Into Every Life A Little Rain Must Fall–Some Thoughts On Being Prepared

One of the expectations that I have for patients I work is that they are connected with a therapist. My role has been to evaluate for the need for medicine and to periodically assess how well that medicine is working. Medicine is rarely THE answer to behavioral health needs, especially when a patient first arrives . . . → Read More: Into Every Life A Little Rain Must Fall–Some Thoughts On Being Prepared

Folate part 2: MTHFR and genetic testing

The last post about folate deficiency got me thinking. Absolute absence of folic acid is a risk for non-response to antidepressants, but suppose you have adequate intake of folic acid. Is that good enough? In most cases, yes. In some cases, no. Lets look at some chemistry so you have a better understanding of why . . . → Read More: Folate part 2: MTHFR and genetic testing

As If The Name Wasn’t Cumbersome Enough–Confusion between Brintellix and Brilinta

I recently got notified about the potential for confusion between two medications. Brintellix, a relatively new antidepressant with a novel mechanism of action, and Brilinta, a medication used by cardiology to help prevent blood clots that could result in a heart attack. Obviously, the names are quite similar, but the conditions they treat could not . . . → Read More: As If The Name Wasn’t Cumbersome Enough–Confusion between Brintellix and Brilinta

The Great Divide–Bridging The Gap Between Medical and Psychiatric Care

A couple of articles in my local rag caught my attention (The Philadelphia Inquirer . . . and yes, I still read the paper version of it) and has brought me back to the writing table. Thursday’s article about entitled “A global mental health concern” spoke the growing realization that mental health issues are becoming . . . → Read More: The Great Divide–Bridging The Gap Between Medical and Psychiatric Care

Adjusting Medicine Over The Summer Part I–Antidepressants

A common question as we head into the summer months is what to do about medications. Most parents (and some kids) are very reluctant to change medications over the school year since a return of symptoms covered by the medicine can be very, very disruptive. Summertime is the logical time to consider some changes. Antidepressants . . . → Read More: Adjusting Medicine Over The Summer Part I–Antidepressants

Peeling The Onion–More Is Not Always Better

Once again . . . I find I am on the receiving end of another doc’s desperate attempt to control symptoms. The layering of medicine on top of medicine is an inherent problem in Western Medicine. After all, we are spending more and more of our hard earned dollars to go to see someone for . . . → Read More: Peeling The Onion–More Is Not Always Better

Book Report: The Book I Wish I Had Written . . . The Do-It-Yourself Guide To Fighting The Big Motherfuckin’ Sad by Adam Gnade

Once loyal readers may have noticed I have not been posting too much recently. Not to say I haven’t thought about it . . . it just seems like between work and home and everything in between my creative juices were tapped just keeping things going. Life is like that, no? I have been reading, . . . → Read More: Book Report: The Book I Wish I Had Written . . . The Do-It-Yourself Guide To Fighting The Big Motherfuckin’ Sad by Adam Gnade

The Cost Of Ignoring ADHD

I interviewed a young man this past week who had recently had to take a second medical withdrawal from a prestigious (and expensive) university because of debilitating symptoms of depression. It struck him in the spring semester last year (his Freshman year) and then again this fall. Over the summer, he had seemed to get . . . → Read More: The Cost Of Ignoring ADHD

Don’t Be Fooled By The Packaging . . . Or The Marketing!!!

I fielded a call from a patient, complaining that I wrote XL instead of SR after my prescription for Wellbutrin. My bad. She is on the SR and not the XL. A quick call to the pharmacy and the problem was solved. But, was it a problem in the first place? For a small minority . . . → Read More: Don’t Be Fooled By The Packaging . . . Or The Marketing!!!

Advocating For Access To Mental Health Care . . . It Is Time For Us To Stand Up For What Is Right

I am encouraging you to go to Philmont Guidance Center’s Facebook page and listen to a 6-minute video I uploaded there. Get past the boring talking head thing (psychiatrists tend to be a bit dry sometimes) and LISTEN to what he is saying and THINK about what this will mean if the trend is generalized . . . → Read More: Advocating For Access To Mental Health Care . . . It Is Time For Us To Stand Up For What Is Right