Insomnia, Psychiatry FAQ - Page 15

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Understanding Insomnia: Managing Sleep Issues and Medication Concerns

Sleep issues Hello, doctor. I would like to ask about my insomnia issue. My situation is as follows: before taking medication, I had a period where I could only sleep about 2 hours every 2 days, but I still felt quite energetic. Even though my mind felt a bit dull during that tim...


Dr. Lin Mianzhang Reply:
Hello, Miss Lin: Difficulty sleeping is indeed a troubling issue. While sleeping pills can help one fall asleep quickly, they are merely a temporary solution. It is essential to identify the underlying causes of insomnia for a more effective treatment. For instance, factors such ...

[Read More] Understanding Insomnia: Managing Sleep Issues and Medication Concerns


Understanding Sleep Medication: Managing Insomnia and Weight Loss

Regarding the use of sleep medications? Hello Doctor, six months ago I had issues with gastrointestinal ulcers combined with irritable bowel syndrome, so I took one "Sublingual" before bed every night for three months. Before taking Sublingual, I did not have severe ins...


Dr. Li Zhengfeng Reply:
Hello: Weight loss due to insomnia is caused by the insomnia itself, not by the side effects of taking Subitram. There are many types of sleep aids available, and you can discuss with your physician to find the most suitable medication. To wean off the reliance on sleep medicatio...

[Read More] Understanding Sleep Medication: Managing Insomnia and Weight Loss


Managing Anxiety-Induced Insomnia: Medication Consultation and Alternatives

Sleep issues and medication consultation? Hello Doctor, due to anxiety and insomnia, I experienced weight loss in December. After seeing a doctor, I was prescribed Alprazolam 0.5mg (to be taken once at bedtime), and I have been taking it for over a month and a half now. My weight...


Dr. Qiu Junda Reply:
Hello. Alprazolam and SSRIs are different classes of medications. SSRIs are theoretically less addictive, but it is uncertain whether they can help with your sleep. Alprazolam, like other sedative-hypnotics, has the potential for addiction. It is not possible to immediately deter...

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Teeth Grinding Before Sleep: A Sign of Stress?

Grinding teeth while falling asleep? Hello Doctor, recently taking magnesium tablets an hour before bedtime has slightly improved my insomnia. Additionally, I have been doing some aerobic exercises to relieve stress, which has reduced my time to fall asleep from the original 2-3 ...


Dr. Lin Mianzhang Reply:
Hello Ms. Wu: There are many reasons for teeth grinding or jaw clenching during sleep, such as anxiety, fear, stress, consumption of coffee or alcohol, and smoking. I suggest you observe any recent changes in your life to see if these factors are related to your recent teeth grin...

[Read More] Teeth Grinding Before Sleep: A Sign of Stress?


Managing Emotional Turmoil: Overcoming Medication Misuse in Mental Health

In moments of emotional distress, individuals may find it difficult to control themselves and may end up taking an excessive amount of medication? Hello, doctor. I am currently receiving treatment at a mental health clinic, with regular follow-ups once a month. I initially sought...


Dr. Lin Mianzhang Reply:
Hello, Xiao Hei: You've been working hard! Are you currently living alone? If not, can your family or friends who live with you help you store your medications? If someone can help you with that, it will better ensure your safety and prevent you from overdosing. If you are l...

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Understanding Obsessive-Compulsive Behaviors: The Struggle with Cleanliness

The psychiatrist said this is obsessive-compulsive disorder (OCD)? 1. The issue of whether I clean myself properly after using the restroom has troubled me for several years. 2. I once consulted a psychiatrist about whether my behavior could be classified as obsessive-compulsive...


Dr. Lin Mianzhang Reply:
Hello: It sounds like the issue with wiping has been a source of distress for you. This indeed goes beyond mere cleanliness and is a symptom of obsessive-compulsive disorder (OCD). I wonder if you have ever taken antipsychotic medications in addition to antidepressants? For more ...

[Read More] Understanding Obsessive-Compulsive Behaviors: The Struggle with Cleanliness


Struggling with Insomnia and Anxiety: Finding Hope in Mental Health

Insomnia with tendencies of depression? Since my twenties, I have experienced panic and anxiety, especially in crowded places with unfamiliar people, which causes dizziness, headaches, and shortness of breath. Sometimes, I get so nervous while shopping that I can't speak. In...


