Understanding the Effects of Anxiety Medications on Daily Life and Sleep
Anxiolytic medications I previously visited a cardiology department and was diagnosed with mitral valve prolapse combined with autonomic nervous system dysfunction. I often wake up at night with chest pain and have been taking 0.25 mg of Sertraline (Zoloft) before bed, around 10 ...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Yuli Shu is expected to have a therapeutic effect that lasts for several hours and also has sedative and sleep-inducing properties. However, it can indeed cause side effects such as drowsiness and memory impairment. It is advisable ...[Read More] Understanding the Effects of Anxiety Medications on Daily Life and Sleep
Managing Anxiety: Navigating Mental Health After High School
Anxiety issues After graduating from high school, I have been working for a year. During this year, I felt completely lost and had to figure everything out on my own, including the intricacies of my job and workplace relationships. If I didn't finish certain tasks, I would l...
Dr. Ding Shuyan Reply:
Hello, first of all, many people experience what you are going through, so please don't feel it's very serious or think negatively. Autonomic nervous system dysregulation and anxiety disorders are actually quite treatable, and medication can provide quicker results, mak...[Read More] Managing Anxiety: Navigating Mental Health After High School
Which Specialist Should You See for Mitral Valve Prolapse and Anxiety?
Which specialty should I consult for mitral valve prolapse and autonomic nervous system dysfunction? Dear Doctor: I have been experiencing issues with sleep quality for a long time. As a single parent of two children, I often struggle to get enough rest, which leads to frequent o...
Dr. Ding Shuyan Reply:
Hello, the cardiologist who prescribed these medications should have explained to you that there may not be any issues with your heart itself, but rather problems related to the autonomic nervous system or emotional stress. These medications are effective and you should feel temp...[Read More] Which Specialist Should You See for Mitral Valve Prolapse and Anxiety?
Managing Anxiety and Medication: Insights on Psychiatric Treatment
Issues with psychiatric medications Four months ago, I experienced an episode of autonomic nervous system dysfunction, which led to severe anxiety and panic symptoms. Initially, it felt similar to hypochondria; I became worried about serious illnesses whenever I noticed new physi...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on your description regarding medication use, if the frequency of your anxiety symptoms is excessive, you may consider taking Xanax only during episodes of anxiety. If not, it is advisable to initially take the medication regularly for a short term. The dec...[Read More] Managing Anxiety and Medication: Insights on Psychiatric Treatment
Understanding Panic Disorder: Overcoming Fear and Disconnection
Neurocognitive abnormalities About a month ago, while I was riding the subway alone, I suddenly felt anxious and started sweating. Strangely, this had never happened before. Since that incident, I have developed a fear of going out, without any specific reason for my fear—just a ...
Dr. Wang Chongren Reply:
Dear Miss Bao Lian, You mentioned in your letter that you have been experiencing unexplained feelings of anxiety, such as nervousness and fear of going out, along with physical symptoms like sweating. Additionally, it seems that your anxiety is affecting your ability to think cl...[Read More] Understanding Panic Disorder: Overcoming Fear and Disconnection
Managing Anxiety and the Dilemma of Changing Doctors in Mental Health
Anxiety and the desire to change doctors? Hello Dr. Ding! (The content may be a bit long, as I want to provide detailed information for you to better understand my situation. Thank you for your patience!) Previously, while working and preparing for the national postal service exa...
Dr. Ding Shuyan Reply:
Hello, In your message, you mentioned whether you should go to a major hospital for further examination. In the past, your test results indicated that you have autonomic nervous system dysregulation. Physical discomfort and psychological stress are often two sides of the same c...[Read More] Managing Anxiety and the Dilemma of Changing Doctors in Mental Health
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Is this considered autonomic nervous system dysfunction? I have had difficulty concentrating for a long time, often zoning out, easily falling into depression, and becoming anxious. When I get anxious, my mind goes blank, and I don't know what to do, which often leads to mak...
