Can Timely Treatment Restore Cognitive Function in Bipolar Disorder?
Bipolar disorder Can panic disorder and bipolar disorder, if not treated in a timely manner but eventually treated appropriately, lead to a restoration of previous cognitive function?
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Patients with panic disorder and bipolar disorder typically do not show significant cognitive decline, so with appropriate treatment, cognitive function can often return to pre-illness levels.[Read More] Can Timely Treatment Restore Cognitive Function in Bipolar Disorder?
Impact of Escitalopram on Male Fertility and Pregnancy Outcomes
Escitalopram medication Hello Dr. Liang, I would like to ask about trying to conceive. We have tried four times without success, and the male partner has been taking Escitalopram 10 mg tablets for 7 to 8 years. Does this medication affect sperm fertility or the health of the chil...
Dr. Liang Sunyuan Reply:
Hello Genelle: Escitalopram does not affect sperm health or motility, nor does it have any significant impact on fetal health or fertility. However, taking antidepressant medications can potentially decrease sexual desire. This medication is primarily used to treat depression, an...[Read More] Impact of Escitalopram on Male Fertility and Pregnancy Outcomes
Could My Symptoms Indicate Panic Disorder After a Family Loss?
If you have fainted without experiencing hyperventilation, could this be a sign of panic disorder? Hello Dr. Zhong, three years ago after my grandfather passed away, I started to frequently feel like I'm living in a dream, especially when I'm in the hospital. Over time,...
Dr. Zhong Mingxun Reply:
Based on your description, it seems that you are experiencing some symptoms of anxiety. Of course, when anxiety reaches an extreme level, it can escalate to the point of panic. However, whether it is diagnosed as panic disorder may not be as important. What truly matters is how y...[Read More] Could My Symptoms Indicate Panic Disorder After a Family Loss?
Experiencing Severe Side Effects on Day One of Taking Lorazepam
I felt very uncomfortable on the first day after taking Lofepramine? Recently, I experienced a panic episode and went to the emergency room. I have a history of arrhythmia and gastrointestinal issues (gastroesophageal reflux disease and duodenal ulcer), but all test results came ...
Dr. Zhong Mingxun Reply:
Lofepramine is an antidepressant that can enhance serotonin and norepinephrine levels in the brain. This medication can alleviate depression and reduce anxiety; however, it may still have some side effects. Individual responses to the medication can vary due to differences in bod...[Read More] Experiencing Severe Side Effects on Day One of Taking Lorazepam
Understanding Panic Disorder: Treatment Options and Managing Symptoms
Panic disorder treatment Hello Doctor: I have mild panic disorder, which I have self-assessed as mild because I don't experience episodes frequently, only in specific situations such as flying or driving through long tunnels. I read some articles stating that panic disorder ...
Dr. Liang Sunyuan Reply:
Based on your description, it is indeed possible that you are experiencing symptoms of panic and anxiety. Epidemiological studies have found that the majority (64%) of panic disorders can be alleviated (Psychol Med. 2010;40(1):147). During times of anxiety, it is recommended to s...[Read More] Understanding Panic Disorder: Treatment Options and Managing Symptoms
Understanding My Mental Health: Seeking Help for Anxiety and Panic Symptoms
I'm sorry, but I need more context or specific symptoms to provide an accurate translation or response? Hello, I am 19 years old and have been experiencing pain in my left ear for several years. I had a history of otitis media in childhood, so I went for an examination and u...
Dr. Liang Sunyuan Reply:
Hello: Based on your detailed description, it is very likely that your condition is a symptom of panic disorder, as your symptoms have already affected you. It is recommended that you visit a psychiatric outpatient clinic, as most treatments for this condition tend to be effectiv...[Read More] Understanding My Mental Health: Seeking Help for Anxiety and Panic Symptoms
Understanding Anxiety and Panic Disorders: A High School Student's Guide
Anxiety disorder and panic disorder? Hello, I would like to ask about issues related to anxiety disorder and panic disorder. I am a senior in high school, and during my last exam, I experienced hyperventilation and had to be rushed to the hospital. I have already seen a doctor, w...
Dr. Huang Weiqin Reply:
Hello: Based on your description, you may be experiencing symptoms of panic disorder combined with depression. With appropriate medication and relaxation training, your condition can often improve or resolve. It is recommended that you visit a psychiatrist (or psychosomatic speci...[Read More] Understanding Anxiety and Panic Disorders: A High School Student's Guide
Understanding Mitral Valve Prolapse and Its Impact on Anxiety and Sleep
Mitral valve prolapse Hello, two weeks ago after exercising, I suddenly experienced palpitations, shortness of breath, and chest tightness. These symptoms had not occurred before during rest. I visited a cardiology clinic and underwent a 24-hour Holter monitor and echocardiogram,...
Dr. Liang Sunyuan Reply:
Hello: Based on your description, your symptoms of chest tightness, insomnia, and palpitations may be related to panic disorder. In addition to medication treatment, relaxation training, distraction techniques, and cognitive-behavioral therapy can also be helpful. If your conditi...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Anxiety and Sleep
How to Encourage a Family Member with Panic Disorder to Seek Help?
If a family member has panic disorder and is unwilling to seek medical attention, can a family member make an appointment on their behalf? My mother has had an autoimmune disease for many years. This year, after reducing her steroid medication, she began experiencing dizziness an...
Dr. Ding Shuyan Reply:
Hello, you can encourage her by saying that nowadays, many people with insomnia seek help from psychosomatic medicine specialists, just like how surgical procedures work: the more surgeries a doctor performs, the more skilled they become, leading to higher success rates and lower...[Read More] How to Encourage a Family Member with Panic Disorder to Seek Help?
Managing Panic Disorder Medications: A Guide for Families
Panic disorder medication - Anpanil (also known as Alprazolam)? I'm sorry to hear about your mother's situation. She has been diagnosed with panic disorder and is currently taking Silence (a sleep aid) at night and Anpaning (an anti-anxiety medication) during the day. H...
Dr. Ding Shuyan Reply:
Hello, the prescription medications from the doctor are made with careful consideration, and it is best to follow the doctor's instructions for optimal results. Both of these medications are commonly used for anxiety and panic disorders. Taking an anxiolytic during the day c...[Read More] Managing Panic Disorder Medications: A Guide for Families
Understanding Panic Disorder: Overcoming Fear and Disconnection
Neurocognitive abnormalities About a month ago, while I was riding the subway alone, I suddenly felt anxious and started sweating. Strangely, this had never happened before. Since that incident, I have developed a fear of going out, without any specific reason for my fear—just a ...
Dr. Wang Chongren Reply:
Dear Miss Bao Lian, You mentioned in your letter that you have been experiencing unexplained feelings of anxiety, such as nervousness and fear of going out, along with physical symptoms like sweating. Additionally, it seems that your anxiety is affecting your ability to think cl...[Read More] Understanding Panic Disorder: Overcoming Fear and Disconnection
Struggling with Mental Health: A Caregiver's Plea for Help
I'm really tired? Hello Dr. Chiu, my husband is 79 years old and he is experiencing all the symptoms that fall within your area of expertise. He has daily outbursts and even becomes physically aggressive. I have a history of panic disorder, and I am struggling to work while ...
Dr. Qiu Junda Reply:
Hello: The patient's condition may require a period of treatment. Since you have already seen a psychiatrist, please do not give up and continue with the appointments. If you are concerned about the side effects of the medication, you can inform the doctor to adjust the medi...[Read More] Struggling with Mental Health: A Caregiver's Plea for Help
Understanding Social Anxiety, Panic Disorder, and Depression: Key Insights
Social Anxiety Disorder, Panic Disorder, Depression Hello Doctor, I would like to ask you a few questions, as my attending physician is in Taipei and I am studying in Chiayi. 1. Is social anxiety disorder considered a type of panic disorder? 2. Can panic disorder and depress...
Dr. Song Chengxian Reply:
Hello Mr. Gao, I apologize for not being an expert in this area. If you have seen my profile, I am a child and adolescent psychiatrist and I am happy to answer your questions regarding autism, attention deficit hyperactivity disorder (ADHD), and other behavioral and emotional dis...[Read More] Understanding Social Anxiety, Panic Disorder, and Depression: Key Insights
Can Xanax Alone Cure Panic Disorder? Exploring Treatment Options
Can taking only Xanax treat panic disorder? I have been taking Xanax 0.25 mg, 2 to 2.5 pills daily, previously taking 3 to 3.5 pills a day before tapering down. I have been on it for about a year, and the doctor I consulted told me that I could recover from my condition without t...
