Understanding Insomnia: When to Seek Help for Sleep Issues
Insomnia issues Hello, doctor. Recently, I've been experiencing difficulty sleeping at night. For some reason, whenever I close my eyes, my mind keeps racing with thoughts, and I feel very restless. Despite my efforts to fall asleep, I end up tossing and turning for 3 to 4 h...
Dr. Ding Shuyan Reply:
Hello, based on your concerns, I recommend that you see a psychiatrist. The stress and insomnia you're experiencing, along with the headaches, are indeed commonly related. Whether or not to take medication should be advised by a physician. Many people face similar issues, an...[Read More] Understanding Insomnia: When to Seek Help for Sleep Issues
Understanding Mental Health Issues: Signs and Symptoms in Young Adults
Psychological disorders? My sister has started to feel like crying, is paranoid, and has become very angry. She also begins to wonder what it feels like to jump off a building or to commit suicide. Her hair is falling out more and more, and she gradually talks less. She often ski...
Dr. Li Zhengfeng Reply:
Hello: As mentioned in the letter, there are indeed differences compared to the general population, but online descriptions cannot lead to a diagnosis. It is recommended to consult a psychiatrist. Thank you for your correspondence.[Read More] Understanding Mental Health Issues: Signs and Symptoms in Young Adults
Understanding the Effects of Overdosing on Anxiety Medication
A large amount of Anwen tablets has been ingested? On May 18th, a large quantity of 200 Anxiolytic tablets was ingested. Upon waking on May 19th, there has been a significant reduction in independent thought, frequent insomnia, and increased social anxiety. How can the effects of...
Dr. Ding Shuyan Reply:
Hello, taking a large amount of sedative medication for a short period can lead to a quick return to consciousness the next day. The effects of drug overdose on the body and mind will rapidly diminish, and you should return to normal within a day or two. This incident occurred on...[Read More] Understanding the Effects of Overdosing on Anxiety Medication
Seeking Help for My Mother's Unusual Behavior: A Psychiatric Concern
Hello Doctor, I hope you can respond. This is my mother, thank you? Hello, doctor. I would like to ask about my mother. She graduated with a master's degree from a prestigious university and is 45 years old. She does not smoke or drink, but she often engages in strange behav...
Dr. Ding Shuyan Reply:
Hello, based on the symptoms described in your letter regarding your mother, it is quite evident that she is experiencing delusions. The best course of action in this situation is to take her to see a doctor and consider medication. Attempting to rationally discuss and change her...[Read More] Seeking Help for My Mother's Unusual Behavior: A Psychiatric Concern
Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Lack of slow-wave sleep? Hello Doctor, I have undergone polysomnography (PSG) for obstructive sleep apnea (OSA), and the results consistently show no slow-wave sleep. Initially, I thought this was due to hypoxia caused by OSA, but even when the CPAP pressure was adjusted to maint...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the process you described, it is evident that this issue has caused you considerable distress in your daily life. Considering your physiological condition and sleep disturbances, I recommend that you continue treatment and evaluation at the hospital. Fol...[Read More] Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Understanding My Emotional Struggles: A Journey Through Anxiety and Depression
I don't know what's wrong with me? I started noticing some issues around middle school. During the day, I seemed normal, but every night when I returned to my room, I would feel like crying. I would often fall asleep in tears without any specific reason; I just felt the...
Dr. Su Zongwei Reply:
This situation clearly indicates that there is an illness; please seek assistance from a psychiatric outpatient clinic.[Read More] Understanding My Emotional Struggles: A Journey Through Anxiety and Depression
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? I began experiencing early awakening, white phlegm in my throat, and loss of appetite (I don't feel hungry at all) at the end of May 2015. Prior to this, there were no significant changes in my life or work stress. As a gay man, I decide...
Dr. Ding Shuyan Reply:
Hello, first of all, you are relatively young and have undergone a comprehensive health check-up, which showed no significant issues. Therefore, the discomfort you are experiencing could indeed be related to psychological factors. Additionally, you mentioned the HIV screening, wh...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Should You Seek Psychiatric Help for Emotional Instability?
