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About Ivan Goldberg, M.D.
(Top Expert on this page)

Expertise
I am a psychiatrist/psychopharmacologist with many years of expereince in treating individuals with depressions, manic-depression (Bipolar Disorder), other mood disorders,. I am especially interested in the psychopharmacologic treatment of individuals with so called "treatment-resistant" syndromes.

Experience
I have been on the staff of the National Institute of Mental Health, Columbia's College of Physicians and Surgeons, and the Columbia-Presbyterian Medical Center. I am currently in full-time private practice in New York City.

A.B. Johns Hopkins University
M.D. N.Y.U. College of Medicine

I am the creator of Depression Central:http://www.psycom.net/depression.central.html
   

You are here:  Experts > Health/Fitness > Mental Health > Bipolar Disorder

Questions Answered By Expert  Ivan Goldberg, M.D. 
In Category  Bipolar Disorder

SubjectDate Asked

Could they be wrong...11/20/2009
  Q: I was recently diagnosed as being bipolar. I just questioned if they could have made a miss ...
  A: . . There is always a possibility that a medical diagnosis is incorrect. That is why many patients ...
bipolar,Vicodin,and alcohol11/18/2009
  Q: I've been able to deal with my boyfriends disorder for 2 and a half years until recently he went to ...
  A: . . People with bipolar disorder are seldom a risk to their friends or relatives. This changes ...
Can I still take an AP if I have had TD in the past?11/17/2009
  Q: I was given Geodon 60mg for bipolar depression (with mild psychotic features). It worked very well ...
  A: Divya . . . I am familiar with the concept of tardive pain and have no doubts about its ...
how serious is this diagnosis? crazy? paranoid?11/15/2009
  Q: how serious is this diagnosis? crazy? paranoid? I am seeing someone who has been diagnosed and is ...
  A: . . There are many diagnoses in the bipolar spectrum and some are very serious and other much less ...
son diagnosed bipolar after mania from zoloft11/11/2009
  Q: Goldberg, I have an 11 year old son who has been treated for ADHD since he was 5 with Concerta. ...
  A: Jane . . . As you point out in your last paragraph, there is no way that I can make a diagnosis ...
Bipolar10/28/2009
  Q: I am 20 years old and within the last two years i have noticed some changes in how i am behaving. I ...
  A: . . The change in mood you describe may or may not be related to your family history of mood ...
Impulsivity10/25/2009
  Q: I never discusse this topic with my psychiatry because, besides the embarrassment, he doesn't seem ...
  A: . . The additional information you provide suggests to me that the possibility that you have a ...
My sister has suffered from Bipolar for many years10/24/2009
  Q: She has been treated with various different medications over the 20+ years since she was diagnosed. ...
  A: . . I am not sure I understand what you are asking. There is no way I can understand your sister's ...
Lamotrigine10/20/2009
  Q: I understand the medication binds with the eye-can this case permanent vision changes that would not ...
  A: I have not run into any visual problems in patients I have treated with Lamictal. A search of PubMed ...
Parnate10/20/2009
  Q: I have recently been put on Parnate for resistant bipolar depression. There is so little information ...
  A: My questions are as follows: 1)Which side effects are transient and which aren't? IT IS IMPOSSIBLE ...
antidepressant mania9/29/2009
  Q: I read a question to you regarding a person who said they had never experienced mood swings until ...
  A: Katie . . . There certainly are people who become more rather than less disturbed when treated with ...
Combination of Valproate + sertraline for bipolar disorder9/11/2009
  Q: Sir, Good day! I suffer from bipolar disorder. My psychiatrist has been treating me with a ...
  A: . . In people with bipolar disorder sertraline can cause: rapid cyccling; mixed states; a switch ...
Bipolar and Pregnancy8/7/2009
  Q: I have been diagnosed with a mild bipolar. In order to relieve my symptoms I take 900mg of Lithium ...
  A: . . The use of lithium during pregnancy is very controversial. I suggest you read as much about it ...
Treatment-Resistant Bipolar Disorder II w/ Rapid Cycling8/2/2009
  Q: Dr. Goldberg What do you find to be the strongest combination of mood stabilizers for people with ...
  A: . . When I treat a patient with a rapid cycling form of bipolar disorder it is usually necessary to ...
How to tell if someone is Bipolar.7/28/2009
  Q: I have a friend, who is 17 years old, that many of us believe is bipolar. She has gone through a lot ...
  A: . . Unfortunately there is no easy way to diagnose bipolar disorder. Mood swings certainly are part ...
