Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...
Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Understanding OCD: When to Seek Help and Common Symptoms Explained
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I would like to ask a few questions about obsessive-compulsive disorder (OCD). 1. I have been suffering from OCD for many years. Due to my family's guidance and my understanding of certain causes and effects...
Dr. Wu Enliang Reply:
1. I have been suffering from obsessive-compulsive disorder (OCD) for many years. Due to my family's guidance and my understanding of certain causes and effects, I still experience low-frequency obsessions daily, sometimes good, sometimes bad, but they no longer affect my li...[Read More] Understanding OCD: When to Seek Help and Common Symptoms Explained
Understanding OCD: When to Seek Help and Its Persistent Nature
Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...
Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...[Read More] Understanding OCD: When to Seek Help and Its Persistent Nature
Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Medication consultation My doctor prescribed me Esetam and Lorazepam, but Esetam has a side effect of insomnia. Would it be better if I take Lorazepam before bed? The doctor mentioned that I can take Lorazepam as needed. Is it true that Esetam can increase suicidal thoughts in in...
Dr. Lin Mianzhang Reply:
Hello, Xiao An: The side effects of medications can vary from person to person due to individual differences in physiology, so the side effects listed on the medication label may not necessarily occur in you. In my clinical experience, I often hear patients report feeling letharg...[Read More] Managing Side Effects: Can Taking Lorazepam Help with Insomnia from Escitalopram?
Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medication Consultation Hello Doctor, I have severe panic disorder. In early 2020, I took Escitalopram (5 mg) for six months, but after stopping the medication, my symptoms recurred. At the end of 2021, I started taking Escitalopram (5 mg) again, and I have been on it for almost ...
Dr. Lin Mianzhang Reply:
Hello A-Leh: This medication is very safe for long-term use, so you can take it with confidence. However, I want to remind you that regardless of the medication you are taking, it is essential to inform your physician about all the medications you are currently using whenever you...[Read More] Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Excessive worry leading to some anxious behaviors? Hello, Doctor. Since the pandemic worsened in 2022, I have been increasingly worried about contracting the virus. I've heard many negative experiences from those who tested positive, and everyone says it's better to avo...
Dr. Wu Enliang Reply:
Hello everyone: It is recommended to maintain a regular lifestyle, as the benefits include not having to worry about unpredictable or uncontrollable events. Engage in activities you enjoy, such as exercising, listening to music, taking baths, practicing yoga, doing stretching exe...[Read More] Overcoming Anxiety: Finding Balance Between Safety and Normal Life
Distinguishing Between Obsessive Thoughts and Delusions: A Guide
How to distinguish between delusions and obsessive thoughts? How to stop worrying? Hello, doctor. I am the patient with obsessive-compulsive disorder who was very worried about having delusions or a mental illness a few days ago. I would like to ask you how to differentiate betwe...
Dr. Lin Mianzhang Reply:
Hello Ah Yue: This is a typical case of obsessive thinking, and just like other forms of obsessive thoughts, no matter how much reassurance others provide, you will still worry about "what if...". Therefore, the best approach is to redirect your attention and engage in ...[Read More] Distinguishing Between Obsessive Thoughts and Delusions: A Guide
Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder
Is Vyvanse Effective for Treating Attention Deficit Issues?
Medication Inquiry Is the medication Vyvanse effective for attention deficit disorder?
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing distress, particularly regarding attention deficit issues. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are common ailments in modern society. T...[Read More] Is Vyvanse Effective for Treating Attention Deficit Issues?
Understanding ADHD: Medication Effects and Attention Challenges
ADHD-related issues Hello Dr. Wu, I am currently visiting the hospital for ADHD. I have been taking Strattera 25mg for 28 consecutive days, and I feel that there has been no improvement in my attention. I only feel that my heart is racing, which makes me uncomfortable, and my sex...
Dr. Wu Enliang Reply:
If you or your child experiences discomfort or insufficient effects from medication, please be sure to communicate this with your child and adolescent psychiatrist. There are many reasons for poor attention, such as depression, anxiety, and insomnia, which can all contribute to a...[Read More] Understanding ADHD: Medication Effects and Attention Challenges
Coping with Panic Attacks and Anxiety After Betrayal: A Healing Journey
Panic disorder with multiple episodes daily, accompanied by muscle cramps, anxiety, and depression? I would like to consult a doctor because my partner, with whom I have been together for 13 years, had an affair and spent a night with someone else while I was at work. After I dis...
