Are You Overthinking? Understanding High Sensitivity and Anxiety
Are you worried too much or overthinking? Is it just high sensitivity? Hello, recently I experienced a lot of academic pressure which led to an emotional outburst. It affected my physical condition, and since it was my first time encountering such a situation, I became easily wor...
Dr. Lin Mianzhang Reply:
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability. To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that low...[Read More] Are You Overthinking? Understanding High Sensitivity and Anxiety
Finding Hope: Navigating Depression and Mental Health Challenges
Will I really get better? Hello Doctor, I have been diagnosed with depression or persistent depressive disorder, and I have a history of social anxiety disorder which has since resolved. Recently, my physician suspects I may have hypomania. Although I am relatively young, my medi...
Dr. Lin Mianzhang Reply:
Hello Eunice: Thank you for your hard work! From your situation, it seems that you really need a stable doctor-patient relationship so that the physician can understand your condition and provide you with the most suitable treatment. If you frequently change doctors (even if it&#...[Read More] Finding Hope: Navigating Depression and Mental Health Challenges
Understanding Suicidal Thoughts and Emotional Struggles in Depression
Suicide-related issues and some trivial matters? Hello, doctor. I am a patient with severe depression and have recently been suspected of having hypomania. I have been undergoing medication treatment for five years and have completed one course of rTMS, but my condition remains u...
Dr. Wu Enliang Reply:
If a patient's condition becomes unstable due to transference towards their physician or therapist, it may be necessary to consider changing providers. If injections are causing severe pain, it is recommended to administer the injection deeper, and the medication should be s...[Read More] Understanding Suicidal Thoughts and Emotional Struggles in Depression
Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Emotional issues Hello, doctor. Recently, I've been experiencing sudden mood swings where I start hitting my own head and slapping my face, even though there's nothing specific making me unhappy. When others see this, they just laugh, which makes me feel even worse. I w...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have appeared suddenly, it is important to consider whether they are related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) defines...[Read More] Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Understanding Drug Interactions in Psychiatric Medications: A Guide
Drug interactions Hello Dr. Lin, I apologize for the interruption. I was previously taking antidepressant and anti-anxiety medications, but due to recent issues with lymphadenitis, I need to take additional medications (listed below). I would like to ask if there are any potentia...
Dr. Lin Mianzhang Reply:
Hello Brisko: The medications you are taking do not have significant interactions with each other. The only thing to be aware of is to complete the full course of antibiotics as prescribed by your physician to prevent the development of antibiotic resistance. Additionally, since ...[Read More] Understanding Drug Interactions in Psychiatric Medications: A Guide
Overwhelming Exam Pressure: When to Seek Help for Mental Health
Feeling overwhelmed by stress to the point of wanting to commit suicide? I am a student preparing for the exam this year, and when I see my unsatisfactory grades, I feel like crying. Whether it's a major or minor exam, I come home and avoid using my phone, but I constantly f...
Dr. Lin Mianzhang Reply:
Hello, Xia: It seems that you are experiencing significant anxiety, irritability, insomnia, suicidal thoughts, and self-harming behaviors. It must be very distressing for you to take over three hours to fall asleep each night. Lack of sleep not only affects your mood but also imp...[Read More] Overwhelming Exam Pressure: When to Seek Help for Mental Health
Understanding Alprazolam Use: Managing Anxiety Without Dependency
Issues related to the administration of Panadol? I have been prone to severe anxiety since childhood (thinking the worst of situations, sweating, feeling tightness in my chest, social anxiety, and worrying about trivial matters all day). However, I only sought help from a psychia...
Dr. Wu Enliang Reply:
1. The doctor told me to take it as needed, and I have been taking it intermittently for almost two years. Does this violate the instruction that states "do not use for more than four months"? Will intermittent use cause withdrawal symptoms? A: There is no violation; th...[Read More] Understanding Alprazolam Use: Managing Anxiety Without Dependency
Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...
Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....[Read More] Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Can You Take Zapline and Alprazolam on an Empty Stomach?
Medication Consultation Hello Doctor, may I ask if Zapline 50mg (take half a tablet before bedtime) and ALPRAZOLAM 0.5mg (take one tablet as needed) can be taken on an empty stomach? Or is it recommended to eat something before taking them, or what is the best way to take them? I...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about the side effects of medication. 1. Anxiety disorders and psychosomatic disorders are common in modern society, often stemming from the uncertainty of the fut...[Read More] Can You Take Zapline and Alprazolam on an Empty Stomach?
Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Sleep issues Hello, doctor. I have difficulty falling asleep. I lie down at 11 PM, and sometimes I fall asleep shortly after, but other times I can't sleep at all. In the morning, I go for a walk for about 50 minutes. After lunch and dinner, I walk in place for over 30 minut...
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...[Read More] Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...
Dr. Lin Mianzhang Reply:
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Can antidepressants be ineffective? Hello Doctor: I started experiencing nasal congestion in April, which led to difficulty breathing and gradually increased anxiety that affected my sleep. Since August, I have been unable to sleep well. A psychiatrist prescribed "0.5 mg of ...
Dr. Qiu Junda Reply:
Hello. Antidepressants should not lose their effectiveness. The condition may fluctuate (stress from preparing for surgery can also affect the condition). It is not that the medication is ineffective. Hyperventilation can be alleviated with anxiolytics. I recommend that you conti...[Read More] Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Understanding Self-Harm and Mental Health: Is It a Disorder?
I'm not sure if this is a medical condition? I have been suffering from severe depression, and throughout three years of treatment, my emotions have fluctuated repeatedly. Currently, I feel that my depression is not as severe, yet I also hope that it will never completely go...
Dr. Wu Enliang Reply:
If online interactions are causing significant disruptions in your life, it is indeed a form of illness. It is advisable to continue collaborating with your physician and psychologist to receive the necessary treatment. Dr. Wu En-Liang[Read More] Understanding Self-Harm and Mental Health: Is It a Disorder?
Understanding Memory and Focus Issues: A Guide for Young Adults
Insufficient memory and concentration? Hello, Doctor! I discovered that I started experiencing some social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I'...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang.[Read More] Understanding Memory and Focus Issues: A Guide for Young Adults
Understanding Side Effects of Qian You Jie: A Patient's Experience
Side effects of Qianyoujie (also known as "Qianyoujie" or "Qian You Jie")? Hello doctor, I have been taking Qianyoujie for six years, two pills a day, always in the morning. Recently, I couldn't get an appointment for a follow-up visit, so I stopped takin...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to concerns about the side effects of your medication. 1. Anxiety disorders are common in modern society, characterized by uncertainty about the future. This is a chronic condit...[Read More] Understanding Side Effects of Qian You Jie: A Patient's Experience
Understanding Memory and Focus Issues: A Guide to Mental Health Concerns
Insufficient memory and concentration? Hello, doctor! I discovered that I started experiencing social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I’m with str...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang[Read More] Understanding Memory and Focus Issues: A Guide to Mental Health Concerns
Understanding Anxiety, Panic, and Depression: A Student's Struggle
Is this obsessive-compulsive disorder (OCD), anxiety disorder, panic disorder, or depression? I am a fifth-year design student in college, and I have been experiencing significant academic pressure lately. About two weeks ago, I had an emotional outburst due to stress, which led ...
Dr. Qiu Junda Reply:
Hello. Currently, it seems that we should maintain the diagnosis of Adjustment Disorder with Anxiety and Depressed Mood. This means that the emotional responses arising from stress (Stress-Related Adjustment Disorder) can include symptoms such as compulsions, anxiety, panic, and ...[Read More] Understanding Anxiety, Panic, and Depression: A Student's Struggle
Managing Anxiety and Chest Tightness After Vaccination: A Guide
What should I do if I experience chest tightness? Hello doctor, after receiving the vaccine two years ago, I have been feeling anxious about any physical condition, worrying that I might be experiencing vaccine side effects. Initially, I thought this would improve within 2 to 3 m...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you have undergone blood tests, X-rays, and electrocardiograms, all of which came back normal. This at least confirms that there is no serious physical illness. However, your concern about possibly having a severe illness or even dying is actually a sympto...[Read More] Managing Anxiety and Chest Tightness After Vaccination: A Guide
Managing Medication Timing for Anxiety: Can I Take Extra Doses?
Medication schedule Hello, doctor: I have a question. I regularly take 0.25 mg of Xanax before bed, but I had an episode at 6 PM during dinner and took one 0.25 mg Xanax. Can I take another one before bed, or should I skip it?
Dr. Wu Enliang Reply:
It is better for netizens to skip it if possible, and ideally, not to take it at all. Sedatives can lead to dependence if used daily, so it is recommended to use them only for a short term or when necessary. Dr. Wu En-Liang.[Read More] Managing Medication Timing for Anxiety: Can I Take Extra Doses?