Dr. Lin Mianzhang Reply:
Hello, Xiao Guang: Thank you for your hard work! It seems that you are trying very hard to improve your situation, but you may feel a sense of helplessness. Given your current circumstances, the lack of someone to express your feelings to in daily life can lead to a buildup of st...

[Read More] Struggling with Insomnia and Anxiety: Finding Hope in Mental Health


Can Calcium and Vitamins Help Improve Sleep Quality?

Can calcium supplements and vitamins be taken together? Since taking care of a sick family member until their passing, I have been experiencing nightmares and crying every night as the primary caregiver. I am also unwell myself. During the time I was caring for my family member, ...


Dr. Lin Mianzhang Reply:
Hello: Thank you for your hard work! It sounds like you have made a lot of efforts regarding your current insomnia situation. However, there is currently insufficient evidence to support that B vitamins, calcium supplements, or tryptophan are effective in improving insomnia. Ther...

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Can Anxiety Medication Affect Sleep Quality Even Without Insomnia?

Obsessive-Compulsive Disorder (OCD) and its treatment with fluvoxamine? If a patient does not have insomnia and sleeps well, could taking the anti-anxiety medication Buspirone lead to poor sleep or insomnia, or could it cause other discomforting symptoms in the body? Thank you fo...


Dr. Lin Mianzhang Reply:
Hello Ms. Chen: If you do not have insomnia issues, taking Yikening should not affect your sleep negatively, and it typically does not cause discomfort. However, since each individual's constitution is different, any medication can potentially have side effects, so the actua...

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Understanding OCD Medications: Concerns About Dependency and Sleep Issues

Medications for Obsessive-Compulsive Disorder (OCD) Doctor, I have obsessive-compulsive disorder, and my doctor prescribed me Escitalopram, which I found online is a sleeping pill and has dependency issues. Can I tell my doctor that I sleep well and do not have insomnia? Will tak...


Dr. Lin Mianzhang Reply:
Hello Ms. Chen: Yiconin is a sedative, and long-term use does carry a risk of dependence. If you have concerns about taking this medication, you can express your worries to your doctor or ask about the purpose of prescribing this medication. If it is only to improve sleep and you...

[Read More] Understanding OCD Medications: Concerns About Dependency and Sleep Issues


Can You Take Fish Oil and Lecithin While on Anxiety Medication?

Medication issues Hello, doctor. I have been taking L-theanine to help alleviate anxiety and panic for almost a year now. I would like to ask if it is safe to take fish oil and lecithin, as I have been consuming these supplements for a long time and haven't noticed any adver...


Dr. Lin Mianzhang Reply:
Hello Ken: It seems that you value your health and are taking these supplements. Fish oil and lecithin do not affect the efficacy of antidepressants, so you can take them with peace of mind. However, it is important to note that there is more evidence supporting the effectiveness...

[Read More] Can You Take Fish Oil and Lecithin While on Anxiety Medication?


Understanding Weekly Insomnia: Causes and Solutions for Better Sleep

Recently, I have been experiencing insomnia on a regular weekly basis? In the first month, I experienced insomnia every Monday night. The situation was that I would go to bed around midnight and wake up around 1 AM, then I would need to toss and turn for one to two hours before f...


Dr. Lin Mianzhang Reply:
Hello Ms. Wu: It sounds like you are still a student. May I ask if you have been experiencing any stress in your life recently, or if there have been any changes? There are many potential causes of insomnia, including psychological stress, changes in routine, excessive or late co...

[Read More] Understanding Weekly Insomnia: Causes and Solutions for Better Sleep


Managing Insomnia and Irritability: Strategies for Mental Health

Insomnia and irritability? I experience significant mood swings and often find myself unable to tolerate people and situations. My temper becomes even harder to control when my husband and daughter don’t listen to me. There are days when I feel angry almost all day long, and I fr...


Dr. Wang Yaoting Reply:
Hello: Taking care of children can indeed be very stressful, and many people experience emotional regulation issues like you do. However, if you feel that your situation is becoming unmanageable or is affecting your daily life, it may be advisable to visit a nearby psychiatric ou...

[Read More] Managing Insomnia and Irritability: Strategies for Mental Health


Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts

Daily morning nausea and autonomic nervous system of the intestines? Current Medical History: Abdominal pain, frequent flatulence, irritable bowel syndrome (esophagogastroduodenoscopy revealed gastritis and GERD grade A = Dexlansoprazole 1# QD), bowel sounds, occasional abdominal...


