Safe Medication for Pregnant Women: Managing Anxiety and Depression
Medications during pregnancy Due to depression, anxiety, and panic attacks, I previously took Xanax during sudden emergencies, but I can no longer take Xanax during my pregnancy. My doctor prescribed me 2 tablets of Cymbalta (duloxetine) to take every night, stating that it is sa...
Dr. Qiu Junda Reply:
Hello. 1. Pregnant women can use antidepressants. 2. The itching may be related to nutritional factors and emotional psychological factors. 3. Theoretically, the emergency use of antidepressants may not be very effective; medications like anxiolytics would be more effective.[Read More] Safe Medication for Pregnant Women: Managing Anxiety and Depression
Understanding Derealization: Managing Symptoms and Treatment Challenges
Derealization refers to a dissociative symptom where an individual experiences a sense of Hello, doctor. I would like to ask about my derealization. How can I prevent it from worsening? Additionally, why is derealization not a primary focus of research? There is still no treatmen...
Dr. Wu Menghuan Reply:
Hello! Derealization refers to the experience of feeling unreal or detached from one's surroundings and is currently classified as a dissociative symptom. Individuals with Depersonalization/Derealization Disorder experience persistent or recurrent episodes of depersonalizati...[Read More] Understanding Derealization: Managing Symptoms and Treatment Challenges
Long-Term Effects of Psychiatric Medications on Heart Health
The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...
Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues, rather than the side effects of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, r...[Read More] Long-Term Effects of Psychiatric Medications on Heart Health
Long-Term Effects of Psychiatric Medications on Heart Health
The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...
Dr. Wu Enliang Reply:
It seems that your depression, anxiety, panic, and recurrence are likely the issues rather than a side effect of the medication. Your medication should not increase the risk of sudden cardiac death. The problem may lie in the imbalance of brain elements that process stress, rathe...[Read More] Long-Term Effects of Psychiatric Medications on Heart Health
Long-Term Effects of Psychiatric Medications on Heart Health
The long-term effects of medications on the heart? Hello, I have been taking psychiatric medications for about three and a half years, including those for depression, anxiety, panic, and sleep aids, totaling around ten pills a day. When my condition worsens, I often experience di...
Dr. Wu Enliang Reply:
It seems that your depression, anxiety, and panic may have recurred, rather than being a side effect of the medication. Your medication is unlikely to increase the risk of sudden cardiac death. The issue may lie in the imbalance of brain elements that process stress, rather than ...[Read More] Long-Term Effects of Psychiatric Medications on Heart Health
Managing Anxiety and VPC: Safe SSRI Options for Patients
Medication Consultation Hello, doctor. I apologize for taking up your valuable time. I would like to ask you a question. Three years ago, I experienced some ventricular premature contractions (VPC) that led to anxiety and subsequently a panic disorder. I used sertraline (Zoloft) ...
Dr. Wu Menghuan Reply:
Hello: Traditional tricyclic antidepressants (TCAs) have anticholinergic effects, which can lead to side effects such as blurred vision, dry mouth, constipation, urinary retention, increased heart rate, and cardiac conduction disturbances. In the elderly, central anticholinergic ...[Read More] Managing Anxiety and VPC: Safe SSRI Options for Patients
Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Mental tension Hello, I apologize for the interruption. I would like to ask about issues related to mental tension in specific situations. I tend to feel fatigued and anxious in crowded places, and sometimes I even experience anger, muscle tension, and involuntary irritation, whi...
Dr. Qiu Junda Reply:
Hello. Your concerns mostly relate to anxiety responses. It seems to be an anxious reaction to stress (such as crowded places). I recommend gathering some educational articles on stress management. You can learn various techniques from them (such as muscle relaxation training, et...[Read More] Managing Anxiety and Tension in Crowded Environments: Tips and Insights
Understanding Anxiety-Related Physical Symptoms in College Students
Anxiety-related physical symptoms Hello, doctor. Since I started university last September, I've been feeling uncomfortable with the school environment and the food. I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty b...
Dr. Qiu Junda Reply:
Hello. Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety). Some may not even know the underlying cause. However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress th...[Read More] Understanding Anxiety-Related Physical Symptoms in College Students
Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Medication Consultation Dr. Lin, thank you for your selfless dedication in helping everyone with professional questions. I would like to ask about the four medications: Paxil (Paroxetine), Lexapro (Escitalopram), Zoloft (Sertraline), and Prozac (Fluoxetine). I understand that the...
Dr. Lin Mianzhang Reply:
Hello, little lamb: The likelihood of these medications affecting the heart is very low, and occurrences of palpitations are not common. However, some individuals may experience increased anxiety during the initial phase of taking Prozac, which could lead to a faster heartbeat; t...[Read More] Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Understanding Diagnosis and Medication Guidance for Delusional Disorder
Diagnosis and Medication Education I am currently diagnosed with paranoid schizophrenia, but I don't have any delusions; rather, I consider myself a very realistic person. This diagnosis and the medication make me feel anxious and panicked, so I often search online for infor...
