Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers
Metoprolol and Anaprilin? Hello, doctor. This summer, I experienced difficulty falling asleep and visited a nearby family medicine clinic, where the physician prescribed me 0.5 mg of Alprazolam. Initially, I only took it occasionally when I had trouble sleeping, but it later evol...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are troubled by difficulties sleeping and various situations arising from medication use; I empathize with you! First of all, insomnia is usually just a symptom, and when it occurs, we need to understand why it happens. Factors such as stress, changes in ...[Read More] Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers
Consulting on SSRI Side Effects and Movement Disorders in Psychiatry
Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...[Read More] Consulting on SSRI Side Effects and Movement Disorders in Psychiatry
Understanding Palpitations and Anxiety: A Guide for Young Adults
Palpitations autonomic nervous system dysfunction Hello, doctor. I am 18 years old and currently not attending school while waiting for enrollment next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitations, tightness and discomf...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Palpitations and Anxiety: A Guide for Young Adults
Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...[Read More] Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
Is Dreaming with Only Sound Normal? Exploring Auditory Dreams
In the dream, there are only sounds? It is not uncommon for dreams to lack visual imagery and consist solely of sounds or voices. This phenomenon can occur during different stages of sleep, particularly during REM sleep when dreaming is most vivid. The experience of hearing a fam...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is likely related to "REM sleep behavior disorder." First, it is important to rule out whether you were taking any medications at the time, including cold medications. Additionally, we n...[Read More] Is Dreaming with Only Sound Normal? Exploring Auditory Dreams
Understanding Sleep Violence: When Dreams Turn into Nightmares
I tend to hit my bed partner while sleeping? Hello Doctor, I am a college student and have experienced sleep issues such as vivid dreaming and bruxism since puberty, which continue to this day. I also had episodes of sleepwalking, which were more common in elementary school but h...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is more likely to be "REM Sleep Behavior Disorder." However, most sleepwalkers do not remember what happened. First, it is important to rule out whether any medications, including cold m...[Read More] Understanding Sleep Violence: When Dreams Turn into Nightmares
Managing Medication Dosage for Bipolar Disorder: Key Considerations
I would like to inquire about medication dosage? Hello, Doctor. The medications I am using are EPINE F.C. Tablets 25mg and Wan You Ting Capsules 30mg. I should be considered as having bipolar disorder, but I have been improving recently. When I visited the doctor, he mentioned th...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as bipolar disorder, are common in modern society. This is a ...[Read More] Managing Medication Dosage for Bipolar Disorder: Key Considerations
Understanding Medication Consultation and Diagnosis in Psychiatry
Medication consultation and diagnostic issues? Two questions: First, the doctor mentioned that Depakote can enhance the effects of Lexapro, so could it be that patients with pure major depressive disorder or those who need Lexapro, who may also have anxiety disorders, might be pr...
Dr. Wu Enliang Reply:
Hello, netizen: First: The doctor said that Depakote can enhance the effects of Lexapro, so is it possible that patients with simple depression or those who need Lexapro, who may also have anxiety disorders, could be prescribed Depakote, which is primarily a mood stabilizer? A:...[Read More] Understanding Medication Consultation and Diagnosis in Psychiatry
Medication Consultation for Attention and Anxiety Disorders
Medication consultation Hello Doctor, I would like to ask about the medications I am currently taking: 1. Strattera (Atomoxetine) - one capsule after breakfast; 2. Mindset (Lisdexamfetamine); 3. Lyrica (Pregabalin). The main purposes are: 1. To address attention deficit; 2. To tr...
Dr. Liang Sunyuan Reply:
Hello Mr. Chuang: Strattera is primarily used to treat Attention Deficit Hyperactivity Disorder (ADHD). The other two medications have effects on treating depression and anxiety. Taking them together at the current dosage is generally safe. Whether to continue the medication is a...[Read More] Medication Consultation for Attention and Anxiety Disorders
Am I Experiencing Binge Eating? Understanding My Sweet Potato Cravings
I think I might have binge eating, but I'm not sure? Hello, doctor. I apologize for taking up your valuable time. Since mid-May, I have lost weight from 156 lbs to 147 lbs through dietary control (following a 168 diet) and exercise. However, since September, I have found mys...
Dr. Chen Yanzhi Reply:
Ms. Yan: Hello, based on the situation you provided, it seems to lean towards food preferences. To assess whether there are binge eating behaviors or to make a diagnosis, further evaluation through a consultation with a physician in the psychiatry department is necessary for conf...[Read More] Am I Experiencing Binge Eating? Understanding My Sweet Potato Cravings
Understanding ICU Syndrome: The Psychological Impact of Critical Care
ICU syndrome Hello Dr. Liao, at the end of last year, I underwent major surgery and experienced significant blood loss during the procedure, which led to my transfer to the ICU for monitoring. During that time, I developed DIC, resulting in hypovolemic shock and necessitating a s...
