Concerns About Side Effects of Clonazepam for Sleep Disorders
Inquiry about the side effects of tranquilizers? Hello, Doctor. I have been diagnosed with circadian rhythm disorder (difficulty falling asleep) and unspecified anxiety disorder. I have a medication history of 3 years, originally taking Remeron 1, Trazodone 2, Ativan 2, and Zolpi...
Dr. Qiu Junda Reply:
Hello. Since it is uncertain whether the skin itching is caused by the change to the sedative medication, it is recommended to first consult a dermatologist for evaluation and treatment. This will help clarify the cause and improve the condition.[Read More] Concerns About Side Effects of Clonazepam for Sleep Disorders
Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Anxiety disorder relapsed without discontinuing medication? Seven years ago, I was diagnosed with anxiety disorder and have been consistently taking medication. I have been stable for seven years (calm), without stopping the medication. However, this year, for some unknown reason...
Dr. Wu Enliang Reply:
Anxiety disorders often have a tendency to relapse, and there are many reasons for this. However, most individuals experience symptom relief after treatment. It is important to patiently engage in therapy. Keep it up! - Dr. Wu Enliang[Read More] Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
Understanding Medication Dosage for Generalized Anxiety Disorder
Medication dosage Last year, I was diagnosed with generalized anxiety disorder and was prescribed a medication regimen of Duloxetine 60mg and Clonazepam 1mg (with Flupentixol 0.25mg as a backup). 1. Is this dosage considered high? 2. I stopped taking the medication on my own in...
Dr. Qiu Junda Reply:
Hello. 1. Objectively, this dosage is not heavy. 2. The medication will be metabolized and will not cause irreversible damage to the brain, so there is no need to worry. 3. I am not aware of your actual situation, so I cannot provide specific advice. I only suggest that if you wi...[Read More] Understanding Medication Dosage for Generalized Anxiety Disorder
Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Frequently cursing oneself internally? Hello, Dr. Lin. I am very afraid of getting sick, getting injured, or becoming disabled. The more I fear, the more I can't help but think about it. Recently, I don't know why, but whenever I want to do something I enjoy or any smal...
Dr. Lin Mianzhang Reply:
Hello, Xiao Liu: It seems that your situation is causing you significant distress. I recommend that you combine pharmacological treatment with psychotherapy to effectively improve your condition. Regarding medication, serotonin-based antidepressants such as "Luvox" (Flu...[Read More] Overcoming Self-Curse Thoughts: Managing Anxiety and Medication Fears
Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Occupational therapy issues related to obsessive-compulsive disorder and anxiety disorders? Hello, doctor. I am a patient with obsessive-compulsive disorder (OCD) and anxiety disorder. I was discharged from the psychiatric ward at the hospital at the end of April and am currently...
Dr. Lin Mianzhang Reply:
Hello, Xiao Chen: The treatment for obsessive-compulsive disorder (OCD) and anxiety disorders primarily involves medication and psychotherapy. Occupational therapy aims to enhance your ability to adapt to daily life and can be used as an adjunct, but it is not the primary treatme...[Read More] Can Occupational Therapy Improve OCD and Anxiety Symptoms?
Understanding BZD Medications and Their Impact on Cognitive Symptoms
Benzodiazepines and Physical Symptoms Hello Doctor: A few days ago, I inquired about whether benzodiazepines (BZD) could alleviate symptoms such as difficulty concentrating, dizziness, blurred vision, slow focus switching between near and far, distorted and shaky visual fields, v...
Dr. Qiu Junda Reply:
Hello. 1. Although I cannot assess your symptoms, based on your description and the physician's diagnostic judgment, your symptoms could theoretically be explained by an anxiety disorder. 2. If it is an anxiety disorder, the primary treatment medications are anxiolytics, and...[Read More] Understanding BZD Medications and Their Impact on Cognitive Symptoms
Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Fear of developing a rare or serious illness as reported can lead to feelings of guilt when trying to rest, making it difficult to fully relax? Hello, doctor. I am 15 years old and just finished my junior high school entrance exams. Recently, I thought about taking a few days to ...
Dr. Qiu Junda Reply:
Hello. It seems that you have high self-expectations or feel pressure from your parents' expectations. It appears that you are putting a lot of strain on yourself, which is leading to unhappiness in your life and excessive worry. I suggest you take a bold step to relax (sinc...[Read More] Overcoming Anxiety: Finding Balance Between Relaxation and Goals
Managing Anxiety and Depression: Choosing the Right Medications
Medication issues Hello, Doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to relationship issues, my mood has become complicated, and my condition has worsened. After reevaluation, the do...
Dr. Qiu Junda Reply:
Hello: 1. Both Subitram and Lexapro can combat anxiety, but the effectiveness varies from person to person. It depends on which one works better for you after use. However, among the two, Lexapro has a higher potential for addiction. 2. Your tapering process for Keppra seems gene...[Read More] Managing Anxiety and Depression: Choosing the Right Medications
Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Medication Consultation Hello, doctor. I have been diagnosed with generalized anxiety disorder and insomnia, and I have been on medication for over two years. Recently, due to emotional factors related to my relationship, my condition has worsened. The doctor reassessed my sympto...