Should I seek medical attention in this situation? Hello Dr. Wang, About three years ago, during my high school years, I experienced significant self-harm and compulsively ate paper due to intense exam pressure, along with prolonged feelings of low mood and insomnia. At that ti...
Dr. Wang Chongren Reply:
Based on the situation you described in your letter, your feelings of depression may require psychological counseling. Given your family circumstances, you might consider contacting the mental health department of your local health bureau, as they can assist in arranging counseli...[Read More] Should You Seek Psychiatric Help for Emotional Instability?
Choosing the Right Sleep Aid: Xanax, Eszo, or Stilnox?
Applicable sleep aids Hello, doctor: I would like to ask which of the three medications, Xanax, Eszopiclone (Eszo), or Zolpidem (Stilnox), is more suitable for insomnia? Do they have the same effects and side effects? I am currently taking Eszopiclone but still have difficulty fa...
Dr. Xiao Minghong Reply:
Hello Youyou, The medications you mentioned, Xanax (alprazolam) and Eszo (estazolam), are benzodiazepines (BZDs) primarily used for their effects in promoting sleep, alleviating anxiety, and providing muscle relaxation. Stilnox (zolpidem) is a non-benzodiazepine sleep aid, mainl...[Read More] Choosing the Right Sleep Aid: Xanax, Eszo, or Stilnox?
Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Potential stress Hello, doctor. I have been diagnosed with severe sleep apnea and am currently waiting for surgical treatment. I often feel fatigued and mentally drained, which affects my work and social life. As a result, I face many misunderstandings, with people frequently sug...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on your description, I believe the most important step is to effectively treat your sleep-disordered breathing, which should significantly benefit both your physical and mental health. I recommend reassessing your condition three months after the surgery. ...[Read More] Understanding Underlying Stress: Distinguishing Mental and Physical Fatigue
Concerns About ESZO: Sleep Medications and Safety Risks
Eszopiclone Hello, doctor. I have never taken sleeping pills before, but recently I have been experiencing pain due to a sports injury, which has made it difficult for me to sleep. One night, around 9 PM, I took one tablet of Eszopiclone and slept until about 2:30 AM. When I woke...
Dr. Ding Shuyan Reply:
Hello, the effect of sleeping pills can indeed make a person sleep deeply enough that they may not be aware if someone moves their body, although this is not entirely common. For individuals with mild insomnia and a sensitive constitution, taking a stronger dose of sleeping medic...[Read More] Concerns About ESZO: Sleep Medications and Safety Risks
Managing Sleep Issues: Can I Continue Working with Insomnia?
Some questions? I previously went to work and felt very tired afterward, but that night I couldn't fall asleep and stayed awake until the next morning. I finally fell asleep and didn't wake up until 4 PM, which disrupted my circadian rhythm. Given this situation, can I ...
Dr. Ding Shuyan Reply:
Hello, there are many causes of sleep disorders, and frequent insomnia is often just one of the symptoms of a mental health condition. To address this and prevent future occurrences, it is essential to understand the specific mental health diagnosis and its underlying causes in o...[Read More] Managing Sleep Issues: Can I Continue Working with Insomnia?
Understanding Sleepiness as a Symptom of Depression: Key Characteristics
Hypersomnia caused by depression? Hello, doctor. Due to issues with fatigue, excessive sleepiness, and poor mental state, I previously consulted a physician (not a psychiatrist). The doctor mentioned that the diagnosis of depression cannot be made solely based on these symptoms, ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on your description, the typical sleep duration for the general population is between 6 to 8 hours, which is considered normal. The concern you mentioned regarding needing more than 12 hours of sleep should be evaluated in the context of your usual sleep pa...[Read More] Understanding Sleepiness as a Symptom of Depression: Key Characteristics
Understanding the Impact of Lack of Slow Wave Sleep on Mental Health
There is no slow-wave sleep? Hello Doctor, I would like to ask for your advice. Recently, I have been experiencing symptoms of long-term fatigue and dizziness due to insufficient sleep. After undergoing a sleep study, I found out that the report indicated "lack of slow wave ...
Dr. Liang Sunyuan Reply:
Hello, slow wave sleep refers to deep sleep, during which a person can achieve more complete rest. Conditions such as sleep apnea, alcohol consumption, or certain medications can reduce deep sleep. It is recommended that you discuss this in person with the physician who arranged ...[Read More] Understanding the Impact of Lack of Slow Wave Sleep on Mental Health
Understanding Anxiety and Depression: Chronic Fatigue and Sleep Issues
Anxiety? Depression? Hello, Dr. Huang. I have been experiencing chronic fatigue and excessive sleepiness for a long time, which has become more pronounced in recent years. I have consulted several non-psychiatric doctors and researched online, discovering that both depression and...
Dr. Huang Weiqin Reply:
Dear Inquirer: Hello! If you are experiencing only mild anxiety or fatigue, you might consider establishing a regular exercise routine to relieve stress and improve physical fitness; it is not always necessary to take anti-anxiety or antidepressant medications. Additionally, if y...[Read More] Understanding Anxiety and Depression: Chronic Fatigue and Sleep Issues
Navigating Mental Health: Addressing OSA and Allergies Impacting Well-Being
Is the treatment correct? Hello, doctor. I have a long-standing history of allergic rhinitis, snoring, and symptoms of obstructive sleep apnea (OSA). I often feel unrefreshed regardless of how I sleep (without insomnia issues), and I easily become fatigued and want to sleep. When...
Dr. Huang Weiqin Reply:
To the inquiring netizen: Hello, regarding the situation you mentioned, it may be advisable to address both rhinitis and chronic anxiety/depression as two separate issues. If you consult a psychiatrist and it is assessed that you have reached the level of depression or anxiety di...[Read More] Navigating Mental Health: Addressing OSA and Allergies Impacting Well-Being
Understanding the Risks of Sleeping Pills and Dementia in Middle Age
Sleeping pills and dementia? Hello, my mother is currently around 50 years old and has been taking sleeping pills for several years, approximately four years. I once read in a health magazine (I can't remember if it was Health Magazine) about the many side effects of sleepin...
Dr. Ding Shuyan Reply:
Hello, 1. The immediate side effects of using sleeping pills include sedation, muscle weakness leading to falls, impaired memory, and lack of coordination, among others. 2. Numerous studies have shown a correlation between the use of anxiolytics and sleeping medications and th...[Read More] Understanding the Risks of Sleeping Pills and Dementia in Middle Age
Overcoming Fear of Death: Strategies for Managing Anxiety and Sleeplessness
Feeling very scared? Hello, doctor. I have always felt very fearful about death. I often think about the day I will leave this world, and it makes me extremely scared. I experience increased heart rate and insomnia. What should I do?
Dr. Ding Shuyan Reply:
Hello, it is natural to feel fear and anxiety about the unknown aspects of death and what follows. However, death is an inevitable part of life that everyone will experience. It is often better to face this reality with a calm mindset. Just as students face exams with pressure, i...[Read More] Overcoming Fear of Death: Strategies for Managing Anxiety and Sleeplessness
Impact of Parental Drug Use on Children's Mental Health Risks
Drug abuse can trigger genetic issues related to mental disorders? Hello Dr. Liang: If a father has a history of drug abuse that has triggered a mental illness, what is the likelihood that his future children will develop physical health issues? What types of diseases are they mo...
Dr. Liang Sunyuan Reply:
Hello, the general probability of an individual developing a mental illness is about one percent. If the father has a mental illness and the mother is healthy, the child's future risk of developing a mental illness is approximately eight percent. In the scenario you mentione...[Read More] Impact of Parental Drug Use on Children's Mental Health Risks
Coping with the Loss of a Loved One: A Guide to Healing
How to cope with the death of a loved one? I'm sorry to hear about your grandmother's passing. It's completely normal to feel a deep sense of loss and grief during this time. Here are some suggestions on how to cope with your feelings: 1. **Allow Yourself to Griev...
Dr. Huang Weiqin Reply:
Hello, dear user: I am very sorry to hear about the recent passing of your grandmother. Please accept my condolences. Generally speaking, when a significant family member passes away, it is normal to experience feelings of sadness and loss, as well as some insomnia or depressive ...[Read More] Coping with the Loss of a Loved One: A Guide to Healing