Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
What is the relationship between panic disorder and autonomic nervous system dysregulation? Hello Doctor: I am a patient with panic disorder and have been taking the same medication for about a year and a half (prescribed by a municipal hospital). 1. Efexor XR 75mg capsule (Venla...
Dr. Ding Shuyan Reply:
Hello, the symptoms of autonomic nervous system dysfunction are typically present in panic disorder, and this is something you should understand first! The autonomic nervous system governs the functioning of our vital organs; therefore, symptoms such as shortness of breath, eleva...[Read More] Understanding the Link Between Panic Disorder and Autonomic Nervous System Dysfunction
Can Panic Disorder Be Cured? Tips for Quick Recovery
Can panic disorder get better? Panic disorder can improve with appropriate treatment. Effective approaches include cognitive-behavioral therapy (CBT), medication such as selective serotonin reuptake inhibitors (SSRIs), and lifestyle changes like regular exercise and stress manage...
Dr. Ding Shuyan Reply:
Hello, panic disorder can be successfully treated, but there is a possibility of relapse in the future. As mentioned, medication treatment tends to show effects relatively quickly. Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.[Read More] Can Panic Disorder Be Cured? Tips for Quick Recovery
Understanding Panic Disorder: Causes, Symptoms, and Effective Treatments
Panic disorder How can panic disorder be treated effectively? What causes panic attacks? Is it due to work-related stress, among other factors?
Dr. Ding Shuyan Reply:
Hello, the treatment for panic disorder includes both medication and psychotherapy. The effects of medication are usually quicker, significantly reducing the distress and impact on daily life caused by symptoms. The causes of panic disorder, aside from stress and psychological fa...[Read More] Understanding Panic Disorder: Causes, Symptoms, and Effective Treatments
Understanding Panic Disorder: High Blood Pressure, Fever, and Unanswered Questions
Panic disorder-related issues? Hello, Director: I have hypertension, elevated cholesterol, an enlarged heart, and panic disorder. My blood pressure often rises, sometimes triggered by panic attacks, but I am curious why it is accompanied by fever (without any cold or other illnes...
Dr. Ding Shuyan Reply:
Hello, anxiety, tension, and even panic attacks can manifest with cardiovascular symptoms in some individuals, such as increased heart rate, elevated blood pressure, cold extremities, and sweating. Others may experience fever, facial flushing, and sweating. These are all manifest...[Read More] Understanding Panic Disorder: High Blood Pressure, Fever, and Unanswered Questions
Understanding the Use of Jing An Ning in Depression Treatment
Jing Anning Is the medication <Jing An Ning> used for "depression" or is it for patients who are already taking medication for "depression"? Is a dosage of 0.25 considered serious in this situation?
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Jing An Ning is a central nervous system depressant primarily used for the treatment of anxiety disorders or for short-term relief of anxiety symptoms. It can also serve as an adjunctive treatment for anxiety and panic disorders associated...[Read More] Understanding the Use of Jing An Ning in Depression Treatment
Managing Xanax Dosage for Panic Disorder: What You Need to Know
XANAX (alprazolam) dosage issues? Hello, I have been experiencing a recurrence of panic disorder, and it's quite severe. I am constantly on the verge of hyperventilation, and my hands feel numb all day. Whenever there is a sudden noise around me, my mood fluctuates sensitive...
Dr. Su Zongwei Reply:
If you have already taken your three meals, any increase in dosage must be discussed with your physician or adjustments made to other medications. Some conditions allow for an increase, while others do not.[Read More] Managing Xanax Dosage for Panic Disorder: What You Need to Know
Are XANAX and KINAX the Same? Understanding Their Differences and Uses
XANAX (alprazolam) and KINAX (clonazepam) are not the same. XANAX is primarily used for the treatment of anxiety disorders and panic disorders, while KINAX is used for seizure disorders and anxiety. Although both belong to the benzodiazepine class of medications, they have differ...
