Stress, Psychiatry FAQ

Understanding Anxiety-Induced Nausea: When to Seek Help

Easily anxious and feeling nauseous? I am currently a senior in college. During high school, I often experienced anxiety and a poor appetite, but I was still able to eat. Recently, however, when I go out with others, I find myself feeling increasingly anxious (with tense nerves a...

Dr. Qiu Junda Reply:
Hello. The situation described in the text likely falls under anxiety (autonomic nervous system dysregulation and anxiety disorders are similar; it's just a different way of saying it). I recommend searching for information on stress management techniques to learn some relax...

Overcoming Sleep Anxiety: Strategies to Combat Insomnia Fears

Difficulty falling asleep? Hello Dr. Lin, I have always had good sleep quality, able to sleep through the night with few dreams, and I usually fall asleep within 10 to 15 minutes. However, since last Friday (January 7th), there have been some changes. My time to fall asleep has ...

Dr. Lin Mianzhang Reply:
Hello Cheryl: It seems that your main concern is about sleep, which is making it even harder for you to fall asleep. In such situations, you can focus your attention solely on your breathing. When other thoughts arise, gently bring your focus back to your breath. This is actually...

Understanding Emotional Instability: When to Seek Psychiatric Help

Emotional instability Hello, doctor. Recently, I have been feeling sad and down for no apparent reason. My emotions fluctuate greatly; I might feel happy about something one moment, but then suddenly feel very low shortly after. I often cry for no reason, especially in the evenin...

Dr. Qiu Junda Reply:
Hello. The text indicates that there is emotional instability, predominantly negative emotions. If this is causing you distress, it is recommended that you consult a mental health professional for evaluation. If that is not convenient, please reach out to the Ministry of Health a...

Can Tylenol Interact with Anxiety Medications After Vaccination?

Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...

How Long Does Ambien Last? Understanding Its Effects for Study Prep

Medication Consultation Hello, doctor. I would like to ask how long the effects of Anbongding (Clonazepam) last? The doctor advised me to take one 0.5 mg tablet before bed, but the exam is approaching, and I'm worried that the effects might not wear off by morning, which cou...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressure of the university entrance examination. As for whether this will have an impact, a professional physician needs to conduct a personal diagnosis. 1. Facing an un...

Concerns About Side Effects of Antidepressants: A Patient's Dilemma

Concern about the side effects of Prozac? Dear Dr. Wu, I am the individual who previously consulted you (case number 174365). As I mentioned last time, I have been suffering from obsessive-compulsive disorder (OCD) for seven years. In the first couple of years, I regularly took ...

Dr. Wu Enliang Reply:
Hello, netizen: 1. If taking Prozac causes emotional flatness or numbness, will it return to normal after stopping the medication? Is it possible that taking the medication changes me into a different person, and if I stop taking it, can I revert back? A: Clinically, I have no...

Understanding Anxiety-Induced Nausea: When to Seek Psychiatric Help

Easily anxious and feeling nauseous? I have always been a person who gets easily nervous. At unfamiliar gatherings or when eating with strangers, I often feel uncomfortable and have difficulty eating, but it improves significantly after a few familiar encounters. However, since l...

Dr. Wu Enliang Reply:
Hello, internet user: If a gastroenterologist has examined you and found no issues, it is indeed worth considering a visit to a psychiatrist, as it could be a case of autonomic nervous system dysregulation. Dr. Wu Enliang.

How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?

How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...

Dr. Huang Zhijia Reply:
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...

Understanding IQ Fluctuations: Insights for High School Students

Questions about IQ? Hello, doctor. I am currently in the second year of high school, and I have recently felt like my IQ has decreased. I'm not sure why, but I constantly feel that my logical reasoning abilities have worsened. Since I have upcoming exams, I push myself to st...

Dr. Lin Mianzhang Reply:
Hi there! Intelligence quotient (IQ) is a relatively stable trait and does not fluctuate significantly. If you are experiencing symptoms such as mental sluggishness, lack of energy, or diminished logical reasoning abilities, it may be related to factors such as sleep, mood, or st...

Navigating Negative Emotions in a Toxic Workplace Environment

Negative emotions Hello, Doctor. I apologize for the lengthy message, but I really need your help. I am a person with congenital disabilities and have been unemployed for a long time. I finally found a company willing to hire me, and at first, I was genuinely grateful to all the ...

