taken alternately with UroLift? Hello Doctor: I have been experiencing sleep disorders for about 10 years, and most doctors have diagnosed me with anxiety. The sleep medication prescribed helps me fall asleep more quickly, but I usually wake up after about 4 hours ...
Dr. Wu Enliang Reply:
Both medications are benzodiazepines (BZDs) and can be taken alternately, but it's advisable to use them only for a short term to avoid the risk of dependence. Dr. Wu En-Liang.[Read More] Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Illness anxiety disorder and anxiety disorders cause distress? Hello, doctor. I apologize for taking your time with my concerns, and thank you for your attention. I am 22 years old and have been feeling unwell for a long time, convinced that there must be something wrong with my ...
Dr. Qiu Junda Reply:
Hello. These situations can indeed cause you significant physical and mental distress. Most of them fall under the symptoms related to psychosomatic disorders. Therefore, please continue your treatment with a psychiatrist and adhere to the prescribed medication (which may take so...[Read More] Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Overcoming Dependence on Xanax: Steps to Safely Taper Off
Drug withdrawal from Xanax? Hello, doctor. In April of this year, I was diagnosed with a thyroid issue, and at that time, the doctor prescribed me Zolpidem to take one tablet before bed. My thyroid levels have mostly returned to normal, and I am close to being able to stop the me...
Dr. Wu Enliang Reply:
It is generally recommended to switch to a longer-acting medication with a lower potential for habit formation before tapering off. If your internist is unable to manage this, consider consulting a psychiatrist. Dr. Wu En-Liang.[Read More] Overcoming Dependence on Xanax: Steps to Safely Taper Off
Understanding the Causes of Bipolar Disorder: Can MRI Reveal Childhood Trauma?
Causes of Bipolar Disorder A 63-year-old woman was recently diagnosed with bipolar disorder and admitted to the psychiatric ward of a hospital. After undergoing an MRI, the doctor asked the family if she had experienced any head trauma during her childhood. This raised questions ...
Dr. Wu Enliang Reply:
Hello, if it is a severe brain injury, abnormalities in brain imaging may still be observed 60 years later, but it should not be related to depression. Dr. Wu Enliang.[Read More] Understanding the Causes of Bipolar Disorder: Can MRI Reveal Childhood Trauma?
Managing Anxiety Medications: Tips for Panic Disorder Relief
Anxiolytic medication consultation, medication issues, panic disorder? I would like to ask the doctor, I have been prescribed medication for panic disorder and have been taking it for six months. After achieving stability, the doctor advised me to practice tapering off the medica...
Dr. Huang Zhijia Reply:
Hello: Each patient is unique, and there is no formula or SOP that can be applied to every patient. The physician who examines the patient in person is the one who understands the patient's condition best and can make the appropriate management decisions. It is recommended t...[Read More] Managing Anxiety Medications: Tips for Panic Disorder Relief