Understanding Panic Disorder: When Physical Symptoms Signal Mental Health Issues
I have a lot of health issues and feel like I'm dying! Doctor: I have pain in both sides of my ribs, chest tightness, difficulty breathing, and palpitations. I have undergone a 24-hour Holter monitor and have seen two different cardiologists and two different neurologists. T...
Dr. Lin Mianzhang Reply:
Hello Hsin-Yi: Your various physical symptoms are very consistent with the manifestations of autonomic nervous system dysregulation. If you have seen many specialists and all tests have come back normal, I recommend that you seek treatment from a psychosomatic medicine specialist...[Read More] Understanding Panic Disorder: When Physical Symptoms Signal Mental Health Issues
Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Does this qualify as an anxiety disorder? Hello, doctor. A few months ago, for unknown reasons, my relationship with my classmates deteriorated. When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, they openly mocke...
Dr. Lin Mianzhang Reply:
Hi there! It seems that the changes in your relationships with classmates have affected not only your emotions but also led to physical symptoms such as insomnia and nausea. While anxiety appears to be the primary symptom, it is important to assess whether you may also be experie...[Read More] Am I Experiencing Anxiety? Understanding Symptoms and Seeking Help
Understanding Panic Disorder Medications: Your Questions Answered
Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...[Read More] Understanding Panic Disorder Medications: Your Questions Answered
Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Experiencing a rapid heartbeat while sleeping? Hello Doctor, I would like to ask you a question. Last August, I went to the hospital for a cardiac examination and had an echocardiogram. I have been having blood tests every three months, and currently, there are no significant iss...
Dr. Lin Mianzhang Reply:
Hello Mr. Wang: It sounds like your heart is not in serious trouble. The possibility of experiencing a rapid heartbeat while sleeping may be related to your thyroid. I wonder if you have a history of hyperthyroidism? Did you experience similar symptoms when you had hyperthyroidis...[Read More] Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Managing Panic Palpitations: Medication Dilemmas and Solutions
Panic palpitations I take 1.5 tablets of Fuxu, 1 tablet of Xinyu, and 1 tablet of Anbining every day. Recently, I still often feel my heart beating strongly. Tonight, I experienced a bit of a panic attack. What should I do? Can I take 2 tablets of Xinyu? The family medicine docto...
Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: The medications you are taking include an antidepressant (Fuxu), a medication for lowering heart rate and blood pressure (Xinlv Ding), and an anxiolytic (Anbining). The antidepressant works by regulating the autonomic nervous system, which helps reduce the frequen...[Read More] Managing Panic Palpitations: Medication Dilemmas and Solutions
Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
Anxiety due to physiological conditions? Hello, doctor. In August of this year, I was diagnosed with neurosis (insomnia, anxiety, panic) by a psychiatrist. I have been undergoing medication treatment and am currently stabilizing and gradually reducing my medication. I am now only...
Dr. Wu Enliang Reply:
Hello, online friend: I believe there is no need for further examinations. You have already seen many doctors and undergone numerous tests. It is likely a psychosomatic disorder. I recommend continuing to work with your psychiatrist, and you may also consider incorporating psycho...[Read More] Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery
Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Difficulty falling back asleep after waking up at 3 AM? Hello Doctor: A few years ago, I experienced symptoms of autonomic nervous system dysfunction (not officially diagnosed), including panic, palpitations, a heavy heartbeat, and dizziness with a sensation of swaying. I consult...
Dr. Lin Mianzhang Reply:
Hello, Hong: Autonomic nervous system dysfunction is a general term and not a specific medical diagnosis. It can encompass a variety of conditions, such as depression, anxiety disorders, panic disorders, insomnia, arrhythmias, and irritable bowel syndrome, among others, or even n...[Read More] Struggling to Sleep After Waking at 3 AM: Is It Autonomic Dysfunction?
Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Obsessive-Compulsive Disorder (OCD) - Obsessive Thoughts Hello Doctor, I have been suffering from panic disorder for 21 years and have become accustomed to panic attacks. I previously saw a doctor for a year and took Lexapro, and after improving with medication and exercise, I st...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to see a psychiatrist or a psychosomatic specialist. The new generation of antidepressants is unlikely to cause urinary difficulties. If you prefer non-pharmacological methods, you can ask your doctor for a referral to a clinical psychologist...[Read More] Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Understanding Autonomic Nervous System Disorders: Anxiety and Panic Attacks
Autonomic nervous system dysfunction, anxiety, panic? Hello Doctor, in April of this year, after exercising, I suddenly felt dizzy, my heart was racing, and I experienced palpitations as if I was about to faint. I went to the emergency room where I underwent blood tests and an el...
Dr. Yu Quanxun Reply:
Hello, based on your description, it seems that you are experiencing symptoms of anxiety and panic. The medications you are currently taking, Xanax, Cymbalta, and Lexapro, can help with these symptoms. I recommend that you continue to see a psychiatrist, maintain your medication ...[Read More] Understanding Autonomic Nervous System Disorders: Anxiety and Panic Attacks
Are Intrusive Thoughts About Eternal Life a Sign of OCD?
If you are constantly preoccupied with strange thoughts that arise in your mind, could this be considered obsessive-compulsive disorder (OCD)? Hello, doctor. Due to my wife's faith, I have recently leaned towards Christianity, and I am very eager about the concept of eternal...
Dr. Wu Enliang Reply:
Hello, netizen: Do you think this line of thinking is reasonable? Or am I just overthinking? Do you spend more than an hour each day worrying? Has it caused significant disruptions in your life that affect your work and interpersonal relationships? If it has greatly impacted your...[Read More] Are Intrusive Thoughts About Eternal Life a Sign of OCD?
