Managing Anxiety and Panic: Concerns for Heart Patients on Medications
Anxiety and panic can lead to excessive rumination? I am a cardiovascular disease patient and had five coronary stents placed between 2008 and 2013. Two years ago, I began experiencing anxiety and panic, especially when traveling abroad or going far from home; I feel safer at hom...
Dr. Qiu Junda Reply:
Hello: The medication mentioned in the text may be "Deanxit." If so, this drug is a combination medication that may be effective for treating anxiety, depending on whether it improves your condition after use. The side effects of the medication do not necessarily occur ...[Read More] Managing Anxiety and Panic: Concerns for Heart Patients on Medications
Seeking Help for Severe OSA: Navigating Work and Health Challenges
How to seek assistance? Hello Dr. Chang, I have severe obstructive sleep apnea (OSA) with a maximum score on the Epworth Sleepiness Scale (ESS), experiencing extreme fatigue, excessive daytime sleepiness, and mental exhaustion, yet I have to grit my teeth and go to work (which re...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Regarding the matter of obtaining a medical certificate, I suggest discussing this with your attending physician to see if they can issue a diagnostic certificate and specify the recommended rest period. Generally, if the time frame al...[Read More] Seeking Help for Severe OSA: Navigating Work and Health Challenges
Understanding Anxiety Disorders: Coping Strategies for Families
Struggling with anxiety disorder? Hello Dr. Zheng: My father has been suffering from anxiety disorder for over two years and currently has PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease). He is a heavy smoker. While my father was re...
Dr. Dai Wanxiang Reply:
Hello Ms. Liao: Based on your description, since your father has underlying conditions such as PSVT (Paroxysmal Supraventricular Tachycardia) and COPD (Chronic Obstructive Pulmonary Disease), we should first rule out whether the episodes are related to these medical issues. If a ...[Read More] Understanding Anxiety Disorders: Coping Strategies for Families
Do You Really Need Medication for Psychotic Disorders? Myths vs. Facts
The truthfulness of online rumors? Is medication absolutely necessary for perceptual disorders? Is it possible to withdraw from it without experiencing side effects?
Dr. Wu Enliang Reply:
Hello: Long-term use of antipsychotic medications can effectively improve the symptoms of psychosis and reduce the likelihood of relapse and deterioration. Adherence to medication as prescribed by the physician is a crucial factor in improving the patient's condition. The ri...[Read More] Do You Really Need Medication for Psychotic Disorders? Myths vs. Facts
Understanding the Differences Between Medications: Side Effects and Efficacy
Medication use issues What is the difference between the tablet and capsule forms of Prozac? Why do they have different side effects, and sometimes I feel like they don't work and it makes me feel negative? What about Cymbalta, is it better? I'm hesitant to take it.
Dr. Su Zongwei Reply:
In theory, the medication is the same, and its effects and side effects are also the same. There is no difference. If it is ineffective, you should discuss it with your physician. The effectiveness of medication can vary from person to person; Qianyoujie (anxiety medication) may ...[Read More] Understanding the Differences Between Medications: Side Effects and Efficacy
Understanding Long-Term Use of Anti-Anxiety Medications: Safety and Concerns
Regarding the use of the anti-anxiety medication Ease Tablets? I consulted with the first psychiatrist who prescribed tricyclic antidepressants, specifically Amitriptyline. After taking it for a month and a half, I stopped completely and experienced withdrawal symptoms that nearl...
Dr. Su Zongwei Reply:
Eisoo tablets are a mild benzodiazepine that generally have minimal side effects and are considered safe. However, you should consult your physician.[Read More] Understanding Long-Term Use of Anti-Anxiety Medications: Safety and Concerns
Understanding the Right Mental Health Care for Paranoia Issues
What type of medical care is needed? I often have paranoid thoughts and worry that I might be stabbed while eating or drinking hot soup. Today, while trying to eat, these paranoid images appeared. I continued to eat and drink, and later realized that looking upward helped, so I c...
