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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  One comment - (Comments are closed)  anger/irritability, antidepressants, antipsychotics, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, parenting, relationships, therapy, Uncategorized  Abilify, Add new tag, bipolar disorder, cognitive behavioral treatment, Depakote, depression, Dialectical Behavior Therapy, Hartman, Linehan, lithium, mood stabilizers, Philadelphia, Psychiatrist, rapid cycling, self injury, suicidal ideation, suicide 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 Comments are closed anger/irritability, antidepressants, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, parenting, relationships, therapy, Uncategorized anger, antidepressants, bipolar disorder, depression, divorce, ex-husband, ex-wife, Hartman, HIPAA, hypomanic, irritability, irritable, manic, medication, mood stabilizers, Philadelphia, Psychiatrist, suicide, symptoms With the start of September, all thoughts turn to . . . medicating our kids??? Well, as bad as that can sound to some, it IS time for the annual debate. A question for which there is no clear answer. Let’s examine several scenarios and I’ll give some suggestions . . . We’ll start with . . . → Read More: Treat or wait? The annual ADHD question Comments are closed ADHD, medication, medication side-effects, parenting, relationships, school issues, stimulants adderall, ADHD, behavior problems at school, concerta, Hartman, hyperactivity, Philadelphia, Psychiatrist, school issues, stimulants, stopping medicine, Vyvanse Vacation is always about relaxing and getting away. Right???? Finding the time to renew your soul and making yourself ready to get back in the trenches and fight anew. The trick, of course, is holding on to some of that sense of self . . . your relaxed self . . . so that the . . . → Read More: My Vacation Book Report . . . What I've Learned Comments are closed anxiety, book reports, depression, medical illness, relationships, stress management, therapy finding contentment, Hartman, here and now, kerouac, living life, pausch, peace of mind, Philadelphia, Psychiatrist I have been putting this off for a while. I have a nice lady who lives in difficult circumstance. She has struggled with addictions most of her life, whether it is food, drugs, and now, alcohol. Both her circumstance and her biology lead her to be tremendously anxious, depressed and to have mood swings that . . . → Read More: Alcohol and Klonopin . . . decision time 3 comments - (Comments are closed) antidepressants, anxiety, benzodiazepines, depression, medication, medication side-effects, relationships, stress management, therapy alcohol, alcoholism, dual diagnosis, Hartman, intoxication, Klonopin, Philadelphia, Psychiatrist, therapy, Valium, Xanax The presence of chronic suicidal thoughts is one of the more difficult issues to deal with in psychiatry. It is one of the issues that separates psychiatry from all other branches of medicine. When patients see my colleagues, they want to get better. Sometimes, when patients see me . . . they just want to . . . → Read More: Chronic suicidal thoughts . . . to be or not to be . . . 14 comments - (Comments are closed) antidepressants, anxiety, bipolar disorder, depression, medical illness, medication, relationships, stress management, therapy anxiety, crisis, depression, Hartman, philadelphia psychiatrist, suicidal thoughts, suicide, therapy So here we are folks . . . half way through the year! Here in the northern hemisphere, the sun is high in the sky and hot hot hot. The roads are clearer on the morning’s ride to work with people taking off and schools closed. I’ve taken a little time off and hope to . . . → Read More: A mid-year assessment . . . a new start 2 comments - (Comments are closed) meditation, R+R, relationships, stress management, Uncategorized Add new tag, Hartman, meditating, nature, Philadelphia, Psychiatrist, quiet, relaxing, resolution, zen Joelle writes in with a common question: I am on 600 mg of Lamictal and was prescribed this medication a year ago. My doctor increased my dose from 50mg slowly taking me to 600mg over a period of 4 months. It took this much to feel less suicidal and even balanced in my mind. Recently . . . → Read More: When is it time to go off the meds? One comment - (Comments are closed) antidepressants, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, relationships, Uncategorized, withdrawal symptoms Add new tag, bipolar disorder, depression, Hartman, lamictal, medication side-effects, philadelphia psychiatrist, power outage I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . . 5 comments - (Comments are closed) anger/irritability, antidepressants, antipsychotics, anxiety, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, R+R, relationships, Uncategorized Abilify, Add new tag, bipolar disorder, Hartman, medicine, mental illness, OCD, philadelphia psychiatrist, psychiatric medicine, Trileptal I started writing this entry months and months ago after a conversation with one of my long time patients. She was referring to her husband’s tendency to . . . do, do, do, do, do . . . and to have great difficulty getting him to settle down and just . . . be. I . . . → Read More: On being a human being Comments are closed anger/irritability, anxiety, depression, meditation, relationships, stress management Hartman, Kabat-Zinn, meditation, Mindfulness Based Stress Reduction |
   
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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