Understanding Panic Disorder: Medications and Treatment Options
Medications and Treatments for Panic Disorder Hello, Doctor. Recently, I have been experiencing unexplained tension and increased heart rate while driving or exercising. After an examination, my doctor diagnosed me with panic disorder. Initially, I was prescribed Deanxit and Lowe...
Dr. Song Chengxian reply Psychiatry
Dear Mr. Jian, There are many medication options available in psychiatry for panic disorder. If the current medication is not providing satisfactory results, I recommend discussing this with your psychiatrist as soon as possible. As for non-pharmacological treatment options, su...[Read More] Understanding Panic Disorder: Medications and Treatment Options
Understanding the Effects of Kratom and Zoloft on Mental Health
Kava and Zoloft? Hello, doctor. I previously visited a psychiatrist who prescribed me one pill to take each morning for the first two weeks. During that time, I felt a bit drowsy, my mood was stable, and I was less anxious in crowds, which made me feel more relaxed and sleepy. La...
Dr. Song Chengxian reply Psychiatry
Hello, regarding your concerns after changing medication, it is best to promptly discuss and address them directly with your attending physician. They will be able to provide a prescription that suits your needs based on your feedback. Sincerely, Dr. Song.[Read More] Understanding the Effects of Kratom and Zoloft on Mental Health
Will Long-Term Use of Lexapro and Zyprexa Cause Weight Gain?
Kava and Zoloft? I would like to ask if taking Cymbalta and Xanax prescribed by my psychiatrist for a long time will cause weight gain?
Dr. Song Chengxian reply Psychiatry
Hello, it is true that Kratom has been associated with weight gain in clinical settings. If this is causing you concern, you should promptly discuss the side effects of the medication and possible adjustments with your physician. Sincerely, Dr. Song.[Read More] Will Long-Term Use of Lexapro and Zyprexa Cause Weight Gain?
Understanding Persistent Thoughts After Long-Term Antipsychotic Use
Will come to mind? I have been on antipsychotic medication for many years, and I have noticed that as soon as I wake up in the morning, I start thinking about various things, especially about people I haven't seen in ten years. Could you please explain my situation, even tho...
Dr. Song Chengxian reply Psychiatry
Hello, regarding your mention of "thinking about things," if it hasn't caused any disruption to your daily life or emotional changes, there is no need to worry. However, if it has already affected your usual life, please return to the clinic as soon as possible to ...[Read More] Understanding Persistent Thoughts After Long-Term Antipsychotic Use
Understanding Emotional Numbness: A Journey Through Mental Health Challenges
Feeling blank and unable to experience any emotions towards anything? I have experienced a change in my personality since an event that occurred seven years ago. As a result of that incident, during the first five years, my personality became very extreme, even leaning towards an...
Dr. Song Chengxian reply Psychiatry
Hello, Xiaoyi. Seven years ago, a significant accident caused changes in your personality and has had a lasting impact on your life and emotions. If you wish to change your current situation, I recommend that you promptly seek an evaluation at a psychosomatic or psychiatric outpa...[Read More] Understanding Emotional Numbness: A Journey Through Mental Health Challenges
Navigating Anxiety in New Environments: A Mental Health Perspective
Feeling unwell? I often feel uncomfortable when I first arrive in a new environment, experiencing some psychological struggles. For instance, when I moved from the south to Taipei to study and settled into a dormitory, I felt anxious about the new surroundings. I also feel uneasy...
Dr. Song Chengxian reply Psychiatry
Hello, it seems that you have some regrets about your difficulty in socializing and wish to change yourself. Indeed, changing one's personality is not easy. Choosing a lifestyle that suits your personality is not a bad option; however, if you want to explore whether you have...[Read More] Navigating Anxiety in New Environments: A Mental Health Perspective
Is 7 Hours of Sleep Enough? Understanding Sleep Needs Based on Fatigue
Duration of Sleep Is it true that no matter how tired you are, sleeping a full 7 hours a day is sufficient? Or can you adjust your sleep duration based on your body's fatigue level? For example, if you feel particularly tired today, is it acceptable to sleep in an extra 1 to...
