Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Anxiety/Panic-related Hello Doctor, my issue began over a year ago. Initially, I frequently experienced rapid heartbeats, shortness of breath, tingling in my scalp, and anxiety, which required me to lie down for a while to recover. The situation escalated after a workout when I c...
Dr. Wu Enliang reply Psychiatry
The issue truly escalated after a certain exercise session when I couldn't calm down, experiencing hyperventilation, dizziness, and seeing only black and white outlines, which led me to take an ambulance to the emergency room. For several days, I had these symptoms, causing ...[Read More] Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Understanding Depression in Teens Facing Bullying: Signs and Support
Depressive tendencies and bullying? My girlfriend is 15 years old. Recently, she has been bullied by her same-sex classmates at school. I asked her if it was just exclusion or if she was also being hit or verbally abused. She said sometimes it happens, but she hasn't told me...
Dr. Wu Enliang reply Psychiatry
Netizens are concerned that there is a difference in severity between depression and short-term adjustment issues. It is recommended to seek medical attention at a mental health facility for a diagnosis by a specialist physician. Dr. Wu Enliang.[Read More] Understanding Depression in Teens Facing Bullying: Signs and Support
Medication Consultation for Anxiety: Dosage Concerns and Safety
Medication consultation Hello doctor, I would like to ask about my current situation. I am taking half a tablet of Mirtazapine at night, and most of the time I feel fine. However, I occasionally experience some anxiety when I am nervous or feel unwell. Do I need to increase my do...
Dr. Wu Enliang reply Psychiatry
Hello, if you only experience anxiety occasionally when feeling nervous or unwell, it is considered normal anxiety and does not require medication. Overmedication typically leads to drowsiness. - Dr. Wu Enliang[Read More] Medication Consultation for Anxiety: Dosage Concerns and Safety
Safe Medication Discontinuation for Insomnia Treatment in Cancer Patients
Medication discontinuation methods I have developed insomnia due to chemotherapy for cancer and consulted a psychiatrist. The doctor prescribed 0.5 mg of Rivotril (clonazepam) and half a 10 mg tablet of Desyrel (trazodone) to be taken before bedtime. I have been on this medicatio...
Dr. Wu Enliang reply Psychiatry
It's great, everyone! Try to exercise more during the day and avoid lying in bed to sleep. This should help you successfully reduce your medication. - Dr. Wu Enliang[Read More] Safe Medication Discontinuation for Insomnia Treatment in Cancer Patients
Can Schizophrenia Medication Be Stopped After Recovery?
Can antipsychotic medication be discontinued for schizophrenia? Hello, doctor. I was recently diagnosed with schizophrenia (with delusions and hallucinations lasting less than two weeks) and have been taking Lurasidone 10 mg. I also adjusted my daily routine and slowed down my pa...
Dr. Wu Enliang reply Psychiatry
Generally, schizophrenia is characterized by symptoms such as delusions and hallucinations lasting for more than a month. Has your doctor diagnosed you with schizophrenia? If it is confirmed to be schizophrenia, due to the high relapse rate, it is typically recommended to maintai...[Read More] Can Schizophrenia Medication Be Stopped After Recovery?
Understanding Sexual Orientation: Questions About Identity and Acceptance
Sexual orientation issues Hello doctor, I like girls and I also want to be a girl... Is there something abnormal about my sexual orientation?
Dr. Wu Enliang reply Psychiatry
There are no abnormalities reported by the netizen. Dr. Wu Enliang.[Read More] Understanding Sexual Orientation: Questions About Identity and Acceptance
Understanding Psychiatric Hospitalization and Medication Effects
Psychiatric hospitalization I would like to ask when I can return to the psychiatric ward after being discharged. Also, will the medication Yongkangxu make me feel like I'm not myself, with reduced sensation in my limbs? Or is it the effect of the sleep medication? I have be...
Dr. Wu Enliang reply Psychiatry
If you are not experiencing any symptoms, there is no need to return to the hospital. The medication Yongkangxu will not alter your consciousness or cause numbness in your limbs; this may be due to sedative or sleep medications, such as Zolpidem. Dr. Wu Enliang.[Read More] Understanding Psychiatric Hospitalization and Medication Effects
Understanding Psychiatric Hospitalization: Concerns After Discharge
Inpatient psychiatric care? Hello, I am the person who just asked a question. I used to take only Daytime Lishuding and at night Lian Duomian, Fan Duoshan, and half a pill of Zannuo and Siluokang. I did not experience any confusion, dry mouth, or numbness in my hands and feet. Ho...
Dr. Wu Enliang reply Psychiatry
Hello, it's best to discuss with your physician whether to discontinue Yongkangxu. If you are only experiencing feelings of restlessness, hospitalization may not be necessary. It's important to talk to your doctor about the possible causes and further management. Dr. Wu...[Read More] Understanding Psychiatric Hospitalization: Concerns After Discharge
Understanding Schizophrenia: Job Instability and Delusional Thoughts
Schizophrenia, frequent job changes, and delusional issues? Hello, doctor. I often quit my job after just a few days because I feel anxious, and in the mornings, I experience auditory hallucinations telling me to leave the company. I follow these hallucinations and resign, which ...
