Mental Health

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?

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?

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?

I am sorry to hear of your recent loss. The relationship between grief and depression is a complex one. The response to any significant loss (including bereavement) may involve intense sadness, changes in sleep... continue reading  about  My mom died a few months ago and dad isn't taking it well. He's lost interest in food, socializing, is not sleeping well, and has guilt about "unfinished business" in their relationship. How can I tell the difference between natural grief and depression?

"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?

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.

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?

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?