Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is it autonomic nervous system dysfunction? Hello, doctor. About a month ago, I experienced muscle twitching for the first time around my eye socket and left calf, which made me very anxious and I frantically searched for information online, fearing it might be a motor neuron dis...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems that your body is experiencing many atypical discomforts. It is recommended to first visit a family medicine or general internal medicine clinic. If the basic examination results are normal, then anxiety-related autonomic nervous system ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Struggling with Sleep Issues: Seeking Solutions for Better Rest
Sleep issues Hello, doctor. When I was younger, I could fall asleep instantly and sleep through the night until morning. However, over the past decade, I have gradually developed issues with staying up late and difficulty falling asleep. In the past, this was not a significant pr...
Dr. Wang Zhenbang Reply:
Hello, a person's sleep patterns may change with age and other factors. Here are 10 recommendations for better sleep, especially note the 10th point: 1. Maintain a regular schedule. (Go to bed and wake up at the same time. Regardless of what time you fall asleep, you shoul...[Read More] Struggling with Sleep Issues: Seeking Solutions for Better Rest
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Paranoia The condition is occurring with my mother. She constantly feels that the neighbors are speaking ill of her, and she tends to extend what others say indefinitely, leading to emotional breakdowns. She often has a downturned mouth and appears gloomy, responding minimally wh...
Dr. Liang Sunyuan Reply:
Hello! Q1: Adjustment disorder, depression, delusional disorder, and schizophrenia are all possibilities, and further evaluation is necessary to confirm the diagnosis. Q2: You can inquire about symptoms such as insomnia, memory impairment, headaches, or dizziness; using the ratio...[Read More] Understanding Paranoia: Signs, Symptoms, and How to Help a Loved One
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Managing Tinnitus: Antidepressants and Anxiety Relief Options
Antidepressant medications and tinnitus symptoms issues? Hello! I am currently experiencing significant anxiety due to tinnitus, which is affecting my daily life and causing sleep difficulties. I am considering using antidepressants along with sedatives, but I have read articles ...
Dr. Wang Yaoting Reply:
Hello: Chronic tinnitus is often accompanied by symptoms such as depression, anxiety, stress, or insomnia. Antidepressant medications are more likely to help improve these accompanying emotional symptoms, and typically, when mood improves, tolerance for tinnitus also increases. H...[Read More] Managing Tinnitus: Antidepressants and Anxiety Relief Options
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Self-Harm: Seeking Help for Emotional Distress
Self-harm related issues Hello Doctor, I have been feeling very down lately. When I get angry, I tend to scratch my hands, feet, and face with my nails, hit walls, pull my hair, and binge eat. After these actions, I feel terrible about myself. I also struggle with insomnia and of...
Dr. Wu Enliang Reply:
Hello: It is recommended to use a mood thermometer (link below, and there is also an app available for download) to assess your emotional state over the past week. If your score is above 10, it is advisable to seek help. If it exceeds 15, it is definitely time to consult a psychi...[Read More] Understanding Self-Harm: Seeking Help for Emotional Distress
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Emotional Instability: Is It Just Adolescence or Something More?
Emotional instability Hello, doctor. I am currently in the second year of junior high school and I have issues with emotional instability. I often cry for no apparent reason. Sometimes, when my emotions suddenly surge or when I encounter certain situations, I feel very irritable ...
Dr. Qiu Junda Reply:
Hello. The text reveals negative emotions and self-harming thoughts. I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health. Regardless of whether this is a rebellious phase or emotional issues, I recommend that you consult...[Read More] Understanding Emotional Instability: Is It Just Adolescence or Something More?
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda Reply:
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Managing Depression, Anxiety, and Severe Insomnia: Medication Insights
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia - unable to sleep for 2 months? 1. Is it possible for the medications I am currently taking to cause serotonin syndrome? 2. The urologist mentioned that my urinary flow rate test and urodynamics showe...
Dr. Wang Zhenyang Reply:
Hello, sir: You are on multiple medications, and I recommend discussing this thoroughly with your physician to find the most suitable medication for you. Thank you. WANG Zhen-Yang, Attending Physician and Director Department of Psychiatry Community Mental Health Center Taoyuan Ge...[Read More] Managing Depression, Anxiety, and Severe Insomnia: Medication Insights
Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Severe insomnia The doctor said that my uroflowmetry and urodynamics tests indicate abdominal voiding, bladder weakness, poor bladder contractility, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood, which has caused damage. I have a p...
Dr. Wang Yaoting Reply:
Hello: 1. In your medication regimen, "Zoloft (Sertraline) 50mg * 2 tablets and Meishuyu (Mirtazapine) 50mg * 2 tablets" will act on the serotonin system, but the risk of developing serotonin syndrome is extremely low, especially since you have been taking them for a wh...[Read More] Understanding Severe Insomnia: Medication Risks and Bladder Dysfunction
Struggling with Insomnia: Understanding Anxiety and Depression Treatments
I haven't been able to sleep for three months; I haven't slept at all? Psychiatry before bed: Leeyo (Escitalopram) 10 mg * 2 tablets, Mirtazapine 50 mg * 2 tablets, Zolpidem 10 mg * 2 tablets, Flunitrazepam 2 mg * 2 tablets. Metabolism department: Metformin HCL 850 mg...
Dr. Huang Xiaoxian Reply:
Hello Coollo, it is generally unlikely for a person to go without any sleep for more than two weeks. Sleep is typically divided into deep sleep, light sleep, and rapid eye movement (REM) sleep. You may be experiencing predominantly light sleep, which could lead to the subjective ...[Read More] Struggling with Insomnia: Understanding Anxiety and Depression Treatments
Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Are you feeling unwell? I feel so exhausted. I can't understand why others don't feel this way, but I do. I hate socializing; it drains so much of my energy. I'm afraid that others won't like or accept me, but it's impossible to avoid social interactions ...
Dr. Huang Xiaoxian Reply:
Dear Sandy, It sounds like these situations are quite distressing for you. The rational part of you and your family may think that it’s not a big deal and that you are overthinking it, but the emotional part of you struggles to ignore it. Often, this is due to the areas of the ...[Read More] Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Persistent Depressive Disorder, Generalized Anxiety Disorder, Severe Insomnia Psychiatry: Before bedtime: - Leeyo (Escitalopram) 10 mg * 2 tablets - Zolpidem 10 mg * 2 tablets - Flunitrazepam ...
Dr. Qiu Junda Reply:
Hello. 1. After stopping the medication, you should be able to resume taking doxepin without any conflicts. 2. 3. 4: Similar questions have been answered previously. Your attending physician (including those from other specialties) will adjust your medication based on your condit...[Read More] Managing Persistent Depression, Anxiety, and Severe Insomnia: A Comprehensive Guide
Understanding the Link Between Bipolar Disorder, Insomnia, and Medication
Bipolar disorder and insomnia issues? Hello, doctor. I have been struggling with insomnia for two years. No matter if I go to bed at 10 or 11 PM, I always wake up at 3 AM. Additionally, I keep dreaming, sometimes up to five dreams a day, all of which I can remember vividly, and I...
Dr. Yan Congyou Reply:
Hello, Zhihao: Are you currently still taking your medication? Have you discussed your situation with your doctor during your recent follow-up visits? It is recommended to have regular follow-up appointments to adjust your medication and discuss your recent lifestyle with your ph...[Read More] Understanding the Link Between Bipolar Disorder, Insomnia, and Medication