Breaking the Cycle of Anger: Finding Peace After Trauma
If I don't change now, I will forever live in suffering? Hello, doctor. Since I had conflicts with others in the past, they have started to cause me trouble. The reason is that they were in the wrong first, and I shouldn't have retaliated in that way, which led to a cyc...
Dr. Liang Sunyuan Reply:
Hello Amin: Based on your description, you have gone through a lot of hardships and have made significant efforts, as well as developed some coping strategies. You mentioned that medication is effective for you, but you tend to lose control when not taking it. I recommend that yo...[Read More] Breaking the Cycle of Anger: Finding Peace After Trauma
Understanding the Safety of Serotonin Medications: Risks and Concerns
Medication inquiries? Hello, doctor. I would like to ask about the safety of "serotonin" medications and whether they could potentially cause death. I previously tried taking one dose of Prozac and a sedative before bed, and I felt fine the next day with no discomfort. ...
Dr. Huang Xiaoxian Reply:
Dear Mouse, thank you for your question. I'm not sure what the reason is for starting the prescription of Prozac. It is generally prescribed for anxiety, depression, or concurrent conditions, and both anxiety and depression have a high correlation with panic disorder. While ...[Read More] Understanding the Safety of Serotonin Medications: Risks and Concerns
Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Autonomic nervous system dysfunction panic disorder with abdominal pain? Bloating that doesn't subside, depression, anxiety, and irritable bowel syndrome (IBS) are indeed concerning. Since December 31, 2018, I experienced bloating that triggered palpitations, chest tightness...
Dr. Huang Xiaoxian Reply:
Dear A-Ze, regarding the bloating you mentioned, it generally arises from excessive air intake or rapid gastrointestinal motility, both of which are often associated with anxiety. When a person is anxious, they tend to breathe more rapidly, which can further lead to symptoms such...[Read More] Managing Panic Disorder and Gastrointestinal Distress: A Comprehensive Guide
Finding the Right Mirtazapine Dosage for Anxiety and Depression
The dosage adjustment of mirtazapine? Hello, doctor. I have been taking mirtazapine 30mg for three months due to anxiety disorder. Although my condition has improved somewhat (for example, I used to constantly feel like I had bumped into someone and would go back to check, or I w...
Dr. Wu Enliang Reply:
Hello, netizen: If you are taking Mirtazapine and cannot tolerate the weight gain side effect, you may consider switching to another medication. Generally, long-term use of antidepressants does not lead to severe side effects. As for when to discontinue medication, it varies from...[Read More] Finding the Right Mirtazapine Dosage for Anxiety and Depression
Facing Depression and Thoughts of Death: A Personal Journey
My perspective on depression and facing death? As my thoughts gradually progressed, I brought up the idea of seeing a psychiatrist to my parents during my first year of high school, and I was subsequently diagnosed with depression. Looking back, I realize that I may have had some...
Dr. Peng Liyun Reply:
Hello~ First of all, thank you for being willing to raise questions. It seems that you have had a difficult journey, which is truly heart-wrenching. Although you say you have made progress, it is important to properly address and confront negative feelings rather than isolating t...[Read More] Facing Depression and Thoughts of Death: A Personal Journey
Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress
Anxiety Panic Disorder Hello Doctor, I have been working at a Japanese company for almost two years now. Since I joined this company, I have frequently experienced dizziness and headaches. In the past six months, my workload has increased, and working overtime has become the norm...
Dr. Wu Enliang Reply:
Hello, Xiao Zi: There are many ways to improve the situation. When facing stressors, one can *avoid, reduce, or modify the stressors.* *Develop stress management techniques.* *Practice positive thinking and self-affirmation.* *Implement effective time management.* *Engage in comp...[Read More] Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress
Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Anxiety Panic Disorder Hello Dr. Huang, I am a medical student preparing for the national exam, but I have been experiencing various health issues. Every time I see a doctor, I feel very anxious, and after researching my conditions, I become even more pessimistic. My anxiety ofte...
Dr. Huang Xiaoxian Reply:
Dear Wemin, Thank you for your question. From your description, it sounds like the anxiety symptoms have been quite distressing for you, and I empathize with your situation. Additionally, the multiple physical symptoms you mentioned seem to resemble common manifestations of anx...[Read More] Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications
Medication issues SSRIs (Selective Serotonin Reuptake Inhibitors) are generally considered safe. However, when serotonin levels in the brain become excessively elevated, a rare side effect known as serotonin syndrome can occur. This is most commonly seen when two or more medicati...
Dr. Huang Xiaoxian Reply:
Dear Jie, thank you for your question! The sudden palpitations you mentioned are quite different from the symptoms of serotonin syndrome; they don't seem to be related at first glance, so there is likely no need for concern. Your description of symptoms does sound quite anxi...[Read More] Understanding Serotonin Syndrome: Risks of Combining SSRIs and Other Medications
Understanding Anxiety vs. Psychosis: A Personal Journey
Could you please clarify whether this is considered anxiety or psychosis? Hello, doctor. I have been experiencing panic disorder and depression for about 5-6 years. However, since getting married two years ago, my depression has almost disappeared, but I have become very anxious....
Dr. Huang Xiaoxian Reply:
Dear Ms. Mouse, Thank you for your inquiry. Regarding the symptoms you mentioned, they primarily seem to be anxiety-related and are not very typical, so the likelihood of schizophrenia is not very high. Of course, some initial symptoms of schizophrenia may bear some resemblance...[Read More] Understanding Anxiety vs. Psychosis: A Personal Journey
Understanding Anxiety and Panic Symptoms in Cerebral Palsy Patients
Consult a physician? Hello Dr. Hsiao, I would like to ask for your advice. I am a patient with cerebral palsy who has developed epilepsy, and I have a tendency to be easily startled. I can be focused on something, and if there is a sudden noise nearby, I get startled. This has be...
Dr. Xiao Minghong Reply:
Dear Ms. Ting, Due to your unique constitution, some symptoms may require interdisciplinary evaluation. Based on the information you provided, here are my responses: 1. It is a normal physiological response for the heart rate to suddenly increase when startled. However, some in...[Read More] Understanding Anxiety and Panic Symptoms in Cerebral Palsy Patients
Understanding Panic Disorder: Symptoms and Coping Strategies
Am I suffering from panic disorder? Hello, doctor. I have a few concerns I'd like to ask about: 1. I have always experienced nasal congestion during seasonal changes, particularly when the weather gets cold or during winter. When nasal congestion occurs, I feel like I can&...
Dr. Huang Xiaoxian Reply:
Dear XH, thank you for your question. The symptoms you described are indeed similar to those of typical panic disorder. Generally speaking, panic disorder is highly related to one's constitution and stress levels. Given the severity and the clear impact on your life that you...[Read More] Understanding Panic Disorder: Symptoms and Coping Strategies
Understanding Sudden Anxiety and Panic Symptoms: When to Seek Help
Is there a psychological issue? I often suddenly feel tense and anxious without any apparent reason. Although I can consciously think and engage in normal conversations, I continue to exhibit small movements, and the tension and anxiety do not subside until a few minutes later. I...
Dr. Liang Sunyuan Reply:
Hello! The symptoms you described could indeed be indicative of a panic attack. It is advisable to practice distraction techniques or relaxation exercises. However, if the episodes become more frequent, it is recommended to seek medical assistance. Wishing you the best![Read More] Understanding Sudden Anxiety and Panic Symptoms: When to Seek Help
Medication and Food Interactions for Panic Disorder Treatment
Medication and Food Consultation Hello doctor, I started experiencing panic disorder in May of last year and only began treatment at the psychosomatic clinic in March of this year. The doctor prescribed me one tablet of Anxiol and half a tablet of Muxin in the morning. Can I eat ...
Dr. Qiu Junda Reply:
Hello. Eating grapefruit is generally associated with antihypertensive and lipid-lowering medications. Taking one tablet of Anxiolytic and half a tablet of Mucilaginous should not pose any issues with grapefruit consumption. Drinking black tea is also fine. However, if there are ...[Read More] Medication and Food Interactions for Panic Disorder Treatment
Understanding Panic, Anxiety, and Depression: A Guide to Your Symptoms
Do I have panic disorder, anxiety disorder, or depression? Hello Doctor, I would like to ask what condition my symptoms might indicate and whether I should seek medical attention. Ever since the passing of a family member three to four years ago, I have been experiencing hyperven...
