Understanding Persistent Pain: When to Seek Help Beyond Psychiatry
Chronic pain Hello: I have been seeing a psychiatrist for over eight months. The doctor suspects I have autonomic nervous system dysregulation due to insomnia and other physical symptoms. I have been taking Liyou and other sedatives for about six months, but changing medications ...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Autonomic nervous system disorders or anxiety disorders can indeed present with physiological symptoms that cannot be explained by physical examinations or diagnostic tests, such as unexplained pain. However, it is generally necessa...[Read More] Understanding Persistent Pain: When to Seek Help Beyond Psychiatry
Managing White Coat Hypertension: Tips for Anxiety and Blood Pressure Control
Emotional hypertension Recently, during my visits to a major hospital for dental specialists, I was quite surprised by the readings from the electronic blood pressure monitor, which were around 160-180/100-110. I didn't expect to have significant white coat hypertension! Aft...
Dr. Liang Sunyuan Reply:
Hello, both emotional states and anticipatory anxiety can indeed affect blood pressure. Most people experience an increase in blood pressure when visiting the dentist. It seems you are making a strong effort to exercise, manage your weight, and have also tried to discontinue medi...[Read More] Managing White Coat Hypertension: Tips for Anxiety and Blood Pressure Control
Managing Panic Disorder: Understanding Autonomic Dysfunction and Sleep Issues
Regarding autonomic nervous system dysregulation caused by panic disorder... please consult a physician? Dr. Li, I apologize for the interruption, but I would like to ask you a question. I am experiencing sleep disturbances due to panic disorder, and I am currently taking Lowen (...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Lowen (Luo Wei - China Chemical) 0.5 mg and Propranolol (Sandoz) 10 mg can indeed be used to treat panic disorder. If sleep does not improve, some sleeping pills may be added. Additionally, regular exercise and appropriate leisure a...[Read More] Managing Panic Disorder: Understanding Autonomic Dysfunction and Sleep Issues
Understanding Panic Disorder and Autonomic Nervous System Dysfunction
Autonomic Nervous System Dysregulation and Panic Disorder Hello, doctor! Last year, after several visits to the emergency room, I was diagnosed with autonomic nervous system dysfunction and panic disorder, which led to hospitalization. The doctor prescribed the following medicati...
Dr. Song Chengxian Reply:
Dear Mr. Zheng, Panic disorder can be cured with appropriate medication and psychotherapy, provided that you maintain close collaboration with your treatment team. The questions you raised are ones that every patient wants to know and has the right to ask. I am unsure why you di...[Read More] Understanding Panic Disorder and Autonomic Nervous System Dysfunction
Am I Experiencing Panic Disorder, Depression, or Something Else?
Do I have panic disorder? Or depression? Or...? Hello, doctor. I currently have mitral valve prolapse and a benign fibroma in my chest. Recently, I felt unwell and wasn't sure which specialist to see, so I first visited a family medicine doctor. After discussing my symptoms,...
Dr. Song Chengxian Reply:
Hello, it seems that many of your physical discomfort symptoms indeed resemble those of panic disorder. Panic disorder is often accompanied by physical manifestations related to autonomic nervous system dysregulation. If previous medical examinations have shown no abnormalities, ...[Read More] Am I Experiencing Panic Disorder, Depression, or Something Else?
Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Long-term use of autonomic nervous system (anxiolytic) medications? Hello Dr. Wang, I have been taking medication for autonomic nervous system disorder for one year and three months. The medications I am taking are Kinax (alprazolam) and venlafaxine (Easyfor) 37.5 mg. Over the p...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, Regarding the two medications you mentioned in your letter, Kinax is an anxiolytic, while Easyfor is an antidepressant. Discontinuing these medications suddenly after long...[Read More] Long-Term Use of Autonomic Nervous System Medications: Concerns and Alternatives
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is there autonomic nervous system dysfunction? Hello, doctor. I have been living a reversed day-night schedule since I was around 18 years old, which has lasted for about 7 to 8 years now. Gradually, I have started to feel some issues with my body. In the past two years, I have w...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, In your letter, you mentioned experiencing persistent insomnia due to a disrupted day-night cycle, along with various physical symptoms for which no underlying medical con...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Sleep Disorders: Is It Depression or Autonomic Dysfunction?
