Picking Between the Least Worst Options

So great to stumble upon your blog. I am a single mom of an amazing 5 year old suffering from ADHD and Sensory issues who has tried every drug in the book. But, the side effects are grueling. With Vyvanse, although his symptoms practically disappeared, he developed severe speech dis-fluency. It was just torture for . . . → Read More: Picking Between the Least Worst Options

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

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

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!

Stop Whining About Your Wife and Start Getting Your Life Back

I’m depressed and I’ve had to work really hard at even getting my wife to acknowledge my condition. It has got better but yesterday we went to visit my aunty and uncle in the country. he has had long-term depression like me and it just amazed me how open they were in their house about . . . → Read More: Stop Whining About Your Wife and Start Getting Your Life Back

Measuring Success . . . "I think I'm a 5"

“So, Mrs. Kapsmanjacketter, on a scale of 1 to 10 with 10 being the most depressed you have ever been, how have you been feeling since our last visit . . . ”

And so, yet another rapid fire med check begins in the land of managed care. How many times have you, my devoted . . . → Read More: Measuring Success . . . "I think I'm a 5"

Tapering off Celexa (or any antidepressant) when you get pregnant

Please can you tell me how to alleviate Citalopram withdrawel? I need to reduce asap as I’m pregnant but doctor says just redude by 10mg every other day whereas Pharmacist says it’s not good to take during preganancy, So I want to stop taking it….any help appreciated.

So much controversy exists over the use of . . . → Read More: Tapering off Celexa (or any antidepressant) when you get pregnant

Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Now . . . don’t get me wrong . . . I am a big fan of Abilify. Even if their over the top marketing binge is so financially disgusting to me that I want to reflexively run screaming into the night. I mean, really, how many prime time advertisements for this product do . . . → Read More: Ak-ak-ak-ak-akathesia . . .the trouble with Abilify