Struggling with Insomnia: Daytime Sleepiness and Mental Exhaustion
Insomnia at night and feeling sleepy during the day? Hello Doctor: I have been unable to fall asleep at night, which often affects my work. In the morning, I struggle to get up, and when I do manage to sleep, I have frequent dreams. I have tried going to bed early and clearing my...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on your description, it is clear that this issue has been significantly affecting your daily life and mental well-being. You mentioned the need for sleeping medication. Considering the duration and severity of your sleep disturba...[Read More] Struggling with Insomnia: Daytime Sleepiness and Mental Exhaustion
Managing Panic Disorder: Understanding Autonomic Dysfunction and Sleep Issues
Regarding autonomic nervous system dysregulation caused by panic disorder... please consult a physician? Dr. Li, I apologize for the interruption, but I would like to ask you a question. I am experiencing sleep disturbances due to panic disorder, and I am currently taking Lowen (...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Lowen (Luo Wei - China Chemical) 0.5 mg and Propranolol (Sandoz) 10 mg can indeed be used to treat panic disorder. If sleep does not improve, some sleeping pills may be added. Additionally, regular exercise and appropriate leisure a...[Read More] Managing Panic Disorder: Understanding Autonomic Dysfunction and Sleep Issues
Exploring Alternatives to Zopiclone and Stilnox for Sleep Issues
Are sleeping pills limited to just two types, or are there others available? Are sleeping pills limited to just two options, zopiclone and Stilnox? Are there really no other alternatives? Both of these medications are no longer effective for me. What other sleeping medications ca...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. There are many types of sleeping pills, not just two, and physicians can choose from them based on the patient's condition. Due to drug tolerance, the effectiveness of long-term use may diminish, so switching to another medication can...[Read More] Exploring Alternatives to Zopiclone and Stilnox for Sleep Issues
Understanding Insomnia and Sleepwalking: When Medication Isn't Enough
Insomnia. Sleepwalking? Hello, Doctor: My boyfriend has been suffering from severe insomnia for a long time. He feels particularly alert at night, and even when he is very tired, he still finds it difficult to fall asleep. He often doesn't fall asleep until morning, and some...
Dr. Zhong Mingxun Reply:
Dear Miss Lin, Regarding the first part about your boyfriend's long-term severe insomnia, there may be underlying issues that could be physiological, psychological, or psychiatric in nature. Additionally, irregular sleep patterns can exacerbate the problem. It is essential ...[Read More] Understanding Insomnia and Sleepwalking: When Medication Isn't Enough
Understanding Lexotan: Addiction Risks and Alternatives for Insomnia
Regarding sleeping pills? Hello, doctor: May I ask if it is safe to take one tablet of a medication called Lexotan every day? Will it lead to addiction? What are the potential side effects? Besides sleeping pills, what other methods can help improve chronic insomnia? Thank you.
Dr. Ding Shuyan Reply:
Hello, the medications prescribed by your physician should be taken according to their instructions, and there is no need to consult others about this. If you have any doubts regarding the medication, you should discuss them with your physician. Since they are the ones who examin...[Read More] Understanding Lexotan: Addiction Risks and Alternatives for Insomnia
Do I Need Help? Coping with Grief and Mental Health After Loss
Do I need help? Upon learning that my mother was suddenly critically ill, I immediately booked a flight back to Taiwan. After landing, I rushed to the hospital, but she could no longer see or hear me. Thirty minutes later, the doctor told me to let her go peacefully. I asked, &qu...
Dr. Su Zongwei Reply:
Undoubtedly, you definitely need to see a psychiatrist again. Your condition has surpassed the grief of your mother's passing and has developed into a clinical depression that requires pharmacological treatment for improvement.[Read More] Do I Need Help? Coping with Grief and Mental Health After Loss
Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
I am unsure whether I have depression or anxiety disorders? Hello Doctor: I am unsure whether I have depression or anxiety. I find that I cannot tolerate continuous loud noises; for instance, if a baby is crying persistently, I feel an uncontrollable urge to stop the source of th...
