Understanding Insomnia: When Sleep Medications Stop Working
Severe insomnia Dear Doctor, I have been taking sleeping pills for a long time and they are no longer effective. Is this a case of tolerance? I have been on sleeping medication for ten years. My heart is racing and I am unable to work! Please, Doctor, I need your advice. What sho...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Chronic insomnia can indeed be very distressing, and long-term use of the same sedative can lead to tolerance. However, since there are many types of sleep medications available, each with different mechanisms of action, you can try...[Read More] Understanding Insomnia: When Sleep Medications Stop Working
Understanding Sleep Disorders: Comparing Your Sleep Patterns with Others
Hello, Dr. Lee? Dr. Lee: I’ve noticed that I seem to have sleep disturbances. When I’m in a good mood and excited, or when I’m feeling down and overthinking, I can’t fall asleep. If someone next to me is snoring, I also can’t sleep, and if they keep tossing and turning, that keep...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. It is normal for individuals to experience temporary difficulty falling asleep during emotional fluctuations or external disturbances. This should not be considered abnormal. Your brother's situation is related to his individua...[Read More] Understanding Sleep Disorders: Comparing Your Sleep Patterns with Others
Understanding Insomnia: Seeking Solutions for Persistent Sleep Issues
Insomnia issues Hello Doctor: My mother is about 54 years old and has been experiencing insomnia in recent years. Her symptoms include difficulty falling asleep at night, an inability to quiet her mind, and persistent thoughts. She has seen a neurologist and has been taking medic...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. The causes of insomnia can generally be divided into three main categories: 1. Insomnia caused by psychological factors, such as depression and anxiety; 2. Insomnia caused by physiological factors, such as patients with heart diseas...[Read More] Understanding Insomnia: Seeking Solutions for Persistent Sleep Issues
Understanding Depression Symptoms and Medication Side Effects: A Patient's Journey
Symptoms of depression Hello, doctor. Earlier this year, I experienced daily chest tightness, which initially made me feel nauseous. This sensation occurred every day. After undergoing an endoscopy, I was diagnosed with mild gastroesophageal reflux disease (GERD) and took medicat...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Lippu is an antidepressant, and its side effects include dry mouth, nausea, insomnia, hyperhidrosis, and tremors. Stitmus is a sleeping aid that can be gradually tapered off and eventually discontinued. The common side effects of Le...[Read More] Understanding Depression Symptoms and Medication Side Effects: A Patient's Journey
Understanding Stress-Related Disorders: Self-Assessment and Treatment Insights
Stress issues Hello Dr. Lee: Thank you for your enthusiastic response. Regarding the psychosomatic disorders you mentioned in your letter, how can one self-assess to determine if they are experiencing this? For common recurrent stomach or abdominal pain, such as gastrointestinal ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Psychosomatic disorder is a condition that results in physiological changes due to psychological stress. It should be diagnosed and treated by a specialist. With appropriate treatment, symptoms often improve, and the treatment duration typ...[Read More] Understanding Stress-Related Disorders: Self-Assessment and Treatment Insights
Can Mental Stress Cause Chronic Stomach Pain? Understanding the Connection
Stress issues? Hello Dr. Lee, I am currently experiencing frequent stomach pain, originally caused by an ulcer, which has nearly healed after examinations and follow-ups. However, I still frequently experience discomfort in my stomach and abdomen. After discussing with my doctor...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Modern individuals often suffer from psychosomatic disorders due to excessive stress. Psychosomatic disorders are caused by high levels of mental stress, leading to hormonal imbalances and resulting in various physical symptoms such...[Read More] Can Mental Stress Cause Chronic Stomach Pain? Understanding the Connection
Understanding the Use of Jing An Ning in Depression Treatment
Jing Anning Is the medication <Jing An Ning> used for "depression" or is it for patients who are already taking medication for "depression"? Is a dosage of 0.25 considered serious in this situation?
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Jing An Ning is a central nervous system depressant primarily used for the treatment of anxiety disorders or for short-term relief of anxiety symptoms. It can also serve as an adjunctive treatment for anxiety and panic disorders associated...[Read More] Understanding the Use of Jing An Ning in Depression Treatment
Understanding Depression vs. Bipolar Disorder: Symptoms and Triggers
Depression or bipolar disorder? Excessive sweating of the hands or feet, along with an inability to remain calm, may indicate symptoms related to anxiety disorders rather than bipolar disorder or depression. If a patient suddenly exhibits behavior that is markedly different from ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Excessive sweating of the hands or feet is not a necessary symptom of bipolar disorder or depression. Restlessness may occur in patients with bipolar disorder or depression. A sudden change in behavior compared to previous patterns ...[Read More] Understanding Depression vs. Bipolar Disorder: Symptoms and Triggers
Managing Anxiety and Nightmares During Pregnancy: Seeking Help
Recurring nightmares Hello, doctor. I have been suffering from anxiety for many years and have undergone psychological counseling and taken medication for a long time. However, I stopped taking my medication 15 weeks ago after discovering that I am 17 weeks pregnant. I was afraid...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, welcome to your correspondence. Patients with depression or anxiety disorders are prone to relapse under stress. Pregnancy is a stressful event, so many pregnant women experience emotional issues. Since medications can affect fetal development, doctors often ...[Read More] Managing Anxiety and Nightmares During Pregnancy: Seeking Help
Understanding Sleep Medications: Tolerance, Dependency, and When to Seek Help
Sleeping pills Hello doctor, I would like to ask about sleeping pills. Is it possible for the body to develop a tolerance or resistance to these medications if taken in excess? I have a relative who has experienced such symptoms, where taking many pills has no effect. Additionall...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. It is true that sleeping pills can lead to tolerance issues, and long-term use may result in a gradual increase in dosage. It is recommended to use them under the guidance of a psychiatrist to avoid the risk of misuse. Thank you.[Read More] Understanding Sleep Medications: Tolerance, Dependency, and When to Seek Help
Overcoming Sound Sensitivity: A Journey Through Anxiety and OCD
Hypersensitivity to sound? First of all, I have experienced several events in the past that I would consider personal disasters, which have led to depression and obsessive-compulsive disorder (OCD). When I was younger, I didn't pay much attention to it (perhaps I didn't...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned, you are still experiencing symptoms of depression, anxiety, and obsessive-compulsive disorder. I recommend that you consult a psychiatrist for appropriate use of antidepressants or anxiolytics. You m...[Read More] Overcoming Sound Sensitivity: A Journey Through Anxiety and OCD
Managing Weight Gain from Psychiatric Medications: Tips and Strategies
Medications Hello Dr. Hu: I have experienced weight gain due to taking Sertraline. What methods can I use to avoid this side effect? Thank you.
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Antipsychotic medications often have the side effect of weight gain, which can indeed be quite troubling. It is possible to choose alternative medications. If other medications are not suitable, the only options left are traditional...[Read More] Managing Weight Gain from Psychiatric Medications: Tips and Strategies
Am I Sick? Understanding Emotional Turmoil and Family Dynamics
Am I sick? Hello, doctor. Over the past few years, I've noticed that I seem to be very dissatisfied with my reality. Although I have a happy marriage, I constantly feel unhappy. Previously, I had some family conflicts due to differing views with my sister-in-law, which led t...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, welcome your letter. According to what you mentioned in your letter, you are experiencing irritability and negative thinking, which may indicate depression. I recommend that you consult a psychiatrist. Wishing you a swift resolution to your concerns. Thank you.[Read More] Am I Sick? Understanding Emotional Turmoil and Family Dynamics
Understanding Anxiety: Is Your Autonomic Nervous System Out of Balance?
Is it autonomic nervous system dysfunction? Hello, I was recently diagnosed with anxiety disorder. A few months ago, I watched a health-related program that may have triggered my tendency to think negatively, especially regarding health. Whenever I feel even a slight pain, I beco...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, welcome to your letter. According to what you mentioned in your letter, you indeed have symptoms of anxiety disorder. Patients with anxiety disorder often experience some physiological symptoms such as chest tightness, palpitations, headaches, and tremors. In...[Read More] Understanding Anxiety: Is Your Autonomic Nervous System Out of Balance?
Understanding the Side Effects of Zolpidem: A Student's Experience
Side effects of sleeping pills? Hello, doctor. I am currently a fourth-year student preparing for graduate school entrance exams. About a month ago, due to insomnia, I took two sleeping pills from my roommate. The medication is Zolnox (Zolpidem Hemitartrate 10mg), and I took one ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Zolnox can indeed cause drowsiness as a side effect, but this typically lasts for a few days at most after discontinuation. It usually does not persist for weeks and generally does not lead to permanent sequelae. Therefore, it is li...[Read More] Understanding the Side Effects of Zolpidem: A Student's Experience
Understanding the Side Effects of Lodopin in Psychiatric Treatment
It seems that "loodopin" What are the side effects of Lodopin? Thank you.
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Lodopin is an antipsychotic medication. Its main side effects include drowsiness, fatigue, thirst, constipation, and dizziness. Less common but serious side effects include abnormal electrocardiogram readings and tardive dyskinesia....[Read More] Understanding the Side Effects of Lodopin in Psychiatric Treatment
Comparing Efficacy of New Antipsychotics: Risperdal, Zyprexa, and Clozapine
Antipsychotic medications Hello: Which of the new medications such as Risperdal, Lodopin, Zyprexa, and Clozapine is the most effective?
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Second-generation antipsychotic medications each have their own strengths, and different patients respond variably to these medications. It is difficult to determine which medication is more effective. In clinical practice, physicians will...[Read More] Comparing Efficacy of New Antipsychotics: Risperdal, Zyprexa, and Clozapine
Understanding the Link Between Hypertension and Panic Disorders
Hypertension can trigger panic disorder? Hello Doctor, I experienced my first panic attack due to a cold that triggered my blood pressure to rise to 180, which had never been that high before. After seeing the doctor and resting, I couldn't sleep and kept thinking about a ne...
Dr. Li Zhengfeng reply Psychiatry
Hello: First, thank you for your letter. Hypertension is often asymptomatic. To confirm a diagnosis of hypertension, blood pressure must be measured in a calm state, and it should be elevated to make a definitive diagnosis. Patients with panic disorder often experience elevated b...[Read More] Understanding the Link Between Hypertension and Panic Disorders
Medications to Alleviate Exam Anxiety: Risks and Benefits Explained
Medications to alleviate test anxiety? Hello, doctor: I would like to ask if there are any medications that can alleviate exam anxiety, and whether they might affect thinking during the exam or have any side effects. I've heard that there are banned substances that are very ...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. Typically, psychiatrists prescribe a medication called Inderal for patients who experience excessive anxiety during exams or public speaking. This medication can effectively alleviate anxiety without the drowsiness side effects comm...[Read More] Medications to Alleviate Exam Anxiety: Risks and Benefits Explained
Overcoming Social Anxiety: A Journey from Self-Doubt to Healing
Mental health issues Hello Dr. Li: I have been a lively person since childhood, and I have always looked quite good. However, during high school, I developed a lot of acne, which made me hide in my room and dislike having others look at my face. At that time, I believed that my a...
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter. According to what you mentioned in your correspondence, you may be suffering from social anxiety disorder. Social anxiety disorder is a type of mental health condition characterized by an intense fear of social interactions. Treatme...[Read More] Overcoming Social Anxiety: A Journey from Self-Doubt to Healing