Medications, Psychiatry FAQ

Understanding Panic Attacks: Symptoms and Self-Harm Concerns

Is it panic disorder? Hello doctor, on December 29th while I was at work, I suddenly felt very upset and wanted to cry. Later, I felt like I couldn't breathe. I was taking deep breaths forcefully, and before long, I seemed to lose control, biting and pinching the back of my ...

Dr. Liang Sunyuan Reply:
Hello Abby: Typical panic attacks usually do not involve thoughts of self-harm. At that moment, you may feel very agitated, but it is advisable to calm yourself down and slowly reflect on what events or thoughts are making you feel uncomfortable. Both depression and panic can man...

Understanding Depression Medication: Side Effects and Alternatives

Depression Medication Consultation Hello Doctor: I was diagnosed with polycystic ovary syndrome (PCOS) in January last year and started taking Yaz to regulate my menstrual cycle in mid-February. Around March last year, I began to experience feelings of depression and low mood. I ...

Dr. Qiu Junda Reply:
Hello. If you are experiencing weight gain and worsening depression as side effects from taking birth control pills, it is advisable to discuss with your physician whether to discontinue the medication. Regarding the psychiatric medications you are taking, antidepressants are gen...

Should I Stop or Continue My Antidepressant Medication?

Change of medication or discontinuation of medication? Hello, I have recently been taking antidepressants and have developed suicidal thoughts. I have heard that one of the side effects of these medications may be an increase in suicidal ideation. Should I stop taking the medicat...

Dr. Wu Enliang Reply:
Hello: There have indeed been sporadic case reports of some children and young adults (such as yourself at 21 years old) experiencing suicidal thoughts prior to starting antidepressants. However, the numbers are too small to have statistical significance, making it difficult to d...

Improving Focus: Medications for Attention Issues Beyond ADHD

Regarding attention? Hello, doctor. I would like to ask, I heard that if someone does not have ADHD, taking ADHD medication will not improve attention. If a person does not have ADHD but has another mental condition that causes difficulty in concentrating, or if they are naturall...

Dr. Wu Enliang Reply:
Hello: Currently, there are no medications with sufficient evidence to improve attention. If it is not caused by anxiety, depression, or other factors, it is recommended to ensure adequate sleep, engage in regular exercise, and maintain a healthy diet, as this will naturally enha...

Overcoming Sleep Issues Linked to Anxiety and Jaw Tension

Sleep issues Hello, doctor. About 20 years ago, before I graduated from graduate school, I experienced extreme panic due to concerns about completing my thesis. To muster the courage to finish it, I took deep breaths to overcome my fear. However, due to excessive inhalation, I de...

Dr. Wu Enliang Reply:
Have you visited a large hospital for dental care? Gum tightness is often caused by periodontal disease or malocclusion. Are your teeth indeed fine? If there are no issues, you might consider discussing with your prescribing physician about arranging biofeedback training or addin...

Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options

Anxiety Panic Disorder I often experience anxiety or negative thoughts, and whenever these thoughts arise, I feel chest tightness and headaches. I've noticed that the more I try to counter these thoughts with positive thinking, the more panic I feel in my body. This happens ...

Dr. Wu Enliang Reply:
Hello, Xiao Bai: If you are unable to manage your anxiety on your own, it is indeed necessary to seek medical attention. In fact, certain physical issues, such as thyroid dysfunction, can also lead to intolerable anxiety responses. Whether medication is needed should be discussed...

Understanding Autonomic Nervous System Disorders: Causes, Symptoms, and Treatments

Autonomic Nervous System Dysregulation I have been suffering from autonomic nervous system dysfunction for four years. I take 5-HTP, eat bananas daily, and walk for 30 minutes every day. I haven't touched tea or coffee for over a year, but nothing seems to help. Additionally...

Dr. Qiu Junda Reply:
Hello: Autonomic nervous system disorders are often accompanied by anxiety, panic, and depressive emotions. Common treatments include anxiolytics and antidepressants. If you feel that your treatment is not effective, you may discuss the necessity of combining psychological therap...

Understanding Medication for Anxiety: Common Concerns and Side Effects

Questions about pharmacological treatment for anxiety disorders? Hello, doctor. I am currently a freshman in college, and I often excessively worry about my health (I tend to magnify minor discomforts, search online for disease articles, and remain anxious until symptoms resolve....

Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Generally, side effects caused by medications tend to become less severe over time as the body adapts. There are many reasons for fatigue, and it is not necessarily caused by medication; anxiety itself can be quite draining, and being in a constant state of anx...

Managing Autonomic Nervous System Disorders: Tips and Treatment Options

Regarding autonomic nervous system dysfunction? I have been suffering from autonomic nervous system dysfunction for two years. 1. Besides caffeine and spicy foods, what else should I avoid? Can I eat foods like onions, garlic, and ginger? 2. Are palpitations and chest tightnes...

Dr. Qiu Junda Reply:
Hello: 1. Foods such as scallions, garlic, and ginger can be consumed. 2. Palpitations caused by autonomic nervous system dysregulation are symptoms of imbalance and do not constitute a true cardiovascular disease. 3. Nutritional supplements are not therapeutic medications and ca...

Overcoming Procrastination Challenges in ADHD: Seeking Solutions

Severe procrastination issues in ADHD? I am an ADHD patient, and I have no problem focusing on my studies at school or in the library. However, on weekends, because there is no one to hold me accountable, I often end up procrastinating. I set a goal to study from 1 PM to 7 PM, bu...

Dr. Song Chengxian Reply:
Hello, Ah Han: Procrastination and poor planning are indeed common issues faced by individuals with Attention Deficit Hyperactivity Disorder (ADHD). If you have been receiving treatment, it is advisable to discuss your situation with a professional who is familiar with your condi...