Dr. Liang Sunyuan Reply:
Hello: Based on your description, issues with attention, as well as anxiety and depression, are possible. If you are aware of your attention problems, it is advisable to think things through multiple times when making decisions, or to discuss them with those around you. Remind yo...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? I began experiencing early awakening, white phlegm in my throat, and loss of appetite (I don't feel hungry at all) at the end of May 2015. Prior to this, there were no significant changes in my life or work stress. As a gay man, I decide...
Dr. Ding Shuyan Reply:
Hello, first of all, you are relatively young and have undergone a comprehensive health check-up, which showed no significant issues. Therefore, the discomfort you are experiencing could indeed be related to psychological factors. Additionally, you mentioned the HIV screening, wh...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
There are some questions? Hello, doctor. During high school, I always felt the urge to go to the bathroom whenever there was an assembly. At that time, the strict environment at school made me feel like I was just there to avoid punishment. In college, I reached a breaking point ...
Dr. Ding Shuyan Reply:
Hello, based on your concerns, I cannot conclude whether your discomfort is due to excessive stress. Since you are still young, theoretically, there shouldn't be any major issues with your health, and you have already consulted a psychiatrist. My response may be that autonom...[Read More] Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
Understanding Autonomic Nervous System Disorders: When to See a Psychiatrist
Autonomic nervous system disorders? Hello Doctor: I would like to ask why autonomic nervous system dysfunction is treated by psychiatrists and not by neurologists? Can autonomic nervous system issues resolve on their own? Is medication absolutely necessary for treatment? Will aut...
Dr. Liang Sunyuan Reply:
The autonomic nervous system refers to the part of the nervous system that cannot be easily controlled by conscious thought. Relaxation training and lifestyle adjustments can help stabilize the autonomic nervous system, which is why it is recommended to seek consultation with a p...[Read More] Understanding Autonomic Nervous System Disorders: When to See a Psychiatrist
Helping a Job-Avoidant Sister: Navigating Mental Health Challenges
The sister who avoids work? Hello Doctor, I have a sister who is avoiding work. She graduated with a master's degree and is now 35 years old, but she has less than three years of total work experience. After graduating from college, she worked for a little over a year befor...
Dr. Huang Weiqin Reply:
To the inquiring netizen: Hello! I suggest that your sister's physical issues should first be evaluated by an internist, who can then determine if a referral to a psychiatrist is necessary. As for psychological concerns, whether they stem from work or family-related stress, ...[Read More] Helping a Job-Avoidant Sister: Navigating Mental Health Challenges
Feeling Dizzy and Unreal: Understanding Depersonalization and Its Effects
Dizziness, feeling unreal, as if just waking up at any moment? Hello, doctor. I was working normally until May 11th, and my mental state was fine. After I stopped working on the 11th, I started preparing for college entrance exams in early July. I have been studying at home every...
Dr. Huang Weiqin Reply:
Hello: Based on your description, you are likely experiencing depressive-related psychiatric symptoms. This condition typically shows significant improvement within one to two weeks after starting antidepressant medication. It is recommended to incorporate moderate and regular ge...[Read More] Feeling Dizzy and Unreal: Understanding Depersonalization and Its Effects
Feeling Breathless: Understanding Stress-Related Symptoms and Treatment Options
Shortness of breath? I have been experiencing shortness of breath and coughing recently due to work-related stress, as I have to cover for two colleagues who have either left or gone on maternity leave. For the past couple of days, I have also been feeling breathless before going...
Dr. Wang Chongren Reply:
Hello JJ, Your letter mentions various physical symptoms, which also seem to be related to your work stress. Stress can indeed cause physical symptoms (through sympathetic nervous system activation), but it may also exacerbate underlying or pre-existing medical conditions. I re...[Read More] Feeling Breathless: Understanding Stress-Related Symptoms and Treatment Options
Understanding Recurring Anxiety Symptoms: Causes and Treatment Options
Symptoms may recur repeatedly? Hello Dr. Ding, I apologize for frequently asking questions. I would like to inquire again. Previously, I had anxiety disorder and was on medication for a while. Later, I felt better and stopped taking the medication. For the next six months, I felt...
