Understanding Withdrawal Symptoms and Their Impact on Mental Health
Various discomforts experienced by the body after drug withdrawal? Hello Doctor: I do not have a history of anxiety or depression, have never taken such medications, and do not experience insomnia, headaches, or stiffness in my shoulders and neck. About a year ago, I felt a sensa...
Dr. Wu Enliang reply Psychiatry
Hello, user: 1. Could my symptoms be caused by autonomic nervous system imbalance after stopping these medications? The symptoms of autonomic nervous system dysregulation are quite complex and variable, including dizziness, chest tightness, palpitations, difficulty inhaling, mus...[Read More] Understanding Withdrawal Symptoms and Their Impact on Mental Health
Understanding Chronic Insomnia and Its Impact on Mental Health
Sleep issues I have been suffering from insomnia for over ten years, averaging 3 to 5 hours of sleep. I often wake up after sleeping for just one or two hours, sometimes after 10 to 30 minutes, and I experience vivid dreams. I do not have a habit of substance or alcohol addiction...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: If you suspect that your insomnia is caused by depression, I strongly recommend that you seek medical attention at a nearby mental health facility. Additionally, you can download the "Mood Temperature" app to assess your mental and physical well-be...[Read More] Understanding Chronic Insomnia and Its Impact on Mental Health
Overcoming Body Anxiety: Navigating Health Fears and Mental Well-Being
Concerns about the body? Hello, doctor. Since I was young, I have often worried about having a serious illness. Now, because my muscles keep twitching (possibly due to pressure, overuse, or random spasms), I recorded a video to show to a neurologist. He scheduled an electromyogra...
Dr. Wu Enliang reply Psychiatry
Hello, if you are still very concerned, I recommend consulting another neurologist for a diagnosis. If both specialists conclude that there are no significant issues, it may be a case of "health anxiety," which is a type of psychosomatic disorder. In that case, you shou...[Read More] Overcoming Body Anxiety: Navigating Health Fears and Mental Well-Being
Managing OCD: Overcoming Breathing Anxiety and Obsessive Thoughts
Obsessive-Compulsive Disorder - Breathing Issues Hello Dr. Wu: I have obsessive-compulsive disorder and have been taking fluoxetine (Prozac) twice a day for about six months. Many of my symptoms have improved, but one issue that continues to trouble me is my constant worry about ...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: This is likely one of the symptoms of obsessive-compulsive disorder (OCD). You can practice transforming these thoughts into different ones. If self-practice is truly difficult, it is advisable to seek psychological therapy, where a professional clinical psy...[Read More] Managing OCD: Overcoming Breathing Anxiety and Obsessive Thoughts
Understanding Medication Refill Rules in Psychiatric Care: Key Considerations
Regulations on Duplicate Medication and Expiration Dates of Remaining Medications I am a graduate student from a private medical school in Kaohsiung and have previously stayed in an acute psychiatric ward for one day (which later exempted me from military service). I am currently...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Medications prescribed in the emergency department are not included in the calculation, but we still hope you won't waste the resources of the National Health Insurance emergency services, leaving them for those who truly need urgent medical care. If you are ...[Read More] Understanding Medication Refill Rules in Psychiatric Care: Key Considerations
Understanding Drug Interactions and Safety with Psychiatric Medications
Medication consultation, drug interactions? A few days ago, I went to the hospital seeking help from a doctor due to some issues with my mental health. The doctor prescribed me the following medications: 1. Eurodin 2mg (controlled substance) 2. Cardiolo 10mg 3. Brintellix 5mg 4. ...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Whenever medications are used simultaneously, there is always a potential for interactions, and these interactions should remain within acceptable limits. If consuming tea while taking medication causes discomfort, it is advisable to refrain from drinking it. Dr. ...[Read More] Understanding Drug Interactions and Safety with Psychiatric Medications
Am I Struggling with Avoidant Personality Disorder?
Am I suffering from Avoidant Personality Disorder? Hello, Doctor: (I apologize if my sentences are not very coherent and the content is quite long. I am not good at socializing and tend to be a conversation killer! Every time I chat with others, I think: Is what I said okay? Shou...
