Managing Anxiety: Medication Concerns and Emotional Recovery Strategies
Liyou, Heart Rhythm Tablets, Yiketon? Three weeks ago, my doctor diagnosed me with generalized anxiety disorder (with irritability) and prescribed me three medications (one of each). I took Liyou only at bedtime, and by the third day, I experienced bradycardia (heart rate of 55),...
Dr. Cai Qijin Reply:
Hello: 1. According to your description, if a patient with generalized anxiety disorder experiences discomfort after medication and subsequently develops anxiety, depression, low mood, and anhedonia after discontinuing the medication, it is advisable to seek evaluation from a psy...[Read More] Managing Anxiety: Medication Concerns and Emotional Recovery Strategies
Feeling Dirty: Understanding OCD and Anxiety in Mental Health
Feeling very dirty? Dr. Lin: Thank you for your patient response to my questions; I really appreciate it. Additionally, I would like to ask if feeling excessively dirty all the time indicates a mental health issue. Is this meaningless cleaning a sign of obsessive-compulsive disor...
Dr. Lin Mianzhang Reply:
Hello, little fish: If you find yourself washing for an extended period of time despite knowing it’s unnecessary, and you experience a reduction in anxiety afterward, it is very likely that you may be dealing with obsessive-compulsive disorder (OCD). However, a definitive diagnos...[Read More] Feeling Dirty: Understanding OCD and Anxiety in Mental Health
Understanding Atypical Depression: Key Questions and Insights for Patients
Atypical Depression Hello, doctor. I have a few questions I would like to ask: 1. Is Wellbutrin considered an early-stage medication or a late-stage medication? 2. Does F32.8 Other depressive episodes classify as major depression, or is it mild or moderate depression? 3. How is...
Dr. Lin Mianzhang Reply:
Hello, Qing: 1. I'm not quite clear on what you mean by "early stage" and "late stage." Are you referring to the early stage as the initial phase of the illness when symptoms are not as severe? And the late stage as the advanced phase of the illness whe...[Read More] Understanding Atypical Depression: Key Questions and Insights for Patients
Managing Anxiety After Medication: Understanding Your Feelings and Next Steps
Nervous anxiety I have been off medication for three months and haven't returned for a follow-up appointment because I didn't know what to discuss with the doctor. Initially, I had weekly visits, then biweekly, then every three weeks, and finally monthly, totaling about...
Dr. Lin Mianzhang Reply:
Hello: I would like to know what circumstances led you to start medication initially? Was it due to depression, anxiety, or panic? Are the discomforts you are experiencing recently similar to those you had before starting the medication? If so, this may indicate a relapse of your...[Read More] Managing Anxiety After Medication: Understanding Your Feelings and Next Steps
Overcoming Anxiety About Physical Health: A Guide for Patients
Anxiety about one's body? Hello, doctor. Recently, I feel that my anxiety has been getting worse, and I don't know what to do. Since mid-September this year, I have seen doctors more than twenty times for issues related to breast lactation, gastrointestinal problems, an...
Dr. Lin Mianzhang Reply:
Hello: Your situation is similar to illness anxiety disorder, previously known as hypochondriasis (although strictly speaking, based on diagnostic criteria, your condition has not yet lasted for more than six months, so this diagnosis cannot be made). You mentioned that you start...[Read More] Overcoming Anxiety About Physical Health: A Guide for Patients
Understanding Obsessive-Compulsive Behaviors: The Struggle with Cleanliness
The psychiatrist said this is obsessive-compulsive disorder (OCD)? 1. The issue of whether I clean myself properly after using the restroom has troubled me for several years. 2. I once consulted a psychiatrist about whether my behavior could be classified as obsessive-compulsive...
Dr. Lin Mianzhang Reply:
Hello: It sounds like the issue with wiping has been a source of distress for you. This indeed goes beyond mere cleanliness and is a symptom of obsessive-compulsive disorder (OCD). I wonder if you have ever taken antipsychotic medications in addition to antidepressants? For more ...[Read More] Understanding Obsessive-Compulsive Behaviors: The Struggle with Cleanliness
Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Drug side effects Due to widespread anxiety disorder and panic disorder following breast cancer treatment, I have been on medication for 6 years (taking Alprazolam 0.5 mg at bedtime and Zopiclone 7.5 mg). Everything has been stable, but in the past six months, menopausal symptoms...
Dr. Lin Mianzhang Reply:
Hello Wayne: Clonazepam will not affect blood sugar or prolactin levels! However, if you have been diagnosed with generalized anxiety disorder and panic disorder, a more fundamental treatment approach would be to take antidepressants, which are less likely to lead to dependency i...[Read More] Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts
Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
Mild Depression Generalized Anxiety Disorder Currently, the health insurance app shows a diagnosis of mild depression and generalized anxiety disorder. From what I've seen online, mild depression doesn't necessarily require medication, and some people can recover on the...