Questioning previous BP II diagnosis7/13/2009
  Q: Goldberg, I had previously been diagnosed first as major depression, and then bipolar II, but had ...
  A: Sandy . . . Obviously it is not possible for me to make a psychiatric diagnosis based on the ...
seroquel7/10/2009
  Q: I have been on Seroquel for 3 weeks today.100 mg at bedtime for mood , (depressed mood, irritibile ...
  A: . . Seroquel is an antipsychotic medication that is sometimes useful for controlling the symptoms ...
A very unusual disorder6/16/2009
  Q: , I have suffered from a very unusual disorder which, from my completely lay knowledge, is tied to ...
  A: . . I reread your long note and was unable to find any explanation of the pain you experience. ...
A very unusual disorder6/16/2009
  Q: , I have suffered from a very unusual disorder which, from my completely lay knowledge, is tied to ...
  A: Gilani . . . There is a psychiatric aphorism that goes "Rapid-cycling unipolar depression is ...
Depression/anxiety/extreme fatigue?6/16/2009
  Q: I am deeply concerned about my husband. There is something seriously wrong with him and we are ...
  A: . . You seem to recognize that your husband's situation is very complex with alcohol abuse and ...
A very unusual disorder6/15/2009
  Q: , I have suffered from a very unusual disorder which, from my completely lay knowledge, is tied to ...
  A: . . Please write me in great detail and tell me about your illness. I am interested in hearing what ...
bi-polar depression adult add6/14/2009
  Q: I have recently been diagnosed with bi-polar type 2 manic depression. My doc prescribed lamictal and ...
  A: . . Psychiatrists are reluctant to prescribe amphetamines to control the symptoms of depression. If ...
Bipolar and Postpartum Depression6/11/2009
  Q: I recently experienced a severe form of postpartum depression. I ended up being diagnosed with ...
  A: . . Many but not all postpartum depressions are indicators of bipolar disorder. If there is a ...
MEDICATION6/11/2009
  Q: I was being treated solely for depression for many years and was taking 100 mg Seroquel (to sleep), ...
  A: Marie . . . the treatment of people with bipolar depression is one of the most controversial areas ...
Bipolar 1 possible misdiagnosis6/8/2009
  Q: I really need help in obtaining a second opinion in my recent diagnosis which I have been ...
  A: . . Your situation certainly sounds complex and while I suspect the final diagnosis very well may ...
hi6/7/2009
  Q: IS insomnia related to bi polar , I was diagnosed wit it . I dont believe the doctors . Im to calm a ...
  A: . . While insomnia may be a symptom of bipolar disorder, many people without bipolar disorder have ...
Antidepressant-induced mania6/4/2009
  Q: I've been in treatment with a psychiatrist for bipolar I disorder for 6 years (onset: age 50). I ...
  A: . . People who have undiagnosed bipolar disorder are vulnerable to the mood elevating effects of ...
manic depression6/4/2009
  Q: I was diagnosed with manic depression in the early 80's I was put on Lithium and walked around like ...
  A: People with bipolar disorder who take substances with antidepressant properties such as SAM-e, ...
Life Insurance and Bipolar Disorder6/3/2009
  Q: My father committed suicide the 19th of June 2006. He was diagnosed with bipolar disorder, but ...
  A: As I said in my original reply I know people who have tried to make such a claim in New York and ...
Life Insurance and Bipolar Disorder6/3/2009
  Q: My father committed suicide the 19th of June 2006. He was diagnosed with bipolar disorder, but ...
  A: . . In New York, where I live and practice, the law regarding the 2 year exclusion is exactly as ...
hi6/1/2009
  Q: why is it so hard to sleep with bipolar disorder ? what is wrong with me , low serotonin ? What is ...
  A: . . I am not sure I made myself clear in my last reply. My suggestion that Seroquel might be ...
hi6/1/2009
  Q: why is it so hard to sleep with bipolar disorder ? what is wrong with me , low serotonin ? What is ...
  A: . . People with bipolar disorder may sleep too much or too little. When depressed many people with ...
unable to access original answer, please respond again!5/30/2009
  Q: CURRENT MEDS INCLUDE 600MG NEURONTIN,200MG DOXEPIN,20MG PROZAC, 0MG ABILIFY,600MG TOPAMAX,10MG ...
  A: Jeanette . . . I am curious as to the maximum dose of Topamax you took, and for how long your took ...
medications5/2/2009
  Q: I have not officially been diagnosed with bipolar , my psych appt is June 19th. I am currently ...
  A: . . Seroquel is an antipsychotic medication that has recently been used by some psychiatrists as a ...
is wife bipolar4/26/2009
  Q: my wife and i have been married 10years we have 3 young children. we are both 45. she has always ...
