Mental Health

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?

It is often very difficult to differentiate the symptoms of a heart attack from other causes. Even in the Emergency Department, with access to X-rays, EKG's, and fancy lab work, we sometimes cannot be 100 perce... continue reading  about  Awhile ago my husband complained of a pounding heart. He said it felt like it was thumping against his chest. Tests showed that he was fine and it was probably caused by stress. How can we tell the difference between severe anxiety and a heart attack?

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?

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.

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?

Alcohol abuse and alcohol dependence are not the same thing, but both are commonly thought of as “alcoholism”. Alcohol dependence is defined by physiologic dependence on alcohol from consistent, hea... continue reading  about  I only drink a glass or two of wine a day, but I have a very hard time giving this up. Does that mean I'm an alcoholic?

Bipolar II disorder is a major mood disorder characterized by a history of one or more major depressive episodes, as well as one or more hypomanic episodes. Hypomanic episodes are similar to manic episodes - co... continue reading  about  I come from a long line of insomniacs who struggle to put together more than three hours of sleep at once. I've heard that chronic insomnia that runs in families can be an indicator of Type 2 Bipolar Depression. What are your thoughts?

You appear to be under a great deal of stress, both in your interpersonal life and with respect to physical symptoms. Some of the symptoms that you mentioned - such as dizziness and pain - can be associated wit... continue reading  about  I'm 33, with two wonderful kids, but my life is falling apart when it comes to my relationship with my husband. I don't want to be around him because he's so controlling. I cry a lot, my head pounds, I'm dizzy and I have body pain. Is this depression?

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?