Addressing Medication and Diagnosis Concerns in Psychiatry
Examination and medication issues? Due to a few questions being lost in the system, I would like to ask again regarding my diagnosis. The family medicine doctor diagnosed me with autonomic nervous system dysfunction based solely on judgment and prescribed Lexapro and Lysteda. I h...
Dr. Liang Sunyuan Reply:
Hello: Your condition is more suitable for an in-person consultation with a physician. If you still have concerns, it is recommended to visit a psychiatrist or a mental health specialist for a face-to-face discussion. In-person evaluations and examinations are generally more accu...[Read More] Addressing Medication and Diagnosis Concerns in Psychiatry
Managing Emotional Instability: Sleep Issues and Anger Management
Emotional instability can lead to irritability and insomnia? Hello doctor, these issues have been happening for a long time. I have visited a mental health clinic, but the doctors just listened and didn’t provide any guidance. Therefore, I didn’t share much about my insomnia at n...
Dr. Wang Hongsong Reply:
Hello, from your letter, it seems that you are experiencing insomnia and emotional issues that have been troubling you for some time. The content of your message is somewhat fragmented, making it difficult to systematically understand the entirety of your problems. I recommend th...[Read More] Managing Emotional Instability: Sleep Issues and Anger Management
Overcoming Sleep Anxiety: Strategies for Better Rest and Peace of Mind
Worried about not being able to sleep? Hello, doctor. I apologize for the lengthy message, but I've been troubled by this issue for 10 days. I have always had a nervous and anxious personality, often fixating on things. In the first couple of nights, I struggled to fall asle...
Dr. Zhong Mingxun Reply:
I think you are experiencing anticipatory anxiety, worrying about not being able to sleep even before going to bed. Of course, this is related to your personality. The current source of stress affecting your sleep may be the fear of insomnia. Medically, missing a night's sle...[Read More] Overcoming Sleep Anxiety: Strategies for Better Rest and Peace of Mind
Understanding Head Pressure and Tingling: Insights on Insomnia and Neurological Health
Insomnia... with frequent tingling and pressure sensations in the head? Hello Dr. Zhong, may I ask why I often feel a tingling and pressure sensation in my head, as if blood is rushing out? (The doctor prescribed this medication to stabilize my nerves.) I take a sleep medication ...
Dr. Zhong Mingxun Reply:
Mr. Tsai, please seek medical attention from a mental health specialist as soon as possible! Find a physician you can truly trust and have a thorough discussion about your situation with them. Constantly hesitating and seeking help from various sources will only prolong your cond...[Read More] Understanding Head Pressure and Tingling: Insights on Insomnia and Neurological Health
Understanding Anxiety Disorders: Overcoming Social Phobia and Panic Attacks
Anxiety Panic Disorder Hello, doctor. I believe I have social anxiety disorder, phobias, panic disorder, and obsessive-compulsive disorder. The following issues are my symptoms, which have led to me having no friends and being unemployed for over a year. I would appreciate your h...
Dr. Liang Sunyuan Reply:
Hello: Based on your description, you are experiencing a lot of anxiety and worry, which is indeed affecting your daily life. Medication, psychotherapy, and lifestyle changes can all help alleviate these symptoms. It is recommended to incorporate more activities that you enjoy or...[Read More] Understanding Anxiety Disorders: Overcoming Social Phobia and Panic Attacks
Understanding Emotional Instability: Anxiety, Depression, and Sleep Issues
Emotional instability I visited a psychiatrist in the first half of the year due to frequent low moods and self-harm, as well as severe insomnia. Initially, the doctor diagnosed me with depression, but later re-evaluated and diagnosed me with anxiety disorder, prescribing medicat...
Dr. Qiu Junda Reply:
Hello: It appears that there are still some expressions of negative emotional behavior recently. Since you have already consulted a psychiatrist, it is recommended to continue your visits to facilitate improvement in your condition. Additionally, you may find it helpful to search...[Read More] Understanding Emotional Instability: Anxiety, Depression, and Sleep Issues
Is Your Mind Always Playing Music? Understanding Auditory Hallucinations
If you are constantly hearing songs in your head, could it be auditory hallucinations? I constantly have music and singing playing in my head, even waking up to it. Sometimes, songs I haven't heard in a long time suddenly pop up. I have a favorite idol, and most of the time,...
