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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 January 10th, 2009% I am a 27-year-old female with an extensive psychiatric history. I have been on almost every type of medication except tricyclics and stimulants. I am diagnosed with Bipolar I and Borderline Personality Disorder. Currently, I am seeing a new psychiatrist who is “pill-happy”. I feel like she doesn’t listen to me. Right now I am . . . → Read More: What is Causing What? . . . Multiple Factors Contributing To A New Mom's Woes
By doctordan, on November 23rd, 2008% 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
By doctordan, on October 22nd, 2008% 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
By doctordan, on October 4th, 2008% 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
By doctordan, on September 20th, 2008% 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
By doctordan, on September 16th, 2008% 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!!
By doctordan, on September 14th, 2008% 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
By doctordan, on September 1st, 2008% 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?
By doctordan, on August 29th, 2008% 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?
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