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Bio
Co-founder of Psychotherapeutic Services, Inc. I am Board Certified in Psychiatry with added qualifications in Forensic Psychiatry.
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
121 Answers
94 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Delusion definition: By definition a delusion is a fixed, false, belief. Because it is rigidly held as true by the person suffering with this it tends to be difficult to a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Effexor (venlafaxine) XR 75mg: Not ideal but not 'dangerous' to miss a single dose. There are free pill reminder apps if you have a smart phone.
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 40-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Doxycycline ; dairy: Tetracycline blood levels are decreased when taken with dairy products. Doxycline (vibromycin) blood levels are much less effected. Wait an hour and e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 43-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Neck pain: 1st I am a psychiatrist. Depending on the force and mass of the object you could have herniated a disc on opposite side of the trauma. See a doctor an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Anxiety Tx: Has your treating professional done a sufficient trial of either Cymbalta, BuSpar, (buspirone) or Prozac? All of these medications are approved for t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 34-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Methadone tx. : If you want to decrease or eventually discontinue Methadone the clinic will explain their protocol and how and when med reductions occur as well as te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 27-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
?Pregnant?: It's not clear to me if you had urine or serum pregnancy test. If still no menses i would suggest serum HCG test as urine HCG tests are usually accura... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 51-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Fatigue workup: I suggest complete physical with complete labs. Include HGB a1c, t3, (liothyronine) t4, TSH (thyroid), serum ferritin & iron, b levels as well. I'm as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Tongue piercing: Your tongue piercing will not close up in the time required to pull 2 teeth. Your dentist will confirm this.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Cyst by groin: Seriously only a female physician can advise you about a cyst that has 'been present for years' near your right groin? Go to your pcp and get a refer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Emaciated??: If you are eating healthy you need to be evaluated by a medical professional to rule out the possibility you may have an intestinal parasite or metabo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Down's syndrome : None that i know of but is there history of this genetic disorder?
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Throat lump: Go to your PCP or get an appointment wth an Otolaryngologist (ENT) ear, nose, and throat specialist. You may need a biopsy but there is no way you ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 35-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Pain &depression.: in my opinion you might benefit from talking to your prescribing professional about a trial of Cymbalta (duloxetine) as it is the only antidepressant ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Cold sore tx.: Although easier said than done you should not be embarrassed. A cold sore is caused by the same virus as chickenpox. Herpes zoster. Yogurt and peroxid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A 53-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Crack neck??: You can go to either a chiropractor or osteopathic physician who are qualified to do neck manipulation after having an x-ray to rule out pathology/con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 18-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Pregnant??: If u have had sex since last menstrual cycle u should get an otc pregnancy test to r/o pregnancy. If negative go to your ob/gyn for an exam. If test ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 22-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Exhaustion: If this is new development u would benefit from complete physical exam ; bloodwork with thyroid and hepatitis panels as well as hgba1c. If everything... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 22-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Anxiety Sx ??: What you know is that your heart is not diseased. Without psychiatric/psychological evaluation by a mental health professional it is impossible to di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 37-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Fiberglass removal: Take cold shower for several minutes to close pores then a very warm-not hot shower to flush out fiberglass particles. Can also try epsom salts in war... 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. Ralph Wolfanswered
Psychiatry 41 years experience
Antidepressant-preg.: While no antidepressant is fda approved while pregnant I have used them after the first trimester when benefits have outweighed the risks with no fet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Chest pain: Is your chest pain and pounding heart with or without physical exertion/exercise? Does the pain radiate to jaw or arm? Is there any shortness of bre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Lorazepam dose: Maximum dose/day for Lorazepam is 10mg/day but this is rarely needed. This pill is available in 2mg. Usually 2-6 mg/day in divided doses is rx. In us... 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. Ralph Wolfanswered
Psychiatry 41 years experience
Advil (ibuprofen) test thc false: When labs only used emit test it was possible. Now labs can use gas chrimatograph/mass spectrometer & rarely can be still + but only at very high dose... 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. Ralph Wolfanswered
Psychiatry 41 years experience
Mourning process: Everyone mourns in their own way. Since I do not know u personally it would unprofessional for me to predict when, or even if you will cry. My best g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 33-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
D/c citalopram: Discuss this wish with your prescribing professional. Citalopram is generic Celexa (citalopram) and maximum recommended daily dose is 40mg. I assume ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Xanax (alprazolam) did : No... They r both benzodiazepines and they would show up the same on drug screen.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 29-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
