Understanding Anxiety-Related Physical Symptoms: A Guide to Managing Health Concerns
Frequent discomfort in the body? I have a personality that is prone to nervousness and anxiety, and I also have health anxiety issues. Whenever I experience minor symptoms, I tend to think the worst, often jumping to the conclusion that it might be cancer (this has been a problem...
Dr. Lin Mianzhang Reply:
Hello Ms. Lu: If you have seen other specialists and no significant issues were found, it is very likely that you are experiencing autonomic nervous system dysregulation, which may also be accompanied by symptoms of depression, anxiety, or panic. These conditions can be greatly i...[Read More] Understanding Anxiety-Related Physical Symptoms: A Guide to Managing Health Concerns
Understanding Anxiety and Its Physical Manifestations: A Patient's Journey
Could you please provide more details or specify your question? Hello, doctor. I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication from a psychiatrist. My diet is not particularly health-con...
Dr. Qiu Junda Reply:
Hello. I would like to know if you have been continuously taking psychiatric medications recently. The symptoms you described still seem to fall within the realm of anxiety. I recommend that you continue to follow up with your doctor and discuss your current condition. Your atten...[Read More] Understanding Anxiety and Its Physical Manifestations: A Patient's Journey
Managing Anxiety and Sleep Disorders: Medication Concerns and Alternatives
Drug Information Hello Doctor, I was diagnosed and recovered in mid-May, but I still have issues with my sense of smell and taste, along with some other symptoms. I may have developed acute anxiety disorder due to excessive worry (which was diagnosed at the hospital). I have been...
Dr. Wu Enliang Reply:
Hello everyone: Keppra (levetiracetam) can be somewhat habit-forming. If your condition is stable, you should be able to gradually adjust and taper off, but do not reduce it while experiencing anxiety. Dr. Wu En-Liang.[Read More] Managing Anxiety and Sleep Disorders: Medication Concerns and Alternatives
Understanding Medication Side Effects in Anxiety Treatment
Drug side effects Hello Doctor, two years ago I started treatment for panic disorder with Liyou, but after taking the medication, I felt even more panic, so I switched medications. Eventually, I was on long-term treatment with Lexapro, and my condition improved, allowing me to st...
Dr. Yu Quanxun Reply:
Hello: Based on your description in the letter, you have a history of panic disorder. You were taking Lexapro and had previously discontinued it due to improvement in your condition. Recently, you have resumed taking Lexapro due to fluctuations in your symptoms, and you are exper...[Read More] Understanding Medication Side Effects in Anxiety Treatment
Managing Panic Disorder Medication: Is Half a Dose Safe for Pregnancy?
Medication issues Hello doctor, I would like to ask about my issue with panic disorder. Currently, I take half a tablet of Lexapro as needed. Is this medication considered heavy? I am also preparing for pregnancy. Thank you.
Dr. Wang Zhenbang Reply:
Hello, although you did not mention the dosage of the medication per tablet, a half tablet dosage is generally within a reasonable usage range and is not considered excessive. However, if you are planning to become pregnant, it is important to be aware of the medication's ef...[Read More] Managing Panic Disorder Medication: Is Half a Dose Safe for Pregnancy?
Understanding Restaurant Anxiety: When Dining Out Triggers Nausea
Eating at restaurants can easily lead to nausea? Hello Doctor: My boyfriend has had a condition for a long time where he feels extremely uncomfortable whenever he eats at a restaurant. In severe cases, he even vomits. Additionally, if he goes to a space like a movie theater after...
Dr. Wang Yaoting Reply:
Hello: This is not a typical symptom of a mental disorder. It is recommended to first visit a gastroenterologist to investigate the physical discomfort symptoms (uncontrollable nausea and vomiting). If most tests are normal or only show minor abnormalities that cannot explain the...[Read More] Understanding Restaurant Anxiety: When Dining Out Triggers Nausea
Managing Panic Disorder: Medication Challenges and Recovery Insights
Medications for Panic Disorder Relapse I reduced my medication dosage to half a pill before the New Year and felt better, so I stopped taking the medication. However, in April after the New Year, I started experiencing a relapse of autonomic nervous system symptoms, accompanied b...
Dr. Wang Yaoting Reply:
Hello: I'm not sure if the medication you mentioned, "reducing half a pill," refers to Escitalopram? Since you are taking two serotonin medications (Prozac and Escitalopram), if you experience any discomfort, it is advisable to keep only one of them and temporarily...[Read More] Managing Panic Disorder: Medication Challenges and Recovery Insights
Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
[Medication Consultation] Can I stop taking antidepressants due to side effects? I have been struggling with anxiety, panic, and depression for a long time and recently sought medical help to address these issues. I have been experiencing symptoms such as chest tightness, palpita...
Dr. Wu Enliang Reply:
The antidepressant should be the most important medication in this prescription. It is recommended to take it after meals to generally avoid side effects such as nausea and vomiting. If these side effects still occur, it is advisable to take half a tablet instead, but it is recom...[Read More] Can You Stop Taking Antidepressants? Understanding Side Effects and Alternatives
Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
After taking medication for panic disorder, hypoglycemia occurred? Due to issues with panic disorder, I am currently taking the following medications: 1. Anxiolytic: half a tablet with breakfast and lunch, and one tablet with dinner. 2. Lyrica: half a tablet before bedtime. Since...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: Both Anbang and Liyou medications do not cause hypoglycemia. I wonder if you are taking any antidiabetic medications? If so, it may be necessary to discuss potential adjustments with your physician. Panic attacks generally do not improve with food intake, so if you...[Read More] Managing Panic Disorder Medications: Understanding Low Blood Sugar Risks
Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
After taking medication for anxiety, the diastolic blood pressure is low? Three weeks ago, I experienced palpitations, shortness of breath, and irregular heartbeats, which led me to undergo an examination in the cardiology department, but no issues were found. Later, I visited a ...
Dr. Lin Mianzhang Reply:
Hello Mr. Liu: The medication you are taking, Liyou, may potentially cause orthostatic hypotension. I would like to know if you experience dizziness when changing positions. If you do feel unwell, it is advisable to discuss with your physician whether to adjust your medication. H...[Read More] Low Diastolic Blood Pressure After Anxiety Medication: Is It Normal?
Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Feeling fatigued and experiencing headaches, suspecting that I might have bipolar disorder? Since March 20, I have been feeling easily fatigued, no matter how much I sleep, I still feel tired. Normally, I feel refreshed after about 6 hours of sleep, but recently I often wake up a...
Dr. Tang Jiahong Reply:
For headaches, it is recommended to consult a neurologist. If organic brain issues are ruled out as the cause of the headache, then assistance from a psychiatrist may be sought. Regarding the manic aspect of bipolar disorder, the description provided is insufficient for a diagnos...[Read More] Understanding Fatigue and Headaches: Signs of Bipolar Disorder?
Can I Stop Taking Lexapro After Reducing My Dose?
Could you please clarify your question regarding the discontinuation of the medication "Kexin"? Hello Doctor: I previously took one capsule of Clomipramine daily for about six months due to panic disorder. For the past month, I have been taking half a capsule and have n...
Dr. Wu Enliang Reply:
It is not advisable to stop taking medication abruptly; please consult your physician. The general process for tapering off medication is to reduce the dosage gradually, typically by half a pill at a time, as advised by Dr. Wu En-Liang.[Read More] Can I Stop Taking Lexapro After Reducing My Dose?
Mindfulness and Meditation: Debunking Myths About Mental Health Risks
Mindfulness and meditation issues? Hello, doctor. Do you mean that practicing mindfulness and meditation will not lead to mental health issues? Then why are there negative messages being spread that cause panic? Recently, mindfulness and meditation have gained popularity, with ...
Dr. Wu Enliang Reply:
Hello, everyone: It seems there are those who thrive on chaos! Dr. Wu Enliang[Read More] Mindfulness and Meditation: Debunking Myths About Mental Health Risks
Mindfulness and Meditation: Benefits and Risks for Mental Health
Mindfulness and meditation issues? Recently, mindfulness and meditation have gained popularity, with numerous clinical studies and scientific evidence supporting their effectiveness in improving mental disorders, anxiety disorders, negative emotions such as anxiety and depression...
