Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
What is wrong with me? Hello Doctor: Over the past two years, I feel like I've changed. I've become irritable and easily angered; even the smallest things can make me explode in rage and curse. If someone almost hits me while I'm riding my bike, I will yell, but af...
Dr. Chen Guangpeng Reply:
Hello, patient with anxiety: Based on your description, your symptoms are associated with both anxiety and depression. Some patients begin with long-term sleep disturbances, leading to excessive sympathetic nervous system activation the next day, resulting in emotional instabilit...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Self-Help Strategies
Finding Panic Disorder Specialists North of Hsinchu: A Guide for Patients
Could you recommend a specialist for treating panic disorder north of Hsinchu? Hello Doctor: I have a friend who suspects he has panic disorder because his symptoms are almost 95% similar to it. Over a month ago, he was diagnosed with mitral valve prolapse at Cathay General Hospi...
Dr. Chen Guangpeng Reply:
Hello, internet user: The medical resources north of Hsinchu are abundant. Chang Gung Memorial Hospital, Taoyuan General Hospital, and Min-Sheng Hospital (all located near Taoyuan) are quite good. Once you enter the larger hospitals in Taipei, you should be able to find professio...[Read More] Finding Panic Disorder Specialists North of Hsinchu: A Guide for Patients
Understanding Panic Disorder: Symptoms, Causes, and Solutions
Panic disorder? Panic disorder is characterized by recurrent and unexpected panic attacks, which are sudden periods of intense fear or discomfort that peak within minutes. Symptoms may include palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain...
Dr. Chen Wenke Reply:
Hello, Fish: Your issue does not seem to fall under panic disorder, which is primarily characterized by symptoms such as sweating, trembling, palpitations, shortness of breath, nausea, dizziness, and a feeling of impending death or insanity. Each episode typically reaches its pea...[Read More] Understanding Panic Disorder: Symptoms, Causes, and Solutions
Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Panic disorder is affecting my life? Hello! Doctor: I have been receiving treatment at Taipei Hospital for about a year now, and my attending physician is Dr. Chao Wei-Ting. Currently, I am taking Xanax and Cipram. I am very allergic to Cipram and I am not sure if it’s psychologi...
Dr. Cai Yunlin Reply:
Hello, regarding the diagnosis of panic disorder, it generally involves ruling out cardiovascular or neurological conditions. Panic attacks should not pose an immediate threat to life. The standard pharmacological treatment for panic disorder is selective serotonin reuptake inhib...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Am I Suffering from Autonomic Nervous System Dysfunction?
Am I experiencing autonomic nervous system dysfunction? I have been experiencing symptoms of hiccups (similar to a feeling of fullness) since I completed my military service five years ago. My stools have been watery, and despite seeing many doctors, there has been no improvement...
Dr. Lin Yanhong Reply:
Hello: Your symptoms include mood changes, gastrointestinal issues, and heart problems, which are episodic and fluctuate. Many of these symptoms seem to be related to autonomic nervous system dysfunction, which is a collective term for a group of symptoms. Understanding the under...[Read More] Am I Suffering from Autonomic Nervous System Dysfunction?
Effective Strategies to Cope with Panic Disorder Beyond Medication
Panic disorder Hello Doctor: I would like to ask, aside from seeing a doctor and taking medication for panic disorder, what other methods can help me recover quickly? The medication makes my mind feel blank and forgetful, and I am unable to perform well at work. Are there any alt...
Dr. Ke Shengying Reply:
Dear A-Rong, It seems that you are in a difficult situation. Currently, the treatment for panic disorder primarily relies on medication, supplemented by cognitive behavioral therapy. If you are experiencing uncomfortable side effects from the medication, you should discuss adjus...[Read More] Effective Strategies to Cope with Panic Disorder Beyond Medication
Understanding Panic Disorder: Medication, Side Effects, and Sleep Impact
Please help me? Hello, doctor. Three weeks ago, I visited the psychiatry department for the first time because I had previously experienced symptoms of panic disorder. I consulted a doctor, and a week ago, I stopped taking my medication to see if my panic symptoms were due to my ...
