Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Medication consultation, drug side effects, panic, autonomic nervous system dysregulation? I would like to ask the doctor, I have a history of arrhythmia and have undergone echocardiography, a 24-hour Holter monitor, and an exercise stress test, which detected premature ventricul...
Dr. Qiu Junda Reply:
Hello. Your condition is likely related to anxiety (autonomic nervous system dysregulation). It is advisable to continue visiting a psychosomatic medicine specialist for improvement. You may use Yuli Shu as a backup medication. If you are concerned about potential side effects su...[Read More] Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Adult Attention Deficit Disorder (ADD) As I grow older, I find myself forgetting more and more things. I can completely forget what I just heard a second ago, and I often forget to execute the goals I set for myself or become restless during the process. In class, I constantly lo...
Dr. Wu Enliang Reply:
Netizens suggest seeking consultation at the Department of Psychiatry (Psychosomatic Medicine). Dr. Wu Enliang.[Read More] Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Understanding Side Effects of Antidepressants and Alternative Treatments
Side effects of antidepressants? Hello Doctor, my family member has been experiencing anxiety, restlessness, and panic, occasionally showing symptoms of depression and suicidal thoughts. After consulting a psychiatrist, it was determined that there is an issue with autonomic nerv...
Dr. Wu Enliang Reply:
1. If someone has only taken Levodopa for two days (a total of one pill), should they expect withdrawal symptoms? A: No. 2. If a patient experiences severe side effects from multiple SSRIs, does that indicate they are unsuitable for SSRIs? A: Yes. 3. If a patient is very sensitiv...[Read More] Understanding Side Effects of Antidepressants and Alternative Treatments
Understanding Anxiety Medications: Effects, Side Effects, and Efficacy
Because I don't like taking a lot of medication, I want to understand the effects of the drugs themselves so that I will be more willing to take them? I have issues with anxiety and I usually take Yu-Kang capsules. Sometimes I feel very sleepy, and I would like to ask if thi...
Dr. Wu Enliang Reply:
Hello, I have a problem with anxiety disorder. I usually take Yekang capsules, and sometimes I feel very sleepy. I would like to ask if this symptom of sleepiness will go away over time? A: Generally, it will. What are the more common side effects? A: The more common side effects...[Read More] Understanding Anxiety Medications: Effects, Side Effects, and Efficacy
Overcoming Anxiety: Should I See a Specialist for Swim Class Stress?
Swimming classes make me feel very anxious? Hello, doctor. In the past few months, my school has been having swimming classes, but I have been feeling very anxious about it. Every time it's the day of swimming class, I experience vomiting and dizziness. Should I see a psychi...
Dr. Wu Enliang Reply:
Netizens should first self-reflect and analyze why they are so afraid of swimming classes and identify the causes of their anxiety. It may also be helpful to discuss these feelings with the instructor. If there is still no improvement, seeking consultation with a psychiatrist is ...[Read More] Overcoming Anxiety: Should I See a Specialist for Swim Class Stress?
Understanding Diarrhea and Anxiety: Insights from a Psychiatric Perspective
Bowel movement issues Hello Doctor: I have been dealing with anxiety issues, possibly stemming from taking care of my father who had esophageal cancer about 4 to 5 years ago. Since then, I have become very concerned about my own health. I have experienced diarrhea in the past, bu...
Dr. Wang Yixiang Reply:
Dear Mr. Hsiao-Kang, It seems that your main issues are diarrhea and anxiety. While the two may potentially influence each other, we prioritize treating them separately for simplicity. I recommend discussing the causes and treatment of your diarrhea with a gastroenterologist. Ad...[Read More] Understanding Diarrhea and Anxiety: Insights from a Psychiatric Perspective
Managing Side Effects of Anxiolytics: A Guide for Patients and Families
Side effects of tranquilizers? Hello doctor, my family member has been experiencing anxiety, restlessness, and panic, along with frequent feelings of rapid breathing and shortness of breath. The psychiatrist initially prescribed Lorazepam 0.5 mg to be taken as needed. Since my fa...
