Understanding Early Awakening Insomnia: Causes and Solutions
Early awakening insomnia Hello Doctor, I have been experiencing the following issues over the past two weeks: 1. After going to bed around 11 PM, I wake up shortly after (initially I would wake up at 5 AM, but now it's changed to 3 AM). I feel quite alert after waking up, bu...
Dr. Lin Mianzhang Reply:
Hi there! There are many reasons that can cause interruptions in sleep, including anxiety, depression, hormonal changes (such as during menstruation or pregnancy), and changes in daily routines. I suggest you reflect on any changes in your life over the past two weeks. Are you ex...[Read More] Understanding Early Awakening Insomnia: Causes and Solutions
Should You Continue Taking Antidepressants If Blood Pressure Rises?
Should I continue taking Li-Yu if my blood pressure has increased? Hello, doctor. A year and a half ago, I experienced high blood pressure of unknown origin, along with long-term insomnia, chest tightness, shortness of breath, night sweats, and other symptoms. I felt it was due t...
Dr. Qiu Junda Reply:
Hello. It is relatively uncommon to experience elevated blood pressure as a side effect. Your increase in blood pressure may not necessarily be related to the medication. I recommend that you return for a follow-up appointment to discuss this with your physician. If it is indeed ...[Read More] Should You Continue Taking Antidepressants If Blood Pressure Rises?
Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Obsessive-Compulsive Disorder (OCD), Schizophrenia, Emotional Disturbance? Hello, doctor. I have a few questions to ask you: 1. If a patient with obsessive-compulsive disorder (OCD) undergoes exposure and response prevention (ERP) therapy, what kind of results can typically be ...
Dr. Lin Mianzhang Reply:
Hello Tom: 1. The effectiveness of exposure and response prevention therapy is related to the severity of the condition and the frequency of practice. If the symptoms are relatively mild and you consistently practice at home, it is possible to see improvement of more than half ...[Read More] Understanding OCD, Schizophrenia, and Emotional Disturbances: Treatment Insights
Understanding Bullying and Its Impact on Mental Health: A Personal Journey
Bullying and Post-Traumatic Stress Disorder (PTSD) When I was in seventh grade, I experienced bullying and verbal harassment from my classmates, which made me feel isolated. No matter what I did, I was always alone. I often made uncomfortable excuses to skip school to avoid going...
Dr. Dai Wanxiang Reply:
Hello Student Y: Based on your description, it seems that your experience of being bullied has significantly impacted your emotions and daily life. You may be exhibiting symptoms consistent with post-traumatic stress disorder (PTSD), such as re-experiencing past trauma, avoidance...[Read More] Understanding Bullying and Its Impact on Mental Health: A Personal Journey
Managing Sleep Aid Side Effects: Seeking Help for Sexual Dysfunction
Drug side effects Doctor, I apologize for the interruption, but I would like to inquire about the long-term medications I am using. I take a sleep aid called Jing An Ning and another medication for insomnia called Rou Bai. The side effects of these medications have been affecting...
Dr. Xue Gengming Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Sleep Aid Side Effects: Seeking Help for Sexual Dysfunction
Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Is this a disease? When I am feeling down, my mind is sometimes filled with negative energy, but when I am happy, I feel more joyful than anyone else. However, I sometimes experience insomnia late at night, and my emotions seem to be in turmoil, often leading to breakdowns where ...
Dr. Qiu Junda Reply:
Hello. Regardless of whether it constitutes a condition such as depression, the text indeed indicates long-term negative emotions that are causing physical and mental distress. I recommend that you make time to visit a mental health clinic for counseling (you don't have to t...[Read More] Understanding Emotional Turmoil: Signs of Possible Mental Health Issues
Understanding Sleep Disorders: Anxiety and Its Impact on Rest
Sleep issues A few days ago, I experienced some anxiety due to an upcoming exam, which led to insomnia every night. Initially, I would suddenly experience sleep paralysis while trying to sleep, and this would happen two to three times in one night. I got used to it, but after a f...
Dr. Wu Enliang Reply:
It is possible that the symptoms may be caused by some anxiety issues. It is recommended to follow up with a consultation for further treatment. Dr. Wu Enliang.[Read More] Understanding Sleep Disorders: Anxiety and Its Impact on Rest
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why did I experience insomnia after stopping medication when I originally did not have any sleep issues? I previously took Lorazepam 0.5 mg for over three months, and after stopping the medication, I have been experiencing insomnia for more than nine months. I can fall asleep qui...
Dr. Lin Mianzhang Reply:
Hello, Xiao Cheng: Thank you for your hard work! It seems that your current insomnia may be a symptom of medication withdrawal. I recommend a gradual tapering approach to discontinue the medication, such as first reducing Lorazepam to half a tablet. If you can maintain stable sle...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Understanding Sleep Disturbances: Causes and Concerns for Students
Sleep issues Hello Doctor, I am a fourth-year student preparing for the national exam. Recently, my roommate told me that often after I fall asleep, they hear me call out, sometimes in a loud voice, sometimes just a soft "uh," and I even roll around in bed. However, whe...
Dr. Qiu Junda Reply:
Hello. The sleep issues described in the text do not initially appear to have significant pathological problems. They may be a reaction occurring in a state of semi-consciousness. These sleep problems could also be related to stress. However, it seems they are not having a major ...[Read More] Understanding Sleep Disturbances: Causes and Concerns for Students
Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and after stopping, I have been experiencing insomnia for more than nine months. I can fall asleep quickly, but I wake up after...