Sleep disorders Hello, Dr. Fan... Previously, I had a night where I couldn't sleep at all after taking five doses of Seroquel. Later, I sought help from a psychiatrist for sleep disorders, and the female doctor mentioned that I had mild postpartum depression and mild bipolar...
Dr. Fan Tingwei Reply:
Dear Sir/Madam, Due to Dr. Fan's departure in August, he has currently opened a wellness clinic in Tainan City. On behalf of the hospital, I would like to respond to your message. Depression primarily manifests with mood-related symptoms, while autonomic nervous system dy...[Read More] Understanding Sleep Disorders: Is It Depression or Autonomic Dysfunction?
Severe Constipation Linked to Autonomic Nervous System Dysfunction
Severe constipation has occurred due to autonomic nervous system dysfunction? Hello, doctor. I would like to ask you... It seems that I have autonomic nervous system dysfunction, which is causing severe constipation. Even taking strong stool softeners doesn't help. However, ...
Dr. Song Chengxian Reply:
Hello, Xiao Han. Based on your complaint of severe constipation, it is difficult to determine if you have autonomic nervous system dysfunction. I recommend that you visit a gastroenterology clinic for an examination to identify the underlying cause and provide appropriate treatme...[Read More] Severe Constipation Linked to Autonomic Nervous System Dysfunction
Understanding My Symptoms: Myofascial Pain, Fibromyalgia, or Autonomic Dysfunction?
What condition do I actually have? Recently, due to work-related stress, I often feel physically and mentally exhausted. Last month, I experienced shoulder pain that was tender to the touch, and sometimes I felt a warm sensation running down my right leg. I consulted an online do...
Dr. Wang Chongren Reply:
Dear Dr. Wang Chong-Ren, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare: Hello, The main issue you mentioned in your letter is your uncertainty about what illness you have. You seem confused about being diagnosed with four different conditions and fee...[Read More] Understanding My Symptoms: Myofascial Pain, Fibromyalgia, or Autonomic Dysfunction?
Understanding Anxiety: Coping with Panic and Fear in Daily Life
Are you feeling unwell? I would like to ask about my tendency to feel inexplicably anxious. I experience symptoms such as rapid heartbeat, chest tightness, flushing, and a few times I've felt faint. My heart feels tightly wound and it's difficult to relax, especially wh...
Dr. Ding Shuyan Reply:
Hello, feeling anxious and experiencing symptoms related to the autonomic nervous system is a common issue for many people. However, if you find that the situations causing this anxiety are too frequent or are significantly impacting your daily life and well-being, it would be ad...[Read More] Understanding Anxiety: Coping with Panic and Fear in Daily Life
Understanding Psychological Distress: Symptoms and Solutions
Confusion seeking resolution? Hello, doctor. I feel like there must be something wrong with my mental health. Although I know that consulting a psychologist might be more effective in overcoming these issues, I thought it would be more appropriate to ask online first. Here are my...
Dr. Ding Shuyan Reply:
The physical discomfort symptoms mentioned in your question are manifestations of autonomic nervous system overactivity. Each individual's stability of the autonomic nervous system has some inherent differences. When faced with events that provoke strong emotions, somatic sy...[Read More] Understanding Psychological Distress: Symptoms and Solutions
Can Antidepressants Reverse Brain Changes in Severe Depression?
Major Depressive Disorder About six years ago, I experienced significant stress and severe autonomic nervous system dysregulation, which led me to consult Dr. Chuo Liang-Chen at Taichung Veterans General Hospital and Professor Lu Ru-Bin at National Cheng Kung University Hospital....
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Patients with major depressive disorder can indeed experience cognitive decline; however, with appropriate treatment using antidepressants, cognitive function can improve and recover. So you can prepare for your exam with confidence, witho...[Read More] Can Antidepressants Reverse Brain Changes in Severe Depression?
Understanding Muscle Twitches: A Guide to Stress and Neurological Issues
Muscle spasm Hello Dr. Ding, I would like to ask a question on behalf of my family member. Recently, he has been experiencing muscle twitches before going to sleep, similar to the sensation of suddenly falling into a deep hole, causing him to jerk. However, I have noticed that h...
Dr. Ding Shuyan Reply:
Hello, muscle spasms or involuntary tremors can have various causes. In addition to epilepsy and neurological disorders, factors such as alcohol or drug addiction, anxiety disorders, depression, and even fatigue from lack of sleep can contribute to these symptoms. As mentioned in...[Read More] Understanding Muscle Twitches: A Guide to Stress and Neurological Issues
Understanding Symptoms That Fall Under Psychiatry: A Guide
What symptoms are considered psychiatric? What symptoms are considered psychiatric? Which department should I consult for autonomic nervous system disorders? Why do I often experience dizziness, headaches, nausea, vomiting, and weakness in my limbs, yet psychiatric medications al...
Dr. Ding Shuyan Reply:
Hello, the symptoms you described sometimes do not reveal any abnormalities in the physical organs. Instead, they may be related to anxiety disorders, psychosomatic disorders, or depression combined with autonomic nervous system dysfunction, which can lead to the discomfort you m...[Read More] Understanding Symptoms That Fall Under Psychiatry: A Guide
Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
What is the relationship between panic disorder and autonomic nervous system dysregulation? Hello Doctor: I am a patient with panic disorder and have been taking the same medication for about a year and a half (prescribed by a municipal hospital). 1. Efexor XR 75mg capsule (Venla...
Dr. Ding Shuyan Reply:
Hello, the symptoms of autonomic nervous system dysfunction are typically present in panic disorder, and this is something you should understand first! The autonomic nervous system governs the functioning of our vital organs; therefore, symptoms such as shortness of breath, eleva...[Read More] Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
Understanding Anxiety Disorders: Symptoms and When to Seek Help
What disease is this exactly? Hello doctor, I have several questions I would like to ask you. For a while now, I have been experiencing a series of symptoms. I work in the food service industry, and whenever I am busy with customers, feeling nervous, or in a stuffy environment, I...
Dr. Ding Shuyan Reply:
Hello, your physical symptoms are more indicative of autonomic nervous system dysregulation, which can have many causes. The related conditions are often categorized under anxiety disorders. You mentioned that you have seen a cardiologist and a gastroenterologist, but the results...[Read More] Understanding Anxiety Disorders: Symptoms and When to Seek Help
Can Autonomic Nervous System Dysfunction Cause High Blood Pressure and Arrhythmia?
Does autonomic nervous system dysfunction lead to hypertension and arrhythmia? Hello, doctor. I have issues with hypertension and arrhythmia, and I would like to know if there is a way to determine through tests whether my hypertension and arrhythmia are caused by autonomic nervo...
Dr. Ding Shuyan Reply:
The autonomic nervous system is deeply embedded within the body cavity and cannot be directly detected by machines; it can only be assessed indirectly. However, the autonomic nervous system regulates the function of many important organs. For instance, an arrhythmia may stem from...[Read More] Can Autonomic Nervous System Dysfunction Cause High Blood Pressure and Arrhythmia?
Understanding Panic Disorder: High Blood Pressure, Fever, and Unanswered Questions
Panic disorder-related issues? Hello, Director: I have hypertension, elevated cholesterol, an enlarged heart, and panic disorder. My blood pressure often rises, sometimes triggered by panic attacks, but I am curious why it is accompanied by fever (without any cold or other illnes...
Dr. Ding Shuyan Reply:
Hello, anxiety, tension, and even panic attacks can manifest with cardiovascular symptoms in some individuals, such as increased heart rate, elevated blood pressure, cold extremities, and sweating. Others may experience fever, facial flushing, and sweating. These are all manifest...[Read More] Understanding Panic Disorder: High Blood Pressure, Fever, and Unanswered Questions
Understanding Muscle Twitches: Causes and Solutions for Your Health
Recently, I've been experiencing muscle twitching in my arm? Hello Doctor: 1. Recently, my arm muscles have been twitching (could it be due to lack of sleep?). How can I improve this? 2. I found some information online that seems very similar to my situation! It mentions...
Dr. Wu Peijun Reply:
Hello! 1. There are many reasons for muscle twitching, and it is difficult to determine the cause based on the information you provided. If this issue is significantly troubling you, I recommend consulting a psychiatrist who can evaluate the underlying causes and provide appropri...[Read More] Understanding Muscle Twitches: Causes and Solutions for Your Health