Comparing the Efficacy of Bupropion and Venlafaxine for Depression
Drug selection I would like to ask which antidepressant is more effective, Bupropion (倍得舒) or Venlafaxine (煩多閃). I feel that neither of these has a significant effect, but I have experienced side effects with other medications. Thank you, doctor.
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to both depression and suspected side effects. 1. Facing an uncertain future, somatic symptom disorder is a common condition in modern society. This is a chronic illness that ...[Read More] Comparing the Efficacy of Bupropion and Venlafaxine for Depression
Understanding Headaches Before Crying: A Mental Health Perspective
When I feel like crying, my head starts to hurt? Hello, doctor. I am currently in a state of drug withdrawal, but recently I often have thoughts of wanting to leave this world. My life is not unhappy; it’s just that whenever I have a moment of quiet, my mind fills with these thou...
Dr. Peng Liyun Reply:
Hello, thank you for your hard work. I can sense the pain that illness brings you. I recommend that you seek assistance again from a psychosomatic specialist. It is common for psychological factors to influence physical health. The headaches you described may be related to your e...[Read More] Understanding Headaches Before Crying: A Mental Health Perspective
Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Drug withdrawal, recent relapse? Hello Doctor: I have been taking medication for panic disorder and chronic post-traumatic stress disorder for 9 months (but I started to taper off the medication on my own in July of this year). As per usual, I was taking one "Luvox" aft...
Dr. Wu Enliang Reply:
Hello, online user: May I ask if, based on my situation, I still need to return to the original hospital for treatment? A: It is recommended that you seek treatment at a mental health facility, but it does not necessarily have to be the original hospital. Will the treatment need ...[Read More] Managing Panic Disorder: Navigating Withdrawal and Relapse Risks
Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Psychiatric rehabilitation using rTMS (repetitive Transcranial Magnetic Stimulation) Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Understanding Sleep Disorders: When to Seek Psychiatric Help
Sleep issues I've been having trouble falling asleep for the past week or two, taking about an hour to get comfortable before I can sleep. Once I do fall asleep, I wake up around 4 AM and can't go back to sleep. I have sleep apnea and I'm already using a CPAP machi...
Dr. Qiu Junda Reply:
Hello. Since you are using a machine to treat sleep apnea, it is recommended that you return to your original physician for sleep apnea to seek improvements. If the doctor believes that your recent issues may be related to other factors (such as psychological stress, etc.), they ...[Read More] Understanding Sleep Disorders: When to Seek Psychiatric Help
Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Drug withdrawal issues Hello, Director Zhang. Thank you for helping everyone with their concerns. At the beginning of last year, I started experiencing ventricular premature contractions (VPCs) and missed heartbeats. My cardiologist said it was nothing to worry about and might be...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both ventricular premature contractions (VPC) and autonomic nervous system dysregulation. 1. Facing an uncertain future, severe depression and anxiety disorders are common con...[Read More] Understanding Medication Withdrawal: Managing Anxiety and Heart Symptoms
Effective Strategies for Managing Anxiety and Emotional Regulation
Emotional regulation Hello Dr. Lin, My story is a bit long, and I appreciate your time. At the end of July, I underwent a basic health check, which included a complete blood count, tests for hypertension, and liver and kidney function. Aside from elevated cholesterol levels, the...
Dr. Lin Mianzhang Reply:
Hello Cherry: 1. These methods are all good, but they primarily serve as distraction techniques (except for exercise, which also helps to boost serotonin and regulate mood). What you need to practice is directly confronting your discomfort. There are many methods, and the simpl...[Read More] Effective Strategies for Managing Anxiety and Emotional Regulation
Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
Obsessive-Compulsive Disorder (OCD) Hello Doctor: I am a patient with severe depression, and my anxiety test results were also close to severe. When I feel agitated, I tend to pick at my scalp, which has been a habit for several years. The doctor advised me not to pick, but I do ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of severe depression and obsessive-compulsive disorder (OCD). 1. Facing an uncertain future, severe depression and anxiety disorders are common conditions in ...[Read More] Can Depression, Anxiety, and OCD Be Fully Treated? A Patient's Journey
Navigating Gender Identity: Understanding Your Feelings and Experiences
Gender identity Hello, doctor. To avoid going into too many details, I will try to briefly describe my issue. I am a biologically female individual who identifies as a woman, but I have recently started to feel confused about my gender identity. Since elementary school, I have di...
Dr. Wu Enliang Reply:
Hello, netizen: Broadly speaking, it is also a form of "gender dysphoria." If it causes physical or mental distress, it is necessary to seek medical attention. Dr. Wu Enliang.[Read More] Navigating Gender Identity: Understanding Your Feelings and Experiences
How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
How to discontinue the use of Lamotrigine? Due to gastrointestinal issues that could not be resolved, I was referred to a psychiatrist. The psychiatrist diagnosed me with autonomic nervous system dysregulation and prescribed Lurasidone, which I took for over three months without ...
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 dysfunction and the pressure of insomnia. 1. Facing an uncertain future, autonomic nervous system dysfunction is a common condition in modern society...[Read More] How to Safely Discontinue Lexapro: Tips for Managing Withdrawal Symptoms
Understanding Sleep Disorders: When to Seek Help for Nighttime Disturbances
In recent years, there has been an issue with poor sleep? Hello Doctor, my husband and I are around 35-37 years old. Let me start with my husband. About five years ago, he had a nightmare and reflexively hit me (it was a serious hit). At that time, he said it was due to stress, b...
Dr. Xue Gengming Reply:
It is recommended that Ms. Chen and her husband visit the psychosomatic medicine outpatient clinic together to see if any relevant examinations are needed. Thank you, and wishing you good health![Read More] Understanding Sleep Disorders: When to Seek Help for Nighttime Disturbances
Overcoming Anxiety and Appetite Issues in Social Dining Situations
Anxiety, tension, and loss of appetite? Hello Doctor, I have been experiencing a lack of appetite for a long time (over five years), especially in the mornings and afternoons. I initially thought it was due to my sleeping habits (waking up around 10 AM), but I have realized that ...
Dr. Peng Liyun Reply:
Hello: It seems that this situation has caused you significant distress. Your condition requires a comprehensive evaluation, such as understanding the origins and persistence of your thoughts about food completion, the severity of your anxiety, etc., in order to determine whether...[Read More] Overcoming Anxiety and Appetite Issues in Social Dining Situations
Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Anxiety, panic, or autonomic nervous system dysregulation? Hello, doctor. From April to June, I experienced four episodes of shortness of breath, chest tightness, and rapid heartbeat, which led me to the emergency room. After examination, the doctor concluded that these symptoms ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to the pressures of both anxiety and panic disorders. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition that requires lo...[Read More] Understanding Anxiety, Panic Attacks, and Autonomic Nervous System Disorders
Understanding OCD in Teens: Symptoms, Treatment, and Parental Guidance
Obsessive-Compulsive Disorder in Adolescents Dear Doctor: My 13-year-old child has Tourette syndrome and has been taking half a tablet of Aripiprazole. She has been experiencing health anxiety, and recently her obsessive thoughts have intensified. She believes she has a certain i...
Dr. Liang Sunyuan Reply:
Hello Fifi: Medication treatment typically takes six to eight weeks to achieve optimal effects. The current medication is not harmful with long-term use. In addition to medication, cognitive behavioral therapy can also be beneficial. It is advisable to discuss related resources w...[Read More] Understanding OCD in Teens: Symptoms, Treatment, and Parental Guidance
Persistent Cough with Nausea: Seeking Solutions for Relief
Coughing to the point of feeling nauseous? I would like to ask, about a week ago I caught a cold, but now I have been coughing continuously. I have taken medication, but it hasn't helped, and sometimes I cough to the point of feeling nauseous. Most of my phlegm is white, but...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your cough, which is accompanied by a sensation of vomiting. The mucus is mostly white, with occasional yellow, which may indicate an infection. It is advisable to seek medic...[Read More] Persistent Cough with Nausea: Seeking Solutions for Relief
Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Symptoms of autonomic nervous system dysfunction and medication consultation? Hello, Doctor: I was previously diagnosed with autonomic nervous system dysfunction and took Escitalopram for about a year before discontinuing it as per my doctor's advice. During the medication p...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to both autonomic nervous system dysregulation and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Medication Guidance
Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Autonomic nervous system disorders I underwent an autonomic nervous system assessment, and I was informed that my autonomic nervous system is leaning towards 2.5, with a reference value of 0-1.5, indicating that my parasympathetic nervous system function is somewhat elevated. 1...
Dr. Wu Enliang Reply:
Hello, online friend: My autonomic nervous system leans towards 2.5, with a reference value of 0-1.5, indicating slightly elevated parasympathetic nervous system function. 1. Will this affect anything? A: It suggests a tendency to feel anxious, so it's important to engage in...[Read More] Understanding Autonomic Nervous System Issues and Their Impact on Mental Health
Understanding Anxiety and Physical Symptoms in New Environments
Could you please provide more details about your symptoms or condition? Hello Doctor, every time I enter a new environment, I experience stomach pain, nausea, loss of appetite, low mood, feelings of loneliness, lack of confidence, and I tend to quit my job after just one or two d...
Dr. Wu Enliang Reply:
Hello, netizens: Military service is inherently a significant source of stress for us men. If it causes excessive physical and mental pressure that cannot be adjusted, it is advisable to seek professional help at a mental health facility and learn relaxation techniques. Keep it u...[Read More] Understanding Anxiety and Physical Symptoms in New Environments
Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Autonomic nervous system dysfunction, with a persistent feeling of tension throughout the day? Hello, I have been seeing a doctor for three months due to issues with autonomic nervous system dysfunction and anxiety disorder. I am currently taking medications such as Liyou and Anl...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your autonomic nervous system dysfunction and anxiety disorder. 1. Facing an uncertain future, anxiety disorders are common in modern society. This is a chronic condition t...[Read More] Managing Anxiety and Persistent Tension: Understanding Autonomic Nervous System Disorders
Understanding Anxiety, Depression, and Sleep Issues in High School Students
Difficulty breathing while speaking / depression / emotional regulation / insomnia Hello, doctor. I am a high school sophomore art student. My personality type is INFP. For this month, even though my eyes are tired and my head feels heavy, my mind keeps racing, making it hard to ...
Dr. Lin Mianzhang Reply:
Hi Jun, Thank you for being willing to express your feelings. It seems that school life is putting a lot of pressure on you. I'm not sure if you have any outlets for expressing yourself when you're under stress or feeling down. Do you have friends you can talk to? Are...[Read More] Understanding Anxiety, Depression, and Sleep Issues in High School Students