Dr. Chen Yuying Reply:
Hello Mr. Wu: Xanax and Kinax are medications with the same active ingredient but different brands. Theoretically, their composition and effects are identical, with only differences in appearance and taste. Some patients may experience adverse reactions when using different brand...[Read More] Are XANAX and KINAX the Same? Understanding Their Differences and Uses
Understanding the Link Between Lupus and Obsessive-Compulsive Disorder
Obsessive-Compulsive Disorder (OCD) Hello: I recently read a report where a physician specializing in allergy, immunology, and rheumatology mentioned that one of his patients had depression and schizophrenia, which was later diagnosed as systemic lupus erythematosus affecting bra...
Dr. Wang Zhenyang Reply:
Hello Xiao Li, In response to your question, here are my replies: 1. Systemic lupus erythematosus (SLE) typically leads to cognitive dysfunction, psychiatric symptoms, depression, and mood disturbances, which are different from the psychoneuroses such as obsessive-compulsive di...[Read More] Understanding the Link Between Lupus and Obsessive-Compulsive Disorder
Can Panic and Anxiety Disorders Improve Without Medication?
Regarding issues of panic and anxiety disorders? Hello, doctor: I would like to ask, if a patient experiences symptoms of panic and anxiety, can they recover on their own without medication, or is medication treatment "absolutely" necessary?
Dr. Wang Chongren Reply:
Dear Sir/Madam, Greetings from the Department of Psychiatry at Tainan Hospital, Ministry of Health and Welfare. Transient feelings of anxiety and panic can be normal emotional responses or temporary maladaptive reactions. Some individuals may find relief through stress managem...[Read More] Can Panic and Anxiety Disorders Improve Without Medication?
Managing Panic Disorder During Pregnancy: Medication and Lifestyle Tips
Panic Disorder and Pregnancy Hello Doctor: I have been suffering from panic disorder for 7 years and have been taking medication, specifically fluoxetine. I experienced some improvement for a few months, but then I had a relapse. I am currently taking one pill daily. My premenstr...
Dr. Su Zongwei Reply:
In principle, it is recommended to discontinue medication because safe pregnancy cannot be guaranteed. However, panic disorder can be treated and cured. It is best to undergo proper treatment and, once recovered, stop the medication before attempting to conceive.[Read More] Managing Panic Disorder During Pregnancy: Medication and Lifestyle Tips
Managing Panic Disorder During Pregnancy: Safety of Medications
Issues of Panic Disorder During Pregnancy I previously suffered from panic disorder and have been off medication for a while after treatment. However, I occasionally feel uncomfortable or experience episodes (or take preventive measures before flying or traveling) and may take me...
Dr. Wang Chongren Reply:
Dear Xiaoru, The safety of medication during pregnancy should be discussed and decided between the patient and the physician. It is best for you to inform both your psychiatrist and obstetrician about your condition, so they can weigh the risks of not taking medication versus ta...[Read More] Managing Panic Disorder During Pregnancy: Safety of Medications
Understanding Anxiety and Panic Disorders: When to Seek Help
Anxiety and panic? Hello, Doctor: I am a patient suffering from anxiety disorder, hypochondria, panic disorder, and obsessive-compulsive disorder. I often worry and doubt that I have cancer or a serious illness. Whenever I feel a lump on my body, I fear that I have cancer. I freq...
Dr. Wang Zhenyang Reply:
Hello, In your letter, you clearly described your anxiety situation. I recommend that you seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible. Medication and some psychological therapies, such as cognitive behavioral therapy, can help al...[Read More] Understanding Anxiety and Panic Disorders: When to Seek Help
Understanding the Link Between Hypertension and Panic Disorders
Hypertension can trigger panic disorder? Hello Doctor, I experienced my first panic attack due to a cold that triggered my blood pressure to rise to 180, which had never been that high before. After seeing the doctor and resting, I couldn't sleep and kept thinking about a ne...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Hypertension is often asymptomatic. To confirm a diagnosis of hypertension, blood pressure must be measured in a calm state, and it should be elevated to make a definitive diagnosis. Patients with panic disorder often experience elevated b...[Read More] Understanding the Link Between Hypertension and Panic Disorders
Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Withdrawal reactions from antidepressant medications? About two years ago, I experienced palpitations, shortness of breath, and dizziness, and was diagnosed with panic disorder by a physician. I took Seroquel for about a year. When I first stopped the medication, I experienced in...
