Managing Panic Disorder: When to Consult a Cardiologist?
I have issues with panic disorder? For the past two years, I have been troubled by palpitations and chest tightness. About two years ago, I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, but no abnormalities were found. Later, I learned tha...
Dr. Tang Xinbei Reply:
Dear Ginny, It seems that your panic disorder has been troubling you for quite some time, and there appears to have been some changes recently? Generally speaking, the most effective treatment for panic disorder currently involves a combination of pharmacotherapy and cognitive b...[Read More] Managing Panic Disorder: When to Consult a Cardiologist?
Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
I am sick? Hello Doctor: What are the diagnostic criteria for panic disorder? If someone has panic disorder, will palpitations be severe? Is it necessary to see a cardiologist for diagnosis? Does taking spirulina affect the condition? Thank you for your response.
Dr. Tang Xinbei Reply:
Dear A-Rong, Panic is an inexplicable state of emotional tension and anxiety. When this state occurs repeatedly and affects the individual's daily life, functional performance, and interpersonal relationships, causing distress in various aspects of life and emotions, it is ...[Read More] Understanding Panic Disorder: Symptoms, Diagnosis, and Treatment Options
Understanding Persistent Symptoms: Seeking Answers for Mental Health Struggles
Please provide an answer? Ten years ago, I experienced episodes of tachycardia and a sensation of distortion, prompting me to visit the emergency room. Since then, similar episodes have occurred about four or five times, but I have not experienced them again for the past three ye...
Dr. Tang Xinbei Reply:
Dear friend, It seems that your distress has been ongoing for quite some time. You feel confused about your condition and unsure of what to do, which leaves you feeling helpless and hopeless. Based on your description, it is possible that you are experiencing "panic disorde...[Read More] Understanding Persistent Symptoms: Seeking Answers for Mental Health Struggles
Can Panic Disorder Be Cured? Understanding Treatment and Risks
Can panic disorder be cured? Hello Dr. Chen: I previously asked you about my boyfriend's panic disorder, and I appreciate your help. Our little "LP" issue has been resolved, and now we are discussing marriage. However, I am concerned about his condition. He tends t...
Dr. Chen Guangpeng Reply:
Hello, Autumn Wind user: I thought I had already responded to your question in November, but it seems that due to a system issue, my reply failed to go through. I will answer again, hoping it’s not too late. Based on your description, your boyfriend's issues seem to be more ...[Read More] Can Panic Disorder Be Cured? Understanding Treatment and Risks
Coping with Panic Disorder: Finding Hope and Healing in Australia
What should I do about panic disorder? Hello, doctor. This morning I was startled awake by a panic attack, and I'm feeling quite down... I don't even have the mood to attend class. I'm currently in Australia, which is a slow-paced, relaxed place for recovery. I...
Dr. Chen Guangpeng Reply:
Hello, friend in Sydney: I appreciate your detailed description of the symptoms and psychological responses, and I seem to have personally experienced your profound pain. I feel regret that you have had to endure such prolonged and recurring symptoms. The thorough evaluations by ...[Read More] Coping with Panic Disorder: Finding Hope and Healing in Australia
Overcoming Panic Disorder: Seeking Effective Treatment Beyond Medication
I was diagnosed with panic disorder by the hospital? Hello, I had a few instances of hyperventilation before my military service, but I didn't think much of it since it only happened once or twice. However, during my service, I experienced severe anxiety and insomnia, often ...
Dr. Chen Wenke Reply:
Hello, Xiao Wei. From your clear description of the situation, I can confidently tell you that you are experiencing what is known as panic disorder, which is fundamentally an anxiety-related condition. Medications for anxiety can certainly help improve this type of disorder, and ...[Read More] Overcoming Panic Disorder: Seeking Effective Treatment Beyond Medication
Understanding Emotional Distress After Medical Procedures: A Guide for Caregivers
What disease is this, Nayeara? Hello Doctor: My mother has been suffering from this illness for over a year, and she has been on medication for more than a year as well. Since her surgery for kidney stones, she has not experienced other symptoms. However, after undergoing another...
