Understanding Depression Symptoms and Medication Side Effects: A Patient's Journey
Symptoms of depression Hello, doctor. Earlier this year, I experienced daily chest tightness, which initially made me feel nauseous. This sensation occurred every day. After undergoing an endoscopy, I was diagnosed with mild gastroesophageal reflux disease (GERD) and took medicat...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Lippu is an antidepressant, and its side effects include dry mouth, nausea, insomnia, hyperhidrosis, and tremors. Stitmus is a sleeping aid that can be gradually tapered off and eventually discontinued. The common side effects of Le...[Read More] Understanding Depression Symptoms and Medication Side Effects: A Patient's Journey
Managing Xanax Overuse and Alcohol Addiction: A Guide for Young Professionals
Excessive Xanax dosage and alcohol abuse issues? Hello, doctor. Recently, I have been under a lot of stress at my new job, and my supervisor's management style is very demanding. I am also a highly motivated graduate. I work over 11 hours a day. In the past, I experienced mi...
Dr. Su Zongwei Reply:
If you are experiencing anxiety and insomnia, relying solely on medications like Stilnox (zolpidem) or Xanax (alprazolam) may not be sufficient. It may be necessary to add an SSRI (selective serotonin reuptake inhibitor) to maintain therapeutic efficacy. While alcohol may provide...[Read More] Managing Xanax Overuse and Alcohol Addiction: A Guide for Young Professionals
How to Cope with Exam Stress and Anxiety: A Guide for Students
What should I do? Hello, doctor. First of all, I am currently facing a major exam, and I have set my own goals. I know that the pressure of preparing for this exam is immense, but I find it difficult to calm down and concentrate on studying. My attention span is constantly disrup...
Dr. Chen Zhicai Reply:
If stress management has not been ideal, then find a nearby physician and bravely confront your issues! Dr. Chen Zhi-Cai[Read More] How to Cope with Exam Stress and Anxiety: A Guide for Students
Am I Sick? Understanding Mental Health Struggles and Solutions
Hello doctor, am I sick? Hello! I have been experiencing significant life stress for a while now, which often leads to feelings of sadness, insomnia, irritability, a need for personal space, depression, a desire to withdraw from social interactions, and frequent thoughts of self-...
Dr. Xie Dicheng Reply:
Hello: Based on your description, we cannot make a direct diagnosis at this time. We need more information, such as: How long does your low mood last? How often do you experience low mood? What situations trigger your low mood? What circumstances improve your mood? What is the fr...[Read More] Am I Sick? Understanding Mental Health Struggles and Solutions
Effective Sleep Solutions Beyond Medication for Stress-Related Insomnia
Sleep disorders Hello Dr. Chang: Every evening, I feel overwhelmed by stress because I'm worried about not being able to sleep. Sometimes, even taking strong sleeping pills doesn't help me fall asleep. I'm not sure if it's due to my stress or the medication. I...
Dr. Zhang Gengjia Reply:
Hello Ms. Li, First of all, thank you for your trust and for taking the time to write to me during your hospitalization. In today's society, the overwhelming work pressure makes it difficult for many people to sleep well at night. According to research studies both domestic...[Read More] Effective Sleep Solutions Beyond Medication for Stress-Related Insomnia
Understanding Insomnia: Causes, Symptoms, and Solutions for Better Sleep
Insomnia I went to bed at 11:30 PM yesterday and lay in bed for a long time, only falling asleep around 3 AM. Sometimes I fall asleep quickly, but other times it takes me three to four hours to do so. Is there something wrong with my health?
Dr. Su Zongwei Reply:
Just hearing you say that doesn't necessarily indicate a medical condition, but whether there is an issue depends on various factors. Poor sleep is just one aspect to consider, and it’s important to evaluate if there are other underlying problems.[Read More] Understanding Insomnia: Causes, Symptoms, and Solutions for Better Sleep
Feeling Cursed: Understanding Unexplained Physical and Mental Discomfort
I often feel as if I have been cursed..? Recently, I sometimes feel unwell, as if I were cursed. I experience unexplained discomfort throughout my body, along with headaches. My mental state is also poor, and I have trouble sleeping, often requiring sleeping pills to fall asleep....
