fbpx
We now offer Telemedicine Visits

Postpartum Depression A Clinical Illustration: “Nancy”

Looks Almost Like Psychosis Nancy is a 39-year-old married, employed mother of one very precocious three-year-old girl. She had been in psychotherapy for seven years when she was referred for evaluation of her mood disturbances. As it turns out, Nancy had had severe postpartum depression (almost to the point of psychosis), which was never evaluated […]

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 glycemic index. After treatment: 13 […]

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 When I first saw her, she was withdrawn, barely made eye contact, and had her headphones in even as she was answering my questions.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 […]

Medication Burn Out Assumed – Brody

19 Year Old with Depression and Panic Attacks Brody had a recurrence of panic disorder after 20 symptom-free years. Brody was a funny really warm-hearted young man. When I first met him, 29 years ago, he was 19. He was sent to me after he had been hospitalized for depression and panic attacks. He was […]