Understanding Autonomic Nervous System Dysregulation and Its Treatment
Autonomic nervous system dysfunction Hello Doctor, I have issues with obesity and hypertension. Recently, I experienced episodes of rapid heartbeat accompanied by feelings of fear and cold extremities during the night, which lasted intermittently for about half an hour. For the p...
Dr. Qiu Junda reply Psychiatry
Hello. 1. There is indeed a possibility of autonomic nervous system dysfunction. It is treatable, so please do not worry. 2. Medications can help improve the condition. The duration of the treatment should be discussed with your primary physician. 3. It may have an impact, but th...[Read More] Understanding Autonomic Nervous System Dysregulation and Its Treatment
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Autonomic Nervous System Dysfunction Hello Doctor, during the Lunar New Year period, I experienced increased emotional stress, and on the night of February 7th, I suddenly felt my heart racing accompanied by a sense of fear and coldness in my hands and feet. These symptoms persis...
Dr. Qiu Junda reply Psychiatry
Hello. The issue described in your letter may indeed be related to autonomic nervous system dysregulation. The medication should show effects within two weeks. Of course, combining it with non-pharmacological methods such as deep, slow breathing (you can search online for related...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Long-Term Use of Lorazepam: Risks to Brain Function Explained
Medication Consultation Hello, doctor. I am the patient who asked question #179023. I apologize, but I have another question that I forgot to ask. Can Lorazepam (the medication I am taking) be used long-term? If taken for an extended period, could it harm brain function? I came a...
Dr. Qiu Junda reply Psychiatry
Hello. After taking You-Ran tablets, they will be metabolized by the body. Generally, there should be no harm to the brain with normal use, unless taken excessively or improperly. Taking 1 to 2 tablets before bedtime for a long period should not lead to any brain function disorde...[Read More] Long-Term Use of Lorazepam: Risks to Brain Function Explained
Medication Concerns for Severe Sleepiness in Depression Patients
Medication issues related to severe hypersomnia in depression? Hello, my situation is that I had visited a hospital for treatment and medication about a year ago. After that, I stopped taking the medication for nearly a year, but recently I noticed that my symptoms have returned,...
Dr. Qiu Junda reply Psychiatry
Hello. Sometimes, excessive sleepiness can resemble a lack of motivation, and both may be symptoms of depression. However, the quality of sleep may be poor. If you have informed your doctor about your excessive sleep, and they still prescribed sleeping pills, there may be specifi...[Read More] Medication Concerns for Severe Sleepiness in Depression Patients
Understanding Side Effects of Psychiatric Medications: A Patient's Concerns
Drug side effects Hello, doctor. I have been taking a medication called Uruan for a while now. In the first two days of taking it, I heard a 2-second piece of music, but I'm not sure if it was a mistake from my phone. Yesterday afternoon, I seemed to hear my mother calling m...
Dr. Qiu Junda reply Psychiatry
Hello. Youran tablets are anxiolytics. The side effects you mentioned are generally uncommon. However, the other three medications you are taking may also have some side effects. It could also be a reaction to the stress you mentioned. I recommend learning some simple stress mana...[Read More] Understanding Side Effects of Psychiatric Medications: A Patient's Concerns
Can L-Theanine Improve Sleep for Adults with ADHD on Amphetamine?
Drug interaction between Tanshinone and Amiodarone? Hello, doctor! I am an adult ADHD patient currently taking 10mg of Adderall. However, I have been experiencing difficulty sleeping at night and feel very tired when I wake up in the morning. I read online that L-theanine can imp...
Dr. Qiu Junda reply Psychiatry
Hello. You can try this to see if it helps improve your condition. Additionally, you can discuss it with your physician during your follow-up appointment.[Read More] Can L-Theanine Improve Sleep for Adults with ADHD on Amphetamine?
Can You Get the BNT Vaccine While on Psychiatric Medications?