Dr. Chen Yuying Reply:
Hello Allita: It is recommended to first undergo a comprehensive health check-up to identify any physiological causes and provide targeted treatment. If the examination results are generally normal but you still experience headaches, insomnia, and poor mental state, you may consi...[Read More] Feeling Cursed: Understanding Unexplained Physical and Mental Discomfort
Am I Experiencing a Relapse of Depression? Understanding Your Symptoms
Has my depression relapsed? Dr. Zhang: Hello, I'm back at work at the hospital and school is starting, but I have no motivation at all. I have school assignments to complete and exams to prepare for, and I also need to work at the hospital. Why do I feel so drained at work, ...
Dr. Zhang Zhehong Reply:
Symptoms of depression: The first part consists of emotional symptoms, which are the most critical core symptoms, including a depressed mood, irritability, or loss of interest. The second part includes cognitive (thinking) symptoms, such as feelings of worthlessness, guilt; dimin...[Read More] Am I Experiencing a Relapse of Depression? Understanding Your Symptoms
Understanding Sleep Issues: Causes and Solutions for College Students
Sleep issues Hello! I am a first-year student in Kinmen. Ever since I got accepted into school and started living here, my sleep quality has deteriorated significantly. I often wake up suddenly in the middle of the night for no apparent reason. Although I can fall back asleep qui...
Dr. Wu Peijun Reply:
Hello! Based on your description, it is difficult to determine the underlying causes of your "insomnia" and "gastrointestinal" issues. Anxiety caused by adapting to a new environment may present with such symptoms, but there are many other factors to consider....[Read More] Understanding Sleep Issues: Causes and Solutions for College Students
Helping a Loved One with Severe Depression: Strategies and Resources
Depression Dear Dr. Wang, My brother was diagnosed with severe depression two months ago, but after taking medication only twice, he refused to continue due to side effects such as dizziness and weakness. He has also been experiencing frequent auditory hallucinations, insomnia, ...
Dr. Wang Zhenyang Reply:
Hello: I apologize for the late response! I was unaware of this email until our hospital assistant printed it out for me. If your brother is exhibiting violent behavior, it is indeed necessary to seek involuntary hospitalization. You can request assistance from local health depar...[Read More] Helping a Loved One with Severe Depression: Strategies and Resources
Understanding Anxiety: Is Your Autonomic Nervous System Out of Balance?
Is it autonomic nervous system dysfunction? Hello, I was recently diagnosed with anxiety disorder. A few months ago, I watched a health-related program that may have triggered my tendency to think negatively, especially regarding health. Whenever I feel even a slight pain, I beco...
Dr. Li Zhengfeng Reply:
Hello: First of all, welcome to your letter. According to what you mentioned in your letter, you indeed have symptoms of anxiety disorder. Patients with anxiety disorder often experience some physiological symptoms such as chest tightness, palpitations, headaches, and tremors. In...[Read More] Understanding Anxiety: Is Your Autonomic Nervous System Out of Balance?
Effective Strategies for Discontinuing Stinous: A Guide for Patients
Streptomycin withdrawal Hello, Doctor. Five years ago, I sustained a head injury to the right frontal lobe due to a car accident, resulting in intracranial hemorrhage. After surgery, I found that sleeping medications were ineffective during my hospital stay. However, I was able t...
Dr. Xie Yongfeng Reply:
Please come to the clinic for a consultation.[Read More] Effective Strategies for Discontinuing Stinous: A Guide for Patients
Understanding the Side Effects of Zolpidem: A Student's Experience
Side effects of sleeping pills? Hello, doctor. I am currently a fourth-year student preparing for graduate school entrance exams. About a month ago, due to insomnia, I took two sleeping pills from my roommate. The medication is Zolnox (Zolpidem Hemitartrate 10mg), and I took one ...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Zolnox can indeed cause drowsiness as a side effect, but this typically lasts for a few days at most after discontinuation. It usually does not persist for weeks and generally does not lead to permanent sequelae. Therefore, it is li...[Read More] Understanding the Side Effects of Zolpidem: A Student's Experience
Understanding Neck Stiffness: Anxiety or Underlying Condition?
Neck stiffness lasting for more than two weeks? In the past month, I have been experiencing frequent neck stiffness. It started about a month ago after a day of severe dizziness. I underwent various tests, including blood tests, CT scans, X-rays, and an electrocardiogram, and the...
