Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
In addition to continuing medication, patients with obsessive-compulsive disorder (OCD) should engage in cognitive-behavioral strategies to communicate with their inner self that is filled with obsession and fear. Techniques such as exposure and response prevention (ERP) can be e...
Dr. Wu Enliang Reply:
Hello, online user: Regarding non-pharmacological treatments for obsessive-compulsive disorder (OCD), it is generally recommended to engage in behavioral therapies similar to what you mentioned. For detailed discussions, it is advisable to address these during psychological thera...[Read More] Managing Anxiety in OCD: Effective Self-Talk Strategies Beyond Medication
Understanding Nightmares: Anxiety, Performance Fear, and Treatment Options
Frequent nightmares? Hello, doctor. Due to my field of study, I often have to perform in front of others. In the past, I felt slightly anxious about public speaking, but recently, for some reason, my fear has intensified. It's no longer limited to just the fear of speaking; ...
Dr. Lin Mianzhang Reply:
Hello Jasmine: Thank you for your hard work! Regarding your recent frequent nightmares, if you visit a psychiatrist, the doctor will likely want to understand when this situation began and what changes occurred in your life prior to these experiences. For example, they may inquir...[Read More] Understanding Nightmares: Anxiety, Performance Fear, and Treatment Options
Struggling with Sleep Issues: Seeking Solutions for Better Rest
Sleep issues Hello, doctor. When I was younger, I could fall asleep instantly and sleep through the night until morning. However, over the past decade, I have gradually developed issues with staying up late and difficulty falling asleep. In the past, this was not a significant pr...
Dr. Wang Zhenbang Reply:
Hello, a person's sleep patterns may change with age and other factors. Here are 10 recommendations for better sleep, especially note the 10th point: 1. Maintain a regular schedule. (Go to bed and wake up at the same time. Regardless of what time you fall asleep, you shoul...[Read More] Struggling with Sleep Issues: Seeking Solutions for Better Rest
How Many Times Can You Take XinKangLe Tablets in One Day?
How many times can Xin Kangle tablets be taken in a day? I would like to ask about my recent relapse of obsessive-compulsive symptoms, which has caused me significant anxiety. My doctor prescribed me Liyou for treatment and a backup medication, Xanax, for when my anxiety symptoms...
Dr. Wang Yazhen Reply:
Hello, Xiao Li: Xin Kang Le is primarily used to alleviate anxiety and reduce heart rate, commonly available in 10 mg and 40 mg formulations. If your medication is 10 mg, it is generally recommended to take it 2-4 times a day. However, since we are unsure if you have other chroni...[Read More] How Many Times Can You Take XinKangLe Tablets in One Day?
Understanding Insomnia and the Risks of Lendormin Use
Insomnia and Sleeping Pills I'm sorry, doctor, I would like to ask you some questions. I previously visited a doctor and was diagnosed with autonomic nervous system dysfunction. During this time, I feel that I don't have any particular stress, and I exercise regularly, ...
Dr. Qiu Junda Reply:
Hello. There are many causes of insomnia, and stress is one of the common reasons. However, sleep issues can also occur without any specific stress. Most sedative-hypnotic medications have the potential for addiction, and Lendormin 0.25 mg is no exception. Nevertheless, if treatm...[Read More] Understanding Insomnia and the Risks of Lendormin Use
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Anxiety and panic disorder suddenly exhibit opposite symptoms? Hello Dr. Wu, I am a panic disorder patient diagnosed over ten years ago. After understanding the causes of my condition, I have managed to get through this difficult period with minimal panic attacks, which only oc...
Dr. Wu Enliang Reply:
It is indeed a severe anxiety disorder. It is recommended to schedule an earlier follow-up appointment to adjust medication or to incorporate psychotherapy or other relaxation training. If necessary, inpatient treatment may even be required. Wu Enliang[Read More] Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Sleep issues I previously experienced a sudden onset of insomnia, which persisted afterward. I consulted a doctor who prescribed me anti-anxiety medication and sleeping pills. Later, I visited another doctor who suggested that I could sleep without medication, advising me to stop...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your description in the letter, it is evident that you are experiencing discomfort and anxiety. While it is difficult to determine your diagnosis at this moment, it is likely related to anxiety combined with insomnia. Currently, the primary treatment option ...[Read More] Understanding Sleep Issues: Anxiety, Medication, and Finding Rest
Managing Sleep Issues: Understanding Anxiety and Medication Effects
Sleep issues Last week, I couldn't sleep and started using sleeping pills (a medication that starts with 'Z'). Later, I began to feel anxious about going to bed, and my heart would race, so I took an anti-anxiety medication. After taking one, my mood improved signi...
Dr. Cai Yunlin Reply:
Hello, due to the varying effects of different medications (such as half-life, onset of action, etc.), it is advisable to discuss your condition and possible solutions further with your physician. Wishing you all the best.[Read More] Managing Sleep Issues: Understanding Anxiety and Medication Effects
Struggling to Sleep: Understanding Sleep Issues in Dorm Life
Persistent insomnia? Hello Doctor: I don’t understand why I can sleep well at home, but I can’t seem to fall asleep in the school dormitory. I haven’t slept for three consecutive days. Will this affect my health? When I try to sleep, I keep tossing and turning, and even though I ...
Dr. Cai Yunlin Reply:
Hello, the situation you mentioned may be related to disturbances in the sleep environment or inappropriate sleep associations. If sleep issues are affecting your daily functioning, it is advisable to seek further evaluation and treatment at a psychosomatic medicine clinic.[Read More] Struggling to Sleep: Understanding Sleep Issues in Dorm Life
Can a General Hospital's Psychiatry Department Diagnose Depression?
Diagnosis of depression I recently visited a general mental health clinic and shared my current situation with the doctor. I asked him if I had any disorders, but he kept telling me that it wasn't important and that it was just for others to read. I have high levels of anxie...
Dr. Wu Enliang Reply:
Hello, online user: Both psychiatric clinics and hospital psychiatry departments should be able to diagnose depression. Dr. Wu Enliang.[Read More] Can a General Hospital's Psychiatry Department Diagnose Depression?
Overcoming Self-Esteem Issues After an Injury: A Mental Health Perspective
Feelings of inferiority after an accidental injury? Hello Doctor: Seven years ago, I accidentally dislocated my humerus while throwing a softball. The doctor mentioned that improper force application and fatigue caused my muscle strength to exceed that of the bone, resulting in a...
Dr. Huang Xiaoxian Reply:
Hello Mr. Liang: Thank you for your question. It sounds like your injuries and scars have significantly affected your mood, and your description also reveals feelings of regret, which can be difficult to confront and have impacted your daily life and sleep. Regarding the medicati...[Read More] Overcoming Self-Esteem Issues After an Injury: A Mental Health Perspective
Memory Issues and Sleep Medications: Understanding the Impact
Experiencing mental fog in the morning after taking sleeping pills? Hello doctor, I am currently taking sleeping pills and have gradually noticed a decline in my memory and learning ability. Could the sleeping pills be causing this? I have been taking them for quite a long time a...
Dr. Cai Yunlin Reply:
Hello, generally speaking, sleeping pills should be safe when taken at the recommended dosage, but they should be used in conjunction with sleep hygiene and exercise. Additionally, it is important to rule out issues such as depression and anxiety that may be affecting sleep. Rega...[Read More] Memory Issues and Sleep Medications: Understanding the Impact
Understanding Physical Symptoms of Anxiety Disorders: A Patient's Journey
Physical discomfort associated with anxiety disorders? Hello Doctor, I have been taking antidepressants and sleeping pills for three years. Currently, I am experiencing symptoms such as neck muscle stiffness, shoulder and neck pain, back pain with chest tightness, hoarseness and ...
