Understanding Left-Sided Impulses: When to Seek Psychiatric Help
My left side feels strange? Recently, due to being overwhelmed with work, I have been feeling physically and mentally exhausted. One night, I suddenly found myself unable to sleep. In addition to an inexplicable sense of panic, I experienced intermittent "urges" on the ...
Dr. Lin Mianzhang Reply:
Hello Edd: It seems that you are feeling fatigued due to work-related issues. I wonder if you are getting enough sleep? If possible, try to ensure you have sufficient sleep, as this may help alleviate your discomfort. However, if feelings of anxiety, palpitations, and impulsivity...[Read More] Understanding Left-Sided Impulses: When to Seek Psychiatric Help
Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment
The side effects of 3 mg of Melatonin? Recently, I have been seeing a psychiatrist for my panic disorder, and my doctor has prescribed me 3 mg of Mirtazapine, one tablet in the morning and one in the evening. I found online that a potential side effect is a decrease in white bloo...
Dr. Yu Quanxun Reply:
Hello: It sounds like, in addition to the psychological phenomena you are experiencing, the medication is also causing you significant concern. However, it is uncertain whether you are feeling conflicted and struggling beyond just worry; perhaps you fear that a wrong choice will ...[Read More] Understanding the Side Effects of Mirtazapine 3mg for Anxiety Treatment
Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Am I really not suitable for taking SSRIs? The doctor would like to ask you: I have panic disorder and recently I was taking ERA long-acting sleeping pills and antiarrhythmic medication before bed. However, I informed my doctor that I felt unusually fatigued and heavy in the body...
Dr. Liang Sunyuan Reply:
Hello Xiao An: If you experience discomfort after changing your medication, it is advisable to discuss it with your physician during your follow-up appointment. Your feelings and discomfort are clearly expressed in your message, and I believe the doctor will understand and make a...[Read More] Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Autonomic Nervous System Dysfunction Hello Doctor, I recently experienced what I suspect was a panic attack, which led to a sensation of heart palpitations (normal rate) while sitting or lying down throughout the day, affecting my sleep. I underwent an echocardiogram, a 24-hour H...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your panic disorder and sleep-related issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chron...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Insights
Understanding Erectile Dysfunction Linked to Anxiety Medication
Panic-induced erection A few months ago, I visited a psychiatrist and learned that I have anxiety and panic disorder. After starting medication, I have experienced very few episodes. However, I have now noticed that I am unable to achieve a full erection; it has become partially ...
Dr. Qiu Junda Reply:
Hello. Erectile dysfunction and other sexual function issues need further evaluation to clarify whether they are caused by a mental disorder or are side effects of psychiatric medications. Please discuss with your attending physician (and you may also consult a urologist) about h...[Read More] Understanding Erectile Dysfunction Linked to Anxiety Medication
Understanding Panic Attacks and Anxiety Disorders: When to Seek Help
Anxiety Panic Disorder, Anxiety Disorder Hello, Doctor. A few nights ago, just before going to bed, I suddenly experienced dizziness and nausea, followed by a rapid succession of symptoms: abdominal pain, thirst, tension, palpitations, and chest tightness. I tend to be an anxious...
Dr. Qiu Junda Reply:
Hello. Anxiety or panic are both symptoms of anxiety. The situation you described does indeed reflect a response associated with anxiety disorders. If it persists without recovery or improvement, it is advisable to seek evaluation from a mental health professional to determine wh...[Read More] Understanding Panic Attacks and Anxiety Disorders: When to Seek Help
Overcoming Anxiety: Managing Hyperventilation and Breathing Issues
Respiratory Obsessive-Compulsive Disorder (ROCD) I have fainted twice for no apparent reason, which scared everyone around me. Since then, I have experienced psychological stress related to fainting. I went to the hospital for various tests, and all the reports came back normal. ...
