Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...
Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...[Read More] Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Fear of falling has become somewhat distressing, along with issues related to early awakening? Hello doctor, I have been waking up in the middle of the night recently. For instance, I woke up at 2 AM today and couldn't fall back asleep, even though I took sleeping pills befo...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chronic illness that requires lo...[Read More] Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Is It Safe to Use Sleep Aids for Afternoon Naps?
If you are unable to fall asleep during a nap and feel fatigued, is it appropriate to take sleeping pills? Hello, Doctor. I work in education and have always had a habit of taking a nap. However, since September of last year, after having lunch, I feel empty for about 15 minutes ...
Dr. Lin Mianzhang Reply:
Dear Ms. Li, The concerns you have raised are indeed valid. Generally, it is not recommended to take sleeping pills just for the purpose of napping, as the effects of these medications do not last only half an hour. If you take sleeping pills to nap, it will certainly affect you...[Read More] Is It Safe to Use Sleep Aids for Afternoon Naps?
Managing Recurring Depression: Medication Adjustments and Treatment Options
Recurrent episodes of depression, medication consultation? Hello, doctor. I have been taking medication for depression for 12 years without any interruptions, but in the past two years, I have experienced four relapses. In April of this year, I had a relapse, and while I recovere...
Dr. Wu Enliang Reply:
It is advisable to consult your physician directly regarding any adjustments to medication. Additionally, it is recommended to consider non-pharmacological treatments for depression, such as psychotherapy and rTMS (repetitive Transcranial Magnetic Stimulation). Dr. Wu En-Liang.[Read More] Managing Recurring Depression: Medication Adjustments and Treatment Options
Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Antidepressants and sleeping pills: Timing of medication? Hello, doctor. Recently, I came across information online stating that if someone has difficulty falling asleep, and since antidepressants do not shorten the time to sleep as quickly as sleeping pills, one could take the a...
Dr. Wu Enliang Reply:
Recently, there has been information circulating online suggesting that for individuals experiencing difficulty falling asleep, since antidepressants do not shorten sleep onset time as quickly as sleeping pills, one could take antidepressants 30 minutes earlier than sleeping pill...[Read More] Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Adult Attention Deficit Disorder (ADD) As I grow older, I find myself forgetting more and more things. I can completely forget what I just heard a second ago, and I often forget to execute the goals I set for myself or become restless during the process. In class, I constantly lo...
Dr. Wu Enliang Reply:
Netizens suggest seeking consultation at the Department of Psychiatry (Psychosomatic Medicine). Dr. Wu Enliang.[Read More] Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Managing Panic Disorder: Medication Interactions and Sleep Challenges
Drug interactions with anxiolytics? Hello Doctor, I have anxiety and panic disorder. It started about ten years ago, and I initially saw improvement with Lexapro, but since then, I have developed insomnia. For over a decade, I have been living intermittently with panic and anxiet...
Dr. Wu Enliang Reply:
It's highly recommended to discuss your questions thoroughly with your physician. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Medication Interactions and Sleep Challenges
Do You Really Need to See a Doctor for Mental Health Issues?
Do I really need to see a doctor? Since I started high school, I have had issues with substance addiction. At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol. When my partner wasn't around, I would drink until I fell asleep ...
Dr. Qiu Junda Reply:
Hello. Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.[Read More] Do You Really Need to See a Doctor for Mental Health Issues?
Understanding Sexual Dysfunction Related to Psychiatric Medications
Sexual desire issues Hello doctor, I visited the psychiatric department at Shuanghe on May 24, primarily due to anxiety (though I'm not sure), and was prescribed Risperidone and Paroxetine. Since I started taking these medications, I have been unable to experience pleasure d...
Dr. Qiu Junda Reply:
Hello. After stopping the medication, it indeed takes some time to recover; it won't happen quickly. Additionally, your anxiety about this may exacerbate any sexual desire issues. It's possible that while the side effects of the medication have resolved, there are still...[Read More] Understanding Sexual Dysfunction Related to Psychiatric Medications
Loss of Libido: Understanding the Impact of Psychiatric Medications
Loss of libido Hello doctor, I visited the psychiatric department at Shuanghe on May 24th and was prescribed Rexulti and Paroxetine due to anxiety. Since I started taking these medications, I have been unable to feel pleasure during masturbation, and I have little to no interest ...
Dr. Qiu Junda Reply:
Hello. If the sexual desire issues are caused by medication, they will gradually improve after discontinuing the drug and will not be irreversible. There's no need to worry.[Read More] Loss of Libido: Understanding the Impact of Psychiatric Medications
Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Decreased libido and tremors in the hands and feet? Hello doctor, ever since I started taking Mirtazapine and Clonazepam, I have lost the pleasure in masturbation, and my mind gradually stops thinking about sexual matters. I can't think of anything lewd, I have no interest i...
Dr. Wu Enliang Reply:
Hello, can I stop going to see a psychiatrist? A: If you no longer have emotional distress, then there is no need to continue treatment. Will I never be able to regain my libido? A: If the medication is indeed the cause, it will be metabolized within a few days after stopping the...[Read More] Decreased Libido and Tremors: Coping with Psychiatric Medication Side Effects
Managing Sleep Issues Linked to Medication: A Psychiatric Perspective
Due to issues related to medication? Doctor, I recently visited a urologist due to discomfort while urinating, and the doctor prescribed Mu Jing 1.5 mg. I later discovered that I can't sleep without taking Mu Jing. I researched online and found that discontinuing it can lead...
