Anxiety, Psychiatry FAQ

Managing Bipolar Disorder: Strategies to Curb Impulsive Spending

Continuation #206129 Bipolar Disorder Issues Hello Dr. Lin, thank you for your response! My father is currently exhibiting a range of contradictory behaviors. He claims to be the poorest compared to his friends and relatives, yet he also says that having enough money is sufficien...

Dr. Lin Mianzhang Reply:
Hello: It is recommended that you contact the local health center near your home to inquire about the possibility of applying for a home visit, where a nurse can assess the situation at your home. Alternatively, you can also consult a psychiatrist regarding your father's con...

Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options

Anxiety causes insomnia? Hello Dr. Wu, I have a personal constitution that makes me prone to anxiety and overthinking. During my consultation, the doctor diagnosed me with autonomic nervous system dysfunction, which causes discomfort whenever I experience anxiety or life stress. ...

Dr. Wu Enliang Reply:
1. The doctor said that Xin Jie can be taken once daily and can be taken for a lifetime. Will this cause a burden on the body? A: No. 2. I have been feeling good mentally and physically and have stopped taking medication for half a month, but I suddenly have insomnia again. Can ...

Understanding the Use of 1mg of Quetiapine for Sleep and Anxiety

Regarding Jing An Ning 1 mg? Hello, doctor. I have severe sleep disorders, as well as anxiety and depression, but I still can't sleep. Currently, I am taking medications: 2 tablets of Tinos, 2 tablets of Clonazepam, 2 tablets of Quetiapine, 1 tablet of Mirtazapine 50 mg, and...

Dr. Wu Enliang Reply:
There isn't much that can be done, and it's not advisable to rely heavily on medications. For insomnia, it's important to identify the underlying causes and address them accordingly, rather than continuously increasing the dosage of sedatives. Dr. Wu Enliang.

Understanding Social Anxiety: When to Seek Help for Your Symptoms

Social Anxiety Disorder I can engage in normal conversations, but I struggle to actively integrate into groups and feel resistant to participating in social activities. Descriptions of social anxiety found online, such as negative thoughts about myself and fear of making mistakes...

Dr. Qiu Junda Reply:
Hello. You can seek consultation in the Department of Psychiatry and Behavioral Science. With appropriate treatment, improvement is possible.

Should I See a Psychiatrist? Understanding My Mental Health Struggles

Should I see a psychiatrist? Hello, Dr. Lin! I apologize for bothering you. I haven't been doing well these past few years. During my student days, I often took leave due to my menstrual cycle, and when I returned to school, I frequently felt like I was falling behind everyo...

Dr. Lin Mianzhang Reply:
Hello, it seems that you have been experiencing symptoms of depression and anxiety for a long time, including feelings of sadness, difficulty sleeping, trouble concentrating, fatigue, and a lack of desire to go out, which can severely impact your ability to maintain a normal life...

Illusions or Delusions: Understanding Anxiety-Induced Visual Disturbances

Is it a visual hallucination or an illusion? Hello Doctor, I am a patient with health anxiety. I started medication in April of last year because I was experiencing persistent dizziness and was afraid it was a brain tumor. However, after a CT scan, the results were normal. Later ...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing distress due to your concerns about anxiety disorder (hypochondriasis). 1. Facing an uncertain future, anxiety disorder (hypochondriasis) is a common condition in modern society. It is a chronic illness that requires long-...

Understanding Depression: When to Seek Help for Mental Health Issues

Depressive mood I'm sorry to hear that you're feeling this way. It sounds like you're experiencing significant emotional distress, possibly related to exam stress and family trauma. The symptoms you're describing, such as palpitations, dizziness, feelings of h...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both depression and stress-related 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 rec...

Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges

Insomnia and anxiety? Hello, doctor. I have been visiting the psychosomatic clinic since 2014 for several years. Initially, I was prescribed Lexapro, but the side effects were too strong; I felt fatigued and sleepy all day after taking it. After a while, I couldn't tolerate ...

Dr. Li Zhengfeng Reply:
Hello: According to the letter, you may be suffering from depression. Whether you need to take a leave of absence should be determined by your attending physician's professional assessment. If necessary, rest can indeed improve your condition. In addition to medication, trea...

Struggling to Communicate: The Impact of Family Dynamics on Mental Health

Having nothing to say to family members? Due to family circumstances, I was raised by my uncle. People around me always say to listen to him because he has made many sacrifices to take care of me. However, during our conversations, he often imposes his own beliefs on me, and if I...

Dr. Yan Congyou Reply:
Hello: It sounds like your situation at home is quite oppressive and unhappy, which is a major source of your distress and unhappiness. Family issues are often the most challenging problems for individuals to handle and are something that everyone is forced to confront. These sit...

Overcoming Health Anxiety: Coping with Hypochondria and Self-Doubt

I have always suspected that I have a disease? Hello, doctor. I think I might have a tendency towards hypochondria. Previously, I experienced muscle twitching all over my body and felt weakness in my legs, which led me to suspect that I might be developing amyotrophic lateral scl...