Dr. Wu Menghuan Reply:
Hello: You mentioned that you have fainted twice in the past, and both hospital examinations were normal, which has caused you psychological stress. You also noticed that when interacting with unfamiliar people, you tend to pay attention to your breathing, which can lead to hyper...[Read More] Overcoming Anxiety: Managing Hyperventilation and Breathing Issues
Understanding Anxiety and Depression: A High School Student's Struggle
I'm not sure what happened? Hello, doctor. I am a high school student, and I feel that most of the time I am relatively normal and can handle my academic pressure. However, I often feel anxious in social situations and don't understand how to interact with others. I fea...
Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotions. Regardless of whether it reaches the level of a disorder, it has caused distress, so seeking improvement is advisable. If visiting a doctor is inconvenient (seeing a doctor does not necessarily mean there is an illness), you ca...[Read More] Understanding Anxiety and Depression: A High School Student's Struggle
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic Nervous System Hello, doctor. Last year, after receiving the second dose of the vaccine, I experienced some discomfort on-site (increased heart rate, difficulty breathing, and felt like I was about to faint). The nursing staff mentioned that it might be due to sympathet...
Dr. Tang Jiahong Reply:
Hello, the anxiety and panic described above are symptoms of anxiety disorders; autonomic nervous system dysfunction is also a common accompanying symptom of anxiety disorders. Symptoms such as increased heart rate and bloating (which may be due to slowed gastrointestinal motilit...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Is It Bipolar Disorder or Just Normal Mood Swings?
Is bipolar disorder a normal emotion? Hello Doctor, I have noticed that in the past few months, I have started to cry, feel irritable, and become angry over trivial matters. Even small wishes that are not fulfilled can lead to feelings of agitation or anger. However, after a shor...
Dr. Qiu Junda Reply:
Hello. It is necessary to further observe and assess whether it is bipolar disorder or normal emotional fluctuations. However, initially, it appears to be a more inappropriate way of expressing emotions. I recommend searching for educational resources on emotional intelligence ma...[Read More] Is It Bipolar Disorder or Just Normal Mood Swings?
Overcoming Trauma: Coping with Psychological Abuse and Its Effects
After experiencing a traumatic relationship, symptoms such as palpitations, frequent nightmares, vomiting, and self-harm may occur? About six months ago, I started dating a man who initially seemed gentlemanly and polite. However, he gradually invaded my personal life, recording ...
Dr. Qiu Junda Reply:
Hello. The symptoms are quite evident and are severely affecting your physical and mental health. Please seek treatment at a psychosomatic clinic as soon as possible to facilitate early improvement and prevent further deterioration.[Read More] Overcoming Trauma: Coping with Psychological Abuse and Its Effects
Understanding Medication Interactions and Mental Health Challenges
Psychological Counseling & Drug Interactions Previously, I didn't understand why, after a conflict with a colleague at work, I felt as if something inside me had broken. Since then, an inexplicable feeling has been brewing within me. At the start of work, I would feel an...
Dr. Lin Mianzhang Reply:
Hello, Xiao Hei: 1. You may not need to take medication for a lifetime; it depends on the specific condition you have and the severity of the disease. 2. Both medications are not addictive. 3. It is recommended to seek help from professional healthcare providers for better re...[Read More] Understanding Medication Interactions and Mental Health Challenges
Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Is it typical panic disorder? Hello Doctor, I suddenly felt short of breath in the middle of the night at the beginning of August while trying to sleep. I woke up startled four to five times, and then when I sat up, my heart rate suddenly increased, and I felt a tightness in my c...
Dr. Qiu Junda Reply:
Hello. 1) The described symptoms indeed suggest the possibility of panic disorder, and these symptoms may occur frequently. 2) Medications such as Xanax do carry a risk of addiction. Therefore, it is advisable to discuss medication options with a psychiatrist, including your conc...[Read More] Understanding Panic Disorder: Symptoms, Treatment, and Concerns
Understanding Panic Attacks: Coping with Anxiety After Trauma
Panic + dry heaving Since my friend passed away in a car accident, I have been feeling very anxious every night. I used to be very brave, but since then, I no longer dare to go to the bathroom alone at night. Additionally, after recently moving into a new rental place and living ...
