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Dr. Brian Writer

Psychiatry
San Antonio , TX
17 years experience male

Locations

South Texas Veteran's Health Care System

San Antonio , TX

Address

7400 Merton Minter Blvd, San Antonio , TX
Directions

About

Bio

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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

Doctor Q&A

87 Answers
91 Agrees
The number of answers this doctor has agreed with.
A 36-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Violent acts: Interpersonal violence appears to be the final pathway behavior emerging from varying combinations of potentially modifiable and relatively non-modifi... Read More
A 19-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Could be: Could be a variety of contributions one of which includes anxiety. You should consider discussing your situation with your primary care doctor who inv... Read More
A 35-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Potentially: Ultram taken with zoloft can result in symptoms including gastrointestinal distress, confusion, changes in heart rate/blood pressure & temperature as ... Read More
A female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Possibly...: Major depression can be part of major depressive (unipolar) disorder or a component of bipolar disorder. Both are complex conditions emerging from and... Read More
A 36-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: Cocaine use can result in death of of tissue (septal necrosis) with consequent undesirable change in nasal appearance. Some mechanisms might include r... Read More
A 25-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
It should not: Anxiety can be a consequence of steroidal injections, depressive conditions, &/or the underlying pain condition that it is being treated. These condit... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Silenor: Additionally, low dose Doxepin (3 or 6 mg tablets) has recently been marketed as the brand name silenor for the treatment of insomnia. Silenor is sign... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Lithium: Lithium carbonate is a medication approved to treat bipolar type 1 acute manic episodes. It is also used for as maintenance therapy to prevent future ... Read More
A 22-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
See below: There's a variety of potential causes/contributions to physical and emotional distress. A possible emotional reaction to these difficulties is irritab... Read More
A 35-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Improve outcomes: Various types of "talk" therapy can improve (chronic psychosis) psychological/medical health and life-role functional outcomes when combined with stan... Read More
A member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Sometimes: Depends on the status of the underlying condition it's being used to treat as well as the type of work being performed. All medications are ultimately... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Benzodiazepine: Valium (diazepam) belongs to a class of medications called benzodiazepines. They are also referred to as sedative-hypnotics & anxiolytics. These medic... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Drug Abuse: Agree with prior response. In addition, drug "abuse" has a specific connotation to behavioral health providers. It specifically refers to ongoing mal... Read More
A 34-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
No but...: There shouldn't be any significant interactions between Paxil and verapamil. However, Paxil (paroxetine) is relatively more likely to interact with ot... Read More
A 29-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Bipolarity: Lithium is used for a variety of mental health conditions and symptoms. Most commonly it is used for bipolar disorder. Blood level should be ideally d... Read More
A 20-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Could be: While feeling lightheaded and being short of breath can accompany varying levels of anxiety, it is always important to ensure that those types of symp... Read More
A 52-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Many causes: Depression can be caused by many contributory biological (eg medications, medical conditions, substances, etc), psychological (eg thoughts, resiliency... Read More
A 19-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: As well as a variety of other adverse and interrelated general medical/psychological conditions.
A 32-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: New and/or repeat expectant fathers may experience sleepless nights for a variety of reasons. New parenthood is a time of significant transition. This... Read More
A 17-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Good listener: Being a psychiatrist is a very rewarding experience. Amongst other qualities, requires flexible interpersonal skills, an ability to time responses for... Read More
A 39-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Good and bad: Regarding sleep, if by bad, you mean less, then all ssri antidepressants can potentially negatively impact (limit) sleep upon initiation. This effect ... Read More
A 46-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Life roles: In general, decompensation refers to worsening medical and/or mental health status. This may be accompanied by compromised functioning in one's variou... Read More
A 40-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Possibly: In general, hypoperfusion refers to decreased blood flow. Depending on the degree, location and and duration of hypoperfusion to the brain, yes, hypop... Read More
A 26-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Should be OK: This combination should not be a problem. However, 40 mg of Lexapro (escitalopram) is considered an 'off-label' dosage meaning that is higher than the... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Additionally: Other potential side effects include decreased blood pressure, breast discharge and/or enlargement (in females or males), menstrual irregularities, an... Read More
A 49-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Probably: Paxil (paroxetine) is an ssri antidepressant. Fda approved for variety of anxiety and (non-bipolar) depressive conditions. Untreated mental health dif... Read More
A 35-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Depends: If these are the only medications you are on, then there is no need to impose a wait time between starting Prozac after stopping vyvanse (lisdexamfeta... Read More
A 22-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Variety: Reduced focus is a non-specific finding caused by a variety of medical, psychological, situational difficulties and/or some interplay of these variou... Read More
A 40-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Numerous causes: Variety of potential general medical, substance/alcohol use-related, prescription medication reaction, and/or psychological causes to these types of ... Read More
A 19-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Talk: Would consider making an appointment with the provider who is prescribing/managing your zoloft (sertraline). There is a wide array of effective treatm... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Unconscious Conflict: Somatoform disorders are a group of conditions wherein individuals unconsciously manifest psychological &/or physical symptoms typically in the settin... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Stimulant: Adderall (dextroamphetamine and racemic amphetamine) (combination Dextroamphetamine and amphetamine) is a stimulant medication approved for the treatm... Read More
A 16-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Absolutely: Obsessive Compulsive Disorder confers vulnerability to experiencing a major depressive episode (and hence having major depressive disorder). This may ... Read More
A 48-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Many conditions: Zoloft (sertraline, an ssri antidepressant) and Abilify (aripiprazole) (aripuprazole, a newer antipsychotic) can be used together. Both have potential... Read More
A 21-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: If that is what/how your doctor has prescribed it and you are tolerating/benefitting from it, then yes. This is both reasonable and not an uncommon me... Read More
A 22-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Numerous: Essentially all mental health conditions are associated with an increased incidence of suicidal thinking. There is likewise a long list of medical con... Read More
A 40-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: Adderall (dextroamphetamine and racemic amphetamine) is an approved medication treatment for attention deficit hyperactivity disorder (adhd). It is a ... Read More
A 48-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
See below: One could influence the size of their pupils via a variety of (illicit and/or prescription) pharmacological and/or emotional strategies targeting upre... Read More
A 35-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
See below: Anticoagulation bloodwork typically involves regularly scheduled monitoring of pt (with inr calculation) & hematocrit. Concurrent use of zoloft (sertr... Read More
A female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Possibly: Given the wide age range in which one can become pregnant and the varying presenting symptoms, your description could signify pregnancy and/or some ot... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
SSRI Antidepressant: Lexapro (escitalopram) is a newer ssri antidepressant approved for treatment of unipolar (as opposed to bipolar) depression and generalized anxiety. I... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
No answer: "addiction" is a non-specific term typically referring to difficulty abstaining from ongoing use of a particular substance (including alcohol and pres... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Schizophrenia: Schizophrenia is a primary psychotic condition. See my prior description of schizophrenia regarding what is disorganized schizophrenia. Residual schiz... Read More
A 29-year-old member asked:
Dr. Brian Writer
Psychiatry 17 years experience
See below: Cessation of alcohol use can result in a variety of negative emotional and medical consequences including, but not limited to, disruptions in sleep qu... Read More
A 23-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
See below: There is no evidence to support this concern. However, vyvanse (lisdexamfetamine) is potentially habit forming and can cause growth suppression with l... Read More
A 28-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Benzodiazepine: Klonopin (clonazepam) belongs to a class of medications called benzodiazepines. They are also referred to as sedative-hypnotics & anxiolytics. These m... Read More
A 41-year-old female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Weight concerns: While weight gain is not a common side effect of venlafaxine, it can occur in the setting of medical/psychological difficulties & lifestyle dietary/ex... Read More
A female asked:
Dr. Brian Writer
Psychiatry 17 years experience
Yes: Major depressive episodes can occur in (unipolar depression) major depressive disorder or in bipolar disorder (bipolar depression). A hallmark symptom... Read More
A 19-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Anxiety treatment: There are a variety of available medication and/or non-medication treatment alternatives for anxiety of which zoloft (sertraline) is one of them. 200 ... Read More
A 21-year-old male asked:
Dr. Brian Writer
Psychiatry 17 years experience
Depends: Depends on the bodily sample and the instrument used for detection. In general, for usual urine detection methods, marijuana can be detected for appor... Read More

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

3
Recommendations
250
Thank you notes
Mar 30, 2014
I fully recommend Dr. Writer to anyone needing his help as he seems to care deeply about his field of Psychiatry. Great Physician and Colleague and asset to the community at HealthTap!
HealthTap member
Mar 30, 2015
Dr. Writer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Writer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I was going to stop them cold turky but now I'll talk with my doctor
HealthTap member
Thank you, your answer was very helpful! Thank you for specifying how seroquel affects the metabolism...
HealthTap member
Thank you, your answer was very helpful! From 2mg klonopin to 6 mg ativan was on klonopin for 3 years

Education & Training

Medical/Graduate school

University of New England College of Osteopathic Medicine, ME
Graduated 2005MD

Residency

University of Texas Health Science Center at San Antonio

Awards

Golden Apple Award for resident teaching in 2009-10
Top Psychiatrist, Second Place, Texas - Spring
2014
Thought Leader, Third Place, San Antonio Region - Spring
2014

Publications

Salvia divinorum
Executive clock drawing correlates with performance-based functional status in people with combat-related mild traumatic brain injury and comorbid pos...
Psychopharmacological treatment for cognitive impairment in survivors of traumatic brain injury: a critical review.
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