Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Experiencing a rapid heartbeat while sleeping? Hello Doctor, I would like to ask you a question. Last August, I went to the hospital for a cardiac examination and had an echocardiogram. I have been having blood tests every three months, and currently, there are no significant iss...
Dr. Lin Mianzhang Reply:
Hello Mr. Wang: It sounds like your heart is not in serious trouble. The possibility of experiencing a rapid heartbeat while sleeping may be related to your thyroid. I wonder if you have a history of hyperthyroidism? Did you experience similar symptoms when you had hyperthyroidis...[Read More] Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Overcoming Sleep Anxiety: Strategies to Combat Insomnia Fears
Difficulty falling asleep? Hello Dr. Lin, I have always had good sleep quality, able to sleep through the night with few dreams, and I usually fall asleep within 10 to 15 minutes. However, since last Friday (January 7th), there have been some changes. My time to fall asleep has ...
Dr. Lin Mianzhang Reply:
Hello Cheryl: It seems that your main concern is about sleep, which is making it even harder for you to fall asleep. In such situations, you can focus your attention solely on your breathing. When other thoughts arise, gently bring your focus back to your breath. This is actually...[Read More] Overcoming Sleep Anxiety: Strategies to Combat Insomnia Fears
Managing Sleep Medications: Finding the Right Balance for Mental Health
Medication issues Thank you for your detailed response last time, Doctor. You asked why I take Mirtazapine first and then take Anxiolytic before bed a few hours later. This is because my psychiatrist mentioned that taking Mirtazapine a few hours before bedtime is more effective, ...
Dr. Lin Mianzhang Reply:
Hello: Jing An Ning is classified as a sedative, and long-term use can indeed lead to dependence and tolerance, so it is not recommended for prolonged use. It is acceptable to alternate between half a tablet and a quarter tablet. If you wish to taper off the medication, the princ...[Read More] Managing Sleep Medications: Finding the Right Balance for Mental Health
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...
Dr. Huang Zhijia Reply:
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
SSRIs and Memory: Do They Enhance or Impair Cognitive Function?
SSRI (Selective Serotonin Reuptake Inhibitor) Dr. Dai: I am taking an SSRI, and I saw on PTT that some people feel their memory has worsened after taking it. However, SSRIs are supposed to increase serotonin, and isn't serotonin supposed to enhance memory? I would like to as...
Dr. Dai Wanxiang Reply:
Hello, patients with depression not only experience symptoms such as low mood, loss of interest, negative thoughts, and insomnia, but they can also be affected in terms of cognitive functions like memory and attention. Selective Serotonin Reuptake Inhibitors (SSRIs) can help alle...[Read More] SSRIs and Memory: Do They Enhance or Impair Cognitive Function?
Understanding Dopamine Balance: Navigating Joy and Addiction Risks
Dopamine homeostasis issues? Hello, Doctor. Following up on the previous question, this information primarily comes from Dr. Anna Lembke's book "Dopamine Nation." So, we normal individuals have a physiological mechanism to maintain a balance of dopamine in our bodi...
Dr. Wu Enliang Reply:
Hello, netizen: Yes, please don't worry. Dr. Wu En-liang.[Read More] Understanding Dopamine Balance: Navigating Joy and Addiction Risks
Understanding the Effects of Anxiety Medication on Sleep Quality
The effects of Jing'an Ning? Hello Doctor: Recently, I visited a cardiologist due to symptoms of palpitations, chest tightness, and insomnia. The doctor mentioned that these symptoms could potentially be triggered by anxiety, but a more comprehensive assessment would need to...
Dr. Lin Mianzhang Reply:
Hello Mr. Chen: Jing An Ning is a sedative that typically produces effects of relaxation and drowsiness. It is quite rare for someone in your situation to experience a reduction in sleep duration, which is more likely attributed to anxiety. If your cardiac examination is normal a...[Read More] Understanding the Effects of Anxiety Medication on Sleep Quality
Managing Insomnia During Pregnancy: Tips for Better Sleep
Insomnia during pregnancy Since I found out I was pregnant, I've been experiencing insomnia from time to time. Sometimes I can't fall asleep until 4 or 5 in the morning, and I have to work during the day, which is really exhausting. I feel psychological pressure, fearin...
Dr. Lin Mianzhang Reply:
Hello QQ: First of all, congratulations on your pregnancy! It seems that you are experiencing insomnia since you found out you were pregnant. I wonder what kind of stress pregnancy might be causing you. If you are unable to relieve this stress, it can naturally affect your sleep,...[Read More] Managing Insomnia During Pregnancy: Tips for Better Sleep
Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we can'...
