Managing Anxiety and Insomnia: Insights on Escitalopram and Alprazolam Use
5MG Escitalopram I am currently struggling to adapt to a new job, which has led to a lack of self-confidence and anxiety due to long-term unemployment. I also experience insomnia, particularly on special occasions, and during work periods, I completely lose sleep at night. Howeve...
Dr. Huang Jiabin Reply:
Hello, here are the answers to your questions: 1. Escitalopram is an antidepressant with a lower risk of addiction. However, alprazolam is a sedative-hypnotic medication, which does carry a risk of addiction; it is recommended to use it only short-term and when necessary. Once s...[Read More] Managing Anxiety and Insomnia: Insights on Escitalopram and Alprazolam Use
Struggling with Medication Side Effects: Insomnia and Anxiety Issues
Troubled by the side effects of medication? Dear Doctor, Can taking Olanzapine lead to insomnia? I have been on it for six months, and my sleep issues have been worsening. I have difficulty falling asleep and experience unexplained tremors. Even with sleeping pills, I can only ...
Dr. Cai Qijin Reply:
Hello: A small number of individuals may experience insomnia when taking Anxiolytics before bedtime, so it may be advisable to consider taking it in the morning instead. Sleep issues could also be a result of an underlying mental health condition, so it is recommended to discuss ...[Read More] Struggling with Medication Side Effects: Insomnia and Anxiety Issues
Managing Insomnia, Depression, Bipolar Disorder, and Anxiety: A Patient's Guide
Insomnia, depression, bipolar disorder, anxiety? Hello Dr. Huang: I have recently been diagnosed with insomnia, depression, bipolar disorder, and anxiety. My doctor prescribed three medications: 1. Wellbutrin XL 150 mg once daily in the morning, 2. AlepaN 15 mg tablet three times...
Dr. Huang Jiabin Reply:
Hello: Here are my responses to your questions. 1. You mentioned that the side effects may be caused by Wellbutrin XL. The incidence of the aforementioned side effects is approximately 1-10%. If the symptoms disappear after discontinuing Wellbutrin XL and reappear upon resuming...[Read More] Managing Insomnia, Depression, Bipolar Disorder, and Anxiety: A Patient's Guide
Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Social anxiety and unemployment with no clear future? I have been very introverted since childhood and have never dared to initiate conversations with others. Throughout my school years, my teachers consistently commented that I was not good at expressing myself. More than one te...
Dr. Wu Enliang Reply:
Hello, Nobody. Thank you for taking the time to write. You have truly faced many hardships over the years, and your situation is indeed very challenging. I will address your questions one by one: (1) Due to previous unpleasant experiences seeking help, I am actually very afraid ...[Read More] Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Concerns About Increasing Dosage of Cymbalta: Safety and Side Effects
Regarding Qianyoujie (a medication for depression) Hello Dr. Huang: I was originally taking 60mg of Cymbalta daily, but after being hospitalized, my doctor increased the dosage to 120mg. However, I found online that this dosage is generally not recommended due to uncertainty abou...
Dr. Huang Jiabin Reply:
Hello: I believe you have already reviewed the medication's package insert. Before a drug is officially launched, pharmaceutical companies conduct large-scale human trials to determine the appropriate dosage and efficacy. Research indeed shows that the benefits of using 60 m...[Read More] Concerns About Increasing Dosage of Cymbalta: Safety and Side Effects
Understanding My Mental and Physical Health Struggles: A Personal Journey
I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...
Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey
Understanding Withdrawal Symptoms from Psychiatric Medications
Medication withdrawal side effects? For the past 2 to 3 months, I have been struggling with anxiety disorder, which has led to insomnia. I often lie in bed until dawn without being able to sleep, or I have very short sleep durations. Initially, I consulted a psychiatrist, but I w...
Dr. Liang Sunyuan Reply:
Hello: The side effects of medication usually disappear within two to three days after discontinuation. If symptoms persist, it is more likely that the underlying anxiety or depression has not improved. It is recommended to take a multifaceted approach, including maintaining a re...[Read More] Understanding Withdrawal Symptoms from Psychiatric Medications
Understanding Anxiety and Panic Disorders: A College Student's Journey
Depression, anxiety, and panic disorder? Hello Doctor: I am currently a freshman in college. At the beginning of the next semester, I occasionally experience sharp pain in my chest, and after an examination, I was diagnosed with mitral valve prolapse. Initially, I didn't pay...
Dr. Liang Sunyuan Reply:
Hello: Your symptoms may be related to anxiety. It is recommended to try to distract yourself; past experiences should reassure you that nothing is wrong. If there is no improvement, consider consulting a psychosomatic medicine or psychiatry specialist for assistance. Wishing you...[Read More] Understanding Anxiety and Panic Disorders: A College Student's Journey
Is It Possible That My Mother's Behavior Indicates a Mental Illness?
Could it be a mental illness? Hello doctor, my mother has had a bad temper for the past three months. She starts yelling at us over minor inconveniences and has even threatened to kill our whole family. Recently, she has taken a knife and tried to attack us, and she looks at us w...
Dr. Liang Sunyuan Reply:
Hello: It is advisable to pay attention to sleep and dietary habits, as mental disorders often coexist with sleep disturbances. If there are indeed sleep issues, consider asking other friends or family members to encourage her to seek medical evaluation under the pretext of insom...[Read More] Is It Possible That My Mother's Behavior Indicates a Mental Illness?
How to Help a Girlfriend Struggling with Depression Symptoms
My girlfriend seems to have tendencies towards depression? Hello Doctor: My girlfriend and I are studying in Taipei and Chiayi, and I recently learned that her mental and physical condition is not very good. She said, "I get anxious easily and often feel very down. If I acci...
