Understanding Palpitations and Anxiety: A Guide for Young Adults
Palpitations autonomic nervous system dysfunction Hello, doctor. I am 18 years old and currently not attending school while waiting for enrollment next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitations, tightness and discomf...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Palpitations and Anxiety: A Guide for Young Adults
Understanding Sound-Only Dreams: Are They Normal?
A dream with only sound and no imagery? Summary: A few days after my grandfather passed away, one night I had a dream with no images, only hearing my grandfather calling my name. Is it normal to have a dream that consists solely of sound without any imagery? The doctor's res...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry and for your message. The issue you mentioned falls within the realm of neuroscience research. In Taiwan, the most renowned researcher in the study of dreams in normal individuals is Professor Hsieh Po-Rang from the Department of Psycho...[Read More] Understanding Sound-Only Dreams: Are They Normal?
Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...[Read More] Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
Is Dreaming with Only Sound Normal? Exploring Auditory Dreams
In the dream, there are only sounds? It is not uncommon for dreams to lack visual imagery and consist solely of sounds or voices. This phenomenon can occur during different stages of sleep, particularly during REM sleep when dreaming is most vivid. The experience of hearing a fam...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is likely related to "REM sleep behavior disorder." First, it is important to rule out whether you were taking any medications at the time, including cold medications. Additionally, we n...[Read More] Is Dreaming with Only Sound Normal? Exploring Auditory Dreams
Managing Medication Dosage for Bipolar Disorder: Key Considerations
I would like to inquire about medication dosage? Hello, Doctor. The medications I am using are EPINE F.C. Tablets 25mg and Wan You Ting Capsules 30mg. I should be considered as having bipolar disorder, but I have been improving recently. When I visited the doctor, he mentioned th...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as bipolar disorder, are common in modern society. This is a ...[Read More] Managing Medication Dosage for Bipolar Disorder: Key Considerations
Understanding Autonomic Nervous System Disorders and Medication Side Effects
Autonomic Nervous System Dysregulation - Medication Side Effects In recent months, due to work stress and physical discomfort (post-nasal drip, chest tightness, poor sleep, bloating, shoulder and neck pain), I sought treatment at a traditional Chinese medicine clinic. The doctor ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, ar...[Read More] Understanding Autonomic Nervous System Disorders and Medication Side Effects
Understanding Medication Withdrawal: Managing Sleep Issues After Discontinuation
Drug withdrawal Hello Doctor, I would like to inquire about medication issues. I have been experiencing gastric pain due to autonomic nervous system dysfunction, and I have never had insomnia before taking the medication. After being prescribed Lurasidone for over three months, a...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, a...[Read More] Understanding Medication Withdrawal: Managing Sleep Issues After Discontinuation
Anxiety Disorders and Autonomic Dysfunction: Impact on Men's Health
Anxiety disorder, autonomic nervous system dysfunction? I have anxiety disorder and it seems I also have autonomic nervous system dysfunction, and I have been suffering from these conditions for about 17 years. This is what my doctor and I found out through research. Additionally...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety disorder and physical ailments. 1. Facing an uncertain future, anxiety disorder is a common condition in modern society. It is a chronic illness that requires lo...[Read More] Anxiety Disorders and Autonomic Dysfunction: Impact on Men's Health
Overcoming Stage Fright: Understanding Anxiety in Performers
Issues with ascending the stage? Hello, doctor. My problem is that whenever I perform on stage or take an exam, I experience symptoms such as temporary vision loss, weakness in my hands making it difficult to hold things, and weakness in my legs causing me to almost fall. I even ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to anxiety and potential performance pressure, which may require medical treatment. 1. Anxiety and tension in the face of an uncertain future are common issues in modern life....[Read More] Overcoming Stage Fright: Understanding Anxiety in Performers
Is It Depression or Something Else? Understanding Mental Health Symptoms
Could you please tell me if this is depression or something else? Hello doctor, about a month and a half ago, I developed extrapyramidal symptoms due to medication side effects. After receiving antihistamine injections, my symptoms improved, but starting the next day, I experienc...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physiological and psychological pressures. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that re...[Read More] Is It Depression or Something Else? Understanding Mental Health Symptoms
Managing Intrusive Thoughts in OCD: Effective Strategies for Relief
Questions related to Obsessive-Compulsive Disorder (OCD) Hello, Doctor. I started experiencing symptoms of obsessive-compulsive disorder (OCD) in my freshman year of college, including health anxiety, excessive cleaning, and intrusive thoughts (such as harming others and disturbi...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your health concerns, particularly with health anxiety and obsessive thinking. 1. Facing an uncertain future, obsessive-compulsive disorder (OCD) and anxiety disorders are c...[Read More] Managing Intrusive Thoughts in OCD: Effective Strategies for Relief
Understanding Medication Side Effects in Psychiatric Treatment
Medication consultation, side effects Hello, Doctor: I have been diagnosed with autonomic nervous system dysfunction due to persistent symptoms of dizziness and headaches. Initially, the doctor prescribed one tablet of Clonazepam at bedtime, but after four weeks, the side effects...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to dizziness, headaches, and the stress associated with autonomic nervous system dysfunction. Whether this is indeed autonomic nervous system dysfunction requires a professional...[Read More] Understanding Medication Side Effects in Psychiatric Treatment
Understanding Emotional Pain: Seeking Help for Mental Health Issues
Frequently experiencing pain? Hello, Doctor: I apologize in advance if my writing is a bit disorganized. I started noticing something was off when I was in eighth grade; I would suddenly cry for no reason, and my temper became very volatile, often getting inexplicably angry at ot...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both emotional and physical pressures. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis by a physician. 1. Facing an uncertain f...[Read More] Understanding Emotional Pain: Seeking Help for Mental Health Issues
Am I Experiencing Depression? Understanding Self-Dialogue and Suicidal Thoughts
Is this considered depression? Recently, whenever I stop thinking, my mind starts engaging in self-dialogue, constantly asking myself questions like "Why am I alive?", "What benefits would dying bring to my family?", "If I hadn't promised not to comm...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of both depression and obsessive thoughts. 1. Facing an uncertain future, depression and anxiety disorders are common conditions in modern society. These are ...[Read More] Am I Experiencing Depression? Understanding Self-Dialogue and Suicidal Thoughts
Can You Get Vaccinated with Recent Symptoms? A Mental Health Perspective
Can I get vaccinated if I have some recent symptoms? Recently, for about six months, I have been experiencing occasional chest pain and tightness (but the duration is very short), occasional back pain, and muscle and joint soreness. I usually go to bed around 1 AM and wake up aro...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to chest pain, tightness, and physiological symptoms. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis. 1. Facing an uncertain fut...[Read More] Can You Get Vaccinated with Recent Symptoms? A Mental Health Perspective
Can Varenicline Be Safely Used with Anxiety Medications?
Taking Varenicline for smoking cessation while also using anti-anxiety medication? Hello, I have been undergoing treatment in psychiatry for two years due to autonomic nervous system dysfunction and depression. Currently, I take 3 mg of Lurasidone and 25 mg of Venlafaxine every n...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both depression and autonomic nervous system dysregulation. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a ch...[Read More] Can Varenicline Be Safely Used with Anxiety Medications?
Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Sleep issues Hello, doctor. I have a question... I have always had difficulty falling asleep, often tossing and turning in bed for several hours without being able to sleep! Even when I finally manage to fall asleep, my sleep is very light, and I wake up at the slightest noise, m...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia, dizziness, and headaches. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires long-...[Read More] Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Overcoming Fear: Coping Strategies for Anxiety in Today's World
This world makes people live in fear? Hello, Dr. Chang. I have a question. There are many frightening things in this world, such as fires, car accidents, earthquakes, diseases, and injuries. These terrifying events make me live in fear. Most doctors suggest finding activities I e...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of fear and pain. 1. Facing an uncertain future, somatic symptom disorder is a common condition in modern society. This is a chronic illness that requires lon...[Read More] Overcoming Fear: Coping Strategies for Anxiety in Today's World
Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Could you please provide more details or specify your question? After developing panic disorder, I sometimes find myself constantly worrying, experiencing rapid heartbeats, and becoming easily anxious. I also fear being alone at home. I have been on serotonin medication for a yea...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to feelings of panic, fear, and tension. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires lon...[Read More] Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Comparing the Efficacy of Bupropion and Venlafaxine for Depression
Drug selection I would like to ask which antidepressant is more effective, Bupropion (倍得舒) or Venlafaxine (煩多閃). I feel that neither of these has a significant effect, but I have experienced side effects with other medications. Thank you, doctor.
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both depression and suspected side effects. 1. Facing an uncertain future, somatic symptom disorder is a common condition in modern society. This is a chronic illness that ...[Read More] Comparing the Efficacy of Bupropion and Venlafaxine for Depression