Dr. Robert Berkowitz

I am a board certified psychiatrist practicing in the MetroWest suburb of Boston. My practice is limited to adults. I provide both psychotherapy and pharmacotherapy. My training fostered a deep integration of these disparate specialties, and I also work to integrate complementary and alternative practices as well.

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Dr. Robert Berkowitz
male

Psychiatry

Natick, MA

Insurance accepted as payment

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About me

I specialize in

Psychiatry

I have been in practice

32 years

I speak

English

I'm known for

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Depression

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Insomnia

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Anxiety

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ADHD (Attention deficit hyperactivity disorder)

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Mood disorders

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Psychotherapy

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Bipolar disorder in adults

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Depression (Adult)

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Psychopharmacological treatments

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Knowledgeable

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My answers and insights have

Saved 4 lives

Helped 333,788 people

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Dr. Heidi Fowler

I recommend Dr. Berkowitz. He has a keen knowledge of psychiatry and medicine in general. His responses are helpful, informative & understandable. He is providing an excellent public service through Health Tap.

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I am located at

Robert L. Berkowitz, MD

67 Union St., Suite 404

Natick , MA 01760-7700

Call 5086511041

I was educated and trained at

Medical / Graduate School

UC Davis School of Medicine, CA

1987

Dr. Robert Berkowitz male

I've won the following awards

Top Psychiatrist , Massachusetts

Winter 2013

Thought Leader, Boston, MA

Winter 2013

Top Psychiatrist , Massachusetts

Summer 2013

Here are some of my top insights

Depression

Insomnia

Zoloft

Sertraline

Anxiety

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Psychiatry

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Dr. Lawrence Smith

Clinical Psychology

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Dr. John Moranville

Psychiatry

Dr. Robert Berkowitz answered:

34-years old with a terrible memory and have severe tip of the tongue issues on things I should know. Could this be serious? In brief: Yes, but probably no

Most perceived problems of memory in young people are really problems of attention.

You can't expect to retrieve something from memory that wasn't properly placed there. Certain medications can interfere with attention, memory and cause word-finding difficulties. There are 10-minute office-based tests that could tell if there is a concern. Talk to your doctor. ...See more

MEMORY

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Dr. Robert Berkowitz answered:

Husband and I are thinking of trying to conceive baby #3. I've been on 20mg prozac for 3 months and don't want to stop. Is it ok during pregnancy? In brief: Probably

There's debate in the field, but Prozac (fluoxetine) appears to be relatively safe.

If you had been on it much longer, my recommendation to continue it would have been stronger. If you can get off it, it is safer for the baby. This is always a difficult decision. The latest data I've read is that a mother's depression is no longer considered dangerous to the fetus, unless it interferes with mother's nutrition. ...See more

FLUOXETINE PROZAC TRYING TO CONCEIVE PREGNANT FEMALE HEALTH PREGNANCY

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Dr. Robert Berkowitz answered:

Nuvigil isn't working for me like it used to... after only 1 week I only feel more awake when I take it instead of like a new person... why? In brief: Talk to your doctor

It probably depends on what Nuvigil is trying to treat.

For example, if you have obstructive sleep apnea, Nuvigil is not intended to be used in the absence of treatment for sleep apnea, and I could easily imagine your developing some tolerance to the Nuvigil effect if you're not using CPAP for sleep apnea. If your just taking it for non-specific fatigue, you need to explore the underlying cause. ...See more

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Dr. Robert Berkowitz answered:

Hi, I have post ssri sexual dysfunction.I have discontinued ssri for 2 years now,but I still sexual dysfunction.Is there any treatment for this?thanks In brief: Not sure

.....that this syndrome really exists.

Sexual functioning requires a complex coordination of disparate autonomic functions and many things can disrupt it, especially psychological factors. It is possible that the SSRI was not initially responsible for your sexual dysfunction and is not now responsible for it after its discontinuation. Consider approaching the problem open to other explanations. ...See more

PREMATURE EJACULATION SEXUAL DYSFUNCTION SSRI MALE HEALTH

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Dr. Robert Berkowitz agreed with
Dr. Gerald Drucker's answer:

I take .25 Xanax (alprazolam) for anxiety when needed I play a lot of softball and I always get anxiety checking my pulse and everything is it OK to take Xanax (alprazolam)? In brief: Try psychotherapy.

There are psychological ways of decreasing anxiety and/or dealing with its causes.

While Xanax (alprazolam) can alleviate it, it can be addicting. Learning to manage these feeling by consulting with a psychotherapist would probably be the healthiest way to go. ...See more

ALPRAZOLAM ANXIETY FEELING ANXIOUS XANAX

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Dr. Robert Berkowitz answered:

Does second generation anti psychotics increase prolactin levels?or is the increase short term in the beginning?will it lower my testosterone? In brief: Yes and no

Yes, some 2nd (and most 1st) generation antipsychotics cause an elevation in prolactin levels.

It happens as long as you take the antipsychotic, so it is not temporary, but it does not lead to a reduction of testosterone levels. Prolactin elevation can theoretically cause some disturbing side effects in men, like breast development, but in my clinical experience this is very uncommon. ...See more

GYNECOMASTIA GALACTORRHEA ANTIPSYCHOTICS TESTOSTERONE MALE HEALTH

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Dr. Robert Berkowitz answered:

I have woke up feeling shaky the past couple days. I have had anxiety and am also taking laxatives. What could be the reason? In brief: Not sure

Your experience could simply be due to your anxiety, but you could also be depleting yourself of fluid and/or important electrolytes with the laxative use.

Electrolyte replacement drinks, like Gatorade, could be helpful here. There could be other reasons as well, so please discuss your symptoms with your doctor. ...See more

ANXIETY FEELING ANXIOUS LAXATIVE

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Dr. Robert Berkowitz answered:

What are the best ways to reduce Concerta tolerance? Have been taking 36 mg for almost three years. In brief: Tolerance?

Tolerance isn't a given.

You might simply not be at the dose you need. Did you switch from brand-name to generic, or from one generic to another? Their bioavailabilities may differ. It's known that one generic was simply not bioequivalent to Concerta, so patients had to go back to brand. Also, make sure you don't have obstructive sleep apnea. OSA interferes with benefits to ADD from Concerta. ...See more

RITALIN OBSTRUCTIVE SLEEP APNEA

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Dr. Robert Berkowitz answered:

I am on 30mg mirtazapine Dr wants to introduce 10mg amytriptoline for pain are these two tablets ok together? In brief: Yes

You can expect a little more sedation and potentially some side effects from the amitriptyline that you didn't have from mirtazapine.

For example, you could get some dry mouth and maybe a little constipation, but the amitriptyline dose he proposes is low. Even though it is low, amitriptyline at that dose has been shown to be helpful for chronic pain, more so than mirtazapine. ...See more

MIRTAZAPINE REMERON AMITRIPTYLINE ELAVIL

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Dr. Robert L. Berkowitz answered:

Can taking anafranil cause me to gain weight? In brief: Yes

Weight gain can be a side effect of Anafranil (clomipramine) due to its effect on histamine and choline receptors.

Other typical side effects include dry mouth, constipation, blurry vision, urinary retention and dizziness upon standing (also known as orthostatic hypotension). Sometimes, though, Anafranil (clomipramine) can be the best treatment available for your condition. Talk to your doctor. ...See more

ANAFRANIL CLOMIPRAMINE

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