Doctor insights on:
How Do I Know The Therapy Is Working
What medication would be effective in combination with therapy in treating oppositional defiant disorder? Therapy alone isn't working. Which meds help
Psychiatric Eval: Starting medication is a big step. Get a comprehensive psychiatric evaluation. If medication is the next step you want to be sure it is monitored. Talk to the therapist about your concerns, it might be helpful to try something different in therapy and/or more sessions. Groups can be helpful for both parents and children. Best wishes and good luck. ...Read more
What's the best type of therapy or therapist for depersonalisation disorder? Something isn't working with my current therapist.
Long-term therapy: Depersonalization disorder is a complicated problem that needs long-term therapy with a professional you trust. Difficulties in this process are not uncommon, and discussing them should be part of the therapeutic work. Please tell your therapist that you feel "something isn't working." my guess is that s/he would want to know. Good luck. ...Read more
If stretching/strengthening exercises aren't working for gluteus medius pain (months of therapy) what exactly can a Dr. do for this relentless pain?
He (she) can do lots: if your doctor is a physical medicine doctor or an osteopathic doctor. First, he can perform a thorough examination as well as diagnostic testing. Second, if the diagnosis is neurological, he can give you blocks and/or epidural steroid injections. Third, he can coordinate therapy. There are trigger point therapies, such as dry needling, spray and stretch, and manual therapies he can administer. ...Read more
Therapy and antidepressants aren't working. Depression is making me lose my friends. I don't want to live anymore.
We need to get help: Please let's look at the glass as "Half Full" here and see how to best solve the problem at hand by showing you why continuing to live is actually the best way to go. Let's have a conversation? You are 5 hrs. ahead of me I believe...but if you'll go to: www.healthtap.com/drsaghafi and use my Key Code: PDXFNR and set up an appointment the system will schedule everything for you. Looking forward ...Read more
Not always: This depends on if you can see or feel the cancer physically or your doctor sees the tumor on setup x-rays. In these cases you could see the tumor shrinking and as such it is working. In many cases we are treating cancer that are too small to see even on x-rays and the therapy is based in studies that have shown radiation will work. Over time you are examined and xrayed to verify how it worked. ...Read moreSee 2 more doctor answers
CBT: Speaking as a psychoanalyst, CBT treatment effects are not as long lasting as psychodynamic/psychoanalytic treatment. When a patient wonders where the distortions in their thought processes began, that is when CBT ends and psychodynamic therapy or psychoanalysis begins, and gets to the root of the problem instead of focusing on the symptom. ...Read moreSee 1 more doctor answer
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