Managing Anxiety and Focus Issues: Medication Effects and Treatment Duration
Anxiety, autonomic nervous system dysregulation, and inability to concentrate? Hello, I have been taking medication for 6 months, including Clonazepam, Sertraline, Duloxetine, and the sleep aid Zolpidem. I would like to ask how long the treatment for anxiety disorder typically ta...
Dr. Qiu Junda Reply:
Hello. The duration of treatment for anxiety disorders (or autonomic nervous system dysregulation) varies from person to person. However, with appropriate treatment, significant improvement can be achieved. If you find it difficult to concentrate, it may sometimes be related to m...[Read More] Managing Anxiety and Focus Issues: Medication Effects and Treatment Duration
Managing Anxiety: Insights on Medication and Coexisting Health Issues
Medication consultation I have been suffering from anxiety and panic disorder for about 8 years. I took tricyclic antidepressants for a month and a half, but stopping the medication abruptly caused my anxiety to worsen. Later, I consulted a psychiatrist who prescribed me Eser (Es...
Dr. Wang Zhenyang Reply:
Hello Ms. Liu: Anxiety disorders and panic disorders can indeed be triggered by certain physiological conditions, leading to secondary episodes. In medicine, the mind and body are inherently interconnected and can influence each other, which is why we refer to anxiety-related c...[Read More] Managing Anxiety: Insights on Medication and Coexisting Health Issues
Managing Anxiety Disorders: Insights on Medication and Coexisting Conditions
Medication consultation I have been suffering from anxiety and panic disorder for about 8 years. I took a tricyclic antidepressant for a month and a half, but stopping it abruptly caused my anxiety to worsen. I later switched to a psychiatrist who prescribed me ERA along with a h...
Dr. Wang Zhenyang Reply:
Hello Ms. Liu: Anxiety disorders and panic disorders can indeed be triggered by certain physiological conditions, leading to secondary episodes. In medicine, the mind and body are inherently interconnected and can influence each other, which is why we refer to anxiety-related c...[Read More] Managing Anxiety Disorders: Insights on Medication and Coexisting Conditions
Understanding OCD, Anxiety, and Panic in Workplace Dynamics
Obsessive-Compulsive Disorder (OCD), Anxiety, Panic? Hello, Doctor. I am currently facing some interpersonal issues at work. Over the past two years, one or two colleagues have seemingly teamed up with others to exclude me. Since I am privately preparing for a national examinatio...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it seems you are experiencing issues with stress adaptation, leading to emotional instability, interpersonal sensitivity, and a tendency for over-association. I recommend that you visit a mental health clinic nearby, where a physician can assess ...[Read More] Understanding OCD, Anxiety, and Panic in Workplace Dynamics
Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Could you please provide more details or specify your question? After developing panic disorder, I sometimes find myself constantly worrying, experiencing rapid heartbeats, and becoming easily anxious. I also fear being alone at home. I have been on serotonin medication for a yea...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to feelings of panic, fear, and tension. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that requires lon...[Read More] Understanding Panic Disorder: Effects on Anxiety and Pregnancy
Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Drug withdrawal, recent relapse? Hello Doctor: I have been taking medication for panic disorder and chronic post-traumatic stress disorder for 9 months (but I started to taper off the medication on my own in July of this year). As per usual, I was taking one "Luvox" aft...
Dr. Wu Enliang Reply:
Hello, online user: May I ask if, based on my situation, I still need to return to the original hospital for treatment? A: It is recommended that you seek treatment at a mental health facility, but it does not necessarily have to be the original hospital. Will the treatment need ...[Read More] Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Drug withdrawal issues Hello, Director Zhang. Thank you for helping everyone with their concerns. At the beginning of last year, I started experiencing ventricular premature contractions (VPCs) and missed heartbeats. My cardiologist said it was nothing to worry about and might be...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both ventricular premature contractions (VPC) and autonomic nervous system dysregulation. 1. Facing an uncertain future, severe depression and anxiety disorders are common con...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Withdrawal symptoms Hello, doctor. I originally took (Prozac 40mg + Xanax 0.5mg) once at bedtime for anxiety and panic for a year and a half. Later, I reduced the Xanax to half a pill and have been on that for a month. Recently, I started receiving RTMS treatment on my right brai...
Dr. Wang Yaoting Reply:
Hello: Prozac is a long-acting antidepressant. After repeated dosing, its half-life can extend to 4-6 days, and upon metabolism in the body, it produces an active metabolite, norfluoxetine, which has a half-life of up to 7 days. Therefore, withdrawal symptoms are rarely observed ...[Read More] Managing Withdrawal Symptoms: Insights on Reducing Anxiety Medications
Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Anxiety Panic Disorder Recently, I have been experiencing difficulty breathing due to nasal congestion, and I have scheduled surgery for the end of the month. However, over the past few weeks, I have also been experiencing chest pain. I went to the hospital for an examination, an...
Dr. Wu Enliang Reply:
Hello, netizen: Psychosomatic disorders can cause various physical symptoms. It is advisable to seek medical attention at a mental health facility. Dr. Wu En-Liang.[Read More] Coping with Anxiety and Panic Attacks: Managing Physical Symptoms
Managing Breath Awareness in Anxiety and Panic Disorders
Constantly monitor your breathing? Hello, doctor. I have seen you answer related questions, and recently I have started to pay close attention to my breathing. When I am still, about 50% of my focus is on it, and when I am watching TV or doing other activities, it is about 20%. I...
Dr. Wu Enliang Reply:
Hello, netizen: You can practice some relaxation techniques such as diaphragmatic breathing, meditation, or progressive muscle relaxation. If you find it difficult to learn these methods, you may ask your physician to arrange biofeedback training. Dr. Wu En-Liang[Read More] Managing Breath Awareness in Anxiety and Panic Disorders