A difficult case

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 . . . → Read More: A difficult case

It's not just about the receptors . . . Sometimes it's just about common sense

Dell writes in with an issue . . . but I think the real issue is deeper than the chemistry . . .

I’ve just been prescribed Vyvanse for refractory Clinical Depression. I was hospitalized twice decades ago then was started on a regimen of dexedrine which I never abused. It got me through . . . → Read More: It's not just about the receptors . . . Sometimes it's just about common sense

SHOCKING!!! The role of ECT in the treatment of mental illness

I just have a question for you: what are your views on ECT – mine are completely negative since I have had so many and they did absolutely NOTHING for me but cause long term memory loss.

There is absolutely NOTHING that will scare a patient more than when the doc starts bringing up ECT–electroconvulsive . . . → Read More: SHOCKING!!! The role of ECT in the treatment of mental illness

Antidepressants make your anxious kid go BONKERS??? . . . a fine time for a mood stabilizer!!

My seven yr old son was diagnoised with Generalized Anxiety Disorder 1 1/2 yrs ago when it appeared he had a panic attack in school which led to two months of severe anxiety to the point where he could not leave the house. He was put on zoloft and went manic on that. We had . . . → Read More: Antidepressants make your anxious kid go BONKERS??? . . . a fine time for a mood stabilizer!!

A duty to listen . . . you don't violate confidentiality if you keep your mouth shut

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

Rash from Lamictal . . . do you have to stop it?

This letter brings up an important question about Lamictal . . .

I’m a 45 y/o female properly diagnosed and treated as bipolar for 1 & 1/2 years. Prior to this diagnosis, I was treated soley for depression for 10 years (the last 5 as refractory.) I am presently doing GREAT on Lamictal 200mg daily . . . → Read More: Rash from Lamictal . . . do you have to stop it?

Vyvanse was helping depression . . . now . . . aggravating mania?

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?

Moving from Lamictal to Zoloft?

Mary writes in . . .

I hate to say it, but I was relieved to hear that many others reported gettting acne (especially along jawline) from Lamictal. I complained about this to my Psyciatrist, but he said he never heard of that being a side effect. I, also was feeling so blah, lost . . . → Read More: Moving from Lamictal to Zoloft?

Neurontin as a first line agent . . . I Don't Think So!

I received this question from a concerned consumer last week . . .

A week ago I was prescribed gabapentin, an anti-epileptic drug, for the off-label use of social anxiety and “affective mood disorder.” I have been concerned about this ever since I began my research on it a few days ago. Most of what . . . → Read More: Neurontin as a first line agent . . . I Don't Think So!

My Vacation Book Report . . . What I've Learned

Vacation is always about relaxing and getting away. Right???? Finding the time to renew your soul and making yourself ready to get back in the trenches and fight anew. The trick, of course, is holding on to some of that sense of self . . . your relaxed self . . . so that the . . . → Read More: My Vacation Book Report . . . What I've Learned