How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...
Dr. Huang Zhijia Reply:
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Navigating Negative Emotions in a Toxic Workplace Environment
Negative emotions Hello, Doctor. I apologize for the lengthy message, but I really need your help. I am a person with congenital disabilities and have been unemployed for a long time. I finally found a company willing to hire me, and at first, I was genuinely grateful to all the ...
Dr. Qiu Junda Reply:
Hello. The negative emotional behaviors mentioned in the text are mostly related to the work environment and interpersonal relationships, and they have already caused physical and mental distress. It is recommended that you seek consultation and evaluation at a mental health clin...[Read More] Navigating Negative Emotions in a Toxic Workplace Environment
Should I Continue My OCD Medication Despite Side Effects?
Is it necessary to continue taking the medication? Hello Dr. Lin, I have obsessive-compulsive disorder (OCD) and have been on medication for about two months. My OCD symptoms have mostly disappeared. However, I am still experiencing some uncomfortable side effects (a strange fee...
Dr. Lin Mianzhang Reply:
Hello: It's great that the medication has helped alleviate most of your obsessive-compulsive symptoms! The feeling you described, where nothing seems important to you, may be due to the antidepressants allowing you to let go and be more open-minded. Some individuals also rep...[Read More] Should I Continue My OCD Medication Despite Side Effects?
Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers
Metoprolol and Anaprilin? Hello, doctor. This summer, I experienced difficulty falling asleep and visited a nearby family medicine clinic, where the physician prescribed me 0.5 mg of Alprazolam. Initially, I only took it occasionally when I had trouble sleeping, but it later evol...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are troubled by difficulties sleeping and various situations arising from medication use; I empathize with you! First of all, insomnia is usually just a symptom, and when it occurs, we need to understand why it happens. Factors such as stress, changes in ...[Read More] Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers
Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Difficulty falling back asleep after waking up at 3 AM? Hello Doctor: A few years ago, I experienced symptoms of autonomic nervous system dysfunction (not officially diagnosed), including panic, palpitations, a heavy heartbeat, and dizziness with a sensation of swaying. I consult...
Dr. Lin Mianzhang Reply:
Hello, Hong: Autonomic nervous system dysfunction is a general term and not a specific medical diagnosis. It can encompass a variety of conditions, such as depression, anxiety disorders, panic disorders, insomnia, arrhythmias, and irritable bowel syndrome, among others, or even n...[Read More] Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Understanding Palpitations and Anxiety: A Guide for Young Adults
Palpitations autonomic nervous system dysfunction Hello, doctor. I am 18 years old and currently not attending school while waiting for enrollment next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitations, tightness and discomf...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Palpitations and Anxiety: A Guide for Young Adults
Should I Wait for My Emotions to Improve or Seek Help Now?
Will leaving an injury untreated heal on its own, or will it worsen and become overwhelming? I'm sorry to disturb you, doctor, but I've been feeling that my thoughts and emotions have become unstable again recently. I would like to ask if these feelings are due to puber...
Dr. Liang Sunyuan Reply:
Hello: Reflecting on your thoughts and writing them down is a very effective method. There is no standard answer to whether past issues will resolve themselves, but recognizing how your past influences your present self is an important step. Once you are aware, there are various ...[Read More] Should I Wait for My Emotions to Improve or Seek Help Now?
Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...[Read More] Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Adjustment Disorder I am currently studying in graduate school, and my teacher initially planned to let me take my oral exam early. However, when I discovered errors in my research data, I fell into a state of negative emotions and anxiety, even contemplating death. I didn't...
Dr. Wu Enliang Reply:
Hello, internet user: Some individuals with anxiety-related adjustment disorders can indeed recover in a short period of time. However, sometimes due to excessive stress, it may develop into depression or anxiety disorders. It is advisable to collaborate and discuss with your psy...[Read More] Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Seeking Guidance on OCD Treatment and Medication Concerns
I need advice? Dear Dr. Dai, I have a few questions regarding my condition: obsessive-compulsive disorder (OCD) and depression. 1. With the upcoming university entrance exams, the doctor suggested that I take 0.25 mg of Anxiolytic. However, I found in the medication leaflet tha...
Dr. Dai Wanxiang Reply:
Hello, regarding the questions you raised, here are the responses: 1. The concerns you mentioned about the side effects of Anlifu (Amisulpride) related to sedation and tardive dyskinesia: some individuals may experience drowsiness after taking it, which can affect attention and ...[Read More] Seeking Guidance on OCD Treatment and Medication Concerns
Understanding Unconscious Aggression: A Teen's Struggle with Anger
When angry, one may unconsciously smash objects or hit others? I tend to lose control of my emotions and exhibit unconscious violent tendencies when I am angered by a single person (such as throwing objects at their face or hitting them forcefully). I am a high school girl, and I...