  A: . . The situation you describe is difficult at best and quite possibly impressible. People with ...
lamotrigine serum levels4/22/2009
  Q: What is the recommended serum concentration for lamotrigin in treating BP? I can't find any ...
  A: . . When treating people with bipolar disorder with lamotrigine I have observed that many ...
Am I Bipolar ?4/21/2009
  Q: I have had 4 major depressive episodes in my life. At 19, 22, 36 ( post natal depression) and 41. ...
  A: Gabrielle . . . While the history you relate in your query certainly sounds as if it could easily ...
Bipolar Mother and options to help4/10/2009
  Q: First, I should give a short background. My mother has been on and off drug use all her ...
  A: . . People with bipolar disorder frequently do not take their medications, especially when "up" as ...
treatment resistant question4/8/2009
  Q: I was reading your profile and noted what you said about treatment resistant syndrome...I've never ...
  A: Sheila . . . I would consider someone to have hard-to-treat (a term i prefer to ...
why does it take two more medications?4/8/2009
  Q: Once again, I respect your knowledge..my son has bipolar dis. and for 20 years he only took 800 mg ...
  A: Frances . . . Over a period of time people's psychiatric disorders may change. Individuals who only ...
Bipolar Husband4/8/2009
  Q: My husband was diagnosed with Bipolar Disorder and has been on and off medication for about 5 years. ...
  A: . . I have seen nicotine withdrawal cause both mania and depression in people with a history of ...
BI POLAR TREATMENT4/7/2009
  Q: MY DAUGHTER IS 31 YEARS OLD, SHE WAS JUST DX. WITH BI POLAR THEY GAVE HER MOBAN 20 MG AND 25 MG. ...
  A: Elaine . . . It is my practice to take people who have psychotic manic episodes off of ...
leery - chance of bipolar?4/7/2009
  Q: My 17 year old is in recovery from a drug addiction for about 6 months or so. He had had some dry ...
  A: Karen, Hi . . . There is no way you can know what your son's diagnosis might be. And there is no ...
BI POLAR TREATMENT4/7/2009
  Q: MY DAUGHTER IS 31 YEARS OLD, SHE WAS JUST DX. WITH BI POLAR THEY GAVE HER MOBAN 20 MG AND 25 MG. ...
  A: Elaine . . . The most important treatment for people with bipolar disorder is to have their mood ...
leery - chance of bipolar?4/7/2009
  Q: My 17 year old is in recovery from a drug addiction for about 6 months or so. He had had some dry ...
  A: Karen . . . Lamictal is a medication that is useful as a treatment for both people with bipolar ...
Zyprexa - admin and dosage4/5/2009
  Q: I do some work work with families of those with mental illnesses. Two families recently mention ...
  A: . . You do not mention bipolar disorder but for the purposes of this answer I will assume that we ...
Bipolar Disorder4/3/2009
  Q: My son aged 21 years has been diagnosed with Bipolar Disorder. He has been prescribed with Depakote ...
  A: . . People with bipolar disorder are usually best treated with mood stabilizers. Lithium, Depakote, ...
seroquel and weight gain4/2/2009
  Q: I have been on seroquel for a very long time for bipolar disorder. I have been on as low as 25mg and ...
  A: . . For some people weight gain is stimulated by taking 25 mg a day f Seroquel and some other ...
Psychiatrists have been brainwashed?4/1/2009
  Q: My doctor has just prescribed Abilify for me as a mood stabilizer (we first tried Lamictal, but I ...
  A: . . Because of the risk of tardive dyskinesia, with rare exceptions, I reserve the use of ...
THANK YOU THANK YOU THANK YOU and question3/29/2009
  Q: Ok question first. What do you think of the idea that is being shown online that a saliva sample can ...
  A: . . While someday there will be an accurate test for bipolar disorder, no such test exists today. ...
Psychotic Break3/22/2009
  Q: I am Bipolar and when I relapse into a major manic episode, I often find myself talking to myself ...
  A: . . Psychotic episodes usually develop similarly. If you have had psychotic episodes that were ...
taking too many meds3/21/2009
  Q: My sister has been told she has bi polar and it is really hard to keep a positive attitude right ...
  A: . . While I am not allowed to give personal medical advice, I can tell you that many people with ...
Med resistant3/18/2009
  Q: I do not seem to be responding to any of the medications I have been put on. I have been on many, ...
  A: Barb . . . While there is no way I can tell you why none of the medications you have taken have ...
medication3/17/2009
  Q: My son, 17, is in recovery from a drug/alcohol abuse. He's been clean for a few months or so(may ...
  A: . . The relationship between attentional problems (ADD / ADHD) and bipolar disorder is a ...
bipolar3/13/2009
