Managing Tinnitus: Antidepressants and Anxiety Relief Options
Antidepressant medications and tinnitus symptoms issues? Hello! I am currently experiencing significant anxiety due to tinnitus, which is affecting my daily life and causing sleep difficulties. I am considering using antidepressants along with sedatives, but I have read articles ...
Dr. Wang Yaoting Reply:
Hello: Chronic tinnitus is often accompanied by symptoms such as depression, anxiety, stress, or insomnia. Antidepressant medications are more likely to help improve these accompanying emotional symptoms, and typically, when mood improves, tolerance for tinnitus also increases. H...[Read More] Managing Tinnitus: Antidepressants and Anxiety Relief Options
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Huang Xiaoxian Reply:
Hello, question 1 should not be a problem. Questions 2, 3, 4, 5, and 6 are typical symptoms of anxiety disorder. Question 7 may vary depending on individual constitution. Wishing you all the best.[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Managing Panic Symptoms: Understanding Heart Palpitations and Breathing Issues
Palpitations and shortness of breath? Hello doctor, I have mitral valve prolapse with regurgitation, and I'm not sure if it's related to stress. I easily get tired and short of breath when walking or climbing stairs. When I wake up, I feel palpitations, my hands and fee...
Dr. Huang Xiaoxian Reply:
Mild mitral valve prolapse is actually quite common in young women, and many individuals are asymptomatic and discover it incidentally. If the heart's contraction function is normal (as indicated in the echocardiogram report), there is no need to worry excessively. Your symp...[Read More] Managing Panic Symptoms: Understanding Heart Palpitations and Breathing Issues
Understanding Self-Harm: Seeking Help for Emotional Distress
Self-harm related issues Hello Doctor, I have been feeling very down lately. When I get angry, I tend to scratch my hands, feet, and face with my nails, hit walls, pull my hair, and binge eat. After these actions, I feel terrible about myself. I also struggle with insomnia and of...
Dr. Wu Enliang Reply:
Hello: It is recommended to use a mood thermometer (link below, and there is also an app available for download) to assess your emotional state over the past week. If your score is above 10, it is advisable to seek help. If it exceeds 15, it is definitely time to consult a psychi...[Read More] Understanding Self-Harm: Seeking Help for Emotional Distress
Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Autonomic nervous system dysfunction, ventricular premature contractions (VPC)? Hello, Dr. Wu. I apologize for bothering you. I would like to ask if you have heard of VPC (ventricular premature contractions)? I experience a sensation of missed heartbeats, and my echocardiogram an...
Dr. Wu Enliang Reply:
Hello: If VPC is ruled out as a result of internal medicine issues, it is indeed possible that it may arise under conditions of significant psychological stress, such as panic disorder. It is advisable to seek consultation with a psychiatrist and consider undergoing psychotherapy...[Read More] Understanding VPC and Autonomic Nervous System Disorders: A Patient's Guide
Understanding Severe Mental Health Disorders and Medication Concerns
Major depressive disorder, severe anxiety disorder, severe obsessive-compulsive disorder, severe panic disorder, severe hypochondriasis, post-traumatic stress disorder, mild auditory hallucinations, palpitations, insomnia, and possibly other psychiatric symptoms? Psychiatric pres...
Dr. Wang Yaoting Reply:
Hello: It is advisable to consistently consult a single physician, as seeking opinions from multiple doctors can lead to varying answers, which may increase your anxiety. You need to find a physician you can trust and see regularly. Thank you. I hope this helps you :)[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Severe Mental Health Disorders and Medication Concerns
Severe Major Depressive Disorder, Severe Generalized Anxiety Disorder, Severe Obsessive-Compulsive Disorder, Severe Panic Disorder, Severe Hypochondriasis, Delusional Disorder, Post-Traumatic Stress Disorder, Mild Auditory Hallucinations, Palpitations, Insomnia, and possibly othe...
Dr. Liang Sunyuan Reply:
Hello: Here are the answers to your six questions: Question 1: Will this diet cause serotonin syndrome? Answer: This dosage is still within a reasonable range and is unlikely to cause serotonin syndrome. Question 2: The physician diagnosed me with severe major depressive diso...[Read More] Understanding Severe Mental Health Disorders and Medication Concerns
Understanding Self-Harm: Headaches and Mental Health Consultation
Consultation for headaches and other symptoms resulting from long-term self-harm? When I encounter unpleasant situations, I tend to strike a specific area of my head forcefully with my finger joints, which occasionally causes pain in that area. This symptom has persisted since hi...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text may be a way of expressing emotions, but this is not a healthy pattern and may even involve self-harming behaviors. It is recommended that you search for information on emotional intelligence (EQ) management or stress coping strategies. Y...[Read More] Understanding Self-Harm: Headaches and Mental Health Consultation
Understanding Stress: A Young Adult's Mental Health Journey
Too much stress...? Hello, doctor. I am a vocational student about to take the standardized test. Recently, I went to see a physician due to severe rectal bleeding and hair loss. I was initially worried it might be cancer, but once I entered the consultation room, the doctor said...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text are likely adverse reactions to stress. Throughout life, it is inevitable to encounter stress. However, we hope it does not lead to physical or mental distress. I suggest you search for information on stress management. You can learn some...[Read More] Understanding Stress: A Young Adult's Mental Health Journey
Understanding Body Pain: The Link Between Mental Health and Medication
Generalized bone pain? Psychiatry before bed: Leeyo (Escitalopram) 10mg * 2 tablets, Meishuyu (Mirtazapine) 50mg * 2 tablets, Silvacon (Sertraline) 50mg * 1 tablet, Lyrica (Pregabalin) 75mg * 2 tablets, Zolpidem 10mg * 2 tablets, Flunitrazepam 2mg * 2 tablets, Alprazolam 0.5mg * ...
Dr. Wang Yaoting Reply:
Hello: Based on your description, you are still experiencing anxiety regarding your condition and medication, and excessive anxiety may also be contributing to your physical discomfort. Anxiety is a prospective emotional response to perceived threats in the future, a fear imagine...[Read More] Understanding Body Pain: The Link Between Mental Health and Medication
Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Is it possible for schizophrenia to occur suddenly and without any apparent reason? This matter has weighed heavily on my heart for many years. A close colleague of mine developed schizophrenia due to work-related issues. Although we worked in different departments, we collaborat...
Dr. Zhang Fangrong Reply:
Dear Sir/Madam, Thank you for your inquiry. Regarding your question about whether work-related stress leads to schizophrenia or if schizophrenia manifests due to stress, it seems challenging to establish a clear causal relationship between the two. Both conditions can be observe...[Read More] Can Sudden Stress Trigger Schizophrenia in a Healthy Individual?
Understanding Left Chest Pain: Autonomic Nervous System Disorders Explained
Left chest pain? 1. Can autonomic nervous system dysfunction cause pain in the left chest and numbness in the left hand? Note: The sensation is a localized pain. 2. How can autonomic nervous system dysfunction be improved without relying on medication? 3. What other symptoms are ...
Dr. Wang Zhenyang Reply:
Hello, Sir: The symptoms of autonomic nervous system dysfunction are quite diverse, and each individual may experience different or similar symptoms. Typically, autonomic nervous system dysfunction is associated with anxiety disorders and depression. In terms of treatment, in add...[Read More] Understanding Left Chest Pain: Autonomic Nervous System Disorders Explained
Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Inability to focus the eyes, obsessive-compulsive disorder (OCD)? Recently, I have been preparing for a retake and have been experiencing a symptom that I want to ask about. The symptom is difficulty concentrating, inability to focus my eyes, and a lack of concentration (my field...
Dr. Qiu Junda Reply:
Hello. The symptoms described in the text may also be a response to stress (such as from retaking exams). Prolonged excessive stress can indeed cause harm. What you mentioned about the brain being unable to handle it, leading to these symptoms, generally refers to issues related ...[Read More] Can Anxiety and OCD Cause Focus Issues? Exploring Brain Recovery
Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Is it anxiety disorder? Hello Doctor, I tend to be very anxious and worry excessively, which I find quite distressing. For example, during an eye examination, the doctor mentioned that something seemed off, but since I had no discomfort, they did not conduct further tests. Howeve...
Dr. Huang Xiaoxian Reply:
Dear Happy, based on your description, it seems to be quite typical symptoms of anxiety disorder. I recommend that you visit a mental health clinic for an evaluation. If self-adjustment for anxiety remains challenging, it is advisable to consider medication and psychological coun...[Read More] Understanding Anxiety: Signs, Symptoms, and Relief Strategies
Am I Sick? Understanding Mental Health and Self-Worth Issues
Not sure if there is something wrong with the heart? Hello, doctor: I am in my 30s, and unlike my siblings, I don't have a strong desire to earn money or start a family. I feel that having enough money is sufficient for me, and I value my freedom over romantic relationships....
Dr. Liang Sunyuan Reply:
Hello: Everyone has different personalities and pursuits. Family reminders usually stem from concern and worry, and conversations among family members often lack embellishment but are mostly rooted in love. If work is also not going well at this time, it is easy to feel frustrate...[Read More] Am I Sick? Understanding Mental Health and Self-Worth Issues
Understanding Health Anxiety: Coping with Fear of Illness
Health anxiety is very severe? Hello, doctor. I don't know when it started, but it seems that during my time waiting to enter university, I became more anxious than usual. I have always been prone to overthinking, and now it's worse. 1. Sometimes, when I see news repo...
Dr. Huang Xiaoxian Reply:
Dear CC, First of all, based on your age and the symptoms you've described, the risk of cancer is quite low, so there's no need to worry too much. However, the key issue is that anxiety symptoms sometimes cannot be alleviated by rational thinking alone; you may find y...[Read More] Understanding Health Anxiety: Coping with Fear of Illness
Struggling with Uncontrollable Emotions: Understanding the Causes and Solutions
Inability to control emotions? Hello Doctor: First of all, thank you for taking the time to read and respond to this article. I have been struggling with significant emotional issues; I cry easily, become emotional, and feel sad over very minor things. My tear ducts seem uncontro...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are particularly sensitive to emotional and physical reactions. I wonder how long this has been the case? From the perspective of psychosomatic medicine (psychiatry), if you have previously experienced significant stress or have a predisposition to such s...[Read More] Struggling with Uncontrollable Emotions: Understanding the Causes and Solutions
Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Are you feeling unwell? I feel so exhausted. I can't understand why others don't feel this way, but I do. I hate socializing; it drains so much of my energy. I'm afraid that others won't like or accept me, but it's impossible to avoid social interactions ...
Dr. Huang Xiaoxian Reply:
Dear Sandy, It sounds like these situations are quite distressing for you. The rational part of you and your family may think that it’s not a big deal and that you are overthinking it, but the emotional part of you struggles to ignore it. Often, this is due to the areas of the ...[Read More] Am I Sick? Understanding Anxiety and Social Struggles in Adolescents
Am I Gay? Understanding Sexual Orientation and OCD Concerns
Am I gay? Hello, doctor. I am a 24-year-old male and have been in a long-term relationship with my girlfriend. I really want to continue with her, but recently I've been feeling uncertain about my sexual orientation. I came across the term "sexual orientation OCD" ...
Dr. Wang Yazhen Reply:
Hello: In psychiatric diagnosis, the presence of "physiological responses to a specific gender" is not used to determine whether an individual has "gender dysphoria." Sexual physiological responses can be triggered through various pathways and are not directly...[Read More] Am I Gay? Understanding Sexual Orientation and OCD Concerns
Understanding Medication Side Effects in Pediatric Psychiatry
Drug side effect issues? My child is currently taking Strattera 25mg. Recently, I've noticed that he has been easily prone to explosive anger, crying, and shouting. Afterwards, he collapses and presents with stiff limbs and a vacant stare, and it takes a long time to get his...
Dr. Liu Shikai Reply:
Dear Ms. Fish, Thank you for your inquiry. Based on your description, it seems that your child may be experiencing a state of epilepsy. As for the causes, current medical knowledge indicates that most cases remain idiopathic, while other potential causes are numerous and varied,...[Read More] Understanding Medication Side Effects in Pediatric Psychiatry