Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Am I really not suitable for taking SSRIs? The doctor would like to ask you: I have panic disorder and recently I was taking ERA long-acting sleeping pills and antiarrhythmic medication before bed. However, I informed my doctor that I felt unusually fatigued and heavy in the body...
Dr. Liang Sunyuan Reply:
Hello Xiao An: If you experience discomfort after changing your medication, it is advisable to discuss it with your physician during your follow-up appointment. Your feelings and discomfort are clearly expressed in your message, and I believe the doctor will understand and make a...[Read More] Am I Unsuitable for SSRI Medications? Exploring Alternatives for Panic Disorder
Understanding REM Sleep: Addressing Sleep Disruptions and Concerns
Could you please provide more details about the REM issue you are referring to? Hello Doctor, I am a 36-year-old male with no use of sleeping pills or sleep aids. Currently, I am experiencing sleep disturbances (waking up frequently at around 2:30 AM) and my average sleep time is...
Dr. Xue Gengming Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good ...[Read More] Understanding REM Sleep: Addressing Sleep Disruptions and Concerns
Memory Loss and Insomnia: Understanding Symptoms and Treatment Options
Memory decline and insomnia? Hello Doctor: 1. I am experiencing memory decline, often sitting and thinking about what I need to do, but when I stand up, I forget and have to wait a long time to remember, and sometimes I can't recall it at all. 2. I have been suffering fro...
Dr. Yu Quanxun Reply:
Hello: It sounds like the various physical discomforts you've been experiencing lately have caused you significant distress, possibly affecting your daily life. I can sense your anxiety regarding seeking medical attention and certain aspects of healthcare. During this troubl...[Read More] Memory Loss and Insomnia: Understanding Symptoms and Treatment Options
Understanding the Impact of Low REM Sleep on Health and Memory
Could you please provide more details about the issue of insufficient REM sleep? Thank you? Hello, Doctor. I am 37 years old and have experienced sleep disturbances (difficulty falling asleep, waking up too early, and difficulty returning to sleep) since high school and throughou...
Dr. Wu Enliang Reply:
Insufficient REM sleep can have a comprehensive impact on the body, potentially leading to depression, anxiety, and mental fatigue. However, the smart wristbands available on the market primarily measure hand movements, which may not provide accurate data. If you feel alert durin...[Read More] Understanding the Impact of Low REM Sleep on Health and Memory
Understanding Medication Withdrawal in Bipolar Disorder Treatment
Drug withdrawal Hello Doctor, 1. I was diagnosed with bipolar disorder six months ago, which I believe was triggered by my habitual alcohol abuse. During a drinking episode, I had a disagreement with my family and broke a glass in the house, which led to me being forcibly hospi...
Dr. Qiu Junda Reply:
Hello. I also hope you do not stop your medication on your own. However, the three medications you mentioned theoretically do not have addictive properties. The one that is more likely to help with sleep is: Quetiapine extended-release film-coated tablets 200 mg. You may try taki...[Read More] Understanding Medication Withdrawal in Bipolar Disorder Treatment
Understanding Depression: A High School Student's Struggles and Questions
Some questions about depression? Hello, doctor. I am a high school freshman. When I was in the ninth grade, I wasn't sure if I was diagnosed with depression, but my parents believed that my temporary depression was due to the stress of the entrance exams. After the exams, I ...
Dr. Qiu Junda Reply:
Hello. The text reveals long-term negative emotional behaviors. Continuous treatment is necessary: 1. Regardless of whether it is considered a relapse, your condition requires ongoing monitoring to maintain long-term stability. 2. Memory can recover once stability is achieved, so...[Read More] Understanding Depression: A High School Student's Struggles and Questions
Managing Mood Swings and Physical Symptoms in Depression Patients
Alternating between hot and cold, resulting in fatigue? I was diagnosed with depression at the age of 16 and have been on medication until now, at 27. In the past few months, I've started experiencing episodes of fever and irritability at night. I've been taking sleepin...
