Understanding Sleep Issues: Caffeine's Impact and Sleep Disorders
Sleep issues 1. I used to be able to sleep at any time after drinking tea, but this semester, drinking tea (black tea, green tea, milk tea) makes it difficult for me to sleep at night. Could this be due to a slower metabolism? 2. This week (from January 5 to January 9), I often ...
Dr. Wu Enliang Reply:
1. In the past, I could drink tea at any time and still sleep well, but this semester, drinking tea (black tea, green tea, milk tea) keeps me awake at night. Is this due to a slower metabolism? Answer: There are many reasons for insomnia. Since drinking tea affects your sleep, it...[Read More] Understanding Sleep Issues: Caffeine's Impact and Sleep Disorders
Understanding Medication Challenges in Treating Insomnia and Depression
Medication issues I have been suffering from long-term insomnia and have been taking medications: Mirtazapine, Midazolam, and Clonazepam, but my sleep remains very light and I wake up easily. I would like to ask the doctor a few questions. 1. My primary physician prescribed an ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. 1. It is quite common in clinical practice for individuals with depression and insomnia to be prescribed SSRIs, as insomnia is a symptom of depression itself. As the depression improves, sleep quality often improv...[Read More] Understanding Medication Challenges in Treating Insomnia and Depression
Understanding Schizophrenia Medications: Managing Abilify and Its Side Effects
Schizophrenia Medication Consultation I have been taking Abilify since middle school. At that time, peer verbal and physical bullying led to insomnia, hallucinations, and disorganized thinking. Initially, I was prescribed 15 mg, taking half a tablet of 7.5 mg, and later it was in...
Dr. Huang Xiaoxian Reply:
DEAR Yuki, thank you for your questions. Here are the responses to your inquiries: 1) Will schizophrenia ever get better on its own, allowing one to stop taking medication? Generally speaking, schizophrenia is a chronic illness, and the vast majority of patients need to maintain...[Read More] Understanding Schizophrenia Medications: Managing Abilify and Its Side Effects
Struggling with Sleep: When to Seek Help for Insomnia
Sleep issues I've been having trouble sleeping lately. Normally, I stay up until 1 or 2 AM (sometimes even 3 AM), but I've never had any issues until last week. Now, even though I'm really tired, I still can't fall asleep. I tried clearing my mind, but one day...
Dr. Huang Xiaoxian Reply:
Dear Eva, thank you for your question. It sounds like, in addition to insomnia, there are other distressing issues that have been affecting you, leading to tears. Therefore, sleep disturbances may just be a manifestation of these concerns, with the root cause stemming from your w...[Read More] Struggling with Sleep: When to Seek Help for Insomnia
Understanding Sleep Issues: Is It Insomnia or Just Poor Sleep Quality?
Sleep issues Hello, doctor. I would like to briefly describe my situation. In the past, I used to stay up late until around 1 or 2 AM, then wake up at 6 or 7 AM to take care of some things before going back to sleep until 8 or 9 AM. No matter how I slept, I would have vivid dream...
Dr. Huang Xiaoxian Reply:
Dear aquoioa, thank you for your question. In principle, subjective feelings of poor sleep and daytime fatigue are considered a form of insomnia. From what you mentioned, it seems that your irregular sleep schedule is the main issue. Adjusting your bedtime to 11 PM is a good stra...[Read More] Understanding Sleep Issues: Is It Insomnia or Just Poor Sleep Quality?
Managing Side Effects of Psychiatric Medications: A Guide for Patients
Drug side effects Hello, doctor. My mother, who is 63 years old, has been diagnosed with depression and anxiety, experiencing symptoms such as insomnia, restlessness, and anxiety. The doctor prescribed her Sertraline 25 mg, Lorazepam 1 mg, and 3 cc of Clonazepam solution to be ta...
Dr. Huang Xiaoxian Reply:
Hello, the medications you mentioned generally have low side effects and dosages, but among them, Sertraline has a more significant impact. I suggest that you first discontinue Sertraline and continue with the other medications to see if there is any improvement. If there is stil...[Read More] Managing Side Effects of Psychiatric Medications: A Guide for Patients
Managing Medication for Depression: Concerns and Guidance
Medication issues Hello Dr. Kong, I have been taking psychiatric medication for many years, but recently I have been experiencing insomnia and low mood, with occasional thoughts of self-harm. Currently, I have a regular follow-up appointment and am taking the following medicati...
