Locations
Office
Keene, NH
About
Bio
I am trained in both psychiatry and occupational medicine.
I practice adult psychiatry, seeing a wide variety of conditions such as schizophrenia, bipolar disorder and borderline personality disorder.
I am interested in forensics, particularly disability evaluation and worker's compensation.
I also have an interest in neuropsychiatry.
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
Occupational Medicine
Doctor Q&A
195 Answers
49 Agrees
The number of answers this doctor has agreed with.
A 25-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Mutual Support: Please seek professional help for your alcohol problem. Alcoholism is a lethal disorder. A psychiatrist or therapist experienced with addictions can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Detox...: ...on your own can be dangerous and even lethal, depending on which medication you are taking. Please consult your physician.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
SEE YOUR DOCTOR: Hilda, what you have could be anything, from the simple flu to something more serious.
However, given your symptoms I would see your physician or g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Often yes: Mirtazapine is a very effective antidepressant, but it will often increase appetite which will lead to weight gain.
No side effect is 100% however ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
ER or 911: Trish, if you are asking questions about suicide you should seek help immediately. Please call a friend or relative or call 911, or go to the emergen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: DEA has just classified tramadol as a controlled substance.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Mutual Support: Try attending a meeting of Overeaters Anonymous, many patients find the support here helpful and life-changing.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Ignore: A full, refreshing eight hours of sleep every night is important to prevent relapses.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Ignore: A full eight hours of sleep is very important every night.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Ignore: Avoid the temptation to use alcohol, this only makes jet lag worse.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Yes, very possible: Your symptoms certainly sound as if they could be serious. Please be seen by your primary care physician or at the ER immediately.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
It depends...: ...on what the side effects are. Paliperidone (Invega) is a an atypical antipsychotic approved for the treatment of schizophrenia. The most common a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: Expiration dates are on medications and vitamins for a reason. Vitamins can lose their effectiveness.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 57-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
YES: Any blocked artery requires cardiology evaluation. This is especially true given your significant health problems. Wish you the best.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: Hypochondriasis is an excessive preoccupancy or worry about having a serious illness. An individual suffering from hypochondriasis is known as a hypoc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
YES, right away: Blood in the stool always could be serious, and should be evaluated by your primary care physician or the emergency room TODAY.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: It is never safe to take expired medication. In addition to any adverse effects, the ingredients probably are providing no benefit any longer.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No, but a good med: Nortriptyline is an older tricyclic antidepressant. It works mainly on norepinepherine rather than serotonin like the newer drugs. It is just as eff... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Antipsychotics: Schizophrenia is a brain disease consisting of being out of touch with reality, delusions, hallucinations, apathy, cognitive problems and being unable... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years agoMerged
A 43-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
DO NOT DO THIS: I agree with the previous physician's comments.
Withdrawal from clozapine is horrible, with serious physical symptoms.
In addition, whatever psy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Recommend what?: Wellbutrin (bupropion) XL is a white tablet with black lettering, so this may be the medication that you are taking.
I am not clear what you are as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
You Can't: Mutual support such as Narcotics Anonymous can be helpful and life-saving for many people.
Also seek help from a physician and/or counselor with ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Ask your physician..: ...about your concerns.
If you suffer from hypochondriasis, most likely you have had a number of physicians tell you there is nothing wrong despite... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Risperidone...: ...is a "second-generation" or "atypical" antipsychotic originally developed for schizophrenia. It is also used for schizoaffective disorder and as a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Many: Please do not use St John's Wort as an antidepressant, the quantity and quality of the active ingredient in these preparations are unreliable and can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years agoMerged
A 48-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
It depends: Different physicians switch antidepressants in different ways, and I would call your physician to find out how he/she wants to switch.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
ABSOLUTELY NOT: Not only is there no evidence, the most prominent scientist promoting this view has had his research completely discredited. The anti-vaccine movement... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
A number of things: Generally, lithium itself is not associated with weight gain. It could be another medication, indirect effects of the lithium on the thyroid, or a ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Depends: Sorry for the disappointing answer, but there is no set dosage and it differs for each person. Even a small dose of alprazolam (Xanax) will dull menta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years agoMerged
A 49-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Different medication: Methylphenidate (Concerta) is a direct-acting central nervous system stimulant that is approved for ADHD. If it does not work after an adequate trial... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 65-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Which Vitamin?: Deficiencies of different vitamins produce different effects, some much more serious than others. Can you give us some additional information?
