Overthinking Your Health: Understanding Anxiety and Fatigue
Overthinking? Hello, doctor. Since my freshman year, I have been playing on the computer for about 15 hours a day on average, and I often stay up late, sometimes going two or three days without sleep. I have been binge eating late-night snacks, and my weight has increased from 67...
Dr. Cai Yunlin Reply:
Hello, it seems that the psychosomatic symptoms you mentioned have been troubling you for a long time, and despite receiving treatment, you have not experienced satisfactory improvement. After many years, it is indeed challenging to find quick solutions or simple explanations for...[Read More] Overthinking Your Health: Understanding Anxiety and Fatigue
Facing School Anxiety: Understanding Panic Disorder Symptoms
Doctor, I'm about to start school, please help me! I am not sure if I have panic disorder, but whenever I think about feeling anxious or lonely without anyone by my side, I start to feel nervous. My hands and feet tingle, my heart races, and I feel like I might faint. Additi...
Dr. Su Zongwei Reply:
Based on your symptoms, if there are no significant issues found during the physical examination, it is quite possible that you are experiencing panic symptoms. However, to determine whether it is indeed panic disorder, further evaluation at an outpatient clinic is necessary. In ...[Read More] Facing School Anxiety: Understanding Panic Disorder Symptoms
Understanding Menopause-Related Mental Health Issues and Solutions
Concerns about menopause My mother is 55 years old. According to her, last year was the most severe period for her menopausal symptoms, including menopause, night sweats, and insomnia. On the other hand, my father underwent cancer treatment last year, and during this time, my mot...
Dr. Chen Wenyu Reply:
Hello, Banfu: Your mother is likely suffering from depression, which requires medical treatment. Depression can be accompanied by delusions and other psychiatric symptoms, and it indeed necessitates pharmacological intervention. Sensitivity to medications can be discussed with th...[Read More] Understanding Menopause-Related Mental Health Issues and Solutions
Understanding Insomnia: Seeking Solutions for Chronic Sleep Disorders
Insomnia My mother has been experiencing insomnia for six consecutive months (waking up shortly after falling asleep). For the first five months, she consulted doctors who only prescribed sleeping pills. Later, she saw a psychosomatic medicine specialist who indicated that her sl...
Dr. Kong Fanzhong Reply:
Do you know your mother's age, personality, and health status? Are there any significant stress events in her life? Risperidone is an antipsychotic medication, and it may be time to have a thorough examination at a major hospital's family medicine or neurology departmen...[Read More] Understanding Insomnia: Seeking Solutions for Chronic Sleep Disorders
Understanding Insomnia: Causes and Solutions for Chronic Headache Sufferers
Insomnia Hello Dr. Chen: My mother has been suffering from chronic headaches and recently has been unable to sleep at night. Sometimes, even sleeping pills are ineffective, and she can't even take a nap during the day. She experiences headaches during the day and has a feeli...
Dr. Chen Wenyu Reply:
Hello, Miss Lin: Insomnia can be classified as primary (without an identifiable cause) or secondary (with identifiable causes, such as physical or mental health conditions). Is your mother's insomnia related to her recent physical condition? For example, does she experience ...[Read More] Understanding Insomnia: Causes and Solutions for Chronic Headache Sufferers
Could Stress Be Causing My Unexplained Physical Symptoms?
Am I sick? Hello, may I ask you a question? Recently, due to certain circumstances, I had to take on all the responsibilities of my company. Since then, I have started experiencing health issues. I have been suffering from gastroenteritis that has developed into gastritis, and de...
Dr. Tang Xinbei Reply:
Dear Little One: It seems that at such a young age, you have to bear many burdens and feel quite a bit of pressure! There is increasing evidence that when individuals face stress, various systems in the body are affected, including the neuroendocrine system (which involves cortis...[Read More] Could Stress Be Causing My Unexplained Physical Symptoms?
Understanding Irritable Bowel Syndrome: Is It Linked to Autonomic Nervous Dysfunction?
