Anxiety disorder, Psychiatry FAQ

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Managing Anxiety: Can I Alternate Medications for Better Results?

Medication inquiries? Hello! Due to anxiety disorder, the doctor prescribed Elysium (Escitalopram) and Xanax (Alprazolam) to be taken every night before bed. I have been taking them for two weeks. I am unsure how long the treatment will last and I am worried about the potential f...


Dr. Qiu Junda Reply:
Hello. The method of medication can vary from person to person in clinical practice. Therefore, whether you can take Eshoo every other day depends on your condition. If this regimen can still stabilize your symptoms, it might be worth trying. However, it is best to discuss this w...

[Read More] Managing Anxiety: Can I Alternate Medications for Better Results?


Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms

Uncontrollable tics similar to Tourette syndrome? Hello, doctor. I am a patient diagnosed with anxiety disorder and recurrent major depression, and I am currently undergoing medication treatment. I take my antidepressants and various supplements at a fixed time every day. Last ni...


Dr. Qiu Junda Reply:
Hello. Tics should be evaluated to determine if they are a symptom or related to medication. You can consult with your physician during your follow-up appointment (there's no need to see other specialists at this time). If necessary, a referral to another specialty will be a...

[Read More] Understanding Uncontrollable Movements: Anxiety, Depression, and Symptoms


Interactions Between SSRIs and Cold Medications: What You Need to Know

Inquiry about the interaction between SSRI medications and cold medications? Thank you, doctor, for taking the time to read this. I am a patient with anxiety disorder and currently take one and a half tablets of Liyou (15 mg) daily. Recently, I have had a slight cold and, after t...


Dr. Qiu Junda Reply:
Hello. The dosage of one and a half anxiety medication taken occasionally with Tylenol should not have significant interactions or conflicts, and it is unlikely to cause any adverse effects on the body.

[Read More] Interactions Between SSRIs and Cold Medications: What You Need to Know


How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders

How to properly interact with individuals who have social anxiety and panic disorder? Dear Dr. Chang, I have a younger relative staying at my home for an extended period. He is currently a PGY2 resident and is working alongside you. However, there are some issues concerning him,...


Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to issues related to interpersonal sensitivity and interaction. These concerns involve specialized treatment modalities, including pharmacotherapy and psychotherapy. I strongly encourage you to se...

[Read More] How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders


Should You Take Anxiety Medication? Assessing Your Needs and Concerns

How to determine if you should take anti-anxiety medication? I have always been a person who is easily nervous and anxious. My current profession is a teacher. In my first year after entering the workforce, I struggled with my abilities and did not perform well in many tasks, whi...


Dr. Tang Jiahong Reply:
Hello. If we view psychiatric medications (especially the stigmatized benzodiazepines used for sedation, sleep, and relaxation) as just a common tool to help improve functionality, it becomes clear that we should use this tool when there is impairment in (daily life, work, academ...

[Read More] Should You Take Anxiety Medication? Assessing Your Needs and Concerns


Medication Consultation for Anxiety and Panic Disorders: Safety and Usage

Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...


Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...

[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage


Can a Doctor Diagnose Mental Health Issues You Can't Discuss?

I'm not sure if a doctor's visit can reveal that? Thank you, doctor, for answering my questions last time. Regarding my previous inquiry, I would like to ask again. I don't feel comfortable discussing my issues with my parents because I'm afraid that if I tell...


Dr. Wu Menghuan Reply:
Hello: You mentioned that "hiccups, hand tremors, sweating, dry heaving, facial flushing, and a blank mind" only occur in specific situations, which you previously described as "being on stage, performing, facing a crowd, or speaking with unfamiliar or unknown indi...

[Read More] Can a Doctor Diagnose Mental Health Issues You Can't Discuss?


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:
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...

[Read More] Understanding Anxiety: When Treatment Feels Ineffective and Life Becomes Overwhelming


Understanding Anxiety and Physical Symptoms in Adolescents: A Guide

Is there any specific condition? Hello Doctor: I have three questions I would like to ask you, as I am unsure why I am experiencing these issues. 1. I am currently a third-year music student, and I have been experiencing hiccups for over a year. I visited a gastroenterologist w...


Dr. Wu Menghuan Reply:
Hello: Q1. I am currently a student in the third year of junior high school music class. I have been experiencing hiccups for over a year, but after visiting a gastroenterologist, I was told that my stomach is fine. The doctor prescribed medication, but it didn't help. Som...

[Read More] Understanding Anxiety and Physical Symptoms in Adolescents: A Guide


Understanding Anxiety Around Daily Routines: Tips for Relief

Excessive anxiety in the body? Hello, Doctor. Bowel movements and sleep are very natural processes for most people, but they cause me anxiety. I have a habit of having a bowel movement at a specific time every day. In the past, I would only start to feel anxious if I didn’t have ...


Dr. Li Zhengfeng Reply:
Hello: Based on your letter, it seems you may have a specific anxiety disorder, experiencing anxiety in certain situations that exceeds normal levels and affects your daily life. I recommend that you start practicing some relaxation techniques. If this does not lead to effective ...

[Read More] Understanding Anxiety Around Daily Routines: Tips for Relief


Overcoming Anxiety When Using Public Transportation: A Personal Journey

Feeling anxious while using public transportation? Once, while riding an escalator, I had a thought that I couldn't quite identify. After forgetting it, I felt as if I had been hypnotized; the next time I used the escalator, I was going up. If it's a long escalator, I f...


Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing discomfort and distress due to anxiety issues. 1. Facing an uncertain future, depression and anxiety disorders are common psychosomatic conditions in modern society. These are chronic illnesses that require long-term tre...

[Read More] Overcoming Anxiety When Using Public Transportation: A Personal Journey


Understanding Anxiety Disorders and Family Dynamics in Adolescents

Anxiety Disorders and Family Issues Hello Doctor, I am currently in the first year of junior high school. Since last summer when school started, I have been experiencing excessive anxiety and social anxiety, often worrying about illnesses (like parasites), having a fear of height...


Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety and family issues. 1. Facing an uncertain future, depression and anxiety are common disorders in modern society. These are chronic conditions that require long-term treatment for...

[Read More] Understanding Anxiety Disorders and Family Dynamics in Adolescents


Should Students Seek Help for Mental Health Issues? The Importance of Treatment

Students are hesitant about whether to visit a clinic for medical care. Can they really recover without seeing a doctor? I previously visited a mental health specialist with my mother twice. After the first visit, I was diagnosed with anxiety disorder and prescribed medication, b...


Dr. Lin Mianzhang Reply:
Hello, classmate: Your anxiety, panic, depression, and insomnia have severely impacted your daily life and have caused you significant stress about attending school. This situation requires professional help. Through consultations with a physician, psychological counseling, and m...

[Read More] Should Students Seek Help for Mental Health Issues? The Importance of Treatment


Should I See a Psychiatrist? Understanding My Mental Health Struggles

Should I see a psychiatrist? Hello, Dr. Lin! I apologize for bothering you. I haven't been doing well these past few years. During my student days, I often took leave due to my menstrual cycle, and when I returned to school, I frequently felt like I was falling behind everyo...


Dr. Lin Mianzhang Reply:
Hello, it seems that you have been experiencing symptoms of depression and anxiety for a long time, including feelings of sadness, difficulty sleeping, trouble concentrating, fatigue, and a lack of desire to go out, which can severely impact your ability to maintain a normal life...

[Read More] Should I See a Psychiatrist? Understanding My Mental Health Struggles


Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances

Is it a visual hallucination or an illusion? Hello Doctor, I am a patient with health anxiety. I started medication in April of last year because I was experiencing persistent dizziness and was afraid it was a brain tumor. However, after a CT scan, the results were normal. Later ...


Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing distress due to your concerns about anxiety disorder (hypochondriasis). 1. Facing an uncertain future, anxiety disorder (hypochondriasis) is a common condition in modern society. It is a chronic illness that requires long-...

[Read More] Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances


Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration

Medication consultation Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I was previously taking Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The doctor mentioned a six-mont...


Dr. Qiu Junda Reply:
Hello. 1. Lexapro 75mg (also known as Escitalopram) has antidepressant, anxiolytic, and anti-panic properties. Sucralfate 50mg can be used as a gastric medication, while Atenolol 10mg can reduce heart rate and has anxiolytic effects. 2. Medications are metabolized daily and do no...

[Read More] Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration


Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?

Can social anxiety disorder co-occur with autism spectrum disorder? Hello, doctor! I am a 23-year-old individual diagnosed with moderate autism (diagnostic code: F84.0) who has verbal communication skills and emotional issues that need to be addressed. I exhibit aggressive behavi...


Dr. Wu Menghuan Reply:
Hello, Q1: Can social anxiety disorder co-occur with autism spectrum disorder? A1: "Social anxiety disorder" has been renamed from "social phobia" in the DSM-5. There are significant differences in essence between "social anxiety disorder" and &qu...

[Read More] Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?


Managing Anxiety: Navigating Medication Withdrawal and Treatment Options

Anxiety Disorder Consultation I have anxiety disorder and, due to the lack of side effects from the medication, I gradually reduced my dosage. I changed my intake of Lexapro from two pills a day to one pill a day, but my mental state remained poor. So, I switched to taking one pi...


Dr. Qiu Junda Reply:
Hello. Treatment for anxiety disorders is a long-term process. Symptoms may fluctuate during this time. Adjustments to medication (including increasing or decreasing dosages) should be carefully evaluated. It is recommended that if you wish to reduce medication, you should discus...

[Read More] Managing Anxiety: Navigating Medication Withdrawal and Treatment Options


Overcoming Negative Thoughts and Memory Issues in Adolescents

Negative thoughts and forgetfulness? Hello, Doctor: Although I am only a first-year junior high school student, I have been troubled by some mental health issues recently, which have caused my mental state to deteriorate. I would like to ask if you could provide me with some advi...


Dr. Wu Menghuan Reply:
Hello: A1. Sudden forgetfulness about tasks and frequent lapses in memory may stem from an inability to maintain focus, which prevents information from being fully received by the brain, stored temporarily, or converted into short-term memory. There are many factors that can affe...

[Read More] Overcoming Negative Thoughts and Memory Issues in Adolescents


Understanding Reading Disabilities: Diagnosis and Testing for Adults

Diagnosis-related issues concerning dyslexia? Hello, I would like to inquire about issues related to reading disabilities. Since childhood, I have often seen letters in reverse, experienced difficulty in reading fluently, required repeated viewing for text comprehension, and enco...


Dr. Wu Menghuan Reply:
Dyslexia, also known as reading disorder, is classified under Specific Learning Disorder in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Individuals with dyslexia experience difficulties in literacy, reading comprehension...

[Read More] Understanding Reading Disabilities: Diagnosis and Testing for Adults


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