Understanding Nighttime Palpitations: Causes and Management
Waking up suddenly from sleep with palpitations? Three years ago, I frequently experienced palpitations, chest tightness, and a feeling of heat. I would wake up suddenly from sleep, feeling hot, sweating, and with a rapid heartbeat. After undergoing an electrocardiogram and echoc...
Dr. Qiu Junda Reply:
Hello. If thyroid issues are well-controlled but you still experience palpitations, you can inform your doctor during your follow-up visit for evaluation. You may also want to ask if there is a need for a consultation with a psychiatrist (for panic disorder or autonomic nervous s...[Read More] Understanding Nighttime Palpitations: Causes and Management
Managing Panic Attacks During Blood Pressure Checks: Tips for Patients
Anxiety Panic Disorder Hello Doctor: I am a patient with anxiety and panic disorder. Whenever I go to the hospital to have my blood pressure measured, I experience a panic attack because I worry that my blood pressure will spike. The more I worry, the more panicked I become, and ...
Dr. Wu Enliang Reply:
If you are experiencing panic attacks when measuring your blood pressure, it's best to avoid doing so for now. However, it is clear that your panic disorder has not been fully addressed. I recommend that you continue to collaborate closely with your psychiatrist and adhere t...[Read More] Managing Panic Attacks During Blood Pressure Checks: Tips for Patients
Managing Panic Anxiety: Can You Safely Combine Medications?
Panic Anxiety Disorder I have been prescribed Xanax and Sertraline by my doctor for anxiety and panic disorder, to be taken as needed. I would like to know if I can continue taking Escitalopram, which I have taken before, and how long I should wait after taking Xanax before I can...
Dr. Lin Mianzhang Reply:
Hello Ann: Ease Comfort is a long-acting sedative that can be taken in combination with Xanax and Lexapro. However, these medications are intended for emergency use and cannot prevent the occurrence of anxiety and panic. It is recommended that if you frequently experience anxiety...[Read More] Managing Panic Anxiety: Can You Safely Combine Medications?
Understanding Panic Disorder Treatment: Side Effects and Medication Efficacy
Panic disorder treatment issues? Hello, doctor. I have experienced a relapse of panic disorder for the third time recently. I am currently in the fourth week of treatment with Tianeptine Sodium (Taiwanese brand name: 替你憂-S). At the beginning, taking half a tablet caused side effe...
Dr. Lin Mianzhang Reply:
Hello Emily: After taking your medication this time, you are still experiencing occasional panic attacks, which could be due to two possible reasons. First, your panic disorder may have worsened, making the current dosage of your medication insufficient for complete control. Seco...[Read More] Understanding Panic Disorder Treatment: Side Effects and Medication Efficacy
Understanding Autonomic Nervous System Dysregulation and Panic Disorder
Autonomic nervous system dysfunction Hello, doctor. Due to long-term night shifts, I have experienced multiple episodes in the past two months where I suddenly feel palpitations and my heart is pounding strongly, accompanied by a noticeable heartbeat sound. My blood pressure has ...
Dr. Lin Mianzhang Reply:
Hello Ah-Hua: I apologize for the delayed response as I did not receive a notification for your question. If your blood pressure remains uncontrolled despite taking antihypertensive medication, you may need to discuss with a cardiologist whether a medication adjustment is necessa...[Read More] Understanding Autonomic Nervous System Dysregulation and Panic Disorder
How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
How to properly interact with individuals who have social anxiety and panic disorder? Dear Dr. Chang, I have a younger relative staying at my home for an extended period. He is currently a PGY2 resident and is working alongside you. However, there are some issues concerning him,...
Dr. Zhang Gengjia Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to issues related to interpersonal sensitivity and interaction. These concerns involve specialized treatment modalities, including pharmacotherapy and psychotherapy. I strongly encourage you to se...[Read More] How to Interact Effectively with Individuals Facing Social Anxiety and Panic Disorders
Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...
Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Can Panic Disorder Be Managed Without Medication?
Can panic disorder be managed without medication? Hello, doctor. I have been dealing with panic disorder for over a decade. I previously consulted a psychiatrist once but have never taken medication because I feel panic about taking drugs. I believe my condition does not currentl...
Dr. Qiu Junda Reply:
Hello. Since you feel that your current condition is not affecting your daily life and mood without medication, you can temporarily refrain from taking medication. If you can make adjustments, not taking medication should not lead to a worsening of your condition. Additionally, y...[Read More] Can Panic Disorder Be Managed Without Medication?