Dr. Song Chengxian Reply:
Hello Xiaomi, regarding your concerns about medication, generally speaking, we do not encourage patients to use Xanax long-term. It is typically used during the initial treatment phase, while transitioning to a serotonin reuptake inhibitor in the later stages, along with behavior...[Read More] Can Xanax Alone Cure Panic Disorder? Exploring Treatment Options
Can Antidepressants Like Zoloft Help Anxiety from Panic Disorder?
Antidepressant medications? Antidepressant medications, such as Zoloft (sertraline) and other selective serotonin reuptake inhibitors (SSRIs), can indeed help alleviate anxiety symptoms associated with panic disorder. These medications work by increasing the levels of serotonin i...
Dr. Ding Shuyan Reply:
Hello, antidepressants can be used to treat anxiety symptoms. Your understanding of medication is actually quite good. Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Can Antidepressants Like Zoloft Help Anxiety from Panic Disorder?
Is It Normal to Experience Discomfort When Starting Zoloft?
Is it normal to experience discomfort during the initial phase of taking Zoloft? Dear Doctor, I am 22 weeks pregnant and have a history of panic disorder. I started taking the B-class medication Buspirone due to anxiety at week 20, taking four pills a day. However, it seems to ha...
Dr. Ding Shuyan Reply:
Hello, the side effects of medications can sometimes be difficult to distinguish from our symptoms themselves. Zoloft may have the side effects you mentioned, but they are relatively rare. However, symptoms like cold sweats and palpitations are more likely to be manifestations of...[Read More] Is It Normal to Experience Discomfort When Starting Zoloft?
Managing Anxiety Medications During Pregnancy: A Guide for Expecting Mothers
Medication Use During the Second Trimester of Pregnancy Dear Doctor: I am currently 22 weeks pregnant. I have a history of panic disorder and was treated for a year, after which I stabilized and stopped medication. However, I started experiencing anxiety and tension in the fourth...
Dr. Song Chengxian Reply:
The use of medications during pregnancy indeed raises concerns for every expectant mother. The U.S. FDA (Food and Drug Administration) classifies the safety of medications for pregnant women into five categories: A, B, C, D, and X. Below are the classification standards for each ...[Read More] Managing Anxiety Medications During Pregnancy: A Guide for Expecting Mothers
Understanding the Psychological Conflict of Smoking and Health Anxiety
Contradictory psychology Hello, Dr. Ding. I have been troubled by some serious issues over the past year, so I would like to consult you. Please read carefully, thank you... 1. I am a civil servant, and since childhood, I have been seen as the "good child" by my paren...
Dr. Ding Shuyan Reply:
Hello, first of all, I want to encourage and commend you. You must be a responsible person who is considerate of others and has high self-expectations. People generally appreciate individuals like you, but the downside is that you may often feel troubled by many things. Some of t...[Read More] Understanding the Psychological Conflict of Smoking and Health Anxiety
Understanding Panic Disorder: Medications and Treatment Options
Medications and Treatments for Panic Disorder Hello, Doctor. Recently, I have been experiencing unexplained tension and increased heart rate while driving or exercising. After an examination, my doctor diagnosed me with panic disorder. Initially, I was prescribed Deanxit and Lowe...
Dr. Song Chengxian Reply:
Dear Mr. Jian, There are many medication options available in psychiatry for panic disorder. If the current medication is not providing satisfactory results, I recommend discussing this with your psychiatrist as soon as possible. As for non-pharmacological treatment options, su...[Read More] Understanding Panic Disorder: Medications and Treatment Options
Managing Panic Disorder Medication During Pregnancy: What You Need to Know
Panic disorder and pregnancy: What should I do about medication? Hello, doctor. I am a patient with panic disorder and have been on medication for over a year. I am currently in the process of tapering off my medication, taking one Lorazepam every two days. After two weeks, I dis...
Dr. Ding Shuyan Reply:
Hello, you have been on medication for over a year under the care of your physician. When it comes to the question of whether to discontinue medication during pregnancy, the best person to answer that is your treating physician, not an unfamiliar doctor online. No matter how know...[Read More] Managing Panic Disorder Medication During Pregnancy: What You Need to Know