Anxiety disorder, Psychiatry FAQ

Finding Hope: Navigating Depression and Mental Health Challenges

Will I really get better? Hello Doctor, I have been diagnosed with depression or persistent depressive disorder, and I have a history of social anxiety disorder which has since resolved. Recently, my physician suspects I may have hypomania. Although I am relatively young, my medi...

Dr. Lin Mianzhang Reply:
Hello Eunice: Thank you for your hard work! From your situation, it seems that you really need a stable doctor-patient relationship so that the physician can understand your condition and provide you with the most suitable treatment. If you frequently change doctors (even if it&#...

Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments

Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...

Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....

Can You Take Zapline and Alprazolam on an Empty Stomach?

Medication Consultation Hello Doctor, may I ask if Zapline 50mg (take half a tablet before bedtime) and ALPRAZOLAM 0.5mg (take one tablet as needed) can be taken on an empty stomach? Or is it recommended to eat something before taking them, or what is the best way to take them? I...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about the side effects of medication. 1. Anxiety disorders and psychosomatic disorders are common in modern society, often stemming from the uncertainty of the fut...

Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home

Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...

Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...

Understanding Memory and Focus Issues: A Guide for Young Adults

Insufficient memory and concentration? Hello, Doctor! I discovered that I started experiencing some social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I'...

Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang.

Understanding Side Effects of Qian You Jie: A Patient's Experience

Side effects of Qianyoujie (also known as "Qianyoujie" or "Qian You Jie")? Hello doctor, I have been taking Qianyoujie for six years, two pills a day, always in the morning. Recently, I couldn't get an appointment for a follow-up visit, so I stopped takin...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to concerns about the side effects of your medication. 1. Anxiety disorders are common in modern society, characterized by uncertainty about the future. This is a chronic condit...

Understanding Memory and Focus Issues: A Guide to Mental Health Concerns

Insufficient memory and concentration? Hello, doctor! I discovered that I started experiencing social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I’m with str...

Managing Anxiety and Chest Tightness After Vaccination: A Guide

What should I do if I experience chest tightness? Hello doctor, after receiving the vaccine two years ago, I have been feeling anxious about any physical condition, worrying that I might be experiencing vaccine side effects. Initially, I thought this would improve within 2 to 3 m...

Dr. Lin Mianzhang Reply:
Hi there! It seems that you have undergone blood tests, X-rays, and electrocardiograms, all of which came back normal. This at least confirms that there is no serious physical illness. However, your concern about possibly having a severe illness or even dying is actually a sympto...

Understanding Obsessive Thoughts: Coping with Anxiety and Fear

I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...

Dr. Lin Mianzhang Reply:
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...

Understanding Skin Picking: Is It Anxiety or a Deeper Issue?

Constantly scratching the scalp? Hello Doctor: I have had the habit of picking at my scalp since high school. Even when reminded, I can't stop myself from picking, which has caused wounds on my scalp (I'm really worried that my hair won't grow back). This happens e...

Dr. Wu Enliang Reply:
1. Do I need to see a doctor? A: If it has caused disruptions in your daily life, it is necessary to see a doctor. 2. How can I stop the behavior of skin picking? A: Medication treatment combined with psychotherapy. 3. This month, there were two nights when I inexplicably fel...

Understanding Anxiety Medications: Effects, Side Effects, and Efficacy

Because I don't like taking a lot of medication, I want to understand the effects of the drugs themselves so that I will be more willing to take them? I have issues with anxiety and I usually take Yu-Kang capsules. Sometimes I feel very sleepy, and I would like to ask if thi...

Dr. Wu Enliang Reply:
Hello, I have a problem with anxiety disorder. I usually take Yekang capsules, and sometimes I feel very sleepy. I would like to ask if this symptom of sleepiness will go away over time? A: Generally, it will. What are the more common side effects? A: The more common side effects...

