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Current Questions:

  Depression
  I am 63 and have had psychotherapy and taken the antidepressant imipramine for a long time. My psychiatrist thinks I have psychosomatic depression. What is that? And if my doctor adds additional medications to my regimen, will this cause restless leg syndrome?

  I know that my loneliness is a major cause of my depression, but the depression makes it much harder to reach out. Similarly, I know my unworkable job contributes to my depression, but I am in survival mode and can't organize myself well enough to change my situation. It seems like a vicious circle, and none of the innumerable medications I have tried over my 60 years has helped so far. How do I break out of the cycle?

  I retired from the New York City Fire Department and find myself obsessively buying and collecting guitars (I play), knives, rifles for target shooting, and magazines. I always buy too many of what ever it is I'm interested in at the time. I also dive head first into learning things to the point of being ridiculous.

Do I have obsessive-compulsive disorder or something else?

Also, I lost my son shortly after 9/11 in a car accident when he was 19. Would my behavior have anything to do with this loss?

  I'm starting to fall into a depression again. What can I do? I had my mood under control for over ten years.

  Sometimes I feel my depression is going to kill me. Does depression ever kill people who are not committing suicide?

  What kind of help is available for chronic stress? I have suffered from this all my adult life, with no respite, for 45 years.

  When I was depressed, my doctor prescribed bupropion for me. She is now thinking of adding zolpidem. Do these two medications go together?

  Dysthymia
  I am 46 and have been suffering from dysthmia for 16 years. I've tried lots of antidepressant--SSRIs, SNRIs, and tricyclics--and what happens is that after I try a new one, I feel better for about 3 months and then go back to feeling tired and depressed.

Is there any new medication or combination of medications that might help me?

  Medication side effects and toxicity
  My mother has been taking Ritalin for her adult ADD for more than 10 years. This afternoon it was found out that she just had a minor stroke and has evidence of possible prior strokes. Strokes do not run in the family, she is not elderly and has no history of heart disease.

My question is twofold. One, could it be possible that her diagnoses of ADD was really due to tiny strokes and not an illness in and of itself?

And two, could stimulant medication be making whatever neurovascular condition she has worse?

Her internist has stopped her Ritalin and doesn't want her to ever take it again. When will psychiatry do more than just treat the symptoms?

  Psychopharmacology
  I am getting off of my antidepressant (the SNRI Cymbalta) after being on SSRIs and SNRIs for over 10 years. I understand that even with tapering under a doctor's care (as I am doing) withdrawal can be difficult. Is that so?

Also, does being on an antidepressant permanently alter the ability of neurons to fire?

Recent Questions:

  Cognitive-behavioral therapy
  What is cognitive behavioral therapy and how would I go about finding someone who conducts it?

  Combining medication and psychotherapy
  After 2 months of treatment of depression, I m feeling improvement. I'm taking Paxil 40 mg (paroxetine) in morning and Risperdal 1 mg (risperidone) along with Klonopin 2 mg (clonazepam)at night.

This combo effectively reduced the symptoms of depression, but I'm not feeling enthusiastic and I want to elevate my mood.

I want to know whether bupropion or methylphenidate can help me feel enthusiastic or elevate my mood?

  Depression
  A nurse recently added 300 mg Wellbutrin XL to the 40 mg citalopram I am taking and said maybe I should take just the Wellbutrin in the future. Is it dangerous for me to take two antidepressants? I am female and 56 and also take Synthroid and 40 mg lisinopril.

  Are there any antidepressants that do not increase sweating or are there medications that can be taken to reduce the sweating?

  Are there indirect effects of infection that can cause depression?

  Can anti-depressants have negative (biological or genetic) side-effects on my future children (especially when taken by a male)?

  Can chronic depression lead to physical, not imaginary, symptoms? I have pain in my lower back spreading up to my spine, shoulder, neck and head and I am wondering whether these symptoms are related to my depression.

I went recently for many tests: cardio, Lyme disease, candida, thyroid, kidney, liver. They are negative but I still shake inside and have the pain described above.

  Can you tell me about TMS and where this treatment is offered in the United States or Canada?

  Do infectious diseases cause depression?

  Do the rates of depression vary among different ethnic groups?

  Given that most states of depression are not due to an underlying infection, could you tell us what clues tip you off that infection may be the cause in specific patients?

  How can you be certain that the person is not just in a normal state of depression and not clinically depressed?

  How do childhood relationships and experiences affect the likelihood of being depressed in adult life?

  How do you get a clinically depressed person to get the help that is needed? We know someone who has sat in a dark room for 2 weeks, lost his job and is in trouble. He is not eating or watching TV. Just sitting there. What can we do?

  How does depression affect someone's physical health and well-being?

  How does having a depressed parent affect a child? What can one do to help both the depressed parent and child? Does the kind of treatment the parents receive affect the child?

  How is depression different from sadness?

  How many Americans suffer from chronic depression?

  I am a young adult who suffers from depression and have been on cymbalta for more than two years. I feel happy, but I often have trouble articulating thoughts and words, and mid-sentence I'll freeze, and blank out.

Is this a side effect of my medication?
How can I exercise my mind and mouth to help prevent this situation?
Also, I drink a large quantity of diet soda daily. Is it eating away my brain?

  I had depression for about 40 years. I am 66 years old and started having symptoms around age 25.I have been on all types of antidepressant. They all work for awhile but then return. I'm about to give up.

I will not try electric shock treatment. Tried depakote and tried lithium, this did not agree with me. What can I do? Please help me.

  I would like to boost my self confidence and be more bold. Can a Psychiatrist help me?

  If somebody has a treatment refractory depression at a young age with cognitive deficits that go beyond what is normal for major depression is it appropriate to seek a thorough medical workup? If so, what tests should be done, and what specialists should be seen?