Dr. Lin Mianzhang Reply:
Hi there! It seems that you are experiencing severe gastrointestinal discomfort, anxiety, compulsions, sleep disturbances, and daytime fatigue. Given your diagnosis of PTSD, this condition can lead to autonomic nervous system dysregulation, which affects the functioning of variou...

[Read More] Morning Nausea and Gut Dysautonomia: Understanding Mental Health Impacts


Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks

At night, there is a pressure to curl up my whole body and scream? Hello Dr. Lin: I have been struggling with insomnia for over 30 years. I am aware that it is due to generalized anxiety, primarily stemming from my father, who was placed in a nursing home two years ago. He is now...


Dr. Lin Mianzhang Reply:
Hello Ah-Hsien: The symptoms you experience while sleeping are somewhat similar to those of sleep terror disorder. Symptoms include sudden awakening, screaming, increased heart rate and breathing, and cold sweats. The causes can include stress, excessive fatigue, lack of sleep, a...

[Read More] Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks


Managing Medication for Pregnancy: Benzodiazepine Reduction Strategies

While working and preparing for pregnancy, I stopped taking Anxiolytic 0.5 mg and Clonazepam 1 mg (planning for rTMS treatment)? Dear Dr. Huang, I have been married for a year and do not wish to become an advanced maternal age patient, but for the sake of safe conception, I have...


Dr. Huang Xiaoxian Reply:
Hello: 1. The dosage is not high, so it should not be difficult. 2. It is recommended to start with half a tablet of Anxiolytic. 3. During the tapering period, Anxiolytic can be considered in combination with buspirone, which is classified as B4. 4. If the use of the above two me...

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Anxiety Medication Changes: Struggling with Increased Insomnia

After medication for anxiety, insomnia has worsened? I have anxiety and panic. I have already sought treatment from a psychiatrist, who prescribed me one capsule of Yongkangxu (安寧膠囊) in the morning and evening. Before bed, I take half a capsule of Daomeisleep (導美睡) and one capsul...


Dr. Wang Yaoting Reply:
Hello: Anning capsules are a short to intermediate-acting benzodiazepine (BZD) medication. After discontinuation, some individuals may indeed experience withdrawal symptoms such as anxiety, restlessness, and rebound insomnia. However, if you resume taking Anning capsules, you may...

[Read More] Anxiety Medication Changes: Struggling with Increased Insomnia


Dealing with Reluctant Family Members Seeking Medical Help

Family members are unwilling to seek medical care? My mother has been experiencing throat issues for the past three months. She clears her throat approximately every minute, sometimes coughs, and even wakes up coughing during the night. However, she is quite averse to seeing a do...


Dr. Xiao Minghong Reply:
Hello Sir: In our country, we place great importance on patient rights and emphasize patient autonomy. Therefore, under normal circumstances, it is not possible to force a patient to seek medical care. It is best to encourage the individual to willingly seek treatment. However, s...

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Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns

Medication consultation: On the first day of taking antipsychotic medication, I have been feeling very sleepy? Hello, Doctor! I am a family member of the patient. The patient was previously hospitalized for schizophrenia and was discharged on Risperidone 2 mg (4 mg daily, taken a...


Dr. Wu Enliang Reply:
Hello, user: 1. Could this condition be caused by medication? Since it is a situation where the person cannot get out of bed at all? A: It is possible that the condition is caused by medication. 2. Is Ativan (Lorazepam) 0.5 mg a medication for insomnia? If there is no insomni...

[Read More] Understanding Medication Effects in Schizophrenia: Day One Drowsiness Concerns


Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest

Severe sleep disorders Hello, doctor. During high school, I went to a sleep center for an evaluation and was diagnosed with mild hypersomnia. At that time, the doctor couldn't prescribe medication and advised me to improve my lifestyle through self-discipline. However, sever...


Dr. Lin Mianzhang Reply:
Hello Su: It sounds like your sleep situation is quite severe, and I'm really sorry to hear that! I'm not sure if the doctor mentioned the cause of your excessive daytime sleepiness during your sleep study. There are many factors that can affect sleep. For example, in t...

[Read More] Struggling with Severe Sleep Issues: Seeking Solutions for Better Rest


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