Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges
Insomnia and anxiety? Hello, doctor. I have been visiting the psychosomatic clinic since 2014 for several years. Initially, I was prescribed Lexapro, but the side effects were too strong; I felt fatigued and sleepy all day after taking it. After a while, I couldn't tolerate ...
Dr. Li Zhengfeng Reply:
Hello: According to the letter, you may be suffering from depression. Whether you need to take a leave of absence should be determined by your attending physician's professional assessment. If necessary, rest can indeed improve your condition. In addition to medication, trea...[Read More] Overcoming Insomnia and Anxiety: Seeking Help for Mental Health Challenges
Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Fear of falling has become somewhat distressing, along with issues related to early awakening? Hello doctor, I have been waking up in the middle of the night recently. For instance, I woke up at 2 AM today and couldn't fall back asleep, even though I took sleeping pills befo...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chronic illness that requires lo...[Read More] Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Having nothing to say to family members? Due to family circumstances, I was raised by my uncle. People around me always say to listen to him because he has made many sacrifices to take care of me. However, during our conversations, he often imposes his own beliefs on me, and if I...
Dr. Yan Congyou Reply:
Hello: It sounds like your situation at home is quite oppressive and unhappy, which is a major source of your distress and unhappiness. Family issues are often the most challenging problems for individuals to handle and are something that everyone is forced to confront. These sit...[Read More] Struggling to Communicate: The Impact of Family Dynamics on Mental Health
Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Bipolar disorder issues Hello, my father is in his 60s, and after observing his behavior for several months, we suspect he may have bipolar disorder. Below is a detailed description of his condition, and I would appreciate your response. Thank you. Around August of last year, h...
Dr. Lin Mianzhang Reply:
Hello: 1. The medication your father took, Meishuyu tablets, is typically used as a sleep aid, and the dosage is generally low, making it unlikely to trigger manic episodes. Additionally, since your father has not taken this medication since March or April of last year, and the...[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Seeking Help
Neck Sensations and Insomnia: Understanding the Connection
Neck issues, insomnia? Sometimes, there is no physical presence on my neck, yet I feel as if something is touching it. This sensation can sometimes affect my sleep. Recently, even though I feel tired at night, I find it difficult to fall asleep while lying down; it takes me a whi...
Dr. Qiu Junda Reply:
If you are feeling troubled, it is advisable to seek medical evaluation for improvement.[Read More] Neck Sensations and Insomnia: Understanding the Connection
Do You Really Need to See a Doctor for Mental Health Issues?
Inquire whether it is really necessary to see a doctor? For several years, I have experienced feelings of inferiority and occasionally cried. Whenever someone criticizes me, I wonder if I should even exist or if I am not good enough, which can lead to breakdowns and even hitting ...
Dr. Qiu Junda Reply:
Hello. Your situation seems to have caused psychological distress and affected your daily life. It is recommended that you make time to consult or seek treatment at a mental health clinic as soon as possible to facilitate early improvement.[Read More] Do You Really Need to See a Doctor for Mental Health Issues?
Managing Anxiety: Navigating Medication Withdrawal and Treatment Options
Anxiety Disorder Consultation I have anxiety disorder and, due to the lack of side effects from the medication, I gradually reduced my dosage. I changed my intake of Lexapro from two pills a day to one pill a day, but my mental state remained poor. So, I switched to taking one pi...
Dr. Qiu Junda Reply:
Hello. Treatment for anxiety disorders is a long-term process. Symptoms may fluctuate during this time. Adjustments to medication (including increasing or decreasing dosages) should be carefully evaluated. It is recommended that if you wish to reduce medication, you should discus...[Read More] Managing Anxiety: Navigating Medication Withdrawal and Treatment Options
Managing Anxiety and VPC: Safe SSRI Options for Patients
Medication Consultation Hello, doctor. I apologize for taking up your valuable time. I would like to ask you a question. Three years ago, I experienced some ventricular premature contractions (VPC) that led to anxiety and subsequently a panic disorder. I used sertraline (Zoloft) ...
Dr. Wu Menghuan Reply:
Hello: Traditional tricyclic antidepressants (TCAs) have anticholinergic effects, which can lead to side effects such as blurred vision, dry mouth, constipation, urinary retention, increased heart rate, and cardiac conduction disturbances. In the elderly, central anticholinergic ...[Read More] Managing Anxiety and VPC: Safe SSRI Options for Patients
Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Gradually worsening sleep issues? Hello Doctor, I have been experiencing sleep issues for the past six months, often lying in bed for two hours without being able to fall asleep. Even after I do fall asleep, I sometimes have nightmares or experience sleep paralysis, waking up fee...