Irritable Bowel Syndrome (IBS) Autonomic nervous system dysfunction can disrupt the body's balance mechanisms, and patients often feel unwell without a clear diagnosis. Currently, the Guo Yu-Hsiang Clinic has introduced "HRV (Heart Rate Variability) testing," which...
Dr. Cai Yunlin Reply:
Hello, Colorectal Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder that often accompanies anxiety and other psychological symptoms in addition to gastrointestinal symptoms. It is important to rule out related conditions such as lactose intolerance during diagn...[Read More] Understanding Irritable Bowel Syndrome: Is It Linked to Autonomic Nervous Dysfunction?
Understanding Your Psychiatric Medications: A Guide to Common Prescriptions
Medication Consultation Hello Doctor: Recently, I often feel anxious, under a lot of stress, experience unexplained fear, cry, and have difficulty sleeping. The doctor prescribed me six medications but did not inform me of their main uses or possible side effects, so I am seeking...
Dr. Wang Chongren Reply:
Dear [Recipient's Name], I hope this message finds you well. Based on your letter, I am unable to provide a definitive diagnosis. However, the symptoms you described, such as fear and unexplained crying, if they occur frequently and impact your daily life, work, or interper...[Read More] Understanding Your Psychiatric Medications: A Guide to Common Prescriptions
Understanding Violence and Anger Disorders: A Case Study
Violence and Aggression Disorders I met a male friend in Hualien who exhibits violent and aggressive behavior. He often speaks loudly to his girlfriend or relatives, whether intentionally or unintentionally, causing his girlfriend to experience mental stress, insomnia, and autono...
Dr. Tang Xinbei Reply:
Dear Limey, Your question is somewhat complex, so I will try to clarify a few points: 1. Your friend, who is only twenty years old, seems to be troubled by her boyfriend's issues. Her boyfriend has been using drugs, specifically methamphetamine, which appears to have alte...[Read More] Understanding Violence and Anger Disorders: A Case Study
Understanding Panic Disorder vs. Dysautonomia: Symptoms and Recovery
Panic or autonomic dysregulation disorder? Hello, I would like to ask you about my symptoms. I often feel inexplicable tension and difficulty breathing, as if there is no air. Just the thought of going out makes me anxious, and I experience weakness, cold sweats, or tingling sens...
Dr. Lin Yanhong Reply:
Hello, your issue is: inexplicable tightness and difficulty breathing, feeling as if there is no air. Just the thought of going out triggers anxiety, leading to weakness, cold sweats, or a sensation as if someone is squeezing my heart, making it difficult to go out, which is quit...[Read More] Understanding Panic Disorder vs. Dysautonomia: Symptoms and Recovery
Understanding Autonomic Nervous System Disorders and Mental Health
Autonomic Nervous System Dysregulation and Dizziness? After puberty, I have been experiencing tremors in my hands and frequent numbness in my limbs. Recently, due to work-related issues, my day-night schedule has been irregular, with late nights, alcohol consumption, and poor sle...
Dr. Yu Xie Zhao Reply:
Antidepressant medications can enhance stress resilience, suppress impulsivity, improve mood, and even have analgesic effects (as serotonin acts on spinal nerves). However, excessive various forms of "stress" disrupt the body's self-regulatory functions (including ...[Read More] Understanding Autonomic Nervous System Disorders and Mental Health
Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
What is wrong with me? Hello Doctor: Over the past two years, I feel like I've changed. I've become irritable and easily angered; even the smallest things can make me explode in rage and curse. If someone almost hits me while I'm riding my bike, I will yell, but af...
Dr. Chen Guangpeng Reply:
Hello, patient with anxiety: Based on your description, your symptoms are associated with both anxiety and depression. Some patients begin with long-term sleep disturbances, leading to excessive sympathetic nervous system activation the next day, resulting in emotional instabilit...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
Could the chest pain radiating to my back and left shoulder blade that has troubled me for many years be caused by autonomic nervous system dysfunction? Hello Doctor: I have been experiencing symptoms such as chest pain, chest tightness, and difficulty breathing for several years...