Dr. Kong Fanjin Reply:
Although polypharmacy should be avoided whenever possible, it still frequently occurs in clinical practice. In your case, the combination of two antidepressants and two sedatives is considered appropriate. The dosages do not need to be perfectly equal; slight variations are accep...[Read More] Managing Medication for Depression: Concerns and Guidance
Managing Schizophrenia Recovery: When and How to Stop Medication
Schizophrenia Hello, doctor. I have previously suffered from schizophrenia, but I have since recovered and am still taking medication (SOLIAN). I would like to know what to pay attention to if I want to stop taking the medication. Here is my history: In the first grade of element...
Dr. Huang Xiaoxian Reply:
Dear Arowana, thank you for your question. I understand that you have a 20-year history of schizophrenia, which is generally considered a chronic condition, similar to diabetes and hypertension, requiring medication management. Therefore, physicians often recommend consistent med...[Read More] Managing Schizophrenia Recovery: When and How to Stop Medication
Is Frequent Nighttime Urination a Sign of Insomnia?
Does this qualify as insomnia? I have noticed that in the past few days, I tend to wake up about three times at night to use the bathroom, but during the day, I don't go to the restroom often. It doesn't feel like a urinary tract infection or cystitis. I want to ask if ...
Dr. Huang Xiaoxian Reply:
Dear GIGI, thank you for your question. Regarding your insomnia issue, it does seem to be a case of insomnia, which is a common problem among the general population. There are many causes of insomnia, and temporary insomnia often arises from stress in daily life. The emotional fa...[Read More] Is Frequent Nighttime Urination a Sign of Insomnia?
Overcoming School Anxiety: Coping with Stress and Fear in Class
Supplement to the previous issue #146852? I believe the reason might be that during my first year of junior high, I was falsely accused of cheating during a midterm exam. Since then, I seem to have developed a dislike for attending classes. Additionally, there was a particularly ...
Dr. Liang Sunyuan Reply:
Hello: It can be very helpful to explore possible reasons. Assuming, as you mentioned, that your anxiety is influenced by past experiences, remind yourself that the past is behind you and the present is now. Past events typically do not repeat themselves, so focus on learning in ...[Read More] Overcoming School Anxiety: Coping with Stress and Fear in Class
Understanding School Anxiety: Coping Strategies for Students
It may be school phobia? I am currently on a leave of absence from school, and I will be starting classes again in September. However, just thinking about anything related to school makes me very anxious. I have been experiencing insomnia since the third year of junior high schoo...
Dr. Liang Sunyuan Reply:
Hello: It is advisable to first calm down and clarify the reasons for your anxiety about school, whether it is related to exams, homework, interpersonal relationships, or other factors. Then, prepare and adjust accordingly for the possible causes, and patiently adapt step by step...[Read More] Understanding School Anxiety: Coping Strategies for Students
Understanding Anxiety and Emotional Overwhelm: When to Seek Help
Prone to anxiety and easily tearful? Most of the time, I am almost expressionless and silent. Occasionally, I can laugh happily while chatting with friends or my boyfriend, but even a small incident can lead me to feel overwhelmed with guilt, making it difficult for me to concent...
Dr. Huang Xiaoxian Reply:
Dear Gigi, thank you for your question. You mentioned experiencing anxiety, insomnia, and emotional fluctuations. I wonder if there have been any recent stressors that have been troubling you? You mentioned psychological counseling; I recommend that you consider discussing your i...[Read More] Understanding Anxiety and Emotional Overwhelm: When to Seek Help
Should I See a Doctor for My Possible Depression and Insomnia?
A friend suggested that it might be depression. Should I see a doctor? Hello Doctor: I apologize for the lengthy question, as I want to make sure I explain everything clearly. Thank you for your help. I have been experiencing insomnia for about two years now. I often cry and have...
Dr. Liang Sunyuan Reply:
Hello: Persistent feelings of wanting to cry, low mood, and lack of motivation can indeed be symptoms of depression. During depressive episodes, physical pain may be amplified or recovery may take longer. Outside of work hours, it is advisable to schedule time for leisure activit...[Read More] Should I See a Doctor for My Possible Depression and Insomnia?
Managing Anxiety Medications: Safety Tips for First-Time Users
Medication Consultation: It's a bit overwhelming to see so many medications for the first time in the field of psychosomatic medicine, and I'm hesitant to take them? Last month, I visited a psychiatrist who diagnosed me with anxiety, social phobia, and possibly other re...
