Understanding Sleep Disorders: Insights on Insomnia and Mental Health
Sleep disorders Hello Dr. Chen: I am a bank employee with 15 years of experience, married with a 6-year-old child. For the past six months, I have been falling asleep quickly but wake up after about four hours. My sleep is fragmented, and I wake up at the slightest noise. Since I...
Dr. Chen Guangpeng Reply:
Hello, helpless person: It seems that you are currently facing a sleep disorder characterized by early awakening and have been using a sleep medication for some time. I will try to provide my opinions based on the information you provided, hoping to be of assistance. First, we ...[Read More] Understanding Sleep Disorders: Insights on Insomnia and Mental Health
Coping with Panic Disorder: Finding Hope and Healing in Australia
What should I do about panic disorder? Hello, doctor. This morning I was startled awake by a panic attack, and I'm feeling quite down... I don't even have the mood to attend class. I'm currently in Australia, which is a slow-paced, relaxed place for recovery. I...
Dr. Chen Guangpeng Reply:
Hello, friend in Sydney: I appreciate your detailed description of the symptoms and psychological responses, and I seem to have personally experienced your profound pain. I feel regret that you have had to endure such prolonged and recurring symptoms. The thorough evaluations by ...[Read More] Coping with Panic Disorder: Finding Hope and Healing in Australia
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Doctor, may I ask you something? Doctor, I have asked you questions here before! I have also researched some information about psychiatry online. Some of my symptoms seem to be similar to autonomic nervous system dysfunction. I think I might have autonomic nervous system dysfunct...
Dr. Tang Xinbei Reply:
Dear little brother, It may not be appropriate for you to conclude that you have "autonomic nervous system dysfunction" based solely on your own research. While autonomic nervous system dysfunction can indeed cause some of the psychological symptoms you mentioned, such...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Understanding Hallucinations and Sleep Issues After Trauma: When to Seek Help
Please ask your question? Doctor, I would like to ask you something. After my car accident, I suddenly experienced a hallucination episode after a while. I admit that I was irresponsible and used drugs in the past, but I am no longer using them. However, I sometimes have trouble ...
Dr. Tang Xinbei Reply:
Dear younger brother: It is difficult to clarify the cause of your distress based solely on your description! If a car accident has resulted in a more severe head injury, there may indeed be future psychological symptoms, especially if there were changes in consciousness. Similar...[Read More] Understanding Hallucinations and Sleep Issues After Trauma: When to Seek Help
Do Antidepressants Have Side Effects and Dependency Risks?
Medication Inquiry Are there any side effects associated with antidepressant medications? Is there a potential for dependence? Could they cause infertility in both men and women, or lead to a decrease in sperm count? Thank you for your assistance in answering these questions.
Dr. Zhou Sunyuan Reply:
There is a wide variety of antidepressant medications, and among the commonly used SSRIs, the main side effects include gastrointestinal discomfort, nausea and vomiting, headaches, dry mouth, insomnia or drowsiness, and restlessness. However, these symptoms typically resolve upon...[Read More] Do Antidepressants Have Side Effects and Dependency Risks?
Understanding Depression: Symptoms and Struggles of a Teenager
Am I experiencing mental fatigue? I am certain that I have depression. I want to know if depression can cause the symptoms I am experiencing. During my depressive episodes, sometimes my heart hurts, I feel dizzy, I can hardly breathe, my hands shake, and I feel an overwhelming ur...
Dr. Chen Wenke Reply:
Zero: You seem to be feeling really down. Have you considered talking to a school counselor about your thoughts? Communicating with your teacher and family might help address your issues. I'm not sure how your parents view this situation, but it's always worth trying to...[Read More] Understanding Depression: Symptoms and Struggles of a Teenager
Am I Experiencing Memory Loss or Anxiety After a Head Injury?
Am I experiencing forgetfulness or depression? Throughout my life, things have been like this: Before I got into a fight with my classmate, my memory wasn't that bad. For example, during midterms, I could recall what I had studied, and even if I couldn't write it down, ...
Dr. Chen Mingzhe Reply:
Dear Xiao Qing, After reading the complex content you wrote, I had to go through it 36 times to grasp its essence. To summarize your concerns (not symptoms?!), headaches can indeed be a sequela of head trauma. The mechanism involves a fragile skull suffering a severe impact, du...[Read More] Am I Experiencing Memory Loss or Anxiety After a Head Injury?
