Understanding Distress and Burnout: A Guide to Mental Health Issues
Derealization and fatigue? Hello Doctor, I previously fainted for no apparent reason, but tests could not identify the cause. Subsequent blood tests, EEG, and echocardiograms showed no abnormalities, only slightly low blood pressure. That experience left me very fearful, and rece...
Dr. Lin Yanhong Reply:
Hello: You mentioned an experience of fainting; did you lose consciousness? Fainting can have many causes: cardiac issues, neurological problems, low blood pressure, hypoglycemia, anemia, a fright response, and other psychological or psychiatric disorders could all be potential f...[Read More] Understanding Distress and Burnout: A Guide to Mental Health Issues
Managing Autonomic Nervous System Disorders Linked to Liver Issues
Autonomic Nervous System Disorder Hello Doctor: I previously experienced nausea due to liver issues, but at that time I was unaware it was related to my liver condition. It wasn't until 3 to 4 months later that I received appropriate treatment (my liver has not yet returned ...
Dr. Chen Wenke Reply:
Regarding the symptoms of anxiety treated with anxiolytic medications, it is certainly possible to achieve rapid improvement and control. However, in certain stressful situations, anxiety symptoms can easily increase. Therefore, it is necessary to moderately adjust one’s coping a...[Read More] Managing Autonomic Nervous System Disorders Linked to Liver Issues
Understanding Symptoms and Causes of Neurodegeneration: A Doctor's Insight
Could you please clarify your question regarding the issue of neurodegeneration? 1. What symptoms are associated with neurodegeneration? What conditions can lead to neurodegeneration? 2. Six months ago, I had elevated liver function tests. Since then, I have been experiencing u...
Dr. Chen Guangpeng Reply:
Hello Jay: First, let me address your question about "neurasthenia." This is not a precise medical diagnosis; it primarily refers to symptoms associated with autonomic nervous system dysregulation. Related diagnoses may include anxiety disorders, depression, and insomni...[Read More] Understanding Symptoms and Causes of Neurodegeneration: A Doctor's Insight
Understanding Depression: Managing Symptoms and Medication Challenges
Depression Dr. Chen: Hello! My wife (45 years old, homemaker) has been experiencing difficulty sleeping and low mood since the 921 earthquake. She was diagnosed with depression at a clinic in Fengyuan and has been on medication for six months, during which her condition improved,...
Dr. Chen Wenke Reply:
Kines: From your question, it seems that your wife may have had some emotional issues from the beginning, possibly due to personality traits that make her more prone to anxiety and worry. Therefore, when faced with significant stress, she is more likely to exhibit emotional probl...[Read More] Understanding Depression: Managing Symptoms and Medication Challenges
Understanding Anxiety: Overcoming Fear of Sweating in Social Situations
Anxiety Hello, Dr. Chang. I tend to sweat excessively, which makes me anxious about going out with my classmates. Even in a cool environment, my fear of sweating causes me to feel very nervous, leading to excessive perspiration. When I'm in a group of people, I often feel fl...
Dr. Zhang Xuncheng Reply:
Dear anonymous user, Dr. Hsün-Cheng Chang from the Psychiatric Department of Tainan Hospital, Ministry of Health and Welfare, responds: There are many possible causes for excessive sweating, such as hyperthyroidism and sympathetic nervous system activation, among others. When se...[Read More] Understanding Anxiety: Overcoming Fear of Sweating in Social Situations
Can Antidepressants Help Alleviate Digestive Issues?
Can antidepressants improve digestive issues? I have poor digestive function and experience painful bloating. After a long period of exploration, I have realized that it is due to autonomic nervous system dysregulation. My psychiatrist has prescribed me Ativan 0.5 mg and Inderal ...
Dr. Chen Wenke Reply:
Hello, if it is related to autonomic nervous system dysregulation, in addition to using anxiolytic medications, antidepressants can also be an option. Many physiological symptoms may actually be manifestations of depression, which should be ruled out. Generally speaking, SSRIs li...[Read More] Can Antidepressants Help Alleviate Digestive Issues?
Seeking Help: Managing Anxiety and Physical Symptoms in Daily Life
Hello, Director Chen? Dear Director Chen, Thank you for your prompt response to my email. I have consulted various specialties, including neurology at Renai Hospital, where I was diagnosed with myositis, and rehabilitation medicine at the Postal Hospital for muscle inflammation....
