Understanding Sleep-Related Anxiety: Symptoms and Causes Explained
Could you please tell me what symptoms I have? This symptom has been present for two years. It has occurred four to five times during this period, where I experience very ordinary dreams that are not frightening, yet they make me feel scared, anxious, and unreal. I have to consta...
Dr. Wu Enliang Reply:
It is likely that the discomfort experienced by netizens is caused by unstable sleep due to staying up late and then trying to catch up on sleep the next day. Dr. Wu Enliang.[Read More] Understanding Sleep-Related Anxiety: Symptoms and Causes Explained
Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment
The side effects of 3 mg of Melatonin? Recently, I have been seeing a psychiatrist for my panic disorder, and my doctor has prescribed me 3 mg of Mirtazapine, one tablet in the morning and one in the evening. I found online that a potential side effect is a decrease in white bloo...
Dr. Yu Quanxun Reply:
Hello: It sounds like, in addition to the psychological phenomena you are experiencing, the medication is also causing you significant concern. However, it is uncertain whether you are feeling conflicted and struggling beyond just worry; perhaps you fear that a wrong choice will ...[Read More] Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment
Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Am I really not suitable for taking SSRIs? The doctor would like to ask you: I have panic disorder and recently I was taking ERA long-acting sleeping pills and antiarrhythmic medication before bed. However, I informed my doctor that I felt unusually fatigued and heavy in the body...
Dr. Liang Sunyuan Reply:
Hello Xiao An: If you experience discomfort after changing your medication, it is advisable to discuss it with your physician during your follow-up appointment. Your feelings and discomfort are clearly expressed in your message, and I believe the doctor will understand and make a...[Read More] Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Autonomic Nervous System Dysfunction Hello Doctor, I recently experienced what I suspect was a panic attack, which led to a sensation of heart palpitations (normal rate) while sitting or lying down throughout the day, affecting my sleep. I underwent an echocardiogram, a 24-hour H...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your panic disorder and sleep-related issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chron...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Understanding Erectile Dysfunction Linked to Anxiety Medication
Panic-induced erection A few months ago, I visited a psychiatrist and learned that I have anxiety and panic disorder. After starting medication, I have experienced very few episodes. However, I have now noticed that I am unable to achieve a full erection; it has become partially ...
Dr. Qiu Junda Reply:
Hello. Erectile dysfunction and other sexual function issues need further evaluation to clarify whether they are caused by a mental disorder or are side effects of psychiatric medications. Please discuss with your attending physician (and you may also consult a urologist) about h...[Read More] Understanding Erectile Dysfunction Linked to Anxiety Medication
Overcoming Anxiety: Managing Hyperventilation and Breathing Issues
Respiratory Obsessive-Compulsive Disorder (ROCD) I have fainted twice for no apparent reason, which scared everyone around me. Since then, I have experienced psychological stress related to fainting. I went to the hospital for various tests, and all the reports came back normal. ...
Dr. Wu Menghuan Reply:
Hello: You mentioned that you have fainted twice in the past, and both hospital examinations were normal, which has caused you psychological stress. You also noticed that when interacting with unfamiliar people, you tend to pay attention to your breathing, which can lead to hyper...[Read More] Overcoming Anxiety: Managing Hyperventilation and Breathing Issues
Understanding Medication Interactions and Mental Health Challenges
Psychological Counseling & Drug Interactions Previously, I didn't understand why, after a conflict with a colleague at work, I felt as if something inside me had broken. Since then, an inexplicable feeling has been brewing within me. At the start of work, I would feel an...
Dr. Lin Mianzhang Reply:
Hello, Xiao Hei: 1. You may not need to take medication for a lifetime; it depends on the specific condition you have and the severity of the disease. 2. Both medications are not addictive. 3. It is recommended to seek help from professional healthcare providers for better re...[Read More] Understanding Medication Interactions and Mental Health Challenges
Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Is it typical panic disorder? Hello Doctor, I suddenly felt short of breath in the middle of the night at the beginning of August while trying to sleep. I woke up startled four to five times, and then when I sat up, my heart rate suddenly increased, and I felt a tightness in my c...
Dr. Qiu Junda Reply:
Hello. 1) The described symptoms indeed suggest the possibility of panic disorder, and these symptoms may occur frequently. 2) Medications such as Xanax do carry a risk of addiction. Therefore, it is advisable to discuss medication options with a psychiatrist, including your conc...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Understanding Panic Attacks: Coping with Anxiety After Trauma
Panic + dry heaving Since my friend passed away in a car accident, I have been feeling very anxious every night. I used to be very brave, but since then, I no longer dare to go to the bathroom alone at night. Additionally, after recently moving into a new rental place and living ...
Dr. Qiu Junda Reply:
Hello. I can imagine that your friend's situation has been a significant blow to you. The circumstances described may be related to this and can be referred to as a stress response (to this event). Panic and dry heaving are the primary symptoms that arise as a result. Genera...[Read More] Understanding Panic Attacks: Coping with Anxiety After Trauma
Managing Panic Disorder During Pregnancy: Seeking Help and Medication Adjustments
Pregnancy anxiety Hello Doctor, I am currently 18 weeks pregnant. Before pregnancy, I was taking medication for panic disorder, but I stopped for a while after becoming pregnant, which led to a severe relapse of my condition. I have been experiencing panic and anxiety, even havin...
Dr. Lin Mianzhang Reply:
Hello, Happy: It usually takes 2 to 4 weeks for Ebilin to show significant effects. If there is no noticeable improvement after 4 weeks, it is recommended to increase the dosage. This medication does not have as pronounced effects as other antidepressants, but it has minimal impa...[Read More] Managing Panic Disorder During Pregnancy: Seeking Help and Medication Adjustments
Understanding Autonomic Nervous System Disorders and Their Impact on Appetite
Some issues related to autonomic nervous system dysfunction? Hello doctor, I would like to ask if autonomic nervous system dysfunction can lead to loss of appetite and decreased food intake? I personally have quite a few mental health issues (easily anxious, have obsessive-compul...