Understanding Anxiety, Panic, and Depression: Navigating Mental Health Challenges

Anxiety disorders, panic disorders, depression? Hello, doctor. I would like to ask: About a year ago (September 2016), I experienced a significant dizziness upon waking up one day, which startled me. I quickly lay down to rest for a while, and it got better. However, since that d...

Dr. Liang Sunyuan Reply:
Hello, Avi: Selective serotonin reuptake inhibitors (SSRIs) are effective in treating panic, anxiety, and depression, as anxiety can produce similar symptoms. However, these medications typically take three to six weeks of consistent use before their effects stabilize. It is reco...

Managing ADHD: Is Medication Necessary for Safe Riding and Focus?

Is it suitable for individuals with ADHD to ride a motorcycle, and can medication help them focus on work and riding? I have ADHD and I am now over 20 years old. My doctor previously mentioned that I might not need to take stimulant medications like Ritalin at this age. After bei...

Dr. Song Chengxian Reply:
Hello, CHOU: Patients with Attention Deficit Hyperactivity Disorder (ADHD) may have a certain percentage of residual symptoms into adulthood. If you find that your attention issues are indeed affecting your work or daily life, it is recommended that you consult a psychiatrist. Th...

Understanding Mental Health Issues in the Elderly: A Case Study

Mental health issues in the elderly? Hello Doctor, I would like to inquire about my grandmother's condition. She is currently 75 years old, and my grandfather is 80. Since my grandfather is a fortune teller, there are often friends and relatives coming in and out of our home...

Dr. Qiu Junda Reply:
Hello: The issues concerning your grandmother may require more information for proper assessment. At first glance, if there are no other physiological problems (including the use of other medications) involved, it is suspected that she may be experiencing some form of delusional ...

Managing Anxiety and Sleep Issues: Medication Consultation Insights

Medication consultation Hello Doctor, my husband has been experiencing anxiety, worry, and sleep disturbances due to some events that occurred last year. After encouragement from family and friends, he began seeing a psychiatrist in November. The doctor prescribed the following m...

Dr. Liang Sunyuan Reply:
Hello: 1. Currently, both Anxiolytic and Rifampicin are at low doses, and they should be able to be discontinued once the condition improves. 2. After improvement, it is advisable to stabilize for one to two weeks before gradually tapering off the medication, which should increas...

Understanding Side Effects of Psychiatric Medications: A Patient's Concern

Drug side effects Due to depression for four months, I am currently taking the following medications: Fuanyuan three times a day, two capsules of Rifampicin (Rifampin) at bedtime, two capsules of Clonazepam, two capsules of Duloxetine, and Amberning as needed. Recently, I have no...

Dr. Liang Sunyuan Reply:
Hello Rick: 1. If you are still experiencing instability after taking medication for more than 12 hours, it is advisable to return to the clinic and discuss with your physician whether a medication adjustment is necessary. 2. If you notice black stools, first consider whether any...

Coping with Anxiety and Panic After Trauma: A Personal Journey

Anxiety Panic Disorder Hello Doctor: Recently, my son was involved in a serious car accident and has been intubated in the ICU for 14 days. The doctor even had me sign a do-not-resuscitate order. Many years ago, my younger son also had a near-drowning incident and was admitted to...

Dr. Qiu Junda Reply:
Hello: The significant changes happening with your child must be causing you a lot of stress. Fortunately, the outcomes for the children are good. As for your symptoms, they are likely a reaction to the stress you are experiencing. In the short term, you may need medication to he...

Understanding Music Hallucinations and Autonomic Nervous System Disorders

Autonomic nervous system dysfunction, musical hallucinations? A female elder in the household, approximately 60 years old, has been experiencing symptoms of depression and insomnia. Four years ago, she sought treatment at a mental health clinic and was prescribed Cymbalta (duloxe...

Dr. Dai Wanxiang Reply:
Hello: Since I have not examined the patient, it is difficult to accurately respond to your specific questions regarding the case. I can only provide a brief response regarding general conditions. 1. If the medication (such as Sertraline) was effective in the past but is no lon...

Managing Fatigue and Low Energy While on Antipsychotic Medications

Taking mood stabilizers often leads to fatigue and a lack of energy? Hello, doctor. I have been living with schizophrenia for seven years and have tried various medications, but I still lack energy, which has caused me to frequently leave new jobs. I am currently relying on L-the...

Dr. Qiu Junda Reply:
Hello: Some medications used for schizophrenia can indeed have a sedative effect, leading to feelings of fatigue and lack of energy. Please discuss with your primary physician whether this is a symptom issue or related to the medication. If it is due to the sedative effects of th...

Understanding Anxiety Medications: Seronal and Chronic Throat Issues

Anxiolytic medication I often feel a sensation of something stuck in my throat when swallowing, and it has recently flared up. I went to see a doctor, who said this is caused by stress. When I am busy, I don't notice it, but once I have free time, I feel the sensation in my ...

Dr. Qiu Junda Reply:
Thank you for your message. 1. Side effects do not occur in everyone. Serenal is an anxiolytic that has sedative and drowsiness effects. If it interferes with your work or daily life, please discuss switching medications with your physician. 2. For abnormal throat sensations,...

Understanding Sedative Use in Mild Mental Illness: Key Considerations

Mental illness patients I would like to ask about my sister, who has a mild mental illness. Can sedatives be administered four times within less than 10 hours? In the morning, she was taken to the hospital and her speech and physical movements were normal, but by around 3 or 4 PM...

Dr. Liu Runqian Reply:
The symptoms described in your text are more similar to the side effects caused by antipsychotic medications. Anticholinergic medications can be used to manage these side effects. If the symptoms are not severe, they will also improve after the medication is metabolized by the bo...

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