Dr. Huang Jiabin Reply:
Hello: Accompanying someone with long-term depression is not an easy task, as you may also absorb negative energy at times. The caregiver often feels drained, so it's important to pay attention to their own mental and physical well-being. Currently, your girlfriend is not re...[Read More] How to Help a Girlfriend Struggling with Depression Symptoms
Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Schizophrenia with severe delusions? The patient originally self-administered injections but unexpectedly refused to return for a follow-up appointment with the doctor three months ago, stating that after so many years of treatment, there has been no improvement. Family members h...
Dr. Ding Shuyan Reply:
Hello, there are different types of tinctures, and for this part, it's best to consult your physician. The doctor will consider the previous reactions and side effects experienced by patients to decide whether to increase the dosage. Generally, tinctures do not degrade when ...[Read More] Managing Severe Delusions in Schizophrenia: Patient Compliance Challenges
Understanding Unexplained Dizziness: Possible Causes and Solutions
Unexplained dizziness? I would like to ask the doctor, I have been experiencing dizziness for over two years. The symptoms include pain in my left side, a heavy feeling in the back of my head, dizziness that feels like I'm moving up and down in an elevator, occasional throbb...
Dr. Qiu Junda Reply:
Hello. The letter describes not only dizziness symptoms but also issues in multiple areas of the body. If many physical examinations have been conducted without finding significant problems, it is indeed necessary to consider whether it is caused by autonomic nervous system dysfu...[Read More] Understanding Unexplained Dizziness: Possible Causes and Solutions
Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Mirtazapine, also known as Remeron? Previously, I visited a family medicine clinic for insomnia, where the doctor prescribed "Suvorexant." Later, during a consultation with a psychiatrist, the doctor suggested that Suvorexant was not very effective and switched the pres...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I apologize for the delay in my response, as your question was forwarded to me by the supervising unit on April 19 due to the previous physician's departure. Regarding the medication "Zolpidem" (known as "導美睡"...[Read More] Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Optimal Timing for Risperidone Liquid to Minimize Side Effects
What is the recommended time to take Risperidone drops? Hello, due to the lack of insight in patients with schizophrenia, the situation seems to be worsening. After seeking help, it was suggested to initially use Risperidone oral solution for the patient. After a week of observat...
Dr. Liang Sunyuan Reply:
Hello: Everyone's sensitivity to medication varies. With the same use of Risperidone drops, some people may feel sleepy while others may experience insomnia. However, schizophrenia itself can easily lead to insomnia, which may not necessarily be a side effect of the medicati...[Read More] Optimal Timing for Risperidone Liquid to Minimize Side Effects
Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Anxiety and autonomic nervous system dysregulation? Hello, doctor. I previously experienced anxiety during the summer vacation, but it improved later. However, it relapsed during this winter vacation, and I feel very frustrated. The reason for the relapse was due to gastritis, wh...
Dr. Liang Sunyuan Reply:
Hello, Xiao Lan: The medications for anxiety require patience. If the current treatment is effective, it is advisable to maintain stability for a period before discussing the possibility of gradually tapering off the medication with your physician. Getting enough sleep, exercisin...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: A Personal Journey
Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Understanding Insomnia: Exploring Alternatives to Sleep Medications
Insomnia issues I have been taking sleeping pills for a long time, but my doctor can only suggest exercise. I used to fall asleep by 10 PM, but now I can only sleep with medication. I'm considering switching doctors to understand why I can't fall asleep without medicati...
Dr. Huang Huiqun Reply:
Hello Mr. U, if you have been taking sleeping pills for a long time to help with sleep and wish to reduce your medication, it is important to first identify the reasons for initially starting the medication. If it was due to depression or other emotional disturbances, it is cruci...[Read More] Understanding Insomnia: Exploring Alternatives to Sleep Medications
Can Epram and Inderal Be Taken Together? Caffeine and Emotional Effects Explained
Can antidepressants and sympatholytics be used together? Can Epram (Lexapro) 10mg and Inderal 10mg be used together? Is it advisable to avoid caffeinated beverages during the medication period? Why do I feel emotionally numb after taking the antidepressant? I have been on medicat...
Dr. Xiao Minghong Reply:
Hello, Xi: Regarding your questions, I will address them one by one: 1. The classification of medications, such as antidepressants and sympatholytics, may be systematic, but it does not necessarily indicate that the effects of the medications are the same. 2. Epram (Lexapro) 10...[Read More] Can Epram and Inderal Be Taken Together? Caffeine and Emotional Effects Explained
Understanding Insomnia and Trust Issues in Psychiatric Care
Insomnia and consultation issues? There are some uncertainties regarding whether I am experiencing insomnia. For about five years now, whenever I close my eyes, I feel like there is an eye in the darkness in front of me. Just one eye, looking to the right from the side. I always ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the process you described, I can sense the discomfort and sleep disturbances you have experienced over the past few years. We are also concerned about how such sleep issues may affect your daytime academics, work, and daily life. You mentioned that provi...[Read More] Understanding Insomnia and Trust Issues in Psychiatric Care
Am I Struggling with Anxiety? Understanding Emotional Turmoil and Loss
Do I have an anxiety problem? Hello, doctor. I am a very emotional person and I easily experience feelings, though not always negative ones. It all started last year. In July, my grandmother fell ill and was transferred from National Taiwan University Hospital in Hsinchu to Natio...
Dr. Xiao Minghong Reply:
Hello, Xiao Yi: Losing two loved ones within six months is a significant blow for anyone, so it is natural for you to experience some emotional fluctuations. Currently, you may even feel a sense of guilt. I suggest that you seek the companionship of family and friends during this...[Read More] Am I Struggling with Anxiety? Understanding Emotional Turmoil and Loss