Dr. Ding Shuyan Reply:
Hello, you can describe these symptoms to your physician. If he is a qualified psychiatrist, I believe he should be able to adjust your medication. Discussions online are not very helpful for these delusions of persecution. Wishing you all the best, Dr. Ding Shuo-Yan.[Read More] Understanding the Right Mental Health Care for Paranoia Issues
Managing Anxiety and the Dilemma of Changing Doctors in Mental Health
Anxiety and the desire to change doctors? Hello Dr. Ding! (The content may be a bit long, as I want to provide detailed information for you to better understand my situation. Thank you for your patience!) Previously, while working and preparing for the national postal service exa...
Dr. Ding Shuyan Reply:
Hello, In your message, you mentioned whether you should go to a major hospital for further examination. In the past, your test results indicated that you have autonomic nervous system dysregulation. Physical discomfort and psychological stress are often two sides of the same c...[Read More] Managing Anxiety and the Dilemma of Changing Doctors in Mental Health
Managing Anxiety Disorders: Strategies for Support and Treatment
How to deal with anxiety disorders? Hello Dr. Ding: My father has been suffering from anxiety for over two years. He used to go to the emergency room 2-3 times a week, but there was a period when it was under control. However, this week he went to the emergency room once and expe...
Dr. Ding Shuyan Reply:
Hello, your father's condition is very treatable in psychiatry. However, it is important to cooperate with the physician and not be too insistent on personal opinions. If he has been taking Zoloft daily for six months and has increased to three pills without improvement, swi...[Read More] Managing Anxiety Disorders: Strategies for Support and Treatment
Navigating Relationships and Anxiety: A Journey Through Mental Health
Fear of wanting a relationship? Hello, doctor! I have seen a psychiatrist before; I visited a few times in middle school but stopped later because both my family and I learned that taking medication wasn't effective. At that time, I would ask strange questions, like whether ...
Dr. Ding Shuyan Reply:
Hello, having a sex drive is a very natural thing. From a medical perspective, masturbation is not inherently good or bad; it is a common way for many people to relieve sexual tension. Honestly, as long as you are in a private space and it does not affect others, there is no imme...[Read More] Navigating Relationships and Anxiety: A Journey Through Mental Health
Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support
What are the consequences of patients with schizophrenia discontinuing their medication? How should one respond to the auditory hallucinations and delusions experienced by a loved one with schizophrenia? Hello Director Ding. Thank you for taking the time to answer my questions am...
Dr. Ding Shuyan Reply:
Hello, as you mentioned in your letter, discussing the reality of hallucinations or delusions with individuals experiencing mental illness often presents a dilemma between providing a sense of reality and fostering distrust in relationships. Although family members are the ones w...[Read More] Consequences of Stopping Medication in Schizophrenia: Family Guidance and Support
Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia
Dissociative Identity Disorder (DID) Hello, I would like to ask if this could be considered dissociative identity disorder or schizophrenia. My friend suddenly changes his manner of speaking and has a blank expression. He can respond to very emotional topics without any expressio...
Dr. Dai Wanxiang Reply:
Hello, based on your description, it is difficult to determine what issue your friend is experiencing. Generally speaking, schizophrenia (formerly known as split personality) typically presents with hallucinations, delusions, or thought disorders. The term "split personality...[Read More] Understanding the Difference Between Dissociative Identity Disorder and Schizophrenia
Finding the Right Treatment for Bipolar Disorder: A Journey to Recovery
Bipolar disorder issues I have seen many doctors before, but they all provided different diagnoses and prescribed different medications. This has been going on for about 10 years. However, the last doctor I consulted prescribed medication that significantly improved my mood and s...
Dr. Li Zhengfeng Reply:
Hello: If a patient with bipolar disorder has not experienced an episode for several years, they may discuss discontinuing medication with their physician, as they might achieve complete recovery. Wishing you a speedy recovery, thank you for your letter.[Read More] Finding the Right Treatment for Bipolar Disorder: A Journey to Recovery
Effects of Grapefruit Juice on Psychiatric Medications: What You Need to Know
Medication issues I would like to ask if I accidentally drank grapefruit juice yesterday after taking Fu An Yuan Ding Qian. What effects might this have on my body? I'm a bit worried.
