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Ask an Expert
Daniel Becker, M.D.
Mills-Peninsula Medical Group
What are the symptoms of a nervous breakdown? How does it differ from depression or anxiety?
"Nervous breakdown" is a slang term that does not have a precise medical or scientific meaning. Even as slang, it is presently used infrequently. It was perhaps in more common usage during the middle part of th... continue reading about What are the symptoms of a nervous breakdown? How does it differ from depression or anxiety?
Daniel Becker, M.D.
Mills-Peninsula Medical Group
My mom died a few months ago and dad isn't taking it well. He's lost interest in food, socializing, is not sleeping well, and has guilt about "unfinished business" in their relationship. How can I tell the difference between natural grief and depression?
I am sorry to hear of your recent loss. The relationship between grief and depression is a complex one. The response to any significant loss (including bereavement) may involve intense sadness, changes in sleep... continue reading about My mom died a few months ago and dad isn't taking it well. He's lost interest in food, socializing, is not sleeping well, and has guilt about "unfinished business" in their relationship. How can I tell the difference between natural grief and depression?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Is drinking hard alcohol more likely to contribute to addiction than wine or beer?
The way your body metabolizes alcohol does not change if it is wine, beer or hard spirits. Addiction depends upon the quantity of alcohol that is consumed, not the type. A 12 oz beer has the same alcohol conten... continue reading about Is drinking hard alcohol more likely to contribute to addiction than wine or beer?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
You did not mention how long you have been on the Norco but if it is a few weeks or even a month there should be no physical withdrawal from stopping it. You may have well controlled pain because you are taking... continue reading about I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
Caroline Schreiber, M.D.
Alta Bates Summit Medical Center - Alta Bates Campus
Can you become addicted to over-the-counter sleep aids like Tylenol PM?
Sleep loss is a problem for millions of Americans. But sleeplessness doesn't have to be a way of life. Regarding over-the-counter products, the active ingredient of over-the-counter sleep aids like Tylenol PM, ... continue reading about Can you become addicted to over-the-counter sleep aids like Tylenol PM?
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
I have been having palpitations and skipped heartbeats for several months. My EKGs and blood work are normal. Is this all stress and anxiety?
Palpitations are frequently caused by anxiety. On the other hand, anxiety can be caused by palpitations. Sometimes it is difficult to determine what is causing what.Typically, if you have no history of heart di... continue reading about I have been having palpitations and skipped heartbeats for several months. My EKGs and blood work are normal. Is this all stress and anxiety?
Daniel Becker, M.D.
Mills-Peninsula Medical Group
What are your thoughts on the long-term use of SSRIs like Prozac? I have OCD and think I'll probably need it for the rest of my life.
Obsessive-compulsive disorder (OCD) is an anxiety disorder that typically begins early in life - and which, for most afflicted individuals, has a chronic fluctuating course. Exacerbations of this disorder are o... continue reading about What are your thoughts on the long-term use of SSRIs like Prozac? I have OCD and think I'll probably need it for the rest of my life.
Daniel Becker, M.D.
Mills-Peninsula Medical Group
What can I do if my SSRI is causing me to have insomnia? I've been on Prozac for a year (and it's been a huge help with my OCD), but I can't seem to string together more than two hours of sleep at a time.
There are many potential causes of insomnia. If you have not done so already, I would recommend that you speak with your physician in order to determine the most likely cause of your insomnia. If, in the opinio... continue reading about What can I do if my SSRI is causing me to have insomnia? I've been on Prozac for a year (and it's been a huge help with my OCD), but I can't seem to string together more than two hours of sleep at a time.
Daniel Becker, M.D.
Mills-Peninsula Medical Group
Is there a test to confirm if you are bipolar? And would you have symptoms from birth or does it develop?
Bipolar disorder is an episodic mood disorder, the hallmark of which are manic episodes - characterized by grandiosity, distractibility, increased activity, excessive involvement in indiscreet activities, racin... continue reading about Is there a test to confirm if you are bipolar? And would you have symptoms from birth or does it develop?