When is it time to go off the meds?

Joelle writes in with a common question:

I am on 600 mg of Lamictal and was prescribed this medication a year ago. My doctor increased my dose from 50mg slowly taking me to 600mg over a period of 4 months. It took this much to feel less suicidal and even balanced in my mind. Recently . . . → Read More: When is it time to go off the meds?

Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Now . . . don’t get me wrong . . . I am a big fan of Abilify. Even if their over the top marketing binge is so financially disgusting to me that I want to reflexively run screaming into the night. I mean, really, how many prime time advertisements for this product do . . . → Read More: Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Dealing with the unsupportive partner . . .

I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . .

Physically sick from the meds . . . what to do . . . what to do

Leslie writes in with a question . . .

I have been taking Lamictal for a short period of time. My doctor added Abilify 10 days ago and I have had a low grade fever ever since. She says it’s flu but I now am certain it is the medication. The fever has also made . . . → Read More: Physically sick from the meds . . . what to do . . . what to do

Lamictal and acne

Red writes in with a common complaint about Lamictal . . .

I’m a 29 y/o female. I started Lamictal July of 07 (150mgs) and since then I have developed horrible acne along my jawline that takes weeks to clear up and new pimples develop every other day. They are painful. I also have pimples . . . → Read More: Lamictal and acne

Zombie children . . . what is the goal when stabilizing mood?

I can’t begin to tell you how often this issue has walked into my office. A kid and family who have struggled with symptoms goes to her doctor to discuss the pro’s and con’s of the current regimen and nothing is changed. Are her symptoms gone . . . no. Are there concerning side effects . . . → Read More: Zombie children . . . what is the goal when stabilizing mood?

Does every kid on stimulants need an EKG?

Oh boy, oh, BOY!!! When my wife showed me this issue on the internet last night I gave a big sigh and an eye roll. I knew the phone calls would start early and heavy. For those of you who have not heard, the American Heart Association issued a recommendation that all children who are . . . → Read More: Does every kid on stimulants need an EKG?

Rapid-cycling Bipolar II–what to do . . . what to do

Jeff writes in with a common problem . . . feeling kind of crappy on the medicine:

Hey doctordan, I was in counseling for 11 months. Blah. The same questions over and over. Point being, I dont need to talk . Honestly. I’m a smart cookie. Now, ONTO the LAMICTAL I have been diagnosed with . . . → Read More: Rapid-cycling Bipolar II–what to do . . . what to do

On being a human being

I started writing this entry months and months ago after a conversation with one of my long time patients. She was referring to her husband’s tendency to . . . do, do, do, do, do . . . and to have great difficulty getting him to settle down and just . . . be. I . . . → Read More: On being a human being

Consider it a promotion . . .

A challenge for any parent is the changing role they have as their children develop over time. Obviously the role we play in our children’s lives is different when they are 1 is different than when they are 18. From my experience, the difficult years are those middle adolescent years when we move from the . . . → Read More: Consider it a promotion . . .