Locations
Office
About
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
Languages spoken
English
Doctor Q&A
31 Answers
17 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Several days: Usually after five days is not detected in the urine.
However it depence on the use ( if chronic or sporadic)
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
No reason: There is no documented positive effect in taking the 2 together. The question is what r you being treated for?
4.9k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes.: However you should consult with your psychiatrist or pcp to rule out possile reason for your lack of response to Lexapro (escitalopram) 20. Then incre... Read More
4.9k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes and no: Severe depressiion is difficult to treat with just psychotherapy or natural remedies. Usually these two approches are more effective in mild to modera... Read More
4.9k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Better to call him/h: The best way to handle if you do not have immediate access is to call him/her to get feedback on how to handle your situation.
Most practitioner ten... Read More
681 viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Consult with your dr: Weaning off meds is not easy. There are several ways to do what you asking,but the process needs to be supervised by a specialist.
3.5k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Why?: I do not see the benefits, just potential side effects.
4.9k viewsAnswered >2 years ago
1 comment
A 21-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
No: You need to talk to your psychiatrist or pcp to come up with an adequate schedule/dosage.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
No answer: Comparing meds is not easy, it depends from many factors including dose, individual respponse , age, etc.
4.9k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Marcello Mavigliaanswered
41 years experience
Keep a journal: Hi, the first step to your problem is to assess the response to meds with more precision. Please keep a journal of your response to meds for a couple ... Read More
681 viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Mild depression: Not very effective in forms of severe depression. However , it may be effective in mild forms of depressions or adjustment disorders.
4.9k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Marcello Mavigliaanswered
41 years experience
It may look like it: withdrawal symptoms may mimic quite few psychiatric conditions. However if you have not a dx of schizophrenia, most likely you not developing schizop... Read More
681 viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Marcello Mavigliaanswered
41 years experience
Different treatment.: it can manifest with same sxs or a more complex mix, including irritability. Treatment follows different guidelines. Antidepressants may not be as ... Read More
681 viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
No good reason: Yours is not a question but a statement. Although vitamin b has stimulating qualities, its link to nightmares is not certain. However, if you are ha... Read More
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes: Yes , however you do not give any info about dose, frequency of dosing, and other health parameters. See your dr. Do not do it yourself!
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
No.: There is no evidence that marijuana inhibit wound healing.
4.9k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes: Alcohol should be avoided.
3.5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Huge: Mental hygiene covers all those practices helping us to have good physical and mental health. Therefore, things like structuring the day so that is ... Read More
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Potentially yes: When used to treat mood disorders can help with sleep problems.
4.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
BE CAREFUL!: It is not a good idea to mix benzos . Please talk to your dr.!
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Be careful: Impossible question to answer. Lack of basic info: dose, age , other meds , health status. Meds cannot be taken like that! check wiith your care pro... Read More
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
No right answer: It depends from the individual. Depression may not manifest itself at all.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
More details: More details are needed. For example; if you take high dose of sertraline propanolol couldmask some of the side effects( eg serotonergic syndrome).
4.9k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Not all the times.: Since anxiety may be transitory and due to situational factors the dose may not to be adjusted. Also there are other interventions for anxiety( eg co... Read More
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes: However is not the best practice. You need to check with your dr. The best approach is to take just one at an appropriate dose.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Bad idea: They both cause sedation. I would not mix.
4.9k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
It could.: Sometimes it helps. However, it may not. Please check with your Dr. If you are not seeing a psychiatrist , this is the time to do it.
3.5k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
Yes: Silicone gel can effectivvely be used on a depressed scar leveraging a process of protection and partil healing
4.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Marcello Mavigliaanswered
41 years experience
1 to 2 wks: Although it tends to vary the adjustment may be as long as 2 wks.
4.9k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Marcello Mavigliaanswered
41 years experience
It could.: Please keep a diary of your sleep patterns
without drugs for a wk. then discuss them with your provider. Include in the journal your daily moods( an... Read More
681 viewsAnswered >2 years ago
A 42-year-old female asked:
Dr. Marcello Mavigliaanswered
41 years experience
Do not agree: I would not try it as firs line therapy. You can do a lot with sleep hygiene measures. YOU CAN GOOGLE THE TOPIC.
681 viewsAnswered >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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.
1
Recommendations
36
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Maviglia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank You Dr. Maviglia, your answer was helpful! Appreciate it!
HealthTap member
at least u dont know an dont think u know
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
La Sapienza Rome Italy
Graduated 1981MD
Awards
Top Psychiatrist , First Place, New Mexico - Summer
2013
HealthTap Doctor Mom
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