Dr. Wu Enliang Reply:
Benzodiazepines (BZD) are sedatives that are generally recommended for short-term use or as needed. They are not considered first-line medications (other antidepressants should typically be used as first-line treatments). If medication is necessary, it is advisable to discuss it ...[Read More] Managing Side Effects of Anxiolytics: A Guide for Patients and Families
Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Bloating, belching, and a sensation of something stuck in the throat? Hello doctor, for the past four months, I have been experiencing bloating almost every day, along with persistent burping. I feel a sensation of something being stuck below my Adam's apple, and swallowing ...
Dr. Lin Mianzhang Reply:
Hello: It seems that you may have a more anxious personality. If you find it difficult to relax and are easily nervous, you may be more prone to insomnia. Additionally, some people unconsciously swallow air while swallowing saliva when they are tense, which can lead to bloating a...[Read More] Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle
It's not that I don't want to speak; it's that I can't? I have been experiencing social anxiety since elementary school. Some classmates would call me "mute" or "the one who can't speak." Whenever I had to speak in front of the class o...
Dr. Qiu Junda Reply:
Hello. Individuals with a tendency to be anxious may indeed face difficulties in daily life and social interactions, leading to physical and mental distress. I recommend looking into resources on how to overcome anxiety and nervousness to learn some coping strategies. Additionall...[Read More] Overcoming Social Anxiety: Finding Your Voice in a Silent Struggle
Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Lerizole (Lerizine) for the treatment of bruising? Dear Dr. Chiu, I have been experiencing sleep issues, anxiety, and panic attacks recently. Before bed, I take one capsule of Yongkangxu and half a capsule of Le Li Jing. I've noticed that I have bruising on my calves and oc...
Dr. Qiu Junda Reply:
Hello. These two medications, along with fish oil and B vitamins, should not be related. If the bruising is severe, medical evaluation and treatment may be necessary.[Read More] Understanding the Side Effects of Yongkangxu and Le Li Jing on Sleep and Anxiety
Managing Panic Disorder: Medication Interactions and Sleep Challenges
Drug interactions with anxiolytics? Hello Doctor, I have anxiety and panic disorder. It started about ten years ago, and I initially saw improvement with Lexapro, but since then, I have developed insomnia. For over a decade, I have been living intermittently with panic and anxiet...
Dr. Wu Enliang Reply:
It's highly recommended to discuss your questions thoroughly with your physician. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Medication Interactions and Sleep Challenges
Managing Medication and Mental Health: Preparing for Pregnancy After Recovery
Medication consultation: After taking Lofepramine and Duloxetine for treatment, it is expected to discontinue medication for pregnancy preparation after recovery? Hello Doctor, I am currently experiencing severe obsessive-compulsive behaviors, anxiety, and depression that I canno...
Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: It seems that you are responding well to the medication, and the tapering process is going smoothly, which is a good start. Here are the responses to your questions: 1) There is a possibility of discontinuing the medication, but it is recommended to continue wit...[Read More] Managing Medication and Mental Health: Preparing for Pregnancy After Recovery
Managing Anxiety and Sleep Issues: Insights on Medication Choices
Jing An Ning, Ke Qian Ping, You Jie? I would like to ask the doctor about my recent experience. In mid-August, I had difficulty breathing and anxiety, which led to insomnia, so I consulted a psychiatrist. I was prescribed a seven-day course of a serotonin medication. I took it oc...
Dr. Qiu Junda Reply:
Hello. You can switch to the other two medications. However, if your dizziness is related to Keppra (levetiracetam) or Buspirone, then it may not be suitable to make a change. It is important to discuss and evaluate your specific situation with your attending physician.[Read More] Managing Anxiety and Sleep Issues: Insights on Medication Choices
Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Experiencing heightened energy during the day and extreme low mood at night? Hello, I would like to inquire about the following situation: During the day, I feel particularly euphoric, with an increased tendency to talk more than usual, heightened emotions, and a boost in self-co...
