Mental Health

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?

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?

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?

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.

Depression, like many chronic illnesses (such as diabetes or heart disease), tends to run in families. For most diseases with a heritable component, having a close family member with the illness does not necess... continue reading  about  My mother suffered from depression. Should I be worried that I, too, will develop depression as I age?

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?

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?

This is a common concern for many patients taking pain medications. Yes, there is a difference between addiction and physical dependence.There are several terms that are important to understand related to takin... continue reading  about  I've been taking vicodin for a number of years because of chronic back pain. My concern is that I've become dependent on them. Is there a difference between physical dependence and addiction?

Congratulations on the hard work of addiction recovery. Sugar cravings are a problem for many people and can become all the more difficult when recovering from alcoholism. Research on food, mood, substance abus... continue reading  about  I am a 49-year-old recovering alcoholic and have three years of sobriety. Since I got sober I have not been able to control my sugar cravings. Is there any thing I can do?