Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Jing'an Ning medication I have been experiencing tinnitus and during my treatment, the doctor prescribed four medications, one of which is Clonazepam. Initially, I took 0.5 mg before bedtime for nearly six months, then it was changed to 0.5 mg twice a day for another six mon...
Dr. Liang Sunyuan Reply:
Hello: Stopping medication when symptoms have not improved can indeed lead to anxiety, insomnia, and other symptoms. After resuming medication, it may sometimes take patience to wait for a period of time before stability returns. If there is still no improvement after adjusting t...[Read More] Managing Tinnitus and Medication: Insights on Anxiety and Sleep Issues
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...
Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Managing Depression: Medication Adjustments and Sleep Issues After COVID-19
I have depression and take one 50 mg capsule of Jienfu after dinner, and one fish oil capsule in the morning? After taking Yongkangxu for almost a year, my depression worsened following a recent COVID-19 infection. My doctor recommended taking one fish oil capsule in the morning ...
Dr. Wu Enliang Reply:
There are many reasons for insomnia, such as poor sleep hygiene or anxiety. Since you are already seeking medical attention, it is advisable to discuss and evaluate these issues in detail with your physician. Dr. Wu En-Liang[Read More] Managing Depression: Medication Adjustments and Sleep Issues After COVID-19
Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Autonomic Nervous System Panic Hello doctor, I have arrhythmia and premature contractions in my heart. I also feel a sense of pressure and tightness on one side of my neck, which often makes me feel like I can't get enough air. The lymph nodes in that area are swollen, and I...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Safe Medication Choices for OCD: Avoiding Interactions and Risks
Obsessive-Compulsive Disorder Medication Supplement Consultation Hello Dr. Lin, thank you for your response. I would like to ask if there are any medication options for treating obsessive-compulsive disorder that do not interact with cardiovascular medications like aspirin and ca...
Dr. Lin Mianzhang Reply:
Hello JJ: The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (SSRIs). These medications can potentially affect coagulation function, with varying degrees of impact. It is advisable to regularly monitor coagulation function ...[Read More] Safe Medication Choices for OCD: Avoiding Interactions and Risks
Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Post-COVID Syndrome - Brain Fog Hello, doctor. I already have mental health issues (schizophrenia and obsessive-compulsive disorder), which affect my memory and ability to concentrate, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. The Centers for Disease Control and Prevention (CDC) in the United States has defined the symptoms arising from the long-term effects of acute COVID-19 infection as "Post-COVI...[Read More] Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues
Struggling with Insomnia After Lorazepam: Seeking Expert Advice
I don't know what to do~ I hope the doctor can help me? The doctor prescribed Lorazepam 0.5 mg, and after taking it for over three months, I stopped the medication but developed insomnia. I never had insomnia before, and I deeply suspect that it was caused by the medication....
Dr. Wu Enliang Reply:
Hello, it's difficult to answer your question. There are many causes of insomnia. However, if you have been experiencing persistent insomnia without resolution, it might be a good idea to spend a night at a sleep center for a more accurate diagnosis, which will help in provi...[Read More] Struggling with Insomnia After Lorazepam: Seeking Expert Advice
Choosing the Right OCD Treatment for Patients with Cardiovascular History
Consultation for Medications in the Treatment of Obsessive-Compulsive Disorder (OCD) Hello Dr. Lin, I am 39 years old and have experienced obsessive-compulsive symptoms over the years, but I have never sought treatment from a psychiatrist until a few months ago when my mother pas...
Dr. Lin Mianzhang Reply:
Hello JJ: SSRIs do indeed increase the risk of bleeding, especially when combined with anticoagulants. However, their use is not an absolute contraindication for individuals with cardiovascular or cerebrovascular diseases. If a clinical assessment indicates the need for these med...[Read More] Choosing the Right OCD Treatment for Patients with Cardiovascular History
Struggling with Memory Loss After Taking Sleeping Pills: What to Do?
Taking sleeping pills can lead to temporary memory loss the next day? Hello doctor, I have been taking the sleeping medications prescribed by my doctor, Lepec and Ulotin, and I can't remember a single word the next day. What should I do? Also, I once took 4-5 tablets of Ulot...
Dr. Wu Enliang Reply:
Indeed, sleeping pills can cause short-term memory impairment while the medication is active, but memory typically returns to normal after the drug is metabolized. There are many causes of insomnia, so it is advisable to seek a professional medical diagnosis and treatment rather ...[Read More] Struggling with Memory Loss After Taking Sleeping Pills: What to Do?
Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
I'm not sure what to do~ I hope the doctor can help me? Your question: Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and developed insomnia, which I never experienc...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of stomach pain. Whether this is related to the medication Lorazepam requires a professional diagnosis by a physician. ...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice
Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Can long-term use of gastric medications cause frequent urination and insomnia? Hello Dr. Wu, I started taking PPIs (proton pump inhibitors), sympatholytics, and relaxants for my stomach issues in May. Since August, I've been experiencing urgency to urinate at night, waking ...
Dr. Wu Enliang Reply:
There is currently no clear scientific evidence to prove that long-term use of gastric medications causes insomnia. Initially, I believed that taking psychiatric medications would quickly resolve my insomnia, but the prescription for Apo-Paroxetine indicated that I must take it c...[Read More] Can Long-Term Use of Stomach Medications Cause Insomnia and Frequent Urination?
