Insomnia, Psychiatry FAQ - Page 9

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Understanding Insomnia: Causes, Symptoms, and Treatment Options

Insomnia issues Hello Doctor, I have been experiencing insomnia for the past two weeks. During the first week, I thought it was due to noise from my neighbors, so I took half a tablet of Ambien and was able to fall asleep. However, in the second week, even though it was quiet at ...


Dr. Wu Enliang Reply:
Hello, everyone: There are many causes of insomnia, with common reasons being anxiety, depression, or poor sleep hygiene. Physical health issues are secondary. Therefore, it is still recommended to collaborate with your psychiatrist. Dr. Wu Enliang

[Read More] Understanding Insomnia: Causes, Symptoms, and Treatment Options


Managing Anxiety: Can You Combine Medications with Supplements Safely?

About Anxiety Disorders Hello Doctor, I would like to ask a question. I am currently taking medication for anxiety, specifically Xanax 0.25 mg and Entact 10 mg. Can I take these two medications together with B vitamins or fish oil? Additionally, while these medications seem to be...


Dr. Qiu Junda Reply:
Hello: 1. It can be taken together with B vitamins or fish oil. 2. These two medications can be used multiple times a day depending on the condition, so they can be taken in the morning and evening. However, it is important to discuss and evaluate the appropriate dosage with your...

[Read More] Managing Anxiety: Can You Combine Medications with Supplements Safely?


Understanding Paranoia: Coping with Family Conflict and Mental Health

Paranoia Hello Dr. Wu: For the past six months, I have been in conflict with my mother, who strongly suspects that my boyfriend is trying to deceive me for my house and money. My father has also been persuaded by her to confront me, leading to intense arguments multiple times, ev...


Dr. Wu Enliang Reply:
It is advisable for the patient to discuss the issues causing distress with their physician. If possible, the physician could arrange for family therapy and invite the patient's mother to participate in the discussion. If the situation becomes too overwhelming, it may be bes...

[Read More] Understanding Paranoia: Coping with Family Conflict and Mental Health


Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello doctor, a few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I faced them with my teacher in a confrontation, they always claimed they had no issues with me, but in reality, they openly mocked...


Dr. Lin Mianzhang Reply:
Hello, classmate: Your situation requires an in-person evaluation by a physician to make a clear diagnosis! It could be just an adjustment disorder, or it might be anxiety disorder, depression, or other conditions. I recommend that you seek medical attention in person to receive ...

[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help


Understanding Autonomic Nervous System Dysregulation and Its Treatment

Autonomic nervous system dysfunction Hello Doctor, I have issues with obesity and hypertension. Recently, I experienced episodes of rapid heartbeat accompanied by feelings of fear and cold extremities during the night, which lasted intermittently for about half an hour. For the p...


Dr. Qiu Junda Reply:
Hello. 1. There is indeed a possibility of autonomic nervous system dysfunction. It is treatable, so please do not worry. 2. Medications can help improve the condition. The duration of the treatment should be discussed with your primary physician. 3. It may have an impact, but th...

[Read More] Understanding Autonomic Nervous System Dysregulation and Its Treatment


Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms

I previously asked (#178901) whether this can be considered "obsessive thinking" within the context of obsessive-compulsive disorder (OCD)? Hello, Doctor: Last semester, due to the stress of preparing for exams, I came across information online suggesting that masturbat...


Dr. Wang Yaoting Reply:
Hello: I apologize for the late response. The definition of obsessive thoughts in obsessive-compulsive disorder (OCD) refers to the presence of unwanted, repetitive thoughts, images, or impulses that a person experiences. For example, a persistent fear of dirtiness may lead to ir...

[Read More] Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms


Managing Schizophrenia: Medication Challenges and Anxiety Concerns

Medication use in schizophrenia and accompanying anxiety? Hello, doctor. I am here to ask a question because a family member is suffering from this illness. Four years ago, my brother was diagnosed with schizophrenia, experiencing auditory hallucinations and delusions. He took me...


Dr. Lin Mianzhang Reply:
Hello A-Cheng: The condition of schizophrenia can sometimes be influenced by changes in life stress, daily routines, and medication adherence. Even with regular medication, symptoms can fluctuate. Therefore, your brother's changes in condition may require careful evaluation ...

[Read More] Managing Schizophrenia: Medication Challenges and Anxiety Concerns


Medication Concerns for Severe Sleepiness in Depression Patients

Medication issues related to severe hypersomnia in depression? Hello, my situation is that I had visited a hospital for treatment and medication about a year ago. After that, I stopped taking the medication for nearly a year, but recently I noticed that my symptoms have returned,...


Dr. Qiu Junda Reply:
Hello. Sometimes, excessive sleepiness can resemble a lack of motivation, and both may be symptoms of depression. However, the quality of sleep may be poor. If you have informed your doctor about your excessive sleep, and they still prescribed sleeping pills, there may be specifi...

[Read More] Medication Concerns for Severe Sleepiness in Depression Patients


Understanding Psychological Symptoms: When to Seek Psychiatric Help

Psychological symptoms Hello, doctor. Recently, I have been experiencing restlessness, extreme anxiety, difficulty concentrating, mood swings, insomnia, a heavy feeling in my head, tinnitus, dizziness, frequent urination, and even thoughts of self-harm. I'm not sure which sp...


Dr. Wang Yaoting Reply:
Hello: If this is the first time experiencing such symptoms, it is recommended to first visit the internal medicine or otolaryngology department for a general examination regarding the discomfort (tinnitus, dizziness, frequent urination). If most results are normal or only show m...

