Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Drug withdrawal issues Hello, Director Zhang. Thank you for helping everyone with their concerns. At the beginning of last year, I started experiencing ventricular premature contractions (VPCs) and missed heartbeats. My cardiologist said it was nothing to worry about and might be...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both ventricular premature contractions (VPC) and autonomic nervous system dysregulation. 1. Facing an uncertain future, severe depression and anxiety disorders are common con...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
Obsessive-Compulsive Disorder (OCD) Hello Doctor: I am a patient with severe depression, and my anxiety test results were also close to severe. When I feel agitated, I tend to pick at my scalp, which has been a habit for several years. The doctor advised me not to pick, but I do ...
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 severe depression and obsessive-compulsive disorder (OCD). 1. Facing an uncertain future, severe depression and anxiety disorders are common conditions in ...[Read More] Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
How to discontinue the use of Lamotrigine? Due to gastrointestinal issues that could not be resolved, I was referred to a psychiatrist. The psychiatrist diagnosed me with autonomic nervous system dysregulation and prescribed Lurasidone, which I took for over three months without ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of insomnia. 1. Facing an uncertain future, autonomic nervous system dysfunction is a common condition in modern society...[Read More] How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Anxiety, panic, or autonomic nervous system dysregulation? Hello, doctor. From April to June, I experienced four episodes of shortness of breath, chest tightness, and rapid heartbeat, which led me to the emergency room. After examination, the doctor concluded that these symptoms ...
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 anxiety and panic disorders. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires lo...[Read More] Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Persistent Cough with Nausea: Seeking Solutions for Relief
Coughing to the point of feeling nauseous? I would like to ask, about a week ago I caught a cold, but now I have been coughing continuously. I have taken medication, but it hasn't helped, and sometimes I cough to the point of feeling nauseous. Most of my phlegm is white, but...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your cough, which is accompanied by a sensation of vomiting. The mucus is mostly white, with occasional yellow, which may indicate an infection. It is advisable to seek medic...[Read More] Persistent Cough with Nausea: Seeking Solutions for Relief
Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Symptoms of autonomic nervous system dysfunction and medication consultation? Hello, Doctor: I was previously diagnosed with autonomic nervous system dysfunction and took Escitalopram for about a year before discontinuing it as per my doctor's advice. During the medication p...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both autonomic nervous system dysregulation and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, with a persistent feeling of tension throughout the day? Hello, I have been seeing a doctor for three months due to issues with autonomic nervous system dysfunction and anxiety disorder. I am currently taking medications such as Liyou and Anl...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Understanding Sudden Fear: Is It Panic Disorder?
Feeling inexplicably fearful may be a symptom of panic disorder? Hello Doctor, I have been in a state of prolonged stress and feeling down. Recently, I've been trying not to dwell on it, which has helped a bit. However, yesterday when I went out with friends, even though the...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to sudden onset stress. I would like to share my experiences regarding life management and coping with stress. Living in this world inevitably brings about feelings of inadequacy ...[Read More] Understanding Sudden Fear: Is It Panic Disorder?
Understanding the Habit of Talking to Yourself: A Guide for Improvement
The habit of talking to oneself? I have been talking to myself since I was a child, and I still do so to this day. I feel like I have become unaccustomed to speaking with others; I always prefer to express myself alone. As a result, I often don't communicate with others and ...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, Thank you for your inquiry. Based on the issues and descriptions you provided, I can sense your discomfort and concern. The phenomenon of self-talking, referred to in professional terminology as "self-talk," can have multiple underlying causes. It is im...[Read More] Understanding the Habit of Talking to Yourself: A Guide for Improvement
Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Side effects of Diphenylhydantoin (Phenytoin)? Hello, doctor! I have been taking 1mg of Clonazepam every night for the past five months, and I have noticed hair loss. If I continue taking it, will my hair grow back? Also, does long-term use lead to gingival hyperplasia?
