Patience . . . Patients . . . Stay On Your Medicine Till You Talk To Your Doctor . . . PLEASE!!!

Getting started on medicine is a relatively easy decision. When folks come in to see me, things are not going well. Be it depression or anxiety or an out of control kid who is going to fail third grade, they want help . . . like NOW. I will be the first to admit that . . . → Read More: Patience . . . Patients . . . Stay On Your Medicine Till You Talk To Your Doctor . . . PLEASE!!!

So Where Has The Doctor Been??? . . . Some Personal Reflections on Depression, Health and Life In General

I had a few responses to my blarticle on providing TMS to patients in the Philadelphia area. I actually thought there would be more . . . but articles on Vyvanse, Klonopin and Lamictal reign supreme . . . more on that another time. Let’s start with two viewpoints and then I will get personal . . . → Read More: So Where Has The Doctor Been??? . . . Some Personal Reflections on Depression, Health and Life In General

Treatment Resistant Depression–Under Recognized and Under Treated

As a psychiatrist . . . as an empathic person . . . it is very difficult to hear stories like the one listed below:

My heart is broke and i Feel I will never leave this deep black dark hole that I cant escape… Im tearing up heavily as I write this message… Ive . . . → Read More: Treatment Resistant Depression–Under Recognized and Under Treated

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

What's a little chest pain when I can at least pay attention to the ER doc when he tells me I've had my first heart attack!

This one made me a bit worried . . .

I am a 30 year old male, and I’ve been taking stimulant ADD meds for about 15 years. The last 5 years I’ve been on Metadate CD 60mg every AM. Worked pretty good, and insurance covered most of it.My doctor switched me to Focalin . . . → Read More: What's a little chest pain when I can at least pay attention to the ER doc when he tells me I've had my first heart attack!

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?