Dr. Ding Shuyan Reply:
Hello, sensitivity to sound, fear of noise, insomnia, emotional fluctuations, and easy crying are indeed common manifestations of anxiety and depression. As for whether you have reached a level of illness, it is important to consider factors such as the severity of symptoms, thei...[Read More] Am I Suffering from Depression or Anxiety? Understanding Your Symptoms
Should You Take Sulpiride for Life? Understanding Dosage and Dependency
Should Sulpiride be taken at the minimum maintenance dose for a lifetime? Hello, five years ago I experienced auditory hallucinations, but after evaluation, my doctor determined it was not schizophrenia because I did not pay attention to the voices and maintained my judgment. Ini...
Dr. Ding Shuyan Reply:
Hello, actually, the best person to answer this question is your psychiatrist, as they understand your condition the best and seem to be treating you quite well. However, there are some general concepts that I can share with you. Some say that psychiatry is an art because its iss...[Read More] Should You Take Sulpiride for Life? Understanding Dosage and Dependency
Managing Blood Pressure Fluctuations Linked to Emotional Instability
Blood pressure often fluctuates due to emotional instability? Dear Doctor, In mid-March of this year, I visited the hospital for a check-up due to feeling unwell. The doctor informed me that my heart is larger than normal, and I also have high blood pressure and elevated cholest...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. According to your message, it seems that you are currently suffering from psychosomatic disorder. The causes of psychosomatic disorders are not solely psychological; it is a condition characterized by the interaction between physica...[Read More] Managing Blood Pressure Fluctuations Linked to Emotional Instability
Understanding Anorexia: A Case Study of Long-Term Medication and Weight Loss
Anorexia issues Dr. Zheng: I have been experiencing severe muscle pain for the past five years and have been taking sleeping pills long-term, which seem to have developed a tolerance. Currently, taking 2 pills allows me to sleep for about 2 hours, while 4 pills provide around 4 t...
Dr. Zheng Jingming Reply:
Bailey: Hello, for sleep issues, it is advisable to consult a psychiatrist to determine if there are any underlying problems causing the sleep disturbances, and to treat the root causes. If there are no other issues, in addition to medication, it is recommended to incorporate sle...[Read More] Understanding Anorexia: A Case Study of Long-Term Medication and Weight Loss
Understanding Insomnia: When Sleep Medications Stop Working
Severe insomnia Dear Doctor, I have been taking sleeping pills for a long time and they are no longer effective. Is this a case of tolerance? I have been on sleeping medication for ten years. My heart is racing and I am unable to work! Please, Doctor, I need your advice. What sho...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Chronic insomnia can indeed be very distressing, and long-term use of the same sedative can lead to tolerance. However, since there are many types of sleep medications available, each with different mechanisms of action, you can try...[Read More] Understanding Insomnia: When Sleep Medications Stop Working
What to Do If You Lose Your Sleep Medication and Health Cards?
What should I do if I lost my sleeping pills, health insurance card, and disability handbook together? Hello, Dr. Gu! I have a habit of taking sleeping pills, but two days ago, during a trip to the southern part of the island, I discovered that my sleeping pills, health insurance...
Dr. Chen Yuying Reply:
Hello MeiMei: You have used many exclamation marks, which shows that you must be very anxious. Your questions are divided into two parts. The first is about "losing your health insurance card" (the following is copied from the National Health Insurance Administration we...[Read More] What to Do If You Lose Your Sleep Medication and Health Cards?
Effective Sleep Solutions Beyond Medication for Stress-Related Insomnia
Sleep disorders Hello Dr. Chang: Every evening, I feel overwhelmed by stress because I'm worried about not being able to sleep. Sometimes, even taking strong sleeping pills doesn't help me fall asleep. I'm not sure if it's due to my stress or the medication. I...
Dr. Zhang Gengjia Reply:
Hello Ms. Li, First of all, thank you for your trust and for taking the time to write to me during your hospitalization. In today's society, the overwhelming work pressure makes it difficult for many people to sleep well at night. According to research studies both domestic...[Read More] Effective Sleep Solutions Beyond Medication for Stress-Related Insomnia
Feeling Cursed: Understanding Unexplained Physical and Mental Discomfort
I often feel as if I have been cursed..? Recently, I sometimes feel unwell, as if I were cursed. I experience unexplained discomfort throughout my body, along with headaches. My mental state is also poor, and I have trouble sleeping, often requiring sleeping pills to fall asleep....