Overcoming Social Anxiety and OCD: A Path to Confidence and Independence

Social anxiety, fear of riding, obsessive-compulsive disorder (OCD)? Dear Dr. Wu, My son is nearly 30 years old and belongs to a vulnerable group. He has poor expressive abilities and social difficulties. At the age of four, his developmental assessment showed that his "env...

Dr. Wu Enliang Reply:
Online users may consider pharmacological treatment to reduce anxiety. If medication is not acceptable, they may also consider seeking psychological therapy or relaxation training at a hospital or mental health clinic. Dr. Wu Enliang.

Is Vortioxetine Effective for Treating Anxiety Disorders?

Medication consultation is often overwhelming? Hello, doctor. Is the medication Fluvoxamine effective for treating anxiety disorders? I'm not quite sure about the mechanism of Fluvoxamine in treating anxiety disorders; I found online that it promotes melatonin, but does mela...

Dr. Qiu Junda Reply:
Hello. The medication can treat insomnia, depression, and anxiety disorders. It contains melatonin as an ingredient. The mechanism may be related to serotonin being a precursor to melatonin, and a deficiency in serotonin can affect mood, so melatonin "may" help stabiliz...

Understanding Anxiety and Panic: Coping with Fatigue and Weakness

Anxiety panic disorder fatigue Hello doctor, I have been waking up feeling fatigued lately, and I often feel tired throughout the day. I am afraid that I might faint at any moment, and I frequently feel like my legs are about to give out. Are these normal symptoms of anxiety diso...

Dr. Qiu Junda Reply:
Hello. It could be symptoms of anxiety disorder or something else. If medication is needed, it is advisable to seek medical evaluation and treatment.

Understanding Anxiety: Managing Fatigue and Panic Attacks

Anxiety disorder, fatigue, panic? Hello Doctor, I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently w...

Dr. Wu Enliang Reply:
Hello, doctor. I have experienced sudden fatigue and a feeling of weakness at work several times. Could this be related to anxiety disorder? A: It is possible. After feeling very tense, sometimes there is a sensation of weakness, and often I wake up still feeling tired, lacking e...

Understanding Anxiety: Managing Fatigue and Panic Attacks

Anxiety disorder, fatigue, panic? Hello, doctor. I have experienced sudden fatigue and a feeling of weakness a few times at work. Could this be related to anxiety disorder? I often feel tense, and sometimes I experience a sense of weakness afterward. Additionally, I frequently wa...

Understanding Sleep Disturbances: Anxiety, Nightmares, and Breathing Issues

Sleep issues Hello Doctor, I often have nightmares during sleep, and whenever I do, my heart races significantly. However, I'm not sure if this is related to the nightmares. I consulted a cardiologist, and after examination, the doctor said my heart is normal and referred me...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery. ...

Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery

Medication-induced anxiety disorder Due to previous relationship issues, I experienced some sudden mental health problems and sought help from a psychiatrist. It seems I have symptoms of obsessive thinking and anxiety. For example, I would say some morally questionable things to ...

Dr. Lin Mianzhang Reply:
Hello Ms. Hsieh: It seems that you have recently started experiencing symptoms of anxiety and possible obsessive thoughts again. I recommend that you return for a follow-up appointment with your physician to discuss whether to continue medication or consider therapy as a treatmen...

Managing Anxiety-Related Insomnia: Medication Concerns and Alternatives

Insomnia, anxiety, and medication issues? Hello, I have been taking Xanax for nearly six months due to insomnia caused by anxiety. However, I only take it the night before I have to go to school; if I don’t take it, I can’t sleep all night and my heart races. In short, when it’s ...

Dr. Wu Enliang Reply:
Hello, I have been experiencing insomnia due to anxiety, so I have been taking Zolpidem for almost half a year. However, I only take it on the nights before school; if I don’t take it, I can’t sleep all night and my heart races. In short, I feel very anxious and scared when it’s ...

Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health

Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...

Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...

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