Dr. Wang Chongren Reply:
Dear Chien-Li, Chronic meningitis is mostly caused by infections and can present with symptoms such as fever, neck stiffness, headache, diplopia, and altered consciousness. Patients typically exhibit signs of infection, and neck stiffness is just one of the symptoms; it cannot s...[Read More] Understanding Neck Stiffness: Anxiety or Underlying Condition?
Overcoming Uncontrollable Anxiety: A Journey from Self-Doubt to Healing
May experience involuntary tension and fear? Hello, Doctor: I have been a very lively person since childhood, and I also have a good appearance. However, during high school, I developed a lot of acne on my face, which caused me to hide in my room and avoid being seen by others. A...
Dr. Duan Yongzhang Reply:
Hello: Your condition may not necessarily indicate a specific illness. Some individuals are more concerned about how others perceive them or may lack confidence, which can lead to similar experiences as yours. I'm curious to know the extent to which your social, academic, or...[Read More] Overcoming Uncontrollable Anxiety: A Journey from Self-Doubt to Healing
Understanding Neck Swelling and Breathing Issues During Stress
Regarding swelling in the neck and difficulty breathing during times of stress? Hello, doctor. I have a question I would like to ask! I have difficulty controlling my emotions and have suppressed feelings of unhappiness, anger, and frustration since childhood. I tend to bottle th...
Dr. Li Zhengfeng Reply:
Hello: First of all, welcome to your correspondence. According to your letter, you may be experiencing anxiety neurosis, commonly known as anxiety disorder. Patients with anxiety disorder have a lower tolerance for stress. When external pressure becomes overwhelming, symptoms suc...[Read More] Understanding Neck Swelling and Breathing Issues During Stress
Overcoming Panic and Anxiety Without Medication: A Personal Journey
Neurosis Doctor, I went to the hospital and was diagnosed with panic disorder and anxiety, but I don't want to take medication because it makes things worse and I can't even sleep. I really want to overcome my psychological barriers on my own! However, it seems like my ...
Dr. Chen Wenyu Reply:
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroses, it is important to note that these conditions often involve some degree of depression or anxiety, and therefore, these terms are no longer commonly used in psychiatry. What makes...[Read More] Overcoming Panic and Anxiety Without Medication: A Personal Journey
Understanding the Differences Between Autonomic Nervous System Disorders and Anxiety Disorders
Autonomic Nervous System Dysfunction I would like to ask the doctor what the difference is between autonomic nervous system dysfunction and anxiety disorders such as pathological lying anxiety disorder. How can a doctor differentiate between these two? Can autonomic nervous syste...
Dr. Chen Wenyu Reply:
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroasthenia, it is important to note that these conditions often involve some degree of depression or anxiety, and thus, these terms are no longer commonly used in psychiatry. What makes...[Read More] Understanding the Differences Between Autonomic Nervous System Disorders and Anxiety Disorders
Understanding Sleep Jerks: Causes and Solutions for Insomnia
Insomnia with sudden awakening due to shaking of the hands and feet while falling asleep? Hello Doctor: For the past few days, I have been waking up suddenly when I fall asleep because my legs twitch. It happens once or twice, but I usually wake up just as I'm about to fall ...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Insomnia generally has three categories of causes. 1. Physiological factors, such as joint pain or heart disease, which can lead to insomnia due to physical discomfort. 2. Mental health disorders or psychological stress, such as depression...[Read More] Understanding Sleep Jerks: Causes and Solutions for Insomnia
How to Help a Loved One with Anxiety and Paranoia Without Forcing Treatment
Oh my goodness~~ Dear Dr. Chen, My mother has been experiencing symptoms of anxiety and insomnia since September of last year. She often appears disoriented and occasionally laughs uncontrollably. She also has persistent feelings that someone is trying to harm her. When we try ...
Dr. Chen Wenyu Reply:
Hello, based on your description, it seems that your family member has experienced issues that may have a very specific onset. If there is a clear time point, it is important to consider stress factors or organic causes first. Was there a particular stressful event that triggered...[Read More] How to Help a Loved One with Anxiety and Paranoia Without Forcing Treatment