Dr. Dai Wanxiang Reply:
Hello, Xiao Wu: Violent behavior when angry can have many possible causes. Insufficient coping skills for stress, certain personality traits (such as impulsivity), or mental disorders may all contribute. If it is an occasional issue related to emotional management and inadequate ...[Read More] Understanding Unconscious Aggression: A Teen's Struggle with Anger
Managing Medication Dosage for Bipolar Disorder: Key Considerations
I would like to inquire about medication dosage? Hello, Doctor. The medications I am using are EPINE F.C. Tablets 25mg and Wan You Ting Capsules 30mg. I should be considered as having bipolar disorder, but I have been improving recently. When I visited the doctor, he mentioned th...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as bipolar disorder, are common in modern society. This is a ...[Read More] Managing Medication Dosage for Bipolar Disorder: Key Considerations
Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Obsessive-Compulsive Disorder (OCD) - Obsessive Thoughts Hello Doctor, I have been suffering from panic disorder for 21 years and have become accustomed to panic attacks. I previously saw a doctor for a year and took Lexapro, and after improving with medication and exercise, I st...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to see a psychiatrist or a psychosomatic specialist. The new generation of antidepressants is unlikely to cause urinary difficulties. If you prefer non-pharmacological methods, you can ask your doctor for a referral to a clinical psychologist...[Read More] Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Understanding Solitary Self-Talk: Navigating Life with This Habit
The habit of talking to oneself? I have been like this since I was young, often talking and laughing to myself, finding joy in my own company. However, because of this, I don't have many friends. Others see me as a bit eccentric. Although that's not how I perceive mysel...
Dr. Liao Dinglie Reply:
Hello, netizen: You may notice that your own enjoyment might not be understood by others, but this does not affect your ability to find a satisfying lifestyle. On the other hand, humans are social animals. In fact, sharing happiness with others can be a wonderful thing. Sometimes...[Read More] Understanding Solitary Self-Talk: Navigating Life with This Habit
Understanding Your Father's Unusual Behavior: Signs of Depression?
Doctor, I have been feeling that my father's mental state is quite strange? My father is over 65 years old. He used to run a pharmacy at home and has been retired for 4 to 5 years. I want to ask about his condition: he becomes easily agitated, especially after taking a showe...
Dr. Qiu Junda Reply:
Hello. Is your father's condition related to a mental illness or other issues that require further evaluation? This includes how long the symptoms have been present and whether they are indicative of age-related degeneration. Has there been long-term alcohol use (which can l...[Read More] Understanding Your Father's Unusual Behavior: Signs of Depression?
Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues
Hypochondriasis Hello Dr. Chiu, I had a heart attack nine years ago and received a stent. For the first six months, everything was fine, and I felt rejuvenated, almost like I was several years younger! However, one day, my long-absent Meniere's disease reappeared, and a few ...
Dr. Qiu Junda Reply:
Hello. The correspondence reveals an anxious reaction regarding your health condition. Whether or not it is hypochondriasis, there are at least symptoms of anxiety causing distress. Physical ailments, such as heart issues, may be a source of stress (anxiety). It is recommended th...[Read More] Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues
Dealing with a Partner's Severe Obsessive Cleanliness: Seeking Help
My boyfriend has severe obsessive-compulsive tendencies but lacks insight into his condition. He insists that I adopt his cleanliness standards and is unwilling to seek medical help? Hello Doctor: My boyfriend has a phobia of microorganisms and practices strict hygiene, believing...
Dr. Liao Dinglie Reply:
Hello, online friend: Your boyfriend lives every day with great caution, paying attention to various details to keep himself safe, which likely indicates he feels insecure. Typically, such repetitive thoughts and excessive cleaning behaviors are classified as obsessive-compulsive...[Read More] Dealing with a Partner's Severe Obsessive Cleanliness: Seeking Help
Overcoming Hatred: A Journey Through Trauma and Healing
Outstretched hand Hello, doctor. Since my childhood, I have forgotten how old I was when I started to hold grudges due to my own reckless behavior. Later on, those I resented even encouraged some of my teachers and classmates to bully me throughout kindergarten, elementary school...
Dr. Wang Zhenyang Reply:
Hello, sir: I understand that your past unpleasant experiences have led to feelings of resentment and even a desire for revenge, which have long-term effects on your mental health. I recommend seeking help from a psychiatrist or a psychosomatic clinic. A physician can assist you ...[Read More] Overcoming Hatred: A Journey Through Trauma and Healing
Is It OCD? Understanding Intrusive Thoughts and Anxiety Symptoms
Is this obsessive-compulsive disorder (OCD)? I have been thinking about and worrying about these issues for the past year, and I can spend hours on them. If I try not to think about them, I become anxious. 1. As someone with epilepsy, if I ever need surgery, is the risk of anes...
Dr. Xue Gengming Reply:
We recommend 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] Is It OCD? Understanding Intrusive Thoughts and Anxiety Symptoms
Understanding ICU Syndrome: The Psychological Impact of Critical Care
ICU syndrome Hello Dr. Liao, at the end of last year, I underwent major surgery and experienced significant blood loss during the procedure, which led to my transfer to the ICU for monitoring. During that time, I developed DIC, resulting in hypovolemic shock and necessitating a s...
Dr. Liao Dinglie Reply:
Hello, dear netizen: Your heart must be wounded. From your description, one can sense the harrowing experience of surgery and the intensive care unit, where you were in a tug-of-war with death. Such profound pain and helplessness are deeply felt. Sometimes, these intense feelings...[Read More] Understanding ICU Syndrome: The Psychological Impact of Critical Care