Understanding Location-Based Anxiety and Panic Attacks
Easily experience anxiety and panic in specific locations? Panic attacks occur only when I go to a specific location (a breakfast shop), and it's only that place that triggers them; I don't feel anxious in other locations. It's a bit concerning since nothing has ev...
Dr. Huang Xiaoxian Reply:
Dear Xiaolin, regarding the situation you mentioned, it is quite rare for symptoms to appear only in specific stores. Generally speaking, panic may still be related to stress in daily life. I'm not sure if there have been any particular worries recently, but I suggest talkin...[Read More] Understanding Location-Based Anxiety and Panic Attacks
Managing Family Mental Health: Coping with Delusions and Panic Disorders
My father has delusional disorder, and my mother has panic disorder? Hello, Doctor, I have some questions to ask you. My father has been experiencing delusional thoughts for the past few years, and it has become particularly severe in the last two years. We suspect he may have je...
Dr. Yan Congyou Reply:
Hello TT: After a stroke, mental symptoms such as delusions and depression are very common and can lead to tension and issues among family members. It is advisable to seek treatment at a psychiatric department in the hospital, and you should also return to the neurology departmen...[Read More] Managing Family Mental Health: Coping with Delusions and Panic Disorders
Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Anxiety disorder or menopause? Hello doctor, my mother is currently going through menopause. She previously visited a clinic for anxiety and insomnia and hasn't taken medication for a long time. She often has a furrowed brow, even while watching dramas. Over the past year, s...
Dr. Huang Xiaoxian Reply:
Dear ttkk, it sounds like your mother is indeed experiencing some anxiety. Women going through menopause often face changes in their physiological state, which can contribute to anxiety. Additionally, at this age, they frequently confront issues related to the passage of youth an...[Read More] Anxiety or Menopause: Understanding Behavioral Changes in Aging Women
Navigating Medication Reduction: Understanding Withdrawal Symptoms and Anxiety
Medication reduction issues This year during the Lunar New Year, I experienced my first panic attack. After seeking medical attention, I was diagnosed with mild panic disorder without agoraphobia. Since February, I have been taking Zoloft (sertraline) at a daily dose of 50 mg. A ...
Dr. Huang Xiaoxian Reply:
Dear Twist, The causes of anxiety disorders are partially related to fluctuations in serotonin levels. The medication you are taking works to regulate serotonin (by extending its retention period in the body). It is recommended to extend the duration of use to nine months, and ...[Read More] Navigating Medication Reduction: Understanding Withdrawal Symptoms and Anxiety
Navigating Medication Reduction: Understanding Anxiety and Withdrawal Symptoms
Medication reduction issues This year during the Lunar New Year, I experienced my first panic attack. After seeking medical attention, I was diagnosed with mild panic disorder without agoraphobia. Since February, I have been taking Zoloft (sertraline) at a daily dose of 50 mg. A ...
Dr. Huang Xiaoxian Reply:
Dear Twist, The causes of anxiety disorders are partly due to fluctuations in serotonin levels. The medication you are taking works to regulate serotonin. It is recommended to extend the duration of your medication, and once your condition stabilizes, consider gradually reducin...[Read More] Navigating Medication Reduction: Understanding Anxiety and Withdrawal Symptoms
Understanding Panic Anxiety Disorder: Treatment and Medication Insights
Panic Anxiety Disorder Hello, doctor. My mother is 53 years old and experiences excessive hyperventilation every day, which is very distressing for her. When her breathing is not smooth, she starts to feel anxious and depressed, and sometimes the symptoms last all day. The doctor...
Dr. Huang Xiaoxian Reply:
Hello Shuzhen, this medication is primarily for adjusting anxiety and panic disorders. It is recommended to continue taking it. If you need to adjust the medication, please discuss it with your physician before making any changes to avoid abrupt discontinuation and potential rela...[Read More] Understanding Panic Anxiety Disorder: Treatment and Medication Insights
Coping with Panic Attacks During Flights: Tips for Travelers
Panic attack Hello, doctor. I have a question. I'm going to travel abroad by plane, but I experience panic attacks every time I fly. My doctor advises me to take a sedative beforehand, which usually helps, but if it doesn't, it can be really distressing. I experience hi...
Dr. Huang Xiaoxian Reply:
Dear Qinglongzi, thank you for your question. Panic is usually accompanied by sympathetic nervous system activation, which often leads to sensations such as rapid breathing and increased heart rate, along with feelings of impending doom. The duration of these episodes is typicall...[Read More] Coping with Panic Attacks During Flights: Tips for Travelers
Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Panic disorder prevents individuals from traveling far? Hello, I have been suffering from panic disorder for 19 years and have been seeing Dr. Zhao at the New Taipei City Hospital. I have taken medications including Lyrica and Xanax 0.5mg, but for the past several years, I have o...
Dr. Wang Yazhen Reply:
Hello, Mr. Lightning: The primary cause of panic disorder is actually anxiety issues. From physiological, psychological, and social perspectives, factors that may contribute to anxiety include inherent temperamental traits (such as perfectionism), accumulated experiences and feel...[Read More] Coping with Panic Disorder: Strategies for Managing Symptoms and Travel Anxiety
Managing Anxiety and Depression Medication: Addressing Withdrawal and Side Effects
Issues with Discontinuing Medication for Anxiety and Depression Hello, Doctor. I have been diagnosed with anxiety, panic disorder, depression, and sleep disturbances. Currently, I am taking medication: one capsule of Yongkangxu and one capsule of Anning in the morning and evening...
Dr. Wu Enliang Reply:
Hello, netizen: Q1: I experience heightened anxiety mostly between 8 to 10 PM. I'm not sure if it's due to insufficient medication levels or if it's a psychological issue. A: The tranquilizer capsule is a sedative, and taking it continuously for three months may...[Read More] Managing Anxiety and Depression Medication: Addressing Withdrawal and Side Effects
Understanding Emotional Struggles: A College Student's Journey
Emotional issues Hello, doctor. I am a freshman this year and have felt that something is wrong for a long time. Since I started middle school, I have felt that my life has no meaning, which led me to self-harm. Even though I have many friends around me, I still can't feel h...
Dr. Wu Enliang Reply:
Hello, online friend: I suggest you first visit the counseling center at your school and talk to a school counselor. This service is included in your tuition, so you should make good use of it. In any case, if you're experiencing emotional distress, it's important to co...[Read More] Understanding Emotional Struggles: A College Student's Journey
Managing Panic and Anxiety: When to Seek Medical Help Again
Panic and Anxiety Hello, doctor! I was diagnosed with panic disorder and anxiety during high school, and I underwent medication treatment at that time, even experiencing severe episodes that required emergency care. For the first one to two years of college, I felt normal and had...
Dr. Wang Yaoting Reply:
Hello Ms. Fang: The condition that was originally well-controlled has suddenly worsened without any specific events. It may be necessary to consider whether this is caused by endocrine or other bodily factors, such as thyroid dysfunction or mitral valve prolapse, among others. If...[Read More] Managing Panic and Anxiety: When to Seek Medical Help Again
Understanding PTSD: Managing Anxiety and Finding the Right Therapist
Post-Traumatic Stress Disorder (PTSD) Due to trauma-related stress from an incident in May, the doctor has informed me that I am experiencing generalized anxiety and autonomic dysregulation. Currently, I feel panic and anxiety for 1-2 hours when confronted with certain specific s...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Will nausea or dizziness improve on its own after a while? A: If the nausea or dizziness is caused by anxiety-related psychosomatic symptoms, it will improve as the anxiety decreases. 2. I need to switch to a new psychiatrist; should I also see a therapist?...[Read More] Understanding PTSD: Managing Anxiety and Finding the Right Therapist
Understanding Anxiety and Nausea: Signs of Mental Health Issues
Easily anxious and feeling nauseous? Hello, doctor. I've been easily nervous and nauseous since childhood. In elementary school, I often felt nauseous before and after the start of the school year, even though going to school didn't stress me out and I had no issues wit...
Dr. Liang Sunyuan Reply:
Hello: The tendency to feel nauseous when nervous may be due to a naturally sensitive temperament, which could also indicate a more sensitive gastrointestinal system. The various symptoms that began in your sophomore year could indeed be related to anxiety or depression if they p...[Read More] Understanding Anxiety and Nausea: Signs of Mental Health Issues
Understanding PTSD: Managing Panic and Anxiety After Trauma
Post-Traumatic Stress Disorder (PTSD) Previously, I experienced generalized anxiety disorder due to a stressful situation, which lasted only 2-3 days without recurrence. However, on May 22, I was startled by an event, which caused daily panic attacks that last about 2 hours each....
