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By doctordan, on November 20th, 2011% Gabrielle Giffords and her husband Mark Kelly have made a few appearances lately, telling their story of bravery and determination following the horrific shooting in January that left Giffords near death. Giffords’ has made a near miraculous recovery, due in large part to a hefty dose of luck, and the determination of those around her, . . . → Read More: In Sickness and In Health . . . Lessons Learned From My Patients
By doctordan, on June 12th, 2010% 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
By doctordan, on January 27th, 2010% I am a 29 yo mother and was diagnosed as being bipolar at approximately 25 yo. I have taken a variety of medications(lamicatal, fluoxetine, topamax, lithium) and respond but i have always had “flare-ups” of exaggerated moodiness(rage, sadness, etc) about 2 weeks before my period. Since I have been married my husband has been able . . . → Read More: Mood Instability . . . PMDD or Bipolar Disorder . . . Or Both?
By doctordan, on January 9th, 2010% I had a few responses to my blarticle on providing TMS to patients in the Philadelphia area. I actually thought there would be more . . . but articles on Vyvanse, Klonopin and Lamictal reign supreme . . . more on that another time. Let’s start with two viewpoints and then I will get personal . . . → Read More: So Where Has The Doctor Been??? . . . Some Personal Reflections on Depression, Health and Life In General
By doctordan, on August 29th, 2009% 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
By doctordan, on July 12th, 2009% I have long searched for new and different ways to settle my mind down and to remain centered and grounded. In my work with people who are decidedly NOT grounded, it is imperative that I maintain my focus. This is important not only for the welfare of my patients but also for my ongoing mental . . . → Read More: A Challenge . . .
By doctordan, on June 12th, 2009% So . . . I got in my car the other day and, much like every other day, put on my blindfold and sped off to work . . .
“WHAT?????” you might be rightfully saying . . . “put on your blindfold and started driving?????” . . . “you CRAZY!!!”
Well, of COURSE I . . . → Read More: Driving Miss Daisy . . . aka watch what your doin' with them meds!
By doctordan, on April 26th, 2009% My mother has cirrhosis of the liver and also severe depression. She is 70 yrs. old What would be the safest med for her to take??? She seems to be unable to live and manage her issues due to depression.
In general, depression in the elderly can be very difficult to treat. As with . . . → Read More: Hard on the Liver??? . . . Good for the mood???
By doctordan, on January 24th, 2009% Kurt writes in with a very common question:
I was prescribed 70mg Vyvanse for debilitating chronic fatigue. The 70mg was totally ineffective. At 6′2″, 220 pounds, I think the dosage was too small. My psychiatrist will not increase the dosage. I self-titrated and found that 210mg will get me through the working day but I’m . . . → Read More: Prescribing Outside The Box
By doctordan, on December 23rd, 2008% Please can you tell me how to alleviate Citalopram withdrawel? I need to reduce asap as I’m pregnant but doctor says just redude by 10mg every other day whereas Pharmacist says it’s not good to take during preganancy, So I want to stop taking it….any help appreciated.
So much controversy exists over the use of . . . → Read More: Tapering off Celexa (or any antidepressant) when you get pregnant
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Quote of the Day Neither brood, then, on life's disappointments, nor, yet revel in it's fleeting victories. Trust not in riches, but on the other hand, don't spurn contemptuously life's generous bounty. Nurture your high spiritual potentials, taking care only not to scatter them in worthless pursuits.
—Paramhansa Yogananda
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