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Current Questions:
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Adult attention deficit disorder |
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I know I have ADHD, but everyone has issues with my dosage.
Isn't every person's metabolism different? And is there a way to prove I need a higher dosage than I am being prescribed, since at the dose I am on, I can't remember how why I left the kitchen to go to the bedroom? |
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Is it possible to suffer from ADHD and substance abuse? What treatment is available for dual diagnosis? |
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Anorexia |
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Between the ages of 4 and 11, I suffered from epilepsy and had a lot of trouble with all of the medications the doctor put me on.
Could this predispose me to an eating disorder?
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I was "actively aneroxic" for about 2 years when I was in junior high/high school and once reached 85 lbs at 5'4". I did not seek treatment, but eventually stopped the behavior. Although my thought patterns remained the same, I have not actively restricted my food to the same degree, and am a healthy 120 lbs.
Now, however, perhaps due to some circumstances in my lfe, I find my thought patterns about my weight growing increasingly obsessive and harmful. Should I seek help at this point, even though I am not restricting my diet in harmful ways? |
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My husband was diagnosed with anorexia in high school; he is now 33. He now projects his eating disorder onto me and tries to control my eating habits.
He wants to stop, but we cannot find any resources out there to help us with this sort of "projected" anorexia. Can you please offer suggestions? |
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My mother is 65 and suffers from a lung disease. Over the past 6 months to a year, she has lost at least 30 - 40 lbs., and now weighs 108 lbs. at 5 feet 8 inches. She is very frail, and her lung disease is getting worse.
My mother constantly says she is not hungry, and blames her weight loss on her lung disease.
I have suspected for a while that this is an issue of control, since she typically typically eats 600-700 calories a day at most.
She is now hospitalized, and eats everything put in front of her. When asked why she is eating in the hospital, she will not answer. I think she is afraid the nurses and doctors will find she was starving herself if she does not eat in front of them.
I am terrified my mother will go back to not eating when she comes home.
Does my mother have anorexia? What should I do? |
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Anxiety |
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I believe I have gained weight due to a slowed metabolism and an increase in appetite, particularly a desire for carbs, caused by citalopram. Do you believe adding Wellbutrin would help with these side effects?
More generally, how can my psychiatrist treat my anxiety without causing weight gain?
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I have been taking Zoloft since July 2007. I am now up to 200 mgs, but still not do not have any relief from my anxiety or depression. Is it time to switch to another antidepressant? |
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My son is 23 and has a history of substance abuse, mostly opiates (oxycontin). He has been on buprenorphine for a year now and going to therapy.
He suffers from anxiety, which has gotten worse over the past few years. Sometimes he has panic attacks for no good reason, and he feels all the physical symptoms of chest pain, dizziness, and so on.
We discussed getting a good evaluation because the therapy does not seem like enough, yet he feels that with his history of substance abuse, no physician will want to prescribe medication. I hate to see him suffer with anxiety, and fear he may self-medicate in the future if not properly diagnosed and treated.
Is this where dual diagnosis comes in and who would be the best physician to see? |
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Attention deficit disorder |
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Do teenagers with ADD have a tendency to use alcohol excessively? And if so, should I tell my son this to prevent the use of alcohol? |
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Binge eating disorder |
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I am a 56-year old divorced mother, and my daughter went away to college last fall. A few weeks later, I lost my job, and have been only sporadically employed for almost a year.
I have had ongoing depression related to both of these losses, as well as insomnia and panic attacks. I have had a weight problem for most of my adult life, and recently have found myself eating continuously without feeling I have any control - to the point where I am full to the point of feeling sick. I recognize the symptoms, and am concerned that I am relapsing into binge eating, which I suffered from as a young woman.
Is this sort of relapse after many years common?
Are their treatment centers that will take my COBRA insurance? |
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Bipolar Disorder |
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I am a 53 year old woman with bipolar I disorder. Although I had my first episode at 15, I was not diagnosed until 7 years ago.
Over the last 7 years, I have been treated with all the available medications and protocols, but have found no lasting relief. My current doctor says he has nothing else to offer me and suggests I just wait until new medications become available.
I do not know if this is possible. I have attempted suicide in the past, and with no medications on board now, I am feeling really bad and hopeless.
Do you have any other suggestions besides just waiting?
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I have an ex-boyfriend whom I think has had schizophenia or bipolar disorder for the past 3 years. He's not himself. He hears things that only he can hear and sees things that only he see. He lost all his friends because he thinks his friends are all in on getting him.
He sees a doctor, but he's not on any medications. I think that's because he's not telling the doctor the whole story. I feel very bad for him and I feel sorry for his mother. Is there anything I can do to help? |
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I was evaluated by three different professionals. Two of them said I had bipolar II disorder and one said I had no signs of that illness. Due to the disagreement, a fourth professional diagnosed me based on the three previous assessments. This person never met me, so I am wondering whether his opinion can be accurate. Also, is it common practice for diagnoses to be made without examining the patient? |
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Is there any recommended method to minimize risk in multiple-time zone travel for bipolar patients?