Dr. Wu Enliang reply Psychiatry
Hello, everyone: Each person has their own personality. Those who prefer not to socialize can enjoy their time alone or interact with family members or colleagues they frequently meet, which can be fulfilling. However, if this leads to difficulties in daily life, it may indicate ...[Read More] Am I Struggling with Avoidant Personality Disorder?
Managing Anxiety: Insights on Reducing Medication for Autonomic Dysregulation
Ethanol Drug Consultation Hello Doctor, I have been diagnosed with autonomic nervous system dysfunction by a psychiatrist for several years. My treatment has been going well, and I have been consistently taking half a tablet of Lysteda and half a tablet of Klonopin before bed, wi...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: If you have concerns, slow down the process of discontinuing the medication. First, stop Jing An Ning, and if everything is still fine, then discontinue it completely after a week. Dr. Wu Enliang[Read More] Managing Anxiety: Insights on Reducing Medication for Autonomic Dysregulation
Alternative Strategies to Ease Discomfort When Reducing SSRI Medication
When tapering off SSRIs, are there any additional methods to further reduce discomfort? Hello, I have been taking Seroquel for anxiety issues for two years, currently at a dosage of 75 mg. I have felt very well overall, with no significant emotional problems. After discussing wit...
Dr. Wu Enliang reply Psychiatry
Hello, internet user: There is no clear scientific evidence regarding supplements such as tryptophan or GABA. It is recommended to slow down the process of tapering off medication. You might start with 37.5 mg, taking 1.5 capsules per day. If that goes well, after a week, you can...[Read More] Alternative Strategies to Ease Discomfort When Reducing SSRI Medication
Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
When facing a patient who is unaware of their illness and unwilling to seek medical attention, how can we, as family members, provide support? Hello, Doctor. I apologize for taking up your valuable time! My mother is an emotionally expressive person who often brings up past sorro...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Is it possible to persuade her to seek medical attention using reasons that are more acceptable to the elderly, such as "insomnia," "autonomic nervous system disorder," "neurasthenia," or "undergoing a physical examination&...[Read More] Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
Managing Panic Attacks While Riding: Understanding Anxiety and Autonomic Dysfunction
Experiencing tightness in the abdomen while riding a bike? Hello Doctor: Since my fourth episode at the end of December last year, I suddenly felt a shortness of breath while driving, as if I couldn't get enough air no matter how hard I tried to inhale. Then I started to exp...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: I would like to ask if weight training will further stimulate my sympathetic nervous system? A: Weight training will not further stimulate my sympathetic nervous system. In the case that I experience episodes while cycling, what should I do? How can I resolve my c...[Read More] Managing Panic Attacks While Riding: Understanding Anxiety and Autonomic Dysfunction
Concerns About Clonazepam for Insomnia and Breathing Issues
Issues with anticonvulsant medications? The doctor prescribed me 0.5 mg of Clonazepam for seven days due to my severe insomnia lately. I'm concerned about the side effects of Clonazepam, particularly in individuals who snore or have slight breathing difficulties while sleepi...
Dr. Wu Enliang reply Psychiatry
Hello, if you snore while sleeping and it is not caused by sleep apnea, it should not be a concern. I suggest trying it out first; if it makes your sleep worse, then it may not be suitable for you. Be sure to discuss this with your doctor during your next appointment. Dr. Wu En-L...[Read More] Concerns About Clonazepam for Insomnia and Breathing Issues
Understanding Depression and Control Issues: Is Treatment Possible?
Depression / Control Freak I am currently 30 years old and I remember having thoughts of wanting to die during high school, but I didn't take them seriously. About two or three years ago, I suddenly found everyone around me irritating, and my emotions became very unstable, l...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Could you please tell me if my situation indicates depression? A: It is indeed possible that you may be experiencing depression. It is advisable to continue discussing with your physician whether medication adjustments are necessary to achieve complete symptom...[Read More] Understanding Depression and Control Issues: Is Treatment Possible?
Coping with Job Stress: Finding Relief from Workplace Anxiety
Work-related stress Hello Doctor, I have been in the workplace for over five years. This year, I decided to change jobs to try something new, but after the switch, I found myself increasingly unhappy. I am still a novice, and besides doing miscellaneous tasks, I have also started...