Dr. Tang Jiahong Reply:
Hello: You can actually ask the physician why they made this diagnosis and inquire whether they believe you have symptoms of delusions or hallucinations. Delusions are beliefs that you hold, which most people find illogical, but at least you can listen to others' opinions an...[Read More] Understanding Diagnosis and Medication Guidance for Delusional Disorder
Effective Communication with Your Doctor About Panic and Depression Medications
Medication Consultation Hello, Doctor: I have been undergoing treatment for panic disorder and depression for five years now. The symptoms of panic have become more pronounced with age, often causing discomfort in my heart, difficulty breathing, and unexplained muscle pain. The f...
Dr. Lin Mianzhang Reply:
Hello Chichichiao: It seems that your symptoms mainly consist of panic depression and headaches. Regarding the panic depression, both the medication you previously took, Kangxu Ping, and the current one, Liyou, have therapeutic effects. If the current medication, Liyou, is not pr...[Read More] Effective Communication with Your Doctor About Panic and Depression Medications
Struggling to Quit: My 6-Year Journey with Psychiatric Medication
I have been taking psychiatric medication for 6 years and would like to discontinue it? Since 2017, I have been taking psychiatric medication. Initially, I sought help from a psychiatrist due to severe stress and insomnia. After about two years on the medication, I attempted to q...
Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to insomnia and the pressure of medication. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires long-term treatment for...[Read More] Struggling to Quit: My 6-Year Journey with Psychiatric Medication
Are You Overthinking? Understanding High Sensitivity and Anxiety
Are you worried too much or overthinking? Is it just high sensitivity? Hello, recently I experienced a lot of academic pressure which led to an emotional outburst. It affected my physical condition, and since it was my first time encountering such a situation, I became easily wor...
Dr. Lin Mianzhang Reply:
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability. To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that low...[Read More] Are You Overthinking? Understanding High Sensitivity and Anxiety
Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Xanax Medication Consultation Hello, Doctor. I am currently diagnosed with generalized anxiety disorder, panic disorder with agoraphobia, nausea with vomiting, and an unspecified mental disorder. I have been on medication for about two years. The medications I am currently taking...
Dr. Wu Enliang Reply:
Q1: I would like to ask the doctor what a reasonable way to take medication is. If one pill is not effective enough, how long should I wait before taking a second pill? A: If possible, prioritize non-pharmacological methods such as relaxation techniques and breathing exercises....[Read More] Managing Anxiety: Expert Advice on Xanax Use and Alternative Treatments
Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...
Dr. Lin Mianzhang Reply:
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns
Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Anxiety disorder - fear of leaving the house? Hello, doctor. My mother has heart disease and has undergone two surgeries. After the second surgery, she was diagnosed with panic disorder and anxiety disorder. For the past few years, she managed to control her symptoms with medicat...
Dr. Wu Enliang Reply:
It's good for netizens to encourage her, but it's important to remember that mental health issues still require appropriate treatment. If she feels very anxious and is afraid to go out for medical care, she might consider taking some anti-anxiety medication before headi...[Read More] Overcoming Panic Disorder: Helping a Loved One Conquer Fear of Leaving Home
Understanding Anxiety, Panic, and Depression: A Student's Struggle
Is this obsessive-compulsive disorder (OCD), anxiety disorder, panic disorder, or depression? I am a fifth-year design student in college, and I have been experiencing significant academic pressure lately. About two weeks ago, I had an emotional outburst due to stress, which led ...
Dr. Qiu Junda Reply:
Hello. Currently, it seems that we should maintain the diagnosis of Adjustment Disorder with Anxiety and Depressed Mood. This means that the emotional responses arising from stress (Stress-Related Adjustment Disorder) can include symptoms such as compulsions, anxiety, panic, and ...[Read More] Understanding Anxiety, Panic, and Depression: A Student's Struggle
Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Anxiety/Panic-related Hello Doctor, my issue began over a year ago. Initially, I frequently experienced rapid heartbeats, shortness of breath, tingling in my scalp, and anxiety, which required me to lie down for a while to recover. The situation escalated after a workout when I c...
Dr. Wu Enliang Reply:
The issue truly escalated after a certain exercise session when I couldn't calm down, experiencing hyperventilation, dizziness, and seeing only black and white outlines, which led me to take an ambulance to the emergency room. For several days, I had these symptoms, causing ...[Read More] Managing Anxiety and Panic: Understanding Symptoms and Treatment Options
Understanding Obsessive Thoughts: Coping with Anxiety and Fear
I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...
Dr. Lin Mianzhang Reply:
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...[Read More] Understanding Obsessive Thoughts: Coping with Anxiety and Fear
Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms
Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...
Dr. Huang Zhijia Reply:
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms