Understanding Emotional Pain: Seeking Help for Mental Health Issues
Frequently experiencing pain? Hello, Doctor: I apologize in advance if my writing is a bit disorganized. I started noticing something was off when I was in eighth grade; I would suddenly cry for no reason, and my temper became very volatile, often getting inexplicably angry at ot...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both emotional and physical pressures. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis by a physician. 1. Facing an uncertain f...[Read More] Understanding Emotional Pain: Seeking Help for Mental Health Issues
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
Can You Get Vaccinated with Recent Symptoms? A Mental Health Perspective
Can I get vaccinated if I have some recent symptoms? Recently, for about six months, I have been experiencing occasional chest pain and tightness (but the duration is very short), occasional back pain, and muscle and joint soreness. I usually go to bed around 1 AM and wake up aro...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to chest pain, tightness, and physiological symptoms. Whether this is due to autonomic nervous system dysfunction requires a professional diagnosis. 1. Facing an uncertain fut...[Read More] Can You Get Vaccinated with Recent Symptoms? A Mental Health Perspective
Can Varenicline Be Safely Used with Anxiety Medications?
Taking Varenicline for smoking cessation while also using anti-anxiety medication? Hello, I have been undergoing treatment in psychiatry for two years due to autonomic nervous system dysfunction and depression. Currently, I take 3 mg of Lurasidone and 25 mg of Venlafaxine every n...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both depression and autonomic nervous system dysregulation. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a ch...[Read More] Can Varenicline Be Safely Used with Anxiety Medications?
Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Sleep issues Hello, doctor. I have a question... I have always had difficulty falling asleep, often tossing and turning in bed for several hours without being able to sleep! Even when I finally manage to fall asleep, my sleep is very light, and I wake up at the slightest noise, m...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia, dizziness, and headaches. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires long-...[Read More] Understanding Sleep Disorders: Seeking Help for Insomnia and Medication Options
Overcoming Fear: Coping Strategies for Anxiety in Today's World
This world makes people live in fear? Hello, Dr. Chang. I have a question. There are many frightening things in this world, such as fires, car accidents, earthquakes, diseases, and injuries. These terrifying events make me live in fear. Most doctors suggest finding activities I e...
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 fear and pain. 1. Facing an uncertain future, somatic symptom disorder is a common condition in modern society. This is a chronic illness that requires lon...[Read More] Overcoming Fear: Coping Strategies for Anxiety in Today's World
Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Could you please provide more details or specify your question? After developing panic disorder, I sometimes find myself constantly worrying, experiencing rapid heartbeats, and becoming easily anxious. I also fear being alone at home. I have been on serotonin medication for a yea...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to feelings of panic, fear, and tension. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires lon...[Read More] Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Comparing the Efficacy of Bupropion and Venlafaxine for Depression
Drug selection I would like to ask which antidepressant is more effective, Bupropion (倍得舒) or Venlafaxine (煩多閃). I feel that neither of these has a significant effect, but I have experienced side effects with other medications. Thank you, doctor.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both depression and suspected side effects. 1. Facing an uncertain future, somatic symptom disorder is a common condition in modern society. This is a chronic illness that ...[Read More] Comparing the Efficacy of Bupropion and Venlafaxine for Depression
Understanding Personal Struggles: Navigating Mental Health Challenges
Personal health issues? Hello, doctor. Allow me to remind you that the following record is a bit disorganized; my thoughts are fragmented, and there may be some unclear points. When I was in elementary school, I felt particularly depressed and thought I had depression. Now that I...
Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions and self-harming behaviors. I hope you can cherish yourself, as your questions seem to indicate a desire for better mental and physical health. It appears that you are also confused about self-identity. I recommend that you cons...[Read More] Understanding Personal Struggles: Navigating Mental Health Challenges
Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Drug withdrawal issues Hello, Director Zhang. Thank you for helping everyone with their concerns. At the beginning of last year, I started experiencing ventricular premature contractions (VPCs) and missed heartbeats. My cardiologist said it was nothing to worry about and might be...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both ventricular premature contractions (VPC) and autonomic nervous system dysregulation. 1. Facing an uncertain future, severe depression and anxiety disorders are common con...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
Obsessive-Compulsive Disorder (OCD) Hello Doctor: I am a patient with severe depression, and my anxiety test results were also close to severe. When I feel agitated, I tend to pick at my scalp, which has been a habit for several years. The doctor advised me not to pick, but I do ...
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 severe depression and obsessive-compulsive disorder (OCD). 1. Facing an uncertain future, severe depression and anxiety disorders are common conditions in ...[Read More] Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
Medication Consultation for Anxiety and Depression in Teens
Medication consultation Is Liyou suitable for adolescents under 18? Should it be taken 1 hour before bedtime? It is classified as a selective serotonin reuptake inhibitor (SSRI), which aims to increase serotonin levels, correct? Why is it called a reuptake inhibitor? My condition...
Dr. Peng Liyun Reply:
Hello~ I can sense your anxiety regarding medication, but most questions require an in-person consultation for a comprehensive assessment, such as which medication is suitable for you or whether you absolutely need to take medication, etc. I can explain that the mechanism of sele...[Read More] Medication Consultation for Anxiety and Depression in Teens
Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Fear of palpitations and shortness of breath issues? Hello, I have recently been seeing a psychiatrist who diagnosed me with somatic symptom disorder due to anxiety stemming from physical ailments. The doctor prescribed me Anxiolytic tablets and Beta-blockers to be taken after me...
Dr. Wu Enliang Reply:
Hello, internet user: Please do not worry. Sometimes it is normal to feel fear, but this is just a part of the anxiety disorder. It's important to understand that this will not lead to any physical sequelae or death. These psychosomatic symptoms can improve with proper treat...[Read More] Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Understanding the Link Between Insomnia and Headaches: Seeking Solutions
Insomnia and Headaches Hello, doctor. I have been experiencing insomnia for about two months now. I don't have difficulty falling asleep, but I wake up approximately every two and a half hours after falling asleep. I can usually fall back asleep within half an hour, but I&#x...
Dr. Wu Enliang Reply:
Hello, internet user: It is recommended to visit a psychiatrist or a psychosomatic medicine specialist rather than a neurologist for a thorough evaluation of your mental and physical condition, to identify the causes of insomnia and address them with appropriate treatment. Dr. Wu...[Read More] Understanding the Link Between Insomnia and Headaches: Seeking Solutions
Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Anxiety, panic, or autonomic nervous system dysregulation? Hello, doctor. From April to June, I experienced four episodes of shortness of breath, chest tightness, and rapid heartbeat, which led me to the emergency room. After examination, the doctor concluded that these symptoms ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both anxiety and panic disorders. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires lo...[Read More] Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Symptoms of autonomic nervous system dysfunction and medication consultation? Hello, Doctor: I was previously diagnosed with autonomic nervous system dysfunction and took Escitalopram for about a year before discontinuing it as per my doctor's advice. During the medication p...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both autonomic nervous system dysregulation and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, with a persistent feeling of tension throughout the day? Hello, I have been seeing a doctor for three months due to issues with autonomic nervous system dysfunction and anxiety disorder. I am currently taking medications such as Liyou and Anl...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Understanding Sudden Fear: Is It Panic Disorder?
Feeling inexplicably fearful may be a symptom of panic disorder? Hello Doctor, I have been in a state of prolonged stress and feeling down. Recently, I've been trying not to dwell on it, which has helped a bit. However, yesterday when I went out with friends, even though the...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to sudden onset stress. I would like to share my experiences regarding life management and coping with stress. Living in this world inevitably brings about feelings of inadequacy ...[Read More] Understanding Sudden Fear: Is It Panic Disorder?
Understanding Anxiety and Panic: Insights on Medication and Heart Health
Medications and Related Issues Hello Doctor: I have a more introverted and repressed personality, with tendencies toward worry, anxiety, and obsessive thinking, and I am quite sentimental. Two years ago, after drinking black coffee and engaging in intense exercise, I experienced ...
Dr. Wu Enliang Reply:
Hello, online user: 1. Does intravenous injection really cause permanent damage to blood vessels? Is there a risk of developing atherosclerotic plaques? In the past, I never considered this during blood draws or treatments, but some online information claims that venipuncture c...[Read More] Understanding Anxiety and Panic: Insights on Medication and Heart Health