Do You Really Need Medication for Panic Disorder? Understanding Treatment Duration
Is medication always necessary for panic disorder? Hello Doctor: In August, I experienced two episodes of hyperventilation and was taken to the emergency room. Later, I consulted a cardiologist and learned that I have mitral valve prolapse. The doctor mentioned that I have autono...
Dr. Qiu Junda Reply:
Hello: Since you have already consulted with a psychiatrist, it is better to discuss related issues with your attending physician. In my personal opinion, panic disorder is also a manifestation of high anxiety. If it can be improved through non-pharmacological methods such as rel...[Read More] Do You Really Need Medication for Panic Disorder? Understanding Treatment Duration
Understanding Symptoms of Autonomic Nervous System Dysfunction
What are the symptoms of autonomic nervous system dysfunction? Hello doctor, I am a high school student. Due to frequent breath-holding during weight training, I have developed mild mitral valve regurgitation. I heard that this condition is often associated with autonomic nervous...
Dr. Song Chengxian Reply:
Hello Peter, Mitral valve insufficiency is a cardiology condition, while autonomic dysregulation is a type of psychosomatic disorder. The former requires evaluation by a cardiologist, while the latter may present symptoms related to anxiety, such as chest tightness, tremors, an...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Anxiety Panic Disorder Hello, Doctor. I have some questions I would like to ask you. Since I had an episode of hyperventilation after a meal during a business trip last July, I experienced another episode of hyperventilation in October that made me feel scared, and I was later di...
Dr. Dai Wanxiang Reply:
Hello, Mr. Wen: Based on your description, the symptoms that appeared after changing medication could indeed be withdrawal symptoms. However, it is essential to discuss this with your treating physician to determine the best pharmacological treatment approach. Xanax is an effecti...[Read More] Understanding Panic Disorder: Medication Changes and Withdrawal Symptoms
Navigating Anxiety and Panic: Understanding the Role of Clonazepam in Treatment
Workplace Interpersonal Interactions - Hyperventilation Syndrome - Kava Extract Hello, Doctor! I am a patient with nearly 10 years of anxiety disorder history and also an educator. Over the past six years, due to constant changes in my work environment, I often doubt whether my d...
Dr. Ding Shuyan Reply:
Hello, my experience is that many people have had positive responses, but it still depends on your individual constitution and whether you will respond to the medication. This part will take some time to determine. I recommend that you closely cooperate with your physician, take ...[Read More] Navigating Anxiety and Panic: Understanding the Role of Clonazepam in Treatment
Understanding Panic Disorder vs. Anxiety: Symptoms and Treatment Options
Anxiety Disorder and Panic Disorder Hello Doctor: Recently, I have been experiencing frequent chest tightness and pain, difficulty breathing, and even hyperventilation. I often feel nauseous for no apparent reason, and sometimes I have a sensation of a foreign body in my throat. ...
Dr. Guo Jialun Reply:
Anxiety disorders, in a broad sense, encompass various anxiety-related diagnoses, such as panic disorder and generalized anxiety disorder. Many patients exhibit multiple symptoms simultaneously. In terms of treatment, the primary medication options are selective serotonin/norepin...[Read More] Understanding Panic Disorder vs. Anxiety: Symptoms and Treatment Options
Managing Anxiety and Hyperventilation Syndrome: Medication Strategies
Hyperventilation syndrome Hello Doctor: I have been suffering from anxiety disorder for 6-7 years, and during this time, I have been consistently taking medication: 0.5 mg of Xanax twice daily, 2 tablets of Lyrica at night, and one tablet of Ritalin + Xanax + Lunesta before bed. ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on your description, I can sense your discomfort and concern. In addition to pharmacological treatment, you may also consider biofeedback therapy. If you have not yet undergone this treatment, please discuss it with your primary ...[Read More] Managing Anxiety and Hyperventilation Syndrome: Medication Strategies
Understanding Emotional Instability: Signs, Symptoms, and Solutions
Emotional instability Hello Dr. Chiu, since I was in the second year of junior high, I have been experiencing hyperventilation and often feel nervous and anxious. After some issues arose at home, I have become increasingly irritable, and it is difficult for me to calm down after ...
Dr. Qiu Junda Reply:
Hello: Hyperventilation is a response to anxiety. The text also mentions some negative emotional thinking. It is recommended that you gather educational materials on emotional regulation and stress management, and learn some of the techniques, which should help improve the situat...[Read More] Understanding Emotional Instability: Signs, Symptoms, and Solutions
Do You Really Need to Rely on Medication for Autonomic Nervous System Disorders?
Do people with autonomic nervous system disorders need to take a lot of medication? Hello, doctor. This spring, I was diagnosed with panic disorder after experiencing hyperventilation and being sent to the emergency room. After normal cardiac evaluations, I was advised to seek a ...
Dr. Liang Sunyuan Reply:
Hello: Treatment for panic disorder requires time to stabilize and prevent further episodes, and it necessitates a lot of patience and cooperation with the treatment. If you experience side effects from the medication, it is advisable to discuss them with your outpatient physicia...[Read More] Do You Really Need to Rely on Medication for Autonomic Nervous System Disorders?
Is It Hyperventilation, Panic Disorder, or Autonomic Dysfunction?
Is this hyperventilation, panic disorder, or autonomic nervous system dysregulation? Hello Doctor: Recently, I have been experiencing intermittent feelings of breathlessness at irregular times throughout the day. Sometimes, I suddenly feel like my breathing becomes short (as if I...
Dr. Liang Sunyuan Reply:
Hello: Hyperventilation, panic disorder, and autonomic nervous system dysregulation actually belong to the same group of syndromes, indicating similar symptoms, and the treatment methods are also similar. Essentially, they are all part of the anxiety spectrum disorders. If you ca...[Read More] Is It Hyperventilation, Panic Disorder, or Autonomic Dysfunction?
Understanding Fluctuating Anxiety Symptoms: When Treatment Isn't Enough
Anxiety symptoms fluctuate between better and worse? Hello doctor, I have symptoms of anxiety and am currently undergoing treatment. Some symptoms have gradually improved, but my chest tightness and heart palpitations have not improved; in fact, they seem to have worsened. For ex...
Dr. Liang Sunyuan Reply:
Hello, Xiao Xiang: People with anxiety tend to worry easily, and these worries can trigger physical tension responses, such as rapid breathing and increased heart rate, which can lead to greater discomfort and further intensify the original anxiety and concerns. It is recommended...[Read More] Understanding Fluctuating Anxiety Symptoms: When Treatment Isn't Enough
Understanding Panic Disorder: Causes of Derealization and Loss of Control
Mental disorders The symptoms of panic disorder, such as feelings of derealization or depersonalization, or the sensation of losing control or going crazy, can be triggered by various physical conditions, such as hyperventilation or the sensation of a foreign body in the throat. ...
Dr. Liu Runqian Reply:
Based on the symptoms you described, it appears to be panic disorder. In addition to the symptoms you mentioned, panic attacks are often unpredictable and accompanied by persistent worry about future episodes. Regular medication and psychotherapy can improve symptoms and reduce t...[Read More] Understanding Panic Disorder: Causes of Derealization and Loss of Control
Understanding Panic Disorder: Medication Use and Symptoms Explained
Medication Use I would like to ask what would happen if someone takes Escitalopram for panic disorder without having the condition. If there are no symptoms of hyperventilation, can it still be considered panic disorder? However, there are times when there is a feeling of pressur...
Dr. Liang Sunyuan Reply:
Hello, panic disorder can be considered a more severe form of anxiety disorder, and the physical symptoms you described may indeed be related to anxiety and depression. Escitalopram is primarily used to treat depression, anxiety, and panic disorder. If symptoms improve after trea...[Read More] Understanding Panic Disorder: Medication Use and Symptoms Explained
Managing Anxiety and Depression: Can Tea Help or Harm?
Regarding physical and mental health issues! If you are suffering from autonomic nervous system dysfunction (anxiety, depression, insomnia, dizziness, headaches, hyperventilation, instability), is it advisable to drink tea? What foods should be avoided? I have been taking sedativ...
Dr. Ding Shuyan Reply:
Hello, substances like tea, coffee, and alcohol can lead to instability in the autonomic nervous system. However, the degree of impact also depends on individual constitution and whether there is already a tolerance developed for these substances. Most medication treatments can s...[Read More] Managing Anxiety and Depression: Can Tea Help or Harm?
Is It Just Panic Disorder or Are There Other Symptoms Involved?
