Managing Sleep Disorders: Understanding Medication Side Effects and Concerns
At night, when lying in bed with my eyes closed, I tend to think about various random things, which leads to insomnia? Hello, Doctor. I would like to ask Dr. Zhong about the medications I received at the clinic. I take my morning medication along with my antihypertensive medicati...
Dr. Zhong Mingxun Reply:
If medication consolidation is possible, it is best to avoid drug interactions. Generally, sedative-hypnotics do not have a significant impact on blood pressure, and only a very small number of individuals with specific sensitivities may experience such effects. It may be benefic...[Read More] Managing Sleep Disorders: Understanding Medication Side Effects and Concerns
Understanding Sleep Issues: The Risks of Abruptly Stopping Medication
Sleep issues Hello Doctor, I stopped taking half a tablet of Mirtazapine yesterday to see if I could fall asleep, but I ended up lying awake for over an hour and woke up around 5 AM, unable to fall back asleep. I later tried to lie down again. I want to ask if it was unwise to ab...
Dr. Zhong Mingxun Reply:
It is unlikely to be bipolar disorder, so you can feel reassured about the medication aspect; however, it is best to discuss this with your physician. Additionally, if you are only taking medication without addressing the underlying causes of insomnia, it is usually difficult to ...[Read More] Understanding Sleep Issues: The Risks of Abruptly Stopping Medication
Managing Stress and Sleep Issues in Design Students: A Guide
Mental disorders Hello, doctor. I am currently studying design, and due to heavy coursework, I have been experiencing a lot of stress lately. I attend classes during the day and work at night, often discussing assignments until 2 or 3 AM before heading home, sometimes not falling...
Dr. Liu Runqian Reply:
Based on the symptoms you described, they may be related to recent academic stress, possibly indicating some adjustment disorder, along with anxiety and depressive symptoms. It would be beneficial to learn relaxation techniques and stress relief methods to alleviate the symptoms....[Read More] Managing Stress and Sleep Issues in Design Students: A Guide
Finding Inner Peace as a School Counselor: Navigating Emotional Challenges
Desire for inner peace? As a school counselor, I often feel a sense of guilt when I encounter children from extremely complicated family backgrounds. At times, I experience feelings of hopelessness, especially when faced with unmotivated and pessimistic parents, leading me to que...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, The current social environment often places high expectations on those who work diligently, leading to increased stress that can activate the sympathetic nervous system. Since the sympathetic nervous system affects most organs in the body, any feelings of anxiety...[Read More] Finding Inner Peace as a School Counselor: Navigating Emotional Challenges
Understanding Panic Disorder: Overcoming Fear and Anxiety
Uncertain if you are ill? Two years ago, something frightening happened to me. "After that incident, I was afraid to work and go out." I spent several months at home, even waiting for my boyfriend to bring food when I was hungry. I knew that if I continued like this, I ...
Dr. Zhang Gengjia Reply:
These symptoms can significantly impact your daily life. In recent years, the prevalence of anxiety disorders has been on the rise, leading to an increasing number of patients seeking professional medical or pharmacological treatment. There is no need for you to worry. In fact, a...[Read More] Understanding Panic Disorder: Overcoming Fear and Anxiety
Managing Academic Stress: Understanding Anxiety and Its Symptoms
Stress issues Hello, Doctor: I am currently a junior in college, but ever since I advanced to the third year, I have been feeling an increasing amount of pressure, especially with so much research to do every day. The thought of approaching employment makes me feel very frustrate...
Dr. Zhong Mingxun Reply:
Stress can lead to sympathetic nervous system activation, which affects most organs in the body. Therefore, whenever there is anxiety, it can result in discomfort throughout your body. You are not experiencing a neurological disorder; rather, your personality may be causing exces...[Read More] Managing Academic Stress: Understanding Anxiety and Its Symptoms
Effective Strategies for Managing Sleep Disorders and Anxiety
Sleep disorders Hello, doctor. Recently, a friend of mine has been having trouble sleeping. Her stressors have accumulated over a long period, and she tends to keep her issues to herself, so I only know a little about her situation. She has been seeing a psychiatrist for 2 to 3 y...