Dr. Wu Enliang Reply:
Hello everyone: Mindfulness and meditation will not lead to more severe mental health issues, so feel free to learn. Dr. Wu En-Liang.[Read More] Mindfulness and Meditation: Benefits and Risks for Mental Health
Understanding the Differences Between Functional Psychosis and Psychoneurosis
Functional psychosis, psychoneurosis? Hello, doctor. Could you please explain the difference between functional psychosis and neurosis? Which category does obsessive-compulsive disorder (OCD) fall under? I asked a doctor at the Veterans General Hospital, and they mentioned that n...
Dr. Wu Enliang Reply:
Functional psychosis is a term used in contrast to organic psychosis, indicating that the mental disorder is not caused by brain damage, such as schizophrenia or delusional disorder. This term is rarely used in modern contexts, so there is no need to worry. Dr. Wu Enliang.[Read More] Understanding the Differences Between Functional Psychosis and Psychoneurosis
Understanding the Switch from SSRI to SNRI for Panic Disorder Management
Panic disorder medication consultation Over ten years ago, I experienced a panic attack and have since been consistently taking SSRIs to manage it. Last year, I started experiencing intermittent panic and palpitations, and recently I consulted my doctor who suggested switching to...
Dr. Lin Mianzhang Reply:
Hello! Your question is very good. Although SNRIs theoretically increase the concentration of norepinephrine in the synaptic cleft by reducing its reuptake, their impact on the peripheral nervous system is not as significant as that on the brain. Regarding the heart, it may tempo...[Read More] Understanding the Switch from SSRI to SNRI for Panic Disorder Management
Managing Panic Attacks: Questions About Medication and Treatment Options
Hello, I would like to inquire about a medication issue? Over the past two years, I have been taking 10mg of an antidepressant and 1.5 capsules of Rifuxin daily for about three months. My panic attacks significantly improved, and I experienced no side effects from the medication....
Dr. Lin Mianzhang Reply:
Hello Kiki: 1. The antidepressant and Liyou contain the same active ingredient. 2. Yes, starting with a low dose can reduce the likelihood of side effects. 3. Both options are fine; some people may feel sleepy after taking it and can take it before bed, while others can take it d...[Read More] Managing Panic Attacks: Questions About Medication and Treatment Options
Managing Schizophrenia: Medication Challenges and Anxiety Concerns
Medication use in schizophrenia and accompanying anxiety? Hello, doctor. I am here to ask a question because a family member is suffering from this illness. Four years ago, my brother was diagnosed with schizophrenia, experiencing auditory hallucinations and delusions. He took me...
Dr. Lin Mianzhang Reply:
Hello A-Cheng: The condition of schizophrenia can sometimes be influenced by changes in life stress, daily routines, and medication adherence. Even with regular medication, symptoms can fluctuate. Therefore, your brother's changes in condition may require careful evaluation ...[Read More] Managing Schizophrenia: Medication Challenges and Anxiety Concerns
Understanding the Differences Between OCD and Anxiety Disorders
Is obsessive-compulsive disorder the same as anxiety disorder? I was previously diagnosed with anxiety disorder by a doctor. However, when I consulted another doctor and explained my issues, he said it was obsessive-compulsive disorder (OCD). Could you please explain the differen...
Dr. Lin Mianzhang Reply:
Hello Mr. Chiu: In a broad sense, anxiety disorders include obsessive-compulsive disorder (OCD); however, in more recent classifications, OCD is no longer categorized under anxiety disorders due to its uniqueness. Nevertheless, patients with OCD often also have comorbid anxiety d...[Read More] Understanding the Differences Between OCD and Anxiety Disorders
Understanding Social Anxiety Disorder: A Student's Struggle and Solutions
Social Anxiety Disorder Hello, doctor. I am currently a high school sophomore. I have a naturally introverted personality and tend to be quiet around strangers, but I didn't experience panic until three years ago when a close friend, whom I relied on, transferred schools. Si...
Dr. Wu Menghuan Reply:
Hello: It is recommended to visit a child and adolescent psychiatry outpatient clinic to discuss with a physician, including differential diagnosis, types of medications being taken, their effects, and side effects; additionally, you can also discuss with the physician about refe...[Read More] Understanding Social Anxiety Disorder: A Student's Struggle and Solutions