I have spent a lifetime dreaming of overseas travel, only to now learn that it generally triggers bipolar episodes. Yet there must be many bipolar celebrities who cross multiple time zones safely. How do they do it safely? Or should I just resign myself to staying in the U.S.? |
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Brain imaging |
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Are the results from brain imaging helpful in diagnosing thought and/or brain disorders? |
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Why are pet scans performed on patients with mental illness if the results tend to be ambiguous? |
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Child and Adolescent |
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How would parenting styles be a focus of attention in the mental health setting? |
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My daughter, 17, had benign occipital epileptic fits at age 4, which stopped with Tegretol. Since her school days, she has been aggressive, even abusive. She also has episodes of weeping that suddenly change into silly laughter and euphoric mood. Mood stabilizers have no effect and when she was taken off risperidone, she became unmanageable.
What should we do? |
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Two weeks ago, my wife and I caught my daughter, 8, masturbating. We first have since found out that she has been doing this every day for the past month.
We interrogated her to try to find out where she learned how to do that, but she will not give us any answers. Should we not have interrogated her? What should we do? |
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Cognitive-behavioral therapy |
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I am a nontraditional student returning to college with diagnoses of depression, bipolar type II; ADHD; social phobia; and another anxiety disorder due to a trauma.
I know it is imperative that I tackle these challenges to meet my personal and academic goals, and I feel I would greatly benefit from CBT.
How should I approach finding someone familiar with helping people adjust to academic environments? |
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Depression |
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All of the articles I have read about the supplement SAM-e recommend the butanedisulfonate form.
However, all of the SAM-e supplements I have seen sold at retail do not use that form of SAM-e, but rather the 'tosylate form.'
Is the 'tosylate form' really better? Why?
Also, where can 'butanedisulfonate' SAM-e products be found? |
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Can a drug change who you are or how you feel about somebody? Specifically, does the use of SSRIs result in apathy and a lack of positive emotions, such as love?
I have taken Prozac for 15 years and I am now switching to Luvox for OCD and depression. I have felt "blah" for a long time and still do. Something I do not even know what I am feeling.
Is there a way to counteract my current state? I have heard about the possibility of adding Wellbutrin, but I am worried that doing so may increase my anxiety.
What do you advise? |
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Can I take Wellbutrin and Celexa together? In what way would doing so help me with my depression? |
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I am 25 years old and have suffered some form of depression and anxiety since I was ten. I have been in psychiatric care and taken many medications, but nothing seems to work. I have a constant headache on the left side of my head, and I am exhausted most of the day because of sleep disturbances. I have sleep paralysis at least once a month and feelings of deja vu before going to bed.
What kind of professional should I see? |
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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? |
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I had been suffering from depression for almost 10 years until 3 years ago, when I finally sought help.
I started taking Lexapro, which helped me enormously until the last 6 months, when I started again having the same black thoughts and heaviness that I had during the years of depression. Is it possible that my body got used to Lexapro and I should change the medication?
Also, would you consider this depression an episode that can go away, the same way that it came? I am very scared that the years of depression are coming back and I feel incapable to go again through this suffering.
Finally, should I seek additional help? |
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I have started taking Rhodiola and am feeling the benefits of it.
What is Rhodiola and why does it work?
More importantly, I have read that if you take this drug continually, you can lose its benefits, so it is best to stay on it for 6 weeks on, go off for 2 weeks, and repeat the cycle. Is this true? |
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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? |
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I recently started taking 30 mg of cymbalta. I have always taken extremely low doses of antidepressants because I am medication sensitive.
I am overwhelmingly tired on 30 mgs. and the doctor says I should go up to 60 mg. because the tiredness is depression. I do not feel depressed, I feel sedated.
I think I need a smaller dose, not a higher one. What do you think? |
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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? |
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I'm starting to fall into a depression again. What can I do? I had my mood under control for over ten years. |
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Sometimes I feel my depression is going to kill me. Does depression ever kill people who are not committing suicide? |
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What kind of help is available for chronic stress? I have suffered from this all my adult life, with no respite, for 45 years. |
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When I was depressed, my doctor prescribed bupropion for me. She is now thinking of adding zolpidem. Do these two medications go together?
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Dysthymia |
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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? |
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Family issues |
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My current girlfriend has some serious insecurity and jealousy issues. This causes anger and leads to physical and emotional abuse and my children are suffering from the fighting.
My girlfriend finally realized she had a problem and is going to examine whether it is hormonal, emotional, or chemical. I want to leave, but she wants me to solve this problem with her.
How effective are hormonal or drug therapy in such situations and how long does it take? |
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My oldest sister, 63, has claimed to know more than doctors for years and has dabbled in natural health remedies.
In the last few years, however, she has begun to seriously "diagnose" illnesses in others, usually less informed people who are needy, and some people are not taking prescribed medications, or are taking over the counter medication at a much higher dosage than recommended, at her instruction.
Why does she do this? |
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My son, who has always been pretty well-behaved, is acting out at school and refusing to sleep alone. I have been really down, too, and I do not know how to help him. What can I do? |
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GENERAL |
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Can Wellbutrin and zolpidem be taken at the same time? And what would cause my doctor to prescribe them together? |
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I have been told my friend, 14, has a personality disorder. She has trouble keeping relationships because she constantly makes up stories and rumors about people, often of a sexual nature, and she sometimes seems to believe her imagination.
I feel sorry for her because she has a lot of trouble in her family life.
Is there anything I can do to help her without getting harmed? How would I go about getting professional help for her? |
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My 42 year old wife of 21 years, with two teenage daughers, was recently arrested and charged with having sexual relations with a 15 year old student at the school that she worked.
Why/how this could this have happened from a psychological standpoint?