Is rTMS an Effective Treatment for Insomnia?
Is rTMS effective for treating insomnia? Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and experienced insomnia, which I never had before. I deeply suspect that it is a ...
Dr. Qiu Junda Reply:
Hello. I don't have experience in this area and cannot share with you. However, rTMS (repetitive Transcranial Magnetic Stimulation) is primarily used to treat patients with treatment-resistant depression (currently out-of-pocket as it is not covered by insurance). It is rare...[Read More] Is rTMS an Effective Treatment for Insomnia?
Understanding Early Awakening After Recovery: Causes and Solutions
Experiencing "early awakening issues" after recovering from a confirmed diagnosis? Hello, Doctor: I have never had any sleep issues in the past, typically sleeping around 7 hours, falling asleep easily, and rarely experiencing sleep interruptions or oversleeping (usuall...
Dr. Wu Enliang Reply:
It is likely that the insomnia is not severe. It could also be a case of autonomic nervous system dysregulation. It is advisable to discuss your concerns and questions in person with your physician. Dr. Wu Enliang[Read More] Understanding Early Awakening After Recovery: Causes and Solutions
Memory Loss and Insomnia: Understanding Symptoms and Treatment Options
Memory decline and insomnia? Hello Doctor: 1. I am experiencing memory decline, often sitting and thinking about what I need to do, but when I stand up, I forget and have to wait a long time to remember, and sometimes I can't recall it at all. 2. I have been suffering fro...
Dr. Yu Quanxun Reply:
Hello: It sounds like the various physical discomforts you've been experiencing lately have caused you significant distress, possibly affecting your daily life. I can sense your anxiety regarding seeking medical attention and certain aspects of healthcare. During this troubl...[Read More] Memory Loss and Insomnia: Understanding Symptoms and Treatment Options
Should You Continue Mental Health Treatment at the Same Clinic?
Is it advisable to transfer to a psychiatric department after counseling within the same clinic? Hello, Doctor: Three years ago, I underwent about six counseling sessions. At that time, I assessed my emotional state as stable and had no issues in my life, so I discontinued the co...
Dr. Wu Enliang Reply:
It's important for patients to have access to nearby clinics for treatment. Proximity to care is crucial. - Dr. Wu Enliang[Read More] Should You Continue Mental Health Treatment at the Same Clinic?
Understanding Depression and Self-Harm in Adolescents: A Guide for Parents
Depression and self-harm? Hello, doctor. I am a 13-year-old student in the second year of junior high school. Since the end of June this year, I have been experiencing emotional breakdowns and prolonged states of physical and mental exhaustion. Every day, I feel extremely tired, ...
Dr. Li Guanying Reply:
Hello: It is a brave and challenging task to express complex and painful emotions, and I appreciate you reaching out. Based on your description, my initial assessment suggests that you may be experiencing depression combined with hypothyroidism and anemia. However, it is essentia...[Read More] Understanding Depression and Self-Harm in Adolescents: A Guide for Parents
Understanding the Lack of Empathy in Some Psychiatric Professionals
Confusion Regarding Psychiatric Physicians Hello Dr. Li Guanying, I would like to ask you a question regarding an experience I had with a child and adolescent psychiatrist at your hospital. Perhaps you can provide some insight from a psychiatrist's perspective on why a profe...
Dr. Li Guanying Reply:
Hello: Thank you for your letter expressing your feelings. It must have been very distressing and disappointing to feel that you were not empathized with during your recent visit and to be quickly labeled with certain comments. I understand that you have been trying hard to make ...[Read More] Understanding the Lack of Empathy in Some Psychiatric Professionals
Should I Seek Help? Navigating Emotional Low Points and Mental Health
Unsure whether to seek medical attention? Sometimes I feel particularly down, lacking the motivation to do anything, just wanting to zone out and sleep, or I find myself crying continuously. During these times, I wonder if I could rely on medication to alleviate my persistent low...
Dr. Qiu Junda Reply:
Hello. The text indicates that there are quite a few negative emotions that have caused significant physical and mental distress. It is advisable to seek medical attention. I recommend that you visit a mental health clinic as soon as possible to facilitate an early improvement in...[Read More] Should I Seek Help? Navigating Emotional Low Points and Mental Health
Understanding Military Service Exemptions for Mental Health Conditions
Military Service-Related Medical Certificate Hello, doctor. I have several questions that I hope to get your advice on. I have searched through various articles online but have been unable to find answers. Recently, due to my poor health, I temporarily suspended my studies and re...
Dr. Wu Enliang Reply:
I'm not sure about the military service physical examination part, so I suggest consulting the psychiatry department at a military hospital. Dr. Wu Enliang.[Read More] Understanding Military Service Exemptions for Mental Health Conditions
Understanding Medication Interactions and Mental Health Challenges
Psychological Counseling & Drug Interactions Previously, I didn't understand why, after a conflict with a colleague at work, I felt as if something inside me had broken. Since then, an inexplicable feeling has been brewing within me. At the start of work, I would feel an...
Dr. Lin Mianzhang Reply:
Hello, Xiao Hei: 1. You may not need to take medication for a lifetime; it depends on the specific condition you have and the severity of the disease. 2. Both medications are not addictive. 3. It is recommended to seek help from professional healthcare providers for better re...[Read More] Understanding Medication Interactions and Mental Health Challenges