Dr. Wu Enliang Reply:
1. Some say that medical attention is only needed if the situation lasts more than a month. Is that true? If emotional distress is unbearable and affects daily life, seeking medical help is advisable, regardless of the one-month timeframe. 2. The psychiatrist prescribed me Sert...[Read More] Understanding PTSD: Managing Panic and Anxiety After Trauma
Managing Panic and Anxiety from Autonomic Nervous System Disorders
Autonomic Nervous System Dysregulation Panic Two weeks ago, I was diagnosed with autonomic nervous system dysfunction and panic disorder at a hospital in China. I've been experiencing anxiety and panic attacks over the past few weeks. The doctor prescribed me Xanax to take a...
Dr. Wu Enliang Reply:
Hello, internet user: I'm not entirely clear on your main issue, but I will do my best to respond based on my understanding. Masturbation and feelings of chest tightness, panic, and anxiety should not be related. Sexual desire is a normal physiological response, and generall...[Read More] Managing Panic and Anxiety from Autonomic Nervous System Disorders
Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Ativan 0.5 mg, 8 tablets? The current medications being taken include Escitalopram 10mg, Doxepin 25mg twice, Pregabalin 75mg twice, Metformin 500mg, Tamsulosin 0.2mg, and Ativan 0.5mg eight times a day. I would like to ask if the dosage of Ativan 0.5mg taken eight times, prescrib...
Dr. Cai Qijin Reply:
Ativan is commonly used to relieve symptoms of anxiety, panic, and insomnia, with an average daily dosage of 2-4 mg. Your current daily dosage of 4 mg is within the normal range. If you have any questions about the medication, it is advisable to discuss them with your physician.[Read More] Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Anxiety and panic disorder suddenly exhibit opposite symptoms? Hello Dr. Wu, I am a panic disorder patient diagnosed over ten years ago. After understanding the causes of my condition, I have managed to get through this difficult period with minimal panic attacks, which only oc...
Dr. Wu Enliang Reply:
It is indeed a severe anxiety disorder. It is recommended to schedule an earlier follow-up appointment to adjust medication or to incorporate psychotherapy or other relaxation training. If necessary, inpatient treatment may even be required. Wu Enliang[Read More] Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Consultation on Medications for Sleep and Panic Anxiety Hello, Dr. Lin. I have been a patient with anxiety and panic for over 10 years. I have been taking Rifuxin (Lifuyou) once a day, every night before bed. However, recently I have been suffering from a stomach condition that h...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: Suemianos can be taken together with Rifampicin and Liyou, and the order of administration will not affect their efficacy. A small number of people may experience sleepwalking or amnesia while taking this medication, but whether these side effects occur can only be...[Read More] Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Understanding Anxiety: Coping with Fear and Uncertainty After Loss
What is wrong with me? Hello, Doctor. I've recently been experiencing some issues and I'm not sure what's wrong with me. I used to be a person who worried a lot about various things, such as going crazy, dying, or getting sick. I often felt overwhelmed by anxiety. ...
Dr. Wu Enliang Reply:
Anxiety disorders can indeed make individuals aware that there is nothing wrong, yet their brains continue to ruminate. The issue lies in the amygdala, which causes excessive vigilance. If it interferes with daily life, it is advisable to seek assistance from professionals such a...[Read More] Understanding Anxiety: Coping with Fear and Uncertainty After Loss
Understanding Anxiety and Treatment Options for Long-Term Sufferers
Anxiety and Treatment Hello doctor, I have gradually transitioned from depression to anxiety, and the intensity is increasing. I worry about many things, fear going crazy, fear dying, fear getting sick, etc. Sometimes I know that I am fine, but I cannot control the feelings of an...
Dr. Liang Sunyuan Reply:
Hello: Pharmacological treatment for chronic anxiety remains effective, but patience is required when taking medication, as it typically takes six to eight weeks to achieve optimal results. When side effects occur, they are usually temporary and there are ways to address them. It...[Read More] Understanding Anxiety and Treatment Options for Long-Term Sufferers