Insomnia, Psychiatry FAQ - Page 20

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Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies

Anxiety Panic Disorder Hello Dr. Huang, I am a medical student preparing for the national exam, but I have been experiencing various health issues. Every time I see a doctor, I feel very anxious, and after researching my conditions, I become even more pessimistic. My anxiety ofte...


Dr. Huang Xiaoxian Reply:
Dear Wemin, Thank you for your question. From your description, it sounds like the anxiety symptoms have been quite distressing for you, and I empathize with your situation. Additionally, the multiple physical symptoms you mentioned seem to resemble common manifestations of anx...

[Read More] Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies


Potential Side Effects of 250mg/ml Pentobarbital with Alcohol

Could you please specify which medication you are inquiring about? Taking 25 ml of pentobarbital sodium at a concentration of 250 mg/ml would result in a total dose of 6250 mg, which is a very high dose and can lead to severe side effects, including respiratory depression, sedati...


Dr. Huang Xiaoxian Reply:
Dear Butter, thank you for your question. Sedative-hypnotic medications are generally divided into two main categories: benzodiazepines and barbiturates. The latter carries a higher risk and is rarely used in outpatient settings. The sodium pentobarbital you mentioned belongs to ...

[Read More] Potential Side Effects of 250mg/ml Pentobarbital with Alcohol


Is Brain Relaxant a Sleep Aid? Risks of Mixing with Alcohol Explained

Could you please provide more context or specify which medication you are referring to? Is the medication Clonazepam considered a sleeping pill? What mechanism does it use to assist with sleep? Is it dangerous to take it with alcohol?


Dr. Lin Mianzhang Reply:
Hello, Raya: Lurasidone is classified as a second-generation antipsychotic medication. It acts on various neurotransmitter receptors in the human body, including dopamine, serotonin, and histamine receptors. Due to its antagonistic effect on histamine receptors, it can cause seda...

[Read More] Is Brain Relaxant a Sleep Aid? Risks of Mixing with Alcohol Explained


Understanding Sleep Disorders: Tips for Better Rest and Recovery

Sleep issues Hello Doctor: Recently, I find myself falling asleep easily but I always wake up after about three hours, and then I stay awake for another 2-3 hours. Sometimes I wake up early, and I always feel tired in the morning. I often have nightmares with very clear details, ...


Dr. Huang Xiaoxian Reply:
Dear yy: Thank you for your question. There are actually many factors that contribute to insomnia, and since you have a tendency for unstable sleep, you may need to pay closer attention to potential influencing factors. You mentioned that your condition has worsened recently and ...

[Read More] Understanding Sleep Disorders: Tips for Better Rest and Recovery


Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment

Regarding the use of propranolol? Hello Dr. Huang, My mother recently underwent a right hemithyroidectomy. Prior to the surgery, she had been regularly visiting a psychiatrist to treat her insomnia, which has been ongoing for about 6 to 7 years. Previously, at a hospital sleep c...


Dr. Huang Xiaoxian Reply:
Dear Angela, Thank you for your question. First point: As you mentioned, propranolol can inhibit certain liver enzymes that are responsible for metabolizing antidepressants, particularly serotonin-enhancing medications, which may lead to increased concentrations of these anti...

[Read More] Understanding Propranolol Use in Thyroid Surgery and Insomnia Treatment


Why Exercise Might Be Causing Your Insomnia: Tips for Better Sleep

Insomnia after exercise? Hello, doctor: I have poor sleep quality and thought that exercising might help improve it. However, I don't usually exercise, and after my first workout (jogging for about 40 to 50 minutes), I experienced insomnia (around age 20). I assumed it was d...


Dr. Huang Xiaoxian Reply:
Dear Mr. Hsu, Thank you for your inquiry. Poor sleep quality is indeed a common concern for many people, and regular exercise can help improve sleep. However, the benefits of exercise typically take some time to manifest, as it helps enhance your basal metabolic rate and preven...

[Read More] Why Exercise Might Be Causing Your Insomnia: Tips for Better Sleep


Should I Take Medication for Anxiety and Depression?

Should I take medication? Due to family discord and my father's constant verbal abuse, I experienced significant weight loss of 5.6 kilograms for a period of time. The added pressure of upcoming exams made me feel like crying at any moment; just thinking about it brings me t...