Dr. Qiu Junda Reply:
Hello. I can imagine that your friend's situation has been a significant blow to you. The circumstances described may be related to this and can be referred to as a stress response (to this event). Panic and dry heaving are the primary symptoms that arise as a result. Genera...[Read More] Understanding Panic Attacks: Coping with Anxiety After Trauma
Managing Panic Disorder During Pregnancy: Seeking Help and Medication Adjustments
Pregnancy anxiety Hello Doctor, I am currently 18 weeks pregnant. Before pregnancy, I was taking medication for panic disorder, but I stopped for a while after becoming pregnant, which led to a severe relapse of my condition. I have been experiencing panic and anxiety, even havin...
Dr. Lin Mianzhang Reply:
Hello, Happy: It usually takes 2 to 4 weeks for Ebilin to show significant effects. If there is no noticeable improvement after 4 weeks, it is recommended to increase the dosage. This medication does not have as pronounced effects as other antidepressants, but it has minimal impa...[Read More] Managing Panic Disorder During Pregnancy: Seeking Help and Medication Adjustments
Can You Take Anxiety Medication and Tylenol Together Safely?
Can anti-anxiety medications be taken simultaneously with Tylenol? Recently, I've been experiencing panic symptoms and insomnia at night. The doctor prescribed me "Xanax," but it didn't have much effect. I then switched to "Uran," and it has helped a...
Dr. Qiu Junda Reply:
Sure. Don't worry.[Read More] Can You Take Anxiety Medication and Tylenol Together Safely?
Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues
Autonomic Nervous System Dysregulation Hello Doctor, I have been experiencing gastrointestinal discomfort for a month and a half (bloating, nausea, and loss of appetite). An X-ray revealed excessive air in the gastrointestinal tract, and it is suspected that exam stress has cause...
Dr. Wu Enliang Reply:
Hello, netizens: 1. Could it be that the pressure cannot be alleviated because the results have not been announced? A: It is possible. 2. Experiencing a unilateral tympanic membrane issue, rapid heartbeat, and a nauseous feeling when pressing on the throat? A: Understood. 3. Is i...[Read More] Understanding Autonomic Nervous System Disorders and Gastrointestinal Issues
Understanding Visual Field Reduction in a 19-Year-Old: Causes and Concerns
Intermittent visual field constriction? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images that induce nausea (such as corpses or dissection scenes, but not other bloody or gory images like...
Dr. Liang Sunyuan Reply:
Hello: One possible explanation is that your son may feel fear when exposed to the scenarios you described, which could trigger a brief anxiety or panic response in related situations. It might be helpful to review whether he experiences symptoms such as shortness of breath or ra...[Read More] Understanding Visual Field Reduction in a 19-Year-Old: Causes and Concerns
Understanding Autonomic Nervous System Disorders and Their Impact on Appetite
Some issues related to autonomic nervous system dysfunction? Hello doctor, I would like to ask if autonomic nervous system dysfunction can lead to loss of appetite and decreased food intake? I personally have quite a few mental health issues (easily anxious, have obsessive-compul...
Dr. Wang Yaoting Reply:
Hello: Currently, the most common medical test for autonomic nervous system assessment is the "autonomic nervous system testing device" (Heart Rate Variability analysis, HRV), which is self-paid. You can undergo this test at psychiatric hospitals or clinics that have th...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Appetite
Should You Continue Taking Antidepressants If Blood Pressure Rises?
Should I continue taking Li-Yu if my blood pressure has increased? Hello, doctor. A year and a half ago, I experienced high blood pressure of unknown origin, along with long-term insomnia, chest tightness, shortness of breath, night sweats, and other symptoms. I felt it was due t...
Dr. Qiu Junda Reply:
Hello. It is relatively uncommon to experience elevated blood pressure as a side effect. Your increase in blood pressure may not necessarily be related to the medication. I recommend that you return for a follow-up appointment to discuss this with your physician. If it is indeed ...[Read More] Should You Continue Taking Antidepressants If Blood Pressure Rises?