I have heard through the grapevine that some of my patients have been worried that I am unhappy with my job because my writing has become sparse and . . . well . . . sarcastic. More sarcastic than usual. Nothing could be farther from the truth. I am, actually, quite happy with how my . . . → Read More: To Be There (part II)
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All right, here I am, first day back from vacation . . . and one of the first messages handed to me by my secretary is . . . “a drug rep wants to set up a lunch to discuss Fizzilrexcrap XR . . . a new version of Fizzilrexcrap”. . . OK, OK it . . . → Read More: Seroquel . . .XR . . . SR . . .CR . . .whatever . . .  3 comments - (Comments are closed)  antidepressants, antipsychotics, medication, medication side-effects, R+R Can anyone else feel the earth moving? I don’t know if it is just getting back to work after time off or getting up earlier to get my kid to school, but I am dragging this week. You don’t have to suffer from seasonal depression to appreciate how dark it is in the morning and . . . → Read More: Seasonal Depression . . . "tis the season . . . " Erin writes in with a very common question: I am coming off Klonopin. I am currently at .25mg. and have been for three nights. Does the withdrawal symptoms have a peak and then they get better? I really want to stick it out but I am feeling pretty crappy. There are a number of . . . → Read More: Klonopin withdrawal or re-emergence of anxiety??? 15 comments - (Comments are closed) anxiety, benzodiazepines, medication, medication side-effects, withdrawal symptoms On the search engine terms on my blog stats the other day, I had “combining Effexor and Cymbalta” listed multiple times. LIKE 25 TIMES. Seems someone had a question that was not getting answered too quickly. It brought to mind, once again, how mysterious these medications can be to people. To most folks (and some . . . → Read More: Combining Effexor and Cymbalta–a good example of what not to do 3 comments - (Comments are closed) antidepressants, depression, FDA, medication, medication side-effects 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 4 comments - (Comments are closed) antidepressants, anxiety, benzodiazepines, depression, medication, medication side-effects, therapy What does it mean when someone has a negative reaction to antidepressants? Most people put on antidepressants do well. They have minimal to no side effects and have a gradual improvement in their mood/anxiety. For some people, a trial of an antidepressant is a nightmare. Any time an antidepressant is initiated, you can experience irritability, . . . → Read More: Irritability during antidepressant trials 2 comments - (Comments are closed) anger/irritability, antidepressants, bipolar disorder, depression, medication, medication side-effects 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 The following comment/question brings up a number of issues that are important. I reprint the following without editing . . . I have been on effexor xr for a long time. it’s the only thing that works. I recently spiked a high BP. I thought I might be going through perimenpausal symtoms. I think . . . → Read More: High Blood Pressure with Effexor Comments are closed antidepressants, anxiety, depression, herbal medicine, medication, medication side-effects A therapist writes in with the following question: I had a disagreement with a psychiatrist. I’d thought that in using SSRI’s to treat anxiety–social phobias, social anxiety, etc.–LOW doses are usually given. (5-10mg of Celexa/day). Treating depression usually requires HIGHER doses, (20-60mg Celexa/day). She maintained that higher doses of SSRI’s are required to treat . . . → Read More: Which requires a higher dose of medicine, anxiety or depression? |
   
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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