Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding the Chinese Names for Common Psychiatric Diagnoses
What is the Chinese name for this primary diagnosis? The Chinese name for the primary diagnosis is as follows: Question 1: F411 Generalized Anxiety Disorder Question 2: F341 Dysthymic Disorder Thank you, doctor, for your assistance.
Dr. Huang Xiaoxian Reply:
1. It is generalized anxiety disorder. 2. It is persistent depressive disorder. Wishing you well.[Read More] Understanding the Chinese Names for Common Psychiatric Diagnoses
Understanding Left Chest Pain: Autonomic Nervous System Disorders Explained
Left chest pain? 1. Can autonomic nervous system dysfunction cause pain in the left chest and numbness in the left hand? Note: The sensation is a localized pain. 2. How can autonomic nervous system dysfunction be improved without relying on medication? 3. What other symptoms are ...
Dr. Wang Zhenyang Reply:
Hello, Sir: The symptoms of autonomic nervous system dysfunction are quite diverse, and each individual may experience different or similar symptoms. Typically, autonomic nervous system dysfunction is associated with anxiety disorders and depression. In terms of treatment, in add...[Read More] Understanding Left Chest Pain: Autonomic Nervous System Disorders Explained
Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Is it anxiety disorder? Hello Doctor, I tend to be very anxious and worry excessively, which I find quite distressing. For example, during an eye examination, the doctor mentioned that something seemed off, but since I had no discomfort, they did not conduct further tests. Howeve...
Dr. Huang Xiaoxian Reply:
Dear Happy, based on your description, it seems to be quite typical symptoms of anxiety disorder. I recommend that you visit a mental health clinic for an evaluation. If self-adjustment for anxiety remains challenging, it is advisable to consider medication and psychological coun...[Read More] Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Understanding Health Anxiety: Coping with Fear of Illness
Health anxiety is very severe? Hello, doctor. I'm not sure when it started, but it seems that during my time waiting to enter university, I became more anxious than usual, especially since I tend to overthink. 1. Sometimes, when I see news reports about certain cancers, I ...
Dr. Huang Xiaoxian Reply:
Dear cc, I can sense that you are feeling quite troubled by the situation described above. You find yourself constantly thinking about the possibility of cancer. Although rationally you know it may not happen, emotionally you fear that "what if" it does occur to you. Re...[Read More] Understanding Health Anxiety: Coping with Fear of Illness
Understanding Autonomic Nervous System Disorders and Anxiety Symptoms
Autonomic nervous system dysfunction? Hello Doctor, I was born in Hong Kong and noticed that your website in Taiwan has a lot of information about this symptom, so I specifically came to consult you. In the past few months, I have started to experience palpitations and an increas...
Dr. Xue Gengming Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Autonomic Nervous System Disorders and Anxiety Symptoms
Understanding Your Mental Health Diagnosis and Medication Dosage
Differential diagnosis and dosage? Hello, doctor. I recently visited a psychiatrist for the first time, and my doctor only mentioned that I have Generalized Anxiety Disorder. However, when I checked my health records using the National Health Insurance app, it showed the primary ...
Dr. Liang Sunyuan Reply:
Hello: Each physician has a different habit of writing medical records. These three diagnoses may be confirmed diagnoses or they may only be suspected diagnoses that need to be verified or ruled out during future follow-up treatment. If there are any concerns, you can discuss the...[Read More] Understanding Your Mental Health Diagnosis and Medication Dosage
Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: - Leeyo (Escitalopram) 10 mg * 2 tablets - Zolpidem 10 mg * 2 tablets - Flunitrazepam ...
Dr. Qiu Junda Reply:
Hello. 1. After stopping the medication, you should be able to resume taking doxepin without any conflicts. 2. 3. 4: Similar questions have been answered previously. Your attending physician (including those from other specialties) will adjust your medication based on your condit...[Read More] Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Understanding Anxiety Disorders: Are You Experiencing General Anxiety or Something More?
Is this generalized anxiety disorder or simply anxiety disorder? I'm sorry to hear that you're feeling this way. It's really important to talk to someone who can help you, such as a mental health professional.
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, I apologize for the delay in responding to your letter, as I have been busy with the COVID-19 prevention efforts. I sincerely regret any inconvenience this may have caused. Based on your detailed description, it is clear that you have been experiencing long-term ...[Read More] Understanding Anxiety Disorders: Are You Experiencing General Anxiety or Something More?
Understanding the Link Between Bipolar Disorder, Insomnia, and Medication
Bipolar disorder and insomnia issues? Hello, doctor. I have been struggling with insomnia for two years. No matter if I go to bed at 10 or 11 PM, I always wake up at 3 AM. Additionally, I keep dreaming, sometimes up to five dreams a day, all of which I can remember vividly, and I...
Dr. Yan Congyou Reply:
Hello, Zhihao: Are you currently still taking your medication? Have you discussed your situation with your doctor during your recent follow-up visits? It is recommended to have regular follow-up appointments to adjust your medication and discuss your recent lifestyle with your ph...[Read More] Understanding the Link Between Bipolar Disorder, Insomnia, and Medication
Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Anxiety disorder or menopause? Hello doctor, my mother is currently going through menopause. She previously visited a clinic for anxiety and insomnia and hasn't taken medication for a long time. She often has a furrowed brow, even while watching dramas. Over the past year, s...
