Dr. Steven Reidbord

Psychiatry
San Francisco, CA
38 years experience male

Locations

Office

San Francisco, CA

Address

3331 Sacramento Street, San Francisco, CA
Directions

My office hours

Thursday: 8:30am - 5:30pm
Show more

About

Bio

I'm a board-certified psychiatrist with an office practice in San Francisco. My practice is mainly psychodynamic psychotherapy, i.e., exploring hidden thoughts and feelings that interfere with happiness and success in life. I'm pragmatic about it, and try to demystify the process whenever possible. I also prescribe medications, usually in combination with psychotherapy. In addition to seeing patients, I've taught medical students and psychiatry residents for many years, including courses in psychotherapy, psychiatric ethics, and outpatient evaluation. Since 2008 I've also blogged about psychiatry. I'm happy to answer your questions with short answers here, or offer longer ones (of general interest) on my blog. Thanks for reading.

Specialties
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

Languages spoken

English

Doctor Q&A

556 Answers
170 Agrees
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes, very different: Barbiturates are sedatives with a low "therapeutic index", meaning that a toxic dose isn't much higher than an effective dose. Benzodiazepines are tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Could be: There are many possibilities: dehydration, anemia, asthma medication (albuterol), the asthma itself, an unrelated heart condition, and others. Best t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Best not to try: Trying to forget something usually doesn't work. (Try to NOT think about elephants... the more you try, the more they're in your mind.) Better to "w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Go slow, work w doc: 1. A slow, gradual dose taper is best. Go especially slowly as you approach zero. This can take weeks or more in tough cases. 2. Decrease the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Stress headache: Psychosomatic illnesses are physical complaints caused by (conscious) psychological stress. Examples: headache due to anxiety, backache due to anger,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
REM is not "deep": Lucid dreaming is being conscious of dreaming during the dream itself. Some people experience this, many don't. Most memorable/vivid dreams occur du... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Different problems: Conversion: physical symptoms produced psychologically. Eg, can't speak due to (unconscious) fear of what you may say. Dissociation: temporary disrupt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Can't be done: To the best of my knowledge, there is no quick way to clear thc, the active drug in cannabis. This is a fat-soluble drug, which means it collects in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Here are some ideas: 1. Most people want doctors on their insurance, so if you have a list to work from, that might be a good start. 2. Try calling the psychiatry dept ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes: While ssri antidepressants are often used for anxiety & have sexual side-effects, benzodiazepine tranquilizers (valium, ativan, etc) usually don't. H... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Sometimes you can't: Severe depression requires professional help. However, if your depression is mild, try treating yourself well (healthy food, sleep, light-mod exercis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
You don't: There is little or no scientific evidence for a "chemical imbalance" that causes major depression or anxiety. It's a shorthand phrase used to suggest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Weekly or more: Most psychotherapy for teens or adults works best when done on a regular, planned schedule of at least one session weekly. More intensive therapy, es... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Many many causes: Possibilities include poor nutrition, sleep apnea, various medical disorders such as anemia, diabetes, or thyroid disorders, psychological factors suc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes: Although OCD is considered an anxiety disorder, it's typically treated differently than regular anxiety. Usual medicines for anxiety are tranquilizer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Addictions differ: Addictions to chemical substances (eg, alcohol, heroin, nicotine) reflect the original meaning of the word addiction, which includes biological drug t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Talk to him: Everyone has sexual fantasies that aren't practical, are dangerous, or won't work in real life. Assuming you don't like his suggestion, this is one o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Generally safe, but: Zoloft (sertraline) is used safely and successfully by millions of people. But all drugs have potential risks and side-effects. Things may seem "int... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Antidepressant: Wellbutrin is a brand name for bupropion, an antidepressant. Like all antidepressants, it changes brain chemistry while it's being taken, although th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Fairly safe: The general rule is to avoid all drugs when pregnant. But depression is a risk in pregnancy too, so these risks must be weighed. If a woman can func... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
No: These are possible side-effects, but they don't usually happen, ie, it's not "normal". Talk to the doctor who prescribed it — you may need a lower do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Teen bipolar: While teens surely can suffer full-blown bipolar disorder, even normal teens have big mood swings. Childhood bipolar disorder is therefore somewhat c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Tramadol is tricky: Tramadol interacts with many meds. Even combined with Valium or Ativan (lorazepam) there's a risk of cns/respiratory depression and psychomotor impai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Serotonin effect?: I don't believe anyone knows the exact mechanism, but vivid dreams are a well-known side effect of ssri antidepressants (prozac, zoloft, celexa, lexap... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
"hitting bottom": People in alcohol recovery (aa) say that addicts have to "hit bottom" before they accept the need to change. This varies from person to person... It ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
No: Ssris such as Lexapro (escitalopram) don't help depression or anxiety on a per-dose basis, but only by taking them consistently for several weeks or m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Similar & different: Both are "benzodiazepine" tranquilizers, which means they are chemically similar and relieve anxiety by their effect on GABA receptors in the brain. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Not weird: Some people are "adrenalin junkies" and enjoy living on the edge. When life is too quiet they miss the "buzz". Within reason, there's nothing weird,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Often yes: Almost everyone suffering anxiety and/or depression tries to relieve it first without professional help. Many succeed. Exercise, good nutrition, sel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Many possible causes: Have you seen a doctor to rule out thyroid problems? If so, the doctor should also have checked for anemia and other medical causes of low energy (e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Can be hard to treat: Anti-psychotic medication (neuroleptics) can decrease delusional thinking over time, although delusions are often more treatment-resistant than other ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Withdrawal / relapse: Ssris like Celexa (citalopram) may cause a "discontinuation syndrome" that starts a day or two after stopping, especially if the med is not tapered of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
To make babies!: "why" questions are hard to answer in the natural sciences, as they imply there's a purpose or intent. Biology usually relies on evolution principles... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes: "anorexia" just means loss of appetite for food. It can be due to many types of physical illnesses, and not from psychological issues at all. The co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
No: Tapering off SSRI antidepressants is not done by stretching out the time between doses, it's done by gradually decreasing the daily dose. Taking a Zo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes: A person can be introverted, extraverted, or anything in between and have borderline personality disorder. The two issues are unrelated.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Can happen: Lexapro (escitalopram) is an ssri antidepressant, and all ssris potentially can have the side-effects you list. They usually don't (so it's not "norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Go slow, work w doc: 1. A slow, gradual dose taper is best. Go especially slowly as you approach zero. This can take weeks in tough cases. 2. Decrease the daily do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Either or both: If you want to see a specialist for med consultation, it'll have to be a psychiatrist. Some psychiatrists also provide psychotherapy, but this is bec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
For depression/sleep: Doxepin (brand name sinequan) is an older prescription antidepressant (a "tricyclic" available generically) that is mostly used nowadays as a sleep ai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
It differs: Catatonia can result from different causes, e.g., severe psychosis or severe depression. The person's mental state can differ accordingly: stuporous,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Yes, pretty common: I usually start patients on a half-dose to avoid this, then go to the full dose after a day or two. Usually the body adjusts and the jittery feeling ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Hard to answer: This kind of question makes doctors uncomfortable. The official recommendation is to avoid all alcohol. Yet many people have 1 drink and do ok. So ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Nothing is certain: Condoms are effective birth control, but nothing is 100%. In particular, condoms sometimes break, & it is important to put it on before any genital-t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Few possibilities: There are 3 possible explanations: clerical error (you got the wrong test results), false positive (something legitimate fooled the test), and true po... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Not advised: Ativan (lorazepam) and Restoril (temazepam) are both benzodiazepine tranquilizers. Their effects can add together in a potentially dangerous way. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Typical not 'normal': Night sweats can be alcohol withdrawal after heavy sustained use. They can also be a sign of more serious illness (or a medication reaction), especia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Not really: "nothing matters" sounds more like depression than sociopathy. A sociopath has aims and goals — and doesn't let other people's pain or discomfort get... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
No specific number: Sleep deprivation is defined by its effects. If the person is sleepy during the day, can't concentrate, etc, it is one possible cause. Some people a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Reidbord
Psychiatry 38 years experience
Sedated, maybe worse: 5.5 mg of Clonazepam is an overdose for almost anyone, & would likely result in deep sedation (unconsciousness) for a number of hours, & possibly resp... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

