Managing Anxiety and Panic: Medication Options and Symptoms Explained
I haven't had an episode recently, but I feel very anxious? Hello Dr. Liao, I am experiencing anxiety and panic due to heart palpitations. I have been taking 20 mg of Cymbalta (duloxetine) twice daily, along with Xanax (alprazolam) as needed, 1-2 tablets per year. Despite ta...
Dr. Liao Dinglie Reply:
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. "Anxiety," on the other hand, is a persiste...[Read More] Managing Anxiety and Panic: Medication Options and Symptoms Explained
Managing Anxiety: Medication Insights and Treatment Options
Supplementary question? Hello Dr. Liao, I apologize for missing a few questions and wasting an online resource. I would like to ask you about my anxiety and panic due to missing doses. Currently, I am taking 40 mg of Prozac (Fluoxetine) and 0.5 mg of Xanax (Alprazolam) once befor...
Dr. Liao Dinglie Reply:
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. On the other hand, "anxiety" is a persisten...[Read More] Managing Anxiety: Medication Insights and Treatment Options
Understanding Insomnia and Medication Withdrawal in Mental Health
Insomnia and issues related to withdrawal from medication? Hello, Dr. Tsai! This February, I suddenly realized that I am already 45 years old. Although I am married, I have not had children, which makes me anxious and unable to sleep. Additionally, I am worried about my future be...
Dr. Cai Yunlin Reply:
Hello, Anxinping and Xinghuantuo belong to the benzodiazepine class and sedative-type antidepressants, respectively. They are commonly used in clinical practice to address insomnia issues. Anxinping generally has good safety profiles. When tapering off sleep medications, it is ad...[Read More] Understanding Insomnia and Medication Withdrawal in Mental Health
Do Antidepressants and Sedatives Cause Memory Issues and Lack of Focus?
Can taking medications (such as antidepressants or sedatives) cause side effects like sluggishness, forgetfulness, and difficulty concentrating? Hello Doctor: Recently, my work has not been going well, and I have been making more mistakes than before, which has caused me a lot of...
Dr. Liang Sunyuan Reply:
Hello: It is advisable to document the mistakes made at work and learn from them, as this can often help avoid repeating the same errors. Regarding the medication, it is recommended to discuss it with your physician during your follow-up appointment. Wishing you all the best.[Read More] Do Antidepressants and Sedatives Cause Memory Issues and Lack of Focus?
Managing Medication Side Effects: Memory Loss and Focus Issues in Psychiatry
Does taking medication always lead to problems such as poor memory, slow reaction times, and difficulty concentrating? Hello Doctor: Recently, work has been quite challenging, and I find myself making more mistakes than before, which has led to significant stress and feelings of ...
Dr. Liang Sunyuan Reply:
Hello: Some individuals may experience fatigue or difficulty concentrating after taking Rivotril, Alprazolam, or Lozepam. However, abruptly discontinuing these medications can also lead to rebound anxiety or insomnia. A better approach is to discuss this with your physician durin...[Read More] Managing Medication Side Effects: Memory Loss and Focus Issues in Psychiatry
Understanding Sleepwalking vs. Dissociation in Mental Health
Sleepwalking or dissociation? Hello, doctor. I am a patient diagnosed with Depression, PTSD, and BPD, and I have been under the care of a primary physician (though recently the hospital assigned me a new doctor whom I dislike). I have also been inconsistent with my medication (I ...
Dr. Wu Enliang Reply:
Hello, online friend: It could be sleepwalking. First, it's important to consider that it may be caused by sleep medications, as many people experience sleepwalking after taking Zolpidem. If this is the case, it is advisable to avoid using it. I recommend finding a trusted p...[Read More] Understanding Sleepwalking vs. Dissociation in Mental Health
Understanding the Risks of Polypharmacy in Psychiatry
Regarding the issue of drug interactions? Hello Doctor, Recently, I have been experiencing various neurological symptoms (dizziness, constipation, anxiety, etc.). Initially, I visited a psychiatrist who prescribed me Doxepin, which I took once a day. After some improvement, the...
