Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Anxiety disorder and insomnia? Hello, I have been diagnosed with anxiety disorder, and my insomnia has recently become more severe than before. I often feel anxious and have palpitations, and sometimes I even experience panic. I frequently feel nauseous, dizzy, or have trembling ...
Dr. Qiu Junda Reply:
Hello. The physical symptoms you described, including insomnia, fall within the range of anxiety disorders. Sometimes, factors such as stress and the environment can affect the severity of the symptoms. I recommend that you take the time to consult a psychiatrist. If you have con...[Read More] Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Is Anxiety Disorder Hereditary? Understanding Genetic Links in Mental Health
Can mental illnesses be inherited? Hello, doctor. I have anxiety disorder, and I have had symptoms since childhood, such as crying whenever my mother left me. Even in elementary school, I would easily cry due to nervousness. As I grew older, I noticed that my grandmother and gran...
Dr. Lin Mianzhang Reply:
Hello: Personality traits can indeed be hereditary, and so can mental illnesses, but it is not a certainty. Parents contribute half of their genes to their children, and even if there are related genes, they may not fully manifest; environmental factors also play a significant ro...[Read More] Is Anxiety Disorder Hereditary? Understanding Genetic Links in Mental Health
Is It Anxiety? Understanding Your Thoughts and Feelings
Are these symptoms related to anxiety disorders? I often find myself overthinking when I'm outside, and I feel that it's much better to stay at home. I frequently have thoughts that I don't want to think about, and I'm not afraid of them. Thank you, doctor.
Dr. Qiu Junda Reply:
Hello. From a preliminary assessment, it does not seem to reach the level of an anxiety disorder. However, if you are feeling quite troubled by it, you might consider taking some time to consult with a mental health specialist.[Read More] Is It Anxiety? Understanding Your Thoughts and Feelings
Managing ADHD and Emotional Challenges: Beyond Medication Solutions
ADHD/ADD and Emotional Regulation Hello, Doctor: I have had symptoms similar to ADHD since childhood. I was taken to National Taiwan University for an evaluation during kindergarten or early elementary school, but I was not given a detailed diagnosis and the doctor attributed it ...
Dr. Li Jite Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about ADHD and anxiety. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires long-term treatmen...[Read More] Managing ADHD and Emotional Challenges: Beyond Medication Solutions
Managing Anxiety: Balancing Medication and Therapy for Recovery
Anxiety-related Hello, doctor. When I was in the ninth grade, I became anxious and started experiencing obsessive thoughts due to certain issues. I visited two psychiatric clinics during my first and second years of high school (both had follow-up visits, but they were not long-t...
Dr. Tang Jiahong Reply:
Hello. Of course, you can discuss dosage issues with your physician. If your condition is stable, the dosage usually will not be increased unless there are specific reasons. Regarding psychological testing, you might want to consider why you wish to cancel it. After all, it is ju...[Read More] Managing Anxiety: Balancing Medication and Therapy for Recovery
Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Anxiety Panic Disorder Hello Dr. Wu, I often experience rapid heartbeat and missed beats, so I consulted a cardiologist. The cardiologist indicated that there are no significant heart issues, and that my discomfort is mainly due to autonomic nervous system problems. Consequently...
Dr. Wu Enliang Reply:
1. Is Bupropion effective for anxiety disorders and panic disorders? A: Bupropion is primarily used to treat depression. 2. Will taking Bupropion cause my heart rate to increase or make my anxiety and panic worse? A: It should not. 3. Are dizziness or fatigue common side effe...[Read More] Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Understanding Anxiety and Self-Harm: A Teen's Journey to Mental Health
Anxiety and self-harm treatment? I am a second-year junior high school student. When I was in elementary school, I was isolated by my classmates (someone led the way and said not to play with me). I'm not sure if this was the trigger, but I have had thoughts of suicide and s...
