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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  4 comments - (Comments are closed)  antidepressants, depression, ECT, medical illness, medication, medication side-effects, meditation, mood stabilizers, R+R, relationships, therapy, TMS, transcranial magnetic stimulation  antidepressants, depression, Hartman, heart attack, medication, medication side-effects, meditation, mood stabilizers, Philadelphia, philadelphia psychiatrist, psychiatric medication, psychiatric medicine, Psychiatrist, psychiatry, relationships, side effects, therapy, TMS, transcranial magnetic stimulation, treatment resistant depression 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 . . . One comment - (Comments are closed) ADHD, anger/irritability, anxiety, bipolar disorder, borderline personality disorder, depression, medical illness, medication, medication side-effects, meditation, relationships, stress management, therapy anxiety, bipolar disorder, discipline, Hartman, meditation, Panic Disorder, philadelphia psychiatrist, therapy, treatment resistant depression 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 . . . → Read More: Driving Miss Daisy . . . aka watch what your doin' with them meds! Comments are closed antidepressants, antipsychotics, anxiety, benzodiazepines, bipolar disorder, depression, medical illness, medication, medication side-effects, mood stabilizers, parenting, relationships, stress management antidepressants, anxiety, bipolar disorder, depression, Hartman, medication, medication side-effects, mood stabilizers, Philadelphia, philadelphia psychiatrist, psychiatric medication, psychiatric medicine, Psychiatrist, psychiatry, relationships, side effects, SSRI, suicidal ideation, therapy, treatment resistant depression 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??? Comments are closed antidepressants, depression, medical illness, medication, medication side-effects, older adults, parenting, relationships antidepressants, cirrhosis, cymbalta, dementia, depression, Hartman, Lexapro, medical illness, medication, medication side-effects, Philadelphia, philadelphia psychiatrist, psychiatric medication, Psychiatrist, psychiatry, relationships, side effects, SSRI, Zoloft 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 Comments are closed ADHD, bipolar disorder, FDA, medical illness, medication, medication side-effects, mood stabilizers, stimulants ADHD, bipolar disorder, chronic fatigue, ekg, FDA, Hartman, heart attack, medication, medication side-effects, mood stabilizers, philadelphia psychiatrist, provigil, psychiatric medication, side effects, sleep disorder, stimulants, Vyvanse 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 Comments are closed antidepressants, anxiety, depression, medical illness, medication, medication side-effects, parenting, pregnancy, therapy antidepressants, anxiety, Celexa, depression, discontinuation syndrome, Hartman, medication, medication side-effects, Philadelphia, pregnancy, psychiatric medication, psychiatric medicine, Psychiatrist, therapy For all of you who do not celebrate Christmas . . . substitute your own holiday here. Regardless of where you live or who you associate with, this time of the year brings rituals of togetherness, reflection, thankfulness, giving, receiving and hope. The artificialness of this is annoying to many . . . perhaps most. . . . → Read More: Against all odds . . . getting into the Christmas spirit 2 comments - (Comments are closed) depression, medical illness, meditation, R+R, relationships, stress management, therapy christmas, Hartman, meditation, Philadelphia, psychiatry, Thanksgiving, therapy 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 Comments are closed anger/irritability, antidepressants, antipsychotics, bipolar disorder, depression, fish oil, medical illness, medication, medication side-effects, meditation, mood stabilizers, therapy Abilify, Bipolar, cymbalta, depression, exercise, fish oil, Hartman, Hepatitis C, interferon, lamictal, lithium, meditation, Philadelphia, Psychiatrist, recovery, sedation, Seroquel, SSRI, substance abuse, wellbutrin A colleague writes in . . . I am an RN in a recovery nurse program secondary to ‘emotional condition’ . . . I had some mental health issues that were not being treated. My psychiatrist, who is an addictionologist, prescribed Vyvance for ADHD since Strattera was not effective and led to flattened affect and . . . → Read More: Getting past the urine drug screen while taking Vyvanse 6 comments - (Comments are closed) ADHD, anxiety, benzodiazepines, depression, medical illness, medication, medication side-effects, stimulants adderall, addiction, drug testing, Hartman, Philadelphia, Psychiatrist, recovery, Vyvanse Are there people out there who have been on Abilify for awhile (3 months to several years) who continue to have an increased appetite from it? Or does this side effect eventually stabilize and no longer be a part of daily life? I am trying to be patient with being on Abilify b/c I think . . . → Read More: Managing the munchies–a typical problem with the atypicals Comments are closed antipsychotics, bipolar disorder, medical illness, medication, medication side-effects, mood stabilizers, stress management Abilify, atypical antipsychotics, Bipolar, cholesterol, diabetes, Geodon, Hartman, medication, mood stabilizers, neuroleptics, Philadelphia, Psychiatrist, Risperdal, Seroquel, weight gain, Zyprexa |
   
Dr. Daniel G. Hartman, aka The Sidewalk Psychiatrist, manages and works at The Philmont Guidance Center, just outside Philadelphia. Learn more about Philmont Guidance Center. |
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