Anxiety, Psychiatry FAQ

Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers

Withdrawal from Clonazepam 1 mg and Escitalopram 0.25 mg? I work alternating day and night shifts. After receiving the booster dose of the COVID-19 vaccine in February 2022, I experienced insomnia symptoms. I was prescribed Eszopiclone 5 mg and Lorazepam 1 mg to take before bed a...

Dr. Wu Enliang Reply:
How long should one wait to discontinue Keppra? A: There is no specific duration, but maintaining good sleep hygiene (such as engaging in moderate exercise and avoiding the bed before sleep) can allow for a gradual reduction or discontinuation of the medication. Will withdrawal s...

Can New Sleep Aid Dazhuimen Be Taken with Ativan for Insomnia?

The new sleep medication, Dazepam? I have been experiencing insomnia without any apparent reason and have been seeing a neurologist for 10 years. I have been taking half a tablet of Eszopiclone (Lunesta) and one 0.5 mg tablet of Lorazepam (Ativan), but I don't take them ever...

Dr. Li Zhengfeng Reply:
Hello: Zolpidem can be taken with benzodiazepines. If you are unable to discontinue benzodiazepines, you may continue to take them, but it is recommended to use a single sleep medication whenever possible to avoid polypharmacy. Wishing you a speedy recovery.

Understanding Anxiety and Physical Symptoms in Adolescents: A Guide

Is there any specific condition? Hello Doctor: I have three questions I would like to ask you, as I am unsure why I am experiencing these issues. 1. I am currently a third-year music student, and I have been experiencing hiccups for over a year. I visited a gastroenterologist w...

Dr. Wu Menghuan Reply:
Hello: Q1. I am currently a student in the third year of junior high school music class. I have been experiencing hiccups for over a year, but after visiting a gastroenterologist, I was told that my stomach is fine. The doctor prescribed medication, but it didn't help. Som...

Understanding Anxiety Around Daily Routines: Tips for Relief

Excessive anxiety in the body? Hello, Doctor. Bowel movements and sleep are very natural processes for most people, but they cause me anxiety. I have a habit of having a bowel movement at a specific time every day. In the past, I would only start to feel anxious if I didn’t have ...

Dr. Li Zhengfeng Reply:
Hello: Based on your letter, it seems you may have a specific anxiety disorder, experiencing anxiety in certain situations that exceeds normal levels and affects your daily life. I recommend that you start practicing some relaxation techniques. If this does not lead to effective ...

Finding the Right Medication for Mental Health: A Patient's Journey

Hello, could you please tell me what medication I should take? Hello, I have been taking Anxiolytic 5mg in the morning and Risperidone 1mg in the evening for almost two years. However, I feel that over the past year, the effectiveness of these medications has diminished. Due to w...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of taking medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for recov...

Overcoming Paranoia: Seeking Help for Persistent Anxiety Issues

Paranoia These issues have been troubling me and occurring repeatedly, affecting my daily life. I find myself constantly overthinking and feeling anxious. For example, I worry about my drinks being tampered with or poisoned, I am concerned that my helmet left outdoors (when parki...

Dr. Wu Enliang Reply:
Netizens really need to seek medical attention from a psychiatrist! Dr. Wu En-Liang.

Overcoming Anxiety When Using Public Transportation: A Personal Journey

Feeling anxious while using public transportation? Once, while riding an escalator, I had a thought that I couldn't quite identify. After forgetting it, I felt as if I had been hypnotized; the next time I used the escalator, I was going up. If it's a long escalator, I f...

Dr. Li Guanying Reply:
From your letter, it is evident that you are experiencing discomfort and distress due to anxiety issues. 1. Facing an uncertain future, depression and anxiety disorders are common psychosomatic conditions in modern society. These are chronic illnesses that require long-term tre...

Managing Chest Pain While Starting Anxiety Medications: What to Know

Medication consultation, chest pain? Hello, this is my first time starting anxiety medication. I am currently on the fifth day of the following medications: YOU-JET F.C (Sertraline), Alprazolam, Lorazepam, and Sulpiride. I take these medications consistently every day, but now I ...

Dr. Wu Enliang Reply:
Hello, these medications should not cause chest pain. Chest pain is also a common psychosomatic symptom, often manifesting during episodes of anxiety. I'm not sure if that is related. Dr. Wu Enliang.

