Understanding OCD: Do Intrusive Thoughts Affect Others?
Obsessive-Compulsive Disorder (OCD) issues? I understand that obsessive-compulsive disorder (OCD) can lead to distressing thoughts, including fears of negative events happening to yourself or others. It's important to know that these intrusive thoughts are a common symptom o...
Dr. Huang Zhijia Reply:
Hello: Even if you know it's not real, or others have answered or confirmed it multiple times, intrusive thoughts can still be difficult to control. It is advisable to seek treatment.[Read More] Understanding OCD: Do Intrusive Thoughts Affect Others?
Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Anxiety/Panic-related Hello Doctor, my issue began over a year ago. Initially, I frequently experienced rapid heartbeats, shortness of breath, tingling in my scalp, and anxiety, which required me to lie down for a while to recover. The situation escalated after a workout when I c...
Dr. Wu Enliang Reply:
The issue truly escalated after a certain exercise session when I couldn't calm down, experiencing hyperventilation, dizziness, and seeing only black and white outlines, which led me to take an ambulance to the emergency room. For several days, I had these symptoms, causing ...[Read More] Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Medication Consultation for Anxiety: Dosage Concerns and Safety
Medication consultation Hello doctor, I would like to ask about my current situation. I am taking half a tablet of Mirtazapine at night, and most of the time I feel fine. However, I occasionally experience some anxiety when I am nervous or feel unwell. Do I need to increase my do...
Dr. Wu Enliang Reply:
Hello, if you only experience anxiety occasionally when feeling nervous or unwell, it is considered normal anxiety and does not require medication. Overmedication typically leads to drowsiness. - Dr. Wu Enliang[Read More] Medication Consultation for Anxiety: Dosage Concerns and Safety
Understanding Obsessive Thoughts: Coping with Anxiety and Fear
I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...
Dr. Lin Mianzhang Reply:
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...[Read More] Understanding Obsessive Thoughts: Coping with Anxiety and Fear
Managing Attention Issues and Depression: Medication Side Effects Explained
Memory loss, lack of concentration, depression, medication side effects? Hello, doctor. I have been dealing with depression for four years. I once stopped my medication and ended up having a mental breakdown. For the past year, I have been consistently taking my medication. Curre...
Dr. Qiu Junda Reply:
Hello. Distractibility can be a symptom or a side effect of medication. You are taking several medications, many of which can affect attention. It is recommended that you return for a follow-up appointment to discuss with your physician to clarify whether the issue is related to ...[Read More] Managing Attention Issues and Depression: Medication Side Effects Explained
Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...
Dr. Huang Zhijia Reply:
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Understanding Schizophrenia: Job Instability and Delusional Thoughts
Schizophrenia, frequent job changes, and delusional issues? Hello, doctor. I often quit my job after just a few days because I feel anxious, and in the mornings, I experience auditory hallucinations telling me to leave the company. I follow these hallucinations and resign, which ...
Dr. Wu Enliang Reply:
If you are experiencing symptoms of schizophrenia that are troubling and affecting your work, it is advisable to return for a follow-up appointment with your physician to see if medication adjustments can be made. Dr. Wu En-Liang.[Read More] Understanding Schizophrenia: Job Instability and Delusional Thoughts
Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Could you please tell me if this is obsessive-compulsive disorder or delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with Obsessive-Compulsive Disorder (OCD) and has been o...
Dr. Qiu Junda Reply:
Hello. 1. The diagnosis of my brother should still respect the physician's judgment and assessment (Obsessive-Compulsive Disorder). Whether there is a delusional disorder or other possibilities cannot be predicted by anyone. 2. The treatment for Obsessive-Compulsive Disorder...[Read More] Understanding the Difference: OCD vs. Delusional Disorder in Mental Health
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Dear Doctor, My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for netizens to consult the physician they previously visited, as seeking advice from a physician who has not treated them before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu Enliang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Managing Anxiety and Depression: When Medication Stops Working
The medication that has been taken for over a year is no longer effective? Hello Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for netizens to consult the physician they previously visited, as seeing a physician who is unfamiliar with their medical history may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-Liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Is My Brother's Condition Delusional Disorder or OCD?
Could you please tell me if this is a case of delusional disorder? My younger brother started having some bizarre thoughts in high school, and his academic performance plummeted. He was later diagnosed with obsessive-compulsive disorder (OCD) and has been on medication for four y...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your family member's delusions and hallucinations, as well as the associated mental health symptoms. 1. Schizophrenia, like chronic diseases such as diabetes and hypertens...[Read More] Is My Brother's Condition Delusional Disorder or OCD?
Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, making it increasingly difficult for me...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleeping medications during breastfeeding, it is advisable to have your condition evaluated by a physician. As for which medication is better between ...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Managing Anxiety and Depression: When Medication Stops Working
The medication I have been taking for over a year is no longer effective? Hello, Doctor: My husband has been suffering from anxiety and depression for nearly a year and a half. He has been taking medication (one tablet of Sertraline in the morning, half a tablet of Bupropion afte...
Dr. Wu Enliang Reply:
It is advisable for the user to consult the physician they previously visited. Consulting a physician who has not seen the patient before may raise legal concerns, and it is unlikely that they would agree to do so. Dr. Wu En-liang.[Read More] Managing Anxiety and Depression: When Medication Stops Working
Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Constantly scratching the scalp? Hello Doctor: I have had the habit of picking at my scalp since high school. Even when reminded, I can't stop myself from picking, which has caused wounds on my scalp (I'm really worried that my hair won't grow back). This happens e...
Dr. Wu Enliang Reply:
1. Do I need to see a doctor? A: If it has caused disruptions in your daily life, it is necessary to see a doctor. 2. How can I stop the behavior of skin picking? A: Medication treatment combined with psychotherapy. 3. This month, there were two nights when I inexplicably fel...[Read More] Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Can Amberen be taken alternately with UroLift? Hello Doctor: I have been experiencing sleep disorders for about 10 years, and most doctors have diagnosed me with anxiety. The sleep medication prescribed helps me fall asleep more quickly, but I usually wake up after about 4 hours ...
Dr. Wu Enliang Reply:
Both medications are benzodiazepines (BZDs) and can be taken alternately, but it's advisable to use them only for a short term to avoid the risk of dependence. Dr. Wu En-Liang.[Read More] Can I Alternate Between Ambien and Lunesta for Sleep Issues?
Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Illness anxiety disorder and anxiety disorders cause distress? Hello, doctor. I apologize for taking your time with my concerns, and thank you for your attention. I am 22 years old and have been feeling unwell for a long time, convinced that there must be something wrong with my ...
Dr. Qiu Junda Reply:
Hello. These situations can indeed cause you significant physical and mental distress. Most of them fall under the symptoms related to psychosomatic disorders. Therefore, please continue your treatment with a psychiatrist and adhere to the prescribed medication (which may take so...[Read More] Understanding Health Anxiety: Coping with Persistent Worries and Fatigue
Managing Anxiety Medications: Tips for Panic Disorder Relief
Anxiolytic medication consultation, medication issues, panic disorder? I would like to ask the doctor, I have been prescribed medication for panic disorder and have been taking it for six months. After achieving stability, the doctor advised me to practice tapering off the medica...
Dr. Huang Zhijia Reply:
Hello: Each patient is unique, and there is no formula or SOP that can be applied to every patient. The physician who examines the patient in person is the one who understands the patient's condition best and can make the appropriate management decisions. It is recommended t...[Read More] Managing Anxiety Medications: Tips for Panic Disorder Relief
Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, which has made it increasingly difficul...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleep medications during breastfeeding, it is advisable to have your condition evaluated by a physician. Regarding the combination of medications, a p...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Antidepressants and sleeping pills: Timing of medication? Hello, doctor. Recently, I came across information online stating that if someone has difficulty falling asleep, and since antidepressants do not shorten the time to sleep as quickly as sleeping pills, one could take the a...
Dr. Wu Enliang Reply:
Recently, there has been information circulating online suggesting that for individuals experiencing difficulty falling asleep, since antidepressants do not shorten sleep onset time as quickly as sleeping pills, one could take antidepressants 30 minutes earlier than sleeping pill...[Read More] Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Managing Anxiety Medications: Side Effects and Concerns Explained
Anxiety disorder medications Hello, doctor! I was recently diagnosed with panic disorder and my doctor prescribed Lexapro 30 mg to be taken every morning. However, after taking it, I often feel disoriented and have difficulty functioning at work. Is this normal? Should I continue...
Dr. Wu Enliang Reply:
Changing to a regular dinner time in the evening will generally lead to improvements. - Dr. Wu En-Liang[Read More] Managing Anxiety Medications: Side Effects and Concerns Explained