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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
Languages spoken
English
Doctor Q&A
69 Answers
1 Agree
The number of answers this doctor has agreed with.
A male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Reconsider stimulant: The goal for blood pressure is to be <120 and <80. I'm not sure what stimulants you are taking before you workout, but stimulants can affect blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 23-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Causes of anxiety: I would consider thyroid function if that hasn't been done yet. Cortisol is another thing to consider. I usually check these more for depression than ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 36-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Low-dose BuSpar (buspirone): In my experience, 5mg of Buspar (buspirone) is a rather low dose for most people. Also, Buspar (buspirone) tends to have rather subtle effects, compar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 37-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Ignore: Maintain a schedule.
Speak openly with doctor.
Trust you can treat it.
Created for people with ongoing healthcare needs but benefits everyone.
558 viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Talk with others: It's not truly realistic to get rid of anxiety about things like parenthood completely, but it is possible to manage your anxiety. Talk to other paren... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Quick diagnosis: Personally, i find it very difficult to diagnose in psychiatry in only 15 minutes unless I have a lot of background information (old records, informat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Med safety: The combination of the pregabalin and the diazepam can make you tired and dizzy, so I would advise not taking them at the same time. Also, diazepam is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Help for memory: There aren't necessarily vitamins with proven direct effects on memory, but the B-complex vitamins support brain/nervous system health. A healthy diet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
880 viewsAnswered >2 years ago
A 49-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Amitriptyline effect: Amitriptyline typically doesn't have an addictive quality. Also, if a patient takes the medication appropriately (following prescription directions, n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 44-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Viral recurrence: A variety of viruses can cause GI (stomach) illness, so while you may have better immunity against the virus that made you sick over the summer, it do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Unlikely: If you have been taking the 20mg of Citalopram without a problem, it is unlikely you will have a problem with increasing to 30mg. Citalopram tends to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Diet and exercise: I would suggest evaluating your diet (perhaps consulting with a nutritionist) to determine a healthy balance of fat/carbohydrate/protein intake. Also,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 18-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Dosage effects: If you had side effects from starting the 25mg, it is possible that there may be side effects from increasing the dosage. If those side effects are to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Medication effects: Risperdal and Invega are two psychiatric medications that are known for having hormonal effects, but it can't really be said that all psychiatric medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A 33-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Citalopram effects: The symptoms that you list are usually some of the things that Citalopram is prescribed to TREAT, so if you are still having these symptoms or side ef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsReviewed >2 years ago
A male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Caution with mixing: Gabapentin and Adderall have essentially opposing effects, so it may not make sense to take the two of them together. It is always important to use ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 63-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Cymbalta dosing: 20mg of Cymbalta is on the low end of the dosing range for this medication, but everyone responds differently to medication. Some people are more sens... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Possible dose effect: With the Ritalin and Strattera at those doses, you are taking a fair amount of medication. The nausea may be a result of the fact that you are on high... Read More
Created for people with ongoing healthcare needs but benefits everyone.
594 viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Other options: I would consult with a therapist who specializes in helping to manage unwanted thoughts and actions. He/she can give you specific tips that are better... Read More
Created for people with ongoing healthcare needs but benefits everyone.
588 viewsReviewed >2 years ago
A 28-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Effects of anger: Anger and stress are not healthy for the heart, but a cardiologist would have to evaluate you to determine what, if any, damage there is. Seeking help... Read More
Created for people with ongoing healthcare needs but benefits everyone.
588 viewsAnswered >2 years ago
A 51-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Other options: I understand your concerns about long-term Reglan use, and I'm wondering whether you have been tried on other medications for reflux? Other medication... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A 35-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Assessing sleep: Taking muscle relaxants or NyQuil is not going to help you to get quality/natural sleep. I would suggest talking to your physician about getting a sle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsReviewed >2 years ago
A 40-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Eval of exhaustion: Your fasting glucose probably won't help explain what is happening after eating, when you are clearly not in fasting mode. It could be helpful to test... Read More
Created for people with ongoing healthcare needs but benefits everyone.
575 viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Depression treatment: The answer to this depends on the severity of the depression and what the suspected triggers to the depression were. If depression was very severe or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Definitions : A psychopharmacologist is typically a psychiatrist who identifies as having studied psychiatric medications in significant depth and has a very techni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 30-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Med side effect: Different brands/formulations of medications can have different coatings or "fillers" (the non-active part of the medicine) that someone might be sens... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 29-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Effects on pressure: Blood pressure can be affected by many things, including anxiety, dehydration, stimulants like caffeine. There is a phenomenon called "white coat hype... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 16-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Many options: There are a lot of options for healthy breakfasts that don't involve meat or eggs:
-Oatmeal topped with fruit and/or nuts
-Smoothies made with non-dai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
601 viewsAnswered >2 years ago
A 26-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Med side effects: Depot injections usually last 4-6 weeks. Once the medication wears off, the side effects should as well. I would speak to your doctor about your conce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
575 viewsAnswered >2 years ago
A 21-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Anxiety help: There is no "best" medication for anxiety because different medications work for different people. It does take 4 to 6 weeks for meds like sertraline ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Gabapentin dosing: It seems that you are following the parameters of how the prescription has been written, but I would advise to clarify the prescription directions wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
433 viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Dose adjustments: First, make sure to discuss any concerns with your psychiatrist. It is true that positive effects can be felt at lower doses of medications such as We... Read More
Created for people with ongoing healthcare needs but benefits everyone.
