Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Since the hospital started offering nasal inflammation medications containing pseudoephedrine..? Doctor, I would like to ask you something. At the beginning of May, I was diagnosed with sinusitis, and my physician prescribed medication, one of which contains a component called ps...
Dr. Wu Enliang Reply:
Hello, internet user: If you are feeling this anxious and tense, it is certainly advisable to consult a psychiatrist (psychosomatic medicine). Dr. Wu En-liang.[Read More] Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Supporting a Boyfriend with Bipolar Disorder: Seeking Help and Understanding
I am very worried about my boyfriend who has bipolar disorder? Hello Doctor, about a month ago, my boyfriend of seven years began to show symptoms of a manic episode associated with bipolar disorder, and now he exhibits all the symptoms completely. The changes in his thoughts and...
Dr. Wu Enliang Reply:
Hello, online friend: Bipolar disorder is a treatable condition, and the earlier the treatment begins, the better the outcomes tend to be. It is advisable to encourage him to seek help, especially since he has been experiencing insomnia and emotional instability lately, which may...[Read More] Supporting a Boyfriend with Bipolar Disorder: Seeking Help and Understanding
Understanding Insomnia and Medication Withdrawal in Mental Health
Insomnia and issues related to withdrawal from medication? Hello, Dr. Tsai! This February, I suddenly realized that I am already 45 years old. Although I am married, I have not had children, which makes me anxious and unable to sleep. Additionally, I am worried about my future be...
Dr. Cai Yunlin Reply:
Hello, Anxinping and Xinghuantuo belong to the benzodiazepine class and sedative-type antidepressants, respectively. They are commonly used in clinical practice to address insomnia issues. Anxinping generally has good safety profiles. When tapering off sleep medications, it is ad...[Read More] Understanding Insomnia and Medication Withdrawal in Mental Health
Managing Medication Side Effects: Memory Loss and Focus Issues in Psychiatry
Does taking medication always lead to problems such as poor memory, slow reaction times, and difficulty concentrating? Hello Doctor: Recently, work has been quite challenging, and I find myself making more mistakes than before, which has led to significant stress and feelings of ...
Dr. Liang Sunyuan Reply:
Hello: Some individuals may experience fatigue or difficulty concentrating after taking Rivotril, Alprazolam, or Lozepam. However, abruptly discontinuing these medications can also lead to rebound anxiety or insomnia. A better approach is to discuss this with your physician durin...[Read More] Managing Medication Side Effects: Memory Loss and Focus Issues in Psychiatry
Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang Reply:
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Sleep issues I don't know if it's due to the lack of choices for further education that has led to excessive stress, but my sleep quality has noticeably declined over the past month. I used to be able to sleep from 10 PM to 9 AM, but now I wake up suddenly before 6 AM a...
Dr. Wu Enliang Reply:
Hello, online user: The most common cause of short-term insomnia is anxiety due to life stress. It is recommended to avoid napping during the day, engage in regular exercise, and pay attention to sleep hygiene (which can be found online). If necessary, short-term use of sedatives...[Read More] Struggling with Sleep: Understanding Anxiety and Insomnia in Young Adults
Managing Anxiety and Insomnia After a Breakup: Medication Insights
Medication consultation/palpitations/insomnia Dear Doctor, After my breakup, I experienced significant emotional changes, such as insomnia for an entire month, and I couldn't sleep well at night due to palpitations. I also felt chest tightness and discomfort. I consulted a...
Dr. Wu Enliang Reply:
Hello, online user: Should I immediately return to my original physician to discuss medication adjustments after experiencing improvement from this medication? A: Yes, especially if you encounter difficulties in reducing the dosage, you should definitely consult your physician. A...[Read More] Managing Anxiety and Insomnia After a Breakup: Medication Insights
Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Stress, anxiety, and insomnia? Hello, doctor. I experienced significant stress during my childhood due to family issues, and I only moved out last year. However, I still don't understand why I can't relax; my body remains in a state of high tension, which often leads to...
Dr. Lin Mianzhang Reply:
Hello: If you have been unable to relax and are easily tense and anxious for a long time, you should consider whether you have an anxiety disorder. If so, it is not advisable to rely solely on sedative or sleep medications; you should also include antidepressants. In addition to ...[Read More] Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Struggling with Sleep: A College Student's Battle with Insomnia
Difficulty falling asleep for more than six months? Hello, doctor. I am a college student in my second year. Since I entered university, I have been experiencing intermittent difficulties falling asleep, occurring about 3-4 times a week. Recently, I have been struggling to fall a...
Dr. Wu Enliang Reply:
Hello, netizen: Your prolonged insomnia has reached the clinical criteria for insomnia disorder, and it is advisable to seek medical attention for further differential diagnosis and appropriate treatment. You can seek medical help without needing support from family members. If y...[Read More] Struggling with Sleep: A College Student's Battle with Insomnia
Understanding Mental Health: When to Seek Counseling and Support
Psychological counseling Hello Dr. Wu, I am currently about to enter my sophomore year. When I was in first grade, I joined the swimming team, and the coach was very strict. Due to my insufficient skills, I was forced to be assigned to that coach's group. The coach often spl...