Dr. Huang Xiaoxian Reply:
Dear Mr. You, Regarding your inquiry, it sounds like you are troubled by shoulder and neck pain along with anxiety and depression. Many of the symptoms you mentioned can indeed be explained by anxiety disorders. If there has been no improvement, I recommend discussing medication...[Read More] Understanding Physical Symptoms of Anxiety Disorders: A Patient's Journey
Effective Strategies to Reduce Anxiety and Combat Burnout
Hello, doctor. Are there any methods to reduce burnout caused by anxiety? Hello, doctor. Over the past few years, I have encountered several significant issues that have caused me excessive anxiety, leading to sleeplessness and extreme frustration with my current tasks, resulting...
Dr. Huang Xiaoxian Reply:
Dear Ada, Thank you for your question. Anxiety is an issue that everyone faces, as it stems from the level of importance you place on certain situations. Most people use various methods to manage stress and cope. However, when anxiety becomes a habit, both the mind and body can...[Read More] Effective Strategies to Reduce Anxiety and Combat Burnout
Navigating Mental Health and Regrets: A Journey Through Relationships
My own thoughts and feelings? Hello, doctor. Ever since I recalled things from my past, I've been feeling very down and my mood is extremely poor! I am a Sagittarius, type B, and I was diagnosed with depression at the age of 20, which led to my discharge from the military. I...
Dr. Liang Sunyuan Reply:
Hello, Ayi: Thank you for your detailed description. You have reflected on and organized your past experiences, and engaged in some altruistic actions, which are all effective changes. It just requires a bit more patience and perseverance. The past has already happened and must b...[Read More] Navigating Mental Health and Regrets: A Journey Through Relationships
Struggling with Medication Side Effects: Insomnia and Anxiety Issues
Troubled by the side effects of medication? Dear Doctor, Can taking Olanzapine lead to insomnia? I have been on it for six months, and my sleep issues have been worsening. I have difficulty falling asleep and experience unexplained tremors. Even with sleeping pills, I can only ...
Dr. Cai Qijin Reply:
Hello: A small number of individuals may experience insomnia when taking Anxiolytics before bedtime, so it may be advisable to consider taking it in the morning instead. Sleep issues could also be a result of an underlying mental health condition, so it is recommended to discuss ...[Read More] Struggling with Medication Side Effects: Insomnia and Anxiety Issues
Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Use of sleeping pills 1. The article states that medications containing Zolpidem, Zopiclone, or Zaleplon may indicate underlying issues if increasing doses are needed to achieve sleep. The most common underlying condition is depression, while physiological issues often include fo...
Dr. Qiu Junda Reply:
Hello. It is true that sleeping pills can lead to addiction and drug tolerance, resulting in the need for increasing doses to achieve sleep. However, not everyone experiences this, and it is not limited to individuals with specific body types. Importantly, as you mentioned, (coll...[Read More] Understanding the Risks of Sleeping Pills: Dependency and Tolerance Explained
Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Erectile dysfunction, ejaculation difficulties? I have been taking sleeping pills for a while, and I have noticed that erectile dysfunction and difficulty with ejaculation are becoming more pronounced. I would like to know which of these medications might be causing it: Anbaining...
Dr. Qiu Junda Reply:
Hello. Some psychiatric medications do indeed have side effects related to sexual function. The medication mentioned in your letter, such as escitalopram, may have such side effects (you can find this information through a quick Google search). However, issues with sexual functio...[Read More] Understanding Erectile Dysfunction and Ejaculation Issues from Sleep Medications
Understanding Insomnia: Exploring Alternatives to Sleep Medications
Insomnia issues I have been taking sleeping pills for a long time, but my doctor can only suggest exercise. I used to fall asleep by 10 PM, but now I can only sleep with medication. I'm considering switching doctors to understand why I can't fall asleep without medicati...
Dr. Huang Huiqun Reply:
Hello Mr. U, if you have been taking sleeping pills for a long time to help with sleep and wish to reduce your medication, it is important to first identify the reasons for initially starting the medication. If it was due to depression or other emotional disturbances, it is cruci...[Read More] Understanding Insomnia: Exploring Alternatives to Sleep Medications