Dr. Zhong Mingxun Reply:
For this friend, the most important thing is to provide care and companionship. Additionally, you can encourage her to seek psychotherapy, as medication treatment seems to have reached its limits. Psychotherapy can help her address the underlying issues; otherwise, she may easily...[Read More] Effective Strategies for Managing Sleep Disorders and Anxiety
Understanding Emotional Distress: Is It a Personality Issue or a Medical Condition?
Emotional issues Hello, doctor. I have always been prone to anxiety, which often leads to gastrointestinal inflammation. I frequently feel discomfort in my head. Since high school, I have been very pessimistic, prone to tears, and struggle to find meaning in life. I have a strong...
Dr. Liu Runqian Reply:
Based on your description, your symptoms resemble those of depression, including feelings of sadness, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and su...[Read More] Understanding Emotional Distress: Is It a Personality Issue or a Medical Condition?
Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Mood disorders (with cases of suicide) Cai Congyu is a 16-year-old student currently on a temporary leave from the second semester of high school (Taipei Private Yuda Commercial and Vocational School). He has interests in playing the piano and board games. Since childhood, he has...
Dr. Song Chengxian Reply:
Dear Mr. Jiang, The current situation of the case is concerning. Dangerous items at home should be carefully secured, and the guardian should promptly take the case to a psychiatrist or mental health specialist for evaluation. If the case is resistant to visiting a hospital or s...[Read More] Understanding Emotional Disorders in Adolescents: A Case Study of a 16-Year-Old
Supporting a Parent Struggling with Anxiety and Depression
Anxiety and depression? Hello Doctor, I would like to ask about my mother's situation over the past few months. Since we do not live together, I have been observing her through visits and phone calls. Earlier this year, she mentioned that she started experiencing insomnia an...
Dr. Huang Weiqin Reply:
Hello, based on your description of your mother's emotions and behaviors, it is possible that she is experiencing depression combined with anxiety and autonomic nervous system dysregulation. It is advisable for family members to accompany her for further evaluation and treat...[Read More] Supporting a Parent Struggling with Anxiety and Depression
Understanding Sleep Disorders: Managing Irregular Sleep Patterns and Fatigue
Sleep disorders For the past three months, I have been experiencing almost daily issues with sleep, either struggling to fall asleep or sleeping excessively throughout the day, with very few instances of normal, refreshing sleep. Initially, I could fall asleep around 4 AM, but la...
Dr. Zhong Mingxun Reply:
Your sleep is indeed problematic, and you should start by establishing a regular sleep schedule. Physiologically, having different routines each day can disrupt your circadian rhythm. Additionally, you may experience emotional distress without being aware of it, which can lead to...[Read More] Understanding Sleep Disorders: Managing Irregular Sleep Patterns and Fatigue
Managing Insomnia and Anxiety: Tips for Better Mental Health
Insomnia and anxiety? Recently, I've been feeling low on energy, easily distracted, and experiencing dizziness. I have trouble focusing and lack motivation. I visited a Western medicine doctor who said my blood pressure is slightly high. How can I establish a normal routine?...
Dr. Qiu Junda Reply:
Hello: I wonder if you have been experiencing significant stress recently that may have led to these symptoms. Since you have prior experience with medical care, I recommend visiting a nearby healthcare facility's psychiatry department, as this will aid in the diagnosis and ...[Read More] Managing Insomnia and Anxiety: Tips for Better Mental Health
Understanding Anxiety: When to Seek Help for Mental Health Issues
Nervousness - Fear - Wanting to cry - Nausea Hello, I would like to ask for advice regarding a friend of mine. She has suffered emotional and psychological harm due to poor social choices, which has led her to develop a fear of going out, increased anxiety, and nervousness when s...
Dr. Zhong Mingxun Reply:
I'm not sure what type of injury your friend has sustained, but it seems to be very serious, to the point where it has severely affected her basic sense of personal safety. As a result, she is experiencing extreme anxiety and may need to seek medical attention from a psychia...[Read More] Understanding Anxiety: When to Seek Help for Mental Health Issues
Managing Emotional Turmoil: When to Seek Help for Mental Health
Irritability and inability to control emotions? Two years ago, when I was alone, I often had intrusive thoughts and would frequently engage in self-harming behaviors. However, I haven't done that in a long time. Recently, due to some circumstances, I've been feeling a l...
