Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Auditory hallucinations and insomnia? I have been ill for a long time, for four years. My condition has not improved during this time, especially my memory has deteriorated significantly. Since my girlfriend committed suicide by carbon monoxide poisoning, my auditory hallucinatio...
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] Coping with Auditory Hallucinations and Insomnia: A Personal Journey
Can Depression Medication Be Prescribed as a Chronic Prescription?
Can I switch to a chronic prescription for medication? Hello, doctor. A family member has been taking medication for depression (anxiety, panic, insomnia) for nearly twenty years (picking up prescriptions every 28 days at a major hospital). Recently, they have also developed epil...
Dr. Wu Enliang Reply:
Hello, online user: Theoretically, a chronic prescription should be possible, but the physician may have their clinical judgment, or some hospitals may have internal regulations that restrict the issuance of prescriptions for controlled substances, etc. Dr. Wu Enliang.[Read More] Can Depression Medication Be Prescribed as a Chronic Prescription?
Struggling to Sleep After Medication: Understanding Sleep Disruptions
When the effects of the sleeping medication wear off, one may wake up and find it difficult to fall back asleep? Hello, I started treatment for bipolar disorder five years ago. Currently, I take two Lamictal (lamotrigine) at night, two Lithium (lithium carbonate) capsules, one Se...
Dr. Lin Mianzhang Reply:
Hello Rick: The medications you are currently taking do not have any conflicting issues. To address the problem of waking up early, it is important to understand when this sleep pattern began and whether it is related to any changes in your medication. Additionally, have there be...[Read More] Struggling to Sleep After Medication: Understanding Sleep Disruptions
Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Hypersomnia, dissociation, depression? Hello Doctor: I have been diagnosed with depression, dissociative disorder, panic disorder, and anxiety disorder. Before bed, I take half a tablet of Zolpidem, one tablet of Alprazolam, one tablet of Quetiapine, two tablets of Buspirone, and...
Dr. Wu Enliang Reply:
Hello, online friend: It is also possible that the medication taken before bed is too strong. As your condition improves, you may gradually need less of this medication. I suggest discussing this with your physician. Dr. Wu Enliang[Read More] Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Managing Relapse in Autonomic Nervous System Disorders: Medication Insights
Issues with Medication for Autonomic Nervous System Dysregulation Hello Doctor: Previously, I experienced persistent dizziness, headaches, a feeling of tightness in my head, and elevated intraocular pressure. After being diagnosed with autonomic nervous system dysregulation by a ...
Dr. Wang Yaoting Reply:
Hello: **If symptoms suddenly recur without any apparent reason, it is advisable to visit a hospital for a general examination regarding the discomfort. If most results are normal or only show mild abnormalities that cannot explain the bodily discomfort, it may indicate a relapse...[Read More] Managing Relapse in Autonomic Nervous System Disorders: Medication Insights
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Overcoming Social Anxiety: Strategies for Public Speaking Success
Social Anxiety Disorder Hello, doctor. I've noticed that I start feeling very anxious a week before I have to give a presentation, and it even affects my sleep. I'm really afraid of speaking in front of others, and I know that this anxiety is an overreaction. I believe ...
Dr. Lin Mianzhang Reply:
Hello Fina: It's completely normal to feel nervous before going on stage; most people experience this to varying degrees. However, if you find yourself feeling anxious starting a week prior, to the point that it affects your sleep, I would recommend seeking help from a psych...[Read More] Overcoming Social Anxiety: Strategies for Public Speaking Success
Understanding Anxiety: Coping with Pest-Related Fears and Obsessions
What is wrong with me...? Hello, doctor: About 1.2 weeks ago, we had a pest problem in our room (mostly ants, along with other insects). After addressing the issue, a problem arose. Since the day the pest issue occurred, I feel compelled to check the room repeatedly at intervals ...
Dr. Wu Enliang Reply:
Hello, internet user: It seems that your anxiety is quite severe, and you may need to consider short-term treatment with some anxiolytic medications along with relaxation training. It is advisable to consult a psychiatrist (or a psychosomatic specialist). You can download the Moo...[Read More] Understanding Anxiety: Coping with Pest-Related Fears and Obsessions
Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Can anxiety cause difficulty in urination? Hello, doctor. Recently, while I was walking, I suddenly experienced palpitations, a rapid heartbeat, chest tightness, chest pain, and difficulty breathing. I went to the emergency room, where the doctor diagnosed me with gastroesophagea...
Dr. Wu Enliang Reply:
Hello, netizen: Difficulty in urination is considered a rare side effect of this medication. If you are concerned, you should discuss with your physician whether to switch medications; otherwise, it generally improves over time. Dr. Wu Enliang[Read More] Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system dysfunction? Hello Dr. Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks. I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system...
Dr. Wang Yaoting Reply:
Hello: **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, ...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Medication Issue - I was prescribed Abilify by my doctor for panic and anxiety disorders, but it has made my anxiety worse? Hello, Doctor. I have a severe panic disorder and health anxiety, which seems to be hereditary as some of my cousins have obsessive-compulsive disorder and ...
Dr. Lin Mianzhang Reply:
Hello Ah-Heng: I can sense that your anxiety level is quite high, and I empathize with you! Abilify can be used to treat schizophrenia (previously referred to as psychosis), bipolar disorder, and other major mental illnesses. Additionally, it can serve as an adjunct treatment for...[Read More] Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Long-Acting Injections: A Solution for Schizophrenia Treatment?