Dr. Chen Wenke Reply:
Hello Mr. Yang, based on your clearer self-description, it can be preliminarily assessed that you may be experiencing anxiety disorders, commonly referred to as autonomic nervous system dysregulation or neurasthenia. These types of conditions are generally closely related to stre...[Read More] Seeking Help: Managing Anxiety and Physical Symptoms in Daily Life
Understanding Recurring Dizziness: Causes, Treatments, and Insurance Coverage
Could you please provide more details or specify your question regarding dizziness? Hello Doctor, I started experiencing symptoms of dizziness at the end of last year. Previously, I was diagnosed with basilar-type migraine at the dizziness clinic at National Taiwan University Hos...
Dr. Chen Wenke Reply:
Primrose: Regarding your question, it is actually not my area of expertise. I still recommend that you consult your original physician at the Department of Neurology at National Taiwan University, especially since your original condition has improved with treatment. Recurrence of...[Read More] Understanding Recurring Dizziness: Causes, Treatments, and Insurance Coverage
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello Doctor, Perhaps it's been a while since I last worked, and my irregular schedule due to late nights playing mahjong and using the computer has led to my current physical discomfort. I've been visiting the hospital frequently ...
Dr. Chen Jianzhi Reply:
The symptoms you described are mostly physical. After seeing several doctors and undergoing various tests, no specific disease has been identified, which can indeed be concerning. However, it currently seems that the likelihood of a serious illness is low, while the possibility o...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Struggling with Anxiety and Isolation: Seeking Help for Mental Health
My concerns? Hello Dr. Chen! I am a finance professional working in mainland China. Over the past three years, I have experienced significant psychological changes. I had previously visited a family medicine doctor in Taiwan for issues such as anxiety, palpitations, and autonomic...
Dr. Chen Wenyu Reply:
Hello LISA: Based on your description of symptoms, it appears to be depression. Currently, the first-line treatment for depression is pharmacotherapy, which can be combined with psychotherapy if deemed necessary. There are many advanced medications available now with fewer side e...[Read More] Struggling with Anxiety and Isolation: Seeking Help for Mental Health
Managing Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Autonomic Nervous System Dysregulation vs. Functional Gastrointestinal Disorders Thank you, Dr. Chen, for your assistance. I believe my autonomic nervous system disorder has significantly improved. Additionally, starting in May, I will be working in Japan for one year, and I kind...
Dr. Chen Wenke Reply:
Hi: I think you should feel happy about your improvement. The decision to reduce medication should be based entirely on your condition. I remember I previously suggested that you temporarily refrain from reducing your medication because your dosage is actually not high, and it se...[Read More] Managing Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Understanding Neurasthenia: Managing Anxiety and Fear of Death
What is neurosis? What is neurosis? I often find myself overwhelmed with fears about life and death, constantly afraid that I might die. I tremble all over and worry about encountering something terrible. Besides medication, what other solutions are there? I easily become anxious...
Dr. Ye Baozhuan Reply:
1. As we age, or due to injury or inflammation, each nerve may become increasingly weakened, less able to function properly, or more prone to "malfunctions." 2. However, the nerve weakness you mentioned likely refers to neuroasthenia, which is indeed a diagnosis in psyc...[Read More] Understanding Neurasthenia: Managing Anxiety and Fear of Death
Understanding Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Autonomic Nervous System Dysfunction vs. Functional Gastrointestinal Disorders Thank you for your guidance. I would like to ask you again: (1) Current medication status: I started taking medication on June 11 of this year, originally three times a day. At 10:00 AM: Homagyl 25mg...
Dr. Chen Wenke Reply:
I apologize for the delayed response to your inquiry. Here are some references regarding medication reduction methods. Both approaches you mentioned—reducing the dosage or extending the duration of medication use—can achieve the goal of decreasing medication usage. However, it is...[Read More] Understanding Autonomic Nervous System Disorders and Functional Gastrointestinal Issues
Understanding Autonomic Nervous System Disorders and Depression
Autonomic neuropathy? Hello Dr. Chen, I would like to ask a few questions: 1. Is autonomic neuropathy the same as autonomic dysfunction? 2. The doctor indicated through electromyography that I have autonomic neuropathy, and I found that I also exhibit some symptoms of depressi...
