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By doctordan, on May 20th, 2012% I was going to write on another subject today, but was struck by the tone of this letter I received from the UK. I couldn’t help but respond. My original subject will wait a few days . . .
i have recently been diagnosed with bipolar. my fiance has turned really mean, puts me down . . . → Read More: Living With Bipolar Disorder . . . Picking A Partner–Lessons Learned From My Patients, Part II
By doctordan, on April 15th, 2012% I fielded a call from a patient, complaining that I wrote XL instead of SR after my prescription for Wellbutrin. My bad. She is on the SR and not the XL. A quick call to the pharmacy and the problem was solved. But, was it a problem in the first place? For a small minority . . . → Read More: Don’t Be Fooled By The Packaging . . . Or The Marketing!!!
By doctordan, on March 16th, 2012% Finally . . . the last of the BIG FIVE goes generic. The FDA announced approval for Teva Pharmaceuticals to begin to market escitalopram. The get 6 months of exclusivity, then it is up for grabs. While I do think it is a good thing overall, I do worry about quality with the generics sometimes. . . . → Read More: Another One Bites The Dust!!! Lexapro Goes Generic
By doctordan, on February 25th, 2012% I am encouraging you to go to Philmont Guidance Center’s Facebook page and listen to a 6-minute video I uploaded there. Get past the boring talking head thing (psychiatrists tend to be a bit dry sometimes) and LISTEN to what he is saying and THINK about what this will mean if the trend is generalized . . . → Read More: Advocating For Access To Mental Health Care . . . It Is Time For Us To Stand Up For What Is Right
By doctordan, on November 6th, 2011% 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
By doctordan, on October 30th, 2011% I had to field a call the other day from a local Children and Youth worker. Nice lady . . . but not terribly informed about mental health issues . . . specifically Major Depression. She was calling about a patient of mine who is trying to get custody of her grandchild after the child’s . . . → Read More: Maintenance Treatment For Depression . . . Medicine . . . TMS . . . Whatever Works
By doctordan, on October 23rd, 2011% As most of you ADHD kids/moms/dads know by now, there is a shortage of Adderall products in the United States. It has simmered all summer . . . only to hit the big time now that school is in full swing (great timing, big pharma!!). It has created havoc across the area and quadrupled the calls to the already full in-box on my voice mail. Everybody is blaming everyone else . . . . . . → Read More: The Shortage Of Adderall . . . and the scramble for solutions
By doctordan, on October 16th, 2011% I started seeing Mike when he was six years old or so. Brought in by his mother, he was having all the classic problems that a child with ADHD has. He was inattentive and distracted. He was disorganized and was losing things. He couldn’t sit still and would get in trouble for talking and playing when he was supposed to be sitting still and doing his work. He was described as “lazy” when, in reality, that “lazy” was the standard disengaged and distracted “ain’t too interested in doing something I can’t pay attention to” thing we here in mental health land can easily diagnose as Attention Deficit Hyperactivity Disorder. . . . → Read More: A Tale Of Two Kiddies . . . How Early Treatment Makes A Difference (with apologies to Charles Dickens)
By doctordan, on August 21st, 2011% The ambiguity of psychiatric diagnosis does not make anything easy. Especially when there is a complicated mish-mosh of symptoms that easily fit into more than one diagnostic category. And, you ARE allowed to have more than one psychiatric diagnosis. But how can I be sure that a child who presents with ADHD symptoms . . . and anxiety, and depression, and a complicated home life, and a complicated school picture . . . actually has ADHD and that the “ADHD symptoms” are not just a result of the other stuff????? . . . → Read More: Accurately Diagnosing ADHD–Using The Quotient ADHD Testing System to Avoid Unnecessary Exposure to Medicine
By doctordan, on June 18th, 2011% I have been on medications for almost 11 years. I have been through so many. and At the present time I am on Effexor xr 150mg, Prozac 40 mg as the Dr. was trying to wean me from 225 of the effexor xr and add the prozac. 1 mg of xanax 4 x’s a day, . . . → Read More: Ask Three Docs . . . Get Four Opinions . . .
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