11
Recommendations
1.0K
Thank you notes
Mar 9, 2014
I find myself learning often when I read any of Dr Reidbords posts. HealthTap is truly privileged to have a such a medical resource!
Nov 4, 2012
Dr. Reidbord's answers are knowledgeable, caring, and practical. He perceives the human complexity and depth in people's questions.
Apr 22, 2015
I have learned a great deal from his answers which are humane, comprehensive, and indicative of his expertise and approachability!
HealthTap member
Makes sense. I had ALIF at L5/S1 in June and have been on peecocet/valium/celexa. I also tested positive for Protomyxozoarheumatica aka FL1953. I'm worried I might MS or something dues to some other...Read More
HealthTap member
A great and honest response; my personal experiences as a mh consumer leads me to the conclusion that they are not effective for mde's nor for most of the other off label uses. I've taken them all
HealthTap member
Thank you, your answer or tip was very helpful! Thank you. Your the only person I have gotten a direct answer from. I've been feeling this way for awhile and no one will listen. Thank you.

Education & Training

Medical/Graduate school

University of Pittsburgh School of Medicine, PA
Graduated 1985MD

Residency

University of California San Francisco
Completed 1989

Awards

Most Influential, First Place, San Francisco, CA - Winter
2013
Top Psychiatrist , Second Place, San Francisco, CA - Winter
2013
Most Influential, Second Place, San Francisco Region, CA - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less