Safe B-Class Medications for Insomnia in Pregnant Women: What You Need to Know
I would like to inquire about the category B psychiatric medications that are safe for pregnant women to take? I have schizophrenia and severe insomnia. Previously, I was taking heavy psychiatric medications, including 0.25 mg of Lendormin (France) twice before bed, 10 mg of Sert...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Safe B-Class Medications for Insomnia in Pregnant Women: What You Need to Know
Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide
Psychological anger, national examinations, masturbation, and related lifestyle issues? Hello, doctor. I used to have very few issues with insomnia, but this year, as I prepare for the national exam, I encountered obstacles at the beginning of the year with family needing my help...
Dr. Li Zhengfeng Reply:
Hello: For insomnia, it is indeed recommended to first use non-pharmacological treatments, such as physical therapy, psychotherapy, and occupational therapy. If medication is absolutely necessary, it is also advised to avoid long-term use of sleep aids to prevent physiological or...[Read More] Managing Anxiety and Sleep Issues During Exam Preparation: A Comprehensive Guide
Who to Turn to for Help with Bipolar Disorder and Mental Health?
Who should I seek help from? I'm feeling extremely overwhelmed and desperate! I have been plagued by persistent feelings of guilt, feeling incompetent and useless, and I have been trying to torment myself. Yet, I keep searching online for answers and I can't stop. I hav...
Dr. Wang Pengnian Reply:
It is recommended to consult the attending physician from six years ago during your hospitalization.[Read More] Who to Turn to for Help with Bipolar Disorder and Mental Health?
Can I Remove My Disability Status and Live Normally After Recovery?
I have a permanent major illness card and a mild disability handbook. Can I request the National Health Insurance Administration and the district office to remove the notation (as there is no record on my health insurance card)? If I recover, is there a way for me to return to be...
Dr. Zhang Gengjia Reply:
Hello Ms. Xiang, thank you for once again providing a detailed description of your situation. I understand the pressures and difficulties you are facing in your work and life. My recommendations are essentially the same as those for case 208513; the disability handbook for mild c...[Read More] Can I Remove My Disability Status and Live Normally After Recovery?
Are My Mental Health Issues the Same Condition After 15 Years?
Do these two count as the same disease? In 2004, I sought treatment in the psychiatric department due to insomnia. At that time, I was using ecstasy and ketamine, but I didn't tell the doctor about it; I only mentioned my insomnia. My main goal was to obtain medication to he...
Dr. Qiu Junda Reply:
Hello. Insurance disputes are indeed outside the scope of a physician's professional expertise. You may need to consult a professional unit similar to a lawyer (such as a legal aid organization) for assistance. As for the distress caused by this issue, which may even lead to...[Read More] Are My Mental Health Issues the Same Condition After 15 Years?
Managing Withdrawal Symptoms After Stopping Psychiatric Medications
Medication consultation Hello Doctor, I was diagnosed with depression, insomnia, and irritability earlier this year. I have been under treatment and taking medication for over three months. I recently had a follow-up appointment and was advised to stop the medication. It has been...
Dr. Lin Mianzhang Reply:
Hello: Your situation seems to be a withdrawal reaction from the medication. The duration of withdrawal varies for each individual depending on their condition, constitution, and the dosage of the medication, ranging from a few days to several weeks. You can choose to tough it ou...[Read More] Managing Withdrawal Symptoms After Stopping Psychiatric Medications
Understanding Sleep Issues and Paranoia in OCD Patients
Medical inquiry Hello, Doctor: I would like to ask two questions. 1. Recently, I have been waking up at 5 or 6 AM but feel very sleepy and cannot fall back asleep, even though I had enough sleep the night before. What should I do? 2. When I am outside, I often feel a sensation li...
Dr. Lin Mianzhang Reply:
Hello: 1. It seems that you are experiencing early awakening, which is considered a type of insomnia. However, there are many potential causes for this condition, including circadian rhythm disturbances, disruptions in the sleep environment, psychological stress, mental health di...[Read More] Understanding Sleep Issues and Paranoia in OCD Patients
Can Panic Disorder Be Managed Without Medication?
Can panic disorder be managed without medication? Hello, doctor. I have been dealing with panic disorder for over a decade. I previously consulted a psychiatrist once but have never taken medication because I feel panic about taking drugs. I believe my condition does not currentl...
Dr. Qiu Junda Reply:
Hello. Since you feel that your current condition is not affecting your daily life and mood without medication, you can temporarily refrain from taking medication. If you can make adjustments, not taking medication should not lead to a worsening of your condition. Additionally, y...[Read More] Can Panic Disorder Be Managed Without Medication?
Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Withdrawal from Clonazepam 1 mg and Escitalopram 0.25 mg? I work alternating day and night shifts. After receiving the booster dose of the COVID-19 vaccine in February 2022, I experienced insomnia symptoms. I was prescribed Eszopiclone 5 mg and Lorazepam 1 mg to take before bed a...
Dr. Wu Enliang Reply:
How long should one wait to discontinue Keppra? A: There is no specific duration, but maintaining good sleep hygiene (such as engaging in moderate exercise and avoiding the bed before sleep) can allow for a gradual reduction or discontinuation of the medication. Will withdrawal s...[Read More] Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Can New Sleep Aid Dazhuimen Be Taken with Ativan for Insomnia?
The new sleep medication, Dazepam? I have been experiencing insomnia without any apparent reason and have been seeing a neurologist for 10 years. I have been taking half a tablet of Eszopiclone (Lunesta) and one 0.5 mg tablet of Lorazepam (Ativan), but I don't take them ever...
Dr. Li Zhengfeng Reply:
Hello: Zolpidem can be taken with benzodiazepines. If you are unable to discontinue benzodiazepines, you may continue to take them, but it is recommended to use a single sleep medication whenever possible to avoid polypharmacy. Wishing you a speedy recovery.[Read More] Can New Sleep Aid Dazhuimen Be Taken with Ativan for Insomnia?
Understanding Anxiety Around Daily Routines: Tips for Relief
Excessive anxiety in the body? Hello, Doctor. Bowel movements and sleep are very natural processes for most people, but they cause me anxiety. I have a habit of having a bowel movement at a specific time every day. In the past, I would only start to feel anxious if I didn’t have ...
Dr. Li Zhengfeng Reply:
Hello: Based on your letter, it seems you may have a specific anxiety disorder, experiencing anxiety in certain situations that exceeds normal levels and affects your daily life. I recommend that you start practicing some relaxation techniques. If this does not lead to effective ...[Read More] Understanding Anxiety Around Daily Routines: Tips for Relief
Understanding Anxiety Disorders and Family Dynamics in Adolescents
Anxiety Disorders and Family Issues Hello Doctor, I am currently in the first year of junior high school. Since last summer when school started, I have been experiencing excessive anxiety and social anxiety, often worrying about illnesses (like parasites), having a fear of height...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety and family issues. 1. Facing an uncertain future, depression and anxiety are common disorders in modern society. These are chronic conditions that require long-term treatment for...[Read More] Understanding Anxiety Disorders and Family Dynamics in Adolescents
Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Can panic/depression turn into bipolar disorder? Am I experiencing this situation? About seven to eight months ago, I experienced panic attacks that left me unable to get out of bed. I was preoccupied with thoughts of life and death, and I exhibited nearly all physiological respo...
Dr. Lin Mianzhang Reply:
Hello, Hong: Your situation seems to resemble feelings of agitation, which is a common symptom in patients with depression. However, about 5%-10% of individuals diagnosed with depression may later exhibit symptoms of mania, at which point the diagnosis may be changed to bipolar d...[Read More] Can Panic or Depression Lead to Bipolar Disorder? Understanding Your Symptoms
Understanding Privacy in Psychological Assessments: Key Questions Answered
Issues related to psychological counseling? Hello, doctor: After graduating from high school, I received treatment at the psychiatric department of Hospital A and underwent a psychological evaluation there (the report has been uploaded to the National Health Insurance system). I ...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Patient privacy is governed by data protection regulations, and you can refer to relevant websites for more information. The recent surge in the pandemic has led the Centers for Di...[Read More] Understanding Privacy in Psychological Assessments: Key Questions Answered
Overcoming Anxiety About STDs: A Guide for Mental Health
I have always been very worried about contracting a sexually transmitted infection (STI)? Hello doctor, I easily get anxious and overthink. I constantly feel that if I touch something casually, or use a shared washing machine or restroom, I will contract a sexually transmitted in...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. Recently, the pandemic has intensified, and the Centers for Disease Control and Prevention (CDC) has defined the symptoms resulting from the long-term effects of acute COVID-19 inf...[Read More] Overcoming Anxiety About STDs: A Guide for Mental Health
Struggling with Insomnia After Starting Medications for ADHD and Anxiety
Does taking Panadol Extra make it hard to sleep? I visited the doctor due to ADHD, Asperger's syndrome, and insomnia. Last month, the doctor prescribed me Xanax as an anti-anxiety medication. Currently, I take one Xanax before bed, and if I can't sleep, I take Zolpidem....
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery...[Read More] Struggling with Insomnia After Starting Medications for ADHD and Anxiety
Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Students are hesitant about whether to visit a clinic for medical care. Can they really recover without seeing a doctor? I previously visited a mental health specialist with my mother twice. After the first visit, I was diagnosed with anxiety disorder and prescribed medication, b...
Dr. Lin Mianzhang Reply:
Hello, classmate: Your anxiety, panic, depression, and insomnia have severely impacted your daily life and have caused you significant stress about attending school. This situation requires professional help. Through consultations with a physician, psychological counseling, and m...[Read More] Should Students Seek Help for Mental Health Issues? The Importance of Treatment
Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...
Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...[Read More] Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Anxiety causes insomnia? Hello Dr. Wu, I have a personal constitution that makes me prone to anxiety and overthinking. During my consultation, the doctor diagnosed me with autonomic nervous system dysfunction, which causes discomfort whenever I experience anxiety or life stress. ...
Dr. Wu Enliang Reply:
1. The doctor said that Xin Jie can be taken once daily and can be taken for a lifetime. Will this cause a burden on the body? A: No. 2. I have been feeling good mentally and physically and have stopped taking medication for half a month, but I suddenly have insomnia again. Can ...[Read More] Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Understanding the Use of 1mg of Quetiapine for Sleep and Anxiety
Regarding Jing An Ning 1 mg? Hello, doctor. I have severe sleep disorders, as well as anxiety and depression, but I still can't sleep. Currently, I am taking medications: 2 tablets of Tinos, 2 tablets of Clonazepam, 2 tablets of Quetiapine, 1 tablet of Mirtazapine 50 mg, and...
Dr. Wu Enliang Reply:
There isn't much that can be done, and it's not advisable to rely heavily on medications. For insomnia, it's important to identify the underlying causes and address them accordingly, rather than continuously increasing the dosage of sedatives. Dr. Wu Enliang.[Read More] Understanding the Use of 1mg of Quetiapine for Sleep and Anxiety