582 viewsReviewed >2 years ago
A 18-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Propranolol dosing: Propranolol, as a beta blocker, can lower blood pressure and heart rate, so I would advise to stick with 1 tablet initially. Low blood pressure can ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A 33-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Anxiety eval: Anxiety is something everyone experiences as a normal course of life--ie, when having to give a speech, before a big test, etc. It's when anxiety star... Read More
Created for people with ongoing healthcare needs but benefits everyone.
594 viewsAnswered >2 years ago
A female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Med interactions: It is smart to be aware of the risk of interactions with medications and substances such as alcohol. Ibuprofen usually lasts in the system for around ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
575 viewsReviewed >2 years ago
A 64-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Caution w/supplement: Rhodiola is thought to affect serotonin levels, so I would advise against using it when you are already taking 2 medications that act on serotonin (th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
594 viewsAnswered >2 years ago
A 22-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Therapy: I would encourage you to seek a therapist who has experience with this type of eating disorder. Seeing a nutritionist who can help you to manage healt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Anxiety medication: I would consider an antidepressant that is also used for GAD. The SSRI's such as citalopram or sertraline are such examples. These medications help wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Difficult to tell: This is a very difficult question to answer, because dreams can sometimes seem very real, but you also don't want to make assumptions or jump to concl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
601 viewsAnswered >2 years ago
A 39-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Splitting dose: Increasing the dosage of duloxetine from 60mg to 120mg was a large step, so you are probably feeling the effects from that dosage increase. I often ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
601 viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Wide variation: Residential treatment centers can vary greatly, depending on who is running them, what the staff is like, etc. Such treatment centers are meant to pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
558 viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Addiction risk low: With that current dosing frequency, it is unlikely that you will become addicted to the Ativan. Addiction can be defined in various ways, but it usual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
575 viewsAnswered >2 years ago
A 22-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Using antidepressant: Anti-depressant medication doesn't work, unfortunately, after just taking one time. They take effect after taking them consistently, and it usually ta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
588 viewsAnswered >2 years ago
A 36-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Fluoxetine dosage: I would double-check with the pharmacy and with your doctor to see whether the dosage had been changed. Dosage increases with fluoxetine can cause anx... Read More
Created for people with ongoing healthcare needs but benefits everyone.
588 viewsReviewed >2 years ago
A member asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Cold medicine : Pseudoephedrine is an ingredient in some cold medicines, meant to help with nasal/sinus congestion. It is a stimulant that has been used inappropriate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
413 viewsReviewed >2 years ago
A member asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Resources: Most counties in the U.S. have mental health programs that can provide assistance for patients with mental health diagnoses even if patients don't hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
582 viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Missed periods: Many things can cause menstrual irregularities such as missed periods--including stress, sleep changes, diet changes, and medications. I would speak t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
582 viewsAnswered >2 years ago
A 61-year-old female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Typically, yes: If you continue to benefit from the SSRI and are not having side effects, I would consider it safe to continue, even for 20 or 30 years. If you are st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A female asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Combined sleep aides: Generally speaking, if you are not feeling sleepy from the sleep aide you've been prescribed and at least 30 minutes has passed, it's okay to take mel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
601 viewsAnswered >2 years ago
A 18-year-old male asked:

Dr. Jessica Langenhananswered
Psychiatry 18 years experience
Timing of medication: It's fine to take those medications at night if you feel they are making you sleepy. The important thing is to try to develop a schedule of taking the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
985 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
47
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Langenhan is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Langenhan is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Your answer made me feel good, thanks! We have done sleep study and it don’t give me answers that I need
HealthTap member
Thank you, your answer was very helpful! thanks.finally a answer that doesnt include antidepressants
HealthTap member
Thanks!! And I've been on zoloft for 9 months. But my dose was 100mg..
Education & Training
Medical/Graduate school
George Washington University School of Medicine, DC
Graduated 2005MD
Residency
UNIVERSITY OF CALIFORNIA IRVINE MED CENTER
Completed 2009
Awards
Founding Rx Editor, First Place, National - Winter
2015
Top Psychiatrist, First Place, California - Spring
2017
Top Psychiatrist, First Place, California - Fall
2017
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