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 48-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Possible: Risperidone is an atypical antipsychotic that is approved for schizophrenia and bipolar disorder. It is often used as an "add-on" for major depressiv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Opioids in Pregnancy: Methadone is the only approved medication but buprenorphine is becoming more acceptable. Practitioners generally use subutex rather than suboxone.
A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 31-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
MD: Please see your primary care physician or a neurologist.
Please have this evaluated today, go to the ER if you have to.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 50-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Yes: Duloxetine (Cymbalta) is an SNRI medication used for major depression, generalized anxiety, fibromyalgia and some types of pain. A generic has been a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
SSRI Discontinuation: SSRI discontinuation syndrome can occur from too rapid a taper. Symptoms may consist of "brain zaps", flu-like symptoms and depression. Going slowly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 48-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
A bit unusual...: Duloxetine (Cymbalta) is an SNRI that enhances serotonin and norepinephrine. Sertraline (Zoloft) enhances only serotonin.
Duloxetine is approved f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Anxiety: Buspirone is approved for the treatment of generalized anxiety disorder and is sometimes used off-label for other anxiety disorders and depression. Fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Usually clinically..: ...by history and examination. Delusions are false, fixed beliefs not shared by ones culture - the CIA is spying on him/her (non-bizarre delusions) or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Anxiety: It can be used for a variety of anxiety disorders, such as being worried excessively all of the time or spikes of anxiety called panic attacks. Clonaz... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Could be dangerous: Tapering off clonazepam should only be done under careful physician supervision. The symptoms you are describing could be from too rapid taper and you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Yes: Lorazepam (Ativan) is a member of the benzodiazepine class of medications. These suppress certain brain chemicals which is intended to reduce anxiety... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
For kids...: ...and adolescents generally yes. There usually will be some type of educational program, it may be very structured or may simply be supervision of h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: Gabapentin (Neurontin) is an anticonvulsant and analgesic drug. It was originally developed to treat epilepsy, and is currently also used to relieve n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Why...: ...do you think it is low? Compared to what? It may be normal for YOU if you are satisfied with it. Start with your primary care physician for a co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 43-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Depends: Traveling eastward is typically worse than westward. It also depends on the number of time zones you are crossing. If you are just crossing one or t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
You can ask...: ...the physician who is treating you. Quetiapine (Seroquel) is a second-generation "atypical" antipsychotic that is approved for the treatment of sch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
No: The fetal nervous system is developing and there are many medications that are harmful for the fetus that are fine for an adult. Valproate (Depakote)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
Ask MD: Please ask the MD who prescibed this for you. Sertraline is an SSRI useful for depression and anxiety. Sedation is a common early side effect that m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Anthony Vitaanswered
Specializes in Psychiatry
ER: You sound quite sick and need to see a physician as soon as possible.
Go to the emergency room.
You sound too sick to drive, have a friend or re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >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.
5
Recommendations
176
Thank you notes
Dec 1, 2014
I just finished a mini fellowship in psychiatry by reading Dr. Vita's answers. Each one to the point, informative, well written and full of new knowledge for me. He is a great asset to the Health Ta...Read More
Jul 15, 2014
Dr. Vita is a phenomenal asset to HealthTap. His recommendations are spot-on and his years of experience certainly shines through. I even find myself learning from his Psychiatric knowledge when readi...Read More
Jul 10, 2014
Insightful and knowledgable physician.
HealthTap member
This was very helpful. Thanks! Thank you. I have been trying to treat my disorders naturally but cannot prevent the psychotic and manic symptoms that way. This is good to read.
HealthTap member
This made me feel good. Thanks! I was thinking either Benzos or Propanderol, Propanderol didn't help intrusive thoughts, but it helped with the physical sysmptoms.
HealthTap member
Thanks for your quick reply! Understood cited ref, but have strong spprt, multi disc etc.4yrs now.
Education & Training
Medical/Graduate school
Stanford University School of Medicine, CA
MD
Residency
Harvard
Residency
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Awards
Occupational Medicine Physician's Scholarship Fund
Top Doctor, First Place, New Hampshire - Summer
2014
Top Psychiatrist , First Place, New Hampshire - Summer
2014
Affiliations
Dartmouth-Hitchcock Medical Center
American Psychiatric Association
Publications
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