Summertime is upon us. With it comes a variety of questions about how patients should take their medications during these months. Some patients ask about the necessity of taking ADHD medications when school is not in session. They wonder if it is alright to take time off from their medicine. I remind them that ADHD is a 24/7 condition. Just because school is out for the summer doesn't mean your ADHD will take the time off as well. Others ask about trying to taper down medications--often anti-depressants--during the summer. This is a strategy I am more willing to consider. For some, stress is lessened during the summer. The combination of less-structured time and longer days is more likely to make people feel good enough that they want to see how they might do off their medications. [Read More]

As more of my patients tell me about how the current economic times are affecting them them, it is as if media reports are adding insult to injury. Various outlets regularly put forth reports outlining all of the country's financial woes, how they came about, and how they could either continue or be eased in the coming months. For years, the primary source of such information was either the business section of a local newspaper or one of the financially-focused newspapers and magazines like The Wall Street Journal or Business Week. The "old" news cycle allowed a certain lag time between when events happened and when they would run in print media. Not so, anymore. [Read More]

Difficult economic times are presenting major challenges that I hear about on a daily basis from my patients. In nearly 25 years of practice, there has never been a topic that patients have so consistently talked about than their anxieties regarding the ongoing financial crisis. Even the anxiety-provoking aftermath of 9/11 did not produce such a widespread sense of personal impact. Concerns then were primarily about what had happened in New York, Washington, D.C. and Pennsylvania. There was at the very least a physical distance. These financial problems know no boundaries. They live everywhere and affect everyone. [Read More]

As the month of April concludes, there is more than April showers bringing May flowers. This is particularly true in the academic settings around the country with students coming down the home stretch of the school year. This is a time of year for considerable anxiety for students. How will I do on my finals? Will I be able to graduate with my class? What do I do once I graduate? Those are just some of the questions that are being posed by students and family members during this stressful time. It is uncanny how often over my years of practice that new patient appointments are set up at this time of the year by parents and young people for a variety of reasons. [Read More]

Welcome to the first of many entries to my blog. As some of you might know, the title "Psych It to Me" is a play on words of one of the signature lines from the late-60s television hit Laugh-In. Those of you who remember the show, as I do, recall the various cast members and guest stars who uttered the phrase "Sock it to me" at various points during the show's run. Those four words became a part of the day's culture as did various other expressions from that show. I have learned in my psychiatric practice that words indeed matter whether they are spoken, written, or simply thought. [Read More]