Is this purely a panic disorder, or are there other comorbid symptoms? Hello, Director Ding. I am a patient with panic disorder and have been taking half a tablet of Sertraline daily as prescribed by my doctor. I also take half a tablet of Alprazolam during emergencies. I would l...
Dr. Ding Shuyan Reply:
Hello, you are 24 years old, and since the content does not mention any physical illnesses, we can assume that your health check-up is generally normal. Apart from the typical symptoms of panic attacks, some individuals with anxiety disorders may also exhibit the other symptoms y...[Read More] Is It Just Panic Disorder or Are There Other Symptoms Involved?
Understanding Unexplained Anxiety: A Guide for Students
Unexplained anxiety Hello, doctor. This issue has started to affect my life. I have searched for various psychiatric conditions but still cannot determine what is wrong with me. In my sophomore year of high school, due to significant stress, I experienced several episodes of sudd...
Dr. Huang Weiqin Reply:
Dear Inquirer, Based on your description, you may be experiencing symptoms of panic disorder combined with depression. Panic disorder is a type of autonomic nervous system dysfunction. With appropriate medication and relaxation training, the condition can often improve or resolv...[Read More] Understanding Unexplained Anxiety: A Guide for Students
Why Do I Cry and Feel Numb When Scolded? Understanding Emotional Responses
Crying when scolded and experiencing numbness in the hands? I am a nearly 20-year-old girl who has always cried when scolded by elders since childhood. While crying was not a big deal when I was younger, my tendency to cry has not diminished over time. Now that I am approaching a...
Dr. Song Chengxian Reply:
Hello Ms. Li, currently there is no diagnosis of "crying disorder" in psychiatry. The numbness in your hands when you cry excessively may be a symptom caused by hyperventilation due to emotional excitement. Learning emotional regulation and frustration tolerance may be ...[Read More] Why Do I Cry and Feel Numb When Scolded? Understanding Emotional Responses
Understanding Anxiety and Panic Disorders: A High School Student's Guide
Anxiety disorder and panic disorder? Hello, I would like to ask about issues related to anxiety disorder and panic disorder. I am a senior in high school, and during my last exam, I experienced hyperventilation and had to be rushed to the hospital. I have already seen a doctor, w...
Dr. Huang Weiqin Reply:
Hello: Based on your description, you may be experiencing symptoms of panic disorder combined with depression. With appropriate medication and relaxation training, your condition can often improve or resolve. It is recommended that you visit a psychiatrist (or psychosomatic speci...[Read More] Understanding Anxiety and Panic Disorders: A High School Student's Guide
Struggling with Emotional Control: Understanding Intense Reactions in Relationships
Inability to control emotions? I have been in a relationship with my girlfriend for over six months, and we argue every day. During each argument, she speaks to me in a very hurtful manner. Recently, whenever we fight, I find myself crying uncontrollably, and I can't stop my...
Dr. Liang Sunyuan Reply:
Hello: When a person is angry, they often speak without thinking, and sometimes it is not their true intention. After calming down, it is advisable to communicate and clarify. When someone is experiencing depression, anxiety, or high stress, their tolerance for frustration may de...[Read More] Struggling with Emotional Control: Understanding Intense Reactions in Relationships
Understanding Anxiety Disorders: Coping Strategies for Families
Struggling with anxiety disorder? Hello Dr. Zheng: My father has been suffering from anxiety disorder for over two years and currently has PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease). He is a heavy smoker. While my father was re...
Dr. Dai Wanxiang Reply:
Hello Ms. Liao: Based on your description, since your father has underlying conditions such as PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease), we should first rule out whether the episodes are related to these medical issues. If a ...[Read More] Understanding Anxiety Disorders: Coping Strategies for Families
Understanding Unconscious Behavior: A Psychiatric Perspective on Seizures
The person is unresponsive, but they can still move? Hello, Doctor! Yesterday, I experienced chest tightness and fainted on the platform (I was unconscious beforehand). I was taken to the emergency room and gradually regained consciousness after receiving some sedation. It was ca...
Dr. Ding Shuyan Reply:
Hello, this situation has many possibilities. You mentioned having epilepsy, and it is possible to exhibit such symptoms during a seizure. Additionally, conditions like hyperventilation or side effects from medications can also lead to similar presentations. I recommend that you ...[Read More] Understanding Unconscious Behavior: A Psychiatric Perspective on Seizures