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Doctor insights on: Daily Tips For Bipolar Moms

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Dr. Donald Jacobson
771 doctors shared insights

Manic Depressive Disorder (Definition)

Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more


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Is 1, 300 calories enough for a overweight, breastfeeding mom? 232lbs and 5'8. I take a prenatal vitamin everyday and try to eat healthy.

Is 1, 300 calories enough for a overweight, breastfeeding mom? 232lbs and 5'8. I take a prenatal vitamin everyday and try to eat healthy.

Probably not: 1.3k calories is a tiny amount. For a small woman in the low 100's, who is not lactating, 1.3k calories is probably ok, if not a little low, but certainly not for your weight/ height and situation. You'd be best to consult with a nutritionist, and get a good target daily calorie count, and a diet that you like and can adhere to. Something interesting. ...Read more

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Is Ashwagandha safe (250mg twice a day of KSM-66 full spectrum) for long-term use to help with anxiety? Thanks!

Is Ashwagandha safe (250mg twice a day of KSM-66 full spectrum) for long-term use to help with anxiety?  Thanks!

Possibly: The therapeutic effects of Ashwaganda like most supplements is not as well known as medications regulated by the FDA and potency may differ from one source to another. It has been suggested to help with anxiety but may cause nausea or even vomiting. It should not be used with immune suppressants, thyroid medications, or any sedatives including benzodiazepines ...Read more

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My 10 yr old adhd, bipolar, odd responds violently to all types of meds! i need a hospital/doc that can help find the right meds? Diagnosed at 5 with aspergers, adhd, tourettes, mood disorder, odd. Risperidone worked for a year, strattera for 6 mos., and

My 10 yr old adhd, bipolar, odd responds violently to all types of meds! i need a hospital/doc that can help find the right meds? Diagnosed at 5 with aspergers, adhd, tourettes, mood disorder, odd. Risperidone worked for a year, strattera for 6 mos., and

Dysregulatoin: Many children with an underlying dysregulated behavior pattern and 'melt down' frequently, are subject to many medications but do not respondwell. The underlying problem is problem with an excitatory neurotransmitter glutamate. None of the meds you list work on that transmitter. Speak to your trating physician about medications that are glutamate blockers. I have had great success using thm. ...Read more

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Any suggestions how to cope with stress and anxiety that is affecting my job performance. Use .5 mg ativan (lorazepam) for insomnia & lamictal for mood disorder?

Any suggestions how to cope with stress and anxiety that is  affecting my job performance.  Use .5 mg ativan (lorazepam) for insomnia & lamictal for mood disorder?

Anxiety: Try using the free anti anxiety app featured on the soundmindz.Org website and also consider reading my latest book, "managing the stress of success" featured on the same site. If your stress continues consult a mental health professional as psychotherapy can be very helpful in reducing stress and anxiety. Best. ...Read more

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Prescribed lonazep md .5mg for sleep , sizodon drops for mood disorder along with valance od 500mg..Are the medicines helpful ?

Prescribed lonazep md .5mg for sleep , sizodon drops for mood disorder along with valance od 500mg..Are the medicines helpful ?

Ativan/Depakote/Risp: Valance is a mood stabilizer (depakote, valproic acid) & lonazep is an anxiety medication (ativan, lorazepam). Sizodone is an antipsychotic (risperdal, risperidone). This combination, taken as prescribed, is fairly common to stabilize moods & treat thought disorders. ...Read more

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Bipolar student has no way of getting lamotrigine after grad. Extreme manic episodes. Need help, is there free clinics for psych health? Help please!

Bipolar student has no way of getting lamotrigine after grad. Extreme manic episodes. Need help, is there free clinics for psych health? Help please!

Help: Contact local community mental health center lamotragine is generic. Shop for best price www.Meedymeds.Org is an information clearing house regarding access to free medication. ...Read more

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Postpartum 12wks anxiety&OCD. Ob prescribed klonopin (clonazepam) for short term use as I don't do well with ssri. Is this safe with breastfeeding? Recommendations

Postpartum 12wks anxiety&OCD. Ob prescribed klonopin (clonazepam) for short term use as I don't do well with ssri. Is this safe with breastfeeding? Recommendations

Check with doctor: Klonopin (clonazepam) gets into breast milk and can cause side effects in your baby. However, some reports say risks are very low. Best to check with pediatrician or family doctor. Decide what's best for you and your baby. Taking Klonopin (clonazepam) and bottle feeding may be a good alternative. You're calmer and your baby will benefit. ...Read more

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I get migraines daily use excedrine to treat them I am asthmatic and seizure ADHD Asperger autism and want to try mild hbot is that safe for asthmatic?

Daily migraines: I'm not sure what hbot is. Perhaps hyperbaric oxygen therapy? Regardless, person to ask about safety of some proposed medication/treatment/surgery as it applies to you is person suggesting it for you. In other words, ask whoever is going to provide you w/hbot what they know w/regards to use in asthma. In meantime, check out http://goo.Gl/b4ay9 for options for (non)prescription migraine prevention. ...Read more

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Friend asks: Is Prozac (fluoxetine) safe for my 17 yo daughter at risk for self harm, with eating disorder and depression? Does Prozac (fluoxetine) increase suicidal ideation?

Friend asks: Is Prozac (fluoxetine) safe for my 17 yo daughter at risk for self harm, with eating disorder and depression? Does Prozac (fluoxetine) increase suicidal ideation?

PROZAC (fluoxetine) PLUS THERAPY: The most optimal combination for emotional problems is meds and psychotherapy. That being said, be mindful that meds by themselves only take the edge off symptoms; alone they solve nothing. The real grunt work takes place in the psychotherapist's office. ...Read more

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I need some help with depression and life. Tips for a teen?

I need some help with depression and life. Tips for a teen?

See someone: You are not alone....Talking it out with someone you trust will help. I like joyce meyer's book battlefield of the mind for teens too. Lots of good advice! good luck! ...Read more

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How can I find suitable caregivers for my loved one with dementia?

How can I find suitable caregivers for my loved one with dementia?

Contact: Please contact to a local or county senior service. It has a list of agencies that provide care for the elderly. Once you pick an agency, find the right matchmaker for the companion. Please note that if you found it on newspaper ads, make sure that this person has fully bonded insurance and provides references from previous care. ...Read more

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For my social anxiety I'm currently talking to people daily. How many people should I talk to? (What's the adverage daily?)

For my social anxiety I'm currently talking to people daily. How many people should I talk to? (What's the adverage daily?)

KEEP IT UP: No real average best is to do as you are get out daily and make contact with anyone and just say hello even at a grocery etc. Just human contact. With the routine it becomes less and less stressful or weird. ...Read more

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Psychology:Adult acquaintenance with daily manic episodes is visiting for one mo. Besides empathy for this person with the disorder what else helps?

Psychology:Adult acquaintenance with daily manic episodes is visiting for one mo. Besides empathy for this person with the disorder what else helps?

Be clear w/in: yourself about how much time you will spend w/friend when manic. If not, he will run your schedule and your day. You can give him 1/2 hour, for example, when he's like that and then have him entertain himself until later. You can tell him this beforehand. Sounds like he is being treated professionally. If not, provide a referral. Peace and good health. ...Read more

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How do single moms cope with work and kids?

How do single moms cope with work and kids?

With difficulty.: The greatest problem is who is parenting the children, while you necessarily work. If you have a family network close by, this would help. ...Read more

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I take lyrica for anxiety/ depression/ proper energy. I have been self medicating myself with about 200 mg of lyrica for about two months because i suffer from social anxiety/ depression and it helps me to function and focus well at school unlike I have e

I take lyrica for anxiety/ depression/ proper energy. I have been self medicating myself with about 200 mg of lyrica for about two months because i suffer from social anxiety/ depression and it helps me to function and focus well at school unlike I have e

Self meds No=No!: If you are a physician and are very familiar with the medication and it's side effects and interactions with other meds then less of a no, no but still not wise. First of all it is difficult to objectively self diagnose let alone select proper treatment and monitoring by yourself. Being informed & working with your dr. Is different than self medicating. Discuss w/ treating md asap.Labs need checked. ...Read more

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What's the best 'first time' mild antidepressant for someone who's been depressed for over 4 years? How much mg day is recommended for 110lbs person?

What's the best 'first time' mild antidepressant for someone who's been depressed for over 4 years? How much mg day is recommended for 110lbs person?

Lexapro (escitalopram) 10mg in am: Good class of medications to start are SSRIs. From that class Lexapro (escitalopram) or celexa (citalopram) if your insurance does not cover the more expensive Lexapro. Starting doses are for Lexapro 10mg usually in the morning and 20mg for celexa, also in the morning. ...Read more

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I've been putting on 2pounds a week on Depakote although i eat healthy and exercise.Any specialweight loss tips until i can discuss with psychiatrist?

I've been putting on 2pounds a week on Depakote although i eat healthy and exercise.Any specialweight loss tips until i can discuss with psychiatrist?

Weight loss: If you eat 500 calories less per day than you expend, you will lose 1 pound every 7 days. 3500 calories is 1 pound of fat. Same goes in the other direction. You will need to both increase your exercise and review your food plan to balance things out. Good luck to you! ...Read more

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Dr. Alan Ali
1,764 doctors shared insights

Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, ...Read more