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?
Managing Health Anxiety: Tips for Overcoming Worry and Fear
Health anxiety and anxiety can be very distressing? Hello Doctor, I am 22 years old and have been very concerned about my health for a long time, to the point where it has caused significant anxiety that affects my daily life. For example, two years ago, I was informed at the hos...
Dr. Wang Yaoting Reply:
Hello: Based on what you've written, it seems that you may be experiencing significant distress. Your condition could be related to anxiety disorder, hypochondriasis, obsessive-compulsive disorder, or other issues, and it may be advisable to seek evaluation from a psychiatri...[Read More] Managing Health Anxiety: Tips for Overcoming Worry and Fear
Understanding Unexplained Fatigue: Insights from Psychiatry
Unable to identify the cause of fatigue? Due to feelings of low mood and stress, I had seen a psychiatrist for several years in the past. For the past seven to eight years, I have been experiencing fatigue issues. When severe, I suffer from hypersomnia and weakness, feeling so fa...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it is possible that you are experiencing symptoms of autonomic nervous system dysregulation, with excessive activation of the parasympathetic nervous system during the day leading to fatigue and lack of energy. I would recommend making the follow...[Read More] Understanding Unexplained Fatigue: Insights from Psychiatry
Understanding Imaginary Friends: A Guide to Mental Health and Support
Imaginary friend Hello Dr. Liang, recently I have noticed that I seem to have an imaginary friend named Lan. Since I tend to be a bit pessimistic, she appeared to comfort me during my low moments. However, her presence has become increasingly exaggerated; she shows up no matter w...
Dr. Liang Sunyuan Reply:
Hello, Xuan: You can clearly distinguish this way, and it helps stabilize your emotions. It seems to be a psychological defense mechanism unique to you, and there is currently no need for excessive concern. Additionally, I suggest trying to learn some other stress-relief methods ...[Read More] Understanding Imaginary Friends: A Guide to Mental Health and Support
Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Drug withdrawal Hello, doctor. I am currently taking 0.75 mg of Clonazepam, half a tablet of Melatonin F1 (reduced from one tablet to half), and one tablet of Buspirone. I stopped taking the medication on April 1. Is this okay? I have been on medication for 4 to 5 months.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress; however, discontinuing your medication may not be beneficial for your condition. 1. Facing an uncertain future, psychosomatic disorders, such as autonomic nervous system dysregulat...[Read More] Is It Safe to Stop Psychiatric Medications After 4-5 Months?
Understanding Gender Identity: Seeking Guidance for Personal Struggles
I would like to ask a question about gender identity? Hello, doctor. I started having thoughts about wanting to be a girl from around the fourth to sixth grade. Every time these thoughts arise, I try to suppress them, but since entering middle school, these thoughts have become m...
Dr. Wu Menghuan Reply:
Hello: The latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, has redefined "Gender Identity Disorder" as "Gender Dysphoria," which refers to the discomfort and distress experienced regarding one's biological sex, along wi...[Read More] Understanding Gender Identity: Seeking Guidance for Personal Struggles
Understanding Emotional Struggles: Coping with Grief and Anger
Hello, doctor? Hello Doctor: I have a very introverted personality and tend to keep my feelings to myself when faced with any situation. I easily get angry over certain matters. Ever since my father passed away, whenever my family mentions him, I remember his kindness towards me,...
Dr. Wu Enliang Reply:
Netizens have reported experiencing significant emotional distress, even having suicidal thoughts. It is recommended to seek medical attention at the nearest mental health facility, or you can call the "I Still Love You" hotline at 1925 for assistance. Dr. Wu En-Liang.[Read More] Understanding Emotional Struggles: Coping with Grief and Anger
Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Autonomic nervous system dysfunction related to muscle issues? Hello Doctor, I have recently experienced symptoms such as involuntary trembling of my fingers when raised and a rapid heartbeat. I had my thyroid function tested, which came back normal. I then consulted a neurologis...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both palpitations and the stress of autonomic nervous system dysregulation. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in mod...[Read More] Understanding Autonomic Nervous System Disorders and Muscle Symptoms
Why Do I Feel Tired and Sleepy After Waking Up?
Feeling sleepy after waking up in the morning? Dr. Wang: I feel very tired and want to sleep about an hour after I wake up in the morning. This happens every day, even when I haven't used my phone the night before, and I have good and sufficient sleep, going to bed around mi...
Dr. Wang Yaoting Reply:
Hello: Based on your description, it is possible that you are experiencing symptoms of autonomic nervous system dysregulation. In the morning, excessive activation of the parasympathetic nervous system may lead to a lack of energy, while in the evening, when you should be resting...[Read More] Why Do I Feel Tired and Sleepy After Waking Up?
Understanding Sinzac: Managing Sleep Disorders and Side Effects
Inquiry about circadian rhythm disruption and side effects of Sinzac? Hello, Doctor. Due to the heavy pressure from my coursework, my circadian rhythm has been disrupted over the past year. I often find it difficult to fall asleep until 5 AM and need to sleep until 2 PM to feel r...
Dr. Xue Gengming Reply:
It is recommended that you consult with a mental health specialist to see if any relevant examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Sinzac: Managing Sleep Disorders and Side Effects
Excessive Sleep and Its Impact on Mental Health: A Guide
Excessive sleep duration can lead to physical and mental lethargy? Hello Doctor, I previously took Funnix for a few months, and my depressive tendencies improved somewhat, but I developed severe social anxiety. Recently, I switched to venlafaxine, starting with 37.5 mg twice dail...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your tendencies toward depression and severe social anxiety, which require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders ...[Read More] Excessive Sleep and Its Impact on Mental Health: A Guide
Overcoming Anxiety and Emotional Distress in Troubled Relationships
Anxiety, negative emotions, emotional distress, depression? Hello, doctor! Recently, I have been feeling very powerless and hopeless regarding my marriage and parenting. In my marriage, due to my husband's past infidelity, although I chose to forgive him, I still cannot forg...
