Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

I have finally reached a situationally stable period of time in my life, and asked my Dr about reducing my meds. I was taking so many – 300 mg Buproprion, 1500 mg Valproic Acid, 600 mg Carbamazepine, 1 mg Clonazepam, 600 mg Seroquel, and 200 mg Lamotrigine. Ee gad! I have been diagnosed Schizoaffective,or . . . → Read More: Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

Ask Three Docs . . . Get Four Opinions . . .

I have been on medications for almost 11 years. I have been through so many. and At the present time I am on Effexor xr 150mg, Prozac 40 mg as the Dr. was trying to wean me from 225 of the effexor xr and add the prozac. 1 mg of xanax 4 x’s a day, . . . → Read More: Ask Three Docs . . . Get Four Opinions . . .

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

Patience . . . Patients . . . Stay On Your Medicine Till You Talk To Your Doctor . . . PLEASE!!!

Getting started on medicine is a relatively easy decision.  When folks come in to see me, things are not going well.  Be it depression or anxiety or an out of control kid who is going to fail third grade, they want help . . . like NOW.  I will be the first to admit that . . . → Read More: Patience . . . Patients . . . Stay On Your Medicine Till You Talk To Your Doctor . . . PLEASE!!!

DSM-V: Reshuffling The Bipolar Criteria And The Emergence Of A New Disorder

I got an email from the Child and Adolescent Bipolar Foundation recently letting me know that the committee that is looking at revamping the DSM criteria for the next edition is looking at adding a diagnostic category called “Temper Dysregulation Disorder with Dysphoria (TDD).  The purpose of the email was to dispel the rumors that . . . → Read More: DSM-V: Reshuffling The Bipolar Criteria And The Emergence Of A New Disorder

Mood Instability . . . PMDD or Bipolar Disorder . . . Or Both?

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?

Obsessive Ruminations Embedded In A Mood Disorder

Sharon writes in . . .

My son has just started Seroquel XR for bipolar depression. However, he is suffering with repetitive thoughts, for example he recently was emptying a bag of trash that contained old light bulbs and in carrying it outside he lifted it over an ottoman in his living room, that was . . . → Read More: Obsessive Ruminations Embedded In A Mood Disorder

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

Why Don't I Get Better When All I Do Is Medicine?

I am not bipolar but am on 200 mg of Lamictal and 50 mg of Zoloft.  I have tried many meds and I never feel good.  I have read alot and done alot of research.  I have found that there is no proof of chemical imbalances or that these meds work better than a placebo. . . . → Read More: Why Don't I Get Better When All I Do Is Medicine?

Driving Miss Daisy . . . aka watch what your doin' with them meds!

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!