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Dr. Imad Khreim

Psychiatry
Marlborough, MA
40 years experience male

Locations

Northwood Behavioral Heathcare Inc.

Marlborough, MA

Address

33 Boston Post Rd West, Suite 340, Marlborough, MA, US
Directions

My office hours

Wednesday: 8:00am - 5:00pm
Show more

Practice website

Fax

(508) 845-0200

Insurances accepted

Cigna

Blue Cross Blue Shield Of Massachusetts

CIGNA Health Care

Harvard Pilgim Health Care

UNICARE

Fallon Community Health Plan

TUFTS Health Plan

About

Bio

Trained in Psychiatry followed by specialty training in Psyhobiology of Mood and Anxiety Disorders. In Our center, We focus on comprehensive & in depth evaluations helping us design treatment plans that enable us to reach optimal response. our patients see that through our compassionate and effective care reflecting positively on quality of life

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

Arabic

Doctor Q&A

358 Answers
410 Agrees
The number of answers this doctor has agreed with.
A 35-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Treat the cause: If you are using klonpin to treat anxiety, then you need to check with ur physician to decide which anxiety modulator/antidepressant to use (those ar... Read More
A 25-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
YES/NO: Short acting benzos i.e. Xanax, (alprazolam) Ativan & the ultrashort acting Halcion can lead to tolerance pretty fast. It depends on the dosage, "sma... Read More
A 39-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Probably 1 wk : Fluconazole (diflucan) interaction with alcohol is probably less severe than other similar medications i.e. Metronidazole. However, Diflucan (flucona... Read More
A 23-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Possible: Fear that has no object is certainly a sign of anxiety, however it also can be a sign of other mental disorders, in order to get a clearer answer , yo... Read More
A 42-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Classical Anxiety: One of the common thoughts and fears anxiety patients suffer from , is the fear that the physical symptoms they are experiencing are due to an undisco... Read More
A 28-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Your surgeon: The best one to answer this question is your surgeon (the one who did your surgery)
A 24-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
See your physician : No answer can be given with certainty, please get to see your physician and have him/her evaluate the condition.
A 30-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes: Caffeine is a diuretic, so depending on how much u consume you may get that diuretic effect.
A female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Possible : Concentration and memory issue can result from stress . Stress can make existing problems worse...I.E add, anxiety, or depression. Concentration prob... Read More
A 30-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Minimal : Minimal , but it is advisable to wean off gradually over few days ( for this short period of use) . Check with your doctor , he knows you best and he ... Read More
A 35-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Xanax (alprazolam): I don't really recommend short acting benzos like xanax (alprazolam) for panic, they are associated with inter-dose withdrawal, faster tolerance and g... Read More
A 31-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes: If you already have an anxiety disorder then physical illness can certainly increase your anxiety level, especially a disease like kidney stones where... Read More
A 28-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Not a fan of it: Alprazolam is a short acting benzodiazepine, it does not last long in the system . So when used regularly with multiple doses to treat anxiety, it is... Read More
A 39-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Varies : Anxiety disorders are many, panic attacks occur in all types of anxiety, so having panic attacks does not mean you have panic disorder. Treatment with... Read More
A 19-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Anxiety: Catastrophic thinking and unconscious exaggeration are couple of thinking patterns associated with anxiety. Mild anxiety responds well to cbt (cogniti... Read More
A 23-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Tension/Anxiety: Stress is associated with anxiety and mood symptoms, in your case these two symptoms, nausea and abdominal pain are symptoms of that. Other symptoms m... Read More
A 51-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
NO: It is a benzodiazepine, like valium for example. It is intermediate acting and most commonly used for sleep (short term treatment of insomnia) in cert... Read More
A 31-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
NO: I suggest you check with your prescriber, no one can decide on what dosage you need better than the physician who evaluated you and knows the details ... Read More
A 45-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
No: Usually stress is associated witha decrease in the stomach ph and an increase in acid production.
A 42-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
No: Pms symptoms are by definition limited to premenstrual luteal phase. I assume you are having some mood , anxiety or other symptoms after our period, t... Read More
A 26-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Not Much: Atenelol is a beta blocker, this family of medications are not used (in general ) for treatment of alcohol withdrawal. They may help with periphera... Read More
A 45-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Treatment: Treatment of bpd involves both psychotherapy and medication, there is no single treatment modality that helps the person and there are no magic cures.... Read More
A 44-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes: The rate of response of psychotic symptoms to olanzepine varies from individual to individual but in general , it is an effective and fast acting drug... Read More
A 30-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Get proper help: Ativan (lorazepam) is a short acting Benzo that is associated with gradual tolerance and with time, an increase in baseline anxiety because of interd... Read More
A female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
NO: Usually people with anxiety D/O's are more sensitive to side effects. Antidepressants that modulate anxiety (Wellbutrin (bupropion) is not one of them... Read More
A 40-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Depends: it varies depending on drugs used , can be low birth weight, cleft palate , ADHD mental sub-normality amongst many other complications