Dr. Bao Zhijia Reply:
It seems that you have already consulted a physician regarding your concerns. Both medication and psychotherapy are excellent recommendations, and given the severity of the symptoms you described, pharmacotherapy may be essential. Of course, a combined approach of medication and ...[Read More] Coping with Panic Attacks and Anxiety After Betrayal: A Healing Journey
Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Depression or schizophrenia? My brother has been suffering from a mental illness for five years. He is currently 30 years old. Initially, the doctor diagnosed him with schizophrenia, but about six months later, a different doctor said it was early symptoms of depression, includin...
Dr. Li Guanying Reply:
From your letter, it is clear that you are concerned about your family's depressive symptoms and the stress of mental health issues. 1. Facing an uncertain future, mental disorders are common in modern society and are chronic conditions that require long-term treatment for...[Read More] Understanding Mental Health: Navigating Schizophrenia and Depression Challenges
Do I Need to See a Doctor? Understanding Depression and Medication
Do I need to see a doctor? Hello, Doctor: I would like to ask you a question. Using depression as an example, is medication prescribed to alleviate symptoms or does it serve another purpose? How is it possible that after taking medication to increase certain neurotransmitters, on...
Dr. Qiu Junda Reply:
Hello. 1. Taking depression as an example, patients often have a deficiency of certain neurotransmitters in their bodies due to the symptoms. Medication is used to counteract these changes in order to improve symptoms. 2. If one does not take medication, various adjustment method...[Read More] Do I Need to See a Doctor? Understanding Depression and Medication
Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Anxiety disorder and bipolar disorder? About a year ago, I sought medical attention and was diagnosed with bipolar disorder. Recently, I have been experiencing mood swings and decided to visit a new clinic, where I was informed that my condition is completely different and is act...
Dr. Qiu Junda Reply:
Hello. Please do not become overly attached to the diagnostic labels, as this may add to your mental and emotional distress. It is advisable to consider both physicians' diagnoses with the understanding that they are symptoms. Initially, it seems that you may be experiencing...[Read More] Understanding the Confusion: Anxiety vs. Bipolar Disorder Symptoms
Understanding ADHD: Medication Effects and Lifestyle Tips for Young Adults
ADHD-related issues Hello Dr. Liang, I am currently between 20 and 25 years old. Recently, I visited a psychiatric department at a medical center in Taipei and reviewed my childhood psychological evaluations, which indicated significant attention deficit issues. The doctor prescr...
Dr. Liang Sunyuan Reply:
Hello: 1. Seroquel can also be taken at night; indeed, the side effects may be somewhat reduced. 2. A small number of individuals may experience effects; it is advisable to discuss this with your physician during follow-up visits for a more comprehensive evaluation to understand ...[Read More] Understanding ADHD: Medication Effects and Lifestyle Tips for Young Adults
Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Frequently feeling unwell? Hello, doctor. I tend to be easily nervous and anxious, and I am quite sensitive. I often worry excessively about my health; whenever I feel even a slight discomfort, I can't help but focus on that "discomfort," which only intensifies my ...
Dr. Lin Mianzhang Reply:
Hi there! Your situation is quite typical of illness anxiety disorder. It’s clear that you are making a strong effort to feel better, which leads you to pay more attention to your bodily sensations. However, paradoxically, the more you focus on your physical condition, the more a...[Read More] Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain
Seeing Things: Are Your Long Hours on the Computer Causing Hallucinations?
Suspected visual hallucinations due to eye strain? Hello, doctor. I am a male university student, and due to academic requirements and my status as a prospective graduate student, I spend long hours using the computer (over 10 hours a day). Recently, I have been experiencing freq...
Dr. Chen Yanzhi Reply:
Mr. Chen: Hello, it is recommended that you visit the Department of Psychiatry for further evaluation and assessment, as well as to undergo a diagnostic interview. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Seeing Things: Are Your Long Hours on the Computer Causing Hallucinations?
Can Counseling Alone Effectively Treat Depression Without Medication?
Adjustment Disorder Hello, doctor: Is it possible to manage depression effectively through psychotherapy alone? (Is there a chance it could be as effective as medication while avoiding side effects?) Currently, the most stressful and unhappy part of my life is the medication and ...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to your struggles with depression and the pressure of worrying about medication side effects. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic i...[Read More] Can Counseling Alone Effectively Treat Depression Without Medication?
Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
What are the issues related to stopping medication after eight days? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping the medication, I experienced insomnia for two years. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking ...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained
Understanding Auditory Processing Disorder: Symptoms and Solutions
Auditory Processing Disorder (APD) I am wondering if I have Central Auditory Processing Disorder (CAPD). My hearing is normal, but my brain cannot process and understand the sounds I hear. Here are some situations I frequently encounter: a. Difficulty understanding speech in comp...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an attention assessment. Our clinic is open Monday to Friday, both in the morning and afternoon. I suggest you consider coming in for a personal e...[Read More] Understanding Auditory Processing Disorder: Symptoms and Solutions