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

Against all odds . . . getting into the Christmas spirit

For all of you who do not celebrate Christmas . . . substitute your own holiday here. Regardless of where you live or who you associate with, this time of the year brings rituals of togetherness, reflection, thankfulness, giving, receiving and hope. The artificialness of this is annoying to many . . . perhaps most. . . . → Read More: Against all odds . . . getting into the Christmas spirit

Pollyanna waves the pom-poms

I have been accused of many things in my life . . . but none so on target as . . . (gulp) . . . an optimist . . .

YIKES . . . a rare breed, these days. What with the economic down turn, the violence in the world, the price of . . . → Read More: Pollyanna waves the pom-poms

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!

Alcohol and Klonopin . . . decision time

I have been putting this off for a while. I have a nice lady who lives in difficult circumstance. She has struggled with addictions most of her life, whether it is food, drugs, and now, alcohol. Both her circumstance and her biology lead her to be tremendously anxious, depressed and to have mood swings that . . . → Read More: Alcohol and Klonopin . . . decision time

Chronic suicidal thoughts . . . to be or not to be . . .

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 . . .

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???

Bipolar Disorder in Adolescents–The good doctor was WRONG

I put the following up because of how many important messages it sends to me, to patients and to parents . . .

I was a patient of yours 5-6 years ago when I was between the ages of 14-16. I was quickly diagnosed with bipolar disorder and prescribed pills (first depakote then, after . . . → Read More: Bipolar Disorder in Adolescents–The good doctor was WRONG

School Violence (Part I)–a plea to parents

I am the parent of a ninth grader. I have had two others go through our local high school. I am hoping my youngest will make it through alive. I’m asking for your help. For my child, and the children of all the other kids in the school. And the teachers. And the custodians. And . . . → Read More: School Violence (Part I)–a plea to parents