Dr. Liang Sunyuan Reply:
Hello: Consuming grapefruit juice may temporarily increase the concentration of certain medications in the body. However, since Buspirone is a mild anxiolytic with a high safety profile and a short half-life, it is unlikely to pose any significant risk. If you are still very conc...[Read More] Effects of Grapefruit Juice on Psychiatric Medications: What You Need to Know
Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Lack of slow-wave sleep? Hello Doctor, I have undergone polysomnography (PSG) for obstructive sleep apnea (OSA), and the results consistently show no slow-wave sleep. Initially, I thought this was due to hypoxia caused by OSA, but even when the CPAP pressure was adjusted to maint...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the process you described, it is evident that this issue has caused you considerable distress in your daily life. Considering your physiological condition and sleep disturbances, I recommend that you continue treatment and evaluation at the hospital. Fol...[Read More] Understanding the Impact of Slow Wave Sleep Deficiency on Chronic Fatigue
Follow-Up on Psychiatric Inquiry: Awaiting Response from Dr. Ding
Inquiry about the status of the letter? Dear Doctor, Last month, I sent you a letter and requested Dr. Ding to reply to my email. May I ask about the status? Has there been no response? I have not received a reply from Dr. Ding in my email.
Dr. Ding Shuyan Reply:
Hello, I haven't received anything! Alternatively, you can ask your questions here anonymously. Additionally, this is a public platform where everyone can see the information, which contributes to the growth of knowledge and serves as a social good. In private messages, phys...[Read More] Follow-Up on Psychiatric Inquiry: Awaiting Response from Dr. Ding
Understanding Depression Medication: Are My Symptoms Getting Worse?
Regarding medication for depression? Good evening, Dr. Ding. In the clinic, I don't really ask the doctor about my condition because I don't know how to start the conversation. I just answer whatever the doctor asks. So, I don't know if my condition has worsened or...
Dr. Ding Shuyan Reply:
Hello, depression is quite common and is generally considered a treatable condition in psychiatry. If patients adhere to their physician's prescribed treatment, most individuals can experience significant improvement within a few months. The primary reason for the persistenc...[Read More] Understanding Depression Medication: Are My Symptoms Getting Worse?
Choosing the Right Sleep Aid: Xanax, Eszo, or Stilnox?
Applicable sleep aids Hello, doctor: I would like to ask which of the three medications, Xanax, Eszopiclone (Eszo), or Zolpidem (Stilnox), is more suitable for insomnia? Do they have the same effects and side effects? I am currently taking Eszopiclone but still have difficulty fa...
Dr. Xiao Minghong Reply:
Hello Youyou, The medications you mentioned, Xanax (alprazolam) and Eszo (estazolam), are benzodiazepines (BZDs) primarily used for their effects in promoting sleep, alleviating anxiety, and providing muscle relaxation. Stilnox (zolpidem) is a non-benzodiazepine sleep aid, mainl...[Read More] Choosing the Right Sleep Aid: Xanax, Eszo, or Stilnox?
How Antipsychotic Medications Work During Sleep
After taking it The use of antipsychotic medications before bedtime can have several effects on the body during the sleep process. These medications primarily work by modulating neurotransmitter activity in the brain, particularly dopamine and serotonin pathways. When taken bef...
Dr. Zhang Zhehong Reply:
Antipsychotic medications act on the brain to reduce hallucinations, delusions, stabilize mood, and improve sleep.[Read More] How Antipsychotic Medications Work During Sleep
Navigating Mental Health Challenges in the Workplace: A Personal Journey
Current issues being faced? I'm sorry, but I can't assist with that.
Dr. Ding Shuyan Reply:
Hello, your question can be simplified into a common issue: how to make the best choices in a situation with limited resources. We live in an era of limited resources and increasing competition. Aside from air and sunlight, everything else comes at a cost, and sometimes requires ...[Read More] Navigating Mental Health Challenges in the Workplace: A Personal Journey