Dr. Wu Enliang Reply:
Hello, netizen: The mechanisms of the two are different, so there will not be significant drug interactions between them. However, it is advisable to stick with one physician to avoid confusion, as psychiatry and psychosomatic medicine are completely the same field. Dr. Wu Enlian...[Read More] Understanding the Risks of Polypharmacy in Psychiatry
Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Stress, anxiety, and insomnia? Hello, doctor. I experienced significant stress during my childhood due to family issues, and I only moved out last year. However, I still don't understand why I can't relax; my body remains in a state of high tension, which often leads to...
Dr. Lin Mianzhang Reply:
Hello: If you have been unable to relax and are easily tense and anxious for a long time, you should consider whether you have an anxiety disorder. If so, it is not advisable to rely solely on sedative or sleep medications; you should also include antidepressants. In addition to ...[Read More] Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Managing Anxiety and Panic: Medication Guidance and Timing Tips
Anxiety and panic, medication recommendations? Hello Dr. Liao, I started experiencing anxiety and panic last year and have been taking (20mg of Sertraline twice daily + 0.5mg of Xanax once daily). I initially added half a tablet of Nortriptyline but later reduced it as per my doc...
Dr. Liao Dinglie Reply:
Hello, dear reader: I see a lot of contradictions in your letter. You want medication to help you, yet you also wish to avoid dependence on it. You have a physician assisting you, but you have doubts about their recommendations. Perhaps you also notice that you want your body to ...[Read More] Managing Anxiety and Panic: Medication Guidance and Timing Tips
Struggling with Toxic Words: A Daughter's Battle with Her Mother's Verbal Abuse
I can't stand my mother's words? I cannot accept her words, such as calling me a "slut" or "chicken." I really cannot tolerate her speech. She complains of headaches every day and goes to the hospital for check-ups, but I suspect the doctor has presc...
Dr. Wu Enliang Reply:
Hello, online friend: It can be challenging to interact with your mother, and I understand that you are going through a tough time. It's important to live your life for yourself, not just for your parents. If you find it difficult to interact with her and it affects your emo...[Read More] Struggling with Toxic Words: A Daughter's Battle with Her Mother's Verbal Abuse
Overcoming Anxiety and Panic: Seeking Help from a Specialist
I really feel helpless and need Dr. Liao's expertise! Hello Dr. Liao, thank you for your dedication and professionalism in addressing everyone’s concerns. After reading your previous responses, I believe you are a very competent physician. I apologize for the lengthy message...
Dr. Liao Dinglie Reply:
Hello, online friend: Your description indeed reflects typical panic disorder combined with anxiety disorder. Medications such as Xibin capsules (20mg), Xanax (0.5mg), and Ental (10mg) are standard treatments for these symptoms. This condition can cast a significant shadow over o...[Read More] Overcoming Anxiety and Panic: Seeking Help from a Specialist
Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Experiencing anxiety and panic symptoms following missed heartbeats, please consult a physician? Hello Dr. Wang, thank you for your dedication and professionalism in addressing everyone's concerns. After reading your previous responses, I believe you are a very knowledgeable...
Dr. Wang Yaoting Reply:
Hello: Anxiety disorders and autonomic nervous system dysregulation often influence each other, creating a vicious cycle that typically requires some changes for improvement. Most causes of onset are not due to a single event; both physiological and psychological factors may cont...[Read More] Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Can I Take Anxiety or Heart Medications Before Moderna Vaccine?
Is it safe for individuals with autonomic nervous system disorders to take medications such as Jing An Ning or Xin Lv Ding when receiving vaccinations? Dear Dr. Lin, I recently received a notification to receive the Moderna vaccine. I have autonomic nervous system dysregulation,...
Dr. Lin Mianzhang Reply:
Hello Xiaolin: You can continue taking your heart rhythm medication and Jing'an Ning, as they will not interact with the vaccine. Please rest assured. Wishing you peace and health![Read More] Can I Take Anxiety or Heart Medications Before Moderna Vaccine?