Dr. Qiu Junda Reply:
Hello. It is true that the use of benzodiazepines (BZD) can lead to dependence, resulting in insomnia after discontinuation. The duration for recovery varies from person to person and depends on the specific medication. However, the medication you are currently using, Silenor (do...[Read More] Why Insomnia Occurs After Stopping Lorazepam: Understanding Withdrawal Effects
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and after stopping the medication, I have been experiencing insomnia for over nine months. I can fall asleep quickly, but I wak...
Dr. Wu Enliang Reply:
It may be advisable for users to consider using longer-acting benzodiazepines such as Clonazepam or Diazepam instead of Lorazepam, as they may facilitate easier discontinuation (but this should still be discussed with your physician), and to enhance sleep hygiene. Dr. Wu En-Liang...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why Stopping Lorazepam Led to Persistent Insomnia: A Patient's Journey
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia. It has been over nine months since I stopped, and while I can fall asleep quic...
Dr. Yu Quanxun Reply:
Hello, based on your description in the letter, you are experiencing stomach pain and autonomic nervous system dysfunction. You have previously taken Lexapro but stopped the medication, and you are currently troubled by sleep issues, worrying that they may be a result of disconti...[Read More] Why Stopping Lorazepam Led to Persistent Insomnia: A Patient's Journey
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia for more than nine months. I can fall asleep quickly, but I wake up after 2 to ...
Dr. Yu Quanxun Reply:
Hello, based on your description in the letter, you are experiencing stomach pain and autonomic nervous system dysfunction. You have previously taken Lexapro but have since discontinued it, and you are currently troubled by sleep issues, worrying that they may be a result of stop...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Why does someone who originally did not have insomnia experience it after stopping medication? I previously took Lorazepam 0.5 mg for over three months, and stopping the medication has caused insomnia that has lasted for more than nine months. I can fall asleep quickly, but I wak...
Dr. Wang Yaoting Reply:
Hello: The dosage of Lorazepam 0.5 mg that you previously took is considered quite low. This dosage primarily provides anxiolytic effects and should not lead to significant or prolonged withdrawal symptoms. Insomnia may be related to your underlying condition or circadian rhythm ...[Read More] Understanding Insomnia After Stopping Lorazepam: Causes and Solutions
Am I Sick? Understanding Emotional Instability in Teens
Is my emotional instability a sign of illness? Hello, Doctor: I am a sophomore in high school, and I have been troubled by some issues for quite a while. I often feel down, and when I am alone in my room at night, I find myself thinking about things until I start crying. At schoo...
Dr. Wu Enliang Reply:
When someone is sick, their body may develop a fever, and their emotions can also become heightened. If you have a physical fever, it's important to see a doctor. Similarly, if you're experiencing emotional distress, it's crucial to seek help. If you're hesita...[Read More] Am I Sick? Understanding Emotional Instability in Teens
How Long Does It Take to Develop Dependence on Stilnox?
How long does it take for dependence to develop when taking Stilnox? Hello Doctor, I have been experiencing insomnia lately, possibly due to stress. I consulted a general practitioner, but since I live in a small area without a psychiatry department, the doctor prescribed Stilnox...
Dr. Wu Enliang Reply:
It is easy to develop dependence if sleeping pills are taken for more than a month. It is recommended to enhance sleep hygiene to improve sleep quality. If sleep issues persist, occasional use of sleeping pills is acceptable. - Dr. Wu Enliang[Read More] How Long Does It Take to Develop Dependence on Stilnox?
Understanding the Risks of Combining Alcohol and Sleep Medications
Side effects of Sitagliptin? Hello Dr. Wu, I would like to inquire about my partner who has been suffering from autonomic nervous system dysfunction and insomnia. They have been taking sleeping pills and psychiatric medications for over 10 years and have developed a dependence an...
Dr. Wu Enliang Reply:
Hello everyone, I think it's quite serious. Please consult a psychiatrist (psychosomatic medicine). Dr. Wu En-Liang.[Read More] Understanding the Risks of Combining Alcohol and Sleep Medications
Understanding Your Mental Health: Signs and Symptoms to Watch For
I've been constantly thinking about what's wrong with me? You may experience the following symptoms: prolonged hypersomnia, short episodes of insomnia, chest discomfort (a feeling of wanting to cry or a sense of oppression that makes breathing difficult), self-harm, tho...
Dr. Wu Enliang Reply:
It is highly possible that there may be some issues related to mental and physical health. It is recommended to consult a child and adolescent psychiatrist. Dr. Wu Enliang.[Read More] Understanding Your Mental Health: Signs and Symptoms to Watch For
Understanding Anxiety and Social Withdrawal: Seeking Help for Mental Health
Unsure if there is an illness? Hello, Doctor. I would like to ask you something. During my school years, I was very sociable, but after graduating and moving to northern Taiwan to work in Taipei without any friends or family, I experienced emotional setbacks and job changes. Grad...
Dr. Wang Yaoting Reply:
Hello: You don't need to worry about making a big deal out of your situation when scheduling an appointment with a mental health specialist. If you feel the need, go for a consultation, just like you would for a cold. Poor mental and physical health may be caused by hormonal...[Read More] Understanding Anxiety and Social Withdrawal: Seeking Help for Mental Health
Am I Sick? Understanding Sleepwalking and Its Implications
Does this situation qualify as an illness? Hello, this situation has been occurring for a long time, but recently I have noticed some different circumstances and would like to understand if this indicates that I am unwell. Since childhood, I have often sat up in bed at night and ...
Dr. Liang Sunyuan Reply:
Hello Ms. Lin: The situation you described may be a form of sleepwalking. However, if it occurs too frequently or involves potentially dangerous behaviors, it is advisable to visit a hospital for a sleep study.[Read More] Am I Sick? Understanding Sleepwalking and Its Implications