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My daughter, 17, wants to stop therapy now that things are going OK. What can I do?
She is being treated for depression with 20 mgs Prozac. She also has an eating disorder, and is using marijuana. |
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HIV |
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Am I being a hypochondriac? A homeless man shook my hand a couple days ago because I gave him some money. Afterwards, I got scared because the day before, I got a superficial cut about a quarter of an inch long on my index finger. I didn’t see any wounds on the man or fluids on my hand, but I think the man was a drug user, perhaps because of his teeth and the burn scars on his hand. I got home 15 minutes later and washed my hands with peroxide and alcohol, worried that I might be at risk for HIV. If this man was HIV+, what are the chances that I am now HIV+? |
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How widespread is the strategy of, "Let's get tested together before we have sex, for a variety of STDs"?
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I am HIV-negative and starting to date someone who is HIV-positive. I would like to pursue a relationship with him, but only if I can be 100% safe 100% of the time. Is this possible? If not, should I break things off? |
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I have recently received oral sex from my girlfriend, who has been sleeping around about 2 to 3 times a week. All we did was oral sex without a condom.
Am I at risk of getting HIV? Should I be tested? |
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Last month, I had sex with a woman. After about 10 minutes of intercourse, she took the condom off, performed oral sex for about a minute, and put the used condom on inside out. I think her vaginal fluids must have been on the condom and now I am scared that if her vaginal fluids contained HIV, I could have been infected.
How likely is that?
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Last week, when I was drunk, I had my first, and very unexpected, sexual experience with a male friend. We did not use protection. Should I get tested for HIV? And where do I go from here? I am in love with my wife and cannot imagine telling her what happened or suggesting we use condoms when she is on the pill.
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My brother recently told me that he is HIV positive. He found out in January and his doctors told him that he won't be put on medication now and that he should try to maintain a healthy immune system by exercising and eating dark greens. My brother, however, also suffers from depression, but he is medicated. Unfortunately I don't think his medication is working and on some days he can sleep as much as 18 hours in a day. Could his depression affect his immune system and speed up the progression of the virus? |
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Law and psychiatry |
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My therapist is permanently leaving town and will not give me the notes she took during our sessions because, she says, they belong to the hospital in which I saw her.
Who owns the psychotherapy records that a patient's pscyhiatrist takes in a hospital setting? |
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Light therapy, depression and sleep |
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I use a light therapy box for treatment of SAD, and also to adjust my circadian rhythm, as I have trouble waking up at the appropriate time.
Is it important to use the box at the same time on weekends as on work days? Also, if I miss a session, should I use the light therapy box in the afternoon, or just wait until the next morning? |
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Is blue light therapy is as effective as 10,000 lux white light in the treatment of depression?
Also, are there any commercial products that you could recommend? |
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Lyme Disease |
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What is the best way to treat a patient with Lyme disease and MS? |
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Medication |
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After my mother had a stroke, she was given an antidepressant as a sleeping pill. I think it started with "tr."
Can you tell me what it might have been and why an antidepressant might be prescribed for insomnia?
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Medication side effects and toxicity |
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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? |
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Memory Disorders |
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What medical problems cause memory disorders? And how do they do that? |
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Negative air ion therapy for depression |
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Would a humidifier improve the effects of a negative air ionizer for the treatment of depression? If so, how? |
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Post-traumatic stress disorder |
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I am the partner of a person with PTSD. What can I do to express my feelings about the stress my partner's symptoms are causing in our relationship but still be supportive and loving?
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I began dating a veteran of Afghanistan about three weeks after his return. About two months into our relationship, my otherwise affectionate, attentive partner has begun to exhibit symptoms and believe that I am the cause of all our problems.
When I tell him I need reassurance about our relationship, he gets angry and avoids the topic entirely.
I am willing to stand by him through this, but I do not know how to communicate my own concerns. |
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Pregnancy, childbirth, and postpartum issues |
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I am a therapist for families that are so dysfunctional that Child and Family Services has intervened on behalf of the children’s welfare.
Recently I saw a woman, 31, with an eleventh child is due in September. Several of her children have been removed from her care; those in her custody are habitual juvenile offenders. She has been charged with child abuse more than once, and is now incarcerated after being charged with torture and willful abuse of a child under the age of 18.
Is some emotional need being met through these pregnancies or by “being pregnant”?
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Psychoanalysis |
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I am 18 year old boy from the Georgian Republic. Since the death of my closest friend six months ago, I have been suffering from terrible and obsessive thoughts and phobias about death, suicide, cardiac attack, and so on. I also have dizziness, heart palpitations, insomnia, chest pain, sweating, chronic fatigue, and body tension.
A neurologist told me to take Valium and Lexotan, and thanks to this treatment, I am feeling better, but I atill have psychological problems: I do not know what to do, I have lost my self-confidence, and I have compulsive ideas.
I never drink, use drugs, or smoke, and none of my family members have mental disorders.
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What is happening in my mind and is it treatable? |
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I have had an attraction to leather, particularly women in leather, ever since I can remember. I would call it a fetish or perhaps a fantasy, but it is not S&M and does not drive my life. Is this normal? Were does something like this come from? |
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Psychopharmacology |
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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? |
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Schizophrenia |
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Are there any treatments that help cognition in schizophrenia? |
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Are there new therapies for a boy, age 22, with schizophrenia? |
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Because of weight gain, blood samples can no longer be taken to ensure the safe use of clozapine for the mental health of my son. What can be done for him, as clozapine appears to be the only medication that works for him? |
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How effective are blood tests in "catching" the serious side effects of Clozaril, such as agranulocytosis?
How often does stopping the clozaril result in reversing the side effects that were caused by Clozaril?
Is agranulocytosis the only thing that the blood tests screen for? |
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How would you treat someone who has both schizophrenia and Parkinson's disease? Would treating the schizophrenia worsen the Parkinson's and vice versa? |
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I am a seventeen-year old boy who has been smoking marijuna weekly for 4-5 months. I recently became aware that I have many symptoms of thought disorder, such as distractability, tangentiality, illogicality, neologisms, persistent repetition of words, and echolalia. Do I have schizophrenia? |
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I have read about computer programs that may help schizophrenia by improving neuroplasticity. Can these be helpful, and if so which aspects of schizophrenia are helped? |
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Is there a test for schizophrenia? Also, if someone does have schizophrenia, how can you predict how serious the disorder will be and how it will progress? |
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My 22-year old son is suffering from schizophrenia. He has taken Abilify for a month and Klonopin for a year and a half. He is now in the hospital and is being treated for immune thrombocytopenic purpura (ITP). Could these medications have weakened his immune system and caused this disease? |
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My adult son has had schizophrenia since he was a teenager. Currently, he is taking 175 mgs of clozapine a day and is happy on it. Before he took this dose of clozapine, he was on a larger dose of Clozaril and had side effects.
Are these medications the same? And are they FDA-approved?
Also, how could I find out more about these medications? |
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My brother told me recently he heard 4 or 5 people continuously talking in his head and that people at work were after him. A psychiatrist gave him zypine MD and olanzepine, and these symptoms disappeared after a week but reappeared when he stopped taking his medications.
What are these medications and are they appropriate?
Also, how can I help my brother become normal? I am in the Unites States and he is in India.
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My daughter's father has schizophrenia. My daughter has a speech delay, poor eye contact, and so on. Should she have an evaluation? And is there anything we can do to ward off the illness? |
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My son is in the prodromal phase of schizophrenia. Several psychiatrists have suggested that Clozaril is the best drug to treat schizophrenia even though there is a 1% to 2% chance of agranulocytosis, and thus drawing blood to check for this potential problem is neccessary.
I've done quite a bit of research and it does seem that Clozaril can be more effective. Why is this drug not used more in the U.S.? |
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My son, 32, has disorganized schizophrenia, but his complex denial leads him to believe he has a spiritual maturity problem. He will often, but not always, answer even basic questions, such as, "What is your address? Name? Phone number? Date of birth?" with "I do not know" or "I do not remember."
Is this paranoia, an attention problem, difficulty in the speed of processing thoughts, some form of learned helplessness, or something else? And what is best strategy for dealing with it? |
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My son, now 29, has schizophrenia and hears voices. He has been on antipsychotics for two years, and this has caused him to gain a lot of weight. He has also developed a slight stutter and a type of locked mouth that he has to open with his fingers.
How can he get rid of these side effects? |
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My step-daughter, 21, cannot acknowledge she has schizophrenia. How can I obtain help for her when she does not recognize that she is ill? Is there anything I can do to facilitate her awareness of her disorder? |
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What is my last hope for getting help for my 47 year old son? He has refused all contact with me for five years because I tried to get him to a doctor for evaluation. He is a binge drinker, and a coke user, and he has many delusions (that he gets messages from the TV, that he wrote an entire season of "The Sopranos," that various entertainment personalities visit his house when no one else is home, and on and on).
He holds a master''''s degree in business and was an investment banker until he just fell apart.
What can I do? |
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What is the deficit syndrome of schizophrenia and what is the best pharmacological
treatment for the primary negative symptoms for people with this condition? |
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Why do patients hospitalized for schizophrenia have to wait 6 - 7 weeks before a Treatment Over Objection hearing can be scheduled and how can we change legislation to alleviate the suffering caused by prolonged and untreated psychosis?
Family members suffer terribly to see their loved ones endure frightening hallucinations while waiting for a slow-moving legal system to allow necessary medications to be given. |
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Suicide |
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I raised my daughter, 20, and, as a single parent, tried to do the best I could with her education. She dropped out of high school, recently took the GED, and found out yesterday that she failed 3 subjects. She now states how she feels like a failure and wants to harm to herself.
I told her I would take her to get whatever help she needed.
Please advise. |
Recent Questions:
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Adult attention deficit disorder |
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What characteristics do you look for in determining if a man in his late 50s has ADD if he has been diagnosed and treated with Zoloft for depression for 10 years and also carries hepatitis C with a low viral count?
Also can these three diagosis be intertwined with dementia or Alzheimer's disease? |
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Anorexia |
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I've had anorexia for 8 months now. I'm 5 ft. 6 in. tall and weigh 75 lbs. I've been given an eating plan by my therapist which I'm trying to stick to, but I've started taking diet pills because I don't want to put on weight. Can this do harm to my body and could I stop seeing my doctor if I wanted to or can you be forced to see the doctor? |
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Anxiety |
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How do mood and anxiety disorders increase the risks of dementia? |
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My daughter has been diagnosed with anxiety. She is 16. She is presently not attending school. She is able to go out with friends and sometimes go places with our family. She stays in bed until 1 or 2 in the afternoon. I feel her biological clock is messed up.
