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

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

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???

DSM-V: Reshuffling The Bipolar Criteria And The Emergence Of A New Disorder

I got an email from the Child and Adolescent Bipolar Foundation recently letting me know that the committee that is looking at revamping the DSM criteria for the next edition is looking at adding a diagnostic category called “Temper Dysregulation Disorder with Dysphoria (TDD). The purpose of the email was to dispel the rumors that . . . → Read More: DSM-V: Reshuffling The Bipolar Criteria And The Emergence Of A New Disorder

Mood Instability . . . PMDD or Bipolar Disorder . . . Or Both?

I am a 29 yo mother and was diagnosed as being bipolar at approximately 25 yo. I have taken a variety of medications(lamicatal, fluoxetine, topamax, lithium) and respond but i have always had “flare-ups” of exaggerated moodiness(rage, sadness, etc) about 2 weeks before my period. Since I have been married my husband has been able . . . → Read More: Mood Instability . . . PMDD or Bipolar Disorder . . . Or Both?

Obsessive Ruminations Embedded In A Mood Disorder

Sharon writes in . . .

My son has just started Seroquel XR for bipolar depression. However, he is suffering with repetitive thoughts, for example he recently was emptying a bag of trash that contained old light bulbs and in carrying it outside he lifted it over an ottoman in his living room, that was . . . → Read More: Obsessive Ruminations Embedded In A Mood Disorder

A Challenge . . .

I have long searched for new and different ways to settle my mind down and to remain centered and grounded. In my work with people who are decidedly NOT grounded, it is imperative that I maintain my focus. This is important not only for the welfare of my patients but also for my ongoing mental . . . → Read More: A Challenge . . .

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?

Driving Miss Daisy . . . aka watch what your doin' with them meds!

So . . . I got in my car the other day and, much like every other day, put on my blindfold and sped off to work . . .

“WHAT?????” you might be rightfully saying . . . “put on your blindfold and started driving?????” . . . “you CRAZY!!!”

Well, of COURSE . . . → Read More: Driving Miss Daisy . . . aka watch what your doin' with them meds!

Prescribing Outside The Box

Kurt writes in with a very common question:

I was prescribed 70mg Vyvanse for debilitating chronic fatigue. The 70mg was totally ineffective. At 6′2″, 220 pounds, I think the dosage was too small. My psychiatrist will not increase the dosage. I self-titrated and found that 210mg will get me through the working day but I’m . . . → Read More: Prescribing Outside The Box