A 50-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Rebound: Clozapine is a medication with outstanding features that help control symptoms other medications otherwise failed to control. it is very serious to st... Read More
A 40-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes/NO: Hallucinations can be both Physiologic like the ones right before falling asleep ( Hypnogogic) and the ones as you wake up (Hypnopompic) or they can... Read More
A 37-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Anxiety/Somatoform : Hypochondriasis or somatoform, somatization Disorder responds to treatment , please see a Psychiatrist in your area, treatment is available and is eff... Read More
A 64-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
NO: Assuming it is being taken for the proper indications and reasons, there is no evidence to suggest long term side effects, in some people a mild degre... Read More
A 51-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Interaction: Grapefruit and grapefruit juice inhibits an enzyme in the liver that is responsible for breaking down certain medications, so combining them leads to ... Read More
A 26-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Extremely unlikely: It is extremely unlikely that an incident like this will cause harm to the baby especially that you are in your 27th week. However, it may be advisa... Read More
A 42-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes: It is better to avoid short acting benzos if you suffer from an anxiety disorder, other benign, effective and very commonly used medications for sleep... Read More
A member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
NO: Cogent in, or benztropine is not a narcotic and it does not interact with valium.
A 18-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Drained: During a panic attack, there is a surge of sympathomimitic activity resulting in tachycardia, , shortness of breath, nausea, headache, blurring of vis... Read More
A 63-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Your Doctor: Your doctor whom you are working with and who is referring you to get the tms , usually is the one who gets the pre authorization and who makes the c... Read More
A 17-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes it is safe: No significant effect on the heart, it is generally a benign medications.
A 61-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes they do: Generally, yes they do increase the chance of cvs accidents, but mostly in the elderly ..However, whether you take meds or not, if u have symptoms th... Read More
A 24-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Upper Respiratory: Sounds like you have tonsillitis and an upper respiratory infection, you probably need to see your physician for a more thorough assessment . Better n... Read More
A 18-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Varies: The brain is composed of different "departments", they work together, the cortex is the powerhouse of action of movement, sensation, thinking & other ... Read More
A 45-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Ask your Doc.: Blood work results and other tests are best interpreted by the treating physician and withing the context of the clinical picture, he is the best to t... Read More
A 20-year-old male asked:
Dr. Imad Khreim
Psychiatry 40 years experience
See your Physician : It is not possible for anyone to give an opinion on things like this over the net with limited data and info. Best if you make an appointment and go s... Read More
A 42-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
No : Shivering, chills, hot flashes are common physical symptoms of anxiety and panic, so it is not a serious sign as it may feel. Anxiety disorders incl... Read More
A 23-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Be patient : Early side effects to medication may not last beyond few weeks. People respond differently to medication, not 100% of people will gain or lose weight... Read More
A member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Kidney stone: Your brief description of sudden severe pain in the groin and testicles is suggestive of a stone in your urinary tract, ureter. Go see your physician ... Read More
A 18-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Absolutely: No question, you need to see your physician asap. These are not symptoms that you can sleep on.
A 18-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Likely: Canabinoids use can increase the risk of developing psychosis by seven folds, hallucinations fall under the category of psychosis, so may be you are ... Read More
A 22-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Personality ???: Easy crying and one's emotions being closer tot the surface can be an inherent personality trait or it can be a manifestation of a mood disorder such ... Read More
A 36-year-old member asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Somewhat: Antidepressants provide a regulatory effects in the brain wherein they control depressive symptoms including depressed mood, low energy, interstate, m... Read More
A 37-year-old female asked:
Dr. Imad Khreim
Psychiatry 40 years experience
Yes it can: Panic attacks can start at any age though the start earlier , however as we discussed before , panic attacks or severe anxiety attacks if you will, ha... Read More

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

7
Recommendations
541
Thank you notes
Aug 4, 2013
Practical, helpful answers from a very knowledgeable physician. I recommend Dr. Khreim.
Oct 2, 2013
Gives wise and helpful advice. Well respected expert. Highly recommend.
Aug 14, 2013
good credentials, knowledgable
HealthTap member
Thank you, Sir, Some time when we sex I used to take vigora pill to make long drive but. These days I didnt get erect without pills plz hlp
HealthTap member
Beer and wine contain low amount of volume rather than whisky,rum,vodka etc.so little amount of alcohol volume also cause the muscle damage?
HealthTap member
Thank you, your answer was very helpful! So there is a chance? I am on the lowest dose 37.5 no chance in increasing the dose at all

Education & Training

Medical/Graduate school

University of Jordan Faculty of Medicine, Jordan
Graduated 1982MD

Residency

Augusta, GA

Residency

Amman, Jordan

Awards

Top Doctor, First Place, Worcester, MA - Winter
2013
Most Influential, First Place, Worcester, MA - Winter
2013
Thought Leader, First Place, Worcester, MA - Winter
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