SHOCKING!!! The role of ECT in the treatment of mental illness

I just have a question for you: what are your views on ECT – mine are completely negative since I have had so many and they did absolutely NOTHING for me but cause long term memory loss.

There is absolutely NOTHING that will scare a patient more than when the doc starts bringing up ECT–electroconvulsive . . . → Read More: SHOCKING!!! The role of ECT in the treatment of mental illness

A duty to listen . . . you don't violate confidentiality if you keep your mouth shut

My daughter’s father has recently (within the last week)begun taking an antidepressant for depression. He and I had been getting along well with no fights or hostility depsite some disagreements during this time. We are divorced but are friends and are able to attend family functions and cooperate as to our child 95% of the . . . → Read More: A duty to listen . . . you don't violate confidentiality if you keep your mouth shut

Vyvanse was helping depression . . . now . . . aggravating mania?

James writes in to say . . .

I started having panic attacks and was very unsociable and kept to myself,all this started about 10 years ago. The doctors diagnosed me as bipolor,i’ve been on every med available for bipolar with no positive results. Last december my doc decided to try me on 20 mg . . . → Read More: Vyvanse was helping depression . . . now . . . aggravating mania?

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!

Getting the kids involved . . . could someone teach me a thing or two???

I’ve had a number of responses to the blarticle from January 13th (” . . . the good doctor was WRONG”). Seems what my ex-patient had to say hit a nerve. I’ve always been pretty aware of my own limitations as a mental health practitioner. Limitations on the effectiveness of the medications, limitations on the . . . → Read More: Getting the kids involved . . . could someone teach me a thing or two???

Using Xanax and Klonopin–is that safe???

It’s nice when things go smoothly, isn’t it . . . Now, personally, I can’t remember a time when things DID go smoothly. It always seems that something is cropping up and disturbing the day. Stress from home. Stress from work. The kids. Traffic. And then . . . once again, you are in panic . . . → Read More: Using Xanax and Klonopin–is that safe???

Who holds the pills???

I still have a few connections at one of the local psych hospitals in my area, so I hear from time to time complaints and concerns from “the inside”. One of the big questions that comes up is why kids have access to their medicine and, oftentimes, are given complete control of their medicine. This . . . → Read More: Who holds the pills???

Tapering antidepressants . . . more art than science

I get numerous inquiries about how to stop antidepressants. I get the impression that most people want to stop on their own, and not in collaboration with their psychiatrist. As always, I recommend that you change medicine only after consultation with your doctor. If you don’t feel like your doctor will listen to you, then . . . → Read More: Tapering antidepressants . . . more art than science