She had trouble leaving the house when she was 9, she did go to school only. Then again in 7th grade she stopped going to school at the end of the year and returned to school in January of 10th grade. She was great. She had a 3.8 average all of freshman year and she was weaned off prozac . Last Feb when she got onto 10 mg Prozac she couldn't go places, because she was anxious again. She tried to go to school but could not. As they increased the Prozac again, nothing worked and at 40 mg, she became manic.
Now she is on Effexor, and seems good but cannot get back to school. She has home instruction but there are days she won't get out of bed and doesn't know why. Some days she can't go, and I think it is because she didn't understand an assignment. Other days I think OCD thoughts keep her in bed.
How do we help with her biological clock? Should we use melatonin? Should she be reevaluated? She wants to go to school but doesn't know why she doesn't go.
Right now we need a therapist too her txpist is moving. Do you think she needs to go to a hospiatl for intensive therapy? She isn't suicidal , she does not use drugs or alcohol. This is a puzle and we need guidance. Thank you. |
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Bipolar Disorder |
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Are any studies being conducted to determine the effectiveness of Omega Fish Oil as a mood stabilizer? I understand a study never replicated and performed some six years ago found it was somewhat effective.How can a substance with no significant market prospects be given a decent hearing? |
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Does depression in teen years indicate a strong possibility of bipolar disorder later in life? |
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Has any information been published on the co-occurrence of Type 1 diabetes and Bipolar Disorder? |
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Have you encountered any instances where the Omega 3 fatty acids, had an adverse affect on the patient? I ask because it was prescribed to me with my regular medications, and it made me worse in the area of anger, (rather rage). |
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Is it possible in all intances to clearly
distiguish between bipolar disorder and
schizophrenia ? Thanks |
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Is TMS (transcranial magnetic stimulation) effective for seasonal depression or Bipolar II disorder? |
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My sister-in-law, 48, has serious, chronic mental illness and lives in a transitional home for psychiatric patients. Recently, she was sent to the ICU because of toxic levels of lithium in her system. How can this crisis occur in a transitional home? |
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What exactly is "bipolar disorder" and how does it differ from depression? |
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What signs should parents look for in terms of a child with possible bipolar condition? Obviously the mood swings, but what specific day-to-day activities or behavior of a young child or adolescent provide warning signs for parents? |
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Borderline personality disorder |
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My daughter is 23 years old and has been diagnosed with borderline personality disorder. Another psychiatrist has diagnosed her with bipolar.
Regardless, she has had two suicide attempts, been on every medication and combination known to her doctor, and is now going through ECT for the second time. Nothing seems to help.
Are there any other treatments or facilities that can help her with the depression, anxiety, weight gain, severe head aches, etc? |
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Child and Adolescent |
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My 16-year old daughter can be fine and then suddenly get upset for anywhere between 5 minutes to an hour before returning to normal. She also gained 18 pounds in 2 months, perhaps because a holistic doctor prescribed 2,400 – 3,6000 mgs of fish oil daily for mood swings. Are her moods and weigh gain related to hormones or her refusal to eat enough protein or something else? Is there a blood test or hormone test that you would recommend? |
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What is the pathology behind an intense fear of death as a child? |
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Will a child's perception of his or her parents' marriage and of family life affect his or her susceptibility to depression in adult life? |
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Circadian rhythms and clinical chronobiology |
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What exactly is "chronobiology"? |
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Cognitive-behavioral therapy |
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What is cognitive behavioral therapy and how would I go about finding someone who conducts it? |
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Combining medication and psychotherapy |
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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? |
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Depression |
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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. |
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Are there any antidepressants that do not increase sweating or are there medications that can be taken to reduce the sweating?
|
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Are there indirect effects of infection that can cause depression? |
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Can anti-depressants have negative (biological or genetic) side-effects on my future children (especially when taken by a male)?
|
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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. |
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Can you tell me about TMS and where this treatment is offered in the United States or Canada? |
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Do infectious diseases cause depression? |
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Do the rates of depression vary among different ethnic groups? |
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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? |
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How can you be certain that the person is not just in a normal state of depression and not clinically depressed? |
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How do childhood relationships and experiences affect the likelihood of being depressed in adult life? |
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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? |
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How does depression affect someone's physical health and well-being? |
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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? |
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How is depression different from sadness? |
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How many Americans suffer from chronic depression? |
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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? |
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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. |
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I would like to boost my self confidence and be more bold. Can a Psychiatrist help me? |
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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? |
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If someone has a first serious depressive episode, how likely is it that they will have another depressive episode in their life? |
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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. |
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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? |
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Is there a connection between anger and depression? |
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I've read about SPECT tests used in the diagnosis of depression, besides the mental examination of course. How reliable are they? Why aren’t 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? |
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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 ? |
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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. |
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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. |
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What are the most common symptoms of depression?
|
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What is a depressing reality? |
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What is depression? |
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What is most misunderstood about depression? |
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What is the differance between celexa and wellbutrin sr?? Is one better for depression than the other one? |
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What kind of therapy is best for depression? |
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Why do people get depressed? |
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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? |
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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. |
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Would you say the causes of depression are mostly genetic, societal or environmental? |
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Dysthymia |
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"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."
|
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How is dysthymic disorder different from normal sadness or unhappiness? |
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How is dysthymic disorder different from other types of depression? |
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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? |
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What are the main symptoms of dysthymic disorder? |
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What is dysthymic disorder and how is it diagnosed? |
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What is going on in the brain of someone who is dysthymic? |
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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? |
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Eating Disorders |
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A female friend, who is 5' 2 "tall and weighed 103 pounds, has lost 20 pounds over 2 years. Her main complaint is burning in her GI tract. She believes it is reflux and gastritis, and her GI doctors call it visceral hypersensitivity.
This burning and a lack of response to traditional GI therapies have thrown her into a deep depression, acute anxiety and insomnia. She is afraid to eat because of the subsequent burning.
Nothing has worked for her. Is this an eating disorder? How do you get someone to eat if they are so afraid of pain from eating? |
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Do antidepressants work in the treatment of Anorexia? |
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I am a runner and was told that my stress fracture may mean I have an eating disorder. Could this be true? |
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I have been suffering from depression and an eating disorder for a couple of years. Although, I have been in treatment for the eating disorder and have made some progress, the depression is still debilitating and feels endless. Some professionals have told me that anti-depressants are not effective if you are at a low weight.
Has this been studied and do you believe it to be true? At what BMI do anti-depressants work effectively? |
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I think my friend might have an eating disorder, she has lost a lot of weight over the last few months. She is 5ft. 7in. and weighs approximately 8st. I've noticed she only eats in the evening {crisps, nuts or fitness bars}. What can i do to help her? |
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I'm 5ft 7ins tall and weigh 8stone. This isn't too underweight is it? I eat {evenings only} crisps or nuts. |
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Electroconvulsive treatment (ECT) |
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Can someone with treatment refractory depression who also has a mild learning disability try ect or could it make the learning disability worse? |
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I was told by a psychiatrist that the new theory about ECT is that it "basically fries the brain". Is this accurate? |
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If somebody has epilepsy, is it still possible to have ECT when all other treatments have failed for depression? |
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Ethics |
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I was severely abused sexually, emotionally, and physically by my first husband. Later, as a graduate student in counseling field, I had sex with my therapist when the physical attraction between us became overwhelming. I divorced my third husband while in therapy but now the therapist has told me I need to "move on" with my life and he is not interested in a relationship with me. My old feelings of being used and violated are resurfacing and I am having trouble sleeping, eating, or functioning. I also fantasize that my therapist is really in love with me and has moved people into my neighborhood and my job to watch over me and help me. I know I need help but there is only one psychiatrist in my town and there is a four-month waiting list to get an appointment. How can I feel normal again? Also, I don't know how many other women this therapist has done this to. How can I prevent him from hurting someone else? |
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My wife’s psychiatrist treated her in an unprofessional and deplorable manner. What can I do? |
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GENERAL |
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Can depression cause problems with language? |
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how do i tell if i am depressed or have depression? |
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My brother, age 39, was admitted to the hospital because he had delusions and paranoia. The physician there said she would increase his dose of an antipsychotic drug called risperidone. What is this drug and what is it normally used for? What are its benefits and drawbacks, including side effects? How can my parents and I find out my brother’s prognosis? |
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What is cognitive remediation and for whom is it helpful? |
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What is the difference between a behavioral neurologist and a psychiatrist? |
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Geriatric depression |
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For people over 60, how can depression be prevented? |
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HIV |
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I am faithful to my husband, but I think that he is cheating on me and I am worried about getting HIV or another STD from him. I would like to start using condoms with him, but don’t know how since I am on the birth control pill and we have never used condoms before. |
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I have a busy medical practice that includes quite a number of people who have HIV or who are at risk of HIV. Yet none of them ever brings up the issue of sexual risk behavior and what they can do to stay safe. How can I raise the issue with them? |
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It seems to me that teenagers living in cities have plenty of access to solid information about HIV/AIDS and other issues of sexuality, but what about those living in suburban and rural areas? What particular concerns do they have, and how can they be reached? |
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Law and psychiatry |
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I was recently diagnosed with a medical condition that for the past few years has been misdiagnosed as a treatment refractory psychiatric condition. What sort of compensation am I entitled to from the psychiatric community? |
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Is it appropriate to sue your psychiatrist if he overlooks a medical reason for your psychiatric condition which is later found out? |
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Light therapy, depression and sleep |
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Are light visors effective in treating SAD? I have found one that emits 2500 lux. Is this light output strong enough to counteract SAD? |
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Does seasonal affective disorder subside in more temperate climates? |
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I have had insomnia for 2.5 years now, taking several medications. Have you studied if light therapy can be helpful to insomnia sufferers? |
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I have heard that dawn simulators can achieve the same results as light therapy in the treatment of S.A.D. Is this true? If so, are there any specifications regarding the type of dawn simulator? |
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I haven’t heard of negative air ionization therapy before. What is it? |
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I was just wondering what your studies have shown on the application and effectiveness of broad vs. full spectrum light box sources for bright light therapy solutions. From what I have read, it looks like full spectrum might be the way to go as long as the light source is radiation sheilded and grounded. What do you think? |
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I work in a cubicle with 6-foot high panels, so I don't get any natural light during the day. I have just started using a 10,000 lux light box upon waking. Would it be helpful to also use a desk lamp version of the light box for a short period of time while I am at work? |
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In the answer to another question you distinguished between full-spectrum and broad-spectrum ligths. What is the difference, and what kinds of lights produce each? |
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Is halogen light (provided any UV is filtered out and one can stand the heat) an alternative light generating method for light therapy? |
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Is it possible that working in an office (for between 3-7 hours at a time) with no natural light at all, and fluorescent tubes that are not designated "full spectrum light" might cause continual depression similar to SAD? |
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What exactly is Light Deprivation? I live in Illinois and around this time every year I feel "blue", not depressed per say, just kind of "blue".
