Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Fear of palpitations and shortness of breath issues? Hello, I have recently been seeing a psychiatrist who diagnosed me with somatic symptom disorder due to anxiety stemming from physical ailments. The doctor prescribed me Anxiolytic tablets and Beta-blockers to be taken after me...
Dr. Wu Enliang Reply:
Hello, internet user: Please do not worry. Sometimes it is normal to feel fear, but this is just a part of the anxiety disorder. It's important to understand that this will not lead to any physical sequelae or death. These psychosomatic symptoms can improve with proper treat...[Read More] Overcoming Anxiety: Managing Palpitations and Breathing Difficulties
Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Anxiety, panic, or autonomic nervous system dysregulation? Hello, doctor. From April to June, I experienced four episodes of shortness of breath, chest tightness, and rapid heartbeat, which led me to the emergency room. After examination, the doctor concluded that these symptoms ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both anxiety and panic disorders. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires lo...[Read More] Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Understanding Sudden Fear: Is It Panic Disorder?
Feeling inexplicably fearful may be a symptom of panic disorder? Hello Doctor, I have been in a state of prolonged stress and feeling down. Recently, I've been trying not to dwell on it, which has helped a bit. However, yesterday when I went out with friends, even though the...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to sudden onset stress. I would like to share my experiences regarding life management and coping with stress. Living in this world inevitably brings about feelings of inadequacy ...[Read More] Understanding Sudden Fear: Is It Panic Disorder?
Understanding Anxiety and Panic: Insights on Medication and Heart Health
Medications and Related Issues Hello Doctor: I have a more introverted and repressed personality, with tendencies toward worry, anxiety, and obsessive thinking, and I am quite sentimental. Two years ago, after drinking black coffee and engaging in intense exercise, I experienced ...
Dr. Wu Enliang Reply:
Hello, online user: 1. Does intravenous injection really cause permanent damage to blood vessels? Is there a risk of developing atherosclerotic plaques? In the past, I never considered this during blood draws or treatments, but some online information claims that venipuncture c...[Read More] Understanding Anxiety and Panic: Insights on Medication and Heart Health
Managing Anxiety and Autonomic Nervous System Disorders: Treatment Insights
Anxiety, autonomic nervous system dysregulation? Hello, I was diagnosed with anxiety and autonomic nervous system disorder two months ago. I have been taking Lexapro at Tzu Chi Hospital in Taipei for two months without significant improvement. I have now switched to Mackay Memori...
Dr. Lin Mianzhang Reply:
Hello, Hao: It seems that your symptoms have improved significantly after taking Liyou and Anlifufu, which is a good thing. The lack of significant improvement with Lefutai indicates that this medication may not be suitable for you, which is quite common in clinical practice. Sin...[Read More] Managing Anxiety and Autonomic Nervous System Disorders: Treatment Insights
Understanding Panic Disorder: Managing Anxiety Without Medication
Anxiety Panic Disorder Hello, Doctor. I would like to understand more about panic disorder. I have symptoms of anxiety and obsessive-compulsive disorder, but for over ten years, I have been able to live my daily life without medication as long as I feel secure. Recently, due to s...
Dr. Lin Mianzhang Reply:
Hi there! It seems that you have a good understanding of the reasons behind your anxiety and know how to cope with it. If that's the case, medication may not be necessary for you. Generally, medication is considered when individuals find that their symptoms cannot be improve...[Read More] Understanding Panic Disorder: Managing Anxiety Without Medication
Understanding Anxiety and Heart Palpitations: Insights from a Mental Health Expert
Health anxiety, anxiety, rapid heartbeat? Hello Dr. Lin, thank you for your professional guidance. I hope to receive your assistance. Last year on March 11, I suddenly experienced a rapid heartbeat and went to the emergency room. Starting in May, I began to experience ventricular...