Dr. Chen Yuying Reply:
Hello Allita: It is recommended to first undergo a comprehensive health check-up to identify any physiological causes and provide targeted treatment. If the examination results are generally normal but you still experience headaches, insomnia, and poor mental state, you may consi...[Read More] Feeling Cursed: Understanding Unexplained Physical and Mental Discomfort
Understanding Sleep Medications: Tolerance, Dependency, and When to Seek Help
Sleeping pills Hello doctor, I would like to ask about sleeping pills. Is it possible for the body to develop a tolerance or resistance to these medications if taken in excess? I have a relative who has experienced such symptoms, where taking many pills has no effect. Additionall...
Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. It is true that sleeping pills can lead to tolerance issues, and long-term use may result in a gradual increase in dosage. It is recommended to use them under the guidance of a psychiatrist to avoid the risk of misuse. Thank you.[Read More] Understanding Sleep Medications: Tolerance, Dependency, and When to Seek Help
Understanding the Side Effects of Zolpidem: A Student's Experience
Side effects of sleeping pills? Hello, doctor. I am currently a fourth-year student preparing for graduate school entrance exams. About a month ago, due to insomnia, I took two sleeping pills from my roommate. The medication is Zolnox (Zolpidem Hemitartrate 10mg), and I took one ...
Dr. Li Zhengfeng Reply:
Hello: First of all, thank you for your letter. Zolnox can indeed cause drowsiness as a side effect, but this typically lasts for a few days at most after discontinuation. It usually does not persist for weeks and generally does not lead to permanent sequelae. Therefore, it is li...[Read More] Understanding the Side Effects of Zolpidem: A Student's Experience
Understanding Neck Swelling and Breathing Issues During Stress
Regarding swelling in the neck and difficulty breathing during times of stress? Hello, doctor. I have a question I would like to ask! I have difficulty controlling my emotions and have suppressed feelings of unhappiness, anger, and frustration since childhood. I tend to bottle th...
Dr. Li Zhengfeng Reply:
Hello: First of all, welcome to your correspondence. According to your letter, you may be experiencing anxiety neurosis, commonly known as anxiety disorder. Patients with anxiety disorder have a lower tolerance for stress. When external pressure becomes overwhelming, symptoms suc...[Read More] Understanding Neck Swelling and Breathing Issues During Stress
Understanding OCD: Causes, Symptoms, and Treatment Options
Obsessive-Compulsive Disorder (OCD) Dr. Chen, I have been suffering from long-term obsessive-compulsive disorder (OCD). I used to be very healthy before I became ill. Ever since my work has not been going well and with advancing age, I first developed depression, but the treatmen...
Dr. Chen Wenyu Reply:
Hello, Xiao Rong: It is quite uncommon for obsessive-compulsive disorder (OCD) to manifest at the age of 45; it typically presents in late adolescence or early adulthood. Therefore, given your age, your condition requires thorough evaluation, as it may not be solely OCD. Currentl...[Read More] Understanding OCD: Causes, Symptoms, and Treatment Options
Does Stilnox Use Lead to Increased Dependence Over Time?
Does taking Stilnox lead to increased dosage over time? I have schizophrenia and have been taking 200 mg of Tomoxetine, one capsule of Paroxetine, half a capsule of Quetiapine, and one capsule of Adderall for ten years. After changing doctors, I switched to 200 mg of Sertraline a...
Dr. Chen Wenyu Reply:
Hello Bruce: It seems that your medications are becoming increasingly advanced, which shows that your doctor is truly committed to treating you without regard for cost. Sleep medications can indeed lead to tolerance, meaning that you may need to take higher doses over time. Howev...[Read More] Does Stilnox Use Lead to Increased Dependence Over Time?
Understanding Mental Health Costs and Medication Options in Taiwan
Could you please clarify what you mean by "精神費用"? In general, for large hospitals such as Miaoli Provincial Hospital or Toufen Weigong Hospital, if you have National Health Insurance, the out-of-pocket expenses for a psychiatric consultation typically range from a few h...
Dr. Wang Chongren Reply:
Dear Andy, Regarding the portion of expenses not covered by the National Health Insurance, it is important to first check if you have a catastrophic illness card. If not, the costs may vary depending on the level of the hospital. For example, at Miaoli Hospital, which is a regio...[Read More] Understanding Mental Health Costs and Medication Options in Taiwan