Dr. Ding Shuyan Reply:
Hello, I would like to share some insights regarding the concept of disease. There is a category of diseases, particularly physical illnesses, that do not exist in a so-called healthy state, such as cancer or fractures. This objective abnormal condition is independent of the sick...[Read More] Understanding Recurring Anxiety Symptoms: Causes and Treatment Options
Should I Take Medication for Uncertain Anxiety Symptoms?
Unsure whether to take medication? Hello Doctor: I previously took medication for anxiety disorder, but I felt better and stopped taking it on my own. For the following six months after stopping, everything was normal. However, for some unknown reason, I started experiencing full...
Dr. Ding Shuyan Reply:
Hello, it is generally safe for doctors to prescribe medication, and it is tailored to meet your needs. In Taiwan, it is common for patients to feel uneasy leaving the hospital without a prescription to try at home, especially since autonomic nervous system disorders are not imme...[Read More] Should I Take Medication for Uncertain Anxiety Symptoms?
Anxiety Attack or Autonomic Nervous System Disorder: Understanding Your Symptoms
Is it an anxiety attack or autonomic nervous system dysfunction? Hello, doctor. I previously had anxiety disorder and felt that I had recovered, so I stopped taking medication. For the next six months, I felt completely normal. However, recently, for some unknown reason, I have b...
Dr. Liang Sunyuan Reply:
Hello, I recommend that you pay attention to the severity of your symptoms and the frequency of their occurrence. If they are gradually improving, there is less reason for concern. However, if the episodes are becoming more frequent or severe, it is advisable to visit your doctor...[Read More] Anxiety Attack or Autonomic Nervous System Disorder: Understanding Your Symptoms
Understanding Anxiety Relapses: Symptoms, Treatment, and Recovery
Suspected anxiety attack? Hello Doctor: I am currently very troubled by my symptoms and would like to consult you. Thank you! I previously had anxiety and depression and have seen a doctor (taking medication for anxiety and depression). After feeling that I had recovered, I stopp...
Dr. Ding Shuyan Reply:
Hello, experiencing a sensation of heat throughout the body and feelings of restlessness may be manifestations of anxiety or tension. However, whether this constitutes a relapse of an anxiety disorder depends on the presence of other symptoms, as well as the severity and duration...[Read More] Understanding Anxiety Relapses: Symptoms, Treatment, and Recovery
Understanding Autonomic Nervous System Disorders: Sleep Issues and Anxiety
Regarding autonomic nervous system dysfunction? Hello, doctor! I have a lot of trouble sleeping every day and often take 1 to 2 hours to fall asleep. However, the quality of my sleep is very poor; I wake up at the slightest noise! When I wake up, my whole body feels sore! Additio...
Dr. Qiu Junda Reply:
Hello: Sleep problems are becoming increasingly common in today's society, with various causes that can be categorized into physical, psychological, and environmental factors. Individuals with a more sensitive and anxious temperament may indeed experience sleep issues. Addit...[Read More] Understanding Autonomic Nervous System Disorders: Sleep Issues and Anxiety
Managing Autonomic Nervous System Disorders and Panic Attacks
Treatment of Autonomic Nervous System Dysregulation and Panic Disorder Hello, Doctor! At the end of last year, I experienced numbness and weakness in my left hand, foot, and face (I have a history of hypertension), and I was taken to the emergency room and hospitalized at Yadong ...
Dr. Song Chengxian Reply:
Hello, regarding your panic disorder, regular treatment can lead to recovery, especially when medication is combined with non-pharmacological therapies for better results. As for whether to incorporate cognitive therapy or behavioral therapy in addition to medication, please cons...[Read More] Managing Autonomic Nervous System Disorders and Panic Attacks
Understanding Anxiety: Can It Cause Frequent Urination?
Constantly paying attention to the bladder can lead to frequent urination? Doctor, I have been experiencing frequent urination recently, but it improves at night. I went to a clinic for blood tests to check for diabetes. My hemoglobin A1c was 5.41, and there was no glucose or pro...
Dr. Ding Shuyan Reply:
First of all, I encourage you for taking care of your body and your desire for knowledge; these are signs of a responsible person. Secondly, our bodies are dynamic living organisms that constantly experience changes in sensations and fluctuations in function. As time passes, with...[Read More] Understanding Anxiety: Can It Cause Frequent Urination?