Dr. Liao Dinglie Reply:
Hello, dear netizen: Your heart must be wounded. From your description, one can sense the harrowing experience of surgery and the intensive care unit, where you were in a tug-of-war with death. Such profound pain and helplessness are deeply felt. Sometimes, these intense feelings...[Read More] Understanding ICU Syndrome: The Psychological Impact of Critical Care
Understanding the Side Effects of Yuli Shupan Tablets in Stroke Recovery
The side effects of Yuli Shupan tablets? Hello, doctor. Due to an elderly family member experiencing a mild stroke at the end of September, there has been a slight motor impairment in the left hand (inability to control the fingers). After consultation with a vascular neurologist...
Dr. Wu Enliang Reply:
Hello, internet user: Currently, the weakness in your limbs may be caused by a stroke and is not necessarily related to this medication. This medication is prescribed to alleviate anxiety and muscle spasms. Whether discontinuing the medication will affect the treatment of the abn...[Read More] Understanding the Side Effects of Yuli Shupan Tablets in Stroke Recovery
Understanding ADHD: Insights on Medication Effects and Emotional Well-being
Attention Deficit Hyperactivity Disorder, Type 2 Hello Doctor: I have some questions I would like to ask you, and I will try to be brief to minimize wasting your valuable time. These questions may seem trivial to you, but they would be extremely helpful to me. Please make sure to...
Dr. Wu Menghuan Reply:
Hello: Q1. Medication Consultation: I would like to ask if it is normal to feel a bit better and more motivated after taking my medication (Concerta 54mg) today, and that things seem to go more smoothly? A1: Concerta contains Methylphenidate, which is used to treat Attention D...[Read More] Understanding ADHD: Insights on Medication Effects and Emotional Well-being
Understanding Autonomic Nervous System Disorders and Medication Side Effects
Autonomic Nervous System Dysregulation - Medication Side Effects In recent months, due to work stress and physical discomfort (post-nasal drip, chest tightness, poor sleep, bloating, shoulder and neck pain), I sought treatment at a traditional Chinese medicine clinic. The doctor ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, ar...[Read More] Understanding Autonomic Nervous System Disorders and Medication Side Effects
Understanding Medication Withdrawal: Managing Sleep Issues After Discontinuation
Drug withdrawal Hello Doctor, I would like to inquire about medication issues. I have been experiencing gastric pain due to autonomic nervous system dysfunction, and I have never had insomnia before taking the medication. After being prescribed Lurasidone for over three months, a...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, a...[Read More] Understanding Medication Withdrawal: Managing Sleep Issues After Discontinuation
Anxiety Disorders and Autonomic Dysfunction: Impact on Men's Health
Anxiety disorder, autonomic nervous system dysfunction? I have anxiety disorder and it seems I also have autonomic nervous system dysfunction, and I have been suffering from these conditions for about 17 years. This is what my doctor and I found out through research. Additionally...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety disorder and physical ailments. 1. Facing an uncertain future, anxiety disorder is a common condition in modern society. It is a chronic illness that requires lo...[Read More] Anxiety Disorders and Autonomic Dysfunction: Impact on Men's Health
Overcoming Stage Fright: Understanding Anxiety in Performers
Issues with ascending the stage? Hello, doctor. My problem is that whenever I perform on stage or take an exam, I experience symptoms such as temporary vision loss, weakness in my hands making it difficult to hold things, and weakness in my legs causing me to almost fall. I even ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to anxiety and potential performance pressure, which may require medical treatment. 1. Anxiety and tension in the face of an uncertain future are common issues in modern life....[Read More] Overcoming Stage Fright: Understanding Anxiety in Performers
Is It Depression or Something Else? Understanding Mental Health Symptoms
Could you please tell me if this is depression or something else? Hello doctor, about a month and a half ago, I developed extrapyramidal symptoms due to medication side effects. After receiving antihistamine injections, my symptoms improved, but starting the next day, I experienc...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physiological and psychological pressures. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that re...[Read More] Is It Depression or Something Else? Understanding Mental Health Symptoms
Understanding ADHD: Seeking Help for Adult Learning Challenges
ADHD-related issues Hello Doctor: I was diagnosed with a learning disability when I was young, but since I started working, my error rate has been excessively high. I often forget things and lack logical reasoning, which has led me to only stay in each job for a month or two, or ...
Dr. Peng Liyun Reply:
Hello, I understand your concerns and have seriously looked for relevant information. I suggest that you seek an evaluation from a psychiatrist or a psychosomatic specialist. Since you are an adult, it is not necessary to have your parents attend the outpatient consultation. Than...[Read More] Understanding ADHD: Seeking Help for Adult Learning Challenges
Managing Intrusive Thoughts in OCD: Effective Strategies for Relief
Questions related to Obsessive-Compulsive Disorder (OCD) Hello, Doctor. I started experiencing symptoms of obsessive-compulsive disorder (OCD) in my freshman year of college, including health anxiety, excessive cleaning, and intrusive thoughts (such as harming others and disturbi...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your health concerns, particularly with health anxiety and obsessive thinking. 1. Facing an uncertain future, obsessive-compulsive disorder (OCD) and anxiety disorders are c...[Read More] Managing Intrusive Thoughts in OCD: Effective Strategies for Relief