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the side effects of Clonazepam. In fact, Clonazepam can cause side effects such as dizziness, drowsiness, fatigue, and muscle weakness, among others. If these symptoms are seve...[Read More] Side Effects of Clonazepam: Hair Loss and Gums Health Concerns
Understanding Bupropion for Smoking Cessation in Depression Patients
Using Bupropion for Smoking Cessation I would like to consult a physician. I have been suffering from depression for many years and have also been a long-term smoker. The medication prescribed by my doctor includes Bupropion, which I found out can also be used for smoking cessati...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to smoking. In fact, the process of quitting smoking can exacerbate various complex psychological and emotional responses, such as anxiety, depression, panic, denial, anger, and...[Read More] Understanding Bupropion for Smoking Cessation in Depression Patients
Struggling to Focus: Tips for Overcoming Distractions During Exam Prep
Unable to concentrate? I am a repeat examinee this year (re-taking university entrance exams). From more than 100 days ago, I started feeling anxious, thinking that I might not be able to finish studying. I couldn't concentrate on my studies and kept wanting to play on my ph...
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 time. I would like to share some insights on life management and coping with stress. Living in this world inevitably brings about feelings of inadequacy and ...[Read More] Struggling to Focus: Tips for Overcoming Distractions During Exam Prep
Does Vaping Affect Autonomic Nervous System Disorders?
Autonomic nervous system dysfunction Hello Dr. Chang: I would like to ask if vaping can affect autonomic nervous system dysregulation? Recently, my mother has been experiencing tinnitus and dizziness. Could this be related to vaping? What about smoking tobacco? Thank you!
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. There is substantial evidence regarding the health hazards of electronic cigarettes. Since your mother may be experiencing symptoms such as tinnitus and dizziness, it is advisable ...[Read More] Does Vaping Affect Autonomic Nervous System Disorders?
Understanding Paranoia: Coping Strategies for Mental Health at Home
Do I have paranoid delusions? What can I do while staying at home? Hello Doctor: I have a personality that tends to make me suspicious of others. For example, at school, I often doubt whether my classmates are planning to complain about me, but it doesn't significantly affec...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. In fact, you may be feeling more sensitive and anxious on one hand, while also feeling wronged and unfairly treated on the other. This could exacerbate a range of complex psycholog...[Read More] Understanding Paranoia: Coping Strategies for Mental Health at Home
Understanding Family Bullying: Navigating Emotional Pain and Seeking Help
Bullying by family members Hello Doctor: For the past 3.4 years, every time I have dinner with my family, I am either asked if I brought money or teased about "mooching" off them, while my two sisters are never asked these questions. Although I laugh it off, each time i...
Dr. Zhang Gengjia reply Psychiatry
Hello~ First of all, thank you for being willing to ask questions. It seems that you have had a difficult journey and feel somewhat wronged. Life inevitably brings negative feelings that need to be properly addressed rather than isolated. Although this is not easy, you have worke...[Read More] Understanding Family Bullying: Navigating Emotional Pain and Seeking Help
Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Sleep issues I previously experienced a sudden onset of insomnia, which persisted afterward. I consulted a doctor who prescribed me anti-anxiety medication and sleeping pills. Later, I visited another doctor who suggested that I could sleep without medication, advising me to stop...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your description in the letter, it is evident that you are experiencing discomfort and anxiety. While it is difficult to determine your diagnosis at this moment, it is likely related to anxiety combined with insomnia. Currently, the primary treatment option ...[Read More] Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Understanding Neurological Medications: Are They Right for Your Symptoms?
Neuropharmaceuticals I visited a psychiatrist who did not provide me with a specific diagnosis. I reported various symptoms that are similar to autonomic nervous system dysregulation, but the doctor advised me to go home and take Escitalopram to repair my brain's neurotransm...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and anxiety. Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression. Currently, the use of medication can ...[Read More] Understanding Neurological Medications: Are They Right for Your Symptoms?
Overcoming Silence: Navigating Social Anxiety and Family Expectations
Unable to speak? I often have relatives telling me that I have a bad personality because I don't speak much. They say they have been enduring my silence for a long time, but in reality, I do want to talk. I know that I grew up in an environment filled with violence and oppre...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and anxiety. Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression or obsessive-compulsive disorder. In...[Read More] Overcoming Silence: Navigating Social Anxiety and Family Expectations
Understanding Health Anxiety: Coping with Intrusive Thoughts After Childbirth
Obsessive thinking Hello, doctor. After giving birth to my first child, I have been experiencing excessive health anxiety for almost four years. For example, there is a salivary gland under my tongue that feels more prominent (I can only feel it when I touch it; it might not even...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to issues related to obsessive-compulsive tendencies and attention to detail. Pharmacological treatment can provide a certain degree of relief, and long-term psychotherapy is al...[Read More] Understanding Health Anxiety: Coping with Intrusive Thoughts After Childbirth