SOB: Get to er get ekg with rhythm strip and cardiac enzymes drawn along with chest x-ray to rule out pulmonary embolism.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Fluctuating BPM: There are numbers of things that could cause elevated heart rate with no panic attacks. What were you doing just before you felt this? Did u smoke, d... 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. Ralph Wolfanswered
Psychiatry 41 years experience
Benzos and Benadryl (diphenhydramine) : First i need to question doses of xanax and valium and why you are taking 2 different benzodiazepines. Most people do not realize xanax is about 10x m... 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. Ralph Wolfanswered
Psychiatry 41 years experience
Elavil (amitriptyline) effects: Amitriptyline is the generic form of elavil (amitriptyline). It is a tricyclic antidepressant medication that has anticholinergic activity. I am not s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Black stool?: Get to a medical professional to determine that you are not having a high intestinal bleed.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Vitamin question: The only fat soluble vitamins are, as i recall, from training are a, d, e, and k. B and c are water soluble and are removed by the kidney. That being... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 34-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
In vega weight gain: Maybe. Any drug can do anything. Have you seen a package insert?? I had 1 person gain 20lbs and 1 person lose 10lbs on Zyprexa (olanzapine). Watch ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Controlling persons: Not enough info to be accurate but usually Narcistic Personalities as well as Sociopathic Personalities as well as those with OCD can have as their sy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 23-year-old member asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Anxiety & caffeine: in my opinion any stimulant whether it be medication that's legal or illegal, caffeine, nicotine, and even sugar can increase the symptoms of anxiety ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A member asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Benzos in urine: assuming you only took only one 0.5 mg Ativan (lorazepam) tablet over 21 days ago your urine should be clean. The half-life of Ativan (lorazepam) is 1... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Tylenol (acetaminophen) warning: in order to determine the cause of your throbbing head you need to see your primary care physician. Be careful with how much Tylenol (acetaminophen) y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Murder in mental dx.: While mental illness does not cause murder, the highest incidence of violence and murder is found in the population with paranoid schizophrenia and ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
No: Take Ambien as needed for insomnia and Vyvanse in morning for ADHD. Discuss this with your prescribing professional if still concerned.
Created for people with ongoing healthcare needs but benefits everyone.
680 viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Benzodiazepines. : Why r u taking any benzodiazepines while pregnant? These need to be prescribed by your doctor/np. 2 mg of xanax (alprazolam) is about equal to 20mg o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Antipsychotic d/c: To try to get off your antipsychotic you need to do this in conjunction with your prescribing professional and tapered slowly over extended period of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Sciatica pain: Sciatica is most often caused by a herniated lumbar disc usually starting in your bum and radiating down back of leg to foot with or withou tingling a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Xanax (alprazolam) cause headache: Xanax is a benzodiazepine & considered 10x more potent than Valium. If taking for anxiety you might ask your prescriber for a trial of BuSpar (bus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 67-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
TID: Ideally 'three times per day' medication dosing refers to 6am, 2pm, 10pm. Or every 8 hours unless it must be taken with food in which case breakfast,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
17yo-pediatric dr.: It's been my experience that pediatricians regardless of sub specialty will refer after patients turn 18yo. Discuss with current dr. And if this is th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 35-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Tachycardia: First do you smoke as nicotine like caffeine is a stimulant? What is your heart rate and bp? You may need 24 hour holster monitor to determine if an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 36-year-old male asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Anxiety treatment : You do not mention your dose of Paxil (paroxetine) daily. Depending on which anxiety disorder your doctor is treating you for the maximum recommende... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Alzheimer Sx. : Sorry, but I do not remember. But seriously this topic is easily googled. Try here first:
http://m.Alz.Org/10-warning-signs.Asp
hope tha is a good... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 54-year-old female asked:

Dr. Ralph Wolfanswered
Psychiatry 41 years experience
Dizziness: Not really clear where you r pressing or how hard but your left and right carotid arteries could be in the region u describe and they supply oxygen to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k 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.
4
Recommendations
169
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Wolf is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wolf is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wolf is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I saw my dr and they said it could just be my cycle after having a baby 1 yr ago- they didn't think it was from mj- what do u mean by somati
HealthTap member
Thank you, your answer was very helpful! I take no drugs or meds. I also don't drink coffee or soda. Thank you
HealthTap member
Thank you, your answer was very helpful! thank you..i guess its important to be patient and not diagnose myself
Education & Training
Medical/Graduate school
Philadelphia coll of osteo med
Graduated 1972MD
Medical/Graduate school
Philadelphia College of Osteopathic Medicine, PA
Graduated 1982MD
Residency
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Residency
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Awards
Recipient Warren Williams Speaker Award-APA
Top Psychiatrist , Third Place, Maryland - Summer
2013
Top Psychiatrist, First Place, Maryland - Spring
2014
Affiliations
Affiliated Psychiatry
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