Dr. Chen Wenke Reply:
Hello Yan, I apologize for the delay in responding to your question, which I received on January 2, 2004. Regarding your inquiry about autonomic neuropathy, are you referring to autonomic dysfunction? It seems a bit strange that the doctor indicated you have autonomic neuropathy...[Read More] Understanding Autonomic Nervous System Disorders and Depression
Understanding Autonomic Nervous System Disorders and Gastrointestinal Dysfunction
Autonomic Nervous System Dysfunction vs. Gastrointestinal Dysfunction Dr. Chen: Thank you for your guidance. My condition has gradually improved, but I would still like to ask you a few questions: (1) Current medication status: I started taking medication on June 11 of this yea...
Dr. Chen Wenke Reply:
Hello Johnson, I am glad to hear that you have made significant progress. I believe your physician is also pleased with your situation. Regarding your concerns and our recent discussions, I would recommend that you continue with your current medication regimen and dosage to main...[Read More] Understanding Autonomic Nervous System Disorders and Gastrointestinal Dysfunction
Understanding Psychiatric Medications: Uses and Side Effects Explained
Psychiatric medications Hello Dr. Chen, I would like to ask you about my recent health condition. I went to the hospital to have my thyroid function tested due to some physical issues, and the doctor informed me that I might be experiencing autonomic nervous system dysregulation...
Dr. Chen Guangpeng Reply:
Dear patient, Thank you for your email inquiring about the indications and side effects of your medications. This is indeed an important question; however, such inquiries can be somewhat broad. The reason is that each medication typically has multiple indications, and providing...[Read More] Understanding Psychiatric Medications: Uses and Side Effects Explained
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Autonomic nervous system dysfunction Hello Dr. Chen: Over two months ago, I went to the emergency room due to stomach discomfort, belching, headaches, chest tightness, and a sudden increase in blood pressure. During the medication period, I experienced intermittent symptoms suc...
Dr. Chen Wenke Reply:
Before considering the possibility of autonomic nervous system dysfunction, it is essential to first confirm that there are no underlying physiological diseases causing your discomfort. However, given your age, it is unlikely that you have any severe physiological conditions. So,...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Understanding Autonomic Nervous System Disorders: Medication and Management
Autonomic nervous system dysfunction Dr. Chen: I would like to ask you again about my autonomic nervous system disorder. The medications prescribed by my doctor are: (1) Foan (OXAZEAM) 10 mg, (2) Diazepam 2 mg, (3) Sulipride 50 mg, which I currently take once daily. Due to feelin...
Dr. Chen Wenke Reply:
1. In principle, this type of medication does not significantly impact liver function or blood parameters, so regular monitoring is not necessary. 2. The medication you are currently taking does affect certain gastrointestinal functions, but it should have a positive effect. ...[Read More] Understanding Autonomic Nervous System Disorders: Medication and Management
Understanding Insomnia: Causes and Solutions for Sleep Issues
Insomnia I previously experienced long working hours (from 8:00 AM to midnight) due to my job, which caused significant stress. However, my sleep was relatively normal. I often had headaches and stomach pain, and I underwent an endoscopy that revealed esophageal reflux as the cau...
Dr. Ye Baozhuan Reply:
Long-term work fatigue, extended working hours, and high stress can disrupt our autonomic nervous system and endocrine system, making it difficult to adhere to the physiological rhythm of "working at sunrise and resting at sunset." As a result, muscles that should be re...[Read More] Understanding Insomnia: Causes and Solutions for Sleep Issues
Understanding Treatment Duration for Anxiety and Depression Disorders
The general treatment for autonomic nervous system dysfunction and depression typically includes a combination of psychotherapy, medication, and lifestyle modifications. 1. **Psychotherapy**: Cognitive Behavioral Therapy (CBT) is commonly used to help patients manage symptoms o...
Dr. Chen Wenke Reply:
Hello, Lao Lyuzi: 1. Generally, the treatment course for depression lasts about 3 to 6 months; however, it can vary from person to person. For some cases with recurrent episodes, the treatment may sometimes exceed one year. 2. The variability in the treatment of autonomic nervous...[Read More] Understanding Treatment Duration for Anxiety and Depression Disorders