Dr. Wu Enliang reply <a href="https://doctorqna.com/en/faq/psychiatry" target="

Managing Panic Attacks During Blood Pressure Checks: Tips for Patients

Anxiety Panic Disorder Hello Doctor: I am a patient with anxiety and panic disorder. Whenever I go to the hospital to have my blood pressure measured, I experience a panic attack because I worry that my blood pressure will spike. The more I worry, the more panicked I become, and ...

Dr. Wu Enliang reply Psychiatry
If you are experiencing panic attacks when measuring your blood pressure, it's best to avoid doing so for now. However, it is clear that your panic disorder has not been fully addressed. I recommend that you continue to collaborate closely with your psychiatrist and adhere t...

Overcoming Cancer Fears After COVID-19: What You Need to Know

Worried about having cancer? I'm sorry, doctor. Last year, while I was in the military, I accidentally contracted COVID-19. Fortunately, I recovered after a while, but a few months later, I started experiencing mild shortness of breath (which does not affect my daily activit...

Dr. Wu Enliang reply Psychiatry
There is no evidence to suggest a connection between COVID-19 and lung cancer. However, if you still have concerns, it is advisable to get checked. A low-dose chest CT scan can be performed, and if the results are clear, you can feel reassured. If you still have worries after the...

Seeking Guidance on Mental Health Support in Rehabilitation Facilities

Hello Dr. Wu: I would like to inquire about issues related to nursing homes? Hello, 1. Background 1. My late father suffered from schizophrenia and was often verbally and physically abused during my childhood. 2. My parents had a rather unusual marriage and social lif...

Dr. Wu Enliang reply Psychiatry
It is highly recommended that you collaborate closely with a physician you are familiar with, and consider seeking psychological therapy to address these internal conflicts. Dr. Wu En-Liang.

Understanding ADHD's Impact on Medical Examinations for Railway Careers

Regarding the assessment of Attention Deficit Hyperactivity Disorder (ADHD) in the context of physical examinations? Hello Dr. Wu, I am a 20-year-old university student majoring in Transportation Studies, currently in my second year. I was diagnosed with Attention Deficit Hyperac...

Dr. Wu Enliang reply Psychiatry
ADHD is quite common and is not classified as a severe mental illness! - Dr. Wu En-Liang

Should You Consult a Mental Health Professional for Your Struggles?

Should I consult a mental health specialist? Hello, doctor. Over the past year, I have been focusing on studying for exams, but I find it difficult to concentrate. I often think thoughts like "Why am I still alive?" and "This has no meaning," which distracts m...

Dr. Wu Enliang reply Psychiatry
It is advisable for individuals experiencing significant emotional distress, along with obvious psychosomatic symptoms, to seek medical attention from a psychiatrist. Dr. Wu Enliang.

Understanding Complex Mental Health Issues in Adolescents: A Personal Journey

Many types of mental health issues? Hello, doctor. Since I was in the ninth grade, I have been experiencing several psychological issues, and now that I'm approaching my second year of high school, they have worsened and are starting to affect my daily life, which is why I a...

Dr. Wu Enliang reply Psychiatry
It appears that the individual is experiencing significant anxiety, depression, and obsessive-compulsive symptoms. It is recommended to seek treatment at a mental health facility. Dr. Wu En-liang.

Understanding Anxiety and Mood Swings: Seeking Help for Mental Health Issues

I feel like there might be something wrong with my mental health, but I'm not sure? Hello, doctor. Thank you for taking the time to address my concerns. I would like to explain some issues in my life: 1. I feel very anxious and nervous in crowded places, and I have the impr...

Dr. Wu Enliang reply Psychiatry
It appears that the individual is experiencing significant issues with anxiety, depression, and poor concentration. It is recommended to seek treatment at a mental health facility. Dr. Wu Enliang.

Constantly Surrounded by Sound: Understanding Audio Addiction in Mental Health

Unable to be away from sound all day? Hello, my family member is a middle-aged man. I am unaware of his condition during work hours, but during all other times (using the restroom, showering, gardening, leisure), he almost always watches videos with AI-generated voiceovers (telli...

Dr. Wu Enliang reply Psychiatry
It's important to understand the reasons behind someone's behavior before making further judgments. If it causes distress to family members or the individual, it is advisable to seek help from a mental health facility. Dr. Wu Enliang.

Constantly Surrounded by Sound: Understanding Audio Dependency in Mental Health

Dr. Wu Enliang reply Psychiatry
It is important to understand the reasons behind a person's behavior before making further judgments. If it causes distress to family members or the individual, it is advisable to seek treatment at a mental health facility. Dr. Wu Enliang.

Managing Anxiety and Medication Withdrawal: A Patient's Journey

Drug withdrawal Hello Doctor: I have been taking "Duloxetine 30 mg" for about 4 to 5 months due to long-term anxiety issues. This may stem from the six months I spent caring for my father, who had cancer, until his passing about six or seven years ago. I am unsure why I...

Dr. Wu Enliang reply Psychiatry
1. Should I continue taking the medication or reduce the dosage after some time? A: Given your current level of anxiety, it's best not to stop the medication for now. 2. If I want to reduce the dosage, how should I do it? One pill every two days, one every three days, or c...