Dr. Liang Sunyuan Reply:
Hello, Ye Yu: For treatment to be effective, it is essential to trust the professionals and cooperate fully to achieve the best results. Even if the physician or psychologist is a friend of your parents, you can still discuss your concerns with them. I believe they will engage wi...[Read More] Understanding Anxiety and Self-Harm: A Teen's Journey to Mental Health
Managing Anxiety: Medication Concerns and Lifestyle Adjustments
Anxiety disorder medications Hello Doctor, I visited two different psychiatric clinics during my first year of high school for obsessive thoughts and anxiety. However, I stopped taking the medication due to adverse effects on my body. During that time, I continued counseling thro...
Dr. Wu Kunhong Reply:
Dear netizen, it is commendable that you are actively addressing your illness with diligence, including medication management and psychological adjustment, as well as engaging in activities and interests as coping strategies. If you are considering discontinuing treatment, it is ...[Read More] Managing Anxiety: Medication Concerns and Lifestyle Adjustments
Can Anxiety Disorders Cause Stomach Discomfort and Tightness?
Stomach discomfort? Hello, doctor. Two months ago, I was diagnosed with severe panic anxiety disorder. Since then, I often find myself unconsciously tightening my stomach, which leads to discomfort. I only realize it when I think, "I've tightened my stomach again."...
Dr. Peng Yingjie Reply:
Anxiety disorders can trigger a systemic sympathetic nervous system response, with individuals reacting in different areas of the body. Many people experience a sensation of gastric tightness, which can affect appetite and food digestion. If one can develop self-awareness, relaxa...[Read More] Can Anxiety Disorders Cause Stomach Discomfort and Tightness?
Managing Sleep Disturbances and Anxiety After Medication Changes
It seems that the medication has caused shallow sleep, vivid dreams, and frequent awakenings for the past two months? Hello Doctor, last September, I suddenly started experiencing frequent belching (sometimes several times a minute, and other times every few minutes). The next da...
Dr. Tian Xinqiao Reply:
Based on the description in the letter, the symptoms of physical discomfort and sleep issues have significantly impacted the individual's well-being, leading to feelings of low mood. Anxiety symptoms manifest not only as emotional distress but also through somatic symptoms, ...[Read More] Managing Sleep Disturbances and Anxiety After Medication Changes
Does Depression Affect Sexual Function? Understanding the Connection
Does depression affect sexual function? Hello, doctor. After visiting a mental health specialist in June last year, I was diagnosed with mild depression, anxiety disorder, and adjustment insomnia. I am currently undergoing medication treatment, and my condition has been steadily ...
Dr. Wu Enliang Reply:
Many internet users experience decreased libido and sexual dysfunction due to loss of interest and joy during depressive episodes. However, if these issues persist even after the improvement of depression, it is important to consider whether certain individuals are experiencing s...[Read More] Does Depression Affect Sexual Function? Understanding the Connection
Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Jing'an Ning medication I have been experiencing tinnitus and during my treatment, the doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for another six mon...
Dr. Liang Sunyuan Reply:
Hello: Stopping medication when symptoms have not improved can indeed lead to anxiety, insomnia, and other symptoms. After resuming medication, it may sometimes take patience to wait for a period of time before stability returns. If there is still no improvement after adjusting t...[Read More] Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Understanding Withdrawal Symptoms from Jing An Ning: A Psychiatric Perspective
Jing'an Ning withdrawal syndrome I have been experiencing tinnitus and during the treatment, my doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for anothe...
Dr. Wu Enliang Reply:
The user, Gao Jing'an, is a short-acting anxiolytic medication that can lead to dependence with long-term use. It is recommended to discuss with your physician the possibility of switching to a long-acting medication to avoid severe withdrawal symptoms. Dr. Wu Enliang.[Read More] Understanding Withdrawal Symptoms from Jing An Ning: A Psychiatric Perspective
Struggles with Mental Health: My Brother's Reluctance for Counseling
My brother is unwilling to seek psychological counseling? The situation is as follows: In September 2021, my younger brother (the youngest) just started high school. After a few weeks, he suddenly changed his demeanor, expressing to my parents that he didn't want to go to sc...