  If someone has a first serious depressive episode, how likely is it that they will have another depressive episode in their life?

  If someone has been seriously depressed all their lives and now has fibromyalgia, how do you get them to excerise and eat right when all they will do is sleep and eat? With fibromyalgia it is supposed to be important to exercise, but with depression they do not have the energy or the ability to do it.

  Is depression something that can go away without treatment, either medical or therapy, or do you have to get treatment in order to get over it?

  Is there a connection between anger and depression?

  I've read about SPECT tests used in the diagnosis of depression, besides the mental examination of course. How reliable are they? Why arenít they widely used yet? And how can I trust a diagnosis that is solely based on a conversation, no matter how long and/or extensive it is and even after ruling out other causes through a physical examination?

  My son attended a rehab center for substance abuse at the age of 14. He is now 16 and is involved with AA and is seeing a therapist. He has been sober for over 2 years. He is on celexa and wellbutrin. Although he has made progress, he is very unmotivated, not curious and flat in expression. His IQ is above normal. What can be done to help him live a more positive and active life ?

  My son will be 14yrs by April 2008. Since the last few months, he has had fears of death. He hates the word "TERRORIST" and is afraid of terrorism. He has the phobia that soon we will all die, and he will be left alone. Previously, he was a lively child surrounded with friends and was a fun loving boy. Now since the last 5-6 months, he prefers to be alone and likes to be in his room and does not want to mingle with any of his peer groups. On the other hand, he prefers to be with boys elder to him. He is not interested in studies anymore and is not participating in any sports or extra curricular activities.

I am genuinely worried about my son because now I find him totally a different individual. Please help me out.

  The girl with whom I had an affair with is getting married with my full consent, but I couldn't get her out of my mind. I'm depressed and we both work together. Will I be able to come out of this depression? I'm suffering for the past one month with mostly crying.

  What are the most common symptoms of depression?

  What is a depressing reality?

  What is depression?

  What is most misunderstood about depression?

  What is the differance between celexa and wellbutrin sr?? Is one better for depression than the other one?

  What kind of therapy is best for depression?

  Why do people get depressed?

  Why do people with severe depression often complain about having tremendous pain in many areas of their body, specifically head, stomach, esophagus and chest and what causes constipation if they're still eating, but in smaller amounts?

  Why would depression medication lower or obliterate reflux problems? My friend is reflux free now that she is on depression medication, and the change was immediate. She has had major reflux and excess acid problems for over 15 years and the last year had reflux problems even after drinking water. She's taken most of the reflux medications out there until the doctor pressed her to take depression medicine (the doctor felt she was depressed) my friend believes she was stressed not depressed.

  Would you say the causes of depression are mostly genetic, societal or environmental?

  Dysthymia
  "Do I have dysthymia? I read an article on dysthymia and started to think I might have this condition. I think most of my friends would describe me as a really nice, guy, easy-going, pretty social.

In general, I operate at a low energy level. Sometimes I feel like I totally lack emotion. My memory in general isn't great. It has probably been five years since I've woken up and really felt energized and ready to go.

I remember I used to have days like this--maybe six times a year--and really thinking it was strange that I felt so good. This was my first clue that I was maybe not feeling the way I should. When I was younger, in grade or middle school, I remember crying over simple things, and feeling lots of anxiety over performing in school.

Drugs are a big turn-off for me and the thought of talking about my feelings to a therapist isn't appealing at all to me. Any advice would be appreciated."

  How is dysthymic disorder different from normal sadness or unhappiness?

  How is dysthymic disorder different from other types of depression?

  I am a young woman who has had dysthymia for over ten years. I have tried medicines and therapy, but haven't gotten better. Do you have any suggestions on what to do next?

  What are the main symptoms of dysthymic disorder?

  What is dysthymic disorder and how is it diagnosed?

  What is going on in the brain of someone who is dysthymic?

  What medication or medications do you think have worked the best for patients with Dysthymia?

I have Dysthymia and I have tried about 10 different anti-depressants and have found that Effexor is the only thing that has helped somewhat.

Also Adderall helped me alot but my doctor that gave it to me retired and my new doctor refuses to give it to me. What are your thoughts on this?

Is Adderall a bad drug?

  Medication
  Could there be an underlining reason why someone might have adverse responses to antidepressant medications when prior to four years ago did not?

If what happens after taking antidepressants is this; immediate positive response that only last a day and then stops and starts to cause language difficulties,confusion and sometimes extreme fatigue,what could this possibly be from? If this person because of the strange and horrific response from medications is afraid to continue experimenting with medication should they be dubbed "non compliant" or is it more complicated than that?

What should be done to help this patient?

  I was taking Wellbutrin xl for 4 weeks and the doctor changed it for SR and generic. I will like to know the difference and if I shoud change them for the original. Tomorrow is my first day taking Wellbutrin. SR generic is a round big yellow tablet. Please can you help me? I'm afraid is not the same.

  My doctor wants to switch me from sertraline to paroxetine. What is the difference between them? And how can she tell in advance whether one medication will be more effective than another?

Also, are there any risks in switching medications, and if so, what are they?

  Medication side effects and toxicity
  My mother has taken Ritalin for adult ADD for over 10 years. This afternoon we found out she just had a minor stroke. There is evidence of possible prior strokes even though strokes do not run in the family, she is not elderly, and she has no history of heart disease. Could her ADD be due to tiny strokes? And could stimulant medication worsen whatever neurovascular condition she has? And could psychiatry do more than just treat the symptoms of her ADD?

     

Questions by Subject:

  Brain imaging
  Cognitive-behavioral therapy
  Combining medication and psychotherapy
  Depression
  Dysthymia
  Medication
  Medication side effects and toxicity
  Psychopharmacology
     

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