I know what you are thinking. Here’s yet another article on the failings of modern psychiatry by either an anti-psychiatry contingent (such as the Church of Scientology) or a psychiatrist who is fed up and throws out the baby with the bathwater. I am neither…I happen to be a psychiatrist who sees the beneficial effects […]
Why you should not see a psychiatrist with less than 10 years experience
You should not see psychiatrists with less than 10 years of clinical experience after residency training. The reason is that it takes about 10 years to develop enough clinical sophistication to become a master clinician in psychiatry. Before becoming a master clinician in psychiatry, psychiatrists are limited in what they can do to help patients […]
Can video games trigger an adrenaline response?
Yes, video games can trigger an adrenaline response. The release of adrenaline is triggered by stressors, and these include physical threat, fear, excitement, risky behaviors, bright lights, noise, and high temperatures. So the excitement from video games can trigger an adrenaline response. The adrenaline response is part of the fight or flight response, which is […]
What are the two components of the fight or flight response?
The two components of the fight or flight response are the neural response and the hormonal response. The neural response is from the activation of the sympathetic nervous system, which is part of the autonomic nervous system, involved with regulation of body organs. The hormonal response is from the activation of the HPA (hypothalamic pituitary […]
How Useful is the DSM-5?
As a psychiatrist beginning medical training in 1992, I “grew up” with the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders-IV). When I was a medical student rotating on my psychiatry clerkship on the inpatient unit, I was intrigued by the patients and their various mental illnesses. As a psychiatrist-in-training, I found the DSM-IV to […]
Does nervousness affect a lie detector test?
Yes, nervousness can affect a lie detector test. A lie detector test, also known as a polygraph, is set up to detect autonomic responses, which detect involuntary body functions that are not under conscious control, such as heart rate and skin conductivity. The premise behind a lie detector test, or polygraph, is that a lie […]
Can Celexa cause nervousness?
Yes, Celexa can cause nervousness. Celexa is the brand name, and citalopram is the generic name of the medication. Celexa is classified as an antidepressant, in the SSRI family (selective serotonin reuptake inhibitor). Other SSRIs include Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxetine), and Lexapro (escitalopram). SSRIs, including Celexa, can cause activation as a treatment-emergent side […]
How to reduce adrenaline response
The adrenaline response can be reduced. The adrenaline response is a stress response from the release of the hormone adrenaline (epinephrine) from the adrenal glands, located on top of the kidneys. The adrenaline response is also known as the fight or flight response. The fight or flight response occurs in reaction to a danger in […]
How to Overcome My Fear of Heights
A fear of heights, also known as acrophobia, is a common phobia in the population. Acrophobia is classified as a specific phobia. If you have a fear of heights, you may have a fear of falling, or might get dizzy when looking down. One of the possible contributors to having a fear of heights is […]
Is Xanax good for claustrophobia?
This is not a yes or no question, as is the case with many questions in psychiatry. Xanax (alprazolam), a benzodiazepine, can be prescribed for claustrophobia, but it is not necessarily good. But Xanax is definitely not the best treatment for claustrophobia. Claustrophobia is a specific phobia, and is characterized by a fear of closed […]

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