Understanding and Supporting a Family Member with Mental Health Issues

My brother's condition? Thank you for taking the time, Doctor. Today, I would like to discuss my brother's condition. I have observed that his mental state has been deteriorating for some time. He has become increasingly irritable; for example, when my mother mentioned ...

Dr. Wu Enliang reply Psychiatry
Netizens should identify the reasons for irritability (such as anxiety, depression, etc.) and address them. If improvement is not achieved, it is advisable to seek medical attention. Dr. Wu Enliang.

Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming

Anxiety disorders can lead to significant disruptions in daily life, and treatment may often feel ineffective? Hello, Doctor. Thank you for taking the time to answer my questions. I am a university student, and during high school, I put a lot of pressure on myself regarding my st...

Dr. Wu Enliang reply Psychiatry
A netizen would like to ask the doctor if it is normal to still feel no relief from symptoms after taking medication for over a month. A: The medication may need to be adjusted. Is this issue simply anxiety disorder? Besides medication, what other methods can help resolve this? A...

Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers

Withdrawal from Clonazepam 1 mg and Escitalopram 0.25 mg? I work alternating day and night shifts. After receiving the booster dose of the COVID-19 vaccine in February 2022, I experienced insomnia symptoms. I was prescribed Eszopiclone 5 mg and Lorazepam 1 mg to take before bed a...

Dr. Wu Enliang reply Psychiatry
How long should one wait to discontinue Keppra? A: There is no specific duration, but maintaining good sleep hygiene (such as engaging in moderate exercise and avoiding the bed before sleep) can allow for a gradual reduction or discontinuation of the medication. Will withdrawal s...

Overcoming Paranoia: Seeking Help for Persistent Anxiety Issues

Paranoia These issues have been troubling me and occurring repeatedly, affecting my daily life. I find myself constantly overthinking and feeling anxious. For example, I worry about my drinks being tampered with or poisoned, I am concerned that my helmet left outdoors (when parki...

Dr. Wu Enliang reply Psychiatry
Netizens really need to seek medical attention from a psychiatrist! Dr. Wu En-Liang.

Understanding Mental Purity: Is It a Form of OCD?

Mental cleanliness obsession Hello, I have discovered that I have some serious issues. I am very strict with myself and do not allow myself to engage in impolite, uncultured, or disrespectful behaviors. If I accidentally do so, I will dwell on it for a very long time. Because of ...

Dr. Wu Enliang reply Psychiatry
Hello, this is not obsessive-compulsive disorder, but it sounds like your personality traits are causing some distress. I recommend seeking psychological therapy and consulting with a specialist for assistance. Dr. Wu En-Liang.

Understanding the Side Effects of Lexapro: Unusual Bleeding Concerns

Side effects of Lufudac (Leflunomide)? Hello Doctor: I take Lexapro and Ativan daily. Initially, for the first two months, I took one Lexapro and two Ativan without any side effects. In the third month, I changed to two Lexapro and one Ativan, and I started experiencing vaginal b...

Dr. Wu Enliang reply Psychiatry
It is highly likely that this is a side effect. It is recommended to return for a follow-up and discuss it with your physician. Dr. Wu Enliang.

Managing Chest Pain While Starting Anxiety Medications: What to Know

Medication consultation, chest pain? Hello, this is my first time starting anxiety medication. I am currently on the fifth day of the following medications: YOU-JET F.C (Sertraline), Alprazolam, Lorazepam, and Sulpiride. I take these medications consistently every day, but now I ...

Dr. Wu Enliang reply Psychiatry
Hello, these medications should not cause chest pain. Chest pain is also a common psychosomatic symptom, often manifesting during episodes of anxiety. I'm not sure if that is related. Dr. Wu Enliang.

Should I Change My Serotonin Medication for Better Mental Health?

Is a change in medication necessary? Hello, I have been experiencing autonomic nervous system dysfunction for over ten years. I have been taking Lexapro 50mg for two and a half years (I started taking it due to panic attacks during the pandemic, which caused me to faint and be un...

Dr. Wu Enliang reply Psychiatry
User: Based on your expertise in psychosomatic medicine, do I need to switch my serotonin medication to pursue better treatment? A: It may not be necessary to switch to a different medication, as the current one has at least prevented me from experiencing sudden collapses, whic...

Managing Long-Acting Injection Therapy in Psychiatry: Key Questions Answered

Pharmacological effects 1. I have been receiving long-acting injections of Aripiprazole for a year and a half. Recently, after my last injection, I have been experiencing an uncontrollable urge to shop, which has made me feel more depressed. I feel guilty about my spending habits...

Dr. Wu Enliang reply Psychiatry
User: Hi, I've been receiving long-acting injections of Aripiprazole for a year and a half. Recently, after my last injection, I've been experiencing uncontrollable urges to shop, which only worsens my mood and leads to feelings of guilt over my spending. I'm stuck...

Overcoming Swim Class Anxiety: Seeking Help for Aquaphobia

Fear of swimming classes, causing anxiety to the point of sleeplessness? Hello, doctor. Our school's physical education class includes swimming lessons, but I have always been afraid of water and the feeling of not having my feet touch the bottom. I have tried to swim a few ...

Dr. Wu Enliang reply Psychiatry
It is advisable for individuals to gradually overcome their fear of swimming, as most people experience improvement after treatment. Typically, if there is no significant improvement after at least one year of consistent therapy, one might consider such a diagnosis and agree to t...

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