Dr. Lin Mianzhang Reply:
Hello: There are many reasons for insomnia. I'm not sure if your doctor has discussed the specific cause of your insomnia with you. Understanding the underlying reasons for insomnia is essential to address the issue appropriately, rather than just relying on sedatives or sle...[Read More] Managing Sleep Issues Linked to Medication: A Psychiatric Perspective
Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Hello, Doctor? Hello Doctor, I have been a long-term insomnia patient for several years, sometimes unable to sleep for 2-3 days. I have taken sleeping pills, but recently I have been experiencing persistent eyelid twitching for over a month and involuntary finger movements. I wen...
Dr. Qiu Junda Reply:
Hello. There are quite a few symptoms described. Initially, I would recommend focusing on seeing a psychiatrist, as the autonomic nervous system tests conducted by a neurologist are also related to psychosomatic medicine. During your visits to the psychiatrist, you can discuss wi...[Read More] Managing Chronic Insomnia and Multiple Health Issues: A Patient's Dilemma
Overcoming Challenges in Medication Reduction for Insomnia Treatment
Encountering setbacks in medication reduction? Hello doctor, I have been experiencing insomnia (difficulty falling asleep) since March 2022. I visited a psychiatrist who prescribed medication for me to take before bed. Currently, I am taking 1 mg of Zolpidem (Ambien) and 0.5 mg o...
Dr. Lin Mianzhang Reply:
Hello Ms. Chen: 1. Jing'an Ning and Keqianping are both sedatives, and prolonged use can lead to dependence. 2. It appears that you are experiencing rebound insomnia. We should continue to observe or adjust the medication based on your tolerance level. If you can accept you...[Read More] Overcoming Challenges in Medication Reduction for Insomnia Treatment
Managing Insomnia, Memory Loss, and Attention Issues: A Guide
Insomnia, forgetfulness, and poor attention issues? Hello, I have been experiencing insomnia for a while, and I've noticed a decline in my attention and memory. I'm unsure how to address this. Recently, I've often struggled to recall certain people, events, or term...
Dr. Wu Enliang Reply:
1) Should sleep medications be increased? Please consult your physician regarding medication adjustments. However, if there are no issues with anxiety, depression, or sleep hygiene, a sleep study is recommended. 2) Is there a way to recover from memory and concentration impairmen...[Read More] Managing Insomnia, Memory Loss, and Attention Issues: A Guide
Seeking Medical Help for Elderly Parent's Sleep Issues and Obsessive Behavior
What type of medical assistance should I seek? Hello, doctor. My mother is around 70 years old and generally has normal cognitive function, but she is experiencing insomnia and regularly takes sleeping pills to help her sleep. Our house is over 30 years old and has several cracks...
Dr. Wu Enliang Reply:
Netizens suggest seeing a psychiatrist or a psychosomatic specialist. Dr. Wu En-Liang.[Read More] Seeking Medical Help for Elderly Parent's Sleep Issues and Obsessive Behavior
Seeking Treatment After Drug Use: Legal and Medical Perspectives
Voluntary surrender and self-request for treatment, proxy purchasing? Hello, doctor. At the end of this year, I faced some setbacks and started using drugs. When I was almost out of them, I experienced something that felt like hallucinations or something similar, which led me to ...
Dr. Yu Quanxun Reply:
Hello, thank you for your inquiry. Regarding legal matters, the hospital is not well-versed in this area, so I recommend seeking assistance from legal aid or other legal foundations. Additionally, if you are experiencing hallucinations, it is advisable to continue seeking medical...[Read More] Seeking Treatment After Drug Use: Legal and Medical Perspectives
Exploring Alternatives to Wakefulness Medications for Fatigue Issues
Medication consultation Hello Doctor, I visited the outpatient clinic on January 11th due to issues with easy fatigue, frequent zoning out, and prolonged sleepiness. Aside from Sjögren's syndrome, I have no other health problems. The doctor prescribed Wakix (Pitolisant) hopi...
Dr. Wu Kunhong Reply:
Thank you for your question. It can indeed be distressing and stressful to feel tired but unable to sleep during times when you should be resting. I appreciate your efforts. Regarding medication, I recommend discussing adjustments with a trusted healthcare professional. Here are ...[Read More] Exploring Alternatives to Wakefulness Medications for Fatigue Issues
Understanding Extrapyramidal Symptoms: Causes, Risks, and Recovery
Extrapyramidal syndrome Last week, I tested positive for COVID-19. On the third day of isolation, I experienced EPS (extrapyramidal symptoms) as a side effect of medication in the evening. My tongue felt stiff, I had slurred speech, my head tilted to one side, and I could only ma...
Dr. Qiu Junda Reply:
Hello: 1. The occurrence of extrapyramidal side effects (EPS) after taking Primperan is occasional, but it does not indicate any underlying problem. Please do not worry. 2. As long as you stop the medication, there will be no permanent damage to the brain. However, if you have fu...[Read More] Understanding Extrapyramidal Symptoms: Causes, Risks, and Recovery
Struggling with Memory Loss After Taking Sleeping Pills: What to Do?
Taking sleeping pills can lead to temporary memory loss the next day? Hello doctor, I have been taking the sleeping medications prescribed by my doctor, Lepec and Ulotin, and I can't remember a single word the next day. What should I do? Also, I once took 4-5 tablets of Ulot...
Dr. Wu Enliang Reply:
Indeed, sleeping pills can cause short-term memory impairment while the medication is active, but memory typically returns to normal after the drug is metabolized. There are many causes of insomnia, so it is advisable to seek a professional medical diagnosis and treatment rather ...[Read More] Struggling with Memory Loss After Taking Sleeping Pills: What to Do?