Managing Anxiety: Insights on Medication and Coexisting Health Issues
Medication consultation I have been suffering from anxiety and panic disorder for about 8 years. I took tricyclic antidepressants for a month and a half, but stopping the medication abruptly caused my anxiety to worsen. Later, I consulted a psychiatrist who prescribed me Eser (Es...
Dr. Wang Zhenyang Reply:
Hello Ms. Liu: Anxiety disorders and panic disorders can indeed be triggered by certain physiological conditions, leading to secondary episodes. In medicine, the mind and body are inherently interconnected and can influence each other, which is why we refer to anxiety-related c...[Read More] Managing Anxiety: Insights on Medication and Coexisting Health Issues
Managing Anxiety Disorders: Insights on Medication and Coexisting Conditions
Medication consultation I have been suffering from anxiety and panic disorder for about 8 years. I took a tricyclic antidepressant for a month and a half, but stopping it abruptly caused my anxiety to worsen. I later switched to a psychiatrist who prescribed me ERA along with a h...
Dr. Wang Zhenyang Reply:
Hello Ms. Liu: Anxiety disorders and panic disorders can indeed be triggered by certain physiological conditions, leading to secondary episodes. In medicine, the mind and body are inherently interconnected and can influence each other, which is why we refer to anxiety-related c...[Read More] Managing Anxiety Disorders: Insights on Medication and Coexisting Conditions
Managing Anxiety About Health and Fear of Death After Vaccination
How to alleviate anxiety about health conditions and fear of death? Hello, Doctor. After receiving the COVID-19 vaccine, I began experiencing chest tightness and pain, which led me to visit the emergency room where I was diagnosed with elevated muscle enzymes and hospitalized for...
Dr. Liang Sunyuan Reply:
Hello CC: From your description, it is evident that you are experiencing excessive anxiety and worry. You are also attempting to analyze and identify possible causes, which is a good start. Perhaps your innate sensitivity makes you more susceptible to external changes. Your conce...[Read More] Managing Anxiety About Health and Fear of Death After Vaccination
Exploring Techniques to Erase Negative Memories: Current Advances and Treatments
Negative memories Hello, I would like to inquire about issues related to eliminating negative memories. A few years ago, I managed to overcome depression through sheer willpower, and I found new motivation to live, with no problems in work, family, or social interactions. However...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing symptoms of depression. If it has significantly impacted your daily life, I recommend seeking evaluation from a psychiatrist. When a person begins to feel depressed, negative thoughts can easily arise, and these negative thoughts can f...[Read More] Exploring Techniques to Erase Negative Memories: Current Advances and Treatments
Understanding Anxiety and Depression: Sleep Issues and Emotional Struggles
Anxiety and Depression Hello, doctor. I have been struggling with insomnia for a long time, often having difficulty falling asleep and staying asleep. Even when I finally manage to fall asleep, I wake up easily and spend a long time tossing and turning in bed. I was previously pr...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems more like an adjustment disorder due to stress, but there may be depressive tendencies. The tranquilizer you mentioned belongs to the category of sedatives and sleep aids. I would recommend making the following adjustments: 1. Maintain a...[Read More] Understanding Anxiety and Depression: Sleep Issues and Emotional Struggles
Understanding Memory Issues and Medication Overdose in Mental Health
Clinic Memory Medication Overdose I'm sorry, Doctor. This is my second time reaching out to a doctor on this website, and I truly apologize for the disturbance. I would like to ask a few questions. I have already started seeing a psychiatrist and taking medication, but I fee...