Dr. Wu Enliang Reply:
Hello, online friend: I understand your pain and discomfort. I suggest visiting a nearby mental health clinic to seek help from a physician or psychologist. You can download the "Mood Meter" app to assess your emotional state and find local mental health resources. Many...[Read More] Overcoming Anxiety and Emotional Distress in Troubled Relationships
Understanding Unexplained Physical Symptoms: A Psychiatric Perspective
Feeling unwell? Hello, doctor. Recently, I have been experiencing various physical issues and feel that something is off with my body, but I can't pinpoint exactly what the problem is. Besides having gastroesophageal reflux disease, I also frequently experience dry mouth (wh...
Dr. Qiu Junda Reply:
Hello. At first glance, it seems to be primarily psychological. I'm not sure if you have been under significant stress recently that could be contributing to these issues. Psychological factors can affect the body and lead to physical symptoms. I recommend that you take the ...[Read More] Understanding Unexplained Physical Symptoms: A Psychiatric Perspective
Managing Anxiety: Can You Combine Medications with Supplements Safely?
About Anxiety Disorders Hello Doctor, I would like to ask a question. I am currently taking medication for anxiety, specifically Xanax 0.25 mg and Entact 10 mg. Can I take these two medications together with B vitamins or fish oil? Additionally, while these medications seem to be...
Dr. Qiu Junda Reply:
Hello: 1. It can be taken together with B vitamins or fish oil. 2. These two medications can be used multiple times a day depending on the condition, so they can be taken in the morning and evening. However, it is important to discuss and evaluate the appropriate dosage with your...[Read More] Managing Anxiety: Can You Combine Medications with Supplements Safely?
Understanding Paranoia: Coping with Family Conflict and Mental Health
Paranoia Hello Dr. Wu: For the past six months, I have been in conflict with my mother, who strongly suspects that my boyfriend is trying to deceive me for my house and money. My father has also been persuaded by her to confront me, leading to intense arguments multiple times, ev...
Dr. Wu Enliang Reply:
It is advisable for the patient to discuss the issues causing distress with their physician. If possible, the physician could arrange for family therapy and invite the patient's mother to participate in the discussion. If the situation becomes too overwhelming, it may be bes...[Read More] Understanding Paranoia: Coping with Family Conflict and Mental Health
Understanding the Switch from SSRI to SNRI for Panic Disorder Management
Panic disorder medication consultation Over ten years ago, I experienced a panic attack and have since been consistently taking SSRIs to manage it. Last year, I started experiencing intermittent panic and palpitations, and recently I consulted my doctor who suggested switching to...
Dr. Lin Mianzhang Reply:
Hello! Your question is very good. Although SNRIs theoretically increase the concentration of norepinephrine in the synaptic cleft by reducing its reuptake, their impact on the peripheral nervous system is not as significant as that on the brain. Regarding the heart, it may tempo...[Read More] Understanding the Switch from SSRI to SNRI for Panic Disorder Management
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system disorder Hello Doctor: I have been experiencing hiccups for the past month, difficulty taking deep breaths, involuntary deep inhalations through my mouth, dizziness, frequent urination, and excessive sleepiness. I also have mild coughing, which has recent...
Dr. Lin Mianzhang Reply:
Hello, Miss Jian: It seems that your various discomforts began about a month ago. I wonder if there were any changes in your life around that time? The physiological and psychological aspects of a person can influence each other. If you are experiencing psychological stress, it m...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Childhood Delusions: When to Seek Professional Help
Is it childhood delusional disorder and does it require medical attention? Your 4.5-year-old child frequently exhibits paranoid behavior, claiming that things are being stolen and that classmates are bullying her. She often recounts complete narratives and stories rather than fra...
Dr. Liang Sunyuan Reply:
Hello Ms. Wu: A 4-and-a-half-year-old child may sometimes struggle to express their emotions and might exaggerate or fabricate stories to gain adult attention. It is advisable to first observe whether the child is attempting to seek our attention. Additionally, I recommend spendi...[Read More] Understanding Childhood Delusions: When to Seek Professional Help
Do I Need Therapy? Understanding Emotional Distress and Healing
Do symptoms require treatment? Recently, I have been feeling emotionally down and have been hesitating about whether I should seek psychological counseling. I want to ask if I need treatment. During my middle school to high school years, I experienced several instances of sexual ...
Dr. Peng Liyun Reply:
Hello, thank you for your hard work! I can sense the pain you have been enduring for a long time, which is truly heartbreaking. I recommend that you seek treatment from a mental health specialist as soon as possible. An evaluation and treatment by a professional can help improve ...[Read More] Do I Need Therapy? Understanding Emotional Distress and Healing
Understanding Attention Issues: Overcoming Exam Anxiety and Focus Challenges
Cognitive speed, attention? I currently have generalized anxiety disorder, and both my counselor and previous psychiatrist suspect that I may have attention deficit issues. I would like to inquire about the problem of never being able to finish exams. Despite being well-prepared ...
Dr. Liao Dinglie Reply:
Hello, internet user: From your description, you are concerned that you may have Attention Deficit Hyperactivity Disorder (ADHD). You feel that your attention is not focused, and you often find yourself unable to complete exams. Even though you understand subjects like mathematic...[Read More] Understanding Attention Issues: Overcoming Exam Anxiety and Focus Challenges