Should I Seek Help from a Psychiatrist for My Mental Health?
Should I seek treatment at a psychiatric hospital? Hello Doctor, I am currently a high school sophomore. Since childhood, I have experienced unexplained feelings of anxiety or stress that lead me to bite my nails and constantly pick at my hands. In middle school, I harmed myself ...
Dr. Liang Sunyuan Reply:
Hello Nicky, since childhood, you have been biting your nails and picking at your skin, which can be harmful to yourself and is often associated with anxiety and depression. It is recommended to first recognize and accept this part of yourself, and then try to learn new and diffe...[Read More] Should I Seek Help from a Psychiatrist for My Mental Health?
Should I Resume Antidepressants for Anxiety and Stress Relief?
Should I resume taking antidepressant medication? Hello Doctor: I used to be a patient with panic disorder and took Xanax and Cymbalta for over ten years. However, I gradually stopped taking the medication around last year's Lunar New Year after feeling stable. Initially, th...
Dr. Liang Sunyuan Reply:
Hello Josephy: It is inevitable to experience anxiety when encountering new changes or stressful situations in life. It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal. Then, focus on the tasks that requ...[Read More] Should I Resume Antidepressants for Anxiety and Stress Relief?
Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Panic disorder caused by autonomic nervous system dysregulation? About a year ago, I was diagnosed with autonomic nervous system dysfunction. However, after taking the first dose of medication the next day, I experienced hand tremors and an accelerated heartbeat, which caused me ...
Dr. Tang Jiahong Reply:
Hello, sir: Among your current medications, bromazin (generic name bromazepam) belongs to the benzodiazepine class of anxiolytics, which provides an immediate sense of relaxation upon ingestion. Sertraline is a medication that enhances serotonin levels and improves anxiety over t...[Read More] Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Panic disorder relapse issues? Hello Doctor, about two years ago, I experienced rapid heartbeat and difficulty breathing. After a check-up that showed everything was normal, I was referred to a psychiatrist and diagnosed with panic disorder. To be honest, I still don't fully...
Dr. Qiu Junda Reply:
Hello. The situation mentioned in the text mostly pertains to symptoms of panic and anxiety. Since you have already consulted a psychiatrist and have shown improvement, it is recommended that you continue your follow-up appointments. If you wish to discontinue treatment, please d...[Read More] Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Am I Suffering from Depression, Anxiety, or Panic Disorder?
Am I experiencing depression, anxiety, or panic stemming from worry? I don't know when I started to feel increasingly unhappy. My low mood has persisted for a long time (over three months now), and I've begun to feel weary of the world. Sometimes I feel like I can'...
Dr. Li Zhengfeng Reply:
Ms. Huang: Hello, based on the information provided, you may be experiencing symptoms of depression. However, depression often coexists with anxiety and panic symptoms. If the medication is effective, it is recommended to continue for a period of time before discussing with your ...[Read More] Am I Suffering from Depression, Anxiety, or Panic Disorder?
Switching from Zyprexa to Generic: Will It Affect My Mental Health?
If someone has been taking Zanaflex (tizanidine) for several years and suddenly switches to Klonopin (clonazepam), could there be any effects? Hello Doctor: I have autonomic nervous system dysfunction, which later developed into panic disorder. My panic disorder has stabilized si...
Dr. Xiao Minghong Reply:
Hello Ms. Ying; both Xanax and Klonopin contain alprazolam, and theoretically, they are classified the same with similar efficacy. However, in clinical practice, there are indeed cases where patients report different effects (either improved or worsened) after switching to a diff...[Read More] Switching from Zyprexa to Generic: Will It Affect My Mental Health?
Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Recently, I have been tossing and turning in my sleep and talking in my sleep? Since I started college, my roommates often tell me that I toss and turn a lot during the night, and that I move quite vigorously. I usually go to bed around midnight to 1 AM, but my roommates say they...
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Some individuals may have a predisposition to sleep talking or sleepwalking, especially when they have a lot going on during the day or are under significant stress. Certain medications can indeed cause sleep disturbances; however, if these issues were present ...[Read More] Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Anxiety Panic Disorder I often experience anxiety or negative thoughts, and whenever these thoughts arise, I feel chest tightness and headaches. I've noticed that the more I try to counter these thoughts with positive thinking, the more panic I feel in my body. This happens ...
Dr. Wu Enliang Reply:
Hello, Xiao Bai: If you are unable to manage your anxiety on your own, it is indeed necessary to seek medical attention. In fact, certain physical issues, such as thyroid dysfunction, can also lead to intolerable anxiety responses. Whether medication is needed should be discussed...[Read More] Understanding Anxiety and Panic Disorders: Managing Symptoms and Treatment Options
Understanding PTSD: Why Traumatic Memories Are Often Repressed
Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) can lead to the forgetting of certain memories due to psychological factors. This phenomenon can be explained by Freud's theory of repression, which suggests that individuals often unconsciously avoi...
Dr. Wu Enliang Reply:
The September 21 earthquake caused severe disasters across Taiwan, resulting in numerous casualties and the destruction of many homes. Survivors faced the devastation of their communities, the loss of loved ones, and various difficulties in daily life, housing, and transportation...[Read More] Understanding PTSD: Why Traumatic Memories Are Often Repressed
Understanding Medication for Anxiety: Common Concerns and Side Effects
Questions about pharmacological treatment for anxiety disorders? Hello, doctor. I am currently a freshman in college, and I often excessively worry about my health (I tend to magnify minor discomforts, search online for disease articles, and remain anxious until symptoms resolve....
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Generally, side effects caused by medications tend to become less severe over time as the body adapts. There are many reasons for fatigue, and it is not necessarily caused by medication; anxiety itself can be quite draining, and being in a constant state of anx...[Read More] Understanding Medication for Anxiety: Common Concerns and Side Effects
Understanding Anxiety: Does Relaxation Lead to Shorter Life?
Strange worries: Relaxation may lead to a shorter lifespan? I have often experienced anxiety and worry, accompanied by headaches and chest tightness. Recently, I came across two strange articles that triggered an inexplicable sense of concern. I feel like I have developed a subco...
Dr. Qiu Junda Reply:
Hello. You seem to be prone to anxiety and tension (panic is also a form of anxiety). The main idea of these two articles is to inform us that while people generally dislike stress, moderate stress can actually be beneficial. You can search online for information regarding what s...[Read More] Understanding Anxiety: Does Relaxation Lead to Shorter Life?
Can Long-Term Panic Disorder Be Cured? Exploring Treatment Options
Is there still a chance for long-term panic disorder to be cured? My husband has been suffering from panic disorder for 7 to 8 years (he is 41 years old this year). He takes medication daily, including Xanax and Lexapro, and he tends to take an extra Xanax whenever he experiences...
Dr. Qiu Junda Reply:
Hello. The patient's panic disorder may commonly be accompanied by some concerning psychiatric symptoms. At first glance, it does not reach a level of high suspicion for other more severe psychiatric disorders. Please do not be overly worried. For treatment, please continue ...[Read More] Can Long-Term Panic Disorder Be Cured? Exploring Treatment Options
Understanding Anxiety-Related Physical Symptoms: A Comprehensive Guide
Anxiety-related physical discomfort? Hello, Doctor: A year ago, due to my living environment, the people around me, and work-related stress, I found myself getting angry easily, almost every day. Initially, I thought it was not a big deal, but later on, I started experiencing fee...
Dr. Wang Yazhen Reply:
Hello, Anxiety-related disorders include anxiety disorders, obsessive-compulsive disorder (OCD), and panic disorder. In simple terms, these conditions are characterized by significant physical and mental disturbances that affect daily life and functioning for an extended period...[Read More] Understanding Anxiety-Related Physical Symptoms: A Comprehensive Guide
Understanding Anxiety, Panic, and Depression: Navigating Mental Health Challenges
Anxiety disorders, panic disorders, depression? Hello, doctor. I would like to ask: About a year ago (September 2016), I experienced a significant dizziness upon waking up one day, which startled me. I quickly lay down to rest for a while, and it got better. However, since that d...
Dr. Liang Sunyuan Reply:
Hello, Avi: Selective serotonin reuptake inhibitors (SSRIs) are effective in treating panic, anxiety, and depression, as anxiety can produce similar symptoms. However, these medications typically take three to six weeks of consistent use before their effects stabilize. It is reco...[Read More] Understanding Anxiety, Panic, and Depression: Navigating Mental Health Challenges
Do You Really Need Medication for Panic Disorder? Understanding Treatment Duration
Is medication always necessary for panic disorder? Hello Doctor: In August, I experienced two episodes of hyperventilation and was taken to the emergency room. Later, I consulted a cardiologist and learned that I have mitral valve prolapse. The doctor mentioned that I have autono...
Dr. Qiu Junda Reply:
Hello: Since you have already consulted with a psychiatrist, it is better to discuss related issues with your attending physician. In my personal opinion, panic disorder is also a manifestation of high anxiety. If it can be improved through non-pharmacological methods such as rel...[Read More] Do You Really Need Medication for Panic Disorder? Understanding Treatment Duration
Can Involuntary Muscle Movements Trigger Panic Disorders?
Can involuntary muscle movements trigger panic disorder? Hello, doctor. Four years ago, I underwent surgery for scoliosis. Initially, everything was fine after the operation, but seven months later, my former supervisor called and asked if I could return to the company to help ou...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, I can sense your discomfort and distress due to your condition, which includes post-operative discomfort in your back muscles. It may be necessary for you to consult both a neurologist and a psychiatrist. You mentioned experiencing fatigue after...[Read More] Can Involuntary Muscle Movements Trigger Panic Disorders?
Understanding Anxiety and Panic Disorders in Young Adults
Anxiety Panic Disorder Hello Doctor, I would like to ask you some questions. I just graduated from middle school and have chosen to attend a vocational school in another city. However, I am starting to experience feelings of worry and fear, which I think might be related to movin...
Dr. Song Chengxian Reply:
Hello: When facing a new environment, it is common to experience feelings of anxiety or unease. If these feelings become too severe and interfere with daily life, it may be necessary to seek formal medical attention and professional counseling assistance. It is recommended that y...[Read More] Understanding Anxiety and Panic Disorders in Young Adults
Understanding Panic Disorder vs. Anxiety: A Guide for Families
Is this panic disorder or anxiety panic disorder? Hello Doctor, My mother has become very anxious over the past few years due to my father's infidelity. I have taken her to see a doctor. Although my mother chose to forgive my father, and he apologized and promised to cut t...
Dr. Huang Weiqin Reply:
Hello, regarding your description of your mother's emotions and behaviors, it seems she may be experiencing depression combined with anxiety and autonomic nervous system dysregulation due to the stress from the infidelity incident. The damage to mutual trust, self-confidence...[Read More] Understanding Panic Disorder vs. Anxiety: A Guide for Families
Is It Panic Disorder or Depression? Understanding Your Mental Health Symptoms
I'm not sure if this is panic disorder or depression? I remember during the Lunar New Year when I was 19 years old, I took a train and there were so many people that I couldn't find a seat, so I stood in the aisle. Shortly after the train departed, I suddenly felt dizzy...
Dr. Huang Weiqin Reply:
Hello, user: Based on your description of your emotional and physical condition, it is indeed possible that you are experiencing panic disorder and secondary depression as a result of panic. Panic disorder is a type of autonomic nervous system dysfunction. With appropriate medica...[Read More] Is It Panic Disorder or Depression? Understanding Your Mental Health Symptoms
Understanding the Side Effects of Zyprexa for Panic Disorder Treatment
Side effects of Xanax? Doctor, I have panic disorder, which has led to chronic headaches and digestive issues. The doctor prescribed me Xanax and stomach medication, but I am afraid of the side effects and haven't taken them yet. If I develop tolerance, how long will it take...
Dr. Dai Wanxiang Reply:
Hello, Mr. Mirror: If a diagnosis of panic disorder is confirmed, it is possible to prescribe selective serotonin reuptake inhibitors (SSRIs) or anxiolytic medications (such as Xanax) for treatment. Cognitive behavioral therapy (CBT) can also be used in conjunction with medicatio...[Read More] Understanding the Side Effects of Zyprexa for Panic Disorder Treatment