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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Psychiatry
Doctor Q&A
237 Answers
526 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
2 parts of treatment: Counseling may be provided on a one to one basis (individual) or in a group. Most of the time, both kinds of counseling are necessary for successful t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Maybe: Stress and depression can alter immune function.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Too risky: This drug can only be safely used in a controlled environment like a hospital or operating room.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Recognize the proble: The first step is to recognize you have a problem and need help to overcome it. Then use resources, like your physician, your family, and support grou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Maybe: One can develop depression any time. If you were not depressed during the first few months after your baby is born, we wouldn't call it postpartum dep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Clinical examination: While there are characteristic psychological test patterns for bpd, the diagnosis is usually made through clinical interview and examination by a psyc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Not much: Grapefruit juice is a strong inhibitor of an enzyme which is important for the metabolism of many drugs. The ones you mention are not significantly ef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: The transition from childhood to adulthood through adolescence is stressful. There are physical and emotional changes, along with rapidly shifting ro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Forgo alcohol: Pay attention to your body. If you are getting withdrawn and depressed with alcohol, there is no reason to continue to drink it. When you are with fri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: Anxiety disorders are common in kids with add. Often both the anxiety and add require treatment. Be sure each doctor knows all medication your daughte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Subtype: Malignant narcissism is a subtype of narcissistic pathology with a poor prognosis.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Anticholinergic drug: Anticholinergic drugs increase the tone of the muscles around the neck of the bladder which must relax when one urinates.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Personality disorder: Some people with personality disorders act as if they would rather be mad than sad. All unpleasant emotions (like sadness, frustration, etc.) are expr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: St. John's wort can be effective for mild depression.
However, the potency of various batches is quite variable. So the effect may not last, and side ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Don't: If you think your loved one has borderline personality disorder, your labeling it won't help him or her. The label may help you understand some diffi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Provide sample: Usually you would provide a urine sample which is analyzed for drugs. Sometimes, hair samples are obtained instead.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: Borderline personality disorder is treatable. Several different varieties of psychotherapy are effective. All are long term treatments.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Slow down: Behavioral sex therapy techniques like 'stop start' exercises can be effective, especially when employed with an understanding supportive partner. Ssr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Various ways: Sophisticated imaging studies of addicts in recovery showed gender differences in cues which may lead to relapse. For alcohol, women are more sensitiv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Lexapro (escitalopram) is more pure: Some chemicals, like Celexa have 2 forms which are mirror images of each other. (like your hands) chemists wil refer to them as left or right sided ve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Possibly: Some people with anxiety grind their teeth. This can wear them down.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Sometimes: Adhd is often accompanied by low self esteem, anxiety, and moodiness. Evaluation for and treatment of these comorbid conditions can be quite helpful.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: Some people experience a let down or 'crash' when drugs like Adderall (dextroamphetamine and racemic amphetamine) leave their systems. It can occur wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: It's an unusual reaction. More frequently anxiety and irritability that are not completely treated may be seen while the dosage of medication is adjus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Venlafaxine : Venlafaxine is fda approved for panic disorder.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Watch food portions: Eat less, move more. Avoid fatty or fried foods. Watch portions.
For support, try weight watchers. Their program has demonstrated results.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Probably not: Inderal (propranolol) may bring on an asthma attack. Talk to your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: Fear of germs or other contamination can be a symptom of ocd.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Best not to: Chlorazepate stays in your body for a long time. Alcohol may enhance its effect in an undesirable way.
If you do drink, be aware that you may become i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
It can help: Vistaril (hydroxyzine) can reduce your level of anxiety. You can use it and some slow breathing exercises (6 second inhale, pause, 6 second exhale) t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Unknown: Risks are unknown at this time.
Talk to your doctor about the benefits you are deriving from the medicine, so you can make an informed choice.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Side effects: Both drugs are effective, but side effects and dosages are different.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Yes: When a blood vessel breaks, platelets stick together and start the clotting process. Serotonin on the surface of the platelets is involved in this pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
No: Celexaand Lexapro (escitalopram) are used for the same conditions. However, some people who cannot tolerate one because of side effects may tolerate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
No: Light therapy can be helpful for seasonal depression. It involves using bright lights at specific times of the day, with ones eyes open.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Work with your doc: Develop (and maintain) a good working relationship with your psychiatrist. Let him or her know of any changes in your condition, especially mood, slee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Desensitization : You can desensitize yourself to speaking situations. Involvement in groups like toastmasters can provide frequent safe opportunities to speak, and to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Maybe: There is no definite answer to that question. The fda lists it as 'category c' which means that there either were no animal or human studies, or that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Several choices: Psychiatrists, psychologists, clinical social workers, family doctors, internists, and clergy.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Normal TSH: Both TSH values are within normal limits.
The absolute values may vary within the normal range as a result of many factors, including time of day, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Talk to doctor: Provigil does not really work very well for adhd over time. Your doctor may prescribe a stimulant or strattera (atomoxetine).
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Not directly: Herpes outbreaks occur at times when immune function is diminished. Among the factors associated with this is lack of sleep (one of the effects of met... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
No: Vaccines do not cause autism.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Work with doctors: Work with your doctors to find safe ways to reduce your anxiety. Non-medical psychotherapeutic techniques are often useful, but they take practice ove... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Maybe: If you use a lot of nicotine daily and cut down rapidly, you may experience some withdrawal. Because smoking is a habit, even without nicotine withdra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
3-7 days: If you are too uncomfortable to wait a couple of days for the symptoms to subside, you may use otc nicotine patches or gum to withdraw gradually. Be a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
No: Buspar (buspirone) is not a benzodiazepine. Nor is it metabolized into one.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Depends: It depends on the substance. Physicians may refer to the elimination half life of the substance from breast milk. That is the time that it takes for h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
No: Usual therapeutic dose for zoloft (sertraline) ranges from 50 to 200 mg per day.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Samuel Milesanswered
Psychiatry 49 years experience
Eat healthfully: Any multivitamin that you can tolerate may help you overcome any nutritional deficiencies. There is some evidence that frolic acid (folate (folic acid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
4
Recommendations
643
Thank you notes
Sep 16, 2013
Thanks for your contribution at Health Tap
Mar 25, 2013
I recommend Dr Miles for Psychiatry.
HealthTap member
Mar 30, 2015
Dr. Miles is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I still have so much to learn. Thank you for answering this question. I will have many more! :)IThanks again! Lisa
HealthTap member
Thank you, your answer or tip was very helpful! Was not really looking for this but saw it on the add as it was scrolling by. Was interesting to know
HealthTap member
She is under the care of a psychiatric doctor, but obviously I think the ball is being dropped. Or she isn't being honest with him fully.
Education & Training
Medical/Graduate school
New York Medical College, NY
Graduated 1974MD
Residency
CEDARS-SINAI MEDICAL CENTER
Awards
Thought Leader, Third Place, Los Angeles, CA - Winter
2013
Top Psychiatrist , First Place, Los Angeles, CA - Winter
2013
Top Psychiatrist , Third Place, Los Angeles Region - Summer
2014
Affiliations
American College of Psychiatrists
American Psychiatric Association
American Academy of Addiction Psychiatry
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