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Dr. Thomas Steele

Psychiatry
Charleston, SC
60 years experience male

Locations

Office

Charleston, SC

Address

263 B King Street, Charleston, SC
Directions

About

Bio

Dr. Steele trained at the University of Pennsylvania (MD), Johns Hopkins (MPH), and Stanford University (resident and Chief Resident in Psychiatry), and served in the Public Health Service at NIH. After residency he was an Assistant Professor and Associate Professor at the Yale University School of Medicine, and then Associate Professor, Professor, and now Professor Emeritus of Psychiatry at the Medical University of South Carolina. He has been a Senior Examiner for the American Board of Psychiatry and Neurology, and has published in the areas of medical education, psychopharmacology, mood disorders, and psychological adaptation to chronic renal disease. He is author of the acclaimed book "Outpatient Psychiatry: A Beginner's Guide."

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: South Carolina

Languages spoken

English

Doctor Q&A

45 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 39-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
No: Clonidine is an alpha-2 receptor agonist (stimulator) which means that it ends up opposing norepinephrine, which is why it lowers blood pressure (amon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Maybe : Because cypriheptadine has an opposite effect on serotonin from celexa, (citalopram) it could possibly interfere with its action. Cypriheptadine is so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Probably unnecessary: Both are benzodiazepines with a moderate (temazepam average 11 hours, Lorazepam average 15 hours) half life. Lorazepam is more potent, milligram for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Not necessarily: Generally, the combination of cbt and medication is better than either alone. Using cbt tools may be help with preventing recurrence of whatever it is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
?Metformin: Metformin - an antidiabetic medicine that you might want to discuss with your prescriber - is sometimes helpful in drug-related weight gain. Also, mil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Sometimes: Sometimes they improve mood, and sometimes they make it worse. Progesterone seems more likely to worsen mood.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Diagnosis of bipolar: There are specific criteria for making this diagnosis, none of which you mention. You can find criteria on www.Nimh.Nih.Gov.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Possibly: Could be narcolepsy, but also need to rule out sleep apnea.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Too afraid of meds?: Not everyone taking an ssri has sexual problems; they may, if they occur, go away on their own or may be treated with other medication. Many with anxi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
See your doctor: The odds are that it’s not serious, but why take a chance? See your doctor!
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
In the meantime, prior to seeing physician and perhaps getting X-ray: elevation, intermittent ice (ice pack or styrofoam ice cup) perhaps 6-8 minutes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Depends: If the condition for which it was being taken happens to be in a state of remission (and the Seroquel (quetiapine) is not an essential condition for m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Probably not: Depends upon how far apart the ingestions are, but the combination of alcohol and benzodiazepines (such as valium) can be fatal, and valium is one of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Lethality of attempt: Per your statistics, 3% succeed, and unfortunately your friend was one of those. Suicide attempts vary widely in both lethal intent and lethality of m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes, if severe: Severity of serotonin syndrome can very from mild to fatal. If significant symptoms are present, that can constitute a potential emergency, and should... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Could be either: Could be either - are these the symptoms that led to your taking Klonopin (clonazepam)? If so, may be breakthrough anxiety since for most people Klono... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Problems: 1. Ativan 2mg a healthy single dose, especially in older person (risk of falls, confusion), especially when taking other psychoactive meds (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes but: Anxiety can cause "skipped" beats, but it would be important to see a physician just to be sure that there's no other cause of irregular heart rhythm.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Maybe: Most stimulants can lower the seizure threshold. It would be very important to see a neurologist to rule out other causes of seizure.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Days: Valproate can have an some beneficial effect within a few days (and can even improve sleep the first night with an adequate dose), especially if an ad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
A couple of things: Sometimes weight loss will occur just from stopping the seroquel (quetiapine). If there are glucose or lipid abnormalities from seroquel (quetiapine),... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Some alternatives: I don't understand the meaning of your last sentence; does it mean you have tried insomnia-directed cbt (as well as attention to sleep hygiene) but it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes, definitely: Although blood in the urine can occur after very heavy exercise, or after trauma (e.g., being struck in the abdomen or back), in which case it will cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Probably: Both drugs can raise serotonin - theoretically to dangerous levels - but that would be very unlikely since 15 mg is a low dose of mirtazepine and 25 m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Need evaluation: Depending on the dose you have taken, you could experience anything from mild discomfort to an epileptic seizure; the latter can be frightening and po... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
It depends: Many disorders fluctuate spontaneously over time; there may be symptom-free periods (even for years). Some improve partially - e.g., some with adhd l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Reducing the dose by around 10% every two weeks should minimize withdrawal symptoms. Cutting the pills will result in some drug dust; you could measur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
History, not tests: Diagnosis: history (ideally from the patient, parents, and teachers). Some tests of attention and concentration may help confirm the diagnosis. Some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Potential problems: Those are fairly high doses of each. There is a risk of excess sedation, but also a more serious potential risk of serotonin syndrome. This is the sor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Probably not: Epocrates lists no known interactions.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Too short a 1/2 life: Most sedatives (including alcohol) whose blood level drops fairly rapidly may help you to fall asleep but may interfere with staying asleep. Benzodiaz... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes for bupropion: Bupropion is known to cause tinnitus in some people. It is not listed as a side effect of plavix (clopidogrel).
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
It depends: Most people take it in the evening. A few people find it slightly activating (like a cup of coffee), and such folks should take it in the morning. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Melatonin, herbals: There are many types and causes of insomnia. Assuming yours is the occasional, stress-related type (rather than one such as depression that requires m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Legally, Yes: Whether that is a good idea or a terrible idea depends, of course, upon the specific details of the patient's situation (symptoms, likelihood of misus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes: Heart rate usually increases during a panic attack.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Both: As a disorder that is partially influenced by genetics - that is, a predisposition to it can be inherited - it does not develop in all persons who are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Yes, beta blockers (e.g., propranolol) can often be highly effective, even at rather low doses, when used prior to a potentially-stressful situation. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
This of course is a question for the prescriber. When Prozac (fluoxetine) first came out, 20 mg/day was considered the standard dose. Now, dose of 40-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Dreams/side effect: "abnormal dreams" is a known Chantix side effect. "abnormal" here means unusual for that person, not necessarily abnormal in the sense of being pathol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Augment vs change: Aripirazole can augment - improve the effectiveness of - antidepressants. This is usually done when the antidepressant is definitely, but only partial... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
With such a relatively low dose of sertraline, serious interactions (such as excess sedation) are unlikely. However, it is certainly possible that 1-2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Mental Health Center: Government-supported Mental Health centers have sliding fee scales. You need a comprehensive evaluation by a professional (physician, psychologist, nu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Possibly narcolepsy: Sleep paralysis can be a symptom of narcolepsy. Other symptoms include sleep attacks (sudden irresistible urge to sleep), hallucinations when falling ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Thomas Steele
Psychiatry 60 years experience
Something else: Much too late for withdrawal; must be something else. Suggest seeing your primary care provider.
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
59
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Steele is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Steele is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you for your quick reply, I will soon make an appointment!
HealthTap member
Thank you very much for answering, I take your advice to see a dr.
HealthTap member
Appreciate your feedback. Feeling relaxed now. Thanks to you all.

Education & Training

Medical/Graduate school

UNIV OF PENNSYLVANIA
Graduated 1962MD

Residency

Stanford University Medical Center

Awards

Top Psychiatrist , Second Place, South Carolina - Summer
2013
Founding Rx Editor, First Place, National - Winter
2015

Affiliations

Distinguished Life Fellow, American Psychiatric Association
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