Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works

I had to field a call the other day from a local Children and Youth worker.  Nice lady . . . but not terribly informed about mental health issues . . . specifically Major Depression.  She was calling about a patient of mine who is trying to get custody of her grandchild after the child’s . . . → Read More: Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works

Waiting to get better . . . What are YOU waiting for???

” . . . . soooooooooo doc . . . when is this medicine going to kick in . . . ?”

“NOW!!!!”

Oh, that it was so easy.  The above question is misplaced, however.  Over and over I meet with patients who are on various medications that are shifted and moved and changed and . . . → Read More: Waiting to get better . . . What are YOU waiting for???

Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Whenever a new medication or new technology hits the market, there is always a learning curve for both the public and for practicing physicians.  Tempering the excitement about receiving/delivering help with a dose of skepticism is healthy.  It keeps the public and physicians from being bamboozled by snake oil salesmen.  That is the whole idea . . . → Read More: Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Transcranial Magnetic Stimulation–Part II

Sorry for the lack of writing folks, I been biiiiiiizzzzzzzzzyyyyyyy!

I am proud to announce that I am an official TMS provider!  My NeurostarTMS machine was delivered the first week of November and I spent the better part of last week being trained on how to use it in real-life situations.  From a professional standpoint . . . → Read More: Transcranial Magnetic Stimulation–Part II

Transcranial Magnetic Stimulation . . . A New Hope For Treatment Resistant Depression

A former patient wrote this to check in with me . . .

As a former patient of your practice, what are your thoughts on treatment resistant depression?  Anything new or in the pipe line?   At present I am doing well with Pristiq ,lithium, and Depakote. I am also involved in a sleep study . . . → Read More: Transcranial Magnetic Stimulation . . . A New Hope For Treatment Resistant Depression

Treatment Resistant Depression–Under Recognized and Under Treated

As a psychiatrist . . . as an empathic person . . . it is very difficult to hear stories like the one listed below:

My heart is broke and i Feel I will never leave this deep black dark hole that I cant escape… Im tearing up heavily as I write this message… Ive . . . → Read More: Treatment Resistant Depression–Under Recognized and Under Treated

Approaching the (possibly) Unapproachable Doctor

I am a 33 year old female diagnosed with major depression 7 years ago and ADD about 5 years ago. I’ve been on several Tricyclics, SSRIs, Cymbalta, Effexor, Wellbutrin, Tegretol, Abilify, Provigil, Klonapin, Synthoid(for slight underactive thyroid possibly contributing to depression),Yaz (for possible PMDD contributing to depression), and Concerta, plus more (many of these I’ve . . . → Read More: Approaching the (possibly) Unapproachable Doctor

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