Dr. Qiu Junda Reply:
Hello. The described situation mostly falls under the category of anxiety symptoms and has caused physical and mental distress. It is recommended to seek consultation at a psychosomatic medicine clinic. With proper treatment, improvement should be seen relatively quickly.

Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help

Bipolar disorder issues Hello, my father is in his 60s, and after observing his behavior for several months, we suspect he may have bipolar disorder. Below is a detailed description of his condition, and I would appreciate your response. Thank you. Around August of last year, h...

Dr. Lin Mianzhang Reply:
Hello: 1. The medication your father took, Meishuyu tablets, is typically used as a sleep aid, and the dosage is generally low, making it unlikely to trigger manic episodes. Additionally, since your father has not taken this medication since March or April of last year, and the...

Understanding Psychiatric Medications: Effects, Side Effects, and Treatment Duration

Medication consultation Hello, Doctor. These questions are very important to me, and I hope you can help me answer them. Thank you. I was previously taking Lexapro 75 mg (two tablets), Suboxone 50 mg (two tablets), and Cardizem 10 mg (two tablets). The doctor mentioned a six-mont...

Dr. Qiu Junda Reply:
Hello. 1. Lexapro 75mg (also known as Escitalopram) has antidepressant, anxiolytic, and anti-panic properties. Sucralfate 50mg can be used as a gastric medication, while Atenolol 10mg can reduce heart rate and has anxiolytic effects. 2. Medications are metabolized daily and do no...

Understanding Anxiety Medication: Bromazepam vs. SSRIs Explained

Questions about medications for treating anxiety? Hello, doctor. Due to diarrhea-predominant irritable bowel syndrome causing chronic anxiety symptoms, I visited National Taiwan University Hospital, where the physician prescribed Bromazepam (Lexotan). The dosage instructed was ha...

Dr. Qiu Junda Reply:
Hello. Your letter indeed reflects your anxiety and concerns. 1. You have researched BZD medications, which do carry a risk of withdrawal and addiction. However, why do doctors still prescribe them? Because they have anxiolytic effects that can help alleviate your symptoms. It&...

Safe Medication for Pregnant Women: Managing Anxiety and Depression

Medications during pregnancy Due to depression, anxiety, and panic attacks, I previously took Xanax during sudden emergencies, but I can no longer take Xanax during my pregnancy. My doctor prescribed me 2 tablets of Cymbalta (duloxetine) to take every night, stating that it is sa...

Dr. Qiu Junda Reply:
Hello. 1. Pregnant women can use antidepressants. 2. The itching may be related to nutritional factors and emotional psychological factors. 3. Theoretically, the emergency use of antidepressants may not be very effective; medications like anxiolytics would be more effective.

Understanding Light Sensitivity and Mental Health: Solutions and Insights

Strangely bright? After being discharged from a psychiatric hospitalization, my friend experiences anxiety and fear whenever they see any light. Everything appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel tense and uneasy. Howev...

Dr. Wu Enliang Reply:
A netizen previously hospitalized for mental health issues experiences anxiety and fear whenever exposed to any light after discharge. Everything they see appears particularly bright, and in darkness, it also seems excessively bright, causing them to feel anxious and fearful. How...

Can Social Anxiety Disorder Co-Occur with Autism Spectrum Disorder?

Can social anxiety disorder co-occur with autism spectrum disorder? Hello, doctor! I am a 23-year-old individual diagnosed with moderate autism (diagnostic code: F84.0) who has verbal communication skills and emotional issues that need to be addressed. I exhibit aggressive behavi...

Dr. Wu Menghuan Reply:
Hello, Q1: Can social anxiety disorder co-occur with autism spectrum disorder? A1: "Social anxiety disorder" has been renamed from "social phobia" in the DSM-5. There are significant differences in essence between "social anxiety disorder" and &qu...

Understanding Anxiety Symptoms During Travel: A Teen's Experience

Feeling short of breath while riding in a vehicle and needing to use the restroom? Hello Doctor, I am in the first year of junior high school. Every time I go out with my family or participate in school outdoor activities, I have to take transportation. However, as soon as I get ...

Dr. Qiu Junda Reply:
Hello. It seems that getting into the car triggers anxiety symptoms for you. Trying a few deep and slow breaths may help a bit. If that doesn't work well, you might consider asking a family member to take you for a consultation and evaluation at a pediatric mental health cli...

Understanding Depression: When to Seek Help for Yourself and Your Partner

Depression may occur? Hello Doctor: I would like to ask, in the past couple of months, my girlfriend's depression seems to have affected me, and my emotions have become very unstable, often feeling down. Online depression tests indicate that I may have depression and suggest...

Dr. Qiu Junda Reply:
Hello: Online tests can serve as an initial screening. Visiting a mental health specialist can provide further assessment and treatment (including counseling). It does not necessarily mean that you have a disorder. Your girlfriend's situation is similar to the adjustment dis...

Long-Term Effects of Psychiatric Medications on Heart Health

The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...

Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues, rather than the side effects of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, r...

Long-Term Effects of Psychiatric Medications on Heart Health

Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues rather than a side effect of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, rathe...

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