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?

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?

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?

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?

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?

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?

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?

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?

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?