Dr. Wu Enliang Reply:
Hello, I understand that you are experiencing multiple stressors and emotional instability. I recommend seeking someone to talk to, such as a school teacher or a counselor, as they can be valuable resources. You may also consider asking your physician for a referral to a mental h...

[Read More] Should I Take Medication for Anxiety and Depression?


Struggling with Insomnia and Autonomic Nervous System Disorders

Insomnia, autonomic nervous system dysfunction? Hello Doctor: I have had trouble sleeping since middle school, and it has become increasingly difficult now that I am in college. At night, my body tends to twitch while I sleep. In September, I experienced a whole night of insomnia...


Dr. Li Zhengfeng Reply:
Hello: The causes of insomnia can be categorized into three main types: 1. Caused by mental disorders, 2. Caused by physical illnesses, 3. Due to individual constitution. For insomnia caused by mental disorders, both pharmacological and non-pharmacological treatments can be utili...

[Read More] Struggling with Insomnia and Autonomic Nervous System Disorders


Struggling with Insomnia: When to See a Psychiatrist for Help

Insomnia issues Hello, doctor. Almost every night, I lie in bed for a long time before I can fall asleep. This situation has been ongoing for quite a while. Should I see a psychiatrist, or do you have any suggestions for solutions?


Dr. Li Zhengfeng Reply:
Hello: The causes of insomnia can be divided into three main categories: 1. Physiological diseases such as heart disease, 2. Psychological disorders such as depression, and 3. Constitutional factors. It is advisable to consult a physician for targeted treatment, as the methods of...

[Read More] Struggling with Insomnia: When to See a Psychiatrist for Help


Understanding Intrusive Memories: Coping with PTSD and Selective Amnesia

Images unconsciously emerge in the mind..? I previously experienced psychogenic amnesia, and I don't remember how much I forgot or what caused the forgetfulness. Recently, fragmented images have begun to surface, leading me to believe that my amnesia may be related to family...


Dr. Wu Enliang Reply:
Your psychologist refers to a "psychiatrist"? It is advisable to ask him or her for a referral to receive individual psychotherapy, which would allow for more time to address and process these internal psychological conflicts. Wishing you a speedy recovery.

[Read More] Understanding Intrusive Memories: Coping with PTSD and Selective Amnesia


Understanding Depression: Can It Arise Without Clear Triggers?

Depression Issues Hello Doctor, after the Lunar New Year this year, I started experiencing some symptoms of depression (insomnia, shallow sleep, loss of appetite, etc.). I have always been an outgoing and cheerful person, and I am really confused and perplexed about developing th...


Dr. Liang Sunyuan Reply:
Hello, Jun: Depression can indeed occur without any apparent stressors or triggers. If the depression is caused by a brain tumor or other organic diseases, it is usually accompanied by other neurological symptoms. It is advisable to discuss this with your physician during your fo...

[Read More] Understanding Depression: Can It Arise Without Clear Triggers?


Can Depression Strike Without Warning? Understanding Sudden Onset Symptoms

Suspected depression Hello, doctor. I just turned 20 this year. I have always been an outgoing and cheerful person, and I don't feel that there has been anything particularly unsatisfactory or stressful in my life. However, a few months ago, I suddenly started experiencing l...


Dr. Liang Sunyuan Reply:
Hello: Depression can indeed occur without external stressors, and it can improve with treatment. Re-engaging in past activities and interests can also help you recover more quickly. Wishing you a speedy recovery.

[Read More] Can Depression Strike Without Warning? Understanding Sudden Onset Symptoms


Sudden Insomnia: Causes and Solutions for Sleep Disturbances

Sudden insomnia? A few days ago, after catching a cold, I started experiencing severe insomnia and a strong heartbeat. I thought that after taking cold medicine, my symptoms would improve, but it has been three to four days since I stopped the medication, and my condition has not...


Dr. Huang Jiabin Reply:
Hello: I hope your cold has improved a bit. Sometimes, a cold with fever or the use of cold medications can disrupt your routine, and it may take some time to get back to normal. The blue light emitted by electronic devices can interfere with the secretion of melatonin, thereby a...

[Read More] Sudden Insomnia: Causes and Solutions for Sleep Disturbances


Is It Split Personality or a Relapse of Depression? Understanding the Signs

Is this dissociative identity disorder? Hello doctor, my girlfriend is 19 years old and has a history of depression. Her current job is causing her a lot of stress, and her sleep schedule is irregular, leading to frequent insomnia. When her emotions are unstable, she becomes very...


