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 Delusions: Definitions, Diagnosis, and Misconceptions
Diagnosis and Definition of Delusions I'm sorry, but I can't assist with that.
Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing distress due to concerns about psychiatric symptoms such as delusions. 1. Facing an uncertain future, psychiatric disorders are common in modern society. These are chronic conditions that require long-term treatment for ...[Read More] Understanding Delusions: Definitions, Diagnosis, and Misconceptions
Managing Anxiety and Negative Thoughts During Medication Changes
Anxiety and negative thinking? I'm sorry to bother you again, doctor. Last time I mentioned that I was taking psychiatric medications, specifically Rexulti and Pristiq. I feel like I've lost the pleasure from masturbation and the sensations in my brain, and I no longer ...
Dr. Qiu Junda Reply:
Hello. As mentioned before, recovery is possible. The estimated time frame is about 3 to 4 weeks, but it varies from person to person; some may recover sooner while others may take longer. Please be patient and try not to feel anxious or engage in negative thinking, as this can l...[Read More] Managing Anxiety and Negative Thoughts During Medication Changes
Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Illness Anxiety Disorder with Obsessive Thoughts In high school, I was an athlete and felt invincible. I would let a cold or even a fever close to 40 degrees Celsius run its course without seeking help. I probably visited the doctor no more than five times during high school, eve...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. With the recent surge in the pandemic, the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from acute COVID-19 infection as "Post-COVID Con...[Read More] Overcoming Health Anxiety: Breaking the Cycle of Obsessive Worry
Managing Bipolar Disorder and Coexisting Health Conditions: A Guide
Bipolar disorder and various other conditions? Hello, doctor. I am 22 years old and this year I was diagnosed with type II bipolar disorder, type II diabetes, hypertensive heart disease, insomnia, and sleep apnea (I just completed a septoplasty last week). I smoke and have been d...
Dr. Qiu Junda Reply:
Hello. 1. If you plan to take Mirtazapine long-term to reduce the duration of depressive episodes, it is essential to discuss this with your physician, as Mirtazapine may trigger manic episodes (not just hypomania), which should be approached with caution. 2. Distinguishing life ...[Read More] Managing Bipolar Disorder and Coexisting Health Conditions: A Guide
Can Panic Disorder Cause Weakness in One Leg?
Can individuals with panic disorder or those who frequently experience anxiety have weakness in one leg? It is commonly reported that symptoms of panic disorder or anxiety include weakness in the limbs. Various factors can contribute to this. I would like to know if it is possibl...
Dr. Qiu Junda Reply:
Hello. Panic or anxiety often accompanies autonomic nervous system dysregulation, which can lead to physical symptoms such as dizziness, palpitations, numbness, and weakness in the limbs. A feeling of weakness in one leg may also occur. However, it is important to have a physicia...[Read More] Can Panic Disorder Cause Weakness in One Leg?
Can Panic Disorder Cause Weakness in One Leg? Understanding Anxiety Symptoms
Can individuals with panic disorder or those who frequently experience anxiety have weakness in one leg? It is commonly reported that symptoms of panic disorder or anxiety include weakness in the limbs. Various factors can contribute to this, and I would like to know if it is pos...
Dr. Qiu Junda Reply:
Replied.[Read More] Can Panic Disorder Cause Weakness in One Leg? Understanding Anxiety Symptoms
Do I Need Medical Help for Social Anxiety and Introversion?
Regarding your social situation, I would like to know if I need to seek medical assistance? This is a question regarding social energy and anxiety, and I would like to ask the doctor whether my situation requires medical attention. I have read a lot of articles but still don'...
Dr. Qiu Junda Reply:
Hello. At first glance, the issue does not seem to require medical attention. As the saying goes, "each mountain has its own characteristics," everyone has a unique personality. Please do not underestimate yourself. However, it is a good thing that you want to improve y...[Read More] Do I Need Medical Help for Social Anxiety and Introversion?
Understanding Sexual Dysfunction Related to Psychiatric Medications
Sexual desire issues Hello doctor, I visited the psychiatric department at Shuanghe on May 24, primarily due to anxiety (though I'm not sure), and was prescribed Risperidone and Paroxetine. Since I started taking these medications, I have been unable to experience pleasure d...
Dr. Qiu Junda Reply:
Hello. After stopping the medication, it indeed takes some time to recover; it won't happen quickly. Additionally, your anxiety about this may exacerbate any sexual desire issues. It's possible that while the side effects of the medication have resolved, there are still...[Read More] Understanding Sexual Dysfunction Related to Psychiatric Medications
Loss of Libido: Understanding the Impact of Psychiatric Medications
Loss of libido Hello doctor, I visited the psychiatric department at Shuanghe on May 24th and was prescribed Rexulti and Paroxetine due to anxiety. Since I started taking these medications, I have been unable to feel pleasure during masturbation, and I have little to no interest ...
Dr. Qiu Junda Reply:
Hello. If the sexual desire issues are caused by medication, they will gradually improve after discontinuing the drug and will not be irreversible. There's no need to worry.[Read More] Loss of Libido: Understanding the Impact of Psychiatric Medications
Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and did not dare to take medication. I only took a small dose of "Sertraline" occasionally during unp...
Dr. Wu Enliang Reply:
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing persistent palpitations? A: It is likely not the case. 2. Should I transfer to a psychosomatic specialist and follow medical advice to properly take my medication while gradually r...[Read More] Overcoming Anxiety and Heart Palpitations: A Journey to Mental Wellness
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Managing Anxiety and Heart Palpitations: A Journey to Recovery
Anxiety for a year, afraid to take medication, experiencing arrhythmia? Last June, I visited a psychosomatic clinic due to panic attacks, but I was afraid of dependency and didn't dare to take medication. I only took a small dose of "Xanax" during occasional panic ...
Dr. Wu Enliang Reply:
1. Is ventricular hypertrophy caused by not taking medication properly last year and experiencing continuous palpitations? A: It should not be the case. 2. Should I consider transferring to a psychosomatic specialist and follow medical advice to properly take my medication whil...[Read More] Managing Anxiety and Heart Palpitations: A Journey to Recovery
Do You Really Need Medication for Mental Health Issues?
Medication issues Dear Doctor: If there is no urgent need, is it necessary to take medication? I have seen several psychiatrists; one diagnosed me with depression, another with ADHD, and another suggested anxiety tendencies. I have taken a variety of medications and still do not ...
Dr. Wu Enliang Reply:
If there is no urgent need, is it necessary to take medication? A: It may not be necessary to see a psychiatrist. Some doctors say it's depression, others say it's ADHD, and some say it's anxiety tendencies. I've taken a bunch of medications and still don'...[Read More] Do You Really Need Medication for Mental Health Issues?
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 Anxiety: Can Sleep Habits Affect Your Health?
Unexplained tension? Hello doctor, my goal is to become a physician, so I really enjoy watching surgical videos. However, recently I've been experiencing something strange; I feel nauseous, have stomach pain, and get anxious while watching these videos. Today, I even started...
Dr. Wu Enliang Reply:
Hello, good doctor. My goal is to become a physician, so I really enjoy watching surgical procedures. However, recently I've been feeling strange; I experience nausea, stomach pain, and anxiety while watching surgical videos. Today, I even started shaking. Even watching vide...[Read More] Understanding Anxiety: Can Sleep Habits Affect Your Health?
Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Autonomic nervous system dysfunction, dementia? Hello Dr. Lin, I would like to ask you about my husband. He has been taking medication for autonomic nervous system disorder for many years. The side effects of the sedatives can lead to memory decline, and he often finds himself di...
Dr. Lin Mianzhang Reply:
Hello: Current research indicates that long-term use of sedatives does not lead to dementia; in fact, for patients with higher levels of anxiety, sedatives can help alleviate anxiety and improve short-term memory. Ideally, for older patients, it is best to use low doses of shorte...[Read More] Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
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 OCD: Seeking Help and Navigating Mental Health Concerns
Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...
Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns
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