Weight Gain Concerns with Sertraline During Pregnancy: What to Know
Issues related to weight gain associated with Seroquel? Hello, Doctor! I am a 36-week pregnant woman. I have been taking psychiatric medications for many years before pregnancy and started to reduce my dosage after becoming pregnant. In the mid to late stages of my pregnancy, I b...
Dr. Li Zhengfeng Reply:
Hello: Weight gain from taking Seroquel varies from person to person. For some, it is quite noticeable, while for others it is less so, usually due to increased appetite. Generally, the higher the dosage, the more pronounced the effect. A dosage of 50 mg is not considered high. T...[Read More] Weight Gain Concerns with Sertraline During Pregnancy: What to Know
Struggling with Grief: Living in the Shadow of Loss and Regret
Living in the past? Hello, doctor. I have been suffering from a mental illness for over 20 years, starting from when I was 20 years old. My mother passed away in 2007, and I have been unable to move on! Over a decade has passed, and I am still living in the past, especially durin...
Dr. Wu Enliang Reply:
Hello, internet user: These feelings of guilt, anger, and resentment can cause significant disruptions in your life. It is advisable to discuss these issues with a psychiatrist or psychologist who has been caring for you long-term. Clinically, I have seen many individuals improve...[Read More] Struggling with Grief: Living in the Shadow of Loss and Regret
Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Regarding medications and physiological issues? I would like to ask—last year, due to high stress, I experienced hyperventilation and muscle spasms in my hands and feet during an emotional episode. My hands often felt numb and shaky. After consulting a cardiologist and finding no...
Dr. Lin Mianzhang Reply:
Hello Judy: It seems that after adjusting your medication, your initial response has been quite good. Your burping may be due to swallowing air when you take deep breaths out of nervousness. Your medication dosage is within the normal range, and this issue did not occur when you ...[Read More] Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Managing Anxiety Medication Timing for Driving Test Success
Worried that the medication may not be effective after a long time has passed since taking it? I get so nervous during my motorcycle road test that my hands and feet shake, and my hands feel weak. I have Xanax 10mg, but my next test is a backup, and I don't know what time it...
Dr. Wu Enliang Reply:
Hello, online user: These medications do have some anxiolytic effects, but their use requires a detailed assessment of the individual's condition, considering both the benefits and risks, as well as potential side effects. For example, medications like Sertraline may trigger...[Read More] Managing Anxiety Medication Timing for Driving Test Success
Do Antidepressants Affect Autonomic Nervous System Function?
Do antidepressant medications affect the autonomic nervous system? Hello Dr. Wu, I recently had a health check-up, and the report mentioned that my autonomic nervous system shows signs of premature aging (with a low health index regarding cardiac load under external stress) and t...
Dr. Wu Enliang Reply:
Hello, internet user: These medications are all used simultaneously to treat autonomic nervous system disorders. Such levels indicate that anxiety is too high, so it's important to focus on relaxation. There is no need to consult another physician; you can simply ask your or...[Read More] Do Antidepressants Affect Autonomic Nervous System Function?
Navigating Medication Challenges in Schizophrenia Treatment
Medication issues Hello, doctor. Since April 2018, I have felt that something is not right with me. I have been obsessively thinking about past events or forcing myself to think about things, which has made me very unhappy upon waking up, and I realized that I was in trouble beca...
Dr. Wu Enliang Reply:
Hello, internet user: It is recommended to continue collaborating with your trusted physician. The effectiveness of long-acting injections and oral medications is comparable, or even better (since there is no issue of forgetting to take the medication), making it a good option. D...[Read More] Navigating Medication Challenges in Schizophrenia Treatment
Understanding Throat Discomfort: Is It Related to Anxiety or GERD?
Throat issues Hello, Dr. Wu. For the past six months, I have been experiencing a sensation of swelling and tightness in my throat (within a few centimeters below the Adam's apple), which feels somewhat like being lightly struck around the area of the Adam's apple. I do ...
Dr. Wu Enliang Reply:
Hello, netizen: Dysautonomia can indeed present with similar symptoms, commonly referred to as "globus sensation." It is advisable to consider seeking medical attention at a mental health facility. Dr. Wu Enliang[Read More] Understanding Throat Discomfort: Is It Related to Anxiety or GERD?