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Dr. Robert Berkowitz

Psychiatry
Natick, MA
35 years experience male

Locations

Robert L. Berkowitz, MD

Natick, MA

Address

67 Union St., Suite 404, Natick, MA
Directions

Practice website

Fax

(888) 506-8804

About

Bio

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.

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

Licenses

United States: Massachusetts

Doctor Q&A

155 Answers
154 Agrees
The number of answers this doctor has agreed with.
A 49-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: All the ssri antidepressants have an impact on rem sleep. Though Effexor (venlafaxine) is not technically an ssri, it is a dual action agent (snri) th... Read More
A female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Probably 12 g daily: An increase in inositol in the brain seems to be one of the outcomes of ssri treatment, so it's sensible to consider what might happen if one simply t... Read More
A 31-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Re-evaluate : I am concerned about your need to increase your dose. Stimulants are the first-line treatment for adhd, but they are sometimes used as augmenting agen... Read More
A 38-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Probably all of them: In our search to try to understand how antidepressants work, we have explored their impact on bdnf (brain-derived neurotrophic factor), which is a sub... Read More
A 46-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Probably not: More likely you are having uncomfortable discontinuation symptoms from missing your doses. There should be no problem restarting it. If anything, you ... Read More
A male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Probably: The best evidence of the relationship of your symptoms to your drinking is the history you give, but i can also think of a way to justify it. Amitript... Read More
A 21-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Likely: Stress is often a cause of insomnia. Make sure to practice good sleep hygiene. See this web page for important and helpful tips: http://media.Psychol... Read More
A 58-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Master it. : The revered physician sir william osler once said that the best way to ensure longevity was to get a chronic condition early enough and learn to manag... Read More
A 40-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Unlikely. : But not impossible. Still, xanax (alprazolam) is much easier on the liver than alcohol is. Alcohol and xanax (alprazolam) share some similarities in t... Read More
A 48-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Absolutely: They share many of the same features of distractibility, inattention and hyperactivity. Many patients diagnosed with adhd are later understood to hav... Read More
A 39-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
About 3-4 weeks: Although Effexor (venlafaxine) has a relatively short half-life and is out of your system already, your body has gotten used to its presence and certa... Read More
A 33-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: You might have an underlying mood disorder that is made worse by using a stimulant. Talk to your doctor.
A 36-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Maybe: Dr. Ed hallowell, author of driven to distraction, has often made that point. The person who manages well despite his adhd often has superior intelli... Read More
A 41-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Not likely: Paxil (paroxetine) is among the most difficult ssris to discontinue because the discontinuation syndrome is exaggerated due to paxil's short half li... Read More
A 40-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Change to liquid: I had one patient who responded to a switch from Lithium Carbonate to lithium citrate, the liquid form. Using liquid allows you to precisely titrate ... Read More
A 20-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes, but unlikely.: The incidence of abnormal involuntary movements from Buspar (buspirone) is very small. It is more likely that your anxiety (which is probably why you... Read More
A 43-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Not terrible: Your sodium level was a little low, but i wouldn't worry about it. It might have been a temporary situation. If it is persistently low, that could be ... Read More
A 40-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Activation, maybe: Yerba mate might have an impact on your cholesterol levels, but guarana can be a potent stimulant simply through caffeine content. Sometimes people a... Read More
A 30-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No worry: The interaction between Clozapine and Hyoscyamine is merely an enhancement of the anticholinergic side effects. That is not an absolute contraindicat... Read More
A 45-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Could be.: It is now becoming recognized that there is some cognitive dysfunction associated with bipolar disorder, manifested by deficits in working memory (the... Read More
A member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Iron deficiency?: There are several causes of restless leg syndrome, but one of them is iron deficiency, so make sure you have been getting enough iron in your diet. Ta... Read More
A 37-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: It is certainly normal to gain weight on Mirtazapine , and many people hope to lose it again after they come off it. Mirtazapine strongly stimulates a... Read More
A 42-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: You can take them all at the same time, but i agree with your current schedule of using the Prozac (fluoxetine) in the morning and using Mirtazapine a... Read More
A 45-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Not usually, but....: The field of psychoneuroimmunology taught us that our immune response can be activated by suggestion -- for example, developing some allergy symptoms ... Read More
A 25-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Good question: Ssris work by blocking the reuptake of serotonin from neural synapses, making serotonin more available for all different types of serotonin receptors... Read More
A 24-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Maybe: I had a male patient who was told by a fertility expert that his use of citalopram, an ssri antidepressant, was interfering with his sperm production.... Read More
A 20-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Not normal, but....: The psychologist can determine if medication is needed. Auditory hallucinations are often a sign of a psychotic illness like schizophrenia that requir... Read More
