Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Regarding medications and physiological issues? I would like to ask—last year, due to high stress, I experienced hyperventilation and muscle spasms in my hands and feet during an emotional episode. My hands often felt numb and shaky. After consulting a cardiologist and finding no...
Dr. Lin Mianzhang Reply:
Hello Judy: It seems that after adjusting your medication, your initial response has been quite good. Your burping may be due to swallowing air when you take deep breaths out of nervousness. Your medication dosage is within the normal range, and this issue did not occur when you ...[Read More] Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments
Can Depression Medication Be Prescribed as a Chronic Prescription?
Can I switch to a chronic prescription for medication? Hello, doctor. A family member has been taking medication for depression (anxiety, panic, insomnia) for nearly twenty years (picking up prescriptions every 28 days at a major hospital). Recently, they have also developed epil...
Dr. Wu Enliang Reply:
Hello, online user: Theoretically, a chronic prescription should be possible, but the physician may have their clinical judgment, or some hospitals may have internal regulations that restrict the issuance of prescriptions for controlled substances, etc. Dr. Wu Enliang.[Read More] Can Depression Medication Be Prescribed as a Chronic Prescription?
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
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Sleep apnea? Hello doctor, I have anxiety disorder and often search for information on Google, which ends up scaring me. Whenever I feel unwell, I want to see a doctor for reassurance. However, due to the recent outbreak of the pandemic and seeing news about sudden deaths from hy...
Dr. Wu Enliang Reply:
Hello, netizen: This is likely caused by anxiety rather than sleep apnea. If someone has a more sensitive personality, their reaction to the stress of the pandemic may be more intense. The invisibility and harmfulness of the virus, along with the uncertainty of transmission, can ...[Read More] Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
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
Is It OCD? Understanding Intrusive Thoughts and Anxiety
Is it obsessive-compulsive disorder? Hello, Doctor! I would like to ask if having intrusive thoughts about whether I am my parents' biological daughter is considered obsessive thinking. Whenever I feel anxious, I search online for information, such as whether dimples are dom...
Dr. Lin Mianzhang Reply:
Hi there! Thank you for your hard work! Your situation seems to align quite well with obsessive-compulsive disorder (OCD). If you want to gain a deeper understanding of OCD, I recommend reading the book "The Myth of Sisyphus." Additionally, I suggest seeking help from a...[Read More] Is It OCD? Understanding Intrusive Thoughts and Anxiety
Managing Anxiety and Heart Palpitations: A Guide for Young Adults
Anxiety and unhappiness in life? Hello Dr. Liao, I started experiencing ventricular premature contractions (VPC) last year, which led to anxiety and panic attacks (cold sweats and rapid heartbeat). I have always felt that something is wrong with my body, but after consulting with...
Dr. Liao Dinglie Reply:
Hello, internet user: Experiencing anxiety and panic attacks in your early twenties can indeed be distressing. Your cardiologist has conducted examinations and confirmed that there are no issues with your heart. In fact, the heart can function continuously for decades without pro...[Read More] Managing Anxiety and Heart Palpitations: A Guide for Young Adults
Understanding Bipolar Disorder in Family: Questions and Support Strategies
I would like to ask questions regarding family members with bipolar disorder! Doctor: Hello! My family member (married) lives in a different county and experienced a major depressive episode 10 years ago. After taking medication and shifting life goals, they gradually stabilized....
Dr. Lin Mianzhang Reply:
Hello: Regarding your questions, here are the answers: 1. If mild mania is already affecting normal life, it is advisable to seek medication treatment to avoid adverse consequences. 2. Mild mania does not necessarily lead to depression. If your family member has Type I Bipolar...[Read More] Understanding Bipolar Disorder in Family: Questions and Support Strategies
Understanding the Side Effects of Liyou in Managing Anxiety
Regarding the side effects of taking Liyou (anxiolytic medication)? Doctor, I've been experiencing severe anxiety lately, so my doctor prescribed me Liyou (anxiolytic medication). I took one after lunch for the first time. However, after taking it, I had a panic attack while...
Dr. Lin Mianzhang Reply:
Hello, Xiao Su: Some individuals may experience increased anxiety after starting Liyou (anxiety medication), particularly during the first two weeks of treatment. This usually improves over time. Therefore, your situation could indeed be a side effect of Liyou. The recommended ap...[Read More] Understanding the Side Effects of Liyou in Managing Anxiety
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
Alternatives to SSRIs: Managing Anxiety Without Bone Density Loss
Medication issues Dear Doctor, I have been taking Clonazepam 12.5mg for about 10 years due to anxiety and panic issues. I also have osteoporosis that requires treatment. I found on Google that SSRIs can have side effects related to osteoporosis. I would like to ask if there are a...
Dr. Wang Yaoting Reply:
Hello: Research from abroad indicates that SSRIs, a class of antidepressants that regulate serotonin, may reduce bone density in individuals aged 65 and older. In high-risk groups (those with osteoporosis or a history of fractures), caution is advised when using these medications...[Read More] Alternatives to SSRIs: Managing Anxiety Without Bone Density Loss
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
Coping with Job Stress: Finding Relief from Workplace Anxiety
Work-related stress Hello Doctor, I have been in the workplace for over five years. This year, I decided to change jobs to try something new, but after the switch, I found myself increasingly unhappy. I am still a novice, and besides doing miscellaneous tasks, I have also started...
Dr. Wu Enliang Reply:
Hello, online user: Could it really be that the work stress is causing psychosomatic symptoms? If it's truly difficult to cope, I recommend discussing with your supervisor about possibly reducing your workload, or consulting a psychiatrist to prescribe some medication to tem...[Read More] Coping with Job Stress: Finding Relief from Workplace Anxiety
Understanding Social Anxiety and Depression: A Patient's Journey
Anxiety disorders and depression? Hello, doctor. I have severe social anxiety that prevented me from finishing college, and I have been too afraid to look for a job. I don't want my family to know, so I've been pretending to go to work every day and returning home in th...
Dr. Lin Mianzhang Reply:
Hello Lily: Based on your description, it is indeed important to consider the possibility of depression. Lexapro and Effexor are both antidepressants that can improve symptoms of depression, anxiety, and panic when taken at effective therapeutic doses. However, the dosages of bot...[Read More] Understanding Social Anxiety and Depression: A Patient's Journey
Managing Depression: Medication Insights and Emergency Relief Options
Depression medication consultation Hello, doctor. I am currently receiving treatment for anxiety and depression. The doctor prescribed me: one dose of Lurasidone in the morning and one dose of Clonazepam before bed, with Xanax as needed for anxiety or panic attacks. I would like ...
Dr. Wu Enliang Reply:
Hello, online friend: I would like to ask about symptoms of depression. Besides the daily medication that needs to be taken, is there any medication that can be taken temporarily to alleviate symptoms when feelings of sadness suddenly become overwhelming? If so, could you please ...[Read More] Managing Depression: Medication Insights and Emergency Relief Options
Understanding Medication Options for Social Anxiety and Depression
Medication Consultation for Social Anxiety and Depression Hello, doctor. I have been suffering from severe social anxiety disorder for many years and have been too afraid to go out to work. I also experience chronic mental disarray and have difficulty concentrating. I feel that I...
Dr. Wu Enliang Reply:
Hello, online friend: Because I didn't finish college and have no interests or specialties, I feel scared to go out and look for a job, constantly avoiding reality. Every time I go for a follow-up appointment, I'm afraid the doctor thinks I'm not making an effort t...[Read More] Understanding Medication Options for Social Anxiety and Depression
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?