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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  Comments are closed  ADHD, bipolar disorder, FDA, medical illness, medication, medication side-effects, mood stabilizers, stimulants  ADHD, bipolar disorder, chronic fatigue, ekg, FDA, Hartman, heart attack, medication, medication side-effects, mood stabilizers, philadelphia psychiatrist, provigil, psychiatric medication, side effects, sleep disorder, stimulants, Vyvanse 1-20-09 . . . How long has THIS date been etched into your mind. The last few years have been so difficult and so controversial for so much of the world, that the impending arrival of this date was like the approaching finishing line . . . can’t wait to get there . . . . . . → Read More: A Day of Great Significance . . . Not Just For The World Comments are closed relationships Hartman, January 20 2009, Philadelphia, philadelphia psychiatrist, relationships, Thanksgiving I am a 27-year-old female with an extensive psychiatric history. I have been on almost every type of medication except tricyclics and stimulants. I am diagnosed with Bipolar I and Borderline Personality Disorder. Currently, I am seeing a new psychiatrist who is “pill-happy”. I feel like she doesn’t listen to me. Right now I am . . . → Read More: What is Causing What? . . . Multiple Factors Contributing To A New Mom's Woes One comment - (Comments are closed) antidepressants, anxiety, benzodiazepines, bipolar disorder, borderline personality disorder, depression, medication, medication side-effects, mood stabilizers, parenting, pregnancy, relationships antidepressants, anxiety, benzodiazepines, Bipolar, borderline personality disorder, depression, Effexor, Hartman, Klonopin, lamictal, liver, medication, medication side-effects, mood stabilizers, parenting, Philadelphia, philadelphia psychiatrist, psychiatric medication, side effects, stimulants, tremor, Xanax 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? 4 comments - (Comments are closed) ADHD, anger/irritability, antidepressants, antipsychotics, anxiety, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, stimulants adderall, ADHD, anger, bipolar disorder, concerta, Hartman, irritability, medication, mixed amphetamine salts, Panic Disorder, philadelphia psychiatrist, Ritalin LA, tolerance, Vyvanse 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??? 8 comments - (Comments are closed) anxiety, benzodiazepines, medication, medication side-effects, withdrawal symptoms addiction, benzodiazepines, Hartman, Klonopin, philadelphia psychiatrist, withdrawal 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 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 . . . 14 comments - (Comments are closed) antidepressants, anxiety, bipolar disorder, depression, medical illness, medication, relationships, stress management, therapy anxiety, crisis, depression, Hartman, philadelphia psychiatrist, suicidal thoughts, suicide, therapy Joelle writes in with a common question: I am on 600 mg of Lamictal and was prescribed this medication a year ago. My doctor increased my dose from 50mg slowly taking me to 600mg over a period of 4 months. It took this much to feel less suicidal and even balanced in my mind. Recently . . . → Read More: When is it time to go off the meds? One comment - (Comments are closed) antidepressants, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, relationships, Uncategorized, withdrawal symptoms Add new tag, bipolar disorder, depression, Hartman, lamictal, medication side-effects, philadelphia psychiatrist, power outage I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . . 5 comments - (Comments are closed) anger/irritability, antidepressants, antipsychotics, anxiety, bipolar disorder, depression, medication, medication side-effects, mood stabilizers, R+R, relationships, Uncategorized Abilify, Add new tag, bipolar disorder, Hartman, medicine, mental illness, OCD, philadelphia psychiatrist, psychiatric medicine, Trileptal 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? Comments are closed ADHD, FDA, medical illness, medication, medication side-effects, R+R, stimulants american heart association, ekg, Hartman, heart attack, philadelphia psychiatrist, stimulants, sudden unexplained death |
   
Dr. Daniel G. Hartman, aka The Sidewalk Psychiatrist, manages and works at The Philmont Guidance Center, just outside Philadelphia. Learn more about Philmont Guidance Center. |
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