Understanding the Differences Between Organic, Affective, and Functional Psychoses
Unresolved? Hello Dr. Tang, Could you please explain the differences between organic mental disorders, affective disorders, and functional disorders? Thank you in advance for your response!
Dr. Tang Xinbei Reply:
Dear Ms. Hsiang: In response to your inquiry about the three categories of diseases, here are the brief explanations: 1. Organic Mental Disorders: These refer to mental health conditions caused by identifiable physiological factors or medical illnesses. For example, patients wi...[Read More] Understanding the Differences Between Organic, Affective, and Functional Psychoses
Understanding Depression: Managing Symptoms and Medication Challenges
Depression Dr. Chen: Hello! My wife (45 years old, homemaker) has been experiencing difficulty sleeping and low mood since the 921 earthquake. She was diagnosed with depression at a clinic in Fengyuan and has been on medication for six months, during which her condition improved,...
Dr. Chen Wenke Reply:
Kines: From your question, it seems that your wife may have had some emotional issues from the beginning, possibly due to personality traits that make her more prone to anxiety and worry. Therefore, when faced with significant stress, she is more likely to exhibit emotional probl...[Read More] Understanding Depression: Managing Symptoms and Medication Challenges
Managing Panic Disorder: Symptoms, Treatment Duration, and Lifestyle Changes
I'm sorry, but I need more context or specific content to Hello Doctor: I have been undergoing treatment for panic disorder for some time now, but I feel that the medication hasn't made much of a difference. Instead, I've developed some strange symptoms, such as ne...
Dr. Chen Wenke Reply:
A-Rong: Generally speaking, the pharmacological treatment for panic disorder should not be ineffective. If there is no significant improvement after medication, it is important to reassess whether there are other underlying issues. The neck pain and headaches seem quite pronounce...[Read More] Managing Panic Disorder: Symptoms, Treatment Duration, and Lifestyle Changes
Signs of Depression: How to Recognize and Address Your Symptoms
I am starting to suspect that I might have depression? I have been feeling restless lately... often experiencing vomiting, headaches, dizziness, and difficulty concentrating... I feel very happy when I'm with my friends at school, yet I tend to vomit the most while I'm ...
Dr. Chen Wenke Reply:
The diagnosis of depression includes both subjective and objective observations. First, there must be a subjective or objective experience of depressive emotions, which is crucial. This means feeling persistently low, sad, or unhappy. Additionally, there should be accompanying ph...[Read More] Signs of Depression: How to Recognize and Address Your Symptoms
Urgent Guidance Needed for Troubling Teen Mental Health Issues
Urgent! I don't know how to handle this? Hello Dr. Zhang, I have a younger cousin who is going to be a sophomore this year. He has had sleep issues since middle school, often unable to sleep well at night or sometimes not at all. After entering high school, he frequently co...
Dr. Zhang Zhehong Reply:
Adolescent mental disorders often present with hallucinations and significant emotional symptoms, which can impact academic performance and social interactions. A comprehensive medical evaluation and treatment are often necessary. Pharmacotherapy is important and should be manage...[Read More] Urgent Guidance Needed for Troubling Teen Mental Health Issues
Managing Anxiety: Understanding Withdrawal Symptoms from Anxiedin
It seems like "anxiedin" may I previously experienced a lot of stress and poor sleep due to moving, so I consulted a psychiatrist. The doctor prescribed me a medication called Anxiedin, which I took a quarter of a tablet every morning and evening for a month. After movi...
Dr. Lin Yanhong Reply:
Hello, anxiedin - the generic name is lorazepam, and the most common brand name is Ativan. If you take only half a tablet daily, that would be 0.5 mg, not 2 mg. After about a month, you should not experience significant withdrawal symptoms. Your issues seem to be more related to ...[Read More] Managing Anxiety: Understanding Withdrawal Symptoms from Anxiedin
Am I Sick? Understanding Emotional Reactions and Mental Health
I don't know if I'm sick like this? On one occasion, while playing a game on a colleague's phone, I felt a strong urge to smash the phone when I lost, and I also started to experience a headache. Does this mean I am unwell?
