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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
Pain Management
Doctor Q&A
62 Answers
46 Agrees
The number of answers this doctor has agreed with.
A 49-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Of : Of course more history and an exam are required to give more than general medical possibilities. In addition to suggestions of repetitive stress injur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Gently after 2 month: For 6 months after this surgery, i would avoid lifting weights to avoid increasing intra-abdominal pressure where you are healing from surgery. Walk... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Androgens may help: Stopping hrt may have contributed to loss of sex drive. Often low-dose androgen therapy can restore peri-menopausal loss of libido as women lose estro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Likely not serious: Often abdominal pain is reported following orgasm and is thought to be related to spasm of the diaphragm muscle that occurs with final phase of orgasm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Reduce carbs & walk: This is always a challenge, but some consistent daily walking for 20-30 min and strictly limiting fast carbs (refined sweets, cakes, candy, bread, pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Habit & Melatonin: This is a long-standing sleep problem so it will need a multi-part long-term treatment. First, make sure you reduce/eliminate caffeine, esp after 2 pm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Get checked: I would expect some sedation, clouding of your thinking, even dyspnea after gabapentin. Chest pain, however, is a rare side effect and other causes s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Stress control, etc: General helpful measures: 1. Avoid bright light and loud noise 2. If before 2 pm try a caffeinated beverage 3. If before 2 pm try moderate exercise li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
At least 3 weeks: The fastest i would taper 450 mg of lithium would be 150 mg decrease per week for 3 weeks. Gentle tapers are the safest with lithium, since discontinu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
No big risks: Adderall, a stimulant, and benadryl, (diphenhydramine) an antihistamine, have somewhat opposite effects. Adderall increases alerting brain chemicals l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
No Show: No otc diet pill I am aware of would be screened in standard urine toxicology screening.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Codeine no stimulan: Codeine is not a stimulant. It is an opioid drug that is converted to morphine in the body to give Codeine it's pain-relieving action. Codeine is more... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Strong antihistamine: Doxepin is an effective but sedating tricyclic antidepressant. This drug's sedating effect is significantly due to its powerful antihistamine effects.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Wrong benzos: It is critical to maintain your oral health, which has been shown to correlate with other disease and longevity. I would not use either of these 2 old... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Safe if monitored: Adderall (dextroamphetamine and racemic amphetamine) and other stimulants may be safely used in your situation if the tachycardia is not due to other ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Safe combination: As long as you have normal kidney and liver function this combination is completely safe. It is possible but unlikely that creatine and Adderall (dext... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Fish oil ; sleep: Not much data on fish oil and sleep, but if you believe your sleep got worse after starting it stop it for 14 days since fish oil can be safely discon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Sensitivity, anxiety: Sensation in the scalp is mediated by the trigeminal system, which can cause tingling in the head, even soreness when combing your hair. What activate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
No Connection: I am unaware of any link betrween marijuana use and urinary tract infections. See your doctor to explore other causes.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
A form of it: Fear of humiliation in public is the core abnormal, distressing mental feature of social phobia. For you it is provoked in formal settings, but not wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
No basis for concern: Nothing in dayquil would be part of a standard urine drug screen. There is also nothing in dayquil that is of concern if it were detected. Decongesta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Overdose rare: Melatonin is sedating and i would not recommend more than 10 mg to help with insomnia. While melatonin overdosages rarely are dangerous, dosages above... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
No Problem: The antidepressant citalopram and antibiotic sulfamethoxazole (as a component of Bactrim (sulfamethoxazole and trimethoprim) or otherwise) are safely ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Yes: This is not a problem. While nont necessary i, would take zoloft (sertraline) and the enzymes an hour apart just to be safe.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Be careful: Benadryl (diphenhydramine) can be used with hydrocodone to decrease itching and nausea that sometimes happens with hydrocodone. Benadryl (diphenhydram... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Possible but...: Anxiety can produce tingling, numbness, and other uncomfortable sensations. The burning pain you describe is not the most typical for anxiety and you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Neck spasm, stress: Temples are a referral area for tension and stiffness in the neck. If you are working for long periods at a computer or leaning over projects, this ca... 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. Mitchell Cohenanswered
Psychiatry 39 years experience
Yes, but caution: Benadryl (diphenhydramine) can be used with hydrocodone to decrease itching and nausea that sometimes happens with hydrocodone. Benadryl (diphenhydram... 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. Mitchell Cohenanswered
Psychiatry 39 years experience
Trigger Finger: You may have an overuse syndrome from typing or texting, which we are seeing much more often as we all do more of it. The most common is trigger finge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Overdose Emergency: 600 mg is a serious temazepam o.D. That would cause severe sedation, placing person at risk for falls and accidents. Combined with alcohol and/or othe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Not a problem: Generally members of the penicillin family of antibiotics and especially Amoxicillin may falsely produce a urine drug test positive for cocaine. Azith... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Dose response: Anafranil (clomipramine) is a tricyclic drug that requires adjusment to the right daily dose over time to achieve the blood level of medication you ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
General measures: General helpful measures: 1. Avoid bright light and loud noise 2. If before 2 pm try a caffeinated beverage 3. If before 2 pm try moderate exercise li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Need more info: The knee is a complex joint that carries a substanial burden of weight and which is moved by powerful muscle forces. Hip joint arthritis is therefore ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 35-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Yes: This type of neuropathy often causes numbness, tingling and burning of areas of the face. Pain in the teeth is a secondary phenomenon caused activati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Socially awkward: These toddlers to varying degrees have awkwardness socializing with other children and adults. They may prefer solitary play, be interested n objects ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
It is sleeping but..: Trazadone is commonly used as a sleep aid successfully in many patients. Trazadone's strong antihistamine effects contribute to sleepiness, but some p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
It depends: If you have bipolar mood disorder or schizophrenia, marijuana can aggravate those illnesses. Children and early adolescents often are unsettled by th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Variable: This dose reduction of Anafranil (clomipramine) may not be enough to counter your side effects of reduced memory and concentration. If it is enough, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Still high: Usually marijuana continues to produce its psychic and behavioral effects even after years of use. There is a tissue reservoir of the active componen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Safe: There are no significant interactions between odansetron and adderall (dextroamphetamine and racemic amphetamine).
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Sleep & Mood: Lexapro (escitalopram) is an ssri that can be a very effective antidepressant. Like other ssris, however, Lexapro (escitalopram) does not aid sleep d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Caution: Break-through bleeding on depoprovera is known to occur as a side effect. It also can be a sign of cervical or ovarian problems, so must be reported t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Migraine treatments: Headaches triggered by smells, noise, light, foods, weather, wine, etc. Are usually migraines. Treatments: 1. Avoiding known triggers 2. Dark, quiet r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Your options: Hair loss at temples, without other thinning areas, can be final adult hairline sculpting. Usually completed by 30, thisis not male pattern baldness (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
What is the goal?: Lithium and Adderall (dextroamphetamine and racemic amphetamine) can be safely used together. More important are the treatment goals. Is Adderall (dex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Caffeine & bupropion: Nicotine is an unusual drug because it alerts at the same time that it calms us; hence, the smoking by students studying for finals. Caffeine and bupr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Quiet, rest, etc: General helpful measures: 1. Avoid bright light and loud noise 2. If before 2 pm try a caffeinated beverage 3. If before 2 pm try moderate exercise li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Usually not helpful: To the extent brainwave entrainment and eeg biofeedback teaches you to relax and reduce worry and stress, it helps prevent muscle tension headache or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Mitchell Cohenanswered
Psychiatry 39 years experience
Stretch, fix posture: Bending forward is a common provocation of spinal pain. Often shoulders are raised and rolled forward in people with neck and back pain. In proper po... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k 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.
2
Recommendations
107
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Cohen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Cohen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I took it for school this morning and it wore off by now and didnt experience any "bad" feelings, just concentrated and motivated to do work
HealthTap member
Thank you very much! And btw, the question mark at the end of what I wrote was in error if that makes any difference.
HealthTap member
Thank you, your quick reply made me feel good! I'm a lowly UVA peasant; now I can rake the mud fields in peace. Thank
Education & Training
Medical/Graduate school
Medical College of Pennsylvania, Philadelphia
Graduated 1984MD
Residency
The Johns Hopkins Hospital
Residency
Francis Scott Key Medical Center
Awards
Top Docs, Philadelphia Magazine
Educator Award, American College of Family Medicine
America's Top Doctors, Castle Connolly
Affiliations
Johns Hopkins Medical & Surgical Association
American Board of Pain Medicine
American Psychiatric Association
Publications
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