Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

I have finally reached a situationally stable period of time in my life, and asked my Dr about reducing my meds. I was taking so many – 300 mg Buproprion, 1500 mg Valproic Acid, 600 mg Carbamazepine, 1 mg Clonazepam, 600 mg Seroquel, and 200 mg Lamotrigine. Ee gad! I have been diagnosed Schizoaffective,or . . . → Read More: Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works

I had to field a call the other day from a local Children and Youth worker. Nice lady . . . but not terribly informed about mental health issues . . . specifically Major Depression. She was calling about a patient of mine who is trying to get custody of her grandchild after the child’s . . . → Read More: Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works

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)

Out Of The Darkness . . .

What’s your biggest fear? What’s your greatest dream? The answers matter. You matter. . . . → Read More: Out Of The Darkness . . .

Ask Three Docs . . . Get Four Opinions . . .

I have been on medications for almost 11 years. I have been through so many. and At the present time I am on Effexor xr 150mg, Prozac 40 mg as the Dr. was trying to wean me from 225 of the effexor xr and add the prozac. 1 mg of xanax 4 x’s a day, . . . → Read More: Ask Three Docs . . . Get Four Opinions . . .

Dancing With The Devil . . . or . . . How Did I Allow Klonopin (or Ativan . . . or Xanax . . . ) To Rule My Life

I have been taken aback with the number of severe comments I have gotten from people who have had such a difficult time with Klonopin and other benzodiazepines over the years. In my practice, it has a central role in symptoms relief for many people with generalized and panic anxiety. When starting them, they always . . . → Read More: Dancing With The Devil . . . or . . . How Did I Allow Klonopin (or Ativan . . . or Xanax . . . ) To Rule My Life

My, Oh My, How Time Flies!!! Getting Off Antidepressants After Accidentally Taking Them For A Decade

Mike writes in with a frequently voiced concern:

I am a 48 year old male and I have been on Paxil for about 11 years now and have been wondering about getting off it. I am aware that there is “detox” time needed and I’ll feel like shit (among other things), . . my question . . . → Read More: My, Oh My, How Time Flies!!! Getting Off Antidepressants After Accidentally Taking Them For A Decade

Another Casualty of the Lack of Health Care Reform

Andrea writes in:

I have been taking 100 mg of Lamictal for about two years. In the last 1.5 yrs my doctor added 100 mg of Pristiq. I have recently lost my health insurance and need to get off both drugs as a result. How should I do this? I’m a full time student and . . . → Read More: Another Casualty of the Lack of Health Care Reform

Making Effexor more Effective for depression and anxiety

Anne writes in . . . (I) am currently taking effexor. effectiveness marginal. still depressed and still anxious in social circumstances, perhaps, I just need more time with that aspect. what, if any other drug might I combine with the effexor to help with the depression?

The first step, of course, is to make sure . . . → Read More: Making Effexor more Effective for depression and anxiety

Waiting to get better . . . What are YOU waiting for???

” . . . . soooooooooo doc . . . when is this medicine going to kick in . . . ?”

“NOW!!!!”

Oh, that it was so easy. The above question is misplaced, however. Over and over I meet with patients who are on various medications that are shifted and moved and changed and . . . → Read More: Waiting to get better . . . What are YOU waiting for???