Dr. Ye Baozhuan Reply:
Hello~ 1. Of course, there is an impact. 2. Insufficient treatment duration and prematurely stopping medication can lead to rebound discomfort after sudden withdrawal. If you need to stop medication or how to taper it, you should discuss it with your physician. Imagine how it wou...[Read More] Understanding Panic Disorder: Medication, Side Effects, and Sleep Impact
Managing Panic Disorder: When to Consult a Cardiologist?
I have issues with panic disorder? For the past two years, I have been troubled by palpitations and chest tightness. About two years ago, I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, but no abnormalities were found. Later, I learned tha...
Dr. Tang Xinbei Reply:
Dear Ginny, It seems that your panic disorder has been troubling you for quite some time, and there appears to have been some changes recently? Generally speaking, the most effective treatment for panic disorder currently involves a combination of pharmacotherapy and cognitive b...[Read More] Managing Panic Disorder: When to Consult a Cardiologist?
Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
I am sick? Hello Doctor: What are the diagnostic criteria for panic disorder? If someone has panic disorder, will palpitations be severe? Is it necessary to see a cardiologist for diagnosis? Does taking spirulina affect the condition? Thank you for your response.
Dr. Tang Xinbei Reply:
Dear A-Rong, Panic is an inexplicable state of emotional tension and anxiety. When this state occurs repeatedly and affects the individual's daily life, functional performance, and interpersonal relationships, causing distress in various aspects of life and emotions, it is ...[Read More] Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
Understanding Persistent Symptoms: Seeking Answers for Mental Health Struggles
Please provide an answer? Ten years ago, I experienced episodes of tachycardia and a sensation of distortion, prompting me to visit the emergency room. Since then, similar episodes have occurred about four or five times, but I have not experienced them again for the past three ye...
Dr. Tang Xinbei Reply:
Dear friend, It seems that your distress has been ongoing for quite some time. You feel confused about your condition and unsure of what to do, which leaves you feeling helpless and hopeless. Based on your description, it is possible that you are experiencing "panic disorde...[Read More] Understanding Persistent Symptoms: Seeking Answers for Mental Health Struggles
Can Panic Disorder Be Cured? Understanding Treatment and Risks
Can panic disorder be cured? Hello Dr. Chen: I previously asked you about my boyfriend's panic disorder, and I appreciate your help. Our little "LP" issue has been resolved, and now we are discussing marriage. However, I am concerned about his condition. He tends t...
Dr. Chen Guangpeng Reply:
Hello, Autumn Wind user: I thought I had already responded to your question in November, but it seems that due to a system issue, my reply failed to go through. I will answer again, hoping it’s not too late. Based on your description, your boyfriend's issues seem to be more ...[Read More] Can Panic Disorder Be Cured? Understanding Treatment and Risks
Coping with Panic Disorder: Finding Hope and Healing in Australia
What should I do about panic disorder? Hello, doctor. This morning I was startled awake by a panic attack, and I'm feeling quite down... I don't even have the mood to attend class. I'm currently in Australia, which is a slow-paced, relaxed place for recovery. I...
Dr. Chen Guangpeng Reply:
Hello, friend in Sydney: I appreciate your detailed description of the symptoms and psychological responses, and I seem to have personally experienced your profound pain. I feel regret that you have had to endure such prolonged and recurring symptoms. The thorough evaluations by ...[Read More] Coping with Panic Disorder: Finding Hope and Healing in Australia
Overcoming Panic Disorder: Seeking Effective Treatment Beyond Medication
I was diagnosed with panic disorder by the hospital? Hello, I had a few instances of hyperventilation before my military service, but I didn't think much of it since it only happened once or twice. However, during my service, I experienced severe anxiety and insomnia, often ...
Dr. Chen Wenke Reply:
Hello, Xiao Wei. From your clear description of the situation, I can confidently tell you that you are experiencing what is known as panic disorder, which is fundamentally an anxiety-related condition. Medications for anxiety can certainly help improve this type of disorder, and ...[Read More] Overcoming Panic Disorder: Seeking Effective Treatment Beyond Medication
Understanding Emotional Distress After Medical Procedures: A Guide for Caregivers
What disease is this, Nayeara? Hello Doctor: My mother has been suffering from this illness for over a year, and she has been on medication for more than a year as well. Since her surgery for kidney stones, she has not experienced other symptoms. However, after undergoing another...