Understanding Anxiety Disorders and Family Dynamics in Adolescents

Anxiety Disorders and Family Issues Hello Doctor, I am currently in the first year of junior high school. Since last summer when school started, I have been experiencing excessive anxiety and social anxiety, often worrying about illnesses (like parasites), having a fear of height...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety and family issues. 1. Facing an uncertain future, depression and anxiety are common disorders in modern society. These are chronic conditions that require long-term treatment for...

Overcoming Anxiety and Depression: Seeking Help for Mental Health Challenges

Depression Issues Hello, doctor. I sometimes experience anxiety and depression, which have affected my school, academics, and interpersonal relationships. A few months ago, I took an online depression assessment and found that my score was in the moderate to severe range. This ha...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an evaluation and testing to determine if there are any psychosomatic issues or related concerns. Our clinic is open Monday to ...

Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms

Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...

Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...

Overcoming Swim Class Anxiety: Seeking Help for Aquaphobia

Fear of swimming classes, causing anxiety to the point of sleeplessness? Hello, doctor. Our school's physical education class includes swimming lessons, but I have always been afraid of water and the feeling of not having my feet touch the bottom. I have tried to swim a few ...

Dr. Wu Enliang Reply:
It is advisable for individuals to gradually overcome their fear of swimming, as most people experience improvement after treatment. Typically, if there is no significant improvement after at least one year of consistent therapy, one might consider such a diagnosis and agree to t...

Understanding Privacy in Psychological Assessments: Key Questions Answered

Issues related to psychological counseling? Hello, doctor: After graduating from high school, I received treatment at the psychiatric department of Hospital A and underwent a psychological evaluation there (the report has been uploaded to the National Health Insurance system). I ...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Patient privacy is governed by data protection regulations, and you can refer to relevant websites for more information. The recent surge in the pandemic has led the Centers for Di...

Overcoming Anxiety About STDs: A Guide for Mental Health

I have always been very worried about contracting a sexually transmitted infection (STI)? Hello doctor, I easily get anxious and overthink. I constantly feel that if I touch something casually, or use a shared washing machine or restroom, I will contract a sexually transmitted in...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Recently, the pandemic has intensified, and the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from the long-term effects of acute COVID-19 inf...

Struggling with Insomnia After Starting Medications for ADHD and Anxiety

Does taking Panadol Extra make it hard to sleep? I visited the doctor due to ADHD, Asperger's syndrome, and insomnia. Last month, the doctor prescribed me Xanax as an anti-anxiety medication. Currently, I take one Xanax before bed, and if I can't sleep, I take Zolpidem....

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident 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 Self-Harm and Mental Health: Is It Dissociation or Something More?

What is happening to me? Is it dissociation? Thought disorder? Am I just overthinking? Since last November, I have been experiencing self-harm behaviors that have become increasingly intense and deeper. Self-harm provides me with a sense of calm and a feeling of clarity, and I fi...

Dr. Liang Sunyuan Reply:
Hello, Huiwu: Self-harm is often associated with depression, high stress, and difficulty in coping with irritability. In your description, you mentioned symptoms such as depression, anxiety, and dissociation, along with a background that has experienced considerable stress. Your ...

Should Students Seek Help for Mental Health Issues? The Importance of Treatment

Students are hesitant about whether to visit a clinic for medical care. Can they really recover without seeing a doctor? I previously visited a mental health specialist with my mother twice. After the first visit, I was diagnosed with anxiety disorder and prescribed medication, b...

Dr. Lin Mianzhang Reply:
Hello, classmate: Your anxiety, panic, depression, and insomnia have severely impacted your daily life and have caused you significant stress about attending school. This situation requires professional help. Through consultations with a physician, psychological counseling, and m...

Understanding the Efficacy and Side Effects of Anxiety Medications

The efficacy and side effects of medications for anxiety disorders? Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I have previously taken Lexapro 75mg (two tablets), Suboxone 50mg (two tablets), and Heart Care 10mg (tw...

Dr. Wu Enliang Reply:
A: No, the effects of the medication do not remain in the body. Since the symptoms are still present, if you return for treatment, will the duration of the treatment be shortened? A: The treatment duration will not be shortened. It is recommended to take the medication "Lexa...

Understanding the Efficacy and Side Effects of Anxiety Medications

Efficacy and Side Effects of Anxiety Medications Hello, doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I have previously taken Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The do...

Dr. Wu Enliang Reply:
Netizens are curious about whether the therapeutic effects of medications remain in the body. A: No, they do not. Since the symptoms still persist, if treatment is resumed, will the duration of the treatment be shortened? A: The duration of treatment will not be shortened. It is ...

Understanding Autonomic Nervous System Disorders and Depression: Key Insights

Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...

Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...

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