Managing Anxiety and Eye Pressure: Exploring Medication Options
Psychiatric medications Hello Doctor, I previously experienced anxiety for about a year, which led to symptoms similar to autonomic nervous system dysfunction, including frequent urination and urgency. The doctor prescribed me FLUOXETINE 20mg to take monthly for a year. After sto...
Dr. Qiu Junda Reply:
Hello. This medication does not contain steroids. If you are experiencing anxiety or other physical and mental distress, it is recommended that you have regular follow-up appointments and adhere to the prescribed treatment plan, including medication, to facilitate improvement.[Read More] Managing Anxiety and Eye Pressure: Exploring Medication Options
Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...
Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...[Read More] Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Anxiety and autonomic nervous system dysregulation? Hello, Doctor. This is my first time asking a question here. I was diagnosed with generalized anxiety disorder at the age of 22, but after several years of treatment, I am no longer on medication. Last year, due to some noise an...
Dr. Lin Mianzhang Reply:
Hi there! Your situation may be indicative of hypochondriasis, a condition where symptoms fluctuate with psychological stress. I suggest you reflect on any recent stressors and consider ways to cope with them. If necessary, you can ask your psychiatrist for a referral for psychot...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Patient's Journey
Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Anxiety and Panic Hello, doctor. I apologize for bothering you. I have been experiencing anxiety and panic attacks since March 2020, with fluctuations in severity. I previously used fluoxetine but have since stopped all medications except for one Yung-Kang capsule in the morning ...
Dr. Wu Enliang Reply:
Hello, I have anxiety and I'm constantly worried about my heart because sometimes my heart rate can be quite fast, ranging from 90 to 120 beats per minute. The cardiologist said it's a problem with my autonomic nervous system. Is this caused by anxiety? A: It's ver...[Read More] Understanding Anxiety and Panic: Heart Symptoms and Treatment Options
Is Vyvanse Effective for Treating Attention Deficit Issues?
Medication Inquiry Is the medication Vyvanse effective for attention deficit disorder?
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing distress, particularly regarding attention deficit issues. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are common ailments in modern society. T...[Read More] Is Vyvanse Effective for Treating Attention Deficit Issues?
Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace
How can I stop being overly anxious and worrying about the worst-case scenarios? Fearing car accidents while riding a bike or driving, worrying about my 900-degree myopia leading to retinal detachment or macular degeneration, seeing numerous news stories about gang violence and t...
Dr. Qiu Junda Reply:
Hello. In modern society, life moves quickly and stress is ever-present. Many people experience some level of anxiety in their daily lives. To improve this, you already have some good ideas: engaging in conversations with friends and family or cultivating hobbies to help normaliz...[Read More] Overcoming Catastrophic Thinking: Tips to Manage Anxiety and Find Peace
Managing Insomnia and Medication Withdrawal: A Patient's Journey
Insomnia and medication withdrawal? Hello, doctor. On March 11, I encountered some stress in my interpersonal relationships, which led to sleep disturbances (difficulty falling asleep and waking up easily). Later, on March 17, I consulted a psychiatrist and asked if it could be a...
Dr. Lin Mianzhang Reply:
Hello Lai Lai: Jing An Ning is a short-acting and potent sedative that can lead to dependence with prolonged use, and sudden discontinuation may result in withdrawal symptoms. If you are concerned about the difficulty of tapering off, you can ask your physician to switch you to a...[Read More] Managing Insomnia and Medication Withdrawal: A Patient's Journey
Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
How can hypochondriasis be cured? Hello Doctor, since I discovered spots in my mouth at the end of 2018, I started googling my symptoms. With the onset of the pandemic and the stress from my job at that time, I became uncomfortable and began a series of health anxiety behaviors. ...
Dr. Qiu Junda Reply:
Hello. Regarding the issues of autonomic nervous system dysfunction and health anxiety, although long-term treatment is necessary and it may not be possible to completely cure it without medication as you mentioned, significant improvement can be achieved with regular and consist...[Read More] Overcoming Health Anxiety: Strategies for Recovery and Peace of Mind
Managing Anxiety and Panic: Non-Medication Strategies for Relief
Anxiety and Panic Hello Dr. Wu, I apologize for bothering you. I would like to ask about my situation. I have been experiencing panic and anxiety for about three years. I took an antidepressant for over a year, and after gradually tapering off, I felt somewhat better. However, re...
Dr. Wu Enliang Reply:
Cold hands and fingers can indeed be a physical symptom of anxiety. Non-pharmacological treatment methods such as psychotherapy, relaxation training, high-purity DHA fish oil, or devices like CES, as you mentioned, may be helpful. The time it takes to feel the effects of regular ...[Read More] Managing Anxiety and Panic: Non-Medication Strategies for Relief
Exploring Treatment Options for Social Anxiety and Emotional Distress
What kind of treatment should I seek? (What should I do?) Since childhood, I have felt uncomfortable interacting with everyone except my mother and sister, suppressing my true thoughts. Now that I'm in high school, this issue has become increasingly severe. My life is misera...
