Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Constantly scratching the scalp? Hello Doctor: I have had the habit of picking at my scalp since high school. Even when reminded, I can't stop myself from picking, which has caused wounds on my scalp (I'm really worried that my hair won't grow back). This happens e...
Dr. Wu Enliang Reply:
1. Do I need to see a doctor? A: If it has caused disruptions in your daily life, it is necessary to see a doctor. 2. How can I stop the behavior of skin picking? A: Medication treatment combined with psychotherapy. 3. This month, there were two nights when I inexplicably fel...[Read More] Understanding Skin Picking: Is It Anxiety or a Deeper Issue?
Managing Anxiety Medications: Tips for Panic Disorder Relief
Anxiolytic medication consultation, medication issues, panic disorder? I would like to ask the doctor, I have been prescribed medication for panic disorder and have been taking it for six months. After achieving stability, the doctor advised me to practice tapering off the medica...
Dr. Huang Zhijia Reply:
Hello: Each patient is unique, and there is no formula or SOP that can be applied to every patient. The physician who examines the patient in person is the one who understands the patient's condition best and can make the appropriate management decisions. It is recommended t...[Read More] Managing Anxiety Medications: Tips for Panic Disorder Relief
Managing Anxiety Medications: Side Effects and Concerns Explained
Anxiety disorder medications Hello, doctor! I was recently diagnosed with panic disorder and my doctor prescribed Lexapro 30 mg to be taken every morning. However, after taking it, I often feel disoriented and have difficulty functioning at work. Is this normal? Should I continue...
Dr. Wu Enliang Reply:
Changing to a regular dinner time in the evening will generally lead to improvements. - Dr. Wu En-Liang[Read More] Managing Anxiety Medications: Side Effects and Concerns Explained
Managing Panic Disorder: Medication Interactions and Sleep Challenges
Drug interactions with anxiolytics? Hello Doctor, I have anxiety and panic disorder. It started about ten years ago, and I initially saw improvement with Lexapro, but since then, I have developed insomnia. For over a decade, I have been living intermittently with panic and anxiet...
Dr. Wu Enliang Reply:
It's highly recommended to discuss your questions thoroughly with your physician. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Medication Interactions and Sleep Challenges
Managing Stress and Mental Health: A Journey Through Depression and Panic
Stress issues I have been diagnosed with depression and panic disorder for almost two years. My doctor has been very dedicated to helping me improve, and since I was in the same class as his daughter, he has been able to assist me as much as possible whenever I encounter issues. ...
Dr. Wang Yixiang Reply:
Hello Avrottie: Smoking and drinking alcohol provide only temporary relief from stress and often come with many side effects. It is advisable to quit if possible and replace addictive habits with positive lifestyle experiences, which can lead to better improvement in your conditi...[Read More] Managing Stress and Mental Health: A Journey Through Depression and Panic
Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Is there a correlation between panic attacks and seasons? This afternoon, I took a nap and when I woke up, I experienced palpitations. After resting for a while, I used an electronic device to check my heart rate, which showed normal readings. Later, when I walked to the restroom...
Dr. Lin Mianzhang Reply:
Hello, Xiang: Climate changes may affect the autonomic nervous system, which in turn can influence symptoms of anxiety. Additionally, diet can also impact the autonomic nervous system; for example, caffeine found in tea and coffee can increase heart rate and exacerbate feelings o...[Read More] Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake?
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Can Panic Disorder Cause Weakness in One Leg?
Can individuals with panic disorder or those who frequently experience anxiety have weakness in one leg? It is commonly reported that symptoms of panic disorder or anxiety include weakness in the limbs. Various factors can contribute to this. I would like to know if it is possibl...
Dr. Qiu Junda Reply:
Hello. Panic or anxiety often accompanies autonomic nervous system dysregulation, which can lead to physical symptoms such as dizziness, palpitations, numbness, and weakness in the limbs. A feeling of weakness in one leg may also occur. However, it is important to have a physicia...[Read More] Can Panic Disorder Cause Weakness in One Leg?
Can Panic Disorder Cause Weakness in One Leg? Understanding Anxiety Symptoms
Can individuals with panic disorder or those who frequently experience anxiety have weakness in one leg? It is commonly reported that symptoms of panic disorder or anxiety include weakness in the limbs. Various factors can contribute to this, and I would like to know if it is pos...
Dr. Qiu Junda Reply:
Replied.[Read More] Can Panic Disorder Cause Weakness in One Leg? Understanding Anxiety Symptoms
Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
The doctor said they cannot prescribe the medication? I'm sorry, but I cannot provide medical advice or translate this content.
Dr. Wu Enliang Reply:
A: Yes, due to health insurance regulations, physicians are restricted from prescribing medications if the follow-up appointment has not yet occurred. I saw online that Anbang can be taken up to 4.0 mg a day, so why is my attending physician only able to prescribe 0.5 mg twice a ...[Read More] Understanding Medication Limits for Panic Disorder: A Doctor's Perspective
Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
I would like to know if I have depression, anxiety disorder, or panic disorder? Hello Doctor: I tend to overthink and often feel my heart racing. I get anxious over small matters. Throughout my life, I have frequently suppressed my emotions, as I long for peace and do not want to...
Dr. Qiu Junda Reply:
Hello. Depression and anxiety disorders, or panic disorders, can sometimes coexist and be interrelated. Regardless of the diagnosis, the situation described in the text predominantly involves negative (depressive) emotional behaviors, which have caused significant psychological a...[Read More] Understanding Your Struggles: Signs of Depression, Anxiety, and Panic Disorders
Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Nervous tremors and rapid heartbeat? Hello Doctor, I am currently studying abroad and I tend to get anxious, which has led to some difficulties in my daily life, prompting me to seek assistance. Previously, I had issues with arrhythmia (I underwent an electrocardiogram in Taiwan)...
Dr. Qiu Junda Reply:
Hello. You can use Entacapone before going on stage, either 2# or with meals, depending on which method works better for you. Additionally, your concerns seem to lean towards anxiety. It needs to be assessed whether it has reached a panic level. After returning to your country, y...[Read More] Managing Anxiety: Understanding Tremors and Rapid Heartbeat in Stressful Situations
Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medication Consultation Hello Doctor, I have severe panic disorder. In early 2020, I took Escitalopram (5 mg) for six months, but after stopping the medication, my symptoms recurred. At the end of 2021, I started taking Escitalopram (5 mg) again, and I have been on it for almost ...
Dr. Lin Mianzhang Reply:
Hello A-Leh: This medication is very safe for long-term use, so you can take it with confidence. However, I want to remind you that regardless of the medication you are taking, it is essential to inform your physician about all the medications you are currently using whenever you...[Read More] Long-Term Use of Escitalopram for Panic Disorder: Is It Safe?
Medications for Panic Disorder: Which Contain MAO Inhibitors?
Medications for panic anxiety disorder that include monoamine oxidase inhibitors (MAOIs) are as follows: 1. Phenelzine (Nardil) 2. Tranylcypromine (Parnate) 3. Isocarboxazid (Marplan) These medications are used to treat depression and anxiety disorders, including panic disorde...
Dr. Qiu Junda Reply:
Hello. The medications you mentioned are not monoamine oxidase inhibitors.[Read More] Medications for Panic Disorder: Which Contain MAO Inhibitors?
Understanding Panic Disorder: Symptoms and Management Tips
Hello, doctor. I would like to inquire about anxiety and panic? Hello Doctor, I used to experience sudden palpitations and uncontrollable anxiety, similar to panic disorder, especially when I went out. However, I feel much better now. I only feel anxious when eating out or on the...
Dr. Huang Zhijia Reply:
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint. It is recommended to consult a psychiatrist.[Read More] Understanding Panic Disorder: Symptoms and Management Tips
Managing Panic Disorder: Medication Choices and Lifestyle Strategies
Panic disorder (Paxil, Zoloft) Hello, doctor. I have been dealing with panic disorder for eight years now. For the first seven years, I was taking Effexor, but I experienced significant discomfort during withdrawal (I gradually reduced from 2 capsules of Effexor plus a sedative t...
Dr. Lin Mianzhang Reply:
Hello Ms. Bi: Long-term use of sedatives can lead to dependence, so it is recommended to use them as an adjunct medication. You can start with one capsule of Prozac and half a sedative. If your condition stabilizes, you can reduce the sedative or even stop taking it altogether. I...[Read More] Managing Panic Disorder: Medication Choices and Lifestyle Strategies
Managing Panic Disorder: Understanding Symptoms and Treatment Options
Anxiety Panic Disorder Hello, Dr. Wu. I often experience chest tightness and difficulty breathing. In the mornings, about ten minutes after I wake up, I start to feel dizzy and nauseous, along with bloating. Every day, I have a sensation of tightness in my shoulders and neck, and...
Dr. Wu Enliang Reply:
Netizens are unsure why some people stop using Paxil (Paroxetine). Is it due to side effects? After the first-generation SSRI Paxil, many medications with fewer side effects and potentially better efficacy have been introduced. Xanax (Alprazolam) is a medication that provides tem...[Read More] Managing Panic Disorder: Understanding Symptoms and Treatment Options
Is XET 20mg Safe? Understanding Its Effects on Mental Health
Will taking XET 20mg harm my health? Hello Doctor: I have been seeing a psychiatrist for severe panic disorder for two years. Recently, I was laid off due to company politics, which has led to deep feelings of guilt and resentment. Every time I interview for a new job, I have to ...
Dr. Qiu Junda Reply:
Hello. XET 20mg is an antidepressant. Generally, it takes more than two weeks to see if it is effective. It often has gastrointestinal side effects, but after a few days of use, one can gradually adapt and improve. It is not harmful to the body and is metabolized by the liver. If...[Read More] Is XET 20mg Safe? Understanding Its Effects on Mental Health
Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Anxiety Panic Disorder Hello Dr. Wu, I often experience rapid heartbeat and missed beats, so I consulted a cardiologist. The cardiologist indicated that there are no significant heart issues, and that my discomfort is mainly due to autonomic nervous system problems. Consequently...
Dr. Wu Enliang Reply:
1. Is Bupropion effective for anxiety disorders and panic disorders? A: Bupropion is primarily used to treat depression. 2. Will taking Bupropion cause my heart rate to increase or make my anxiety and panic worse? A: It should not. 3. Are dizziness or fatigue common side effe...[Read More] Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Does Panic Disorder Affect Hospital Hiring for New Staff?
Will panic disorder affect the hiring of new personnel in hospitals? I have been attending anxiety/panic disorder outpatient clinics for a long time. Recently, I was hired as a general clerk at a hospital (not in direct contact with patients), but I am unsure if I will pass the n...
Dr. Li Jite Reply:
Due to the fact that the items in a typical employment health examination are usually not too complex, taking the medications you mentioned typically does not affect the results of blood tests. However, whether you can pass the health examination depends on the regulations of the...[Read More] Does Panic Disorder Affect Hospital Hiring for New Staff?