Dr. Wang Yaoting Reply:
Hello: Currently, the most common medical test for autonomic nervous system assessment is the "autonomic nervous system testing device" (Heart Rate Variability analysis, HRV), which is self-paid. You can undergo this test at psychiatric hospitals or clinics that have th...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Appetite
Understanding Medication Side Effects in Anxiety Treatment
Drug side effects Hello Doctor, two years ago I started treatment for panic disorder with Liyou, but after taking the medication, I felt even more panic, so I switched medications. Eventually, I was on long-term treatment with Lexapro, and my condition improved, allowing me to st...
Dr. Yu Quanxun Reply:
Hello: Based on your description in the letter, you have a history of panic disorder. You were taking Lexapro and had previously discontinued it due to improvement in your condition. Recently, you have resumed taking Lexapro due to fluctuations in your symptoms, and you are exper...[Read More] Understanding Medication Side Effects in Anxiety Treatment
Managing Panic Disorder Medication: Is Half a Dose Safe for Pregnancy?
Medication issues Hello doctor, I would like to ask about my issue with panic disorder. Currently, I take half a tablet of Lexapro as needed. Is this medication considered heavy? I am also preparing for pregnancy. Thank you.
Dr. Wang Zhenbang Reply:
Hello, although you did not mention the dosage of the medication per tablet, a half tablet dosage is generally within a reasonable usage range and is not considered excessive. However, if you are planning to become pregnant, it is important to be aware of the medication's ef...[Read More] Managing Panic Disorder Medication: Is Half a Dose Safe for Pregnancy?
Understanding Restaurant Anxiety: When Dining Out Triggers Nausea
Eating at restaurants can easily lead to nausea? Hello Doctor: My boyfriend has had a condition for a long time where he feels extremely uncomfortable whenever he eats at a restaurant. In severe cases, he even vomits. Additionally, if he goes to a space like a movie theater after...
Dr. Wang Yaoting Reply:
Hello: This is not a typical symptom of a mental disorder. It is recommended to first visit a gastroenterologist to investigate the physical discomfort symptoms (uncontrollable nausea and vomiting). If most tests are normal or only show minor abnormalities that cannot explain the...[Read More] Understanding Restaurant Anxiety: When Dining Out Triggers Nausea
Managing Panic Disorder: Medication Challenges and Recovery Insights
Medications for Panic Disorder Relapse I reduced my medication dosage to half a pill before the New Year and felt better, so I stopped taking the medication. However, in April after the New Year, I started experiencing a relapse of autonomic nervous system symptoms, accompanied b...
Dr. Wang Yaoting Reply:
Hello: I'm not sure if the medication you mentioned, "reducing half a pill," refers to Escitalopram? Since you are taking two serotonin medications (Prozac and Escitalopram), if you experience any discomfort, it is advisable to keep only one of them and temporarily...[Read More] Managing Panic Disorder: Medication Challenges and Recovery Insights
Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
[Medication Consultation] Can I stop taking antidepressants due to side effects? I have been struggling with anxiety, panic, and depression for a long time and recently sought medical help to address these issues. I have been experiencing symptoms such as chest tightness, palpita...
Dr. Wu Enliang Reply:
The antidepressant should be the most important medication in this prescription. It is recommended to take it after meals to generally avoid side effects such as nausea and vomiting. If these side effects still occur, it is advisable to take half a tablet instead, but it is recom...[Read More] Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
After taking medication for panic disorder, hypoglycemia occurred? Due to issues with panic disorder, I am currently taking the following medications: 1. Anxiolytic: half a tablet with breakfast and lunch, and one tablet with dinner. 2. Lyrica: half a tablet before bedtime. Since...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: Both Anbang and Liyou medications do not cause hypoglycemia. I wonder if you are taking any antidiabetic medications? If so, it may be necessary to discuss potential adjustments with your physician. Panic attacks generally do not improve with food intake, so if you...[Read More] Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
After taking medication for anxiety, the diastolic blood pressure is low? Three weeks ago, I experienced palpitations, shortness of breath, and irregular heartbeats, which led me to undergo an examination in the cardiology department, but no issues were found. Later, I visited a ...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: The medication you are taking, Liyou, may potentially cause orthostatic hypotension. I would like to know if you experience dizziness when changing positions. If you do feel unwell, it is advisable to discuss with your physician whether to adjust your medication. H...[Read More] Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
Can I Stop Taking Lexapro After Reducing My Dose?
Could you please clarify your question regarding the discontinuation of the medication "Kexin"? Hello Doctor: I previously took one capsule of Clomipramine daily for about six months due to panic disorder. For the past month, I have been taking half a capsule and have n...
Dr. Wu Enliang Reply:
It is not advisable to stop taking medication abruptly; please consult your physician. The general process for tapering off medication is to reduce the dosage gradually, typically by half a pill at a time, as advised by Dr. Wu En-Liang.[Read More] Can I Stop Taking Lexapro After Reducing My Dose?
Mindfulness and Meditation: Debunking Myths About Mental Health Risks
Mindfulness and meditation issues? Hello, doctor. Do you mean that practicing mindfulness and meditation will not lead to mental health issues? Then why are there negative messages being spread that cause panic? Recently, mindfulness and meditation have gained popularity, with ...
Dr. Wu Enliang Reply:
Hello, everyone: It seems there are those who thrive on chaos! Dr. Wu Enliang[Read More] Mindfulness and Meditation: Debunking Myths About Mental Health Risks