Obsessive Ruminations Embedded In A Mood Disorder

Sharon writes in . . .

My son has just started Seroquel XR for bipolar depression. However, he is suffering with repetitive thoughts, for example he recently was emptying a bag of trash that contained old light bulbs and in carrying it outside he lifted it over an ottoman in his living room, that was . . . → Read More: Obsessive Ruminations Embedded In A Mood Disorder

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

Generic Woes, Anxiety Shows and Sarcastic Doctor Blows

I am a 23 year old male, am currently on Adderal XR 30Mg bid, Xanax 1Mg bid, and Remeron at bedtime. I have been on Adderal XR for five years. (at 60mg) The last few months the pharmacy has given me (unbeknownst to me) generic adderal XR, and I noticed (without knowing it wasn’t the . . . → Read More: Generic Woes, Anxiety Shows and Sarcastic Doctor Blows

Transcranial Magnetic Stimulation–Part II

Sorry for the lack of writing folks, I been biiiiiiizzzzzzzzzyyyyyyy!

I am proud to announce that I am an official TMS provider! My NeurostarTMS machine was delivered the first week of November and I spent the better part of last week being trained on how to use it in real-life situations. From a professional standpoint . . . → Read More: Transcranial Magnetic Stimulation–Part II

Transcranial Magnetic Stimulation . . . A New Hope For Treatment Resistant Depression

A former patient wrote this to check in with me . . .

As a former patient of your practice, what are your thoughts on treatment resistant depression? Anything new or in the pipe line? At present I am doing well with Pristiq ,lithium, and Depakote. I am also involved in a sleep study with . . . → Read More: Transcranial Magnetic Stimulation . . . A New Hope For Treatment Resistant Depression

Balancing The Need For Benzos and Antidepressants To Cover Anxiety

I noticed another fellow talked about being on 3 mg on klonopin for 15 years. For me, it’s been about .5 to .75 mg per day for 14 months but I have still been unsuccessful coming off of it. Do you recommend using acupucture and meditation during a slow taper? I also take 60 mg. . . . → Read More: Balancing The Need For Benzos and Antidepressants To Cover Anxiety

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

What Makes Vyvanse So Special? Simple.

As time goes on, I become more fond of Vyvanse as a medication for my patients with ADHD. As my loyal readers know, I am very hesitant to jump on the pharmaceutical bandwagon and I view all new products with great skepticism. Especially when they are re-hashes of old medications as many of the “new” . . . → Read More: What Makes Vyvanse So Special? Simple.

Why Don't I Get Better When All I Do Is Medicine?

I am not bipolar but am on 200 mg of Lamictal and 50 mg of Zoloft. I have tried many meds and I never feel good. I have read alot and done alot of research. I have found that there is no proof of chemical imbalances or that these meds work better than a placebo. . . . → Read More: Why Don't I Get Better When All I Do Is Medicine?

Driving Miss Daisy . . . aka watch what your doin' with them meds!

So . . . I got in my car the other day and, much like every other day, put on my blindfold and sped off to work . . .

“WHAT?????” you might be rightfully saying . . . “put on your blindfold and started driving?????” . . . “you CRAZY!!!”

Well, of COURSE . . . → Read More: Driving Miss Daisy . . . aka watch what your doin' with them meds!