Dr. Huang Xiaoxian Reply:
Dear ttkk, it sounds like your mother is indeed experiencing some anxiety. Women going through menopause often face changes in their physiological state, which can contribute to anxiety. Additionally, at this age, they frequently confront issues related to the passage of youth an...[Read More] Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Navigating Medication Reduction: Understanding Withdrawal Symptoms and Anxiety
Medication reduction issues This year during the Lunar New Year, I experienced my first panic attack. After seeking medical attention, I was diagnosed with mild panic disorder without agoraphobia. Since February, I have been taking Zoloft (sertraline) at a daily dose of 50 mg. A ...
Dr. Huang Xiaoxian Reply:
Dear Twist, The causes of anxiety disorders are partially related to fluctuations in serotonin levels. The medication you are taking works to regulate serotonin (by extending its retention period in the body). It is recommended to extend the duration of use to nine months, and ...[Read More] Navigating Medication Reduction: Understanding Withdrawal Symptoms and Anxiety
Navigating Medication Reduction: Understanding Anxiety and Withdrawal Symptoms
Medication reduction issues This year during the Lunar New Year, I experienced my first panic attack. After seeking medical attention, I was diagnosed with mild panic disorder without agoraphobia. Since February, I have been taking Zoloft (sertraline) at a daily dose of 50 mg. A ...
Dr. Huang Xiaoxian Reply:
Dear Twist, The causes of anxiety disorders are partly due to fluctuations in serotonin levels. The medication you are taking works to regulate serotonin. It is recommended to extend the duration of your medication, and once your condition stabilizes, consider gradually reducin...[Read More] Navigating Medication Reduction: Understanding Anxiety and Withdrawal Symptoms
Understanding Chronic Dizziness: Is It Related to Anxiety Disorders?
Feeling dizzy all day... Could this also be due to autonomic nervous system dysfunction? Anxiety medication: Anban 1 tablet daily (half a tablet before napping at noon), Mirtazapine half a tablet before bed. Duration of medication: Started around November last year, nearly a year...
Dr. Huang Xiaoxian Reply:
Dear ruderchi, thank you for your question. Many of the physical discomfort symptoms you mentioned seem to align with those of anxiety disorders. Anxiety can generally affect the autonomic nervous system and various aspects of the body, which may explain the dizziness, stiffness,...[Read More] Understanding Chronic Dizziness: Is It Related to Anxiety Disorders?
Understanding Panic Anxiety Disorder: Treatment and Medication Insights
Panic Anxiety Disorder Hello, doctor. My mother is 53 years old and experiences excessive hyperventilation every day, which is very distressing for her. When her breathing is not smooth, she starts to feel anxious and depressed, and sometimes the symptoms last all day. The doctor...
Dr. Huang Xiaoxian Reply:
Hello Shuzhen, this medication is primarily for adjusting anxiety and panic disorders. It is recommended to continue taking it. If you need to adjust the medication, please discuss it with your physician before making any changes to avoid abrupt discontinuation and potential rela...[Read More] Understanding Panic Anxiety Disorder: Treatment and Medication Insights
Should You Consider Therapy for Anxiety After Medication Treatment?
Should I see a therapist for anxiety disorder? Hello, doctor. I used to work for a Japanese company where I had no freedom and little sleep, and my supervisor was very neurotic. I was overworked every day, and due to excessive effort and lack of sleep, I developed anxiety disorde...
Dr. Huang Xiaoxian Reply:
Dear yorusora, it sounds like interpersonal interactions and work stress are some challenges you're facing. In fact, psychotherapy is a process that helps you gain a better understanding of yourself. Many times, we are aware of our conscious thoughts, but we may not notice o...[Read More] Should You Consider Therapy for Anxiety After Medication Treatment?
Understanding Anxiety and Physical Symptoms in Teenagers
Anxiety and physical discomfort? Hello Doctor, I am a high school student and I tend to worry a lot. Whenever I experience any symptoms, I immediately search online, and what I find is often related to cancer or other serious illnesses, which frightens me. Recently, during finals...
Dr. Qiu Junda Reply:
Hello. The correspondence indicates feelings of anxiety and tension, which indeed suggest the possibility of autonomic nervous system dysfunction. Autonomic nervous system dysfunction is similar to anxiety disorders. Elevated blood pressure is also related to this (though it does...[Read More] Understanding Anxiety and Physical Symptoms in Teenagers
Understanding Lip Picking: OCD or Anxiety Disorder?
Is this obsessive-compulsive disorder, or is it caused by anxiety? Hello, doctor. I am a senior student. For the past three years, my family has been constantly reminding me not to pick at my lips, but I don't know why I can't control it. In my memory, I started pulling...
Dr. Huang Xiaoxian Reply:
Dear Joseph, thank you for your question. I can tell that this situation is causing you a lot of distress. Many people exhibit repetitive behaviors to alleviate anxiety, such as leg shaking, nail-biting, or skin picking. Some individuals can regulate the frequency of these behavi...[Read More] Understanding Lip Picking: OCD or Anxiety Disorder?