Dr. Lin Mianzhang Reply:
Hi there! Actually, human emotions and physiological responses are closely related. Sometimes, emotions come first, followed by physiological reactions; other times, physiological responses occur first, leading to the experience of emotions. For instance, in panic disorder, it is...[Read More] Understanding Anxiety and Heart Palpitations: Insights from a Mental Health Expert
Understanding Persistent Throat Pain: Is It Psychological or Physical?
Feeling fearful and uncomfortable every day? Hello Doctor, I have been experiencing a sensation of a foreign body and pain in my throat and pharyngeal wall for the past four months, which has been getting progressively worse. Although I do not have difficulty swallowing, swallo...
Dr. Wu Enliang Reply:
Hello, dear user: I understand that after seeing so many doctors and undergoing surgery, your issues remain unresolved, and that must be incredibly frustrating! You've already undergone numerous tests; will additional tests truly provide you with peace of mind? I believe the...[Read More] Understanding Persistent Throat Pain: Is It Psychological or Physical?
Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Since the hospital started offering nasal inflammation medications containing pseudoephedrine..? Doctor, I would like to ask you something. At the beginning of May, I was diagnosed with sinusitis, and my physician prescribed medication, one of which contains a component called ps...
Dr. Wu Enliang Reply:
Hello, internet user: If you are feeling this anxious and tense, it is certainly advisable to consult a psychiatrist (psychosomatic medicine). Dr. Wu En-liang.[Read More] Understanding the Side Effects of Pseudoephedrine in Anxiety Patients
Managing Anxiety and Panic: Medication Options and Symptoms Explained
I haven't had an episode recently, but I feel very anxious? Hello Dr. Liao, I am experiencing anxiety and panic due to heart palpitations. I have been taking 20 mg of Cymbalta (duloxetine) twice daily, along with Xanax (alprazolam) as needed, 1-2 tablets per year. Despite ta...
Dr. Liao Dinglie Reply:
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. "Anxiety," on the other hand, is a persiste...[Read More] Managing Anxiety and Panic: Medication Options and Symptoms Explained
Managing Anxiety: Medication Insights and Treatment Options
Supplementary question? Hello Dr. Liao, I apologize for missing a few questions and wasting an online resource. I would like to ask you about my anxiety and panic due to missing doses. Currently, I am taking 40 mg of Prozac (Fluoxetine) and 0.5 mg of Xanax (Alprazolam) once befor...
Dr. Liao Dinglie Reply:
Hello, online friend: You now understand that "panic" and "worrying about panic leading to anxiety" are two different things. In fact, "panic" is not very common and primarily requires prevention. On the other hand, "anxiety" is a persisten...[Read More] Managing Anxiety: Medication Insights and Treatment Options
Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Sleep issues Hello, doctor. I have been dealing with anxiety and obsessive-compulsive disorder for many years without the need for medication, and I have managed to coexist with the symptoms without them significantly affecting my daily life. However, in the past few months, due ...
Dr. Wu Enliang Reply:
Hello, online friend: If other physical issues have been ruled out, many patients with anxiety disorders do indeed experience these symptoms. Panic disorder is also a type of anxiety disorder. Occasionally feeling anxious allows me to redirect my emotions, but my sleep is sometim...[Read More] Understanding Anxiety-Related Sleep Issues: Symptoms and Solutions
Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Stress, anxiety, and insomnia? Hello, doctor. I experienced significant stress during my childhood due to family issues, and I only moved out last year. However, I still don't understand why I can't relax; my body remains in a state of high tension, which often leads to...
Dr. Lin Mianzhang Reply:
Hello: If you have been unable to relax and are easily tense and anxious for a long time, you should consider whether you have an anxiety disorder. If so, it is not advisable to rely solely on sedative or sleep medications; you should also include antidepressants. In addition to ...[Read More] Overcoming Anxiety and Insomnia: Finding Peace After Childhood Stress
Managing Anxiety and Panic: Medication Guidance and Timing Tips
Anxiety and panic, medication recommendations? Hello Dr. Liao, I started experiencing anxiety and panic last year and have been taking (20mg of Sertraline twice daily + 0.5mg of Xanax once daily). I initially added half a tablet of Nortriptyline but later reduced it as per my doc...