Dr. Wu Enliang Reply:
Hello, user: Your condition is currently very serious, and you need to seek treatment at a psychiatric facility as soon as possible rather than just counseling. Dr. Wu Enliang[Read More] Understanding Mental Health: When to Seek Counseling and Support
Understanding Anxiety Medication: When to Seek Psychiatric Help
Use of Anxiolytic Medications Hello, doctor. I previously raised the question of whether my chest tightness is due to autonomic nervous system dysregulation. I have undergone various organ examinations, all of which showed no abnormalities. The context in which the symptoms occur...
Dr. Wu Enliang Reply:
Hello, online user: Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed. It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency. If symptoms improve after relaxation and stress ...[Read More] Understanding Anxiety Medication: When to Seek Psychiatric Help
Weight Gain Concerns with Sertraline During Pregnancy: What to Know
Issues related to weight gain associated with Seroquel? Hello, Doctor! I am a 36-week pregnant woman. I have been taking psychiatric medications for many years before pregnancy and started to reduce my dosage after becoming pregnant. In the mid to late stages of my pregnancy, I b...
Dr. Li Zhengfeng Reply:
Hello: Weight gain from taking Seroquel varies from person to person. For some, it is quite noticeable, while for others it is less so, usually due to increased appetite. Generally, the higher the dosage, the more pronounced the effect. A dosage of 50 mg is not considered high. T...[Read More] Weight Gain Concerns with Sertraline During Pregnancy: What to Know
Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Auditory hallucinations and insomnia? I have been ill for a long time, for four years. My condition has not improved during this time, especially my memory has deteriorated significantly. Since my girlfriend committed suicide by carbon monoxide poisoning, my auditory hallucinatio...
Dr. Xue Gengming Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Can Depression Medication Be Prescribed as a Chronic Prescription?
Can I switch to a chronic prescription for medication? Hello, doctor. A family member has been taking medication for depression (anxiety, panic, insomnia) for nearly twenty years (picking up prescriptions every 28 days at a major hospital). Recently, they have also developed epil...
Dr. Wu Enliang Reply:
Hello, online user: Theoretically, a chronic prescription should be possible, but the physician may have their clinical judgment, or some hospitals may have internal regulations that restrict the issuance of prescriptions for controlled substances, etc. Dr. Wu Enliang.[Read More] Can Depression Medication Be Prescribed as a Chronic Prescription?
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Understanding Autonomic Nervous System Disorders and Mood Swings
Autonomic Nervous System Dysfunction, Bipolar Disorder I was previously diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, and gastrointestinal disturbances, possibly due to academic pressure over the past six months. However, my emo...
Dr. Liao Dinglie Reply:
Hello, dear netizen: I do not know your age or gender, so I can only guess that you are a young student. From your letter, I can see several health concerns, including symptoms such as chest tightness, insomnia, gastrointestinal dysfunction, emotional stress, significant financia...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings
Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
Autonomic Nervous System Dysregulation and Bipolar Disorder? I am 25 years old and currently a university student. I have previously been diagnosed with ADHD and depression. Over the past six months, I have been experiencing chest tightness, insomnia, gastrointestinal disturbance...
Dr. Wu Enliang Reply:
Hello, netizen: Q: I am 25 years old and currently a college student. I have previously been diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, gastrointestinal dysfunction, and poor memory for the past six months. I am unsure if t...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Sleep apnea? Hello doctor, I have anxiety disorder and often search for information on Google, which ends up scaring me. Whenever I feel unwell, I want to see a doctor for reassurance. However, due to the recent outbreak of the pandemic and seeing news about sudden deaths from hy...
Dr. Wu Enliang Reply:
Hello, netizen: This is likely caused by anxiety rather than sleep apnea. If someone has a more sensitive personality, their reaction to the stress of the pandemic may be more intense. The invisibility and harmfulness of the virus, along with the uncertainty of transmission, can ...[Read More] Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system dysfunction? Hello Dr. Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks. I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system...
Dr. Wang Yaoting Reply:
Hello: **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, ...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Managing Severe Medication Side Effects and Insomnia in Psychiatry
Side effects and insomnia issues? Hello, doctor. I have two questions to ask: 1. I experience severe nausea as a side effect of my medication. Several times after taking the medication, I vomited everything, and there have even been instances where I vomited into a drainage dit...
Dr. Wu Enliang Reply:
Hello, I have a serious issue with nausea as a side effect of my medication. Several times after taking the medication, I have vomited everything, and there have even been instances where I vomited into a gutter while walking. I have confirmed that it is not a stomach issue, but ...[Read More] Managing Severe Medication Side Effects and Insomnia in Psychiatry