Dr. Wu Enliang Reply:
Hello, netizen: These medications can be taken after lunch, even if you don't have high blood pressure. Personally, I believe there are indeed quite a few medications. Dr. Wu Enliang.[Read More] Managing Anxiety Medications: Safety Tips for First-Time Users
Daytime Sleepiness and Nightmares: Understanding Mental Health Issues
Feeling sleepy during the day and dreaming every night while sleeping? Hello, doctor. I would like to ask for your advice regarding my girlfriend. Since we met, she has been expressing concerns about certain issues, and recently her symptoms seem to be worsening. She experiences ...
Dr. Wang Zhenyang Reply:
Hello, sir: I apologize for the late response. Dreams are related to the subconscious and are often connected to the stress we experience in our daily lives, which can trigger inner worries or fears. If you are experiencing frequent insomnia or symptoms of depression that interfe...[Read More] Daytime Sleepiness and Nightmares: Understanding Mental Health Issues
Understanding Memory Issues: When Forgetfulness Becomes a Concern
Memory problems Recently, I've been feeling a bit forgetful and have difficulty concentrating. It's hard to stay focused while reading, especially this morning when I woke up and couldn't remember the pattern to unlock my phone. It's a pattern that I input eve...
Dr. Huang Xiaoxian Reply:
Dear jhenyuanlin, hello! Thank you for your question! Generally speaking, sudden forgetfulness and difficulty concentrating can be evaluated by considering recent stress events, insomnia, or anxiety. Our memory is typically categorized into short-term, immediate, and long-term me...[Read More] Understanding Memory Issues: When Forgetfulness Becomes a Concern
Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Medication issues Hello, doctor. I visited a psychiatric clinic last Saturday. Although I found the consultation somewhat strange, I chose to trust the physician's diagnosis. The doctor mentioned that I seem to have depression and prescribed Xanax 0.25 mg (alprazolam) and Es...
Dr. Huang Xiaoxian Reply:
Hello Ms. Li: Regarding the situation you mentioned, it seems there may be some concerns about the diagnosis? Since I am not familiar with your actual condition, I recommend discussing it further with your physician to obtain more information. As for the medications prescribed, t...[Read More] Concerns About Medication: Navigating Psychiatric Prescriptions Safely
Managing Anxiety and Insomnia: Tips for Better Sleep and Mental Health
Insomnia and anxiety? Hello Doctor, I have been feeling very anxious and restless for quite a while. I often find myself overthinking and worrying that I might be seriously ill. I tend to take things too seriously and feel like anything could happen to me. Recently, I experienced...
Dr. Huang Xiaoxian Reply:
Dear fgh, It sounds like you have many concerns, as well as anxiety and insomnia. I'm not sure if there have been any recent stressors affecting you. Often, anxiety symptoms are related to an imbalance of neurotransmitters in our brain. I recommend seeking an evaluation fr...[Read More] Managing Anxiety and Insomnia: Tips for Better Sleep and Mental Health
Understanding Psychiatric Medication: Your Questions Answered
Medication consultation Hello Doctor: I am the patient from <a href="https://adoctor.tw/article/143609">#143609</a>. I later visited a large hospital near my school and no longer went to the small clinic. After explaining my condition, the doctor diagnosed m...
Dr. Huang Xiaoxian Reply:
Dear Leo, Kinax and Xanax are the same type of medication, just produced by different manufacturers. In terms of dosage, 0.5 mg of Xanax is equivalent to 1 mg of Kinax. Both are considered broad-spectrum benzodiazepines, which have sedative and hypnotic effects. Comparatively, ...[Read More] Understanding Psychiatric Medication: Your Questions Answered
Understanding Sleep Issues: Coping with Insomnia and Nightmares
Sleep issues Hello Doctor, thank you for taking the time to address my issue. I have been experiencing difficulty falling asleep for 1.2 years. At night, I often feel very low emotionally and cannot control my mind from racing with thoughts. Once I do fall asleep, I sometimes wak...
Dr. Peng Liyun Reply:
Hello~ Based on your description, there are many possibilities. A comprehensive assessment of your emotions, thoughts, physical condition, sleep hygiene, and lifestyle arrangements is necessary to provide appropriate and effective recommendations. I suggest you seek a nearby psyc...[Read More] Understanding Sleep Issues: Coping with Insomnia and Nightmares