Understanding Side Effects of Panic Disorder Medications
Side effects of panic disorder medications? Hello, Dr. Hsueh. In mid-January of this year, I experienced a recurrence of panic disorder that I had 20 years ago. I am currently seeing a doctor regularly at the hospital, and the doctor has prescribed medications: Ulotar, Anpan, and...
Dr. Xue Gengming Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Side Effects of Panic Disorder Medications
Traveling with Psychiatric Medications: What You Need to Know
Medication Consultation Hello, Doctor. I would like to inquire about my situation. I have issues with autonomic nervous system dysfunction and panic disorder, and I am currently taking 15 mg of Olanzapine and 10 mg of Propranolol. I plan to travel to Thailand in April and would l...
Dr. Wu Enliang Reply:
The online user An Li Ping mentioned that Anxiolytics are classified as Schedule IV controlled substances, while Propranolol is not a controlled drug. Generally speaking, these medications should be permissible to bring out of the country, but I am not a travel expert, so I recom...[Read More] Traveling with Psychiatric Medications: What You Need to Know
Understanding Derealization: Managing Symptoms and Treatment Challenges
Derealization refers to a dissociative symptom where an individual experiences a sense of Hello, doctor. I would like to ask about my derealization. How can I prevent it from worsening? Additionally, why is derealization not a primary focus of research? There is still no treatmen...
Dr. Wu Menghuan Reply:
Hello! Derealization refers to the experience of feeling unreal or detached from one's surroundings and is currently classified as a dissociative symptom. Individuals with Depersonalization/Derealization Disorder experience persistent or recurrent episodes of depersonalizati...[Read More] Understanding Derealization: Managing Symptoms and Treatment Challenges
Managing Anxiety and VPC: Safe SSRI Options for Patients
Medication Consultation Hello, doctor. I apologize for taking up your valuable time. I would like to ask you a question. Three years ago, I experienced some ventricular premature contractions (VPC) that led to anxiety and subsequently a panic disorder. I used sertraline (Zoloft) ...
Dr. Wu Menghuan Reply:
Hello: Traditional tricyclic antidepressants (TCAs) have anticholinergic effects, which can lead to side effects such as blurred vision, dry mouth, constipation, urinary retention, increased heart rate, and cardiac conduction disturbances. In the elderly, central anticholinergic ...[Read More] Managing Anxiety and VPC: Safe SSRI Options for Patients
Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Mental tension Hello, I apologize for the interruption. I would like to ask about issues related to mental tension in specific situations. I tend to feel fatigued and anxious in crowded places, and sometimes I even experience anger, muscle tension, and involuntary irritation, whi...
Dr. Qiu Junda Reply:
Hello. Your concerns mostly relate to anxiety responses. It seems to be an anxious reaction to stress (such as crowded places). I recommend gathering some educational articles on stress management. You can learn various techniques from them (such as muscle relaxation training, et...[Read More] Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Understanding Anxiety-Related Physical Symptoms in College Students
Anxiety-related physical symptoms Hello, doctor. Since I started university last September, I've been feeling uncomfortable with the school environment and the food. I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty b...
Dr. Qiu Junda Reply:
Hello. Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety). Some may not even know the underlying cause. However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress th...[Read More] Understanding Anxiety-Related Physical Symptoms in College Students
Effective Communication with Your Doctor About Panic and Depression Medications
Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...
Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...[Read More] Effective Communication with Your Doctor About Panic and Depression Medications
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...
Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....[Read More] Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Understanding Anxiety, Panic, and Depression: A Student's Struggle
Is this obsessive-compulsive disorder (OCD), anxiety disorder, panic disorder, or depression? I am a fifth-year design student in college, and I have been experiencing significant academic pressure lately. About two weeks ago, I had an emotional outburst due to stress, which led ...
Dr. Qiu Junda Reply:
Hello. Currently, it seems that we should maintain the diagnosis of Adjustment Disorder with Anxiety and Depressed Mood. This means that the emotional responses arising from stress (Stress-Related Adjustment Disorder) can include symptoms such as compulsions, anxiety, panic, and ...[Read More] Understanding Anxiety, Panic, and Depression: A Student's Struggle
Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...
Dr. Huang Zhijia Reply:
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms