Managing Panic Disorder: Medication Choices and Lifestyle Strategies
Panic disorder (Paxil, Zoloft) Hello, doctor. I have been dealing with panic disorder for eight years now. For the first seven years, I was taking Effexor, but I experienced significant discomfort during withdrawal (I gradually reduced from 2 capsules of Effexor plus a sedative t...
Dr. Lin Mianzhang Reply:
Hello Ms. Bi: Long-term use of sedatives can lead to dependence, so it is recommended to use them as an adjunct medication. You can start with one capsule of Prozac and half a sedative. If your condition stabilizes, you can reduce the sedative or even stop taking it altogether. I...[Read More] Managing Panic Disorder: Medication Choices and Lifestyle Strategies
Understanding Panic Attacks: Symptoms, Causes, and Treatment Options
Anxiety and Panic Hello Dr. Wu, I stopped taking Prozac because I had been on it for over a year and my condition was stable, so I gradually tapered off. Now I am experiencing a slight relapse. The doctor prescribed Yongkangxu, to be taken once in the morning. I would like to ask...
Dr. Wu Enliang Reply:
It is indeed possible that you are experiencing a panic attack. It is advisable to return for a follow-up appointment and discuss this with your physician. Dr. Wu En-Liang[Read More] Understanding Panic Attacks: Symptoms, Causes, and Treatment Options
Managing Panic Disorder: Understanding Symptoms and Treatment Options
Anxiety Panic Disorder Hello, Dr. Wu. I often experience chest tightness and difficulty breathing. In the mornings, about ten minutes after I wake up, I start to feel dizzy and nauseous, along with bloating. Every day, I have a sensation of tightness in my shoulders and neck, and...
Dr. Wu Enliang Reply:
Netizens are unsure why some people stop using Paxil (Paroxetine). Is it due to side effects? After the first-generation SSRI Paxil, many medications with fewer side effects and potentially better efficacy have been introduced. Xanax (Alprazolam) is a medication that provides tem...[Read More] Managing Panic Disorder: Understanding Symptoms and Treatment Options
Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Anxiety disorder and insomnia? Hello, I have been diagnosed with anxiety disorder, and my insomnia has recently become more severe than before. I often feel anxious and have palpitations, and sometimes I even experience panic. I frequently feel nauseous, dizzy, or have trembling ...
Dr. Qiu Junda Reply:
Hello. The physical symptoms you described, including insomnia, fall within the range of anxiety disorders. Sometimes, factors such as stress and the environment can affect the severity of the symptoms. I recommend that you take the time to consult a psychiatrist. If you have con...[Read More] Managing Anxiety and Insomnia: When to Seek Psychiatric Help
Is XET 20mg Safe? Understanding Its Effects on Mental Health
Will taking XET 20mg harm my health? Hello Doctor: I have been seeing a psychiatrist for severe panic disorder for two years. Recently, I was laid off due to company politics, which has led to deep feelings of guilt and resentment. Every time I interview for a new job, I have to ...
Dr. Qiu Junda Reply:
Hello. XET 20mg is an antidepressant. Generally, it takes more than two weeks to see if it is effective. It often has gastrointestinal side effects, but after a few days of use, one can gradually adapt and improve. It is not harmful to the body and is metabolized by the liver. If...[Read More] Is XET 20mg Safe? Understanding Its Effects on Mental Health
Managing ADHD and Emotional Challenges: Beyond Medication Solutions
ADHD/ADD and Emotional Regulation Hello, Doctor: I have had symptoms similar to ADHD since childhood. I was taken to National Taiwan University for an evaluation during kindergarten or early elementary school, but I was not given a detailed diagnosis and the doctor attributed it ...
Dr. Li Jite Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to concerns about ADHD and anxiety. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires long-term treatmen...[Read More] Managing ADHD and Emotional Challenges: Beyond Medication Solutions
Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Anxiety Panic Disorder Hello Dr. Wu, I often experience rapid heartbeat and missed beats, so I consulted a cardiologist. The cardiologist indicated that there are no significant heart issues, and that my discomfort is mainly due to autonomic nervous system problems. Consequently...
Dr. Wu Enliang Reply:
1. Is Bupropion effective for anxiety disorders and panic disorders? A: Bupropion is primarily used to treat depression. 2. Will taking Bupropion cause my heart rate to increase or make my anxiety and panic worse? A: It should not. 3. Are dizziness or fatigue common side effe...[Read More] Understanding Anxiety and Panic Disorders: Treatment Options and Concerns
Overcoming Swallowing Anxiety: Understanding Panic and Treatment Options
Dysphagia phobia or swallowing anxiety? Hello Dr. Chiu, I would like to inquire about the issue of swallowing anxiety. Currently, I am experiencing a fear of swallowing, and if I am forced to swallow or feel something stuck, it triggers a panic attack. During swallowing, I find m...
Dr. Qiu Junda Reply:
Hello. Your issue is more related to psychosomatic aspects. However, it is advisable to first consult a neurologist to assess whether there are any swallowing function problems. If the examination results are normal, the physician will likely refer you to a psychosomatic speciali...[Read More] Overcoming Swallowing Anxiety: Understanding Panic and Treatment Options
Can Anxiety Disorders Cause Stomach Discomfort and Tightness?
Stomach discomfort? Hello, doctor. Two months ago, I was diagnosed with severe panic anxiety disorder. Since then, I often find myself unconsciously tightening my stomach, which leads to discomfort. I only realize it when I think, "I've tightened my stomach again."...
Dr. Peng Yingjie Reply:
Anxiety disorders can trigger a systemic sympathetic nervous system response, with individuals reacting in different areas of the body. Many people experience a sensation of gastric tightness, which can affect appetite and food digestion. If one can develop self-awareness, relaxa...[Read More] Can Anxiety Disorders Cause Stomach Discomfort and Tightness?
Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Feeling unwell without improvement, but the examination shows no significant issues? Hello Doctor: Previously (it should have been last year), I felt very anxious and sad due to noticeable heartbeats and palpitations, often wanting to cry, so I went to see a cardiologist. After t...
Dr. Qiu Junda Reply:
Hello. As you described, most of the results from your physical examination are normal. It may be worth considering whether psychological factors are contributing to your physical discomfort. The issues mentioned in your description do lean towards concerns such as anxiety, panic...[Read More] Understanding Persistent Discomfort: Anxiety and Unexplained Symptoms
Managing Medication: Safe Strategies for Reducing Anxiety Treatment
Medication issues Hello Doctor, I had issues with autonomic nervous system dysfunction a year ago, and I am currently taking half a tablet of Anxin and one tablet of Liyou every night. However, I forgot to return for a follow-up appointment before my exam, and now I only have thr...
Dr. Wu Enliang Reply:
It is advisable to gradually reduce the dosage. Many clinics are open today, but many will be closed tomorrow due to the New Year holiday. It would be better to return for a follow-up appointment to obtain your medication as soon as possible. Dr. Wu Enliang[Read More] Managing Medication: Safe Strategies for Reducing Anxiety Treatment
Understanding Intrusive Thoughts: Managing OCD During Recovery
Strange obsessive thinking? Hello Doctor, I am a patient who has been suffering from obsessive-compulsive disorder (OCD) for ten years and have been undergoing medication treatment. When my condition is stable, I experience almost no symptoms and my life is quite normal. Even w...
Dr. Lin Mianzhang Reply:
Hello Ayue: Your concerns about the meaning of words, whether your speech is correct, and even the fear of losing your ability to speak and read are indeed symptoms of obsessive thinking. These obsessive thoughts can become more severe when you interrupt your medication or have i...[Read More] Understanding Intrusive Thoughts: Managing OCD During Recovery
Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Drug withdrawal Hello, doctor. Due to work-related issues, I have been experiencing sleep deprivation for the past two weeks, waking up around 4-5 AM. I visited a psychiatrist to see if there were any solutions. The doctor used instruments to test and diagnosed me with mild auton...
Dr. Qiu Junda Reply:
Hello. Anxiolytic medications generally have fewer withdrawal issues (theoretically, they are less addictive). If there are withdrawal symptoms, they are likely related to sleep and anti-anxiety medications. However, improvement should typically be seen after about two weeks. Reg...[Read More] Understanding Withdrawal Symptoms After Stopping Medication: A Patient's Journey
Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Autonomic nervous system Hello, doctor. I have anxiety and panic issues, as well as health anxiety. My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness. These symptoms started appearing at the end...
Dr. Lin Mianzhang Reply:
Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities. Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. The autonomic nervous system ref...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Anxiety
Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Autonomic Nervous System Panic Hello doctor, I have arrhythmia and premature contractions in my heart. I also feel a sense of pressure and tightness on one side of my neck, which often makes me feel like I can't get enough air. The lymph nodes in that area are swollen, and I...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Panic Symptoms: The Role of Autonomic Nervous System Disorders
Overcoming Anxiety: Navigating Life with Gastrointestinal Issues
Easily anxious? Hello Doctor, I apologize for bothering you, but I have been experiencing issues that are affecting my daily life. 1. When I was a child, I had an all-you-can-eat experience where I may have overeaten, which made my stomach feel strange. I thought drinking some...
Dr. Wu Enliang Reply:
If it is indeed affecting your daily life, it is advisable to seek medical assistance from a specialist. If you don't mind paying out of pocket, many medical institutions also have autonomic nervous system measurement devices available for testing. Dr. Wu Enliang.[Read More] Overcoming Anxiety: Navigating Life with Gastrointestinal Issues
Does Panic Disorder Affect Hospital Hiring for New Staff?
Will panic disorder affect the hiring of new personnel in hospitals? I have been attending anxiety/panic disorder outpatient clinics for a long time. Recently, I was hired as a general clerk at a hospital (not in direct contact with patients), but I am unsure if I will pass the n...
Dr. Li Jite Reply:
Due to the fact that the items in a typical employment health examination are usually not too complex, taking the medications you mentioned typically does not affect the results of blood tests. However, whether you can pass the health examination depends on the regulations of the...[Read More] Does Panic Disorder Affect Hospital Hiring for New Staff?
Understanding Sleep-Related Anxiety: Symptoms and Causes Explained
Could you please tell me what symptoms I have? This symptom has been present for two years. It has occurred four to five times during this period, where I experience very ordinary dreams that are not frightening, yet they make me feel scared, anxious, and unreal. I have to consta...
Dr. Wu Enliang Reply:
It is likely that the discomfort experienced by netizens is caused by unstable sleep due to staying up late and then trying to catch up on sleep the next day. Dr. Wu Enliang.[Read More] Understanding Sleep-Related Anxiety: Symptoms and Causes Explained
Managing Anxiety and Panic Attacks During Blood Pressure Checks
Anxiety Panic Disorder Hello, doctor. I have been a long-term anxiety patient and have been taking my medication regularly, one antidepressant in the morning and one in the evening. However, every time I measure my blood pressure, I experience a panic attack because I fear that t...
Dr. Wu Enliang Reply:
It's not uncommon for emotions to temporarily raise blood pressure without leading to a stroke, so there's no need to worry. Blood pressure readings can be easily influenced by emotions. It is recommended to purchase a high-quality smartwatch to monitor long-term blood ...[Read More] Managing Anxiety and Panic Attacks During Blood Pressure Checks
How to Support a Boyfriend Struggling with Depression and Relationship Issues
My boyfriend seems to be suffering from depression and constantly wants to break up with me. What should I do? Hello, in the past week, my boyfriend has been experiencing a lot of negative emotions. This is mainly due to the fact that this year he has repeatedly lost or broken hi...
Dr. Wu Enliang Reply:
Netizens often make an analogy with patients: depression is like having a fever in the brain. Just as a physical fever often requires medication for recovery, so does emotional distress. You can also recommend good doctors you know or share information about depression, such as t...[Read More] How to Support a Boyfriend Struggling with Depression and Relationship Issues