Medications and the BNT Vaccine Currently, I take 6.25 mg of Sustanon long-acting tablets, 0.5 mg of Rifampicin tablets, and 30 mg of Apo-Paroxetine before bed. Can I receive the BNT vaccine? I have had 1 dose of AZ, 2 doses of AZ, and 3 doses of BNT.
Dr. Qiu Junda reply Psychiatry
Hello. These medications should not conflict with the BNT vaccine. When administering the vaccine, the physician will also assess your health condition. Please rest assured.[Read More] Can You Get the BNT Vaccine While on Psychiatric Medications?
Understanding Anxiety-Induced Nausea: When to Seek Help
Easily anxious and feeling nauseous? I am currently a senior in college. During high school, I often experienced anxiety and a poor appetite, but I was still able to eat. Recently, however, when I go out with others, I find myself feeling increasingly anxious (with tense nerves a...
Dr. Qiu Junda reply Psychiatry
Hello. The situation described in the text likely falls under anxiety (autonomic nervous system dysregulation and anxiety disorders are similar; it's just a different way of saying it). I recommend searching for information on stress management techniques to learn some relax...[Read More] Understanding Anxiety-Induced Nausea: When to Seek Help
Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Missed medication dose Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system disorder for six months, and there haven't been any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of E...
Dr. Qiu Junda reply Psychiatry
Replied.[Read More] Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Missed medication dose? Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system dysfunction for six months, and I haven't had any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of En...
Dr. Qiu Junda reply Psychiatry
Hello. You can stop taking the medication Qianyoujie and Entelai after waking up on January 14th, as you have already taken the medication at 2:20 AM on January 14th. You can resume your usual medication schedule afterward. There is no significant impact from the missed dose, so ...[Read More] Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Understanding Emotional Instability: When to Seek Psychiatric Help
Emotional instability Hello, doctor. Recently, I have been feeling sad and down for no apparent reason. My emotions fluctuate greatly; I might feel happy about something one moment, but then suddenly feel very low shortly after. I often cry for no reason, especially in the evenin...
Dr. Qiu Junda reply Psychiatry
Hello. The text indicates that there is emotional instability, predominantly negative emotions. If this is causing you distress, it is recommended that you consult a mental health professional for evaluation. If that is not convenient, please reach out to the Ministry of Health a...[Read More] Understanding Emotional Instability: When to Seek Psychiatric Help
Navigating Negative Emotions in a Toxic Workplace Environment
Negative emotions Hello, Doctor. I apologize for the lengthy message, but I really need your help. I am a person with congenital disabilities and have been unemployed for a long time. I finally found a company willing to hire me, and at first, I was genuinely grateful to all the ...
Dr. Qiu Junda reply Psychiatry
Hello. The negative emotional behaviors mentioned in the text are mostly related to the work environment and interpersonal relationships, and they have already caused physical and mental distress. It is recommended that you seek consultation and evaluation at a mental health clin...[Read More] Navigating Negative Emotions in a Toxic Workplace Environment
Understanding SSRIs: Do They Heal or Just Delay Recovery?
SSRI Issues 1. How do SSRIs actually help people recover? Do they only prolong the presence of serotonin in the brain, or do they also repair neural pathways? 2. Does not taking medication lead to brain atrophy? Will it make me less intelligent? Will my memory deteriorate? P.S. I...
Dr. Qiu Junda reply Psychiatry
Hello. The text suggests that you may be feeling overwhelmed and negative due to the pressure of the academic examination. I hope the following advice can help you. 1. SSRIs (Selective Serotonin Reuptake Inhibitors) are antidepressants that can also be used to treat obsessive-c...[Read More] Understanding SSRIs: Do They Heal or Just Delay Recovery?
Understanding Sound-Only Dreams: A Scientific Perspective
A dream without images? From a scientific perspective, it is indeed possible to experience auditory hallucinations during sleep or in a hypnagogic state (the transitional state between wakefulness and sleep) without accompanying visual imagery. This phenomenon can occur due to va...