Dr. Peng Liyun Reply:
Hello, whether you need to change doctors is something I cannot assess for you. You should evaluate factors such as your compatibility with the physician and the convenience of receiving care. However, I would like to remind you that the treatment of psychiatric disorders often r...[Read More] Understanding Memory Issues and Medication Overdose in Mental Health
Am I Experiencing Depression? Understanding Self-Dialogue and Suicidal Thoughts
Is this considered depression? Recently, whenever I stop thinking, my mind starts engaging in self-dialogue, constantly asking myself questions like "Why am I alive?", "What benefits would dying bring to my family?", "If I hadn't promised not to comm...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of both depression and obsessive thoughts. 1. Facing an uncertain future, depression and anxiety disorders are common conditions in modern society. These are ...[Read More] Am I Experiencing Depression? Understanding Self-Dialogue and Suicidal Thoughts
The Impact of Irregular Medication on OCD Treatment and Mental Health
The effects of irregular medication adherence? Hello Dr. Liao, I would like to ask you a question. I have been prescribed medication for my obsessive-compulsive disorder, which consists of four tablets of Effexor (Venlafaxine) 20 mg and half a tablet of Lexapro (Escitalopram) 10 ...
Dr. Liao Dinglie Reply:
Hello, internet user: Obsessive-Compulsive Disorder (OCD) involves both repetitive thoughts and actions. You may "strongly dislike taking medication," which likely creates some internal conflict: "wanting to accept help from medication while also wanting to rely on...[Read More] The Impact of Irregular Medication on OCD Treatment and Mental Health
Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Withdrawal symptoms Hello, doctor. I originally took (Prozac 40mg + Xanax 0.5mg) once at bedtime for anxiety and panic for a year and a half. Later, I reduced the Xanax to half a pill and have been on that for a month. Recently, I started receiving RTMS treatment on my right brai...
Dr. Wang Yaoting Reply:
Hello: Prozac is a long-acting antidepressant. After repeated dosing, its half-life can extend to 4-6 days, and upon metabolism in the body, it produces an active metabolite, norfluoxetine, which has a half-life of up to 7 days. Therefore, withdrawal symptoms are rarely observed ...[Read More] Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Understanding Anxiety and OCD: Seeking Help and Managing Symptoms
Anxiety and Obsessive-Compulsive Disorder (OCD) Hello Doctor, I have symptoms of obsessive-compulsive disorder (OCD) that started about 4-5 years ago, triggered by academic pressure during my junior year. This has led to significant anxiety and discomfort (gastrointestinal and ca...
Dr. Wu Enliang Reply:
Hello, online friend: 1. Is medication the only treatment option? I've read that psychiatric medications need to be taken for a long time and can lead to dependence, so I've been hesitant to see a doctor. A: In addition to medication, psychological therapy and behavio...[Read More] Understanding Anxiety and OCD: Seeking Help and Managing Symptoms
Understanding Cognitive Impairment: Diagnosis and Evaluation Process
Cognitive impairment Recently, having difficulty recalling certain things could indicate cognitive impairment. Is it possible to get an evaluation for this? Where can one get assessed, and what is the process for evaluation?
Dr. Liang Sunyuan Reply:
Hello, Xiao Qian: It is difficult to determine whether a single symptom indicates cognitive impairment. Factors such as mood, sleep, and brain function can all affect cognitive abilities. If these phenomena persist for more than two weeks or worsen, it is advisable to visit a psy...[Read More] Understanding Cognitive Impairment: Diagnosis and Evaluation Process
Understanding Persistent Throat Pain: Is It Psychological or Physical?
Feeling fearful and uncomfortable every day? Hello Doctor, I have been experiencing a sensation of a foreign body and pain in my throat and pharyngeal wall for the past four months, which has been getting progressively worse. Although I do not have difficulty swallowing, swallo...
Dr. Wu Enliang Reply:
Hello, dear user: I understand that after seeing so many doctors and undergoing surgery, your issues remain unresolved, and that must be incredibly frustrating! You've already undergone numerous tests; will additional tests truly provide you with peace of mind? I believe the...[Read More] Understanding Persistent Throat Pain: Is It Psychological or Physical?
Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Auditory hallucinations occur when lying flat? Hello, doctor. My mother just turned 80 years old. Since she was young, she often mentioned that a devil has been following her, whether she is outside or at home. Occasionally, she complains that the devil appears intentionally for ...
