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Ask an Expert
Nobl Barazangi, M.D., Ph.D.
Sutter Pacific Medical Foundation
My mom had a stroke about seven months ago. Although she is slowly recovering from it, she seems depressed to me. Is this just part of the recovery, or should I talk to her about it so that she can get some sort of treatment?
Depression is a common occurrence after stroke, and can occur in approximately 20-60 percent of stroke patients, depending on which research study you look at. The depressive symptoms may be in addition to the ... continue reading about My mom had a stroke about seven months ago. Although she is slowly recovering from it, she seems depressed to me. Is this just part of the recovery, or should I talk to her about it so that she can get some sort of treatment?
Ask the Expert Team
Sutter Health
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.
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
Ask the Expert Team
Sutter Health
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?
Ask the Expert Team
Sutter Health
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.
Junaid H. Khan, M.D., FACC, FACS
Eden Medical Center
I've been through some bad loses this year (relationship, foreclosure) and have had chest pain and shortness of breath. My doctor said I had stress cardiomyopathy (broken heart syndrome). What are the other symptoms, is it dangerous, will I get it again?
I am sorry for your losses.Cardiomyopathy can be a serious condition. In addition to chest pain and shortness of breath, patients can have dyspnea on exertion, fatigue, edema, and in some cases hepatic or kidne... continue reading about I've been through some bad loses this year (relationship, foreclosure) and have had chest pain and shortness of breath. My doctor said I had stress cardiomyopathy (broken heart syndrome). What are the other symptoms, is it dangerous, will I get it again?
Karen Pantazis, M.D.
Sutter Amador Hospital
My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
It is not unusual for patients who take pain medication and are depressed due to chronic pain to have diminished interest in sex. It could be due to the medications, the depression, the chronic pain, diminished... continue reading about My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?
Ask the Expert Team
Sutter Health
How much does alcohol contribute to high cholesterol, and can I drink while taking Lipitor?
Moderation is the key, as in many areas of health. In general, moderate alcohol consumption, medically defined as up to two drinks per day for men and one per day for women (different metabolism), has been show... continue reading about How much does alcohol contribute to high cholesterol, and can I drink while taking Lipitor?
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?