Dr. Liao Dinglie Reply:
Hello, dear reader: I see a lot of contradictions in your letter. You want medication to help you, yet you also wish to avoid dependence on it. You have a physician assisting you, but you have doubts about their recommendations. Perhaps you also notice that you want your body to ...[Read More] Managing Anxiety and Panic: Medication Guidance and Timing Tips
Overcoming Anxiety and Panic: Seeking Help from a Specialist
I really feel helpless and need Dr. Liao's expertise! Hello Dr. Liao, thank you for your dedication and professionalism in addressing everyone’s concerns. After reading your previous responses, I believe you are a very competent physician. I apologize for the lengthy message...
Dr. Liao Dinglie Reply:
Hello, online friend: Your description indeed reflects typical panic disorder combined with anxiety disorder. Medications such as Xibin capsules (20mg), Xanax (0.5mg), and Ental (10mg) are standard treatments for these symptoms. This condition can cast a significant shadow over o...[Read More] Overcoming Anxiety and Panic: Seeking Help from a Specialist
Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Experiencing anxiety and panic symptoms following missed heartbeats, please consult a physician? Hello Dr. Wang, thank you for your dedication and professionalism in addressing everyone's concerns. After reading your previous responses, I believe you are a very knowledgeable...
Dr. Wang Yaoting Reply:
Hello: Anxiety disorders and autonomic nervous system dysregulation often influence each other, creating a vicious cycle that typically requires some changes for improvement. Most causes of onset are not due to a single event; both physiological and psychological factors may cont...[Read More] Managing Anxiety and Panic Symptoms After Heart Palpitations: A Patient's Journey
Understanding Anxiety and Autonomic Nervous System Disorders
Anxiety, autonomic nervous system dysregulation? Hello, doctor. I am a 35-year-old office worker, and my only pleasure is playing computer games after work. However, two months ago, I became overly immersed in an adult game scenario, and I have been unable to let go of the distre...
Dr. Wang Zhenbang Reply:
Hello, regarding your condition, here are some suggestions: 1. If you already have sleep disturbances, it is not necessary to "fall asleep" during the day; simply resting with your eyes closed is sufficient. If you do fall asleep, it is recommended to limit it to no mor...[Read More] Understanding Anxiety and Autonomic Nervous System Disorders
Understanding Anxiety Medication: When to Seek Psychiatric Help
Use of Anxiolytic Medications Hello, doctor. I previously raised the question of whether my chest tightness is due to autonomic nervous system dysregulation. I have undergone various organ examinations, all of which showed no abnormalities. The context in which the symptoms occur...
Dr. Wu Enliang Reply:
Hello, online user: Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed. It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency. If symptoms improve after relaxation and stress ...[Read More] Understanding Anxiety Medication: When to Seek Psychiatric Help
Can I Take Anxiety or Heart Medications Before Moderna Vaccine?
Is it safe for individuals with autonomic nervous system disorders to take medications such as Jing An Ning or Xin Lv Ding when receiving vaccinations? Dear Dr. Lin, I recently received a notification to receive the Moderna vaccine. I have autonomic nervous system dysregulation,...
Dr. Lin Mianzhang Reply:
Hello Xiaolin: You can continue taking your heart rhythm medication and Jing'an Ning, as they will not interact with the vaccine. Please rest assured. Wishing you peace and health![Read More] Can I Take Anxiety or Heart Medications Before Moderna Vaccine?
Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?
Am I experiencing anxiety, Munchausen syndrome, or another condition? Or am I just normal? I have a very stubborn and extreme personality, and I struggle with reading social cues; I tend to speak very directly. I was severely reprimanded by a teacher for two years, and later, fol...
Dr. Wu Enliang Reply:
Hello: It's not Munchausen syndrome, but there are indeed issues with anxiety and depression. It seems to have significantly affected your life. Just as you would see a doctor for a physical fever, it's important to address emotional distress as well! I recommend discus...[Read More] Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?