Overcoming OCD: A Journey from Anxiety to Understanding
Obsessive-compulsive disorder (OCD) can feel very helpless? Hello, doctor. I apologize for the length of this message. I have been experiencing obsessive thoughts since high school (or even earlier). After resolving one issue, new obsessive thoughts tend to arise after a few days...
Dr. Lin Mianzhang Reply:
Hello Wenwen: Thank you for your hard work! Your situation appears to be symptomatic of obsessive-compulsive disorder (OCD). I'm curious about your reasons for initially choosing not to take medication. The best outcomes for OCD are typically achieved through a combination o...[Read More] Overcoming OCD: A Journey from Anxiety to Understanding
Understanding Vaccine-Related Anxiety and Its Impact on Heart Health
Vaccine-induced anxiety disorder? On October 24th, after receiving the vaccine, I started feeling unwell. I visited a cardiologist and underwent a stress echocardiogram, and the doctor said everything was fine. At that time, I experienced physiological symptoms such as chest tigh...
Dr. Qiu Junda Reply:
Hello. It seems that your question is not fully stated. If the vaccine has caused anxiety, consulting with a physician should help improve the situation (your medication is indeed effective for anxiety). Additionally, I recommend searching for non-pharmacological methods for anxi...[Read More] Understanding Vaccine-Related Anxiety and Its Impact on Heart Health
Consulting on SSRI Side Effects and Movement Disorders in Psychiatry
Medication Side Effect Consultation Dr. Chang: I have two questions to ask. 1. After taking SSRIs, I feel a bit indifferent towards things and somewhat lethargic, which started after I began the medication. Will this condition improve after the treatment ends, or is it likely t...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to a combination of indifference towards certain matters and a bit of pressure from laziness. Whether this is a psychosomatic disorder requires a professional diagnosis by a phy...[Read More] Consulting on SSRI Side Effects and Movement Disorders in Psychiatry
Struggling to Sleep After Waking Up: Insights from Psychiatry
Difficulty falling back asleep after waking up in the middle of the night? I have been experiencing sleep disturbances for a while now. It started over three years ago when I began seeing a psychiatrist and started medication. At the end of October, I wanted to reduce my medicati...
Dr. Wu Enliang Reply:
Hello, online user: The causes of long-term insomnia need to be discussed with your physician. Are there issues related to depression or anxiety that need to be addressed? Are there any problems with your sleep hygiene? Relying on sleeping pills is a temporary solution and does n...[Read More] Struggling to Sleep After Waking Up: Insights from Psychiatry
Understanding Palpitations and Anxiety: A Guide for Young Adults
Palpitations autonomic nervous system dysfunction Hello, doctor. I am 18 years old and currently not attending school while waiting for enrollment next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitations, tightness and discomf...
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 Palpitations and Anxiety: A Guide for Young Adults
Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
The medications Dexamethasone and Zantac? About the end of last year, I experienced an increase in heart rate before sleep and would automatically wake up shortly after falling asleep. I was later diagnosed with generalized anxiety disorder, and the doctor prescribed me Doxepin. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as generalized anxiety disorder (GAD), are common in modern s...[Read More] Managing Anxiety and Sleep Issues: A Guide to Medications Like Xanax and Zoloft
Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Adjustment Disorder I am currently studying in graduate school, and my teacher initially planned to let me take my oral exam early. However, when I discovered errors in my research data, I fell into a state of negative emotions and anxiety, even contemplating death. I didn't...
Dr. Wu Enliang Reply:
Hello, internet user: Some individuals with anxiety-related adjustment disorders can indeed recover in a short period of time. However, sometimes due to excessive stress, it may develop into depression or anxiety disorders. It is advisable to collaborate and discuss with your psy...[Read More] Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts
Understanding Affective Psychosis: Differences, Recovery, and Hallucinations
Affective Psychosis Hello, doctor. I would like to ask: 1. Is there a difference between schizoaffective disorder and mood disorder with psychotic features? My prescription states "major depressive disorder in remission, schizoaffective disorder," but when I asked my ...
Dr. Lin Mianzhang Reply:
Hello Evonne: 1. Schizoaffective disorder and affective psychosis are merely differences in translation; they refer to the same condition, which is known in English as schizoaffective disorder. "Schizo-" refers to splitting, while "affective" pertains to emo...[Read More] Understanding Affective Psychosis: Differences, Recovery, and Hallucinations
Seeking Guidance on OCD Treatment and Medication Concerns
I need advice? Dear Dr. Dai, I have a few questions regarding my condition: obsessive-compulsive disorder (OCD) and depression. 1. With the upcoming university entrance exams, the doctor suggested that I take 0.25 mg of Anxiolytic. However, I found in the medication leaflet tha...
Dr. Dai Wanxiang Reply:
Hello, regarding the questions you raised, here are the responses: 1. The concerns you mentioned about the side effects of Anlifu (Amisulpride) related to sedation and tardive dyskinesia: some individuals may experience drowsiness after taking it, which can affect attention and ...[Read More] Seeking Guidance on OCD Treatment and Medication Concerns
Managing Mood Disorders and Medication Concerns in Psychiatry
Emotional adjustment and medication issues? Dear Dr. Liao, First of all, I want to express my heartfelt gratitude for your thoughtful responses to my previous inquiries; I truly appreciate it! Regarding my condition: Obsessive-Compulsive Disorder (OCD) / Depression. I have a fe...
Dr. Liao Dinglie Reply:
Hello, dear netizen: When your classmates are moving ahead, you feel a lot of pressure and negative emotions about not being able to keep up with them and facing health issues. I can sense the conflicting feelings in your words: Should you take Anliflu? Should you undergo medicat...[Read More] Managing Mood Disorders and Medication Concerns in Psychiatry
Understanding Autonomic Nervous System Disorders and Tension Headaches
Dysautonomia discomfort? Hello, doctor. I was recently diagnosed with autonomic nervous system dysfunction and have been prescribed medication by a specialist. I am experiencing significant stiffness and tension on the side of my head and neck, which sometimes extends to my ears,...
Dr. Dai Wanxiang Reply:
Hello Fangfang, Based on your description, it does seem like tension-type headache. Additionally, a person's emotional state is closely related to autonomic nervous system responses. During times of anxiety and tension, one may experience physical symptoms such as rapid bre...[Read More] Understanding Autonomic Nervous System Disorders and Tension Headaches
Understanding Unconscious Aggression: A Teen's Struggle with Anger
When angry, one may unconsciously smash objects or hit others? I tend to lose control of my emotions and exhibit unconscious violent tendencies when I am angered by a single person (such as throwing objects at their face or hitting them forcefully). I am a high school girl, and I...
Dr. Dai Wanxiang Reply:
Hello, Xiao Wu: Violent behavior when angry can have many possible causes. Insufficient coping skills for stress, certain personality traits (such as impulsivity), or mental disorders may all contribute. If it is an occasional issue related to emotional management and inadequate ...[Read More] Understanding Unconscious Aggression: A Teen's Struggle with Anger
Managing Medication Dosage for Bipolar Disorder: Key Considerations
I would like to inquire about medication dosage? Hello, Doctor. The medications I am using are EPINE F.C. Tablets 25mg and Wan You Ting Capsules 30mg. I should be considered as having bipolar disorder, but I have been improving recently. When I visited the doctor, he mentioned th...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to suspected bipolar disorder and physical ailments. 1. Facing an uncertain future, psychosomatic disorders, such as bipolar disorder, are common in modern society. This is a ...[Read More] Managing Medication Dosage for Bipolar Disorder: Key Considerations
Uncontrollable Speech When Recalling Embarrassing Memories: A Psychiatric Perspective
When recalling embarrassing memories, one may involuntarily speak or make sounds? When I recall embarrassing memories or past mistakes, I find myself involuntarily speaking a series of phrases. Sometimes I repeat the apologies I made at the time of the incident, other times I utt...
Dr. Dai Wanxiang Reply:
Hello Sincere: Based on the symptoms you described, there are initially two possible interpretations. First, it resembles a phenomenon in children's cognitive development where they learn language through social activities. Children often repeat commands they receive (or the...[Read More] Uncontrollable Speech When Recalling Embarrassing Memories: A Psychiatric Perspective
Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Obsessive-Compulsive Disorder (OCD) - Obsessive Thoughts Hello Doctor, I have been suffering from panic disorder for 21 years and have become accustomed to panic attacks. I previously saw a doctor for a year and took Lexapro, and after improving with medication and exercise, I st...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to see a psychiatrist or a psychosomatic specialist. The new generation of antidepressants is unlikely to cause urinary difficulties. If you prefer non-pharmacological methods, you can ask your doctor for a referral to a clinical psychologist...[Read More] Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Managing Health Anxiety: Coping Strategies After Trauma
Hypochondriacal thinking Hello, doctor. Since giving birth, I have been experiencing excessive worry about my health, often repeatedly checking moles on my body or looking for blood vessels in my eyes. After receiving counseling, I have gradually started to cope with it, and my c...
Dr. Liao Dinglie Reply:
Hello, dear reader: From your letter, it's clear that you've been extremely busy lately. The emotional stress you originally felt may be exacerbated by caring for your family. The so-called "health anxiety" is classified in psychiatry as a stress/anxiety syndr...[Read More] Managing Health Anxiety: Coping Strategies After Trauma
Understanding Autonomic Nervous System Disorders: Anxiety and Panic Attacks
Autonomic nervous system dysfunction, anxiety, panic? Hello Doctor, in April of this year, after exercising, I suddenly felt dizzy, my heart was racing, and I experienced palpitations as if I was about to faint. I went to the emergency room where I underwent blood tests and an el...
Dr. Yu Quanxun Reply:
Hello, based on your description, it seems that you are experiencing symptoms of anxiety and panic. The medications you are currently taking, Xanax, Cymbalta, and Lexapro, can help with these symptoms. I recommend that you continue to see a psychiatrist, maintain your medication ...[Read More] Understanding Autonomic Nervous System Disorders: Anxiety and Panic Attacks
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 stopping Lorazepam, which I took for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were limited to ...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry and for your response. You mentioned concerns about the effects of discontinuing medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is gene...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
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 taken for over three months. This insomnia is not caused by autonomic nervous system issues; my symptoms of autonomic dysfunction were l...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. You mentioned concerns about the effects of stopping medication three weeks after tapering off, as well as experiencing insomnia over the past three months. A three-week period for tapering medication is generally ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues
Hypochondriasis Hello Dr. Chiu, I had a heart attack nine years ago and received a stent. For the first six months, everything was fine, and I felt rejuvenated, almost like I was several years younger! However, one day, my long-absent Meniere's disease reappeared, and a few ...
Dr. Qiu Junda Reply:
Hello. The correspondence reveals an anxious reaction regarding your health condition. Whether or not it is hypochondriasis, there are at least symptoms of anxiety causing distress. Physical ailments, such as heart issues, may be a source of stress (anxiety). It is recommended th...[Read More] Understanding Illness Anxiety: Navigating Health Concerns After Cardiac Issues