Dr. Chen Guangpeng Reply:
Hello, dear netizen: Due to the brief description of your symptoms, I cannot inquire further, and honestly, I cannot determine what issue your mother is experiencing. However, I can speculate a few possibilities: one is a hysterical reaction caused by physiological discomfort, an...[Read More] Understanding Emotional Distress After Medical Procedures: A Guide for Caregivers
Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Diagnosed by a doctor with panic disorder? I was diagnosed with panic disorder by my doctor. The doctor prescribed SERONIL 20 mg once daily and XANAX XR 0.5 mg twice daily. However, after taking the medication in the morning, I feel drowsy for the entire day, and only feel a bit ...
Dr. Tang Xinbei Reply:
Dear Friend: Your physician has prescribed you SERONIL 20MG QD and XANAX:XR 0.5mg BID, which are effective for panic attacks. However, some individuals may experience drowsiness as a side effect of the latter (XANAX:XR 0.5mg), although this usually improves after a period of use....[Read More] Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Understanding Medication Effects on Sexual Function in Panic Disorder
Regarding medication issues? Hello Dr. Chen, two weeks ago I visited the hospital and was diagnosed with panic disorder by the physician. The doctor prescribed me a medication called Sertraline. Could you please tell me if this medication affects sexual function? I am experiencin...
Dr. Chen Guangpeng Reply:
Hello Victor: The medication you mentioned, Serenal, should not have a significant impact on your sexual function. I'm not sure if you are taking any other medications; if not, it is likely that your current anxiety disorder is having a greater effect. Wishing you a speedy r...[Read More] Understanding Medication Effects on Sexual Function in Panic Disorder
Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Panic disorder I was diagnosed with panic disorder by my doctor, who prescribed SERONIL 20mg once daily and XANAX XR 0.5mg twice daily. However, after taking the medication in the morning, I feel drowsy for the entire day, and only start to feel more awake in the evening. I would...
Dr. Chen Wenke Reply:
Zankson: I'm not sure what the active ingredient of Seronil 20mg is, but I suspect it might be paroxetine. If that's the case, adjusting the medication to be taken at bedtime should help reduce your discomfort, or you could consider halving the dose. However, in such si...[Read More] Managing Panic Disorder: Addressing Sleepiness from Seronil and Xanax Use
Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Can panic disorder cause sexual dysfunction? Dear Dr. Chen Guangpeng, My boyfriend is a perfectionist who has suffered severe emotional trauma in the past. He later developed asthma, and recently, due to arguments between us, his condition has worsened. After seeing a doctor, he...
Dr. Chen Guangpeng Reply:
Dear Autumn Wind, I read your letter with mixed feelings—on one hand, I am glad to hear that your boyfriend's panic disorder is being well managed, but on the other hand, I am concerned about the new issues that have arisen. You asked whether panic disorder can cause sexual...[Read More] Can Panic Disorder Lead to Sexual Dysfunction? Understanding the Connection
Understanding Distress and Burnout: A Guide to Mental Health Issues
Derealization and fatigue? Hello Doctor, I previously fainted for no apparent reason, but tests could not identify the cause. Subsequent blood tests, EEG, and echocardiograms showed no abnormalities, only slightly low blood pressure. That experience left me very fearful, and rece...
Dr. Lin Yanhong Reply:
Hello: You mentioned an experience of fainting; did you lose consciousness? Fainting can have many causes: cardiac issues, neurological problems, low blood pressure, hypoglycemia, anemia, a fright response, and other psychological or psychiatric disorders could all be potential f...[Read More] Understanding Distress and Burnout: A Guide to Mental Health Issues
Understanding Medication Addiction: Coping Strategies and Insights
What should be done if there is a drug addiction? Dear Dr. Tang, I have been taking Rivotril for two years. Recently, in order to test whether discontinuing this medication would result in any withdrawal symptoms, I intentionally refrained from taking it twice over the past week...
Dr. Tang Xinbei Reply:
Dear Youyou, I apologize for the delayed response due to my recent trip abroad for a conference. Rivotril is classified as a sedative, and it is generally not recommended for long-term use. However, many patients may take it continuously for an extended period. When attempting t...[Read More] Understanding Medication Addiction: Coping Strategies and Insights
Potential Side Effects of Overusing STILNOX and XANAX: What You Need to Know
excuse me? Hello Dr. Jan, I see the medication names are "STILNOX 10MG/TAB" and "XANAX 0.5MG/TAB." If these two medications are taken in excess, what kind of side effects or harm could occur? Thank you.
