Patient: Description (onset time, main symptoms, hospital visited, etc.): Dr. Shengli, I am an anxiety patient, symptoms are dizziness, dizziness, then inattentiveness, thinking ability is not as good as before, weakness, also some mood gray, started taking sertraline two ineffective, then take venlafaxine after 225mg (slowly increase to), a month later, good for more than a week, this time again I feel headache, irritability, and bad thinking ability, I want to ask, can I still be treated? I have anxiety disorder for six or seven years. Will anxiety disorder cause massive apoptosis of brain nerve cells and cause irreversible damage to the brain? If that’s the case, won’t it be hopeless to take medication? Beijing University Sixth Hospital Psychiatric Victory: Anxiety disorders do not cause massive apoptosis of brain cells. As for whether it can be cured, it depends on how your anxiety comes from, can you live a peaceful and smooth life? Patient: Sometimes quite at ease, but overly sensitive to the body, always worried about physical harm. For example, I am worried about a problem these two days: yesterday to go to the haircut, wash your hair when the massage head, and then massage will be a bit too much force on the temples, and then feel a little bit of the temples up, the next day or some up Is not caused by internal injury to the temples or something? I heard that the temple can not be touched, will not cause any harm to the brain? Beijing University Sixth Hospital Psychiatric Victory: Your excessive worry about your body reflects a restless mood, as to where this restlessness comes from, depends on whether your own psychological needs are properly met. Obviously it’s not a matter of whether you’re superficially worried about pressing the temples to focus or lighten up. The human brain is not that fragile, if it is like paper mache, a stab will be bad, the species does not survive today. Patient: Dr. Victory, I’ve been taking venlafaxine for a while, and it’s working pretty well, except that it can recur, sometimes feeling completely better, but then feeling dizzy for no reason, not enough energy, or tired, etc.. And I also found a problem, I first introduced myself, I am in my early 20s, more than 1 meter 8 meters tall, weighing 71 kg, in good health, no disease, there is a problem has been bothering me, I sleep, and then listen to my roommate said, sometimes from the throat will be issued hum, hum moaning, but not snoring, usually occurs in the early morning of the next day almost dawn, and then they said there is no breathing Then I went to the ENT department of Peking Union Medical College Hospital for examination, and no problem was found. What should I do? Is it a dream? I feel like I always have dreams, and they are quite intense 。。。。In addition the frequency of occurrence is very low, once in a while, once a month or two months, and of course the pit frequency is higher, there is no pattern. There is also sometimes dizziness and a sense of unreality, is this also a manifestation of anxiety? Will it slowly disappear? Beijing University Sixth Hospital psychiatric victory: you repeatedly summarize, are under the anxiety, follow the symptoms to find the cause, rather than from the psychological life to find out how they are living a less-than-ideal place. If you are a person who lives a happy life, then your physical discomfort has nothing to do with psychology, then it is not the scope of psychiatric research, but simply that medicine is not advanced enough to explain the biological basis of some physical discomfort. However, no one with such symptoms and afflictions has yet lived a happy life as far as I can see. What about your life?