Understanding Medication Options for Social Anxiety and Depression
Medication Consultation for Social Anxiety and Depression Hello, doctor. I have been suffering from severe social anxiety disorder for many years and have been too afraid to go out to work. I also experience chronic mental disarray and have difficulty concentrating. I feel that I...
Dr. Wu Enliang Reply:
Hello, online friend: Because I didn't finish college and have no interests or specialties, I feel scared to go out and look for a job, constantly avoiding reality. Every time I go for a follow-up appointment, I'm afraid the doctor thinks I'm not making an effort t...[Read More] Understanding Medication Options for Social Anxiety and Depression
Understanding Communication Challenges: Is It Related to Schizophrenia?
The brain receives information? I often find myself talking to myself and engaging in closed thinking, which has led me to realize that I struggle to respond to others when they speak. I feel that I communicate better through written words, just like I am doing now by writing thi...
Dr. Liao Dinglie Reply:
Hello, internet user: Have you noticed that your thinking efficiency is relatively poor, especially when it comes to processing information through listening? You may also find it challenging to communicate verbally with others. This is not necessarily a symptom of schizophrenia,...[Read More] Understanding Communication Challenges: Is It Related to Schizophrenia?
Understanding Medications for Social Anxiety and Depression
Medication consultation Hello, doctor. I have been seeing a psychiatrist for a month due to social anxiety and depression. I have been experiencing long-term mental distraction and difficulty concentrating. During my follow-up appointment today, I asked the doctor if I could be p...
Dr. Wang Yaoting Reply:
Hello: Wellbutrin and Zyban are medications with the same active ingredient (Bupropion), but they have different brand names.[Read More] Understanding Medications for Social Anxiety and Depression
Struggling with Focus and Communication: Understanding Mental Health Challenges
Inability to concentrate with a sense of distortion? Since kindergarten, I have been slower to react than my peers and have difficulty concentrating. When communicating with others, I take some time to think about how to respond. People have pointed out that sometimes what I say ...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to visit a psychiatric outpatient clinic for differential diagnosis to determine whether the issue is Attention Deficit Hyperactivity Disorder (ADHD) or anxiety and depression. Appropriate treatment can then be administered based on the diagn...[Read More] Struggling with Focus and Communication: Understanding Mental Health Challenges
Understanding Symptoms of Mental Health Struggles: When to Seek Help
I'm not sure if I'm sick; what are the symptoms? I have a history of self-harm and wrist-cutting suicide attempts, but I am now in vocational school. Recently, I have been feeling very annoyed and exhausted, easily irritated, and I find everything and everyone around me...
Dr. Peng Liyun Reply:
Hello: Based on your description, I can sense your discomfort and efforts. It seems that your symptoms encompass emotional, cognitive, and physiological aspects, which have also affected your daily life. However, from your current description, I cannot immediately determine what ...[Read More] Understanding Symptoms of Mental Health Struggles: When to Seek Help
Concerns About Taking Prozac: Effects on Brain Function and Memory
Medication - Paxil Hello Dr. Wu: I would like to ask about taking Prozac (fluoxetine). 1. Will it harm the brain's nerves? 2. Will it make me less intelligent? 3. Will it cause memory decline? 4. Will it affect my ability to concentrate? I am a repeat exam taker with mild ob...
Dr. Wu Enliang Reply:
Hello, netizen: There is currently no scientific evidence that Prozac (fluoxetine) causes damage to brain neurons, cognitive impairment, memory decline, or difficulty concentrating. Non-pharmacological treatments for obsessive-compulsive disorder (OCD) to consider include psychot...[Read More] Concerns About Taking Prozac: Effects on Brain Function and Memory
Understanding Anxiety Symptoms: Is Your Mind Racing a Sign?
Anxiety symptoms Hello, doctor. When I'm alone or driving, my mind keeps racing with thoughts. Whenever I'm not occupied, I find myself thinking about anything and everything. Recently, I've been experiencing a rapid heartbeat and palpitations. I have undergone a 2...
Dr. Lin Mianzhang Reply:
Hello, Ami: A rapid heartbeat is one of the symptoms of anxiety; however, anxiety usually accompanies other symptoms such as feelings of tension, muscle tightness, restless sleep, difficulty concentrating, or easy fatigue. If you only experience a fast heartbeat without any of th...[Read More] Understanding Anxiety Symptoms: Is Your Mind Racing a Sign?
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Inability to focus the eyes, obsessive-compulsive disorder (OCD)? Recently, I have been preparing for a retake and have been experiencing a symptom that I want to ask about. The symptom is difficulty concentrating, inability to focus my eyes, and a lack of concentration (my field...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text may also be a response to stress (such as from retaking exams). Prolonged excessive stress can indeed cause harm. What you mentioned about the brain being unable to handle it, leading to these symptoms, generally refers to issues related ...[Read More] Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Adult Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders? Hello, Doctor. I am a 23-year-old male student and would like to inquire about adult Attention Deficit Hyperactivity Disorder (ADHD). Regarding my background: I exhibited some behavioral issues in elemen...
Dr. Wang Yazhen Reply:
Hello, Chen Dada: Thank you for providing such a detailed description of your situation. Regarding whether your condition may be ADHD, I recommend seeking an evaluation from a physician specializing in child and adolescent psychiatry. In short, there can be many reasons for diffi...[Read More] Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Withdrawal symptoms from Yuankang? Hello Dr. Wang, I have been taking medication for depression for about 10 years. Initially, I was on a heavy regimen with multiple medications, but over time, I gradually reduced it to just taking Wellbutrin (Bupropion). About six months ago, a...