Dr. Zhan Hongyu Reply:
Hello Chean, Stilnox (10 mg) is a new generation sleep aid that is effective in improving insomnia. The usual therapeutic dosage ranges from 10 to 20 mg. It has the advantages of traditional sleep medications, with a lower risk of dependence or addiction, and consequently, fewer...[Read More] Potential Side Effects of Overusing STILNOX and XANAX: What You Need to Know
Understanding the Differences Between Organic, Affective, and Functional Psychoses
Unresolved? Hello Dr. Tang, Could you please explain the differences between organic mental disorders, affective disorders, and functional disorders? Thank you in advance for your response!
Dr. Tang Xinbei Reply:
Dear Ms. Hsiang: In response to your inquiry about the three categories of diseases, here are the brief explanations: 1. Organic Mental Disorders: These refer to mental health conditions caused by identifiable physiological factors or medical illnesses. For example, patients wi...[Read More] Understanding the Differences Between Organic, Affective, and Functional Psychoses
Navigating Mental Health and Career Choices in Medicine
Please have the doctor respond to me? Hello Dr. Tang: This incident happened yesterday, and it could be considered karma! ... Yesterday, I was missing a clothes hanger, and I was really angry at that moment! Later, when I was hanging the clothes, I was still fuming, muttering to ...
Dr. Tang Xinbei Reply:
Dear Xiao Jie, Regarding the questions you raised, they can be divided into three parts: 1. Is a classmate's fall and injury a form of retribution? This question is difficult to answer. Essentially, some people have beliefs that include concepts of retribution and reincarn...[Read More] Navigating Mental Health and Career Choices in Medicine
Understanding Anxiety: A Student's Struggle with Sound Sensitivity
Hello Dr. Chen, I would like to explain my condition? Hello Doctor, I would like to explain my situation. When I was in the third year of junior high school, I did poorly on an English test, and the teacher hit the whole class as a punishment. I was hit twice on the palm of my ha...
Dr. Chen Wenke Reply:
Hello Brother Aaron: From your experience, it seems that you are experiencing significant emotional reactions. Many people encounter various setbacks during their learning process, which is completely normal. I believe this is a trial that the Lord Jesus wants you to endure, and ...[Read More] Understanding Anxiety: A Student's Struggle with Sound Sensitivity
Managing Autonomic Nervous System Disorders Linked to Liver Issues
Autonomic Nervous System Disorder Hello Doctor: I previously experienced nausea due to liver issues, but at that time I was unaware it was related to my liver condition. It wasn't until 3 to 4 months later that I received appropriate treatment (my liver has not yet returned ...
Dr. Chen Wenke Reply:
Regarding the symptoms of anxiety treated with anxiolytic medications, it is certainly possible to achieve rapid improvement and control. However, in certain stressful situations, anxiety symptoms can easily increase. Therefore, it is necessary to moderately adjust one’s coping a...[Read More] Managing Autonomic Nervous System Disorders Linked to Liver Issues
Effective Strategies Beyond Medication for Mental Health Recovery
Some doubts? Hello Doctor, I would like to ask about mental illnesses such as panic disorder and depression. Besides medication, what other methods can help accelerate recovery? What should I pay attention to in daily life? Should my diet be controlled? What types of fruits sho...
Dr. Tang Xinbei Reply:
Dear Andy: The question you asked is quite broad and not easy to answer! Mental illnesses result from the interplay of various internal and external factors, leading to an individual's loss of balance and adaptation. Currently, it is more clearly understood that alcoholics m...[Read More] Effective Strategies Beyond Medication for Mental Health Recovery
Urgent Help Needed: Managing Severe Depression and Panic Symptoms
Emergency issue!!! Please, doctor, help! Dear Doctor, My mother is suffering from what is known as psychotic depression, commonly referred to as "depression." Recently, she has been experiencing involuntary muscle spasms and weakness in her limbs (mild myoclonus), alon...
Dr. Tang Xinbei Reply:
Dear Mr. Lai Bo-Wen, It is touching and admirable to see your deep concern and worry for your mother. Based on the symptoms you mentioned regarding her condition, it is difficult to definitively determine whether she is experiencing "depression" or "panic disorder...[Read More] Urgent Help Needed: Managing Severe Depression and Panic Symptoms