Dr. Wu Enliang Reply:
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
The Balance of Dopamine in the Brain: Understanding Joy and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we cannot be...
Dr. Wu Enliang Reply:
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang[Read More] The Balance of Dopamine in the Brain: Understanding Joy and Mood Swings
The Balance of Dopamine in the Brain: Understanding Happiness and Mood Swings
Dopamine homeostasis in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feeling down? Doesn't this imply that we cannot be happy all the...
Dr. Wu Enliang Reply:
Hello, netizen: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] The Balance of Dopamine in the Brain: Understanding Happiness and Mood Swings
Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Dopamine homeostasis issues in the brain? Hello. I have some questions after reading a medical article online. Does this mean that if we only engage in pleasurable activities, our internal balance will lead us towards feelings of sadness? Doesn't this imply that we cannot be...
Dr. Wu Enliang Reply:
Hello, internet user: This article primarily explains the mechanisms of addiction and should not be overly quoted out of context in relation to activities that do not lead to addiction. Dr. Wu Enliang.[Read More] Understanding Dopamine Balance: The Science Behind Happiness and Mood Swings
Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
Anxiety due to physiological conditions? Hello, doctor. In August of this year, I was diagnosed with neurosis (insomnia, anxiety, panic) by a psychiatrist. I have been undergoing medication treatment and am currently stabilizing and gradually reducing my medication. I am now only...
Dr. Wu Enliang Reply:
Hello, online friend: I believe there is no need for further examinations. You have already seen many doctors and undergone numerous tests. It is likely a psychosomatic disorder. I recommend continuing to work with your psychiatrist, and you may also consider incorporating psycho...[Read More] Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic...
Dr. Tang Jiahong Reply:
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I previously took Lorazepam for over three months, and stopping the medication has caused insomnia. It has now been three months since I stopped, and I have been experiencing insomnia for the entire duration. This insomnia is not ...
Dr. Tang Jiahong Reply:
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
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
Struggling to Sleep After Waking Up: Insights from Psychiatry
Difficulty falling back asleep after waking up in the middle of the night? I have been experiencing sleep disturbances for a while now. It started over three years ago when I began seeing a psychiatrist and started medication. At the end of October, I wanted to reduce my medicati...
Dr. Wu Enliang Reply:
Hello, online user: The causes of long-term insomnia need to be discussed with your physician. Are there issues related to depression or anxiety that need to be addressed? Are there any problems with your sleep hygiene? Relying on sleeping pills is a temporary solution and does n...[Read More] Struggling to Sleep After Waking Up: Insights from Psychiatry
Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Difficulty falling back asleep after waking up at 3 AM? Hello Doctor: A few years ago, I experienced symptoms of autonomic nervous system dysfunction (not officially diagnosed), including panic, palpitations, a heavy heartbeat, and dizziness with a sensation of swaying. I consult...
Dr. Lin Mianzhang Reply:
Hello, Hong: Autonomic nervous system dysfunction is a general term and not a specific medical diagnosis. It can encompass a variety of conditions, such as depression, anxiety disorders, panic disorders, insomnia, arrhythmias, and irritable bowel syndrome, among others, or even n...[Read More] Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Adjustment Disorder I am currently studying in graduate school, and my teacher initially planned to let me take my oral exam early. However, when I discovered errors in my research data, I fell into a state of negative emotions and anxiety, even contemplating death. I didn't...
Dr. Wu Enliang Reply:
Hello, internet user: Some individuals with anxiety-related adjustment disorders can indeed recover in a short period of time. However, sometimes due to excessive stress, it may develop into depression or anxiety disorders. It is advisable to collaborate and discuss with your psy...[Read More] Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Seeking Guidance on OCD Treatment and Medication Concerns
I need advice? Dear Dr. Dai, I have a few questions regarding my condition: obsessive-compulsive disorder (OCD) and depression. 1. With the upcoming university entrance exams, the doctor suggested that I take 0.25 mg of Anxiolytic. However, I found in the medication leaflet tha...
Dr. Dai Wanxiang Reply:
Hello, regarding the questions you raised, here are the responses: 1. The concerns you mentioned about the side effects of Anlifu (Amisulpride) related to sedation and tardive dyskinesia: some individuals may experience drowsiness after taking it, which can affect attention and ...[Read More] Seeking Guidance on OCD Treatment and Medication Concerns