Dr. Wu Enliang Reply:
Which is better for combating anxiety, Shoubi Lang (Sertraline) or Lewei (Lorazepam)? A: Lewei (Lorazepam) may lead to drug dependence and withdrawal symptoms. A: Taking it daily for a month can result in this. Therefore, it is advised to only take it when necessary and not on a ...[Read More] Choosing the Right Medication for Anxiety: A Guide to Subiran and Lexotanil
Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Psychiatric medications I have anxiety disorder, so I have been taking medication for it. However, after a while, I felt it wasn't effective, and my doctor switched my medication. Although the new medication seems to be working, I have noticed a significant weight gain. Duri...
Dr. Qiu Junda Reply:
Hello. These medications do not cause indigestion. Whether weight gain is related to the medication is still to be evaluated. You may try discontinuing SUNPYLON TABLETS 50MG to see if there is any improvement. Additionally, you can seek assistance from a hospital's weight ma...[Read More] Managing Anxiety Medications: Weight Gain Concerns and Side Effects
Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Medications for Generalized Anxiety Disorder - Klonopin (Clonazepam) Hello, Doctor. I would like to ask you about my situation. I have been diagnosed with generalized anxiety disorder and have been on medication for two years. Throughout my treatment, I have faced issues with med...
Dr. Wu Enliang Reply:
Hello, is the dosage of the sleeping medication I am using considered high? A: Yes, the dosage of the sleeping medication is somewhat high. Will it be difficult to withdraw from it later? A: It varies from person to person. By the way, is there currently any clear evidence linkin...[Read More] Managing Generalized Anxiety Disorder: Medication Concerns and Alternatives
Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...
Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...
Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...[Read More] Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...
Dr. Qiu Junda Reply:
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Overcoming Severe Anxiety: Strategies for Public Speaking Success
Severe anxiety Hello, Doctor! I've been struggling with anxiety for a long time. Whenever I have to give a presentation or speak in public, I start feeling anxious weeks in advance. In the nights leading up to the event, I often can't sleep. Even though I've practi...
Dr. Huang Zhijia Reply:
Hello: The more you care, the more anxious you become; the more anxious you are, the worse the situation gets, leading to a vicious cycle of increased concern. Practicing not to care is easier said than done; it is advisable to engage in other interesting activities to distract y...[Read More] Overcoming Severe Anxiety: Strategies for Public Speaking Success
Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Frequently feeling unwell? Hello, doctor. I tend to be easily nervous and anxious, and I am quite sensitive. I often worry excessively about my health; whenever I feel even a slight discomfort, I can't help but focus on that "discomfort," which only intensifies my ...
Dr. Lin Mianzhang Reply:
Hi there! Your situation is quite typical of illness anxiety disorder. It’s clear that you are making a strong effort to feel better, which leads you to pay more attention to your bodily sensations. However, paradoxically, the more you focus on your physical condition, the more a...[Read More] Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Understanding Involuntary Hospitalization for Anxiety Disorders
Involuntary hospitalization Hello, doctor. I have a friend who suffers from anxiety disorder. Recently, his anxiety has relapsed, and he had an impulse to take pills. However, he managed to suppress it and called others for help. The night before last, he suddenly lost control an...
Dr. Wu Kunhong Reply:
Treatment options for mental illnesses include emergency care, outpatient services, home treatment, and inpatient care. Your friend should seek an evaluation from a trusted psychiatrist to adjust medications and choose the appropriate treatment method. Wishing you all the best. D...[Read More] Understanding Involuntary Hospitalization for Anxiety Disorders
Exploring Treatment Options for Social Anxiety and Emotional Distress
What kind of treatment should I seek? (What should I do?) Since childhood, I have felt uncomfortable interacting with everyone except my mother and sister, suppressing my true thoughts. Now that I'm in high school, this issue has become increasingly severe. My life is misera...
Dr. Liang Sunyuan Reply:
Hello: The symptoms you described may indicate social anxiety disorder. Seeking medical treatment or psychological counseling could improve the situation, but it requires more patience, as alleviating anxiety takes time. If you are considering hypnosis as a treatment option, it i...[Read More] Exploring Treatment Options for Social Anxiety and Emotional Distress
Managing Panic Disorder: Understanding Symptoms and Treatment Options
Anxiety Panic Disorder Hello, Dr. Wu. I often experience chest tightness and difficulty breathing. In the mornings, about ten minutes after I wake up, I start to feel dizzy and nauseous, along with bloating. Every day, I have a sensation of tightness in my shoulders and neck, and...
Dr. Wu Enliang Reply:
Netizens are unsure why some people stop using Paxil (Paroxetine). Is it due to side effects? After the first-generation SSRI Paxil, many medications with fewer side effects and potentially better efficacy have been introduced. Xanax (Alprazolam) is a medication that provides tem...[Read More] Managing Panic Disorder: Understanding Symptoms and Treatment Options