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
Long-Term Use of SSRIs: Health Risks and Withdrawal Concerns Explained
Antidepressants Hello Doctor: Previously, I experienced symptoms such as dizziness, shortness of breath, and poor sleep quality. The doctor diagnosed it as autonomic nervous system dysfunction, and I took Escitalopram for a year before stopping the medication. However, within les...
Dr. Wu Enliang Reply:
Due to high pressure from work and life, I am uncertain whether it is appropriate to stop taking medication. I would like to ask the doctor if long-term use of SSRIs can cause harm to health. A: No, it won't. I have seen articles stating that these medications can disrupt se...[Read More] Long-Term Use of SSRIs: Health Risks and Withdrawal Concerns Explained
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
Can Autonomic Nervous System Disorders Cause Painful Urination?
Autonomic nervous system dysfunction can affect urinary pain? Hello, doctor! I would like to inquire about my experiences with urethritis or cystitis. I have autonomic nervous system dysfunction, and a few months ago, I started experiencing slight pain while urinating. I have und...
Dr. Huang Zhijia Reply:
Hello: Autonomic nervous system disorders rarely manifest as painful urination; it is recommended to seek medical evaluation.[Read More] Can Autonomic Nervous System Disorders Cause Painful Urination?
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 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 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
Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps
Is there a disorder of the autonomic nervous system? Hello Doctor: I have been experiencing chest tightness and pain for a year now, and gradually I sometimes feel hot flashes similar to menopause. Over the past few months, I have frequently noticed pain in my upper right back, w...
Dr. Wang Pengnian Reply:
It is recommended to go to a general hospital for a thorough examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Next Steps
Understanding Autonomic Nervous System Disorders and Sleep Impact
Autonomic Nervous System Dysregulation Hello, Doctor. A few months ago, I was diagnosed with severe tinnitus, and sometimes I can hear my heartbeat in my ears. There are also times when I feel extremely fatigued by the evening, needing to take deep breaths as if I can't catc...
Dr. Lin Mianzhang Reply:
Hello Wendy: Your situation indeed resembles the symptoms of autonomic nervous system dysfunction. Some individuals may experience similar symptoms after contracting COVID-19, and the duration can vary, with some lasting for several months. It seems that you are making efforts to...[Read More] Understanding Autonomic Nervous System Disorders and Sleep Impact
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Could this be autonomic nervous system dysfunction, or is there a possibility of other cognitive decline? I am a second-year medical student at a university in Taipei. Last week, I was under a lot of stress due to various commitments, which led to daily overwhelming pressure (eve...
Dr. Li Zhengfeng Reply:
Hello: Symptoms of autonomic nervous system dysfunction are varied and lack typical characteristics. If you experience discomfort in your body without a clear cause, it may be due to autonomic nervous system dysfunction. The autonomic nervous system affects many areas of the body...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Dealing with a Father's Mental Health Struggles: A Family's Dilemma
Dad is unwilling to believe the doctors and family? Hello, I believe my father's personality is influenced by his insecurities, making him more prone to suspicion and highly sensitive to his surroundings. He often struggles to sleep due to noise from neighbors, which frustra...
Dr. Wu Enliang Reply:
If possible, try to empathize with his discomfort, as physical illness can also affect one's mood. You can communicate in a more casual way, mentioning that conditions like neuroses or autonomic nervous system disorders can be treated with certain brain-supporting medication...[Read More] Dealing with a Father's Mental Health Struggles: A Family's Dilemma
Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Is there a correlation between panic attacks and seasons? This afternoon, I took a nap and when I woke up, I experienced palpitations. After resting for a while, I used an electronic device to check my heart rate, which showed normal readings. Later, when I walked to the restroom...
Dr. Lin Mianzhang Reply:
Hello, Xiang: Climate changes may affect the autonomic nervous system, which in turn can influence symptoms of anxiety. Additionally, diet can also impact the autonomic nervous system; for example, caffeine found in tea and coffee can increase heart rate and exacerbate feelings o...[Read More] Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Anxiety, repetitive thinking, and self-harm? Hello, doctor. I have a serious problem with procrastination at work, and I struggle with time management. My colleagues don't complain much about me, but I always feel like I'm doing a terrible job and that everyone is just ...