I find that if I visit a tanning salon, maybe once a week, it does seem to help. But I would like a clear definition, and is tanning really helping? |
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Wouldn’t more outside light benefit me as much as a light box could? |
| |
Lyme Disease |
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How does one distinguish between multiple sclerosis and neurologic Lyme Disease? |
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On a SPECT Scan I recently had it showed moderately, severe global, cortical hypoperfusion with heterogeneity.
The pattern is consistent with encephalitis or vasculitis such as an infection eg. Lyme disease. I have been on Augmentin 1500mgs. a day since September.
What does this mean? Should antibiotic be changed? |
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|
What is the treatment for lyme disease? |
| |
Medical illness and psychiatric disorders |
| |
|
Are there doctors who specialize in medical illnesses that cause worsening of psychiatric disorders? |
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Can you tell me if there is a causative link between schizophrenia and primary generalized epilepsy or between chlozaril and epileptic seizures? |
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Having a mental illness makes one more likely to have a medical condition. This is due to numerous reasons, genetics, stress, medications, and probably because medical conditions are frequently overlooked when your mentally ill. This needs to change!
Are there advocacy groups that fight for thorough medical workups for all of the mentally ill? Psychiatrists need to instead of just focusing on trying to find the perfect cocktail of medications for their patients, or delving into strange psychobabble ideology; incorporate other fields of medicine into their treatment regiment; especially, when previous treatments have proven to be unsuccessful.
Psychiatrist should be well rounded physicians especially in fields that can effect mental health like neurology, infectious disease, gastroenterology, cardiology, etc. The treatment of the mentally ill needs to change. |
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There are so many medical conditions that can superficially manifest themselves as psychiatric conditions. Isn't it about time that psychiatry treat not just the symptoms but become well versed in figuring out the possible physical reasons? |
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|
What causes a person to complain and be preoccupied with minor illnesses such as nausea? How should the caretaker respond? |
| |
Medication |
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|
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? |
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|
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. |
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|
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? |
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Medication side effects and toxicity |
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|
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? |
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Obsessive-compulsive disorder |
| |
|
Can OCD affect cognition?
|
| |
|
How important is motivation in overcoming OCD? If a person realizes she has a major problem with OCD and would like to be as she was "before," but is not able to stop doing the cleaning rituals, would cognitive-behavioral therapy help? |
| |
Psychoanalysis |
| |
|
Is examining the childhood and early family history beneficial in therapy?
If so, why. |
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|
Is psychoanalysis a religion, a philosophy, or a science? |
| |
|
Why is pschoanalysis still practiced when it is clinically proven to be less effectice than other forms of therapy?
|
| |
Schizophrenia |
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|
Can chronic stress cause schizophrenia? |
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Doctors have given conflicting diagnosis for my brother's mental illness. Some say schizophrenia and others only acute depression. He is currently on treatment for depression.
Is there any definitive test for schizophrenia? We have heard about MRI tests - none have been done on my brother so far. Thank you. |
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|
I've read that new research has shown marijuana use can cause schizophrenia in people with a predisposition for this brain disorder. The subtype, disorganized schizophrenia, especially. Why is this? |
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My Ex has schizophrenia. My daughter is 3 years old, but she is showing early signs of the illness, i.e. delayed speech, flat affect, lack of eye contact. Who can help?
|
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My husband has schizophrenia but refuses to take his medication. He is deteriorating and is crying out for help. What can I do to help?
|
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My mother was diagnosed with Schizophrenia at a very young age and has suffered from the condition for over 40 years.
I am 19 years old and seeing gradual changes in my behavior patterns. These changes could be due to growth or hormonal changes given my age, however, given my inherited traits this could be cause for concern.
Am I at a great risk for developing Schizophrenia?
What can I do now to prevent/inhibit onset? |
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|
My son is 17 years old and has been on Abilify for a while. Two months ago, his psychiatrist added Risperdal, but my son's symptoms did not improved significantly and he still shows sign of occasional aggression and violence. His psychiatrist is thinking of switching him to Clozaril. What are the pros and cons of Clozaril? Are there any alternatives to Clozaril? |
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|
What specific treatment options are available for eliminating or minimizing referential thinking in patients with schizoaffective disorder? |
| |
Self-injury |
| |
|
If my friend cuts herself and puts out cigarettes on herself, what can I do for her? What treament options does she have from professionals? And what causes this? |
| |
Sexual dysfunction |
| |
|
Is gender identity disorder treatable? After treatment, will a person who suffers from this disorder ever be able to live a normal life, like someone else who doesn't have this disorder?
I have gone through the APA website, and it clearly states : "Nothing can change sexual orientation." This implies that it is inborn and remains as it is till death. Is this true?
Other websites/organizations claim treatment is available to change sexual orientation - I am terribly confused!!!