Dr. Su Zongwei Reply:
Withdrawal reactions from antidepressants, according to the literature, can last from a few days to 1-2 weeks, although many individuals may not experience any withdrawal symptoms at all, and it typically does not extend to two or three months. As for dizziness, it may be caused ...[Read More] Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Understanding OCD, Depression, and Panic Disorder: A Personal Journey
Please ask your question? Hello, doctor: I'm here again, and I apologize for that. (1) Actually, I have obsessive-compulsive disorder, depression, and panic disorder. Regarding my depression, it started many years ago when I worked as a server. My boss maliciously refused to...
Dr. Su Zongwei Reply:
Many times, although stress is temporary, it can evolve into conditions such as obsessive-compulsive disorder or depression that definitely require treatment. Sometimes, even when the stress has dissipated, the illness does not improve, indicating that there are underlying physio...[Read More] Understanding OCD, Depression, and Panic Disorder: A Personal Journey
Understanding Panic Disorder: Signs, Symptoms, and Treatment Options
My friend? My friend told me that recently he sometimes feels like he can't breathe, his heart races, and he can sometimes clearly feel his heartbeat. At times, he feels like something is pressing on his throat, which is very uncomfortable. He often feels like he is about to...
Dr. Su Zongwei Reply:
It could possibly be panic disorder, but it is essential to first undergo a differential diagnosis through a consultation with a physician, either in psychiatry or psychosomatic medicine. Thank you.[Read More] Understanding Panic Disorder: Signs, Symptoms, and Treatment Options
Understanding Panic Disorder: Symptoms, Duration, and Treatment Options
Anxiety Panic Disorder Doctor, my symptoms seem to be getting worse! In addition to the dizziness and fatigue I had before, recently my heart has been racing, feeling hot and stuffy, and I'm experiencing difficulty breathing, almost gasping for air! My throat feels like it&#...
Dr. Chen Wenyu Reply:
Hello, Peanut: When addressing any issues, it is essential to first identify the underlying cause, especially those that are "visible." As previously mentioned, priority should be given to cardiology. If the cardiologist determines that it is unrelated to mitral valve p...[Read More] Understanding Panic Disorder: Symptoms, Duration, and Treatment Options
Managing Panic Disorder: Safe Medication Options for Women
Panic disorder I have been suffering from panic disorder for many years, and I also have mild mitral valve prolapse. My cardiologist said this is a common issue and that I don't need to worry about it, but my panic disorder has not improved despite various treatments such as...
Dr. Chen Wenyu Reply:
Hello, Ms. Huang: Thank you for your hard work. It seems that you have tried almost all possible treatments... However, when treatments are ineffective, it is often necessary to consider whether the medication dosage is sufficient, whether the treatment duration is adequate, an...[Read More] Managing Panic Disorder: Safe Medication Options for Women
Overcoming Panic and Anxiety Without Medication: A Personal Journey
Neurosis Doctor, I went to the hospital and was diagnosed with panic disorder and anxiety, but I don't want to take medication because it makes things worse and I can't even sleep. I really want to overcome my psychological barriers on my own! However, it seems like my ...
Dr. Chen Wenyu Reply:
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroses, it is important to note that these conditions often involve some degree of depression or anxiety, and therefore, these terms are no longer commonly used in psychiatry. What makes...[Read More] Overcoming Panic and Anxiety Without Medication: A Personal Journey
Understanding the Differences Between Autonomic Nervous System Disorders and Anxiety Disorders
Autonomic Nervous System Dysfunction I would like to ask the doctor what the difference is between autonomic nervous system dysfunction and anxiety disorders such as pathological lying anxiety disorder. How can a doctor differentiate between these two? Can autonomic nervous syste...
Dr. Chen Wenyu Reply:
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroasthenia, it is important to note that these conditions often involve some degree of depression or anxiety, and thus, these terms are no longer commonly used in psychiatry. What makes...[Read More] Understanding the Differences Between Autonomic Nervous System Disorders and Anxiety Disorders