Dr. Liu Runqian Reply:
Based on your description, symptoms resembling depression include low mood, loss of interest, weight loss or gain, hypersomnia or insomnia, psychomotor retardation, easy fatigue or loss of energy, feelings of worthlessness or excessive guilt, difficulty concentrating or indecisiv...[Read More] Managing Emotional Turmoil: When to Seek Help for Mental Health
Should I Seek Help? Understanding When to Consult a Psychiatrist
Should I see a doctor? Hello, Doctor. I would like to ask if I need to see a doctor. About six months ago, I experienced an assault from my ex-boyfriend, and since then, my condition has been very poor. Although the school arranged for a counselor immediately and the court provid...
Dr. Song Chengxian Reply:
Hello, classmate: Your condition sounds quite serious. Don't hesitate, seek medical attention as soon as possible! Sincerely, Dr. Song.[Read More] Should I Seek Help? Understanding When to Consult a Psychiatrist
Understanding Severe Depression: Seeking Help When Financial Barriers Exist
Major Depressive Disorder Hello, Doctor: I have been seeing a psychiatrist at Chang Gung Memorial Hospital since high school due to self-harm, for at least one to two years. The doctor conducted psychological assessments and stated that I needed psychotherapy. However, due to the...
Dr. Huang Weiqin Reply:
Dear inquirer, regarding your situation, it may be advisable to pursue both medication and psychotherapy simultaneously. As for whether you can apply for major illness status, you will need to discuss this with your regular physician. Additionally, the approval for the major illn...[Read More] Understanding Severe Depression: Seeking Help When Financial Barriers Exist
Managing Insomnia and Stress: Alternatives to Long-term Psychiatric Medications
Insomnia and difficulty sleeping, high stress levels? Hello Dr. Zhong, I have been taking neurological medications for over four years, including "Euseng" (Mecobalamin) 0.5 mg capsules, "Shengda" (Ulipristal Acetate) 0.25 mg tablets (taken before sleep), Lopin...
Dr. Zhong Mingxun Reply:
Yuli Shupan tablets and Lipingjing tablets are both anxiolytic medications that have a very small possibility of causing bradycardia. Generally, most people do not experience this side effect, and it is uncertain whether it is caused by these medications. Please discuss any pharm...[Read More] Managing Insomnia and Stress: Alternatives to Long-term Psychiatric Medications
Understanding Your Struggles: Coping with Anxiety and Depression
I'm not sure what this is about? I feel very sad every day and have a strong urge to cry. I am not interested in anything lately and have been experiencing insomnia. Even though I am very tired, I can't fall asleep; I wake up shortly after falling asleep and can't ...
Dr. Liang Sunyuan Reply:
Hello J: Your current thoughts seem to lean towards negativity and pessimism, with symptoms such as nausea and unexplained fear that appear to be affecting your work and interpersonal interactions. You have a rather negative perception of yourself at the moment, and it is advisab...[Read More] Understanding Your Struggles: Coping with Anxiety and Depression
Struggling with Insomnia: Coping with Stress and Mental Health Challenges
Insomnia I can't sleep. Last July, my husband was hospitalized and spent a month and three days in the intensive care unit before being transferred to a regular ward. During that time, I couldn't eat or sleep; I just cried every day, only managing to sleep about four ho...
Dr. Ding Shuyan Reply:
Hello, high levels of stress can lead to physical and mental imbalances, especially when a spouse is seriously ill and one suddenly has to shoulder the entire family's responsibilities. Most wives would react similarly to your situation. Often, even after a stressful event h...[Read More] Struggling with Insomnia: Coping with Stress and Mental Health Challenges
Overcoming Self-Doubt: A Programmer's Journey Through Anxiety
Self-doubt Hello doctor, I was originally a software developer and have been at a new company for three months. However, during these three months, my colleague has been constantly modifying my code, and when I ask for reasons, they are vague. The other colleagues are not in this...
Dr. Liang Sunyuan Reply:
Hello, A-mei: Past events may cast some shadows, but as time goes by and we gain new experiences, those shadows typically become diluted. Future work situations are independent events, and past circumstances usually do not repeat themselves. If they do recur, it can provide us wi...[Read More] Overcoming Self-Doubt: A Programmer's Journey Through Anxiety