Dr. Liang Sunyuan Reply:
Hello: The symptoms you described may indicate social anxiety disorder. Seeking medical treatment or psychological counseling could improve the situation, but it requires more patience, as alleviating anxiety takes time. If you are considering hypnosis as a treatment option, it i...[Read More] Exploring Treatment Options for Social Anxiety and Emotional Distress
Managing Medication Withdrawal: Insights on Lorazepam and Sleep Issues
Medication discontinuation issues? Two years ago, I took Lorazepam 0.5 mg for three months, and after stopping, I experienced insomnia. Recently, I started taking it again at a dosage of 0.5 to 0.75 mg. Before taking it, I was able to fall asleep naturally, but now it's wors...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress; however, deciding not to take medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are comm...[Read More] Managing Medication Withdrawal: Insights on Lorazepam and Sleep Issues
Understanding Serotonin Syndrome: Risks of Combining Medications
Drug interactions: Serotonin syndrome Hello, doctor. I usually take Ritalin, and last week I visited a psychiatrist and received a prescription for the antidepressant Wellbutrin. However, I noticed in the Ritalin information leaflet that there is a concern about the potential for...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress; however, deciding not to take medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulation, are comm...[Read More] Understanding Serotonin Syndrome: Risks of Combining Medications
Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Anxiety Panic Disorder Hello Dr. Wu, I often experience rapid heartbeat and missed beats, so I consulted a cardiologist. The cardiologist indicated that there are no significant heart issues, and that my discomfort is mainly due to autonomic nervous system problems. Consequently...
Dr. Wu Enliang Reply:
1. Is Bupropion effective for anxiety disorders and panic disorders? A: Bupropion is primarily used to treat depression. 2. Will taking Bupropion cause my heart rate to increase or make my anxiety and panic worse? A: It should not. 3. Are dizziness or fatigue common side effe...[Read More] Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Understanding Noise Sensitivity: Seeking Help for Anxiety and Treatment Options
Noise sensitivity Hello, about a year ago, I noticed that the noise from my upstairs neighbors became significantly louder. The following morning, I happened to wake up early and heard the noise, which prevented me from falling back asleep. Since then, I have become anxious and f...
Dr. Lin Mianzhang Reply:
Hello, Miss Tsai: I would like to know if you are living with others. Are the other residents also disturbed by the same sounds? If they are not bothered, it may indicate that you are particularly sensitive. If you live alone, we would need objective sound data (for example, meas...[Read More] Understanding Noise Sensitivity: Seeking Help for Anxiety and Treatment Options
Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Feeling unwell without improvement, but the examination shows no significant issues? Hello Doctor: Previously (it should have been last year), I felt very anxious and sad due to noticeable heartbeats and palpitations, often wanting to cry, so I went to see a cardiologist. After t...
Dr. Qiu Junda Reply:
Hello. As you described, most of the results from your physical examination are normal. It may be worth considering whether psychological factors are contributing to your physical discomfort. The issues mentioned in your description do lean towards concerns such as anxiety, panic...[Read More] Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Managing Medication: Safe Strategies for Reducing Anxiety Treatment
Medication issues Hello Doctor, I had issues with autonomic nervous system dysfunction a year ago, and I am currently taking half a tablet of Anxin and one tablet of Liyou every night. However, I forgot to return for a follow-up appointment before my exam, and now I only have thr...
Dr. Wu Enliang Reply:
It is advisable to gradually reduce the dosage. Many clinics are open today, but many will be closed tomorrow due to the New Year holiday. It would be better to return for a follow-up appointment to obtain your medication as soon as possible. Dr. Wu Enliang[Read More] Managing Medication: Safe Strategies for Reducing Anxiety Treatment
Understanding HRV Testing for Autonomic Nervous System Disorders
Autonomic Nervous System Dysregulation HRV Assessment Hello Doctor, I am the person who asked question #191267. Thank you for the advice you provided. A few days ago, I visited a psychosomatic specialist and underwent a test for autonomic nervous system dysfunction (HRV). I had p...
Dr. Lin Mianzhang Reply:
Dear Ms. Chen, The three medications prescribed by your doctor are all intended to alleviate anxiety symptoms. Yuli Shupan and Kexianping are sedatives, while Xinlvding can help reduce heart rate. These medications are primarily "symptomatic treatments," meaning they c...[Read More] Understanding HRV Testing for Autonomic Nervous System Disorders
Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Drug withdrawal Hello, doctor. Due to work-related issues, I have been experiencing sleep deprivation for the past two weeks, waking up around 4-5 AM. I visited a psychiatrist to see if there were any solutions. The doctor used instruments to test and diagnosed me with mild auton...
Dr. Qiu Junda Reply:
Hello. Anxiolytic medications generally have fewer withdrawal issues (theoretically, they are less addictive). If there are withdrawal symptoms, they are likely related to sleep and anti-anxiety medications. However, improvement should typically be seen after about two weeks. Reg...[Read More] Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...
Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Autonomic Nervous System Panic Hello doctor, I have arrhythmia and premature contractions in my heart. I also feel a sense of pressure and tightness on one side of my neck, which often makes me feel like I can't get enough air. The lymph nodes in that area are swollen, and I...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders