Understanding Anxiety and Panic Disorders: A College Student's Journey
Depression, anxiety, and panic disorder? Hello Doctor: I am currently a freshman in college. At the beginning of the next semester, I occasionally experience sharp pain in my chest, and after an examination, I was diagnosed with mitral valve prolapse. Initially, I didn't pay...
Dr. Liang Sunyuan Reply:
Hello: Your symptoms may be related to anxiety. It is recommended to try to distract yourself; past experiences should reassure you that nothing is wrong. If there is no improvement, consider consulting a psychosomatic medicine or psychiatry specialist for assistance. Wishing you...[Read More] Understanding Anxiety and Panic Disorders: A College Student's Journey
Understanding SSRI Side Effects and Alternatives for Anxiety Management
Drug side effects Hello, Doctor. I have mild anxiety and panic symptoms, and I tend to be a nervous person, so I occasionally experience anxiety symptoms such as palpitations, dizziness, unexplained fear, numbness in my hands, or slight trembling. The doctor prescribed me Enteric...
Dr. Qiu Junda Reply:
Hello. The side effects of SSRIs are mostly gastrointestinal (such as nausea and vomiting). It is generally advisable to start with a lower dose to see how you respond, as this can help mitigate side effects, which usually become more tolerable within a week. As for Anxiolytics, ...[Read More] Understanding SSRI Side Effects and Alternatives for Anxiety Management
Understanding Anxiety and Panic Disorders in Mothers: Seeking Help
Anxiety Panic Disorder Hello Dr. Wu: I have two sons who are both adults and have stable jobs, but I find the role of "mother" to be overwhelming. I am constantly worried about them, and recently it has become very severe. I have thought countless times about using deat...
Dr. Wu Enliang Reply:
Hello, life is very precious. There are many people in Taiwanese society (including myself) who are willing to help you through difficult times. I wonder if you might be suffering from depression? Depression is not a sign of weakness; it is a condition caused by a decrease in bra...[Read More] Understanding Anxiety and Panic Disorders in Mothers: Seeking Help
Overcoming Aquaphobia: A High School Student's Struggle with Fear of Water
Aquaphobia I am a high school sophomore, and I only encountered swimming as a subject in high school. With no prior experience, during my first time in the water, I didn't clearly hear the teacher's instructions and ended up floating like a jellyfish with my classmates,...
Dr. Huang Jiabin Reply:
Hello, classmate: It sounds like you have had a few experiences of swallowing water during swimming lessons in physical education class. Such negative experiences can certainly lead to unpleasant feelings associated with swimming, even fear or anxiety. However, it’s not that you ...[Read More] Overcoming Aquaphobia: A High School Student's Struggle with Fear of Water
Am I Overreacting? Understanding Trust Issues in Relationships
Am I sick? I'm not sure why, but I tend to trust people easily at first. If someone makes a good impression on me right away, I unconsciously trust them. However, for those who don't leave a good first impression, I find it hard to believe in them. Despite the fact that...
Dr. Ding Shuyan Reply:
Hello, you mentioned a lack of trust in people, especially in a boyfriend, which is something many experience, albeit to varying degrees. Some may reach a level of jealousy delusion, which could be considered a mental health issue. In such cases, medication is often the most effe...[Read More] Am I Overreacting? Understanding Trust Issues in Relationships
Understanding Anxiety and Trauma: Navigating Mental Health Challenges
Anxiety Disorder/Panic Disorder/Post-Traumatic Stress Disorder (PTSD)/Social Anxiety Disorder/Depression The content is quite extensive, and I appreciate your efforts, doctor. I want to confirm whether I am unwell... First part: I have a boyfriend whom I met when I was 18 years...