Dr. Ke Shengying Reply:
Dear Fu Ge, 1. The term "autonomic nervous system" refers to the "sympathetic nervous system" and the "parasympathetic nervous system," with the vagus nerve being part of the parasympathetic nervous system. The autonomic nervous system innervates th...[Read More] Understanding Chest Pain: Is It Anxiety, Heart Issues, or GERD?
Am I Suffering from Autonomic Nervous System Dysfunction?
Am I experiencing autonomic nervous system dysfunction? I have been experiencing symptoms of hiccups (similar to a feeling of fullness) since I completed my military service five years ago. My stools have been watery, and despite seeing many doctors, there has been no improvement...
Dr. Lin Yanhong Reply:
Hello: Your symptoms include mood changes, gastrointestinal issues, and heart problems, which are episodic and fluctuate. Many of these symptoms seem to be related to autonomic nervous system dysfunction, which is a collective term for a group of symptoms. Understanding the under...[Read More] Am I Suffering from Autonomic Nervous System Dysfunction?
Understanding Anxiety and Heart Health: A Patient's Journey
It seems that your message Hello Dr. Tang, I originally planned to visit you at the Chianan Rehabilitation Hospital today, but my family insisted that I go to the National Taiwan University Yunlin Branch for a cardiology check-up. The electrocardiogram (ECG) and X-ray results wer...
Dr. Tang Xinbei Reply:
Dear Hui, Every person who faces a serious illness goes through an emotional process of adjustment and experience regarding the unknowns of life and death. I have described these processes in my response to your first letter. In fact, the family members of the patient are also c...[Read More] Understanding Anxiety and Heart Health: A Patient's Journey
Managing Panic Disorder: When to Consult a Cardiologist?
I have issues with panic disorder? For the past two years, I have been troubled by palpitations and chest tightness. About two years ago, I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, but no abnormalities were found. Later, I learned tha...
Dr. Tang Xinbei Reply:
Dear Ginny, It seems that your panic disorder has been troubling you for quite some time, and there appears to have been some changes recently? Generally speaking, the most effective treatment for panic disorder currently involves a combination of pharmacotherapy and cognitive b...[Read More] Managing Panic Disorder: When to Consult a Cardiologist?
Managing Autonomic Nervous System Disorders After Liver Surgery
Autonomic nervous system After undergoing surgery for liver cancer in September (a 5 cm liver resection at an early stage), I have been experiencing daily chest tightness, chest pain, and difficulty breathing. I have consulted many specialties (cardiology, pulmonology, otolaryngo...
Dr. Tang Xinbei Reply:
Dear friend, Facing a serious illness can be incredibly shocking and frightening at first, especially when confronted with an uncertain future: Will it be completely removed? Will it recur? Are there any postoperative complications? For the vast majority of people, this requires...[Read More] Managing Autonomic Nervous System Disorders After Liver Surgery
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Doctor, may I ask you something? Doctor, I have asked you questions here before! I have also researched some information about psychiatry online. Some of my symptoms seem to be similar to autonomic nervous system dysfunction. I think I might have autonomic nervous system dysfunct...
Dr. Tang Xinbei Reply:
Dear little brother, It may not be appropriate for you to conclude that you have "autonomic nervous system dysfunction" based solely on your own research. While autonomic nervous system dysfunction can indeed cause some of the psychological symptoms you mentioned, such...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Last month, I experienced severe dizziness, heart arrhythmia with a heart rate of 140 beats per minute, shortness of breath, chest tightness, nausea, numbness in both hands, and elevated blood pressure. I felt extremely unwell, restless, and w...
Dr. Chen Wenke Reply:
Many diseases can potentially present with what is known as autonomic nervous system dysregulation. Based on the symptoms you have described, it does appear that you are in a state of anxiety. Therefore, if your physical examination does not reveal any corresponding pathological ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Last month, I experienced severe dizziness, irregular heartbeats with a heart rate of 140 beats per minute, shortness of breath, chest tightness, nausea, numbness in both hands, and elevated blood pressure. I felt extremely unwell, restless, a...
Dr. Chen Wenke Reply:
I have already answered, wishing you well.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions