Vyvanse–the medication you can't get to

Just a short entry this evening. A little bit of a rant and rave. I’ve been trying to gain more experience with Vyvanse. So far, the patients that I have taken it have given mostly favorable reviews. Not perfect, but none of these poisons I prescribe are. Problem is . . . the insurance companies . . . → Read More: Vyvanse–the medication you can't get to

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!

Another Klonopin Horror Story . . . why do I prescribe this stuff anyway???

I have had such an overwhelming number of negative comments about Klonopin lately, I thought I would feature it in another blarticle again. I thought I would use the following comment sent in not long ago . . .

I started Klonopin 8 years ago for “Nocturnal Myoclonus”. I had heard they were difficult to . . . → Read More: Another Klonopin Horror Story . . . why do I prescribe this stuff anyway???

My Vacation Book Report . . . What I've Learned

Vacation is always about relaxing and getting away. Right???? Finding the time to renew your soul and making yourself ready to get back in the trenches and fight anew. The trick, of course, is holding on to some of that sense of self . . . your relaxed self . . . so that the . . . → Read More: My Vacation Book Report . . . What I've Learned

Tapering quickly off Klonopin . . . or . . . how to drive yourself crazy and feel like crap

Dawn writes in . . . actually . . . shouts in . . .

HI I WAS ON KLONOPIN FOR ABOUT 15 YEARS NOW AND I AM TRYIGN TO WEAN MYSELF OFF. I AM NOTICING I HAVE THE SHAKES, I CANNOT THINK STRAIGHT AT ALL, I CANNOT RETAIN MUCH OF ANYTHING, MY FACE . . . → Read More: Tapering quickly off Klonopin . . . or . . . how to drive yourself crazy and feel like crap

Alcohol and Klonopin . . . decision time

I have been putting this off for a while. I have a nice lady who lives in difficult circumstance. She has struggled with addictions most of her life, whether it is food, drugs, and now, alcohol. Both her circumstance and her biology lead her to be tremendously anxious, depressed and to have mood swings that . . . → Read More: Alcohol and Klonopin . . . decision time

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 . . .

A mid-year assessment . . . a new start

So here we are folks . . . half way through the year! Here in the northern hemisphere, the sun is high in the sky and hot hot hot. The roads are clearer on the morning’s ride to work with people taking off and schools closed. I’ve taken a little time off and hope to . . . → Read More: A mid-year assessment . . . a new start