Dr. Wu Menghuan Reply:
Hello: The situation described for the younger brother includes a combination of social withdrawal, school refusal, excessive internet use, and gaming addiction. External influences may include academic pressure from school, family issues, and interpersonal relationship problems....[Read More] Struggles with Mental Health: My Brother's Reluctance for Counseling
Understanding Autonomic Nervous System Disorders: Symptoms and Treatments
Autonomic nervous system dysfunction Hello, Doctor. Two years ago, after a meal, I began experiencing palpitations and arrhythmias. These symptoms have continued to occur intermittently over the past two years. The most common triggers are: 1. Discomfort in the chest during or af...
Dr. Li Jite Reply:
Greetings Rose, it seems you have been through a lot of discomfort over the past two years. You have sought medical advice, and during follow-ups and examinations, we were informed that there are no significant issues with your "body," meaning your "organs and phys...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatments
Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Obsessive-Compulsive Disorder (OCD) or Hypochondriasis? Hello, Doctor! Since the pandemic began, I've started to feel some anxiety. While I'm not as anxious about COVID-19 anymore, it seems that I've developed a form of obsessive cleanliness, constantly washing my ...
Dr. Lin Mianzhang Reply:
Hello Lily: It seems that you are really anxious, and I empathize with you! Your situation may be related to "illness anxiety disorder" or "obsessive-compulsive disorder," or possibly both. These conditions are associated with stress, especially since you star...[Read More] Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic
Overcoming Communication Barriers: Understanding Mental Health Challenges
Impairment in daily communication with others? Hello doctor, I experienced relational bullying during my childhood, and this may be the reason (or it could be innate) for the following issues: 1. I feel uncomfortable with physical touch, such as handshakes or getting my hair cut,...
Dr. Wu Enliang Reply:
It is highly likely that netizens may be experiencing social anxiety disorder, according to Dr. Wu En-Liang.[Read More] Overcoming Communication Barriers: Understanding Mental Health Challenges
Consultation on Medication Addiction and Tapering Strategies
Substance addiction counseling and medication tapering consultation? Hello, doctor. Over a year ago, I developed autonomic nervous system dysregulation due to anxiety disorder, and I am currently undergoing treatment. The medications I am taking include one tablet of Xyprexa in t...
Dr. Qiu Junda Reply:
Hello. Generally, sleeping medications do have the potential for addiction, and the sleep medication you are using falls into this category. Whether the dosage is too high varies depending on the condition, so please discuss this with your attending physician. If you wish to redu...[Read More] Consultation on Medication Addiction and Tapering Strategies
Are the Side Effects of Sleep Medications Reversible?
Are the side effects of sleeping pills reversible? I have been having trouble sleeping lately, and I need to wake up early in the morning. The doctor prescribed me Ulotaront and Lurasidone, but I feel like they affect my cognitive abilities and memory. Are these side effects reve...
Dr. Yu Quanxun Reply:
Hello: It sounds like the situation you are experiencing is affecting your life and may be causing you concern and distress. There are many factors that could lead to limitations in memory and cognitive function (such as sleep disorders, mood disorders, anxiety disorders, psychot...[Read More] Are the Side Effects of Sleep Medications Reversible?
Is There Autonomic Nervous System Near the Tibia? Understanding Leg Pain
Is there autonomic nervous system activity near the tibia? Hello Doctor: I have been suffering from autonomic nervous system dysfunction and generalized anxiety disorder for a year and am currently on medication. Recently, I have been experiencing a dull pain in the mid-section o...
Dr. Qiu Junda Reply:
Hello. Symptoms related to autonomic nervous system dysfunction are rare. You may first consult an orthopedic specialist. If it is indeed related to autonomic nervous system dysfunction, the physician will also assess whether a referral to a psychosomatic medicine specialist is n...[Read More] Is There Autonomic Nervous System Near the Tibia? Understanding Leg Pain