Dr. Qiu Junda Reply:
Hello. The situation described in the text primarily seems to be related to symptoms of anxiety (panic is also a type of anxiety). Memory impairment is one of the symptoms as well, and it may be accompanied by depressive moods. It is recommended that you consult a mental health p...[Read More] Understanding Panic, Anxiety, and Depression: A Guide to Your Symptoms
Understanding Your Inner Struggles: Do You Have a Personality Disorder?
I am unsure if I have a personality disorder? Hello, Doctor: I have been introverted and shy since childhood, and my early years were not happy. Since I can remember, my parents have had a troubled relationship and argued daily. When I was in elementary school, they abandoned me ...
Dr. Wang Yazhen Reply:
Hello everyone: Your courage to face your past and your efforts for yourself are truly admirable! Based on the situation you described, it seems that you may be experiencing physiological discomfort triggered by anxiety (such as hair loss, chest tightness, irregular bowel movemen...[Read More] Understanding Your Inner Struggles: Do You Have a Personality Disorder?
Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns
Psychiatric medications Hello, doctor. A few years ago, I visited a hospital for depression, and the doctor prescribed me one tablet of Prozac and a sedative to take before bed. The first time I took the medication, I finished it around 11 PM, and by the next evening, around 7 PM...
Dr. Huang Jiabin Reply:
Hello: In all things, moderation is key. Serotonin is an important neurotransmitter that maintains physiological processes in the brain; however, other parts of the body, such as the gastrointestinal tract, also rely on serotonin for daily bodily functions. When levels are excess...[Read More] Understanding Serotonin Medications: Safety, Side Effects, and Anxiety Concerns
Overcoming Fear of Outside Noises: A Guide for Anxiety Sufferers
I am very afraid of sounds from outside the space? I feel very anxious about the sounds outside when I'm in a certain space. For example, when I'm in a room, I become very aware of the noises coming from outside the door. Faint sounds from a distance might be okay, but ...
Dr. Huang Jiabin Reply:
Hello: This is a typical fear response; however, some specific phobias are less common and may not have readily available information online. It seems that this heightened state of alertness is significantly affecting your life. I recommend seeking medical attention as soon as po...[Read More] Overcoming Fear of Outside Noises: A Guide for Anxiety Sufferers
Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Social anxiety and unemployment with no clear future? I have been very introverted since childhood and have never dared to initiate conversations with others. Throughout my school years, my teachers consistently commented that I was not good at expressing myself. More than one te...
Dr. Wu Enliang Reply:
Hello, Nobody. Thank you for taking the time to write. You have truly faced many hardships over the years, and your situation is indeed very challenging. I will address your questions one by one: (1) Due to previous unpleasant experiences seeking help, I am actually very afraid ...[Read More] Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Managing Health Anxiety: Therapy vs. Medication for Recovery
Feeling very anxious? Hello, doctor. I often feel anxious about my health and am very tense, deeply fearing serious illnesses. Recently, I visited a doctor for sinusitis, and although the doctor performed an endoscopic examination and only mentioned that there was a lot of mucus,...
Dr. Huang Jiabin Reply:
Hello: Of course, there is a chance of recovery with psychotherapy alone. Research shows that the effects of psychotherapy tend to last longer after treatment compared to medication alone. However, if the condition is more severe, it is advisable to consider a combination of medi...[Read More] Managing Health Anxiety: Therapy vs. Medication for Recovery
Understanding My Mental and Physical Health Struggles: A Personal Journey
I am not very clear about my physical and mental condition? Hello Doctor: I started experiencing dizziness at the end of February this year. At that time, my band was preparing for a national student music competition. I visited a local clinic near my school, where the doctor pre...
Dr. Huang Jiabin Reply:
Hello: Thank you for your hard work. Deciding to open up about your life story may have come after much hesitation and contemplation, and it is not an easy task. However, it is fortunate that you have shared these experiences that are often difficult to express, as you may have d...[Read More] Understanding My Mental and Physical Health Struggles: A Personal Journey