Dr. Qiu Junda Reply:
Hello. Due to a history of depression and a seeming interruption in follow-up care, it is advisable for you to schedule an appointment as soon as possible for the physician to assess any recent changes in your mood. This will help facilitate improvements in your condition.[Read More] Understanding Daytime Euphoria and Nighttime Depression: A Mental Health Inquiry
Understanding Anxiety: A 12-Year-Old's Struggle with Overthinking Health Issues
Is this considered an anxiety disorder? Hello, doctor. I am 12 years old. I have had a tendency to overthink since I was around 6 years old. For example, I can turn a simple cold into thoughts of various serious diseases. Now that I am older and have a smartphone, whenever I feel...
Dr. Wu Kunhong Reply:
It is highly recommended that you seek psychiatric care as soon as possible. Please trust a qualified professional to assess your condition and determine the appropriate course of action to ensure your mental and physical well-being. Wishing you all the best. Dr. Wu Kun-Hong[Read More] Understanding Anxiety: A 12-Year-Old's Struggle with Overthinking Health Issues
Understanding Breathlessness and Anxiety: A Guide to Mental Health Symptoms
Constantly feeling the urge to take deep breaths and experiencing discomfort in the body? Hello doctor, I experience this condition for several days each month: I feel the urge to take deep breaths, as if I'm not getting enough air, and I have a sensation of tightness in my ...
Dr. Wu Enliang Reply:
It is recommended to learn some relaxation techniques, such as diaphragmatic breathing, or to utilize the free mental health services provided by the government for individuals aged 15 to 30. If the results are still unsatisfactory, it is advisable to seek consultation with a psy...[Read More] Understanding Breathlessness and Anxiety: A Guide to Mental Health Symptoms
Understanding Health Anxiety: Coping with Worries About Illness
Health anxiety concerns Hello Doctor: I have been experiencing health anxiety for the past three months. Since July, I have had chest tightness and pain (especially on the left side of my chest; I previously asked a question on Taiwan's e-hospital). I have been Googling my s...
Dr. Lin Mianzhang Reply:
Hello Zoe: It seems that you are experiencing a lot of physical discomfort. I recommend that you first visit an internal medicine or family medicine specialist to assess whether there are any underlying health issues. If the physician examines you and arranges for tests, and all ...[Read More] Understanding Health Anxiety: Coping with Worries About Illness
Understanding Schizophrenia, Anxiety, and Dementia: A Caregiver's Guide
Schizophrenia / Anxiety Disorder / Dementia Hello, doctor. I apologize for the interruption. My mother exhibited symptoms of delusions, hallucinations, and illusions earlier this year. After seeking medical attention, the doctor diagnosed her with schizophrenia. After over a mont...
Dr. Tang Jiahong Reply:
After middle age, if hallucinations or delusions occur, it is advisable to check the brain. Visiting a neurologist is a good option to see if any reversible issues can be identified and addressed. Tremors and slow movements can also be discussed with the neurologist to determine ...[Read More] Understanding Schizophrenia, Anxiety, and Dementia: A Caregiver's Guide
Do You Really Need to See a Doctor for Mental Health Issues?
Do I really need to see a doctor? Since I started high school, I have had issues with substance addiction. At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol. When my partner wasn't around, I would drink until I fell asleep ...
Dr. Qiu Junda Reply:
Hello. Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.[Read More] Do You Really Need to See a Doctor for Mental Health Issues?
Overcoming Social Anxiety and OCD: A Path to Confidence and Independence
Social anxiety, fear of riding, obsessive-compulsive disorder (OCD)? Dear Dr. Wu, My son is nearly 30 years old and belongs to a vulnerable group. He has poor expressive abilities and social difficulties. At the age of four, his developmental assessment showed that his "env...
Dr. Wu Enliang Reply:
Online users may consider pharmacological treatment to reduce anxiety. If medication is not acceptable, they may also consider seeking psychological therapy or relaxation training at a hospital or mental health clinic. Dr. Wu Enliang.[Read More] Overcoming Social Anxiety and OCD: A Path to Confidence and Independence