Understanding Sleep Disorders: From Sleepwalking to Aggressive Behavior
Sleepwalking, sleep inertia, or narcolepsy? My husband works long hours, so he only gets 4 to 6 hours of sleep. However, he never hears the alarm even when it's set to the maximum volume. When I try to wake him, he often reacts aggressively or exhibits violent behavior, such...
Dr. Cai Yunlin Reply:
Hello, you mentioned that there are aspects of your family member's condition that require further clarification regarding medical history, symptom presentation, and lifestyle. It's difficult to assess the actual behavior based solely on the description provided. Since ...[Read More] Understanding Sleep Disorders: From Sleepwalking to Aggressive Behavior
Managing Panic Disorder: Treatment Options Without Disrupting Work
Anxiety, sleepwalking, chest pain, vomiting with blood? My husband has a history of panic disorder due to his family environment since childhood. Although he managed to overcome it for a while, it relapsed four years ago due to work and family stress. He has undergone treatment, ...
Dr. Wu Enliang Reply:
Online users suggest considering pharmacotherapy (including non-sedative medications), psychotherapy, relaxation training, and brain stimulation techniques. Dr. Wu En-Liang.[Read More] Managing Panic Disorder: Treatment Options Without Disrupting Work
Understanding Children's Sleep Issues and Emotional Concerns: When to Seek Help
Concerns about children's mental health? Hello, doctor: My son is currently 6 years old and in the first grade. He has been having restless sleep every night, sometimes sleepwalking or talking in his sleep. Recently, for the past two weeks, he has been asking before bed if I...
Dr. Li Jite Reply:
Hello, Mom. Seeing your child suffer like this must be very painful and worrisome for you. I believe this suffering can be viewed in two parts: 1. The child experiences restless sleep every night, often accompanied by verbal or physical behaviors. Medically, it is important to ...[Read More] Understanding Children's Sleep Issues and Emotional Concerns: When to Seek Help
Understanding Sleepwalking: Signs, Causes, and Concerns
Suspected sleepwalking? Last night, about an hour after falling asleep, I got up to open the door and call my family. Later, I realized the living room was dark, so I went back to rest. Before getting back into bed, I had the thought of wanting to drink water, so I opened my wate...
Dr. Wu Enliang Reply:
It is indeed difficult to definitively diagnose sleepwalking, but occasional episodes are often related to life stress. It is advisable to continue monitoring the situation. Dr. Wu En-Liang.[Read More] Understanding Sleepwalking: Signs, Causes, and Concerns
Is My Husband Sleepwalking? Understanding Sleep Disorders and Symptoms
Suspected sleepwalking? Hello, my husband (50 years old) seems to have a problem with sleep apnea, as he snores and breathes through his mouth. He often wakes up in the middle of the night to drink water and use the bathroom (approximately every two hours). This morning around 5 ...
Dr. Qiu Junda Reply:
Hello. Since this is the first time an abnormality has been observed, we can monitor the situation further. Additionally, it is important to consider whether the patient is taking any sleep aids. If not, but the frequency of episodes similar to sleepwalking increases, it is advis...[Read More] Is My Husband Sleepwalking? Understanding Sleep Disorders and Symptoms
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
Am I Sick? Understanding Sleepwalking and Its Implications
Does this situation qualify as an illness? Hello, this situation has been occurring for a long time, but recently I have noticed some different circumstances and would like to understand if this indicates that I am unwell. Since childhood, I have often sat up in bed at night and ...
Dr. Liang Sunyuan Reply:
Hello Ms. Lin: The situation you described may be a form of sleepwalking. However, if it occurs too frequently or involves potentially dangerous behaviors, it is advisable to visit a hospital for a sleep study.[Read More] Am I Sick? Understanding Sleepwalking and Its Implications
Navigating Medication Hesitation in Mental Health Treatment
Hesitation in taking medication? Hello Doctor, I have been experiencing irregular episodes of rapid heartbeat (90 bpm while lying down, 100-120 bpm while sitting) and chest tightness. I went to the emergency room where blood tests and X-rays indicated that my heart is fine. Subse...