A 44-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
BP2 is BP: Bupropion is activating, and I have seen people with bipolar disorder become too activated by it at times. That could resemble excessive anxiety. Some... Read More
A member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Can you reduce it?: It has been difficult to glean clear information about ssris in pregnancy. The general consensus is that they are relatively safe, and that there is n... Read More
A 37-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
An SSRI: Some people have found that the ssri antidepressants (prozac, zoloft, celexa, Lexapro (escitalopram) and others) decrease sexual interest and sometime... Read More
A 27-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No. What's SCA?: Sertraline is not known for significantly increasing the qt interval the way that other psychiatric medications can do. Citalopram, another ssri, is ... Read More
A 28-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Seek treatment: We used to believe that the cognitive problems that accompanied mood or psychotic disorders were just a secondary phenomenon, but now we are learning ... Read More
A 44-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: Typically, Amitriptyline withdrawal includes symptoms that are the opposite of the side effects it usually causes. Expect some abdominal cramping, loo... Read More
A 25-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Don't know: There is unfortunately inadequate literature to advise about the risks of lactation while on prazosin. I'm glad you discovered its value. It's an old ... Read More
A female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: If you feel compelled to do these things, and you know that the compulsion is irrational but you still can't keep yourself from doing it, then this is... Read More
A 21-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No.: That's not normal. There could be many reasons for that, including the impact of medication. I would talk to your doctor about that.
A female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Could be.: Ocd is characterized by having obsessions and compulsions, usually like the compulsion to count or to check locks many times before leaving the house.... Read More
A 31-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No: There is a pill you could take to discourage drinking alcohol. Antabuse (disulfiram) causes people to become sick when they drink alcohol and over tim... Read More
A 41-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Unsure: Ritalin (methylphenidate) is a way to manage your symptom of excessive tiredness, but it is not clear what your underlying problem is that caused your... Read More
A 47-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No: The diagnosis of bipolar disorder is earned when someone has a manic or hypomanic episode. Some people have bipolar disorder without ever having gotte... Read More
A 19-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Not many: Zoloft (sertraline) and trazodone are often prescribed together. Some people find that zoloft (sertraline) can interfere with sleep and trazodone oft... Read More
A 46-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Double betrayal: With this one event, you have had two overwhelming losses. Your relationship with both your wife and your best friend are forever changed. Your medi... Read More
A 34-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Hypochondriasis....: Represents excessive worry about illness when there is no medical basis for concern. We believe that people who suffer from hypochondriasis have heigh... Read More
A 34-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Flu worse than cold: A "cold" is an upper respiratory infection. It is usually associated with a stuffy nose and sometimes other symptoms related to that (post-nasal drip... Read More
A 31-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
It depends...: On what you were using it for and what dose you were on. If you were using it for insomnia, you might find that you are sleeping better even after ju... Read More
A 42-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Yes: Stimulants like amphetamine or methylphenidate sometimes cause changes in sexual response. Normal sexual functioning requires a balance between sympa... Read More
A 34-year-old member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Free from what?: From the turmoil caused by feeling that the internal gender is different from the external one? Some people feel great relief and liberation by havin... Read More
A 47-year-old female asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Depends: Lexapro (escitalopram) and zoloft are both ssris and have the same side effect profiles, though any individual might have some side effects to one tha... Read More
A 53-year-old male asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
Have it evaluated.: Though your chest pain might not be due to heart disease, it might be, and you owe it to yourself to have it checked out. Chest pain can't be ignored... Read More
A member asked:
Dr. Robert Berkowitz
Psychiatry 35 years experience
No: Drug tests are usually looking for specific drugs of abuse. They don't check for any and all drugs you are taking. The only way Effexor (venlafaxine)... Read More

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

3
Recommendations
336
Thank you notes
May 11, 2013
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 H...Read More
HealthTap member
Mar 30, 2015
Dr. Berkowitz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Berkowitz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Were in therapy. She had severe issues with feeling unloved because her dad is unloving and she was sexually abused at 15 by his friend.
HealthTap member
Thank you. My partner is an OBGYN, and doesn't want me to take those. He has recommended I go see a sex therapist. How can she help?
HealthTap member
Thank you, your answer was very helpful! I am hoping that with my DBT for the BPD I may lead a normal life

Education & Training

Medical/Graduate school

UC Davis School of Medicine, CA
Graduated 1987MD

Residency

Harvard - Massachusetts Mental Health Center
Completed 1991

Awards

Thought Leader, First Place, Boston, MA - Winter
2013
Top Psychiatrist , First Place, Massachusetts - Winter
2013
Top Psychiatrist , Second Place, Massachusetts - Summer
2013

Affiliations

American Psychiatric Association
American Academy Of Psychoanalysis & Dynamic Psychiatry
Massachusetts Psychiatric Society
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