Dr. Qiu Junda Reply:
Hello. Based on the initial assessment, it seems that your girlfriend is still leaning towards symptoms of depression. I recommend that you assist her in returning to her original healthcare facility for evaluation. (If that's not convenient, she can also visit a nearby faci...

[Read More] Is It Split Personality or a Relapse of Depression? Understanding the Signs


Should I Seek Therapy for My Social Anxiety and Isolation?

Should I consider undergoing psychotherapy? I have been relatively introverted and reclusive since childhood. In a new environment, I never initiate friendships; I can only get to know people if someone approaches me first. If no one reaches out, I end up with no friends in class...


Dr. Qiu Junda Reply:
Hello. The situation described in your message has room for improvement. I recommend that you consult a mental health specialist (what you referred to as a psychologist). If that's not convenient, please reach out to Teacher Chang's hotline (1980). They also provide cou...

[Read More] Should I Seek Therapy for My Social Anxiety and Isolation?


Understanding Bipolar Disorder: Signs, Symptoms, and Self-Help

Is it bipolar disorder? When feeling depressed, I sometimes cry and blame myself for past events, feeling sorry for my family and having thoughts of suicide. I feel useless, have no friends, experience insomnia, and cannot smile. During hypomanic episodes, I feel excited, don...


Dr. Qiu Junda Reply:
Hello. The emotional changes described in the text need to be further evaluated to determine if they reach the level of bipolar disorder. It is recommended that you take the time to visit a nearby mental health (psychiatry) clinic for consultation. Communicate with the physician,...

[Read More] Understanding Bipolar Disorder: Signs, Symptoms, and Self-Help


Understanding Treatment Challenges in Refractory Insomnia and Anxiety

Refractory Insomnia Hello Dr. Hsueh, I am 23 years old and currently experiencing symptoms of daytime anxiety and nighttime depression. My physical symptoms include shortness of breath, chest tightness, and bloating. For the past six months, I have been suffering from insomnia, ...


Dr. Xue Gengming Reply:
Hello~ It is advisable not to repeatedly use the same medication dosage and type. I recommend discussing this further with your attending physician. Proper exposure to sunlight can help regulate the levels of melatonin in your body, promoting lower levels during the day and highe...

[Read More] Understanding Treatment Challenges in Refractory Insomnia and Anxiety


Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication

Anxiety-related insomnia Hello Dr. Kong, I am 23 years old and currently experiencing symptoms of daytime anxiety and nighttime depression with suicidal thoughts. My physical symptoms mainly include shortness of breath, chest tightness, and bloating. For the past six months, I h...


Dr. Kong Fanjin Reply:
1. Doxepin, rifampicin, and temazepam are all sedative-hypnotics that exhibit cross-tolerance, meaning that as the dosage increases, the side effects become more pronounced, the effectiveness diminishes, and withdrawal becomes increasingly difficult. 2. Medications address the ...

[Read More] Understanding Anxiety, Insomnia, and Cross-Tolerance in Medication


Understanding Insomnia: Coping with Sleep Issues and Depression

Insomnia issues I have started experiencing insomnia symptoms. Since July 29th, I have not slept well until August 10th, which is a total of thirteen days. Sometimes I can't sleep for half an hour, and other times for an hour. I am from Hong Kong, and I also have depression....


Dr. Huang Jiabin Reply:
Hello: Your depression has become quite severe, and of course, severe insomnia can exacerbate suicidal thoughts. Please seek evaluation and treatment as soon as possible! Don't worry about feeling strange about visiting a mental health clinic. The majority of the patients wa...

[Read More] Understanding Insomnia: Coping with Sleep Issues and Depression


Understanding Withdrawal Symptoms from Sleep Medications: A Guide

The issue of withdrawal from sleeping pills? Hello doctor, I have been taking Lurasidone 10 mg and Escitalopram 2 mg for over four years. My sleep issues have improved during this time. There have been 2 to 3 instances where I felt better and discussed tapering off the medication...


Dr. Huang Xiaoxian Reply:
Hello, the sleeping medication you are taking is not considered a strong sedative, and the dosage is within a reasonable range. By gradually tapering the dosage and incorporating other supportive therapies, there is a possibility to gradually reduce its use. It is advisable to di...

[Read More] Understanding Withdrawal Symptoms from Sleep Medications: A Guide


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