Dr. Huang Xiaoxian Reply:
Thank you for your question. From your story, it is evident that the pressure and psychological impact you have experienced in this relationship over the years have been significant. Overall, from a third-party perspective, the conflict seems to stem from both you and your boyfri...[Read More] Understanding Anxiety and Trauma: Navigating Mental Health Challenges
Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Unknown disease, tightness in the head, and abnormal perceptions? I am unable to control the images in my mind. For example, when I close my eyes and try to imagine a cup, that cup uncontrollably spins. I attempt to make it stop, but then my head starts to feel tight. Everything ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and anxiety. I am glad to hear that you have begun seeking treatment in the field of psychosomatic medicine. Although your discomfort has not yet been alleviated, it is difficult to determine th...[Read More] Uncontrollable Mental Imagery: Understanding a Mysterious Neurological Condition
Understanding Insomnia and Trust Issues in Psychiatric Care
Insomnia and consultation issues? There are some uncertainties regarding whether I am experiencing insomnia. For about five years now, whenever I close my eyes, I feel like there is an eye in the darkness in front of me. Just one eye, looking to the right from the side. I always ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Based on the process you described, I can sense the discomfort and sleep disturbances you have experienced over the past few years. We are also concerned about how such sleep issues may affect your daytime academics, work, and daily life. You mentioned that provi...[Read More] Understanding Insomnia and Trust Issues in Psychiatric Care
Should I Seek Help from a Psychiatrist for My Mental Health?
Should I seek treatment at a psychiatric hospital? Hello Doctor, I am currently a high school sophomore. Since childhood, I have experienced unexplained feelings of anxiety or stress that lead me to bite my nails and constantly pick at my hands. In middle school, I harmed myself ...
Dr. Liang Sunyuan Reply:
Hello Nicky, since childhood, you have been biting your nails and picking at your skin, which can be harmful to yourself and is often associated with anxiety and depression. It is recommended to first recognize and accept this part of yourself, and then try to learn new and diffe...[Read More] Should I Seek Help from a Psychiatrist for My Mental Health?
Should I Resume Antidepressants for Anxiety and Stress Relief?
Should I resume taking antidepressant medication? Hello Doctor: I used to be a patient with panic disorder and took Xanax and Cymbalta for over ten years. However, I gradually stopped taking the medication around last year's Lunar New Year after feeling stable. Initially, th...
Dr. Liang Sunyuan Reply:
Hello Josephy: It is inevitable to experience anxiety when encountering new changes or stressful situations in life. It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal. Then, focus on the tasks that requ...[Read More] Should I Resume Antidepressants for Anxiety and Stress Relief?
Struggling with Addiction: A Journey from K-Hole to Recovery
I want to quit ketamine and "bath salts." Hello, doctor. I'm really sorry; it's all my fault. When I was young, I entered society early at 17 and got involved with the wrong crowd. Back then, I was young and had no connections, so my friends were mostly those ...
Dr. Zhan Jiaxiang Reply:
Hello, based on your description, you have previously used ketamine and, in an attempt to quit it, started using caffeine, which has led to greater difficulties. Since drugs can cause various levels of damage to the brain, using a second substance to quit the first often does not...[Read More] Struggling with Addiction: A Journey from K-Hole to Recovery
Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Panic disorder caused by autonomic nervous system dysregulation? About a year ago, I was diagnosed with autonomic nervous system dysfunction. However, after taking the first dose of medication the next day, I experienced hand tremors and an accelerated heartbeat, which caused me ...
Dr. Tang Jiahong Reply:
Hello, sir: Among your current medications, bromazin (generic name bromazepam) belongs to the benzodiazepine class of anxiolytics, which provides an immediate sense of relaxation upon ingestion. Sertraline is a medication that enhances serotonin levels and improves anxiety over t...[Read More] Understanding Panic Disorder Linked to Autonomic Nervous System Dysfunction
Understanding Panic Disorder Relapses: Symptoms and Management Strategies
Panic disorder relapse issues? Hello Doctor, about two years ago, I experienced rapid heartbeat and difficulty breathing. After a check-up that showed everything was normal, I was referred to a psychiatrist and diagnosed with panic disorder. To be honest, I still don't fully...
Dr. Qiu Junda Reply:
Hello. The situation mentioned in the text mostly pertains to symptoms of panic and anxiety. Since you have already consulted a psychiatrist and have shown improvement, it is recommended that you continue your follow-up appointments. If you wish to discontinue treatment, please d...[Read More] Understanding Panic Disorder Relapses: Symptoms and Management Strategies
How to Help a Loved One Recognize Their Mental Health Issues
Mental health issues Hello doctor, my family member has mental health issues, including insomnia, panic attacks, paranoia, and auditory and visual hallucinations. When she experiences these episodes, we have taken her to see a psychiatrist, but she is very resistant to seeing a d...
Dr. Huang Weiqin Reply:
Hello: Based on your description of your family member, it is likely that they are experiencing hallucinations and delusions, which are symptoms of a psychotic disorder. It is recommended that family members encourage them to visit a nearby psychiatric outpatient clinic or emerge...[Read More] How to Help a Loved One Recognize Their Mental Health Issues
Am I Suffering from Depression, Anxiety, or Panic Disorder?
Am I experiencing depression, anxiety, or panic stemming from worry? I don't know when I started to feel increasingly unhappy. My low mood has persisted for a long time (over three months now), and I've begun to feel weary of the world. Sometimes I feel like I can'...
Dr. Li Zhengfeng Reply:
Ms. Huang: Hello, based on the information provided, you may be experiencing symptoms of depression. However, depression often coexists with anxiety and panic symptoms. If the medication is effective, it is recommended to continue for a period of time before discussing with your ...[Read More] Am I Suffering from Depression, Anxiety, or Panic Disorder?
Switching from Zyprexa to Generic: Will It Affect My Mental Health?
If someone has been taking Zanaflex (tizanidine) for several years and suddenly switches to Klonopin (clonazepam), could there be any effects? Hello Doctor: I have autonomic nervous system dysfunction, which later developed into panic disorder. My panic disorder has stabilized si...
Dr. Xiao Minghong Reply:
Hello Ms. Ying; both Xanax and Klonopin contain alprazolam, and theoretically, they are classified the same with similar efficacy. However, in clinical practice, there are indeed cases where patients report different effects (either improved or worsened) after switching to a diff...[Read More] Switching from Zyprexa to Generic: Will It Affect My Mental Health?
Understanding Panic Attacks: Coping with Nighttime Fear and Anxiety
I would like to ask if this situation is indicative of panic disorder? Hello, doctor. This situation has occurred 2 to 3 times over the past two years. I suddenly wake up in the middle of the night feeling very scared, but there is no specific object or thing that I am afraid of;...
Dr. Liang Sunyuan Reply:
Hello: Generally, benign fears or anxieties tend to improve over time. You can try to soothe yourself by reminding yourself that this experience has been encountered before and that it will pass after a while. Then, shift your focus to other people or things. If the symptoms pers...[Read More] Understanding Panic Attacks: Coping with Nighttime Fear and Anxiety
Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Lower esophageal sphincter relaxation gastroesophageal reflux disease (GERD) Hello Doctor: I experienced a panic attack at the end of December two years ago, which led to a diagnosis of anxiety disorder, and I have been continuously using psychiatric medication since then. Later,...
Dr. Qiu Junda Reply:
Hello. Patients with anxiety disorders often experience various physiological symptoms, which can occur in different parts of the body. Gastrointestinal issues, including gastroesophageal reflux disease (GERD), are also commonly observed. It is advisable for you to seek consultat...[Read More] Managing Anxiety and Its Impact on Gastroesophageal Reflux Disease
Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Recently, I have been tossing and turning in my sleep and talking in my sleep? Since I started college, my roommates often tell me that I toss and turn a lot during the night, and that I move quite vigorously. I usually go to bed around midnight to 1 AM, but my roommates say they...
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Some individuals may have a predisposition to sleep talking or sleepwalking, especially when they have a lot going on during the day or are under significant stress. Certain medications can indeed cause sleep disturbances; however, if these issues were present ...[Read More] Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Understanding Panic Attacks: Symptoms and Self-Harm Concerns
Is it panic disorder? Hello doctor, on December 29th while I was at work, I suddenly felt very upset and wanted to cry. Later, I felt like I couldn't breathe. I was taking deep breaths forcefully, and before long, I seemed to lose control, biting and pinching the back of my ...
Dr. Liang Sunyuan Reply:
Hello Abby: Typical panic attacks usually do not involve thoughts of self-harm. At that moment, you may feel very agitated, but it is advisable to calm yourself down and slowly reflect on what events or thoughts are making you feel uncomfortable. Both depression and panic can man...[Read More] Understanding Panic Attacks: Symptoms and Self-Harm Concerns