Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Psychoneurosis, insomnia, stress? Hello, Doctor regarding question 153436: Today I obtained my medical records from the clinic. The primary diagnosis is F51.04, which is classified as "Psychophysiological Insomnia," and the secondary diagnosis is F43.23, which refers to...
Dr. Wu Enliang Reply:
Hello, user: This diagnosis indicates that at that time, you experienced insomnia, short-term anxiety, and depressive symptoms due to life stress. Dr. Wu En-Liang.[Read More] Understanding Your Diagnosis: Insomnia, Anxiety, and Depression Explained
Understanding the Link Between Anxiety, Depression, and Insomnia Disorders
Psychophysiological Insomnia Hello, Doctor 153436: Does having anxiety and depression as "emotions" indicate the presence of "anxiety disorder" or "depressive disorder"?
Dr. Wu Enliang Reply:
Hello, everyone: Human beings experience seven emotions and six desires. Anxiety and depression can be normal responses to stressful events and do not necessarily indicate the presence of an "anxiety disorder" or "depressive disorder." If it is classified as a...[Read More] Understanding the Link Between Anxiety, Depression, and Insomnia Disorders
Understanding OCD: Coping with Anxiety and Intrusive Thoughts
Obsessive-Compulsive Disorder (OCD)? Hello, Doctor. I have anxiety disorder and panic disorder, and I often worry about various things without any specific reason. Once I finish worrying about one thing, I move on to the next. Recently, I don't know if it's because my m...
Dr. Cai Yunlin Reply:
Hello, the repetitive thoughts you mentioned may be related to obsessive thinking and might require further evaluation. However, these psychosomatic symptoms seem to be significantly affecting your well-being. I recommend that you seek prompt consultation with a psychosomatic med...[Read More] Understanding OCD: Coping with Anxiety and Intrusive Thoughts
Understanding Anxiety: Coping with Intrusive Thoughts and Fears
Is it anxiety disorder? Hello, doctor. My anxiety disorder is quite severe; I am in a constant state of "worry" every day. Recently, during premenstrual syndrome, my anxiety has intensified. I have been constantly worried about harming others, and my child, who is almos...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to issues related to obsessive-compulsive disorder and anxiety. Long-term psychological therapy is a treatment option worth considering. Additionally, regular outpatient follow-...[Read More] Understanding Anxiety: Coping with Intrusive Thoughts and Fears
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? One night in late February, I suddenly felt a bit short of breath (I wanted to take deep breaths, and after about 30 seconds, I would feel the urge to breathe deeply again). There was a slight tightness in my chest. I went to the pulmonology ...
Dr. Wang Yazhen Reply:
Hello, The cardiologist has conducted a thorough examination and ruled out any heart-related issues. Therefore, it is indeed possible that your sudden increase in heart rate is influenced by emotions. Regarding your anxiety response, if it reaches the level of an "anxiety ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Anxiety: Is My Medication Dose Too High or Too Low?
Worry and anxiety? I would like to ask the doctor if taking 10 mg of Escitalopram daily is considered a high or low dose. If I want to stop the medication, would changing my follow-up appointments from every two weeks to every three weeks indicate progress? I also worry that havi...
Dr. Cai Yunlin Reply:
Excessive anxiety and worry are common symptoms of anxiety disorders. These concerns are often multifaceted. It is advisable to discuss issues such as medication and follow-up appointment frequency with your physician, as this may help improve your condition.[Read More] Understanding Anxiety: Is My Medication Dose Too High or Too Low?
Understanding Self-Harm and Emotional Instability: When to Seek Help
Self-harm and prolonged mood instability? Hello, I remember that my first self-harming tendencies began in elementary school when I was scolded by my family, and I started banging my head against the wall. Although my family was shocked, they did not take significant action. Afte...
Dr. Lin Mianzhang Reply:
Hello: First of all, I want to thank you for having the courage to share your situation. It seems that you are experiencing a deep inner pain that makes it difficult for you to maintain emotional stability, leading you to resort to self-harm as a way to alleviate that pain. On th...[Read More] Understanding Self-Harm and Emotional Instability: When to Seek Help
Can Antidepressants Lendormin and Mocalm Interact with Birth Control?
Drug interactions Can Lendormin 0.25mg and Mocalm be taken together with birth control pills?
Dr. Peng Liyun Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common for individuals with depression or anxiety to be prescribed SSRIs (Selective Serotonin Reuptake Inhibitors) in clinical practice, as anxiety disorders often present with depressive symptoms. ...[Read More] Can Antidepressants Lendormin and Mocalm Interact with Birth Control?
Long-Term Use of Antidepressants: Is It Safe to Continue or Stop?
Medication Consultation Hello: Several years ago, I experienced excessive anxiety and visited a psychiatric outpatient clinic. At that time, the doctor prescribed me a daily dose of 20 mg of fluoxetine. I continued to return for monthly check-ups, and the same prescription was ma...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common for individuals with depression or anxiety to be prescribed SSRIs (Selective Serotonin Reuptake Inhibitors) in clinical practice, as anxiety disorders often present with depressive symptoms. ...[Read More] Long-Term Use of Antidepressants: Is It Safe to Continue or Stop?
Understanding Stress, Anxiety, and Tension: When to Seek Help
Stress, anxiety, and tension? Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experien...
Dr. Zhang Gengjia Reply:
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help
Understanding Neurotic Disorders: What Mental Illnesses Are Included?
The International Classification of Diseases (ICD) for mental and behavioral disorders includes various mental illnesses such as: 1. Schizophrenia 2. Bipolar disorder 3. Major depressive disorder 4. Anxiety disorders (including generalized anxiety disorder, panic disorder, and s...
