Psychosomatic disorders, Psychiatry FAQ

Understanding Autonomic Nervous System Disorders: Symptoms and Treatments

Autonomic nervous system dysfunction Hello, Doctor. Two years ago, after a meal, I began experiencing palpitations and arrhythmias. These symptoms have continued to occur intermittently over the past two years. The most common triggers are: 1. Discomfort in the chest during or af...

Dr. Li Jite Reply:
Greetings Rose, it seems you have been through a lot of discomfort over the past two years. You have sought medical advice, and during follow-ups and examinations, we were informed that there are no significant issues with your "body," meaning your "organs and phys...

Struggling with Insomnia After Stopping Lorazepam: Seeking Expert Advice

I'm not sure what to do~ I hope the doctor can help me? Your question: Due to autonomic nervous system dysfunction, I was prescribed Lorazepam 0.5 mg by my doctor. After taking it for over three months, I stopped the medication and developed insomnia, which I never experienc...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysfunction and the pressure of stomach pain. Whether this is related to the medication Lorazepam requires a professional diagnosis by a physician. ...

Understanding and Addressing Sudden Behavioral Changes in Friends

Mental disorders Hello doctor, my friend used to be very normal and got along well with us until he started working part-time. After that, he seemed to be affected by some stressors and began experiencing extreme mood swings, alternating between crying and laughing. Eventually, h...

Dr. Li Guanying Reply:
From your letter, it is clear that you are experiencing discomfort and distress due to concerns about your friend and the pressure of mental health symptoms. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition tha...

Overcoming Anxiety and Lack of Motivation After a Difficult Breakup

Anxiety, lack of motivation, and difficulty concentrating? I just ended a two-year relationship that was filled with constant turmoil. The ongoing struggle between staying together and breaking up left both of us emotionally and physically exhausted. We both realized that we are ...

Dr. Cai Qijin Reply:
Hello: The end of a relationship requires courage and determination, and the subsequent adjustment takes time. It seems you have already gone through the most difficult phase and are ready to start a new life. Currently, you may still be experiencing a lack of motivation, anxiety...

Is It Safe to Stop Psychiatric Medications After 4-5 Months?

Drug withdrawal Hello, doctor. I am currently taking 0.75 mg of Clonazepam, half a tablet of Melatonin F1 (reduced from one tablet to half), and one tablet of Buspirone. I stopped taking the medication on April 1. Is this okay? I have been on medication for 4 to 5 months.

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress; however, discontinuing your medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulat...

Excessive Sleep and Its Impact on Mental Health: A Guide

Excessive sleep duration can lead to physical and mental lethargy? Hello Doctor, I previously took Funnix for a few months, and my depressive tendencies improved somewhat, but I developed severe social anxiety. Recently, I switched to venlafaxine, starting with 37.5 mg twice dail...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your tendencies toward depression and severe social anxiety, which require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders ...

Understanding Anxiety and Sleep Disturbances: When to Seek Help

Frequent dreaming. Anxiety? For over a month, I have been feeling unwell and have undergone multiple examinations, including consultations with cardiology, infectious disease, and obstetrics and gynecology specialists, all of whom have told me that there is nothing wrong. This ha...

Dr. Wu Enliang Reply:
Hello, if you have seen many doctors without reaching a conclusion or finding results, it is indeed possible that it could be psychosomatic disorders (such as anxiety or depression) caused by recent high levels of stress in your life. It is advisable to consult a psychiatrist. Ha...

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...

Can Tylenol Interact with Anxiety Medications After Vaccination?

Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...

How Long Does Ambien Last? Understanding Its Effects for Study Prep

Medication Consultation Hello, doctor. I would like to ask how long the effects of Anbongding (Clonazepam) last? The doctor advised me to take one 0.5 mg tablet before bed, but the exam is approaching, and I'm worried that the effects might not wear off by morning, which cou...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of the university entrance examination. As for whether this will have an impact, a professional physician needs to conduct a personal diagnosis. 1. Facing an un...

Coping with Death Anxiety: Strategies for Finding Peace of Mind

Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...

Managing Mental Health: Concerns About Medication Interruption and Symptoms

I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...

Consulting on SSRI Side Effects and Movement Disorders in Psychiatry

Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...

Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft

The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...

Managing Medication Dosage for Bipolar Disorder: Key Considerations

I would like to inquire about medication dosage? Hello, Doctor. The medications I am using are EPINE F.C. Tablets 25mg and Wan You Ting Capsules 30mg. I should be considered as having bipolar disorder, but I have been improving recently. When I visited the doctor, he mentioned th...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as bipolar disorder, are common in modern society. This is a ...

Understanding Autonomic Nervous System Disorders and Medication Side Effects

Autonomic Nervous System Dysregulation - Medication Side Effects In recent months, due to work stress and physical discomfort (post-nasal drip, chest tightness, poor sleep, bloating, shoulder and neck pain), I sought treatment at a traditional Chinese medicine clinic. The doctor ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, ar...

Understanding Medication Withdrawal: Managing Sleep Issues After Discontinuation

Drug withdrawal Hello Doctor, I would like to inquire about medication issues. I have been experiencing gastric pain due to autonomic nervous system dysfunction, and I have never had insomnia before taking the medication. After being prescribed Lurasidone for over three months, a...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected autonomic nervous system dysfunction and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysfunction, a...

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...

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...

Is It Depression or Something Else? Understanding Mental Health Symptoms

Could you please tell me if this is depression or something else? Hello doctor, about a month and a half ago, I developed extrapyramidal symptoms due to medication side effects. After receiving antihistamine injections, my symptoms improved, but starting the next day, I experienc...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physiological and psychological pressures. 1. Facing an uncertain future, psychosomatic disorders are common in modern individuals. This is a chronic condition that re...

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