Dr. Wu Enliang Reply:
Hello, netizens: It is recommended to see a psychiatrist (psychosomatic medicine). Dr. Wu Enliang.[Read More] Managing Mood Swings and Physical Symptoms in Depression Patients
Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
I don't know how to use the medication? I previously took Lorazepam for over three months, and stopping the medication has resulted in insomnia for over a year now (I stopped after three weeks, and I wonder if that was too quick). My symptoms of autonomic nervous system dysr...
Dr. Lin Mianzhang Reply:
Hello, Xiao Xiao: It seems that you are experiencing symptoms of insomnia combined with autonomic nervous system dysfunction. If you are concerned about the issue of addiction, I would recommend that taking an antidepressant may be a more fundamental solution. As for sleeping pil...[Read More] Struggling with Insomnia After Stopping Lorazepam: Seeking Guidance
Feeling Lost in Mental Health Care: A Patient's Struggle for Understanding
I'm really not sure what to do? Dr. Peng, I am the person who previously wrote over a thousand words to you regarding the issues with the outpatient attitude; you should know who I am. That message was quite blunt, so please don’t take it too personally; it was my genuine fe...
Dr. Peng Liyun Reply:
Hello, I sense that you are in a lot of pain. Both medication and psychotherapy require patience and cooperation to achieve the best results. I recommend that you return for a follow-up consultation or seek assistance from other mental health specialists. Wishing you well, Dr. Li...[Read More] Feeling Lost in Mental Health Care: A Patient's Struggle for Understanding
Struggling with Vivid Dreams: Tips for Better Sleep and Mental Health
Experiencing vivid dreams during sleep and being able to remember them clearly can be concerning. If this is affecting your sleep quality or daily life, it may be helpful to consult a healthcare professional or a sleep specialist. They can provide guidance on potential underlying...
Dr. Qiu Junda Reply:
Hello. Dreaming is a part of the sleep cycle that cannot be avoided. Everyone dreams, but most people do not remember or feel their dreams, which can lead to sleep disturbances. If you have a sleep disorder and are using psychiatric sleep medications, it may be related to your is...[Read More] Struggling with Vivid Dreams: Tips for Better Sleep and Mental Health
Understanding Tolerance and Dosage Issues with Sleep Medications
The issue of tolerance and dosage in sleeping medications? I would like to ask a hypothetical question. I have been taking sleeping pills for a long time, starting with estazolam at 2mg and increasing to 4mg, but it became less effective. Then I switched to flurazepam at 15mg, an...
Dr. Qiu Junda Reply:
Hello. The recovery time for tolerance to sleep medications varies from person to person. It can be as short as one to two weeks. Generally, the larger the dosage and the longer the duration of use, the more difficult it may be to recover, and the required time may be longer. A d...[Read More] Understanding Tolerance and Dosage Issues with Sleep Medications
Understanding Recovery from Insomnia and Depression: A Patient's Journey
Insomnia and the issue of recovery from depression? Hello, Doctor. My mother has been suffering from insomnia for 20 years due to her work schedule, which has caused her to have irregular sleep patterns. For a period of time, she experienced emotional distress due to relationship...
Dr. Wu Enliang Reply:
Hello everyone: Is there a true recovery period for depression? A: Depression can be cured. However, is true recovery achieved by reducing medication and no longer relying on it? A: It is recommended to discuss with your physician how to taper off medication to avoid withdrawal s...[Read More] Understanding Recovery from Insomnia and Depression: A Patient's Journey
Why Do I Cry Uncontrollably When Woken Up? Understanding Sleep Disturbances
Woken up from sleep, crying incessantly? Condition: After falling asleep, when my family calls my name at a normal volume and lightly taps my shoulder to wake me up, I instinctively start crying loudly, almost like a child, with my mouth wide open and unable to stop. I am aware t...
Dr. Wu Enliang Reply:
Hello, netizens: Night terrors typically occur during fever, sudden withdrawal from long-term use of sleeping pills, lack of sleep, or may be related to psychological stress. If they do not happen repeatedly, medical attention may not be necessary. Dr. Wu Enliang[Read More] Why Do I Cry Uncontrollably When Woken Up? Understanding Sleep Disturbances
Understanding Severe Hand Speed Issues: When to Consult a Neurologist
Regarding severe hand speed? Hello Doctor: The current occupational report indicates severe hand speed issues. Would you recommend seeing a neurologist for an MRI or brain imaging to identify which area may be causing this slow speed? I've observed that even walking doesn&#x...