Dr. Song Chengxian reply Psychiatry
Hello, everyone's sleep needs are different. Some people only need six hours, while others require eight. However, consistently staying up late and exhausting oneself cannot be compensated by sleeping in the next day; often, even after a long sleep, one still feels tired. Th...[Read More] Is 7 Hours of Sleep Enough? Understanding Sleep Needs Based on Fatigue
Can a Cold Affect Sleep Quality? When to See a Psychiatrist
Insomnia issues? Hello doctor, my girlfriend is 24 years old and she started experiencing insomnia a few days ago. Coincidentally, she also caught a cold a few days ago, and today marks the third day of poor sleep, with some nights where she hasn't slept at all. Sometimes sh...
Dr. Song Chengxian reply Psychiatry
Hello, discomfort in your physical condition can indeed affect sleep quality. If the cold symptoms have improved but insomnia persists, it is advisable for your girlfriend to see a doctor. Sincerely, Dr. Song.[Read More] Can a Cold Affect Sleep Quality? When to See a Psychiatrist
Understanding Chronic Migraines: Dizziness, Blurred Vision, and Nausea
Migraine, dizziness, blurred vision, and nausea? Hello Doctor: I have been experiencing these symptoms for a long time. I have difficulty sleeping well every night and find it hard to fall asleep. It all started about four years ago when I suddenly began to feel headaches that ca...
Dr. Song Chengxian reply Psychiatry
Hello, due to the complexity and variety of symptoms you are experiencing, I recommend that you visit a comprehensive hospital that has departments of neurology, otolaryngology, and psychiatry. After evaluations by both the neurology and otolaryngology departments to rule out any...[Read More] Understanding Chronic Migraines: Dizziness, Blurred Vision, and Nausea
Is Excessive Sleepiness a Sign of Narcolepsy? Understanding Your Symptoms
Is this hypersomnia? I have a question. No matter how much I sleep, it never feels sufficient (I've already exceeded the average sleep hours). I have to eat something sweet to stay alert, but it only lasts for 1 to 2 hours before I feel sleepy again. Could this be narcolepsy...
Dr. Song Chengxian reply Psychiatry
Hello Lingxia, Not getting enough sleep can indeed be troubling, and there are many reasons for it. Not all cases of insufficient sleep indicate hypersomnia. I recommend that you take the time to visit a psychiatrist or a psychosomatic medicine clinic for an evaluation of your ...[Read More] Is Excessive Sleepiness a Sign of Narcolepsy? Understanding Your Symptoms
Managing Autonomic Nervous System Disorders and Panic Attacks
Treatment of Autonomic Nervous System Dysregulation and Panic Disorder Hello, Doctor! At the end of last year, I experienced numbness and weakness in my left hand, foot, and face (I have a history of hypertension), and I was taken to the emergency room and hospitalized at Yadong ...
Dr. Song Chengxian reply Psychiatry
Hello, regarding your panic disorder, regular treatment can lead to recovery, especially when medication is combined with non-pharmacological therapies for better results. As for whether to incorporate cognitive therapy or behavioral therapy in addition to medication, please cons...[Read More] Managing Autonomic Nervous System Disorders and Panic Attacks
Overcoming Persistent Low Mood: Strategies for Mental Wellness
Feeling down? The depression scale indicates that I often feel uneasy, uncomfortable, and unwell. I frequently experience a low mood and physical fatigue. These three symptoms are almost always or often present, while others are either absent or very minimal, showing a significan...
Dr. Song Chengxian reply Psychiatry
Hello, if you have been experiencing long-term feelings of depression and fatigue without being able to identify a specific cause, and if attempts to relax have not been successful, I suggest you consider visiting a psychiatric or psychosomatic clinic for a more in-depth evaluati...[Read More] Overcoming Persistent Low Mood: Strategies for Mental Wellness
Understanding Panic Disorder and Autonomic Nervous System Dysfunction
Autonomic Nervous System Dysregulation and Panic Disorder Hello, doctor! Last year, after several visits to the emergency room, I was diagnosed with autonomic nervous system dysfunction and panic disorder, which led to hospitalization. The doctor prescribed the following medicati...
Dr. Song Chengxian reply Psychiatry
Dear Mr. Zheng, Panic disorder can be cured with appropriate medication and psychotherapy, provided that you maintain close collaboration with your treatment team. The questions you raised are ones that every patient wants to know and has the right to ask. I am unsure why you di...[Read More] Understanding Panic Disorder and Autonomic Nervous System Dysfunction
Am I Experiencing Panic Disorder, Depression, or Something Else?
Do I have panic disorder? Or depression? Or...? Hello, doctor. I currently have mitral valve prolapse and a benign fibroma in my chest. Recently, I felt unwell and wasn't sure which specialist to see, so I first visited a family medicine doctor. After discussing my symptoms,...