[Read More] Understanding Psychological Symptoms: When to Seek Psychiatric Help


Managing Anxiety and Intrusive Thoughts: A Guide for Students

Psychological counseling Hello, Doctor: Last semester, due to the stress of preparing for exams, I came across information online suggesting that masturbation could relieve stress, so I started to try it. Since then, I have been masturbating whenever I feel the urge. Recently, I ...


Dr. Wang Yaoting Reply:
Hello: Everyone is born with sexual needs and impulses, which typically diminish with age, but some individuals may not experience this decline, or it may even worsen. If such thoughts occur occasionally without affecting normal life, work, or interpersonal relationships, it can ...

[Read More] Managing Anxiety and Intrusive Thoughts: A Guide for Students


Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions

I have been prescribed Lexotan for gastric pain due to autonomic nervous system disorder, but I still have insomnia after stopping the medication. What should I do? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam f...


Dr. Yan Congyou Reply:
Hello: Based on your situation, it is recommended to combine other treatments for autonomic nervous system disorders, such as serotonin reuptake inhibitors. Additionally, insomnia is one of the symptoms of autonomic nervous system dysregulation and needs to be treated concurrentl...

[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions


Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, Doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated. When confronted face-to-face with the teacher, they always claimed to have no issues with me, but in reality, they openly mocked me, wh...


Dr. Lin Mianzhang Reply:
Hi there! I can sense that you are really anxious, as you've asked the same question multiple times. You might be experiencing symptoms of anxiety disorder. I recommend that you seek help from a mental health professional as soon as possible, as it could help improve your an...

[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help


Understanding Bipolar Disorder: Key Questions and Concerns Addressed

Consultation on Bipolar Disorder Hello, doctor! Thank you for taking the time to respond to my concerns despite your busy schedule. A family member of mine (in their 20s) recently exhibited some symptoms such as racing thoughts, talking to themselves, having an inflated sense of ...


Dr. Xue Gengming Reply:
It is recommended to first visit a psychosomatic medicine clinic to determine if any relevant examinations are needed. Thank you, and wishing you good health!

[Read More] Understanding Bipolar Disorder: Key Questions and Concerns Addressed


Navigating Medication Hesitation in Mental Health Treatment

Hesitation in taking medication? Hello Doctor, I have been experiencing irregular episodes of rapid heartbeat (90 bpm while lying down, 100-120 bpm while sitting) and chest tightness. I went to the emergency room where blood tests and X-rays indicated that my heart is fine. Subse...


Dr. Wu Enliang Reply:
1. A friend mentioned that the doctor said Epram and Leeyo have the same effect, and Leeyo should be fine. However, the doctor prescribed me a different medication at a dosage of 10mg. I am a bit apprehensive about the initial 5mg of Leeyo since this new medication is similar, an...

[Read More] Navigating Medication Hesitation in Mental Health Treatment


Managing Schizophrenia: Coping with Insomnia, Mood Swings, and Nausea

Schizophrenia, insomnia, emotional instability, depression? Dear Doctor, I was diagnosed with schizophrenia at the age of 29-30, and I have been undergoing treatment until now at 36 years old. I have been taking 4 tablets of Seroquel, 2 tablets of Restoril, 1 tablet of Abilify, 1...


Dr. Xue Gengming Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

[Read More] Managing Schizophrenia: Coping with Insomnia, Mood Swings, and Nausea


Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, they openly mocke...


Dr. Lin Mianzhang Reply:
Hi there! I can sense your anxiety and concerns. Although I have previously addressed your questions, if you are still feeling worried, I strongly recommend that you seek medical attention as soon as possible. Anxiety disorder is just a diagnosis; even if you have it, it's e...

[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help


When Will Sleep Disorders Improve After Stopping Lorazepam?

When will the sleep disturbances caused by discontinuing medication for six months improve? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam for over three months at a dosage of 0.5 mg before bedtime. After disconti...


Dr. Peng Liyun Reply:
Hello, I understand your concerns. It is uncommon to experience insomnia due to withdrawal from a low dose of Lamotrigine after discontinuation for six months. I recommend a reevaluation of your insomnia and autonomic nervous system dysregulation, and it is important to rule out ...

[Read More] When Will Sleep Disorders Improve After Stopping Lorazepam?


Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, Doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated significantly. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, the...


Dr. Lin Mianzhang Reply:
Hi there! I can sense your anxiety and concern. Although I've previously addressed your questions, if you're still feeling worried, I recommend seeking medical attention as soon as possible. Anxiety disorder is just a diagnosis; even if you have it, it's essential ...

[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help


Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help

Does this qualify as an anxiety disorder? Hello, doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, they openly mocke...


Dr. Lin Mianzhang Reply:
Hi there! It seems that the changes in your relationships with classmates have affected not only your emotions but also led to physical symptoms such as insomnia and nausea. While anxiety appears to be the primary symptom, it is important to assess whether you may also be experie...

[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help


Vitamin B12 and D Deficiency: Are They Causing Your Anxiety and Insomnia?

Concern about insufficient levels of vitamin B12 and vitamin D in health check-up? Hello, doctor. I recently found out during a health check that I have deficiencies in vitamin B12 and vitamin D. After researching online, I discovered that these deficiencies can cause anxiety and...


Dr. Wu Enliang Reply:
Hello, netizen: It will only slightly increase the risk of these symptoms. Dr. Wu Enliang.

[Read More] Vitamin B12 and D Deficiency: Are They Causing Your Anxiety and Insomnia?


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