Dr. Wu Enliang Reply:
Currently, medical imaging examinations such as PET scans or functional MRI can identify the location of lesions, but they cannot provide further treatment, so spending money on these tests may not be necessary. As for issues like motor skill impairment and emotional blunting, ac...[Read More] Understanding Severe Hand Speed Issues: When to Consult a Neurologist
Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Initial consultation summary of the patient's condition? Hello Doctor: My brother was diagnosed with schizophrenia in May 2019. Before his diagnosis, he had been taking excessive amounts of non-psychiatric prescribed sedatives and sleeping pills, around 200 pills a month for...
Dr. Dai Wanxiang Reply:
Hello, A-Zuo: Based on your description, your brother's issue should prioritize managing the symptoms of schizophrenia while also addressing the problem of rhabdomyolysis. After that, it would be advisable to discuss with a psychiatrist about handling substance abuse through...[Read More] Understanding Schizophrenia and Substance Withdrawal: A Family's Journey
Understanding Sleep Medications and Their Impact on Open-Angle Glaucoma
Sleeping pills and sleep? Dr. Lin, thank you for your response. I am the questioner from #180894 "Sleeping Pills and Sleep." My ophthalmologist has diagnosed me with open-angle glaucoma. I am unsure if this is the same as the narrow-angle glaucoma you mentioned. Can I t...
Dr. Lin Mianzhang Reply:
Hello: Open-angle glaucoma and angle-closure glaucoma are different; these medications will not affect the condition of open-angle glaucoma, so you can take them with peace of mind. Wishing you safety and good health![Read More] Understanding Sleep Medications and Their Impact on Open-Angle Glaucoma
How Long Does It Take to Develop Dependence on Stilnox?
How long does it take for dependence to develop when taking Stilnox? Hello Doctor, I have been experiencing insomnia lately, possibly due to stress. I consulted a general practitioner, but since I live in a small area without a psychiatry department, the doctor prescribed Stilnox...
Dr. Wu Enliang Reply:
It is easy to develop dependence if sleeping pills are taken for more than a month. It is recommended to enhance sleep hygiene to improve sleep quality. If sleep issues persist, occasional use of sleeping pills is acceptable. - Dr. Wu Enliang[Read More] How Long Does It Take to Develop Dependence on Stilnox?
Understanding the Risks of Combining Alcohol and Sleep Medications
Side effects of Sitagliptin? Hello Dr. Wu, I would like to inquire about my partner who has been suffering from autonomic nervous system dysfunction and insomnia. They have been taking sleeping pills and psychiatric medications for over 10 years and have developed a dependence an...
Dr. Wu Enliang Reply:
Hello everyone, I think it's quite serious. Please consult a psychiatrist (psychosomatic medicine). Dr. Wu En-Liang.[Read More] Understanding the Risks of Combining Alcohol and Sleep Medications
Exploring Medication Options and Brain Imaging for Mental Health Treatment
Medication issues Hello Dr. Wu, I would like to ask if Lian Da is ARIPIPRAZOLE-15mg. Are there any medications with a lower dosage of this ingredient available for treatment? Currently, I have been taking one pill every night for almost three months. If my condition remains simil...
Dr. Wu Enliang Reply:
Online users suggest that there are other medications with lower ingredient concentrations than Good Peach Therapy. Advanced imaging studies can confirm the presence of disease markers, but current medicine does not have the capability for further treatment. To make progress, con...[Read More] Exploring Medication Options and Brain Imaging for Mental Health Treatment
How to Support a Family Member with Schizophrenia During Crisis?
What should our family members do at this moment? Hello Dr. Wang, my sister has been suffering from schizophrenia for about 10 years. During this time, she has experienced episodes after stopping her medication. She was originally taking three 3 mg doses of Risperidone, but recen...
Dr. Wang Yaoting Reply:
Hello: Actually, experiencing auditory hallucinations at night and running out on your own can be a dangerous behavior. It is recommended that in such situations, you should go to the emergency department. Typically, if there are available beds in the emergency department, they w...[Read More] How to Support a Family Member with Schizophrenia During Crisis?