Holiday Blues (Part I)–a Thanksgiving message for us all

And so . . . the holiday season is upon us. The Christmas decorations have been in the stores for weeks, the music is on the radio . . . and what if you just . . . don’t . . . feel it. A visitor to the blog writes in . . .

. . . → Read More: Holiday Blues (Part I)–a Thanksgiving message for us all

The window of opportunity is not locked

I have noticed in my increasingly longer life, that the window of opportunity only stays open so long. There seems to be chances in life to grab the brass ring, but then the time passes and you are left in the dust . . . or are you? Sometimes the answer is yes. But often . . . → Read More: The window of opportunity is not locked

School Violence (Part I)–a plea to parents

I am the parent of a ninth grader. I have had two others go through our local high school. I am hoping my youngest will make it through alive. I’m asking for your help. For my child, and the children of all the other kids in the school. And the teachers. And the custodians. And . . . → Read More: School Violence (Part I)–a plea to parents

Doped Up On Too Many Medications???

I put the following comments in back to back for a reason. Read on . . .

K writes in to say . . . I find being on so many medications made everything worse- not all- but most. The side effects where at times unbearable. But when I was on so many…it made . . . → Read More: Doped Up On Too Many Medications???

Trial of no medicine–knowing when to stop and think

There comes a time in my work with some of my patients that I have to stand back and say . . . “what are you doing???” When patients come in with a cascade of difficult problems, the knee jerk reaction is to change the medicine. Initially, this might be adding an antidepressant (say . . . . → Read More: Trial of no medicine–knowing when to stop and think

Measuring up (part II)–justifying mediocrity

It has always been a struggle, both as a parent and as a therapist, to watch kids justify their behavior. There is lots of explanation and theory about why people do this, but trying to conceptualize this in a way that made sense for a kid has been difficult. I’ll get kids in the office . . . → Read More: Measuring up (part II)–justifying mediocrity

Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas

In responce to my blarticle about the limits of usefulness of Klonopin, e-chimp writes in with the following barrage of thought provoking questions and comments:

What’s your opinion on the thin line between mis-use and self-medication? Say someone’s prescribed a small supply of 2mg diazepam, finds that this dosage does nothing and adjusts it . . . → Read More: Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas

Quiting Klonopin–sometimes more is not better

Those of you who follow along faithfully in my writing know that I am a reasonable fan of the anti-anxiety tranquilizers–the benzodiazepines. While some docs I know prescribe them only under duress, I find them a useful option when my patients are suffering from extreme anxiety. Those docs who are reluctant often have a history . . . → Read More: Quiting Klonopin–sometimes more is not better

Cognitive Restructuring–getting rid of the old tapes?

A member of our studio audience writes in with the following problem. I have edited out some of the entry for brevity’s sake.

My father has been married seven times & recently got engaged to #8. However, less than three weeks later they were also done. My dad has literally cheated on all his wives . . . → Read More: Cognitive Restructuring–getting rid of the old tapes?