Dr. Wang Yaoting Reply:
The mechanism of action of "Yuekang 75mg" is to enhance the effects of central serotonin and norepinephrine. Withdrawal symptoms may occur upon discontinuation of the medication, such as dizziness, nausea, fatigue, and headaches. There have also been case reports of sym...[Read More] Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Do Anti-Anxiety Medications Cause Emotional Flatness?
Do anti-anxiety medications cause emotional blunting? Hello Dr. Wu, last year, due to my pet and an elderly family member becoming ill and requiring surgery and hospitalization, I experienced prolonged sleep disturbances, averaging less than 5 hours of sleep each night. One day, ...
Dr. Wu Enliang Reply:
Hello, online user: Anti-anxiety medications like Anxiolytics can indeed cause sluggishness and difficulty concentrating if the dosage is too high. It is advisable to gradually reduce the dosage or even discontinue use. As for antidepressants, they should be taken continuously. D...[Read More] Do Anti-Anxiety Medications Cause Emotional Flatness?
Understanding Stress, Anxiety, and Tension: When to Seek Help
Stress, anxiety, and tension? Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experien...
Dr. Zhang Gengjia Reply:
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help
Navigating Anxiety Disorders: Medication Options and Expert Advice
Generalized Anxiety Disorder (GAD) Hello, doctor. During my first visit to a mental health clinic, the physician diagnosed me with mild panic disorder, generalized anxiety disorder, autonomic nervous system dysregulation, and insomnia (as I often find myself overthinking and feel...
Dr. Wu Enliang Reply:
Hello, online user: Anxiety disorders can generally be treated with psychotherapy or pharmacotherapy. The first-line pharmacological treatments are SSRIs (commonly used antidepressants) and Venlafaxine (another type of antidepressant). Benzodiazepines are used as a short-term sol...[Read More] Navigating Anxiety Disorders: Medication Options and Expert Advice
Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Autonomic nervous system dysfunction panic disorder with abdominal pain? Bloating that doesn't subside, depression, anxiety, and irritable bowel syndrome (IBS) are indeed concerning. Since December 31, 2018, I experienced bloating that triggered palpitations, chest tightness...
Dr. Huang Xiaoxian Reply:
Dear A-Ze, regarding the bloating you mentioned, it generally arises from excessive air intake or rapid gastrointestinal motility, both of which are often associated with anxiety. When a person is anxious, they tend to breathe more rapidly, which can further lead to symptoms such...[Read More] Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Understanding Memory Issues: When Forgetfulness Becomes a Concern
Memory problems Recently, I've been feeling a bit forgetful and have difficulty concentrating. It's hard to stay focused while reading, especially this morning when I woke up and couldn't remember the pattern to unlock my phone. It's a pattern that I input eve...
Dr. Huang Xiaoxian Reply:
Dear jhenyuanlin, hello! Thank you for your question! Generally speaking, sudden forgetfulness and difficulty concentrating can be evaluated by considering recent stress events, insomnia, or anxiety. Our memory is typically categorized into short-term, immediate, and long-term me...[Read More] Understanding Memory Issues: When Forgetfulness Becomes a Concern
Navigating ADHD Diagnosis and Treatment Options for Adults
ADHD-related issues Hello Dr. Liu, I am currently 20 years old. Since childhood, my mother has mentioned that I might have mild symptoms of ADHD, but I have never been formally diagnosed. My general symptoms include significant mood swings, hitting walls, and being unable to con...
Dr. Liu Shikai Reply:
Hello, A-Tian. Attention Deficit Hyperactivity Disorder (ADHD) in adults can indeed be diagnosed. This involves evaluating the individual's history from childhood along with current symptoms, and there are computerized attention tests that can be administered. In addition to...[Read More] Navigating ADHD Diagnosis and Treatment Options for Adults
Managing Side Effects of Depakote: Seeking Solutions for Better Health
Side effects of Depakote? Hello, doctor. After continuously taking the medication Depakote, I have been experiencing many side effects, such as easy bruising and bleeding from minor bumps, intermittent hand tremors, a strong urge to sleep right after taking the medication (making...
Dr. Qiu Junda Reply:
Hello. Since side effects have occurred and caused significant distress, the physician should assist in the process of discontinuing or switching medications. You can further communicate with the physician. Additionally, you may request the physician to order tests related to the...[Read More] Managing Side Effects of Depakote: Seeking Solutions for Better Health
Understanding PTSD: Why Traumatic Memories Are Often Repressed
Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) can lead to the forgetting of certain memories due to psychological factors. This phenomenon can be explained by Freud's theory of repression, which suggests that individuals often unconsciously avoi...
Dr. Wu Enliang Reply:
The September 21 earthquake caused severe disasters across Taiwan, resulting in numerous casualties and the destruction of many homes. Survivors faced the devastation of their communities, the loss of loved ones, and various difficulties in daily life, housing, and transportation...[Read More] Understanding PTSD: Why Traumatic Memories Are Often Repressed
Managing Anxiety and Panic: Effective Relaxation Techniques for Students
Anxiety and Panic Hello, doctor. I am a person who easily gets anxious, and recently, due to some academic pressure, I occasionally have thoughts of not being able to hold on. I have had a tendency towards hypochondria in the past, and lately, I often experience chest tightness, ...
Dr. Song Chengxian Reply:
Hello, if your level of anxiety has become severe enough to affect your physical and mental well-being, it is recommended that you seek medical attention from a psychosomatic specialist. We hope that appropriate mind-body therapy can help improve your condition.[Read More] Managing Anxiety and Panic: Effective Relaxation Techniques for Students