Dr. Qiu Junda reply Psychiatry
Hello. This may also be a phenomenon similar to hallucinations (auditory) that occurs when consciousness is not fully awake (in a dream state or in between sleep and wakefulness). Don't worry too much. Thank you.[Read More] Understanding Sound-Only Dreams: A Scientific Perspective
Understanding Auditory Dreams: A Scientific Perspective on Nighttime Experiences
A dream with sound but no image? The doctor's response indicates that this phenomenon can be explained from a biological science perspective, suggesting that it is possible to experience auditory hallucinations (hearing sounds) while in a state of altered consciousness, such...
Dr. Qiu Junda reply Psychiatry
Yes, it is a phenomenon that could occur naturally.[Read More] Understanding Auditory Dreams: A Scientific Perspective on Nighttime Experiences
Understanding Vaccine-Related Anxiety and Its Impact on Heart Health
Vaccine-induced anxiety disorder? On October 24th, after receiving the vaccine, I started feeling unwell. I visited a cardiologist and underwent a stress echocardiogram, and the doctor said everything was fine. At that time, I experienced physiological symptoms such as chest tigh...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that your question is not fully stated. If the vaccine has caused anxiety, consulting with a physician should help improve the situation (your medication is indeed effective for anxiety). Additionally, I recommend searching for non-pharmacological methods for anxi...[Read More] Understanding Vaccine-Related Anxiety and Its Impact on Heart Health
Long-Term Use of Inderal and Alpraline: Potential Side Effects Explained
Long-term use? Hello Doctor, I would like to ask if long-term use of Inderal and Alpraline can cause any side effects. Several years ago, I experienced sudden anxiety and increased heart rate for no apparent reason, which led me to seek medical attention. After listening to my sy...
Dr. Qiu Junda reply Psychiatry
Hello. It seems that these medications can improve your symptoms without significant side effects (such as drowsiness, fatigue, and weakness). As long as you cooperate with the treatment and do not take excessive or random doses, long-term use should not pose major issues. These ...[Read More] Long-Term Use of Inderal and Alpraline: Potential Side Effects Explained
Understanding Your Father's Unusual Behavior: Signs of Depression?
Doctor, I have been feeling that my father's mental state is quite strange? My father is over 65 years old. He used to run a pharmacy at home and has been retired for 4 to 5 years. I want to ask about his condition: he becomes easily agitated, especially after taking a showe...
Dr. Qiu Junda reply Psychiatry
Hello. Is your father's condition related to a mental illness or other issues that require further evaluation? This includes how long the symptoms have been present and whether they are indicative of age-related degeneration. Has there been long-term alcohol use (which can l...[Read More] Understanding Your Father's Unusual Behavior: Signs of Depression?
Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues
Hypochondriasis Hello Dr. Chiu, I had a heart attack nine years ago and received a stent. For the first six months, everything was fine, and I felt rejuvenated, almost like I was several years younger! However, one day, my long-absent Meniere's disease reappeared, and a few ...
Dr. Qiu Junda reply Psychiatry
Hello. The correspondence reveals an anxious reaction regarding your health condition. Whether or not it is hypochondriasis, there are at least symptoms of anxiety causing distress. Physical ailments, such as heart issues, may be a source of stress (anxiety). It is recommended th...[Read More] Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues
Managing Anxiety and Focus Issues: Medication Effects and Treatment Duration
Anxiety, autonomic nervous system dysregulation, and inability to concentrate? Hello, I have been taking medication for 6 months, including Clonazepam, Sertraline, Duloxetine, and the sleep aid Zolpidem. I would like to ask how long the treatment for anxiety disorder typically ta...
Dr. Qiu Junda reply Psychiatry
Hello. The duration of treatment for anxiety disorders (or autonomic nervous system dysregulation) varies from person to person. However, with appropriate treatment, significant improvement can be achieved. If you find it difficult to concentrate, it may sometimes be related to m...[Read More] Managing Anxiety and Focus Issues: Medication Effects and Treatment Duration