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Ask an Expert
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.
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?
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?
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?
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
I'm 30 and have had depression throughout my life. I'm on antidepressants, but lately I've been very antisocial - staying home or working late. I have a high-stress job and haven't been able to sleep. I also have headaches, mood swings, and weight gain.
I am sorry that you have lately been feeling so poorly. You mention a wide variety of symptoms, some of which often have non-psychiatric causes. For this reason, I recommend that you see your primary care physi... continue reading about I'm 30 and have had depression throughout my life. I'm on antidepressants, but lately I've been very antisocial - staying home or working late. I have a high-stress job and haven't been able to sleep. I also have headaches, mood swings, and weight gain.
Catherine A. Madison, M.D.
California Pacific Medical Center
Memory loss or changes may have multiple causes or impersonators. What are some of them other than stress? Are early onset dementia symptoms recognizable by the person experiencing the symptoms?
Memory loss is something we can all experience. You are correct; it can be caused by stress when our attention is not well focused. Memory loss can also be contributed to by factors such as poor sleep, mood dis... continue reading about Memory loss or changes may have multiple causes or impersonators. What are some of them other than stress? Are early onset dementia symptoms recognizable by the person experiencing the symptoms?
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?
Ask the Expert Team
Sutter Health
I have had asthma since childhood. As an adult, I find that when I'm really stressed or anxious, my asthma gets worse. Is there a correlation? Also how can I tell the difference between an asthma attack and an anxiety attack?
Stress and anxiety can both either trigger asthma or mimic it. With asthma there would tend to also be some wheezing, cough or chest tightness. Also, asthma would respond to Albuterol but anxiety would not. If ... continue reading about I have had asthma since childhood. As an adult, I find that when I'm really stressed or anxious, my asthma gets worse. Is there a correlation? Also how can I tell the difference between an asthma attack and an anxiety attack?