Dr. Wang Yaoting Reply:
Hello: Auditory hallucinations occur when there are no obvious external sounds, yet the individual's cerebral cortex is firing, leading them to perceive sounds. Auditory hallucinations can indeed manifest in certain mental illnesses, such as schizophrenia and dementia, but t...[Read More] Hearing Voices While Lying Down: Understanding Auditory Hallucinations in Seniors
Can Health Anxiety Improve? Understanding Somatic Symptom Disorder
Will hypochondria get better? Hello, Doctor. I apologize for the lengthy story... Three years ago, when I was eight months pregnant, I suddenly started experiencing severe headaches that lasted until my child was two months old (a total of four months). It's not an exaggerat...
Dr. Wu Enliang Reply:
Hello, online friend: You have been under so much stress these past few years; it must be tough! I wonder if your psychiatrist has suggested inpatient treatment? Or recommended psychotherapy, relaxation training, or rTMS (repetitive Transcranial Magnetic Stimulation) therapy? In ...[Read More] Can Health Anxiety Improve? Understanding Somatic Symptom Disorder
Understanding Unusual Behaviors: Are They Symptoms of OCD?
Abnormal behavior Hello, doctor. I am a high school student transitioning from the first to the second year. I have noticed two peculiar symptoms that I have experienced since childhood. The first is that if an object is placed on a table and it gets nudged, I feel extremely unco...
Dr. Wu Enliang Reply:
Hello, internet user: There is indeed a possibility of obsessive-compulsive disorder. It is recommended to seek medical attention at a mental health facility. Dr. Wu En-liang.[Read More] Understanding Unusual Behaviors: Are They Symptoms of OCD?
Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Suspected autonomic nervous system dysfunction? Hello doctor, I would like to ask about my symptoms that have persisted for five years. The main symptom is that my head feels like it is swaying up and down while walking, with a throbbing sensation and a feeling of heat and swelli...
Dr. Wu Enliang Reply:
Hello, netizen: It is indeed possible that you are experiencing autonomic nervous system dysfunction. Mental health issues require appropriate treatment, so I recommend visiting a nearby mental health facility. Dr. Wu Enliang[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Insights
Is My Mild Depression and Anxiety Just a Reflection of Poverty?
I have mild depression and anxiety; could it just be a reaction to my poor circumstances? Hello, I am 23 years old, and my name is Xiaofei. I would like to express my thoughts in a lengthy narrative. I live in Bali, a poor rural area (whether in relative or absolute terms, Bali i...
Dr. Lin Mianzhang Reply:
Hello, Xiao Fei: From your description, it seems that you have many grievances about your upbringing and your father. It appears that your thoughts may easily fall into a negative thinking cycle, which could be one of the reasons for your susceptibility to depression and anxiety....[Read More] Is My Mild Depression and Anxiety Just a Reflection of Poverty?
Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Experiencing anxiety and panic symptoms following missed heartbeats, please consult a physician? Hello Dr. Wang, thank you for your dedication and professionalism in addressing everyone's concerns. After reading your previous responses, I believe you are a very knowledgeable...
Dr. Wang Yaoting Reply:
Hello: Anxiety disorders and autonomic nervous system dysregulation often influence each other, creating a vicious cycle that typically requires some changes for improvement. Most causes of onset are not due to a single event; both physiological and psychological factors may cont...[Read More] Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Understanding Anxiety Medication: When to Seek Psychiatric Help
Use of Anxiolytic Medications Hello, doctor. I previously raised the question of whether my chest tightness is due to autonomic nervous system dysregulation. I have undergone various organ examinations, all of which showed no abnormalities. The context in which the symptoms occur...
Dr. Wu Enliang Reply:
Hello, online user: Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed. It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency. If symptoms improve after relaxation and stress ...[Read More] Understanding Anxiety Medication: When to Seek Psychiatric Help
Understanding My Father's Mental Health Challenges After Divorce
My father's mental condition? Hello Doctor, Family situation: There are four people in my family. I am the eldest son, and I have a father, a mother, and a younger sister. Both my sister and I work overseas and cannot return to Taiwan frequently due to the pandemic. Desc...
Dr. Wang Yaoting Reply:
Hello, it sounds like your father is experiencing a situation that is understandably concerning for the family, and it can be distressing not knowing how to help him. Based on your description, it is difficult to make a complete assessment. However, if the issue with emotional co...[Read More] Understanding My Father's Mental Health Challenges After Divorce