Dr. Guo Jialun Reply:
Psychoneurosis is not a specific diagnostic term, and it is currently not included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). This term generally refers to mild mental disorders, such as anxiety disorders, phobias, ...[Read More] Understanding Neurotic Disorders: What Mental Illnesses Are Included?
Managing Anxiety After Childbirth: Overcoming Symmetry Obsessions
Anxiety conditions Hello, doctor. After having a child, I became very anxious, focusing on the symmetry of my body. For example, when I eat and feel a small mark on the inside of my left cheek, I feel compelled to check the right side. If the right side is clear, I become anxious...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. Your symptoms appear to be related to anxiety manifestations, such as the need for repeated reassurance and concerns about physical illnesses. However, to determine the specific condition you are experiencing, a thorough evaluation by...[Read More] Managing Anxiety After Childbirth: Overcoming Symmetry Obsessions
Navigating Anxiety Disorders: Medication Options and Expert Advice
Generalized Anxiety Disorder (GAD) Hello, doctor. During my first visit to a mental health clinic, the physician diagnosed me with mild panic disorder, generalized anxiety disorder, autonomic nervous system dysregulation, and insomnia (as I often find myself overthinking and feel...
Dr. Wu Enliang Reply:
Hello, online user: Anxiety disorders can generally be treated with psychotherapy or pharmacotherapy. The first-line pharmacological treatments are SSRIs (commonly used antidepressants) and Venlafaxine (another type of antidepressant). Benzodiazepines are used as a short-term sol...[Read More] Navigating Anxiety Disorders: Medication Options and Expert Advice
Understanding Generalized Anxiety Disorder: Medication Duration and Management
Generalized Anxiety Disorder (GAD) When visiting a family medicine clinic, generalized anxiety disorder (GAD) is often discussed as a broad condition. It is commonly understood that if medication is prescribed for GAD, the typical treatment duration is around three months, with a...
Dr. Wu Enliang Reply:
For generalized anxiety disorder, it is recommended that medication treatment lasts at least six months. If the medication is discontinued, there is a significant risk of relapse. It is advised to taper off the medication gradually rather than stopping abruptly. Additionally, the...[Read More] Understanding Generalized Anxiety Disorder: Medication Duration and Management
Managing Anxiety: Dosage Decisions and Their Impact on Recovery
Drug dosage I would like to ask about my treatment since July when the doctor diagnosed me with generalized anxiety disorder and prescribed Escitalopram 10 mg. However, I still sometimes feel down, anxious, or experience tightness in my shoulders and neck. The doctor mentioned th...
Dr. Liang Sunyuan Reply:
Hello: This medication is effective for treating both anxiety and depression, with a typical dosage of one to two pills. If you find that one pill still leaves you with symptoms of anxiety or depression, I recommend taking one and a half pills daily. After stabilizing for at leas...[Read More] Managing Anxiety: Dosage Decisions and Their Impact on Recovery
Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
Involuntary and significant shaking of the lower back? My daughter, who is in the ninth grade, has been diagnosed by a psychologist with Asperger's syndrome combined with anxiety, irritability, and emotional instability. She has been taking Buspirone for nearly a year. Three...
Dr. Wang Yazhen Reply:
Hello, Afun's mom: I understand that your child's condition must be very concerning for you, and I appreciate your efforts. Regarding the issue of tics, the pediatric neurologist should have initially ruled out neurological disorders after examination; tics may be a phy...[Read More] Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
Generalized Anxiety Disorder (GAD) I would like to ask the doctor how long it typically takes to stop medication for generalized anxiety disorder. I also don't understand why anxiety medications are similar to those used for depression, as they seem to have the same therapeu...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. There are many medication options for anxiety disorders, with the most common being benzodiazepines, which have anxiolytic effects and, as the name suggests, help induce relaxation. Additionally, anxiety disorder patients often experi...[Read More] Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
Is Waking Up at Night a Sign of Panic Disorder?
Waking up in the middle of the night can be a symptom of a panic attack? I am currently 23 years old, and I have had a profound fear of death since childhood, a deep-seated anxiety and dread. My condition has fluctuated over time; however, recently, I have been waking up suddenly...
Dr. Huang Xiaoxian Reply:
Dear Mr. Chen, thank you for your question. It sounds like you are experiencing concerns and fears about death, as well as sudden panic, which are somewhat similar to symptoms of panic disorder. This falls under the category of anxiety disorders. Generally, the treatment for anxi...[Read More] Is Waking Up at Night a Sign of Panic Disorder?
Understanding Social Anxiety Disorder: A High School Student's Struggle
Social Anxiety Disorder Hello, doctor. I am currently a high school sophomore. Since I was young, I have been more introverted. Whenever relatives or my parents' friends come over, I tend to hide. I avoid answering phone calls from unknown numbers because I am quite afraid o...
Dr. Liu Shikai Reply:
Dear Student Yeh, Based on the symptoms you described, it is indeed necessary to consider the possibility of social anxiety disorder. Currently, the available treatment options include medication or psychotherapy. Due to the legal regulations in Taiwan, minors require consent or...[Read More] Understanding Social Anxiety Disorder: A High School Student's Struggle
Understanding Childhood-Onset Psychotic Disorders: A Guide for Students
What is meant by "psychotic disorders originating in childhood"? What are "psychotic disorders originating in childhood"? Are childhood-onset neurotic disorders considered "psychotic disorders originating in childhood"? I am currently a university st...
Dr. Huang Xiaoxian Reply:
Dear Chen, thank you for your question. You mentioned psychotic disorders originating in childhood, which generally refer to autism and pervasive developmental disorders, and your current symptoms fall into a different category, so there is no need to worry too much. Anxiety diso...[Read More] Understanding Childhood-Onset Psychotic Disorders: A Guide for Students