Understanding Paranoia: Coping Strategies for Mental Health at Home
Do I have paranoid delusions? What can I do while staying at home? Hello Doctor: I have a personality that tends to make me suspicious of others. For example, at school, I often doubt whether my classmates are planning to complain about me, but it doesn't significantly affec...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. In fact, you may be feeling more sensitive and anxious on one hand, while also feeling wronged and unfairly treated on the other. This could exacerbate a range of complex psycholog...[Read More] Understanding Paranoia: Coping Strategies for Mental Health at Home
Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Do I have an anxiety disorder? In recent days, I've been experiencing sudden episodes of rapid heartbeat and inexplicable feelings of anxiety, even though there doesn't seem to be anything specific to worry about. I also have headaches, sensations of skipped heartbeats,...
Dr. Tang Jiahong Reply:
Hello, it seems that these discomforts are quite troubling for you. Many of these conditions indeed align with anxiety states; however, certain physiological conditions (requiring blood tests) or substances used recently may also contribute to anxiety, so a more comprehensive eva...[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Understanding Anxiety and Depression: When Worry Turns Into Panic
I'm not sure what's wrong? Hello, doctor. I originally had anxiety disorder, constantly worrying about various things and unable to let go of my emotions. Recently, due to excessive anxiety over certain matters, I have developed symptoms of depression. For the past week...
Dr. Cai Yunlin Reply:
Panic is a more sudden and severe form of anxiety attack. Anxiety disorders can last for more than a week or even longer, but if it is very distressing, it is advisable to seek medical attention.[Read More] Understanding Anxiety and Depression: When Worry Turns Into Panic
Understanding the Side Effects of Wellbutrin: Anxiety and Panic Concerns
Side effects of Vicodin? Hello, doctor. A while ago, I suspected that I had adult Attention Deficit Hyperactivity Disorder and sought medical help, but the doctor diagnosed me with depression and lack of motivation. I was prescribed Wellbutrin 150 mg/day, which I have been using ...
Dr. Lin Mianzhang Reply:
Hello Lawrence: Thank you for your question. It seems that you haven't experienced this feeling of panic frequently before, but since starting the medication, you've had three episodes in ten days, which is likely a side effect of the medication. Generally, the side eff...[Read More] Understanding the Side Effects of Wellbutrin: Anxiety and Panic Concerns
Understanding Serotonin Syndrome: Medication Concerns and Symptoms
Medication consultation Hello, doctor. I would like to ask you about my experience a few years ago when I visited a psychiatrist. The doctor prescribed me one dose of fluoxetine (Prozac) and one dose of a sedative to take before bed around 11 PM. I slept well and felt fine the ne...
Dr. Liang Sunyuan Reply:
Hello, Serotonin syndrome typically occurs due to drug overdose or prolonged use of high doses. Taking a single dose of fluoxetine, even with dietary factors, should not lead to serotonin syndrome. The symptoms you described are more likely related to anxiety or panic. It is reco...[Read More] Understanding Serotonin Syndrome: Medication Concerns and Symptoms
Understanding Persistent Anxiety and Fear: Is It Panic Disorder?
Constant anxiety? Hello Doctor, I would like to ask you about my situation. I previously had anxiety disorder and panic disorder, and I often feel extremely anxious, sometimes experiencing sudden panic attacks that subside after a while. However, in the past few days, I have sudd...
Dr. Wu Enliang Reply:
Hello, netizen: It does seem like a panic attack. I recommend working closely with your physician for treatment. Dr. Wu En-Liang.[Read More] Understanding Persistent Anxiety and Fear: Is It Panic Disorder?
Understanding the Fine Line Between Anxiety and Depression
Anxiety and Depression I am unsure whether I am experiencing anxiety or depression. Sometimes, my mood suddenly drops, and I can't seem to feel happy. However, after reading recent news discussions about depression, I feel like I might be anxious, particularly regarding my s...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. Facing your own anxiety and depression can indeed be a challenging experience. However, the most important thing is to try to like yourself and give yourself some confidence and affirmation. Firstly, I recommend focusing on reducing...[Read More] Understanding the Fine Line Between Anxiety and Depression
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
Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms
Hyperventilation Panic I previously experienced anxiety due to hyperventilation, which made me afraid to go out to see a doctor. The doctor initially prescribed medication for my symptoms, and after a week of follow-up, I was given an additional half tablet of an antidepressant t...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to hyperventilation and gastrointestinal issues. Therefore, regular outpatient follow-ups and discussions are very important. Regarding your concerns about physical discomfort a...[Read More] Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms
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
Navigating Breakup Concerns: Supporting a Partner with Depression
Breakup issues Hello, Doctor. I am the one who previously asked you about my girlfriend's depression issues. I have summarized her current situation. Generally, she seems happy when we are together (I see her laughing a lot, but I'm not sure what she really thinks insid...
Dr. Lin Mianzhang Reply:
Hello Mr. Huang: Thank you for your question. It seems that your girlfriend's emotions are not very stable, as she may suddenly feel very down, want to cry, experience dizziness, headaches, chest tightness, difficulty breathing, negative thoughts, and even suicidal ideation,...[Read More] Navigating Breakup Concerns: Supporting a Partner with Depression
Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
Generalized Anxiety Disorder (GAD) I would like to ask the doctor how long it typically takes to stop medication for generalized anxiety disorder. I also don't understand why anxiety medications are similar to those used for depression, as they seem to have the same therapeu...
Dr. Tian Xinqiao Reply:
Hello, dear user: Thank you for your message. There are many medication options for anxiety disorders, with the most common being benzodiazepines, which have anxiolytic effects and, as the name suggests, help induce relaxation. Additionally, anxiety disorder patients often experi...[Read More] Understanding Generalized Anxiety Disorder: Medication Duration and Management Tips
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?
Coping with Unexplained Anxiety and Panic Attacks: Expert Advice Needed
How to cope with inexplicable stress and various forms of panic? Hello Dr. Huang, I hesitated for a long time before deciding to ask for your advice. Since around the end of October last year, after securing a stable job, I began to exhibit tendencies of health anxiety. Whenever...
Dr. Huang Xiaoxian Reply:
Dear HYAX, Thank you for your question. From your description, it seems that you originally had a bit of a perfectionist personality and experienced job-seeking pressure before October. However, after securing a job, instead of feeling relieved, you began to worry about your he...[Read More] Coping with Unexplained Anxiety and Panic Attacks: Expert Advice Needed