Dr. Wu Enliang reply Psychiatry
If you are experiencing symptoms of schizophrenia that are troubling and affecting your work, it is advisable to return for a follow-up appointment with your physician to see if medication adjustments can be made. Dr. Wu En-Liang.[Read More] Understanding Schizophrenia: Job Instability and Delusional Thoughts
Understanding the Sexual Side Effects of Valdoxan and Lozepam
The issues related to side effects of medications associated with sexual activity, including excessive flashing and changes in mood? Hello Dr. Wu, last year a relative of mine passed away by suicide, which has led to insomnia and mild depressive symptoms. I started seeing a psych...
Dr. Wu Enliang reply Psychiatry
Valdoxan (agomelatine) rarely causes sexual dysfunction and is one of the preferred medications for major depressive disorder in patients who are concerned about sexual side effects. Lozepam (loxapine), a benzodiazepine sedative, is more likely to cause sexual dysfunction and is ...[Read More] Understanding the Sexual Side Effects of Valdoxan and Lozepam
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Dear Doctor, My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang reply Psychiatry
It is advisable for netizens to consult the physician they previously visited, as seeking advice from a physician who has not treated them before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu Enliang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Hello Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang reply Psychiatry
It is advisable for netizens to consult the physician they previously visited, as seeing a physician who is unfamiliar with their medical history may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-Liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Managing Anxiety and Depression: When Medication Stops Working
The medication I have been taking for over a year is no longer effective? Hello, Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang reply Psychiatry
It is advisable for the user to consult the physician they previously visited. Consulting a physician who has not seen the patient before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Constantly scratching the scalp? Hello Doctor: I have had the habit of picking at my scalp since high school. Even when reminded, I can't stop myself from picking, which has caused wounds on my scalp (I'm really worried that my hair won't grow back). This happens e...
Dr. Wu Enliang reply Psychiatry
1. Do I need to see a doctor? A: If it has caused disruptions in your daily life, it is necessary to see a doctor. 2. How can I stop the behavior of skin picking? A: Medication treatment combined with psychotherapy. 3. This month, there were two nights when I inexplicably fel...[Read More] Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Can Amberen be taken alternately with UroLift? Hello Doctor: I have been experiencing sleep disorders for about 10 years, and most doctors have diagnosed me with anxiety. The sleep medication prescribed helps me fall asleep more quickly, but I usually wake up after about 4 hours ...
Dr. Wu Enliang reply Psychiatry
Both medications are benzodiazepines (BZDs) and can be taken alternately, but it's advisable to use them only for a short term to avoid the risk of dependence. Dr. Wu En-Liang.[Read More] Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Overcoming Dependence on Xanax: Steps to Safely Taper Off
Drug withdrawal from Xanax? Hello, doctor. In April of this year, I was diagnosed with a thyroid issue, and at that time, the doctor prescribed me Zolpidem to take one tablet before bed. My thyroid levels have mostly returned to normal, and I am close to being able to stop the me...
Dr. Wu Enliang reply Psychiatry
It is generally recommended to switch to a longer-acting medication with a lower potential for habit formation before tapering off. If your internist is unable to manage this, consider consulting a psychiatrist. Dr. Wu En-Liang.[Read More] Overcoming Dependence on Xanax: Steps to Safely Taper Off
Understanding the Causes of Bipolar Disorder: Can MRI Reveal Childhood Trauma?
Causes of Bipolar Disorder A 63-year-old woman was recently diagnosed with bipolar disorder and admitted to the psychiatric ward of a hospital. After undergoing an MRI, the doctor asked the family if she had experienced any head trauma during her childhood. This raised questions ...
Dr. Wu Enliang reply Psychiatry
Hello, if it is a severe brain injury, abnormalities in brain imaging may still be observed 60 years later, but it should not be related to depression. Dr. Wu Enliang.[Read More] Understanding the Causes of Bipolar Disorder: Can MRI Reveal Childhood Trauma?
Struggling with Sleep: The Dangers of Relying on Alcohol
Relying on alcohol to sleep? Recently, I haven't been sleeping well, so I started relying on alcohol. However, I became too dependent on it, and for the past two days, I haven't been able to eat. Whenever I eat or even drink water, I end up vomiting shortly after. Over ...
Dr. Wu Enliang reply Psychiatry
Dr. Wu Enliang suggests that relying on alcohol for sleep is not a good approach and can be harmful to the body. It is recommended to seek professional help from a psychiatrist.[Read More] Struggling with Sleep: The Dangers of Relying on Alcohol
Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Antidepressants and sleeping pills: Timing of medication? Hello, doctor. Recently, I came across information online stating that if someone has difficulty falling asleep, and since antidepressants do not shorten the time to sleep as quickly as sleeping pills, one could take the a...
Dr. Wu Enliang reply Psychiatry
Recently, there has been information circulating online suggesting that for individuals experiencing difficulty falling asleep, since antidepressants do not shorten sleep onset time as quickly as sleeping pills, one could take antidepressants 30 minutes earlier than sleeping pill...[Read More] Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Managing Anxiety Medications: Side Effects and Concerns Explained
Anxiety disorder medications Hello, doctor! I was recently diagnosed with panic disorder and my doctor prescribed Lexapro 30 mg to be taken every morning. However, after taking it, I often feel disoriented and have difficulty functioning at work. Is this normal? Should I continue...
Dr. Wu Enliang reply Psychiatry
Changing to a regular dinner time in the evening will generally lead to improvements. - Dr. Wu En-Liang[Read More] Managing Anxiety Medications: Side Effects and Concerns Explained