Understanding OCD: Coping with Anxiety and Intrusive Thoughts
Obsessive-Compulsive Disorder (OCD)? Hello, Doctor. I have anxiety disorder and panic disorder, and I often worry about various things without any specific reason. Once I finish worrying about one thing, I move on to the next. Recently, I don't know if it's because my m...
Dr. Cai Yunlin Reply:
Hello, the repetitive thoughts you mentioned may be related to obsessive thinking and might require further evaluation. However, these psychosomatic symptoms seem to be significantly affecting your well-being. I recommend that you seek prompt consultation with a psychosomatic med...[Read More] Understanding OCD: Coping with Anxiety and Intrusive Thoughts
Understanding Panic Disorder Medications: Risks and Recommendations
Inquiry about panic medications? Hello, doctor. I have panic disorder, and yesterday I visited a psychiatrist who prescribed me clonazepam (1/4 tablet in the morning and 1/4 tablet at night), perphenazine (1 tablet at night), and zapine (1 tablet at night). I would like to know i...
Dr. Huang Xiaoxian Reply:
Hello Ms. Liu, I apologize for the late reply. Regarding the medication clonopam, it is a sedative and short-term use should not be a concern. Zapline is an antidepressant and is not likely to cause addiction issues. Additionally, taking just one dose and then stopping the medica...[Read More] Understanding Panic Disorder Medications: Risks and Recommendations
Understanding Panic Attacks: Symptoms and What to Do
Suddenly feeling like you're about to die in the middle of sleep? Hello, doctor. I have a few conditions I would like to ask about: sometimes when I come home from class and take a nap, I suddenly feel like I can't breathe, my heart seems to stop beating, and my limbs f...
Dr. Huang Xiaoxian Reply:
Dear Roger, thank you for your question. I apologize for the late response. Based on your description, it seems like you may be experiencing symptoms similar to a panic attack; however, typical panic attacks usually occur while a person is awake. If you are experiencing these sym...[Read More] Understanding Panic Attacks: Symptoms and What to Do
Understanding Self-Harm and Emotional Instability: When to Seek Help
Self-harm and prolonged mood instability? Hello, I remember that my first self-harming tendencies began in elementary school when I was scolded by my family, and I started banging my head against the wall. Although my family was shocked, they did not take significant action. Afte...
Dr. Lin Mianzhang Reply:
Hello: First of all, I want to thank you for having the courage to share your situation. It seems that you are experiencing a deep inner pain that makes it difficult for you to maintain emotional stability, leading you to resort to self-harm as a way to alleviate that pain. On th...[Read More] Understanding Self-Harm and Emotional Instability: When to Seek Help
Overcoming Anxiety and Depression: A Journey Through Trauma and Healing
Anxiety, panic, tension, depression? Hello, doctor. I am currently 19 years old and in my first year of college. From middle school to high school, my family was not very harmonious, and there were often arguments. My mother suffers from bipolar disorder and frequently says hurtf...
Dr. Lü Shangheng Reply:
Hello, what you are experiencing is quite challenging, and it is not easy at all. However, there are many people around you who are helping you. Since you are already receiving assistance, generally speaking, the treatment for anxiety and panic disorders includes both pharmacolog...[Read More] Overcoming Anxiety and Depression: A Journey Through Trauma and Healing
Understanding Hyperventilation: Symptoms, Triggers, and Coping Strategies
Hyperventilation Yesterday, I suddenly experienced dizziness and gradually felt numbness in my face and hands. Since I was alone at the time, I went to a nearby convenience store to sit down and rest. After about 15 minutes, my symptoms did not improve and slightly worsened, so I...
Dr. Wu Enliang Reply:
Hello, internet user: Hyperventilation is often one of the symptoms of panic disorder. Additionally, your ongoing concern about dizziness may trigger the symptoms to occur again. It is advisable to seek medical attention at a mental health facility. Furthermore, when anxiety is n...[Read More] Understanding Hyperventilation: Symptoms, Triggers, and Coping Strategies
Navigating Anxiety Disorders: Medication Options and Expert Advice
Generalized Anxiety Disorder (GAD) Hello, doctor. During my first visit to a mental health clinic, the physician diagnosed me with mild panic disorder, generalized anxiety disorder, autonomic nervous system dysregulation, and insomnia (as I often find myself overthinking and feel...
Dr. Wu Enliang Reply:
Hello, online user: Anxiety disorders can generally be treated with psychotherapy or pharmacotherapy. The first-line pharmacological treatments are SSRIs (commonly used antidepressants) and Venlafaxine (another type of antidepressant). Benzodiazepines are used as a short-term sol...[Read More] Navigating Anxiety Disorders: Medication Options and Expert Advice
Managing Withdrawal: Safely Stopping Medication for Panic Disorder
Drug withdrawal I have panic disorder and have been taking Seroquel for 16 years. I currently want to stop taking it, but I feel dizzy and unable to work if I miss a day. Recently, I have been experiencing neck pain and consulted a neurologist who mentioned the issue of discontin...
Dr. Lin Mianzhang Reply:
Hello Ms. Lai: I would like to know the reason why you want to discontinue Suyue. Is it because your panic disorder symptoms have improved significantly? Or are you concerned about the side effects of the medication? If you wish to stop the medication due to improvement in your c...[Read More] Managing Withdrawal: Safely Stopping Medication for Panic Disorder
Is Waking Up at Night a Sign of Panic Disorder?
Waking up in the middle of the night can be a symptom of a panic attack? I am currently 23 years old, and I have had a profound fear of death since childhood, a deep-seated anxiety and dread. My condition has fluctuated over time; however, recently, I have been waking up suddenly...
Dr. Huang Xiaoxian Reply:
Dear Mr. Chen, thank you for your question. It sounds like you are experiencing concerns and fears about death, as well as sudden panic, which are somewhat similar to symptoms of panic disorder. This falls under the category of anxiety disorders. Generally, the treatment for anxi...[Read More] Is Waking Up at Night a Sign of Panic Disorder?
Breaking the Cycle of Anger: Finding Peace After Trauma
If I don't change now, I will forever live in suffering? Hello, doctor. Since I had conflicts with others in the past, they have started to cause me trouble. The reason is that they were in the wrong first, and I shouldn't have retaliated in that way, which led to a cyc...
Dr. Liang Sunyuan Reply:
Hello Amin: Based on your description, you have gone through a lot of hardships and have made significant efforts, as well as developed some coping strategies. You mentioned that medication is effective for you, but you tend to lose control when not taking it. I recommend that yo...[Read More] Breaking the Cycle of Anger: Finding Peace After Trauma
Understanding the Safety of Serotonin Medications: Risks and Concerns
Medication inquiries? Hello, doctor. I would like to ask about the safety of "serotonin" medications and whether they could potentially cause death. I previously tried taking one dose of Prozac and a sedative before bed, and I felt fine the next day with no discomfort. ...
Dr. Huang Xiaoxian Reply:
Dear Mouse, thank you for your question. I'm not sure what the reason is for starting the prescription of Prozac. It is generally prescribed for anxiety, depression, or concurrent conditions, and both anxiety and depression have a high correlation with panic disorder. While ...[Read More] Understanding the Safety of Serotonin Medications: Risks and Concerns
Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Autonomic nervous system dysfunction panic disorder with abdominal pain? Bloating that doesn't subside, depression, anxiety, and irritable bowel syndrome (IBS) are indeed concerning. Since December 31, 2018, I experienced bloating that triggered palpitations, chest tightness...
Dr. Huang Xiaoxian Reply:
Dear A-Ze, regarding the bloating you mentioned, it generally arises from excessive air intake or rapid gastrointestinal motility, both of which are often associated with anxiety. When a person is anxious, they tend to breathe more rapidly, which can further lead to symptoms such...[Read More] Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress
Anxiety Panic Disorder Hello Doctor, I have been working at a Japanese company for almost two years now. Since I joined this company, I have frequently experienced dizziness and headaches. In the past six months, my workload has increased, and working overtime has become the norm...
Dr. Wu Enliang Reply:
Hello, Xiao Zi: There are many ways to improve the situation. When facing stressors, one can *avoid, reduce, or modify the stressors.* *Develop stress management techniques.* *Practice positive thinking and self-affirmation.* *Implement effective time management.* *Engage in comp...[Read More] Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress
Understanding Anxiety vs. Psychosis: A Personal Journey
Could you please clarify whether this is considered anxiety or psychosis? Hello, doctor. I have been experiencing panic disorder and depression for about 5-6 years. However, since getting married two years ago, my depression has almost disappeared, but I have become very anxious....
Dr. Huang Xiaoxian Reply:
Dear Ms. Mouse, Thank you for your inquiry. Regarding the symptoms you mentioned, they primarily seem to be anxiety-related and are not very typical, so the likelihood of schizophrenia is not very high. Of course, some initial symptoms of schizophrenia may bear some resemblance...[Read More] Understanding Anxiety vs. Psychosis: A Personal Journey
Understanding Panic Disorder: Symptoms and Coping Strategies
Am I suffering from panic disorder? Hello, doctor. I have a few concerns I'd like to ask about: 1. I have always experienced nasal congestion during seasonal changes, particularly when the weather gets cold or during winter. When nasal congestion occurs, I feel like I can&...
Dr. Huang Xiaoxian Reply:
Dear XH, thank you for your question. The symptoms you described are indeed similar to those of typical panic disorder. Generally speaking, panic disorder is highly related to one's constitution and stress levels. Given the severity and the clear impact on your life that you...[Read More] Understanding Panic Disorder: Symptoms and Coping Strategies
Understanding Sudden Anxiety and Panic Symptoms: When to Seek Help
Is there a psychological issue? I often suddenly feel tense and anxious without any apparent reason. Although I can consciously think and engage in normal conversations, I continue to exhibit small movements, and the tension and anxiety do not subside until a few minutes later. I...
Dr. Liang Sunyuan Reply:
Hello! The symptoms you described could indeed be indicative of a panic attack. It is advisable to practice distraction techniques or relaxation exercises. However, if the episodes become more frequent, it is recommended to seek medical assistance. Wishing you the best![Read More] Understanding Sudden Anxiety and Panic Symptoms: When to Seek Help
Medication and Food Interactions for Panic Disorder Treatment
Medication and Food Consultation Hello doctor, I started experiencing panic disorder in May of last year and only began treatment at the psychosomatic clinic in March of this year. The doctor prescribed me one tablet of Anxiol and half a tablet of Muxin in the morning. Can I eat ...
Dr. Qiu Junda Reply:
Hello. Eating grapefruit is generally associated with antihypertensive and lipid-lowering medications. Taking one tablet of Anxiolytic and half a tablet of Mucilaginous should not pose any issues with grapefruit consumption. Drinking black tea is also fine. However, if there are ...[Read More] Medication and Food Interactions for Panic Disorder Treatment
Understanding Anxiety and Panic Disorders: A College Student's Journey
Depression, anxiety, and panic disorder? Hello Doctor: I am currently a freshman in college. At the beginning of the next semester, I occasionally experience sharp pain in my chest, and after an examination, I was diagnosed with mitral valve prolapse. Initially, I didn't pay...
Dr. Liang Sunyuan Reply:
Hello: Your symptoms may be related to anxiety. It is recommended to try to distract yourself; past experiences should reassure you that nothing is wrong. If there is no improvement, consider consulting a psychosomatic medicine or psychiatry specialist for assistance. Wishing you...[Read More] Understanding Anxiety and Panic Disorders: A College Student's Journey
Understanding SSRI Side Effects and Alternatives for Anxiety Management
Drug side effects Hello, Doctor. I have mild anxiety and panic symptoms, and I tend to be a nervous person, so I occasionally experience anxiety symptoms such as palpitations, dizziness, unexplained fear, numbness in my hands, or slight trembling. The doctor prescribed me Enteric...
Dr. Qiu Junda Reply:
Hello. The side effects of SSRIs are mostly gastrointestinal (such as nausea and vomiting). It is generally advisable to start with a lower dose to see how you respond, as this can help mitigate side effects, which usually become more tolerable within a week. As for Anxiolytics, ...[Read More] Understanding SSRI Side Effects and Alternatives for Anxiety Management
Understanding Anxiety and Panic Disorders in Mothers: Seeking Help
Anxiety Panic Disorder Hello Dr. Wu: I have two sons who are both adults and have stable jobs, but I find the role of "mother" to be overwhelming. I am constantly worried about them, and recently it has become very severe. I have thought countless times about using deat...
Dr. Wu Enliang Reply:
Hello, life is very precious. There are many people in Taiwanese society (including myself) who are willing to help you through difficult times. I wonder if you might be suffering from depression? Depression is not a sign of weakness; it is a condition caused by a decrease in bra...[Read More] Understanding Anxiety and Panic Disorders in Mothers: Seeking Help