Long-acting injectable medication If medication treatment is not successful, would injectable forms of treatment be more effective? I am referring to schizophrenia. Additionally, if someone frequently watches adult films and becomes overly aware of their genital sensations, leadi...
Dr. Wang Yaoting Reply:
Hello: The active ingredients in long-acting injectable antipsychotics are actually the same as those in oral medications, so it is advisable to first find an oral medication that suits you before switching to a long-acting injection. The benefit of the new generation of long-act...[Read More] Long-Acting Injections: A Solution for Schizophrenia Treatment?
Managing Severe Medication Side Effects and Insomnia in Psychiatry
Side effects and insomnia issues? Hello, doctor. I have two questions to ask: 1. I experience severe nausea as a side effect of my medication. Several times after taking the medication, I vomited everything, and there have even been instances where I vomited into a drainage dit...
Dr. Wu Enliang Reply:
Hello, I have a serious issue with nausea as a side effect of my medication. Several times after taking the medication, I have vomited everything, and there have even been instances where I vomited into a gutter while walking. I have confirmed that it is not a stomach issue, but ...[Read More] Managing Severe Medication Side Effects and Insomnia in Psychiatry
Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective
Recently, I keep thinking about someone I lost contact with, which is causing emotional distress? Hello, doctor. In recent weeks, I have been frequently thinking about my elders, colleagues, friends, and classmates from the past. These individuals are essentially completely out o...
Dr. Wu Enliang Reply:
Hello, netizen: There are medications available that can alleviate such anxiety. It is also recommended to learn relaxation techniques, change your mood, engage in activities you enjoy, and exercise regularly. If the anxiety persists for more than a month, it is advisable to seek...[Read More] Understanding Emotional Distress from Missing Connections: A Psychiatric Perspective
Managing GERD: The Impact of Antidepressants and Treatment Options
Medications for gastroesophageal reflux disease (GERD)? Hello, Doctor: Since February of this year, I have been experiencing gastroesophageal reflux disease (GERD) and acid reflux. My symptoms include a sensation of excessive stomach acid, resulting in a burning feeling in my sto...
Dr. Wang Yaoting Reply:
Hello: 1. Two medications can be taken together, and it is recommended to pair them with a gastric medication. 2. These medications belong to the benzodiazepine class (abbreviated as BZD), which can be used clinically to treat anxiety and insomnia. They can be taken with PPIs wit...[Read More] Managing GERD: The Impact of Antidepressants and Treatment Options
Understanding Withdrawal Symptoms and Their Impact on Mental Health
Various discomforts experienced by the body after drug withdrawal? Hello Doctor: I do not have a history of anxiety or depression, have never taken such medications, and do not experience insomnia, headaches, or stiffness in my shoulders and neck. About a year ago, I felt a sensa...
Dr. Wu Enliang Reply:
Hello, user: 1. Could my symptoms be caused by autonomic nervous system imbalance after stopping these medications? The symptoms of autonomic nervous system dysregulation are quite complex and variable, including dizziness, chest tightness, palpitations, difficulty inhaling, mus...[Read More] Understanding Withdrawal Symptoms and Their Impact on Mental Health
Managing Negative Symptoms of Schizophrenia: Fatigue and Weakness Solutions
Schizophrenia, negative symptoms, poor mental state, physical weakness? Thank you for your previous response, Doctor. I am Ah-Hua, and my last question was about schizophrenia. During the day, I feel very low in energy, mentally unwell, tired, and experience a lot of fatigue and ...
Dr. Lin Mianzhang Reply:
Hello Ah Hua: If the symptoms you mentioned persist even after stopping the medication, they are unlikely to be caused by drug side effects. However, in addition to the negative symptoms of schizophrenia, depression can also present similar symptoms. Therefore, it is important to...[Read More] Managing Negative Symptoms of Schizophrenia: Fatigue and Weakness Solutions
Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions
Schizophrenia (Medication Consultation) I previously sent you a message regarding my feelings of guilt and self-blame. Despite the uncertainty of the situation, I have an overwhelming sense of energy that convinces me I have done something wrong. I feel an intense need to compens...
Dr. Lin Mianzhang Reply:
Hello Han Han: For this type of delusion, if there are no accompanying symptoms of depression, anxiety, or obsessive-compulsive disorder, the primary treatment would still be antipsychotic medications. If neither Seroquel (quetiapine) nor Abilify (aripiprazole) is effective, it m...[Read More] Understanding Schizophrenia: Seeking Medication for Guilt-Driven Delusions
Understanding the Dopamine and Norepinephrine Release in ADHD Medications
Issues related to ADHD medications? Previously, it was inquired whether the adrenal medulla secretes both norepinephrine and dopamine simultaneously. Are both substances secreted in high quantities, or is the secretion of dopamine comparatively lower?
Dr. Peng Liyun Reply:
Hello, the pharmacological action of Sirex is to increase the concentrations of norepinephrine and dopamine in the brain. The drug primarily acts by inhibiting the reuptake of norepinephrine receptors, which in turn affects the reuptake of dopamine. This mechanism does not involv...[Read More] Understanding the Dopamine and Norepinephrine Release in ADHD Medications
Managing Schizophrenia: Coping with Fatigue and Medication Challenges
Schizophrenia, feeling tired during the day, experiencing physical weakness, and a significant sense of fatigue? Hello Dr. Hsueh, I have been diagnosed with schizophrenia for three years and have been continuously undergoing medication treatment during this time. I have switche...
Dr. Xue Gengming Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Managing Schizophrenia: Coping with Fatigue and Medication Challenges