Dr. Wu Enliang reply Psychiatry
Hello, online user: Could it really be that the work stress is causing psychosomatic symptoms? If it's truly difficult to cope, I recommend discussing with your supervisor about possibly reducing your workload, or consulting a psychiatrist to prescribe some medication to tem...[Read More] Coping with Job Stress: Finding Relief from Workplace Anxiety
Understanding Anxiety: When to Seek Help for Mental Health Issues
Is there an anxiety disorder or other physiological conditions? Hello, doctor. First of all, thank you for your response. I have been troubled by the behaviors I will describe below for over two years. I often suspect that I might have an anxiety disorder or other physiological i...
Dr. Wu Enliang reply Psychiatry
Hello, Xiao-Hui: I feel that you are going through a tough time. I wonder if you have been suppressing your emotions too much, which might have led to this volcanic eruption of feelings. It would be beneficial to practice expressing your dissatisfaction more regularly, allowing f...[Read More] Understanding Anxiety: When to Seek Help for Mental Health Issues
Struggling with Depression: The Dangers of Sleep Medications
Depression and self-harm after taking sleeping pills? I often find myself trapped in inexplicable feelings of sadness. Perhaps others can't notice it during work, but once I'm off the clock and alone, feelings of depression, crying, and negative thoughts constantly aris...
Dr. Wu Enliang reply Psychiatry
Hello, user: This is somnambulism caused by Zolidem (the chemical name for Zipsoon, which is produced by various manufacturers in Taiwan with the same active ingredient). This indicates that your body is not suited for this type of medication. Regarding your feelings of sadness, ...[Read More] Struggling with Depression: The Dangers of Sleep Medications
Understanding Sensitivity and Emotional Struggles: A Journey Through Counseling
Psychological counseling Since middle school, I have developed some peculiar habits: 1. I am sensitive to the smell of others; if I dislike the smell on my hands, I feel the urge to wash them. If I can't wash my hands immediately, I can tolerate it, but I habitually want to ...
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Although you may not necessarily be ill, these situations can indeed cause significant distress in your life. It is advisable to seek psychological therapy and discuss with a therapist how to manage these circumstances. If you are unsure where to find resources, y...[Read More] Understanding Sensitivity and Emotional Struggles: A Journey Through Counseling
Managing Depression: Medication Insights and Emergency Relief Options
Depression medication consultation Hello, doctor. I am currently receiving treatment for anxiety and depression. The doctor prescribed me: one dose of Lurasidone in the morning and one dose of Clonazepam before bed, with Xanax as needed for anxiety or panic attacks. I would like ...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: I would like to ask about symptoms of depression. Besides the daily medication that needs to be taken, is there any medication that can be taken temporarily to alleviate symptoms when feelings of sadness suddenly become overwhelming? If so, could you please ...[Read More] Managing Depression: Medication Insights and Emergency Relief Options
Understanding Medication Options for Social Anxiety and Depression
Medication Consultation for Social Anxiety and Depression Hello, doctor. I have been suffering from severe social anxiety disorder for many years and have been too afraid to go out to work. I also experience chronic mental disarray and have difficulty concentrating. I feel that I...
Dr. Wu Enliang reply Psychiatry
Hello, online friend: Because I didn't finish college and have no interests or specialties, I feel scared to go out and look for a job, constantly avoiding reality. Every time I go for a follow-up appointment, I'm afraid the doctor thinks I'm not making an effort t...[Read More] Understanding Medication Options for Social Anxiety and Depression
Impact of Antidepressants on Pregnancy and Mental Health Challenges
Medications during pregnancy, antidepressants, and psychological counseling? I would like to ask if the following medications will affect my ability to conceive: (Meisu tablet one tablet), (Otsuka Anri recovery tablet one tablet), (Furmin two tablets), (Sitinus two tablets), (Fan...
Dr. Wu Enliang reply Psychiatry
Hello, I would like to ask if the following medications will affect my fertility: (Meisu tablet one tablet) (Otsuka Amway Recovery tablet one tablet) (Furmelin two tablets) (Sitinose two tablets) (Fanduo Shan two tablets). A: Meisu is a pregnancy category B medication, which has ...[Read More] Impact of Antidepressants on Pregnancy and Mental Health Challenges