Dr. Wu Enliang Reply:
1. A friend mentioned that the doctor said Epram and Leeyo have the same effect, and Leeyo should be fine. However, the doctor prescribed me a different medication at a dosage of 10mg. I am a bit apprehensive about the initial 5mg of Leeyo since this new medication is similar, an...[Read More] Navigating Medication Hesitation in Mental Health Treatment
Is Your Teen Sleepwalking? Understanding Nocturnal Urination Issues
Sleepwalking? Hello, I would like to inquire about my son who is 19 years old. Recently, over the past year, I have noticed that he often gets up in the middle of the night to urinate, but instead of going to the bathroom, he first urinates in the closet and then goes to the bath...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to visit a comprehensive hospital with a sleep center, specifically the neurology or psychiatry department. Further sleep studies may be necessary to provide targeted treatment. Dr. Wu En-Liang.[Read More] Is Your Teen Sleepwalking? Understanding Nocturnal Urination Issues
Understanding Sleep Violence: When Dreams Turn into Nightmares
I tend to hit my bed partner while sleeping? Hello Doctor, I am a college student and have experienced sleep issues such as vivid dreaming and bruxism since puberty, which continue to this day. I also had episodes of sleepwalking, which were more common in elementary school but h...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on the process you described, it is more likely to be "REM Sleep Behavior Disorder." However, most sleepwalkers do not remember what happened. First, it is important to rule out whether any medications, including cold m...[Read More] Understanding Sleep Violence: When Dreams Turn into Nightmares
Understanding Sleepwalking vs. Dissociation in Mental Health
Sleepwalking or dissociation? Hello, doctor. I am a patient diagnosed with Depression, PTSD, and BPD, and I have been under the care of a primary physician (though recently the hospital assigned me a new doctor whom I dislike). I have also been inconsistent with my medication (I ...
Dr. Wu Enliang Reply:
Hello, online friend: It could be sleepwalking. First, it's important to consider that it may be caused by sleep medications, as many people experience sleepwalking after taking Zolpidem. If this is the case, it is advisable to avoid using it. I recommend finding a trusted p...[Read More] Understanding Sleepwalking vs. Dissociation in Mental Health
Understanding Sleepwalking: Is It Just a Dream or a Split Personality?
It is unclear whether it is sleepwalking or dissociative identity disorder? Recently, I have been experiencing frequent sleepwalking episodes where I engage in many actions that I cannot accept. During these episodes, I feel quite clever and tend to leave behind clues (like makin...
Dr. Peng Liyun Reply:
Hello! Based on your description alone, it is not possible to determine your condition, such as the need to rule out physiological diseases or substance use, the timing of the episodes, and other detailed information. I recommend that you visit a mental health specialist for a co...[Read More] Understanding Sleepwalking: Is It Just a Dream or a Split Personality?
Navigating Forced Treatment for Mental Health: A Mother's Dilemma
Involuntary treatment in psychiatry? Hello, doctor. I am a single mother, and my son has developed a habit of taking sleeping pills. I was not aware of this until recently; he has been taking 10 mg of Zolpidem. About three to four months ago, he lost his job, and I later found ou...
Dr. Wu Enliang Reply:
Hello, netizen: Thank you for your hard work. I suggest you first contact the local community mental health center or health station for assistance. Call and inform the mental health caseworker about your son's situation; a public health nurse will come to assess him. In som...[Read More] Navigating Forced Treatment for Mental Health: A Mother's Dilemma
Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders
Is this sleepwalking? In the past month, I have experienced two similar incidents where I woke up in the morning to find that my clothes were different from what I was wearing when I fell asleep. It seems that I walked to the wardrobe to change. (I wonder if this is related to th...
