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Clinical Pearls

Dr. Hedaya (along with 3 other clinicians) was asked by the Institute for Functional Medicine to spend 15 minutes talking about what he thinks is the most important clinically relevant advice he can offer. You will likely be surprised.

Little Known 12-Step Resource Helps Patients

In my years of practice I know one thing for certain: patients who have outside support heal faster, improve their interpersonal relationships, and are more productive in their lives. Sometimes that support comes from family, a spouse, or loved one. Sometimes from a psychotherapist or a coach.  I want to give a shout out to a […]

Why do antidepressants?

One reason they fail has to do with about the role of some specific ingredients necessary for neuronal function. The first ingredient is L-tryptophan.  A person who is taking an antidepressant medication has to have a healthy balanced diet. Key issue: He or she has to get enough protein in their diet.  Most depressed people […]

Is This Really Bipolar Disorder?

Is This Really Bipolar Disorder? 18-year-old female freshman in 2012 who presents with rapid cycling bipolar type 1, suicidal at times, insomnia, exhaustion, insomnia, memory issues, tremor, PMS. Atypical presentation: visual and auditory hallucinations/illusions, depersonalization, synthesia; responds well to benzos. Medication failure: Lithium, Lamictal, Seroquel, Xanax, BCP. Chronic sinusitis, ETOH seizures-TLE-like, cataplexy/REM Latency. Diet: High […]

Precision Medicine applied to Psychiatry

Samantha, a 14-year old girl, was brought to my office by her mother. When I first saw her, she was withdrawn, barely made eye contact, and had her headphones in even as she was answering my questions. She was depressed, had been diagnosed with ADD, and an anxiety disorder, but her mother did not want […]