Dr. Tang Xinbei Reply:
Dear A-Juan, It seems that you might have a hard time accepting losses when playing games on your phone? It appears that your tolerance for frustration is somewhat low? Since mobile games are built-in electronic software, they are inherently challenging to play. Moreover, since ...[Read More] Am I Sick? Understanding Emotional Reactions and Mental Health
Understanding Depression: Signs, Symptoms, and Seeking Help
I have depression? I have done many online assessments, and the results indicate that I have a high depression index. However, I am not quite sure what the exact symptoms of depression are. My outward behavior leads others to believe that I could not possibly be suffering from de...
Dr. Chen Wenyu Reply:
Hello, Taro: It is good to be concerned about your emotions, but if taken too far, it may lead to unnecessary distress. Many questionnaires, tests, and even informational brochures can often lead individuals to believe they have "depression," "bipolar disorder,&quo...[Read More] Understanding Depression: Signs, Symptoms, and Seeking Help
Do I Need to See a Psychologist? Understanding Anxiety and Isolation
Should I see a psychologist? I have a difficult family. Since I was young, I have not liked attending family gatherings, and this has continued into adulthood. I often cry at night and can sleep for an entire day. At other times, I feel very energetic and can go without sleep. Af...
Dr. Lin Yanhong Reply:
Hi, do you think you are completely normal? You just have some concerns, right? Seeking a doctor doesn't mean you have to be "abnormal" to get help. Online resources cannot accurately assess your issues or fully assist you. You might consider visiting a psychiatris...[Read More] Do I Need to See a Psychologist? Understanding Anxiety and Isolation
Understanding Withdrawal Headaches: A Patient's Journey with Psychiatric Medications
Discontinuing medication can cause headaches? Hello: On August 6 of this year, my doctor said I could stop taking my medication. However, after stopping for a week, I started experiencing headaches, and during the pain, I sometimes found it hard to concentrate. I thought, the doc...
Dr. Tang Xinbei Reply:
Dear Weiwei, I apologize for the delayed response due to my busy schedule with reports before the New Year. Regarding the issues you mentioned, some of them may be side effects of medications. For example, Dogmatyl can cause irregular menstrual cycles in women, and certain medic...[Read More] Understanding Withdrawal Headaches: A Patient's Journey with Psychiatric Medications
Navigating Anxiety and Sleep Issues After Stopping Amitriptyline
I'm sorry, but I need specific content to translate. Please provide the text you would like me to Hello, I would like to ask about my situation. I previously took the medication TRYPTANOL (Amitriptyline) 25mg for nearly a year, taking it almost every night before bed. It was...
Dr. Zhang Xuncheng Reply:
Dr. Hsün-Cheng Chang from Tainan Hospital's Department of Psychiatry responded: Dear Xiaoya, Tryptanol is a traditional tricyclic antidepressant that is not only used for patients with depression but also for helping those with insomnia and headaches. This medication is not ...[Read More] Navigating Anxiety and Sleep Issues After Stopping Amitriptyline
Understanding Fear of Ball Sounds: Anxiety and Treatment Options
Fear of the sound of balls being hit? Dr. Chen: Hello, my mother is 60 years old. Since mid-last year, she has been telling us that whenever someone plays basketball nearby and she hears the sound of the ball hitting the ground, she experiences palpitations, anxiety, a feeling of...
Dr. Chen Wenke Reply:
Hello Xiao Liu, I apologize for not being able to respond promptly as I received your letter on January 2, 2004. Regarding your mother's situation, I would like to share my thoughts as follows: It is quite unusual for someone to have such a pronounced emotional reaction (pa...[Read More] Understanding Fear of Ball Sounds: Anxiety and Treatment Options
Am I Sick? Understanding Depression After a Breakup
Am I sick??? Hello, Doctor: Since breaking up with my boyfriend, I have been feeling a prolonged sense of unhappiness and sadness. Whenever I am alone, I can't help but feel heartbroken, overwhelmed, and even have thoughts of wanting to end it all. I feel like I am increasin...
Dr. Lin Yanhong Reply:
Hello, I see your concerns, and it seems you may be experiencing the pain of a breakup. If you frequently encounter the following eighteen symptoms for more than two weeks, it would be best to consult a professional psychiatrist, as depression may have quietly set in. 1. I ofte...[Read More] Am I Sick? Understanding Depression After a Breakup