Dr. Chen Guangpeng Reply:
Hello, dear netizen: Due to the brief description of your symptoms, I cannot inquire further, and honestly, I cannot determine what issue your mother is experiencing. However, I can speculate a few possibilities: one is a hysterical reaction caused by physiological discomfort, an...[Read More] Understanding Emotional Distress After Medical Procedures: A Guide for Caregivers
Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Diagnosed by a doctor with panic disorder? I was diagnosed with panic disorder by my doctor. The doctor prescribed SERONIL 20 mg once daily and XANAX XR 0.5 mg twice daily. However, after taking the medication in the morning, I feel drowsy for the entire day, and only feel a bit ...
Dr. Tang Xinbei Reply:
Dear Friend: Your physician has prescribed you SERONIL 20MG QD and XANAX:XR 0.5mg BID, which are effective for panic attacks. However, some individuals may experience drowsiness as a side effect of the latter (XANAX:XR 0.5mg), although this usually improves after a period of use....[Read More] Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Understanding Medication Effects on Sexual Function in Panic Disorder
Regarding medication issues? Hello Dr. Chen, two weeks ago I visited the hospital and was diagnosed with panic disorder by the physician. The doctor prescribed me a medication called Sertraline. Could you please tell me if this medication affects sexual function? I am experiencin...
Dr. Chen Guangpeng Reply:
Hello Victor: The medication you mentioned, Serenal, should not have a significant impact on your sexual function. I'm not sure if you are taking any other medications; if not, it is likely that your current anxiety disorder is having a greater effect. Wishing you a speedy r...[Read More] Understanding Medication Effects on Sexual Function in Panic Disorder
Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Panic disorder I was diagnosed with panic disorder by my doctor, who prescribed SERONIL 20mg once daily and XANAX XR 0.5mg twice daily. However, after taking the medication in the morning, I feel drowsy for the entire day, and only start to feel more awake in the evening. I would...
Dr. Chen Wenke Reply:
Zankson: I'm not sure what the active ingredient of Seronil 20mg is, but I suspect it might be paroxetine. If that's the case, adjusting the medication to be taken at bedtime should help reduce your discomfort, or you could consider halving the dose. However, in such si...[Read More] Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Can panic disorder cause sexual dysfunction? Dear Dr. Chen Guangpeng, My boyfriend is a perfectionist who has suffered severe emotional trauma in the past. He later developed asthma, and recently, due to arguments between us, his condition has worsened. After seeing a doctor, he...
Dr. Chen Guangpeng Reply:
Dear Autumn Wind, I read your letter with mixed feelings—on one hand, I am glad to hear that your boyfriend's panic disorder is being well managed, but on the other hand, I am concerned about the new issues that have arisen. You asked whether panic disorder can cause sexual...[Read More] Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Understanding Distress and Burnout: A Guide to Mental Health Issues
Derealization and fatigue? Hello Doctor, I previously fainted for no apparent reason, but tests could not identify the cause. Subsequent blood tests, EEG, and echocardiograms showed no abnormalities, only slightly low blood pressure. That experience left me very fearful, and rece...
Dr. Lin Yanhong Reply:
Hello: You mentioned an experience of fainting; did you lose consciousness? Fainting can have many causes: cardiac issues, neurological problems, low blood pressure, hypoglycemia, anemia, a fright response, and other psychological or psychiatric disorders could all be potential f...[Read More] Understanding Distress and Burnout: A Guide to Mental Health Issues
Understanding the Differences Between Organic, Affective, and Functional Psychoses
Unresolved? Hello Dr. Tang, Could you please explain the differences between organic mental disorders, affective disorders, and functional disorders? Thank you in advance for your response!
Dr. Tang Xinbei Reply:
Dear Ms. Hsiang: In response to your inquiry about the three categories of diseases, here are the brief explanations: 1. Organic Mental Disorders: These refer to mental health conditions caused by identifiable physiological factors or medical illnesses. For example, patients wi...[Read More] Understanding the Differences Between Organic, Affective, and Functional Psychoses