In Sickness and In Health . . . Lessons Learned From My Patients

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

A Tale Of Two Kiddies . . . How Early Treatment Makes A Difference (with apologies to Charles Dickens)

I started seeing Mike when he was six years old or so. Brought in by his mother, he was having all the classic problems that a child with ADHD has. He was inattentive and distracted. He was disorganized and was losing things. He couldn’t sit still and would get in trouble for talking and playing when he was supposed to be sitting still and doing his work. He was described as “lazy” when, in reality, that “lazy” was the standard disengaged and distracted “ain’t too interested in doing something I can’t pay attention to” thing we here in mental health land can easily diagnose as Attention Deficit Hyperactivity Disorder. . . . → Read More: A Tale Of Two Kiddies . . . How Early Treatment Makes A Difference (with apologies to Charles Dickens)

So Where Has The Doctor Been??? . . . Some Personal Reflections on Depression, Health and Life In General

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

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

MANIFESTO DELLA FAMIGLIA–May Peace Reign Supreme In This House

In the hustle and bustle of family life, it is inevitable that conflicts and arguments will occur from time to time.  The more kids you have, the more this is likely just because of the sheer number of personalities involved (but small families are hardly immune!).  This can be particularly difficult to manage for “the . . . → Read More: MANIFESTO DELLA FAMIGLIA–May Peace Reign Supreme In This House

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?

Mother's Day . . . yahoo . . .

I’m not answering questions today.  Just thought I’d ramble.  Here in the States, we are celebrating our mothers today with a Hallmark-inspired day known as Mother’s Day.  While it is a wonderful and delightful day for some of you, for most, it is a day filled with mixed emotions and pitfalls.  No person in this . . . → Read More: Mother's Day . . . yahoo . . .

Stop Whining About Your Wife and Start Getting Your Life Back

I’m depressed and I’ve had to work really hard at even getting my wife to acknowledge my condition. It has got better but yesterday we went to visit my aunty and uncle in the country. he has had long-term depression like me and it just amazed me how open they were in their house about . . . → Read More: Stop Whining About Your Wife and Start Getting Your Life Back

Measuring Success . . . "I think I'm a 5"

“So, Mrs. Kapsmanjacketter, on a scale of 1 to 10 with 10 being the most depressed you have ever been, how have you been feeling since our last visit . . . ”

And so, yet another rapid fire med check begins in the land of managed care.  How many times have you, my devoted . . . → Read More: Measuring Success . . . "I think I'm a 5"

Hospice and Beyond

So . . . some of you more loyal listeners might remember previous blarticles concerning my wonderful father-in-law.  A man who has, over the last 26 years, become my best friend.  When I started this entry several weeks ago,  I sat beside him, his old body feverish. His breathing rhythmic . . . slow . . . . → Read More: Hospice and Beyond