Dr. Wu Enliang Reply:
Hello, netizen: Question 1: Can I reduce the dosage of my antidepressants? The first doctor has prescribed: morning and evening, 12.5 mg of Clomipramine (克憂果) 1 tablet; at bedtime: 0.5 mg of Zolpidem (讚安諾) 1 tablet, 50 mg of Mirtazapine (美舒鬱) 1 tablet, and 1 mg of Buspirone (悠然...[Read More] Managing Depression and Generalized Anxiety: Medication Concerns and Alternatives
When to Seek Medical Help Again for Depression Symptoms
Under what circumstances should one seek medical attention again? About seven months ago, I was diagnosed with persistent depressive disorder and generalized anxiety disorder. My physical symptoms included weight loss and irritable bowel syndrome. I was on medication and showed i...
Dr. Lin Mianzhang Reply:
Hello Y: You've worked hard preparing for your exam! I'm not sure if you've finished your exam yet. If your mood and appetite return to normal after the exam stress is relieved, then you may not need to seek medical attention; however, if the stress persists or if ...[Read More] When to Seek Medical Help Again for Depression Symptoms
Managing Withdrawal Symptoms After Discontinuing Antidepressants
Wanyou Ting (also known as "Wan You Ting") medication? I previously took paroxetine for four months due to panic disorder and generalized anxiety disorder. Last Tuesday was the last time I took it, and since then, I have been having trouble sleeping every night (before ...
Dr. Lin Mianzhang Reply:
Hello: It sounds like these symptoms are related to your discontinuation of medication. Generally, when stopping antidepressants, it is recommended to taper off gradually. For example, if you were originally taking two pills a day, you might first reduce it to one pill and then d...[Read More] Managing Withdrawal Symptoms After Discontinuing Antidepressants
Can I Get Married with Generalized Anxiety Disorder?
Are you worried that your illness might make you unsuitable for marriage? I have a stable boyfriend who has a good temper, but I was diagnosed with generalized anxiety disorder about two years ago. Although I have been regularly attending appointments and taking my medication, ca...
Dr. Lin Mianzhang Reply:
Hello, Sanna: It sounds like you have some hesitations about marriage. Are you concerned about pregnancy and having children, or do you have other worries? As long as you are receiving proper treatment and your condition is stable, there should be no problem with getting married....[Read More] Can I Get Married with Generalized Anxiety Disorder?
Understanding Relapses in Depression and Anxiety: A Personal Journey
Feeling depressed and anxious has relapsed again? A few months ago, I started experiencing emotional decline due to interpersonal and family issues, as well as academic problems, which led to self-harm. I sought help from a mental health specialist and was diagnosed with depressi...
Dr. Yan Congyou Reply:
Dear Lili, Based on your description, it appears to be a complex situation that requires a definitive diagnosis and a discussion of treatment options such as medication, psychotherapy, or family therapy. I would recommend that you establish a regular and stable follow-up with a ...[Read More] Understanding Relapses in Depression and Anxiety: A Personal Journey
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Understanding Withdrawal Symptoms from Paroxetine: Muscle Pain Explained
Withdrawal symptoms from Buprenorphine? Hello Doctor: I have been taking Paroxetine for about two years due to social anxiety disorder. Recently, my living conditions and social interactions have improved, so I have been gradually tapering off the medication in coordination with ...
Dr. Wu Enliang Reply:
Hello, netizen: Muscle soreness is generally unrelated to the discontinuation of this medication. Symptoms that typically occur after sudden cessation include those similar to a cold, headaches, and anxiety. Dr. Wu En-liang.[Read More] Understanding Withdrawal Symptoms from Paroxetine: Muscle Pain Explained
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Panic and Dizziness: Is It Multiple Sclerosis?
Panic-induced dizziness and multiple sclerosis? Hello, doctor. I'm sorry to bother you again. For the past few days, I've been feeling a bit drowsy and lightheaded in the afternoons and evenings, and I found that these symptoms could possibly relate to multiple sclerosi...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your hard work. On Monday, we should be able to proceed further after the evaluation by the psychosomatic medicine department. The involuntary anxiety and the distress from repetitive checking, as mentioned previously and in this instance, are more indicative...[Read More] Understanding Panic and Dizziness: Is It Multiple Sclerosis?
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding the Anxiety Surrounding Multiple Sclerosis: A Patient's Journey
Concerns about multiple sclerosis? Doctor, a few months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and I became increasingly anxious when I experienced pain in my fingers and toes. This led me to consult a rheumatologist, who assured ...
Dr. Huang Xiaoxian Reply:
Hello, the incidence of this disease is actually quite low, and your symptoms are not very typical, so there is no need to worry excessively. However, the symptoms of anxiety disorders involve uncontrollable worry, which makes it difficult to change your thoughts through willpowe...[Read More] Understanding the Anxiety Surrounding Multiple Sclerosis: A Patient's Journey
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns