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By doctordan, on December 6th, 2008% I have been accused of many things in my life . . . but none so on target as . . . (gulp) . . . an optimist . . .
YIKES . . . a rare breed, these days. What with the economic down turn, the violence in the world, the price of gas . . . → Read More: Pollyanna waves the pom-poms
By doctordan, on November 23rd, 2008% I have been on Interferon/Ribovarin (HepC TX) and also have Chronic Fatigue Sydrome separate from HepC. I have been on TX for 6 mos now and the depression is TRULY starting to come through. MY CONCERN is that I am 10 months drug/alcohol free, menopausal & bipolar. I have NOT taken anti-depressants since 2006 because . . . → Read More: Managing Bipolar During HepC Treatment Without Losing Your Liver
By doctordan, on October 4th, 2008% A colleague writes in . . .
I’m a therapist working with an adolescent with a rapid cycling bi-polar, and the episodes of suicidal thoughts are not improving, the psychiatrist is working on the meds, we seem to have a good week and a bad week, where episodes of deep depression hit most days and . . . → Read More: A difficult case
By doctordan, on September 14th, 2008% My daughter’s father has recently (within the last week)begun taking an antidepressant for depression. He and I had been getting along well with no fights or hostility depsite some disagreements during this time. We are divorced but are friends and are able to attend family functions and cooperate as to our child 95% of the . . . → Read More: A duty to listen . . . you don't violate confidentiality if you keep your mouth shut
By doctordan, on August 29th, 2008% James writes in to say . . .
I started having panic attacks and was very unsociable and kept to myself,all this started about 10 years ago. The doctors diagnosed me as bipolor,i’ve been on every med available for bipolar with no positive results. Last december my doc decided to try me on 20 mg . . . → Read More: Vyvanse was helping depression . . . now . . . aggravating mania?
By doctordan, on June 14th, 2008% Now . . . don’t get me wrong . . . I am a big fan of Abilify. Even if their over the top marketing binge is so financially disgusting to me that I want to reflexively run screaming into the night. I mean, really, how many prime time advertisements for this product do they . . . → Read More: Ak-ak-ak-ak-akathesia . . .the trouble with Abilify
By doctordan, on June 12th, 2008% I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . .
By doctordan, on May 10th, 2008% I can’t begin to tell you how often this issue has walked into my office. A kid and family who have struggled with symptoms goes to her doctor to discuss the pro’s and con’s of the current regimen and nothing is changed. Are her symptoms gone . . . no. Are there concerning side effects . . . . → Read More: Zombie children . . . what is the goal when stabilizing mood?
By doctordan, on March 19th, 2008% I started writing this entry months and months ago after a conversation with one of my long time patients. She was referring to her husband’s tendency to . . . do, do, do, do, do . . . and to have great difficulty getting him to settle down and just . . . be. I . . . → Read More: On being a human being
By doctordan, on February 2nd, 2008% I want to pass along a thank-you to all who have written in recently on the use of nutrition and life-style changes to address psychiatric issues (esp depression/anxiety/anger). I find myself a bit overwhelmed with the volume of information that is available out there. My intent is to critically look at as much of this . . . → Read More: Another turning point, a fork stuck in the road . . .
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