Dr. Huang Weiqin Reply:
Dear Inquirer: Hello! Based on your description, you may be experiencing some anxiety and obsessive thoughts. If you are a student, you might consider visiting the counseling center to practice relaxation techniques and distraction exercises with a counselor. If these issues pers...[Read More] Is Your Mind Always Playing Music? Understanding Auditory Hallucinations
Understanding Autonomic Nervous System Disorders: Anxiety and Panic Explained
Autonomic nervous system dysfunction, anxiety, and panic? Hello Dr. Chiu, I am 22 years old and have Tourette syndrome, but I have almost no symptoms now. I used to take antidepressants (Venlafaxine) and medication for Tourette syndrome for nearly two years, but I have been off m...
Dr. Qiu Junda Reply:
Hello: It appears that the level of anxiety is quite high, and the presence of physical symptoms indeed indicates a problem related to autonomic nervous system dysregulation. Therefore, it is advisable to continue seeking treatment from a mental health (psychiatry) clinic, as med...[Read More] Understanding Autonomic Nervous System Disorders: Anxiety and Panic Explained
Struggling with Insomnia: Night Shift Workers and Anxiety Issues
Completely unable to sleep? Hello doctor, I work night shifts and have a reversed day-night cycle. I tend to be very nervous and anxious, and I have trouble sleeping during the day. I often wake up after just two hours of sleep and start dreaming as soon as I fall asleep. Recentl...
Dr. Qiu Junda Reply:
Hello: Insomnia has become a common issue in modern society and is not considered a serious condition. Your irregular sleep schedule and anxious personality are contributing factors to your insomnia. I recommend that you consult with a mental health professional, and you should s...[Read More] Struggling with Insomnia: Night Shift Workers and Anxiety Issues
Am I Showing Signs of Depression? Understanding Self-Harm and Emotional Struggles
Do I have tendencies towards depression? I used to self-harm quite often whenever I felt unhappy or stressed. Now I am trying to control myself. I've had several suicidal thoughts and images, and recently I've been experiencing insomnia. When I'm alone, I often fee...
Dr. Qiu Junda Reply:
Hello: It seems that you have been struggling with long-term negative emotions. I wonder if there are any specific stressors contributing to this. If so, it would be advisable to address those stressors first. I recommend looking into resources related to emotional management (EQ...[Read More] Am I Showing Signs of Depression? Understanding Self-Harm and Emotional Struggles
Understanding When to Seek Help for Severe Depression Symptoms
Depression issues I previously attempted suicide twice, and my doctor diagnosed me with major depressive disorder. My condition was very poor, but after leaving my sources of stress for a month, I have finally stabilized a lot. Therefore, I have not returned for follow-up appoint...
Dr. Wu Enliang Reply:
Depression does not necessarily require medication; pharmacological treatment is just one option. Some individuals improve after distancing themselves from stressors, while others benefit from psychotherapy. Additionally, some find relief through extensive physical exercise, and ...[Read More] Understanding When to Seek Help for Severe Depression Symptoms
Overcoming Fear of Mental Illness: My Journey to Healing
Fear of mental illness? A few years ago, some events occurred that disrupted my daily routine, and I haven't worked for two to three years because I was afraid to go outside. I began to experience symptoms such as palpitations, insomnia, dizziness, fear, and panic. I once fe...
Dr. Zhong Mingxun Reply:
Symptoms: palpitations, insomnia, dizziness, fear, and panic. There was a previous incident where the individual felt they couldn't breathe and was sent to the emergency room, which is likely related to panic disorder. The underlying causes are probably connected to past exp...[Read More] Overcoming Fear of Mental Illness: My Journey to Healing
Is Your Sleeplessness and Crying a Sign of Depression?
Constantly feeling like crying and experiencing insomnia may be symptoms of depression? Due to staff changes, one person is handling two different jobs, and the supervisor has also changed. This often leads to unpleasant situations regarding the necessary information or division ...
Dr. Wang Zhenbang Reply:
Hello, I believe that the various pressures you are experiencing have significantly impacted you, and it may have reached the level of depression. If you are unsure how to cope, you can visit a nearby psychiatric or psychosomatic hospital or clinic to seek assistance from a profe...[Read More] Is Your Sleeplessness and Crying a Sign of Depression?
Coping with Insomnia and Anxiety: When to Seek Professional Help
What should I do about insomnia and anxiety? Hello Dr. Wang, I have been feeling very anxious lately as I prepare to graduate and enter the workforce. I am unable to concentrate, feel restless, and have been experiencing insomnia for a week. I am now very afraid of sleeping, gett...
Dr. Wang Zhenbang Reply:
Hello: It seems that your issue has caused significant distress. I recommend seeking assistance from a professional physician. There are many ways to improve mood and sleep, and even sleep aids come in various types. You can discuss with your doctor to determine the most suitable...[Read More] Coping with Insomnia and Anxiety: When to Seek Professional Help
Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety
Time Anxiety Disorder Dear Dr. Ding, Thank you for patiently answering my questions last time. However, I have a few more inquiries: 1. I have difficulty maintaining sleep and often wake up twice during the night, which makes it hard for me to fall back asleep (sleep disturbanc...
Dr. Ding Shuyan Reply:
Hello, the difference between sleep and being awake during the day lies in the level of alertness of the brain. Ideally, before sleeping, the brain's level of arousal should gradually decrease, and it is best to minimize cognitive activities to create an environment conduciv...[Read More] Overcoming Sleep Disorders: Tips for Managing Insomnia and Nighttime Anxiety
Understanding Mental Health: Addressing Social Anxiety, Depression, and Medication Concerns
Disease issues and medication issues? Hello Doctor: Previously, I sought help from a psychiatrist due to issues in my daily life, including social anxiety (feeling nervous when talking to strangers), irrational forgetfulness (such as poor short-term memory, forgetting things I ju...
Dr. Ding Shuyan Reply:
Hello, basically, the medications prescribed by doctors have their reasons and basis. If you have questions, you can consult your doctor. I suggest that it is best to trust your physician, as this forms the foundation for all subsequent treatments. If you truly cannot establish a...[Read More] Understanding Mental Health: Addressing Social Anxiety, Depression, and Medication Concerns
Overcoming Insomnia and Anxiety After Breast Cancer Chemotherapy
Severe insomnia after chemotherapy for breast cancer? Hello Dr. Chen, Five years ago, I underwent surgery and chemotherapy for breast cancer, and since then, I have been struggling with insomnia and anxiety. I have consulted with doctors during this time for treatment, but my s...
Dr. Chen Wenke Reply:
Good afternoon, Sherry. I was somewhat surprised to receive your letter, as I have not been involved in addressing medical issues for quite some time. However, I would like to discuss the concerns that have troubled you over the years. Firstly, chemotherapy drugs can cause phys...[Read More] Overcoming Insomnia and Anxiety After Breast Cancer Chemotherapy
Struggling with Severe Anxiety: Finding Help for Mental Health Challenges
I cannot control my sudden severe anxiety? Hello doctor, I have a memory that since kindergarten, I often get trapped in a world of my own creation, where the people and events within it affect my mood and state in reality. I frequently struggle to concentrate, and as I grow olde...
Dr. Zhong Mingxun Reply:
It is recommended that you seek a psychiatric evaluation as soon as possible to gain a deeper understanding of your mental and emotional state. It is likely that you may need some medication assistance and psychotherapy.[Read More] Struggling with Severe Anxiety: Finding Help for Mental Health Challenges
Overcoming Sleep-Related Obsessive-Compulsive Disorder: A Personal Journey
Time Anxiety Disorder Dear Dr. Ding, At the age of 18, after undergoing laser skin treatment, I began my journey with insomnia, which subsequently led to anxiety and obsessive-compulsive disorder (OCD). I told myself that I needed to sleep early and get enough rest for my skin t...
Dr. Ding Shuyan Reply:
Hello, your inquiry can be discussed on two levels. First, let's examine your beliefs about sleep. For instance, you mentioned that you must sleep for 9 hours, which is problematic. I'm curious where this concept originated. Different individuals have varying physiologi...[Read More] Overcoming Sleep-Related Obsessive-Compulsive Disorder: A Personal Journey
Understanding Generalized Anxiety: Symptoms and Coping Strategies for Students
Generalized Anxiety Disorder (GAD) Hello, doctor. I don't know why, but after entering my junior year of college, my stress levels suddenly skyrocketed. I started worrying about the future, fearing that I might not get into graduate school or find a job (even though I haven&...
Dr. Qiu Junda Reply:
Hello: Regardless of whether it can be classified as a disease, it seems that you are troubled by negative emotions such as anxiety and restlessness, which may be related to stress. Sometimes, short-term simple medication can help. I recommend that you seek consultation at a near...[Read More] Understanding Generalized Anxiety: Symptoms and Coping Strategies for Students