It would be great if you can throw some light into this very important and serious problem in my life! |
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|
Are any antidepressants more (or less) likely to cause sexual side effects?
|
| |
|
Are some people at higher risk of getting sexual side effects from
antidepressant treatment? |
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|
Are the sexual side effects of antidepressant medications reversible? |
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|
How can you tell if it is the antidepressant medicine causing sexual side effects? Or whether it is the depression? |
| |
|
How often do sexual side effects of antidepressant treatment occur? |
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|
I would like to know the answer to the question I have been asking many and have been receiving contradictory replies:
"Is Gender Identity Disorder treatable?" After taking enough treatment, will a person who suffers from this disorder ever be able to live a normal life, just like someone else who doesn't suffer from this disorder?
The APA website clearly states : "nothing can change sexual orientation." Is this true? Other websites/organizations claim treatment is available in many countries to change sexual orientation - I am terribly confused!!!
It would be great if you can throw some light into this very important and serious problem in my life! |
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|
If sexual side effects are common with SSRI treatment, why does the
PDR (Physicians Desk Reference) say that they are not common? |
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|
What are the most common sexual side effects of antidepressant (SSRI) medications?
|
| |
|
What can be done to help people
with sexual side effects from SSRI treatment? When should you get treatment?
|
| |
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What research has been done on sexual side-effects of antidepressant medications? |
| |
|
What research has been done on sexual side-effects of antidepressant medications? |
| |
|
When in antidepressant treatment do sexual side effects occur? |
| |
|
Why do SSRI antidepressants cause sexual side effects? |
| |
Smoking Cessation |
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|
I successfully quit smoking (decades-long habit) a full year ago; I have recently begun experiencing dreadful tastes with every breath I draw. I can best describe these tastes as "wet ashtray". Mouthwashes of various types, extreme brushing of teeth/tongue/reachable areas of throat do not help, nor does eating strong-flavored foods.
My medical doctor has never heard of this and offers no suggestions. Any insight you can offer would be much appreciated. |
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|
I was told by a psychiatrist once that smoking would help the kind of depression that I have. So, I tried to get rid of my depression by chain smoking. Instead of helping, my depression worsened and I developed a pulmonary condition. I guess he doesn't subscribe to the doctrine "above all else, cause no harm" . Do you think that psychiatrists should tell their patients not to smoke? Or do you think that there are certain psychiatric conditions that benifit from smoking and outway the major and likely risk of dying from lung cancer, stroke or heart disease? |
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|
Is it common for people who give up smoking to suffer increased depression or anxiety, over and above the physical cravings? I gave up five months ago, and after about a month became very depressed, and started suffering panic attacks.
This lasted about a month and gradually got better. But I've heard of this happening to other people, and it was suggested to me that it may be part of the rebalancing process of the various hormones that affect brain function. I had no other major stresses in my life when this happened, and was well over the physical craving stage of giving up, which really only lasts a few days. |
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|
What is smoking cessation? |
| |
Substance Abuse |
| |
|
Are there any medications to help me stop using cocaine? |
| |
|
Are there medications that can help me stop drinking and not go back to the bottle? |
| |
|
Does Columbia offer a one-day detoxification from heroin or prescription pain killers? |
| |
|
How do I decide whether to try an outpatient or inpatient alcohol detoxification? |
| |
|
How do I know if I need drug or alcohol detoxification? |
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|
If I drink a bottle of wine every night and want to stop drinking, do I need alcohol detoxification? |
| |
|
I'm addicted to Fioricet? How do I stop? |
| |
|
I've heard that buprenorphine is a new medication for heroin addiction. What is it and how does it work? |
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|
What is GHB? If I've been using it a lot, do I need to detoxify from it? |
| |
|
What is methadone maintenance? How does it work (if it does)? Isn't it just substituting one addiction for another? |
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|
|
Questions by Subject:
|
| |
|
Adult attention deficit disorder |
| |
|
Alzheimer's disease |
| |
|
Anorexia |
| |
|
Anxiety |
| |
|
Attention deficit disorder |
| |
|
Binge eating disorder |
| |
|
Bipolar Disorder |
| |
|
Borderline personality disorder |
| |
|
Brain imaging |
| |
|
Child and Adolescent |
| |
|
Circadian rhythms and clinical chronobiology |
| |
|
Cognitive-behavioral therapy |
| |
|
Combining medication and psychotherapy |
| |
|
Depression |
| |
|
Dysthymia |
| |
|
Eating Disorders |
| |
|
Electroconvulsive treatment (ECT) |
| |
|
Ethics |
| |
|
Family issues |
| |
|
GENERAL |
| |
|
Geriatric depression |
| |
|
HIV |
| |
|
Hospitalization |
| |
|
Law and psychiatry |
| |
|
Light therapy, depression and sleep |
| |
|
Lyme Disease |
| |
|
Medical illness and psychiatric disorders |
| |
|
Medication |
| |
|
Medication side effects and toxicity |
| |
|
Memory Disorders |
| |
|
Negative air ion therapy for depression |
| |
|
Obsessive-compulsive disorder |
| |
|
Personality disorders |
| |
|
Post-traumatic stress disorder |
| |
|
Pregnancy, childbirth, and postpartum issues |
| |
|
Psychoanalysis |
| |
|
Psychopharmacology |
| |
|
Psychotherapy |
| |
|
Schizophrenia |
| |
|
Self-injury |
| |
|
Sexual dysfunction |
| |
|
Smoking Cessation |
| |
|
Social phobia |
| |
|
Substance Abuse |
| |
|
Suicide |
| |
|
Transcranial magnetic stimulation (TMS) |
| |
|
|