Dr. Song Chengxian reply Psychiatry
Hello, it seems that many of your physical discomfort symptoms indeed resemble those of panic disorder. Panic disorder is often accompanied by physical manifestations related to autonomic nervous system dysregulation. If previous medical examinations have shown no abnormalities, ...[Read More] Am I Experiencing Panic Disorder, Depression, or Something Else?
How to Address Insomnia Linked to a Cold: Tips for Better Sleep
What should I do about insomnia? Hello doctor, I would like to ask if insomnia is related to a cold. A few days ago, I had a slight cold, and since then, I have been experiencing insomnia for about 2 to 3 days. I have not been sleeping well. Last week, when I wasn't sick, I ...
Dr. Song Chengxian reply Psychiatry
Hello students with insomnia, to improve your sleep, you can start by changing your daily routine. Playing on the computer before bed is currently a major culprit for many students struggling to fall asleep. It is recommended to reduce computer usage in the evening, especially tu...[Read More] How to Address Insomnia Linked to a Cold: Tips for Better Sleep
Overcoming Negative Thoughts: Building Self-Love and Confidence
Negative issues Hello, Doctor: I often take negative issues personally because it's hard not to feel that my shortcomings are my own fault. How can I cultivate hope and confidence, not worry about others' opinions, and live for myself without feeling guilty about reject...
Dr. Song Chengxian reply Psychiatry
Hello, based on your concerns, I recommend that you consider seeking qualified professionals for psychotherapy. Both cognitive behavioral therapy and psychodynamic therapy could be beneficial for your issues. If you're unsure where to find a therapist, you can get referrals ...[Read More] Overcoming Negative Thoughts: Building Self-Love and Confidence
Can Anxiety Attacks Cause Vomiting? Understanding the Connection
Can anxiety attacks trigger vomiting? Hello, Doctor: I originally wanted to ask if anxiety attacks can lead to vomiting. However, I saw someone else ask this question as soon as I entered the website. What I want to understand is that I have had panic disorder (anxiety disorder) ...
Dr. Song Chengxian reply Psychiatry
Hello, anxiety disorders often come with various physical discomforts, including gastrointestinal issues. However, long-term anxiety itself can also lead to gastrointestinal problems. From your description, it seems you have been suffering from anxiety and panic for ten years and...[Read More] Can Anxiety Attacks Cause Vomiting? Understanding the Connection
Understanding the Psychological Struggles of Alternative Service Members
Alternative service-related psychoneurosis Hello, doctor. I previously served in the military, but I have a history of coping mechanisms stemming from a difficult childhood environment. During my service, a doctor in the southern region diagnosed me with panic disorder, depressio...
Dr. Song Chengxian reply Psychiatry
Dear Mr. Anonymous, First, I apologize for the delayed response, as I was abroad and unable to receive your inquiry. Regarding your long-standing method of self-harm as a way to cope with stress, it is indeed not a solution to the problem and has only led you to experience more ...[Read More] Understanding the Psychological Struggles of Alternative Service Members
Understanding and Addressing Emotional Instability in Young Children
The condition of the child? Hello, Doctor: 1. A child under the age of eight is exhibiting unstable emotions triggered by stimuli, resembling the erratic behavior of a character in a television show, alternating between laughter and crying, and cursing at others. I would like t...
Dr. Song Chengxian reply Psychiatry
Hello Mandy, indeed, young children have limited verbal abilities and sometimes cannot express their experiences as clearly as adults. This is where pediatric psychologists and child psychiatrists, who specialize in this field, can be of assistance. Therefore, it is best for the ...[Read More] Understanding and Addressing Emotional Instability in Young Children
Severe Constipation Linked to Autonomic Nervous System Dysfunction
Severe constipation has occurred due to autonomic nervous system dysfunction? Hello, doctor. I would like to ask you... It seems that I have autonomic nervous system dysfunction, which is causing severe constipation. Even taking strong stool softeners doesn't help. However, ...
Dr. Song Chengxian reply Psychiatry
Hello, Xiao Han. Based on your complaint of severe constipation, it is difficult to determine if you have autonomic nervous system dysfunction. I recommend that you visit a gastroenterology clinic for an examination to identify the underlying cause and provide appropriate treatme...[Read More] Severe Constipation Linked to Autonomic Nervous System Dysfunction