Dr. Qiu Junda Reply:
Hello. The negative emotional behaviors mentioned in the text are mostly related to the work environment and interpersonal relationships, and they have already caused physical and mental distress. It is recommended that you seek consultation and evaluation at a mental health clin...

Coping with Death Anxiety: Strategies for Finding Peace of Mind

Fear of death Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" ...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment. 1. Facing an uncertain future, psychosomatic...

Managing Mental Health: Concerns About Medication Interruption and Symptoms

I would like to ask the doctor, over the past 2-3 years, I have taken Furosemide and Zantac for several months, then stopped, and then resumed again? Due to some work-related issues, I have been experiencing certain physical and psychological conditions that began a few years ago...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both physical and psychological pressures that require a professional physician's diagnosis. 1. Facing an uncertain future, psychosomatic disorders are common in modern...

Understanding SSRIs: Do They Heal or Just Delay Recovery?

SSRI Issues 1. How do SSRIs actually help people recover? Do they only prolong the presence of serotonin in the brain, or do they also repair neural pathways? 2. Does not taking medication lead to brain atrophy? Will it make me less intelligent? Will my memory deteriorate? P.S. I...

Dr. Qiu Junda Reply:
Hello. The text suggests that you may be feeling overwhelmed and negative due to the pressure of the academic examination. I hope the following advice can help you. 1. SSRIs (Selective Serotonin Reuptake Inhibitors) are antidepressants that can also be used to treat obsessive-c...

Managing Insomnia During Pregnancy: Tips for Better Sleep

Insomnia during pregnancy Since I found out I was pregnant, I've been experiencing insomnia from time to time. Sometimes I can't fall asleep until 4 or 5 in the morning, and I have to work during the day, which is really exhausting. I feel psychological pressure, fearin...

Dr. Lin Mianzhang Reply:
Hello QQ: First of all, congratulations on your pregnancy! It seems that you are experiencing insomnia since you found out you were pregnant. I wonder what kind of stress pregnancy might be causing you. If you are unable to relieve this stress, it can naturally affect your sleep,...

Managing Anxiety and Physical Symptoms: A Patient's Journey to Recovery

Anxiety due to physiological conditions? Hello, doctor. In August of this year, I was diagnosed with neurosis (insomnia, anxiety, panic) by a psychiatrist. I have been undergoing medication treatment and am currently stabilizing and gradually reducing my medication. I am now only...

Dr. Wu Enliang Reply:
Hello, online friend: I believe there is no need for further examinations. You have already seen many doctors and undergone numerous tests. It is likely a psychosomatic disorder. I recommend continuing to work with your psychiatrist, and you may also consider incorporating psycho...

How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?

How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic...

Dr. Tang Jiahong Reply:
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...

How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?

How much longer will it take to return to normal? I previously took Lorazepam for over three months, and stopping the medication has caused insomnia. It has now been three months since I stopped, and I have been experiencing insomnia for the entire duration. This insomnia is not ...

Understanding the Risks of Taking Prazosin for Anxiety: A Doctor's Insight

Medication Consultation - Ping An Jing Hello, doctor. Thank you for your review. I have been experiencing anxiety symptoms and have been taking tranquilizers for two days. The psychiatrist was very attentive in discussing and chatting with me, which has really made me feel that m...

Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to your anxiety and concerns about the irreversible nature of Parkinson's disease, as well as the fear of lifelong disability or dysfunction, which requires a professional ph...

Managing Sleep Issues: Transitioning from Anxiolytics to Mood Stabilizers

Metoprolol and Anaprilin? Hello, doctor. This summer, I experienced difficulty falling asleep and visited a nearby family medicine clinic, where the physician prescribed me 0.5 mg of Alprazolam. Initially, I only took it occasionally when I had trouble sleeping, but it later evol...

Dr. Lin Mianzhang Reply:
Hello: It seems that you are troubled by difficulties sleeping and various situations arising from medication use; I empathize with you! First of all, insomnia is usually just a symptom, and when it occurs, we need to understand why it happens. Factors such as stress, changes in ...

Understanding Anxiety and Palpitations: A Guide for Young Adults

Autonomic nervous system dysfunction, psychoneurosis, palpitations, anxiety? Hello, doctor. I am 18 years old and currently not attending school as I am waiting to enroll next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitation...

Dr. Yu Quanxun Reply:
Hello, as you mentioned, your physical discomfort seems to be causing psychological stress, and the anxiety from these concerns appears to be exacerbating some of your physical symptoms. When this cycle continues, it creates a burden on your physical and mental well-being, as wel...

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