Dr. Qiu Junda Reply:
Hello. It seems that you may fall under the category of anxiety disorders. This is actually similar to the diagnoses you mentioned earlier, such as irritable bowel syndrome, generalized anxiety disorder, autonomic nervous system dysregulation, and obsessive thinking. All of these...[Read More] Understanding Anxiety, Intrusive Thoughts, and Self-Harm in Mental Health
Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Suspected autonomic nervous system dysfunction? Hello, doctor. This year, I started experiencing sudden hearing loss, where it feels like my ears are blocked. Within a few seconds, I can noticeably feel the surrounding sounds gradually diminishing, and it seems like I'm hear...
Dr. Wu Enliang Reply:
Hello everyone, please fill out this self-assessment questionnaire: https://www.typc.mohw.gov.tw/?aid=52&pid=100&page_name=detail&iid=271. If you have more than ten items, it may indicate autonomic nervous system dysregulation, or you may consider undergoing autonomic...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Drug withdrawal? Hello, doctor. I originally had a sore throat that wouldn't improve for a long time. The clinic doctor suggested it might be gastroesophageal reflux disease (GERD), so I underwent an endoscopy, which showed mild GERD. I took medication for a month, but my th...
Dr. Wu Enliang Reply:
Netizens are open to relaxation training, psychotherapy, or other types of medication treatment. It is recommended to consult with a psychiatrist for discussion. Dr. Wu En-liang.[Read More] Managing Withdrawal Symptoms: Strategies for Safe Medication Discontinuation
Can Panic Disorder Cause Weakness in One Leg?
Can individuals with panic disorder or those who frequently experience anxiety have weakness in one leg? It is commonly reported that symptoms of panic disorder or anxiety include weakness in the limbs. Various factors can contribute to this. I would like to know if it is possibl...
Dr. Qiu Junda Reply:
Hello. Panic or anxiety often accompanies autonomic nervous system dysregulation, which can lead to physical symptoms such as dizziness, palpitations, numbness, and weakness in the limbs. A feeling of weakness in one leg may also occur. However, it is important to have a physicia...[Read More] Can Panic Disorder Cause Weakness in One Leg?
Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Anxiety disorder relapsed without discontinuing medication? Seven years ago, I was diagnosed with anxiety disorder and have been consistently taking medication. I have been stable for seven years (calm), without stopping the medication. However, this year, for some unknown reason...
Dr. Wu Enliang Reply:
Anxiety disorders often have a tendency to relapse, and there are many reasons for this. However, most individuals experience symptom relief after treatment. It is important to patiently engage in therapy. Keep it up! - Dr. Wu Enliang[Read More] Understanding Anxiety Relapse: Challenges of Long-Term Medication Use
Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Autonomic nervous system dysfunction, dementia? Hello Dr. Lin, I would like to ask you about my husband. He has been taking medication for autonomic nervous system disorder for many years. The side effects of the sedatives can lead to memory decline, and he often finds himself di...
Dr. Lin Mianzhang Reply:
Hello: Current research indicates that long-term use of sedatives does not lead to dementia; in fact, for patients with higher levels of anxiety, sedatives can help alleviate anxiety and improve short-term memory. Ideally, for older patients, it is best to use low doses of shorte...[Read More] Can Long-Term Use of Sedatives Lead to Dementia Symptoms?
Do I Need to See a Psychiatrist Again? Understanding My Mental Health
I would like to ask if I need to see a psychiatrist based on my current condition? Hello Doctor, I am currently 18 years old and graduated from high school. Over a year ago, I went to see a psychiatrist without my family's knowledge due to symptoms like persistent sadness an...
Dr. Lin Mianzhang Reply:
Hello Ms. U: I believe you are here to inquire because you are somewhat troubled by your situation, yet unsure of its severity. There is no definitive standard for whether one needs to seek medical attention. I have encountered individuals who come for consultations simply to det...[Read More] Do I Need to See a Psychiatrist Again? Understanding My Mental Health
Understanding Sleep Disorders: Causes, Treatments, and Management Tips
Sleep disorders Hello, Doctor. On March 11, I encountered some stress in my life, and that night I began experiencing sleep disturbances (difficulty falling asleep and waking up frequently during the night), along with palpitations and feelings of tension. On March 17, I visited ...
Dr. Lin Mianzhang Reply:
Hello KK: 1. Autonomic nervous system dysfunction is not a precise diagnosis; it is more of a general syndrome. Many functions related to the autonomic nervous system, such as respiration, heart rate, blood pressure, gastrointestinal activity, sweating, and sleep, can be termed ...[Read More] Understanding Sleep Disorders: Causes, Treatments, and Management Tips