Dr. Peng Liyun Reply:
Dear Sir/Madam, From your description, it is evident that the issue has caused you considerable concern. The areas of the brain involved in memory formation are quite extensive and complex; it is not solely the hippocampus that is responsible, and this situation has not yet invo...[Read More] Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders
Understanding Sleep Disturbances: Twitches, Nightmares, and Talking in Sleep
Involuntary movements of the limbs and sleep talking during sleep? Hello, doctor. For the past three to four years, I have experienced involuntary movements of my limbs while sleeping (my partner says this usually occurs within the first 15 minutes of falling asleep). During time...
Dr. Lin Mianzhang Reply:
Hello Joanne: The human brain does not fully mature until the mid-20s, and at 27 years old, you are not yet in the stage of neurodegeneration, so there is no need to worry. The symptoms of twitching in the limbs during the initial stages of sleep may be related to hypnic jerks, w...[Read More] Understanding Sleep Disturbances: Twitches, Nightmares, and Talking in Sleep
Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Recently, my mental state has been increasingly abnormal? I have recently started experiencing both unconscious and conscious sleepwalking. The frequency of talking in my sleep is about once or twice a week. Recently, while playing a game with a friend, he suddenly said, "Wh...
Dr. Guo Jialun Reply:
Sleepwalking may be related to certain psychosocial stressors or genetic factors, but it generally occurs during sleep. The example you mentioned involves unconscious behaviors during waking activities, which may resemble a dissociative state or lack of attention, potentially lin...[Read More] Understanding Unconscious Behavior: Sleepwalking and Speaking Issues
Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Consultation on Medications for Sleep and Panic Anxiety Hello, Dr. Lin. I have been a patient with anxiety and panic for over 10 years. I have been taking Rifuxin (Lifuyou) once a day, every night before bed. However, recently I have been suffering from a stomach condition that h...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: Suemianos can be taken together with Rifampicin and Liyou, and the order of administration will not affect their efficacy. A small number of people may experience sleepwalking or amnesia while taking this medication, but whether these side effects occur can only be...[Read More] Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Am I Sleepwalking? Understanding Sleep Disorders in Teens
Am I sleepwalking? Hello Doctor, according to my sister, there was a time when I fell asleep at night, and she walked into my room. I sat up and started talking to her, but the conversation was somewhat illogical, like: "Sister, let me tell you..." "Yes, what do yo...
Dr. Liu Shikai Reply:
Hello, it sounds like you might be experiencing sleepwalking. If it doesn't happen frequently and you aren't leaving the house or engaging in dangerous behaviors, there's no need to worry. However, if it occurs two to three times a week or is accompanied by wanderi...[Read More] Am I Sleepwalking? Understanding Sleep Disorders in Teens
Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Mirtazapine, also known as Remeron? Previously, I visited a family medicine clinic for insomnia, where the doctor prescribed "Suvorexant." Later, during a consultation with a psychiatrist, the doctor suggested that Suvorexant was not very effective and switched the pres...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. I apologize for the delay in my response, as your question was forwarded to me by the supervising unit on April 19 due to the previous physician's departure. Regarding the medication "Zolpidem" (known as "導美睡"...[Read More] Comparing Sleep Medications: Seroquel vs. Rozerem for Insomnia
Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep
Recently, I have been tossing and turning in my sleep and talking in my sleep? Since I started college, my roommates often tell me that I toss and turn a lot during the night, and that I move quite vigorously. I usually go to bed around midnight to 1 AM, but my roommates say they...
Dr. Liang Sunyuan Reply:
Hello, Xiao Zhang: Some individuals may have a predisposition to sleep talking or sleepwalking, especially when they have a lot going on during the day or are under significant stress. Certain medications can indeed cause sleep disturbances; however, if these issues were present ...[Read More] Understanding Sleep Disturbances: Frequent Tossing and Talking in Sleep