Understanding Drug Interactions: Impact on Anxiety Treatment and Symptoms
Drug interactions Hello Dr. Lin, I have been taking Sertraline 75mg for anxiety and panic for over six months. My symptoms only occasionally flare up when I am too tired or busy. Recently, I experienced the following situation: since my family runs a small eatery, we allow custom...
Dr. Lin Mianzhang Reply:
Hello, little chef: Amphetamine is a central nervous system stimulant, and inhaling it can indeed trigger symptoms such as anxiety, panic, and increased heart rate. However, the amount you inhaled should not be significant, and your body will metabolize the amphetamine quickly. T...[Read More] Understanding Drug Interactions: Impact on Anxiety Treatment and Symptoms
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
Understanding Bupropion for Smoking Cessation in Depression Patients
Using Bupropion for Smoking Cessation I would like to consult a physician. I have been suffering from depression for many years and have also been a long-term smoker. The medication prescribed by my doctor includes Bupropion, which I found out can also be used for smoking cessati...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to smoking. In fact, the process of quitting smoking can exacerbate various complex psychological and emotional responses, such as anxiety, depression, panic, denial, anger, and...[Read More] Understanding Bupropion for Smoking Cessation in Depression Patients
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
Managing Panic During MS Diagnosis: Expert Advice and Support
Finally, I would like to ask the doctor? Hello, I am the person who recently asked you about multiple sclerosis. (1) What should I do if I find myself in a panic during this month (with tests scheduled for the end of the month)? (2) Based on your last response, do you think I hav...
Dr. Huang Xiaoxian Reply:
Dear Chullukechul, 1. When you find yourself in a panic, it is recommended to practice diaphragmatic breathing, engage in simple stretching exercises, or seek pharmacological treatment for relaxation. 2. I believe you do not have multiple sclerosis; however, it is evident that...[Read More] Managing Panic During MS Diagnosis: Expert Advice and Support
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
Overcoming Fear of Illness: Coping with Health Anxiety and MS Concerns
Anxiety about the fear of becoming ill in the future? Hello, doctor. I visited a neurologist and expressed my concerns about multiple sclerosis. He ordered relevant tests for me. Recently, I've been feeling tired and dizzy in the afternoons and evenings, and I keep yawning. ...
Dr. Huang Xiaoxian Reply:
Hello, if the test results come back and the neurologist confirms that it is not MS, but you are still worried about the likelihood of being ill, it is recommended that you seek an evaluation from a psychosomatic specialist and receive treatment to achieve a goal of living in pea...[Read More] Overcoming Fear of Illness: Coping with Health Anxiety and MS Concerns
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
Understanding Panic and Dizziness: Is It Multiple Sclerosis?
Panic-induced dizziness and multiple sclerosis? Hello, doctor. I'm sorry to bother you again. For the past few days, I've been feeling a bit drowsy and lightheaded in the afternoons and evenings, and I found that these symptoms could possibly relate to multiple sclerosi...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your hard work. On Monday, we should be able to proceed further after the evaluation by the psychosomatic medicine department. The involuntary anxiety and the distress from repetitive checking, as mentioned previously and in this instance, are more indicative...[Read More] Understanding Panic and Dizziness: Is It Multiple Sclerosis?
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Managing Panic Symptoms: Understanding Heart Palpitations and Breathing Issues
Palpitations and shortness of breath? Hello doctor, I have mitral valve prolapse with regurgitation, and I'm not sure if it's related to stress. I easily get tired and short of breath when walking or climbing stairs. When I wake up, I feel palpitations, my hands and fee...
Dr. Huang Xiaoxian Reply:
Mild mitral valve prolapse is actually quite common in young women, and many individuals are asymptomatic and discover it incidentally. If the heart's contraction function is normal (as indicated in the echocardiogram report), there is no need to worry excessively. Your symp...[Read More] Managing Panic Symptoms: Understanding Heart Palpitations and Breathing Issues
Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Autonomic nervous system dysfunction, ventricular premature contractions (VPC)? Hello, Dr. Wu. I apologize for bothering you. I would like to ask if you have heard of VPC (ventricular premature contractions)? I experience a sensation of missed heartbeats, and my echocardiogram an...
Dr. Wu Enliang Reply:
Hello: If VPC is ruled out as a result of internal medicine issues, it is indeed possible that it may arise under conditions of significant psychological stress, such as panic disorder. It is advisable to seek consultation with a psychiatrist and consider undergoing psychotherapy...[Read More] Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Complex Mental Health Issues and Medication Concerns
I have severe depression, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, illness anxiety disorder, and mild auditory hallucinations? Psychiatric prescription: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Seroquel (Q...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your questions. Question 1: Will my current medication regimen cause serotonin syndrome? I am taking Zoloft (Sertraline) 50 mg twice daily, Mirtazapine 50 mg twice daily, and Clonazepam 50 mg once daily. I found information online suggesting that t...[Read More] Understanding Complex Mental Health Issues and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Widespread bone pain, inability to remember names, and weakness in the limbs? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Sertraline 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Qiu Junda Reply:
Hello. Your questions in the text are quite complex. It would be best to discuss them in person with your physician during your follow-up appointment. The doctor will be happy to clarify any doubts you may have. Thank you.[Read More] Understanding Body Pain and Memory Issues in Severe Mental Health Disorders
Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Zoloft 50mg, 2 tablets; Mirtazapine 50mg, 2 tablets; Seroquel 50mg, 1 tablet? Psychiatry: Before bed: Zoloft (sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg * 1 tablet, Lyrica (pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg...
Dr. Wang Zhenyang Reply:
Hello, Sir: You are taking many different medications, and there may be some interactions among them. It is advisable to discuss your medication situation thoroughly with your physician. In addition to pharmacotherapy, psychiatric treatment can also benefit from psychotherapy and...[Read More] Understanding the Risks of Combining Psychiatric Medications: A Patient's Guide
Understanding Body Pain: The Link Between Mental Health and Medication
Generalized bone pain? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Meishuyu (Mirtazapine) 50mg * 2 tablets, Silvacon (Sertraline) 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, Alprazolam 0.5mg * ...
Dr. Wang Yaoting Reply:
Hello: Based on your description, you are still experiencing anxiety regarding your condition and medication, and excessive anxiety may also be contributing to your physical discomfort. Anxiety is a prospective emotional response to perceived threats in the future, a fear imagine...[Read More] Understanding Body Pain: The Link Between Mental Health and Medication
Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Weakness in all four limbs? The doctor said that my urinary flow rate test and urodynamics showed abdominal voiding, bladder weakness, poor bladder contraction elasticity, reduced bladder capacity, and that I have long-term habits of holding my urine since childhood and not darin...
Dr. Wang Yaoting Reply:
Hello: Sedative medications may have muscle relaxant effects and can lead to a sensation of limb weakness; however, individual responses may vary, and the dosage can also make a difference. Panic and anxiety can also cause somatic symptoms, including feelings of limb weakness. It...[Read More] Understanding Limb Weakness: Causes and Medication Effects in Mental Health
Understanding Death Anxiety: A Common Mental Health Challenge
Thanatophobia is more common? Hello, doctor. Since childhood (starting from elementary school or kindergarten), I have often experienced an overwhelming fear of death when lying in bed. It is a profound and indescribable fear that comes from deep within. I understand that healthy...
Dr. Wang Zhenyang Reply:
Hello Lin, The fear of death is a common experience shared by many people. Most individuals can confront this fear and continue to live their lives peacefully. However, if this fear has begun to affect your daily life, it may be linked to other underlying fears or negative past...[Read More] Understanding Death Anxiety: A Common Mental Health Challenge