Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang Reply:
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Overcoming Anxiety and Panic: Seeking Help from a Specialist
I really feel helpless and need Dr. Liao's expertise! Hello Dr. Liao, thank you for your dedication and professionalism in addressing everyone’s concerns. After reading your previous responses, I believe you are a very competent physician. I apologize for the lengthy message...
Dr. Liao Dinglie Reply:
Hello, online friend: Your description indeed reflects typical panic disorder combined with anxiety disorder. Medications such as Xibin capsules (20mg), Xanax (0.5mg), and Ental (10mg) are standard treatments for these symptoms. This condition can cast a significant shadow over o...[Read More] Overcoming Anxiety and Panic: Seeking Help from a Specialist
Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Experiencing anxiety and panic symptoms following missed heartbeats, please consult a physician? Hello Dr. Wang, thank you for your dedication and professionalism in addressing everyone's concerns. After reading your previous responses, I believe you are a very knowledgeable...
Dr. Wang Yaoting Reply:
Hello: Anxiety disorders and autonomic nervous system dysregulation often influence each other, creating a vicious cycle that typically requires some changes for improvement. Most causes of onset are not due to a single event; both physiological and psychological factors may cont...[Read More] Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Hypersomnia, dissociation, depression? Hello Doctor: I have been diagnosed with depression, dissociative disorder, panic disorder, and anxiety disorder. Before bed, I take half a tablet of Zolpidem, one tablet of Alprazolam, one tablet of Quetiapine, two tablets of Buspirone, and...
Dr. Wu Enliang Reply:
Hello, online friend: It is also possible that the medication taken before bed is too strong. As your condition improves, you may gradually need less of this medication. I suggest discussing this with your physician. Dr. Wu Enliang[Read More] Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Can anxiety cause difficulty in urination? Hello, doctor. Recently, while I was walking, I suddenly experienced palpitations, a rapid heartbeat, chest tightness, chest pain, and difficulty breathing. I went to the emergency room, where the doctor diagnosed me with gastroesophagea...
Dr. Wu Enliang Reply:
Hello, netizen: Difficulty in urination is considered a rare side effect of this medication. If you are concerned, you should discuss with your physician whether to switch medications; otherwise, it generally improves over time. Dr. Wu Enliang[Read More] Can Antidepressants Cause Urinary Difficulties? Understanding the Connection
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system dysfunction? Hello Dr. Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks. I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system...
Dr. Wang Yaoting Reply:
Hello: **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, ...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Medication Issue - I was prescribed Abilify by my doctor for panic and anxiety disorders, but it has made my anxiety worse? Hello, Doctor. I have a severe panic disorder and health anxiety, which seems to be hereditary as some of my cousins have obsessive-compulsive disorder and ...
Dr. Lin Mianzhang Reply:
Hello Ah-Heng: I can sense that your anxiety level is quite high, and I empathize with you! Abilify can be used to treat schizophrenia (previously referred to as psychosis), bipolar disorder, and other major mental illnesses. Additionally, it can serve as an adjunct treatment for...[Read More] Understanding Anxiety and Panic Disorders: Concerns About Abilify Use
Understanding Panic and Anxiety Disorders: Symptoms and Solutions
Anxiety Disorders and Panic Disorders Hello doctor, I would like to ask about an incident where I suddenly experienced rapid heartbeat, chest tightness, and trembling, feeling as if I was going to die. I went to see a cardiologist and underwent an electrocardiogram, chest X-ray, ...
Dr. Lin Mianzhang Reply:
Hello, Xiao Jie: Your situation does indeed resemble a panic attack; however, to diagnose panic disorder, it is essential to rule out certain physiological conditions or substance use factors first. It appears that your cardiac evaluations were normal, but I am unsure if your ini...[Read More] Understanding Panic and Anxiety Disorders: Symptoms and Solutions
Managing Panic Attacks While Riding: Understanding Anxiety and Autonomic Dysfunction
Experiencing tightness in the abdomen while riding a bike? Hello Doctor: Since my fourth episode at the end of December last year, I suddenly felt a shortness of breath while driving, as if I couldn't get enough air no matter how hard I tried to inhale. Then I started to exp...
Dr. Wu Enliang Reply:
Hello, netizen: I would like to ask if weight training will further stimulate my sympathetic nervous system? A: Weight training will not further stimulate my sympathetic nervous system. In the case that I experience episodes while cycling, what should I do? How can I resolve my c...[Read More] Managing Panic Attacks While Riding: Understanding Anxiety and Autonomic Dysfunction
Managing Panic Disorder: Why Am I Still Struggling with Breathing?
Still feeling unwell despite taking medication? Hello Doctor, I was diagnosed with panic disorder several years ago and took medication for about six months before I started to feel better. Since then, I've been taking it intermittently. Before going out, driving, or when I ...
Dr. Wu Enliang Reply:
Hello, online friend: It seems that the main medication currently is Lede, which takes about 2 to 4 weeks to take effect. It is recommended to continue taking the medication as prescribed by your doctor during this time. The side effects of these medications are manageable, so th...[Read More] Managing Panic Disorder: Why Am I Still Struggling with Breathing?
Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Obsessive-Compulsive Disorder (OCD)? Anxiety? Depression? Hello, doctor. Although this issue has only been troubling me for about six months, I sincerely feel distressed and hope you can offer some guidance. I used to consider myself quite brave—someone who, despite being introve...
Dr. Lin Mianzhang Reply:
Hi there! After hearing about all the uncomfortable experiences you've been through, I truly empathize with you. It must be really tough to endure so much discomfort while also preparing for this year's major exams. I believe the doctor diagnosed you with obsessive-comp...[Read More] Understanding OCD, Anxiety, and Depression: A Teen's Struggle
Understanding the Impact of Prednisolone on Mental Health Disorders
Steroids and Mental Illness Hello, Doctor. Recently, I sought treatment from an otolaryngologist due to a persistent cough following a cold that did not improve despite using various cough suppressants and expectorants (with normal X-ray and auscultation results). The doctor pres...
Dr. Wu Enliang Reply:
Hello, online user: Taking such a low dose of steroids for a short period will not have any significant impact on your mood, so you can take them with peace of mind. Wishing you a speedy recovery. Dr. Wu En-Liang[Read More] Understanding the Impact of Prednisolone on Mental Health Disorders
Managing Anxiety After Medication: Understanding Your Feelings and Next Steps
Nervous anxiety I have been off medication for three months and haven't returned for a follow-up appointment because I didn't know what to discuss with the doctor. Initially, I had weekly visits, then biweekly, then every three weeks, and finally monthly, totaling about...
Dr. Lin Mianzhang Reply:
Hello: I would like to know what circumstances led you to start medication initially? Was it due to depression, anxiety, or panic? Are the discomforts you are experiencing recently similar to those you had before starting the medication? If so, this may indicate a relapse of your...[Read More] Managing Anxiety After Medication: Understanding Your Feelings and Next Steps
Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Drug side effects Due to widespread anxiety disorder and panic disorder following breast cancer treatment, I have been on medication for 6 years (taking Alprazolam 0.5 mg at bedtime and Zopiclone 7.5 mg). Everything has been stable, but in the past six months, menopausal symptoms...
Dr. Lin Mianzhang Reply:
Hello Wayne: Clonazepam will not affect blood sugar or prolactin levels! However, if you have been diagnosed with generalized anxiety disorder and panic disorder, a more fundamental treatment approach would be to take antidepressants, which are less likely to lead to dependency i...[Read More] Long-Term Use of Clonazepam: Effects on Blood Sugar and Prolactin Levels
Understanding Panic Disorder: Signs, Symptoms, and When to Seek Help
Anxiety Panic Disorder Hello, doctor. I am a third-year junior high school student, and I am feeling quite stressed as I prepare for the upcoming entrance exams. In the past, I occasionally experienced sudden feelings of unease, often accompanied by a sense of foreboding that mad...
Dr. Lin Mianzhang Reply:
Hello Wang: Preparing for exams can be tough! Your situation is very similar to panic attacks, which may be related to the stress of exam preparation. However, there are other factors that can cause symptoms similar to panic attacks that need to be carefully differentiated, such ...[Read More] Understanding Panic Disorder: Signs, Symptoms, and When to Seek Help
Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks
At night, there is a pressure to curl up my whole body and scream? Hello Dr. Lin: I have been struggling with insomnia for over 30 years. I am aware that it is due to generalized anxiety, primarily stemming from my father, who was placed in a nursing home two years ago. He is now...
Dr. Lin Mianzhang Reply:
Hello Ah-Hsien: The symptoms you experience while sleeping are somewhat similar to those of sleep terror disorder. Symptoms include sudden awakening, screaming, increased heart rate and breathing, and cold sweats. The causes can include stress, excessive fatigue, lack of sleep, a...[Read More] Understanding Sleep Disorders: Anxiety, Cramps, and Panic Attacks
Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
I'm not sure if it's mitral valve prolapse or panic disorder? I often feel short of breath and have the sensation that I'm not getting enough oxygen when I breathe. I constantly want to take deep breaths, but I can't. Sometimes, this leads me to feel the urge ...
Dr. Wang Yaoting Reply:
Hello, Xiaoxian: When experiencing discomfort in the body, it is important to first examine the symptoms that have arisen. For instance, regarding your concerns about shortness of breath and suspected mitral valve prolapse, you should first seek medical attention from a cardiolog...[Read More] Understanding Mitral Valve Prolapse vs. Panic Disorder Symptoms
Managing Withdrawal Symptoms After Discontinuing Antidepressants
Wanyou Ting (also known as "Wan You Ting") medication? I previously took paroxetine for four months due to panic disorder and generalized anxiety disorder. Last Tuesday was the last time I took it, and since then, I have been having trouble sleeping every night (before ...
Dr. Lin Mianzhang Reply:
Hello: It sounds like these symptoms are related to your discontinuation of medication. Generally, when stopping antidepressants, it is recommended to taper off gradually. For example, if you were originally taking two pills a day, you might first reduce it to one pill and then d...[Read More] Managing Withdrawal Symptoms After Discontinuing Antidepressants
Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly other psychiatric symptoms? Psychiatric prescription: At ...
Dr. Lin Mianzhang Reply:
Hello Eric: 1. This combination of medications is safe in terms of dosage and should not lead to serotonin syndrome. 2. Anxiety, depression, and insomnia can all contribute to physical discomfort; however, if you are experiencing severe widespread bone pain, it is advisable to s...[Read More] Understanding Severe Depression, Anxiety, and Related Disorders: Key Questions Answered
Understanding Severe Mental Health Disorders and Medication Concerns
Major Depressive Disorder, Severe Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Mild Auditory Hallucinations, Palpitations, Insomnia? Psychiatric prescription: Before bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapi...
Dr. Guo Jialun Reply:
Each individual reacts differently to medications, and not all side effects are guaranteed to occur after taking a drug. The severity and efficacy of medications can also vary from person to person, so it is advisable to discuss any medication concerns with your physician during ...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns