Is Chest Tightness Related to Anxiety or Autonomic Nervous System Dysfunction?
Is chest tightness considered a disorder of the autonomic nervous system? Hello, doctor. I originally had symptoms of rapid heartbeat and chest tightness due to hyperthyroidism, but after developing a regular exercise routine and taking my medication on time, my symptoms have sig...
Dr. Wu Enliang Reply:
Hello, online friend: The symptoms of chest tightness and shallow breathing are indeed related to your anxiety disorder and can be considered a form of autonomic nervous system dysregulation. It is advisable to seek support in sharing the responsibilities of childcare to alleviat...[Read More] Is Chest Tightness Related to Anxiety or Autonomic Nervous System Dysfunction?
Understanding ADHD: Why Do I Fidget While Trying to Focus?
Issues related to focus and leg shaking in ADHD? Hello, Doctor! I have been taking Strattera for over a year and a half. Whenever I need to focus on studying or researching online, I find myself unconsciously shaking my legs. Could you please explain the reason for this and wheth...
Dr. Peng Liyun Reply:
Hello! I understand that you are quite troubled by your leg shaking. The treatment effects of medication will focus on attention and emotional aspects. Leg shaking is likely related to habits or anxiety, and behavioral therapy tends to be more effective. I still recommend that yo...[Read More] Understanding ADHD: Why Do I Fidget While Trying to Focus?
Understanding Mood Swings: Bipolar Disorder, Split Personality, and Antisocial Traits
Bipolar disorder, schizophrenia, antisocial personality disorder? I recently experienced a scam and lost over a hundred thousand. Since the incident, I've been feeling a significant internal conflict, as if my mind is about to explode, like I have split personalities. Someti...
Dr. Wu Enliang Reply:
Hello, internet user: Bipolar disorder, dissociative identity disorder, antisocial personality disorder, and similar conditions are generally long-term issues and typically do not arise from a single stressful event. I believe this incident has significantly impacted your emotion...[Read More] Understanding Mood Swings: Bipolar Disorder, Split Personality, and Antisocial Traits
Understanding Anxiety: The Impact of Stress on Breathing Awareness
I suddenly started to pay constant attention to my breathing? Thank you, doctor, for your previous response. Regarding your mention of whether there has been increased life stress causing my anxiety, I believe there are two main points: 1. Due to the impact of the pandemic, my pe...
Dr. Wu Enliang Reply:
Hello, online friend: Self-awareness is very important; it is the first step towards change. It seems that you have already analyzed your situation well. I suggest downloading the Mood Meter app to assess your emotions at any time. It also includes e-books and videos that teach r...[Read More] Understanding Anxiety: The Impact of Stress on Breathing Awareness
Struggling to Sleep After Medication: Understanding Sleep Disruptions
When the effects of the sleeping medication wear off, one may wake up and find it difficult to fall back asleep? Hello, I started treatment for bipolar disorder five years ago. Currently, I take two Lamictal (lamotrigine) at night, two Lithium (lithium carbonate) capsules, one Se...
Dr. Lin Mianzhang Reply:
Hello Rick: The medications you are currently taking do not have any conflicting issues. To address the problem of waking up early, it is important to understand when this sleep pattern began and whether it is related to any changes in your medication. Additionally, have there be...[Read More] Struggling to Sleep After Medication: Understanding Sleep Disruptions
Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Hypersomnia, dissociation, depression? Hello Doctor: I have been diagnosed with depression, dissociative disorder, panic disorder, and anxiety disorder. Before bed, I take half a tablet of Zolpidem, one tablet of Alprazolam, one tablet of Quetiapine, two tablets of Buspirone, and...
Dr. Wu Enliang Reply:
Hello, online friend: It is also possible that the medication taken before bed is too strong. As your condition improves, you may gradually need less of this medication. I suggest discussing this with your physician. Dr. Wu Enliang[Read More] Managing Sleepiness and Dissociation in Depression and Anxiety Disorders
Managing Relapse in Autonomic Nervous System Disorders: Medication Insights
Issues with Medication for Autonomic Nervous System Dysregulation Hello Doctor: Previously, I experienced persistent dizziness, headaches, a feeling of tightness in my head, and elevated intraocular pressure. After being diagnosed with autonomic nervous system dysregulation by a ...
Dr. Wang Yaoting Reply:
Hello: **If symptoms suddenly recur without any apparent reason, it is advisable to visit a hospital for a general examination regarding the discomfort. If most results are normal or only show mild abnormalities that cannot explain the bodily discomfort, it may indicate a relapse...[Read More] Managing Relapse in Autonomic Nervous System Disorders: Medication Insights
Understanding Sudden Breathing Awareness: Is It OCD?
Suddenly becoming overly aware of breathing (obsessive-compulsive disorder?)? 1. Hello, doctor. I apologize for bothering you. Since last week, I have suddenly found myself overly focused on my breathing. Although I know that the body naturally breathes without needing to control...
Dr. Wu Enliang Reply:
Hello, online user: 1. Doctor, I apologize for bothering you. Since last week, I have suddenly found myself focusing excessively on my breathing. Although I know that the body naturally breathes without needing to control it, I can't help but consciously try to manipulate ea...[Read More] Understanding Sudden Breathing Awareness: Is It OCD?
Navigating Anxiety and Sexual Identity: Seeking Clarity and Support
Feeling depressed? Hello, doctor. Recently, I've been feeling quite depressed and anxious. The reasons include my desire to improve academically and achieve good scores on the college entrance exam. Additionally, I've been feeling uncertain about my sexual orientation. ...
Dr. Liao Dinglie Reply:
Hello, online friend: At the age of 17, it's a time when everything is possible, yet everything is also subject to doubt. Sometimes, the emotional struggles and mental pressures can be quite significant. In this age group, we often grapple with questions like "Who am I ...[Read More] Navigating Anxiety and Sexual Identity: Seeking Clarity and Support
Managing Relapses of Autonomic Nervous System Disorders: Key Insights
Recurrence of autonomic nervous system dysfunction? Hello, Doctor: I previously experienced symptoms of autonomic nervous system dysfunction (dizziness, tightness in the head, shoulders, and neck, high intraocular pressure, etc.). I took the SSRI medication Escitalopram for 13 mo...
Dr. Wu Enliang Reply:
Hello, netizen: 1. After taking medication for a year, is the likelihood of relapse of autonomic nervous system disorders high, or is it more related to short-term stress symptoms? A: The likelihood of relapse is related to individual constitution and life stress, and there is ...[Read More] Managing Relapses of Autonomic Nervous System Disorders: Key Insights
Understanding Anxiety and OCD: Coping with Persistent Worries
Suspected anxiety and obsessive-compulsive disorder (OCD)? Hello, doctor. I have noticed the following issues that have persisted for several years (5-6 years). I thought they would resolve on their own, but they have not improved and seem to have worsened. I feel tense every day...
Dr. Wu Enliang Reply:
Hello, netizen: 1. Is my condition obsessive-compulsive disorder, anxiety disorder, and hypochondriasis? I am worried about diseases that currently have no medical cure, and I can't relax every day. A: It is indeed possible that you have the aforementioned conditions. The...[Read More] Understanding Anxiety and OCD: Coping with Persistent Worries
Understanding Autonomic Nervous System Disorders and Mood Swings
Autonomic Nervous System Dysfunction, Bipolar Disorder I was previously diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, and gastrointestinal disturbances, possibly due to academic pressure over the past six months. However, my emo...
Dr. Liao Dinglie Reply:
Hello, dear netizen: I do not know your age or gender, so I can only guess that you are a young student. From your letter, I can see several health concerns, including symptoms such as chest tightness, insomnia, gastrointestinal dysfunction, emotional stress, significant financia...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings
Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
Autonomic Nervous System Dysregulation and Bipolar Disorder? I am 25 years old and currently a university student. I have previously been diagnosed with ADHD and depression. Over the past six months, I have been experiencing chest tightness, insomnia, gastrointestinal disturbance...
Dr. Wu Enliang Reply:
Hello, netizen: Q: I am 25 years old and currently a college student. I have previously been diagnosed with ADHD and depression. Recently, I have been experiencing chest tightness, insomnia, gastrointestinal dysfunction, and poor memory for the past six months. I am unsure if t...[Read More] Understanding Autonomic Nervous System Disorders and Mood Swings in Young Adults
How to Seek Help When Family Resists Mental Health Support?
What should I do if my family is resistant to taking me to see a psychiatrist? What is my condition? Due to family issues and friends, I learned to drink and self-harm in the second year of junior high. Every night, I find myself thinking about many things and feeling that the wo...
Dr. Wu Enliang Reply:
Hello, netizen: I suggest trying to communicate with your family again. Inform them that the brain is unwell, and that symptoms such as depression and anxiety require medical attention, just like needing to see a doctor for a fever caused by the flu. Additionally, you can seek he...[Read More] How to Seek Help When Family Resists Mental Health Support?
Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Family members have had symptoms for many years but show no awareness of their illness? Hello, Dr. Lin. I apologize for the lengthy message. My family member is a 28-year-old male who has experienced a decline in academic performance since his junior year in college and subsequen...
Dr. Lin Mianzhang Reply:
Hi, based on your description, it seems that your family member may be suffering from schizophrenia. Symptoms such as negative symptoms (deterioration in hygiene, infrequent bathing), auditory hallucinations (having conversations with multiple voices in their head), and delusions...[Read More] Understanding the Signs: When Family Members Show No Awareness of Mental Illness
Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Do I need to see a doctor after a breakup? Hello doctor, I would like to know if my situation is an overreaction or if I am really unwell. Last year, on my birthday, I had an argument with my first love over something trivial, and he slapped me four times, pushed me onto the bed,...
Dr. Wu Enliang Reply:
Hello, netizen: If the anxiety is very severe, it is indeed necessary to seek medical attention and discuss with a physician whether medication or referral to psychotherapy is needed. Dr. Wu Enliang.[Read More] Do I Need Therapy After a Heartbreak? Understanding Emotional Distress
Managing Bipolar Disorder: Key Questions and Support Strategies
Bipolar disorder-related issues Hello, Doctor: I have some questions regarding bipolar disorder. Question 1: When a patient with bipolar disorder is in a manic phase and becomes angry and shouts, how can we help them calm down? Question 2: How should a caregiver interact with ...
Dr. Lin Mianzhang Reply:
Hello! Bipolar disorder is a brain condition, similar to chronic illnesses like diabetes and hypertension, that requires long-term medication management. If medication is discontinued, there is a risk of relapse. Preventive measures against relapse include adhering to medication ...[Read More] Managing Bipolar Disorder: Key Questions and Support Strategies
Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Sleep apnea? Hello doctor, I have anxiety disorder and often search for information on Google, which ends up scaring me. Whenever I feel unwell, I want to see a doctor for reassurance. However, due to the recent outbreak of the pandemic and seeing news about sudden deaths from hy...
Dr. Wu Enliang Reply:
Hello, netizen: This is likely caused by anxiety rather than sleep apnea. If someone has a more sensitive personality, their reaction to the stress of the pandemic may be more intense. The invisibility and harmfulness of the virus, along with the uncertainty of transmission, can ...[Read More] Understanding Sleep Apnea: Managing Anxiety and Breathing Issues
Managing Autonomic Nervous System Disorders: Tips for Relief and Recovery
Autonomic Nervous System Dysregulation Hello, doctor. I have been experiencing autonomic nervous system dysfunction for over two months now. Recently, I have been taking medication to manage these symptoms. At night, after taking the medication, I notice that I have fewer episode...
Dr. Wu Enliang Reply:
Hello, internet user: If the known source of stress is "fear of other ailments," why does such fear exist? It is advisable to discuss this source and coping strategies with your physician or a mental health therapist. Dr. Wu En-Liang[Read More] Managing Autonomic Nervous System Disorders: Tips for Relief and Recovery
Unconscious Breath-Holding: Understanding Its Causes and Effects
Frequently holding one's breath unconsciously? Hello, doctor. Recently, for the past month or two, I have been experiencing episodes of breath-holding without realizing it, whether I am asleep or awake. I only notice it when I start feeling dizzy. During the day, it seems to...
Dr. Lin Mianzhang Reply:
Hello, Xuan: It sounds like you experienced a similar situation in high school. Did you seek medical attention at that time? How did your symptoms improve back then? If you have had similar issues in the past that improved, you might consider addressing it in the same way. Howeve...[Read More] Unconscious Breath-Holding: Understanding Its Causes and Effects