Dr. Lin Mianzhang Reply:
Hello Mr. Lee: It seems that you are experiencing the following sleep issues: difficulty falling asleep, nightmares, and sleep paralysis. Sleep paralysis, often referred to as "ghost pressing," is actually a phenomenon that occurs during the REM (Rapid Eye Movement) sta...[Read More] Understanding and Managing Severe Sleep Issues: A Psychiatric Perspective
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang Reply:
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
When Is Involuntary Hospitalization Necessary for Mental Health Issues?
What level of severity necessitates mandatory hospitalization? I have been experiencing poor mental health lately and have been diagnosed with autism and schizophrenia. In recent weeks, I have been struggling with insomnia, anxiety, irritability, and increasingly intense feelings...
Dr. Huang Zhijia Reply:
Hello: A mandatory hospitalization under the Mental Health Act requires evaluation by two specialized psychiatrists before it can be implemented.[Read More] When Is Involuntary Hospitalization Necessary for Mental Health Issues?
Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Emotional issues Hello, doctor. Recently, I've been experiencing sudden mood swings where I start hitting my own head and slapping my face, even though there's nothing specific making me unhappy. When others see this, they just laugh, which makes me feel even worse. I w...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. If these symptoms have appeared suddenly, it is important to consider whether they are related to a COVID-19 infection. The Centers for Disease Control and Prevention (CDC) defines...[Read More] Understanding Sudden Mood Swings and Self-Harm: When to Seek Help
Overwhelming Exam Pressure: When to Seek Help for Mental Health
Feeling overwhelmed by stress to the point of wanting to commit suicide? I am a student preparing for the exam this year, and when I see my unsatisfactory grades, I feel like crying. Whether it's a major or minor exam, I come home and avoid using my phone, but I constantly f...
Dr. Lin Mianzhang Reply:
Hello, Xia: It seems that you are experiencing significant anxiety, irritability, insomnia, suicidal thoughts, and self-harming behaviors. It must be very distressing for you to take over three hours to fall asleep each night. Lack of sleep not only affects your mood but also imp...[Read More] Overwhelming Exam Pressure: When to Seek Help for Mental Health
Understanding Alprazolam Use: Managing Anxiety Without Dependency
Issues related to the administration of Panadol? I have been prone to severe anxiety since childhood (thinking the worst of situations, sweating, feeling tightness in my chest, social anxiety, and worrying about trivial matters all day). However, I only sought help from a psychia...
Dr. Wu Enliang Reply:
1. The doctor told me to take it as needed, and I have been taking it intermittently for almost two years. Does this violate the instruction that states "do not use for more than four months"? Will intermittent use cause withdrawal symptoms? A: There is no violation; th...[Read More] Understanding Alprazolam Use: Managing Anxiety Without Dependency
Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Sleep issues Hello, doctor. I have difficulty falling asleep. I lie down at 11 PM, and sometimes I fall asleep shortly after, but other times I can't sleep at all. In the morning, I go for a walk for about 50 minutes. After lunch and dinner, I walk in place for over 30 minut...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, depression is a common condition in modern society. It is a chronic illness that requires long-term treatment for recovery...[Read More] Understanding Sleep Disorders: Tips for Better Sleep and Anxiety Management
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Understanding Memory and Focus Issues: A Guide for Young Adults
Insufficient memory and concentration? Hello, Doctor! I discovered that I started experiencing some social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I'...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang.[Read More] Understanding Memory and Focus Issues: A Guide for Young Adults
Understanding Memory and Focus Issues: A Guide to Mental Health Concerns
Insufficient memory and concentration? Hello, doctor! I discovered that I started experiencing social anxiety around the age of 26 to 27. I feel normal in one-on-one situations or with people I know, but I get a bit nervous when there are more than two people or when I’m with str...
Dr. Wu Enliang Reply:
There could be many possible reasons for this, and it may also be caused by anxiety disorders. It is advisable to seek medical attention at a mental health facility. Dr. Wu Enliang[Read More] Understanding Memory and Focus Issues: A Guide to Mental Health Concerns
Safe Medication Discontinuation for Insomnia Treatment in Cancer Patients
Medication discontinuation methods I have developed insomnia due to chemotherapy for cancer and consulted a psychiatrist. The doctor prescribed 0.5 mg of Rivotril (clonazepam) and half a 10 mg tablet of Desyrel (trazodone) to be taken before bedtime. I have been on this medicatio...
Dr. Wu Enliang Reply:
It's great, everyone! Try to exercise more during the day and avoid lying in bed to sleep. This should help you successfully reduce your medication. - Dr. Wu Enliang[Read More] Safe Medication Discontinuation for Insomnia Treatment in Cancer Patients