Managing Bipolar During HepC Treatment Without Losing Your Liver

I have been on Interferon/Ribovarin (HepC TX) and also have Chronic Fatigue Sydrome separate from HepC. I have been on TX for 6 mos now and the depression is TRULY starting to come through. MY CONCERN is that I am 10 months drug/alcohol free, menopausal & bipolar. I have NOT taken anti-depressants since 2006 because . . . → Read More: Managing Bipolar During HepC Treatment Without Losing Your Liver

A difficult case

A colleague writes in . . .

I’m a therapist working with an adolescent with a rapid cycling bi-polar, and the episodes of suicidal thoughts are not improving, the psychiatrist is working on the meds, we seem to have a good week and a bad week, where episodes of deep depression hit most days . . . → Read More: A difficult case

It's not just about the receptors . . . Sometimes it's just about common sense

Dell writes in with an issue . . . but I think the real issue is deeper than the chemistry . . .

I’ve just been prescribed Vyvanse for refractory Clinical Depression. I was hospitalized twice decades ago then was started on a regimen of dexedrine which I never abused. It got me through . . . → Read More: It's not just about the receptors . . . Sometimes it's just about common sense

SHOCKING!!! The role of ECT in the treatment of mental illness

I just have a question for you: what are your views on ECT – mine are completely negative since I have had so many and they did absolutely NOTHING for me but cause long term memory loss.

There is absolutely NOTHING that will scare a patient more than when the doc starts bringing up ECT–electroconvulsive . . . → Read More: SHOCKING!!! The role of ECT in the treatment of mental illness

A duty to listen . . . you don't violate confidentiality if you keep your mouth shut

My daughter’s father has recently (within the last week)begun taking an antidepressant for depression. He and I had been getting along well with no fights or hostility depsite some disagreements during this time. We are divorced but are friends and are able to attend family functions and cooperate as to our child 95% of the . . . → Read More: A duty to listen . . . you don't violate confidentiality if you keep your mouth shut

Rash from Lamictal . . . do you have to stop it?

This letter brings up an important question about Lamictal . . .

I’m a 45 y/o female properly diagnosed and treated as bipolar for 1 & 1/2 years. Prior to this diagnosis, I was treated soley for depression for 10 years (the last 5 as refractory.) I am presently doing GREAT on Lamictal 200mg daily . . . → Read More: Rash from Lamictal . . . do you have to stop it?

Moving from Lamictal to Zoloft?

Mary writes in . . .

I hate to say it, but I was relieved to hear that many others reported gettting acne (especially along jawline) from Lamictal. I complained about this to my Psyciatrist, but he said he never heard of that being a side effect. I, also was feeling so blah, lost . . . → Read More: Moving from Lamictal to Zoloft?

Neurontin as a first line agent . . . I Don't Think So!

I received this question from a concerned consumer last week . . .

A week ago I was prescribed gabapentin, an anti-epileptic drug, for the off-label use of social anxiety and “affective mood disorder.” I have been concerned about this ever since I began my research on it a few days ago. Most of what . . . → Read More: Neurontin as a first line agent . . . I Don't Think So!

When is Lamictal Good for Regular Old Depression?

In our striving to provide our patients with the latest, the greatest and the newest treatments for one condition or another, many psychiatrists go out on a limb to try new things. Some of us go wwwwaaaaaayyyyy out on a limb. There are two sides to this, of course. You don’t want a shrink who . . . → Read More: When is Lamictal Good for Regular Old Depression?

Chronic suicidal thoughts . . . to be or not to be . . .

The presence of chronic suicidal thoughts is one of the more difficult issues to deal with in psychiatry. It is one of the issues that separates psychiatry from all other branches of medicine. When patients see my colleagues, they want to get better. Sometimes, when patients see me . . . they just want to . . . → Read More: Chronic suicidal thoughts . . . to be or not to be . . .