  Q: What role do these professionals play for the psychotherapy portion of bipolar treatment. I'm ...
  A: . . Many professionals offer services to people with mood disorders. The professionals who are best ...
Help! Fiance needs a doctor!3/13/2009
  Q: My fiance and I have been together for over 15 years and he has been on a downward spiral for the ...
  A: . . As you have probably figured out there is no way that you can become responsible for what ...
bipolar doctor children ireland3/12/2009
  Q: I have a 9 year old son who has been diagnosed overseas with bipolar disorder and ADHD. I will ...
  A: . . Unfortunately I do not know anyone there. What you might do is do some research in the ...
Combined Meds for BP Treatment3/10/2009
  Q: Good day, I am a 34yr old women who was diagnosed with Depression 8yrs ago and started taking ...
  A: . . While I cannot give you personal advice I can talk about people with a story such as yours. ...
bipolar3/9/2009
  Q: for the psychological exam as part of the diagnosis is the procedure the same across the board or ...
  A: Jess . . . Psychiatric diagnoses are not made on the basis of how patients perform on standardized ...
QUESTION TO THE EXPERT3/7/2009
  Q: I have been suffering from depression and bipolar manic disorders since 4 years I am 27 years old ...
  A: While I cannot comment on your personal medical care I can talk about the treatment of bipolar ...
bipolar and smoking marijuana3/7/2009
  Q: I have heard that there is a connection between teens that have a genetic predisposition to bipolar ...
  A: Those who carry a genetic predisposition toward developing bipolar disorder are very sensitive to ...
Drug Reaction-uterine bleeding2/26/2009
  Q: Dr Ivan, I have been having uterine bleeding problem since I started taking antidepressants ...
  A: . . For many years there have been reports in the psychiatric literature regarding bleeding caused ...
Meds2/25/2009
  Q: I have been diagnosed with bipolar and take 4mg Risperdal, 15mg Abilify, and 200mg Trazodone. I was ...
  A: . . I am not allowed to give personal medical advice through the allexperts site but I can say ...
med2/20/2009
  Q: I need help. I was diagnosed several years ago with bipolar . I have gone for several years without ...
  A: . . From your message I suspect you were seeing physicians who were not psychiatrists. ...
Cymbalta, Depression, Why isn't this working?2/20/2009
  Q: I have been taking Cymbalta for three months or so. I was hoping that it would eliminate the never ...
  A: . . Antidepressants are known to often worsen depression and cycling in people who are in the ...
bipolar2/19/2009
  Q: I'm reading journals about bipolar in which they discuss emdr or stress management in comparison to ...
  A: . . Go to http://www.ncbi.nlm.nih.gov/pubmed/ and print out an abstract of the article. Take the ...
bipolar2/18/2009
  Q: I'm reading journals about bipolar in which they discuss emdr or stress management in comparison to ...
  A: . . There are various types of controls that are used in studies of experimental treatments. When ...
Question2/16/2009
  Q: how are you going? My name is Christina and I live in Australia. My Mum has got schizophrenia and ...
  A: . . I practice in New York City and the events of 9/11 gave me some insight into the effects of ...
Prozac/Lithium2/13/2009
  Q: I have taken the Prozac/Lithium combination in the past and it worked great except that I felt numb, ...
  A: . . There is no doubt that having bipolar disorder sucks. As you probably know there are two major ...
Lamictal2/4/2009
  Q: I have been on Lamictal 100 mg qd for about 2 years. Initially prescribed for mood stabilization. ...
  A: . . I do not think it is wise to discontinue a mood stabilizer without the supervision of a ...
Can I count on sound decisions from a BP2/4/2009
  Q: I have been married to my BP husband for 2 years now. I didn't think living with a BP husband would ...
  A: . . Between the bipolarity and thew cultural factors, the situation you describe is a VERY ...
Confused & Embarrassed2/3/2009
  Q: Goldberg, Thankyou first of all for taking the time to read my post. I appreciate it. Like so many ...
  A: . . There is not much I can do with the information you provide but it makes me wonder if you have ...
Are there career limitations to bipolar illness?2/2/2009
  Q: I feel like I will never be able to get my life back on track. I was recently diagnosed with bipolar ...
  A: . . I can tell you that people with bipolar disorder have been successful in just about every ...
depression/bipolar1/28/2009
  Q: I have been depressed what seems like my whole life. In August I moved back to NJ from AZ and within ...
  A: . . The best treatment for people with depression of any sort including bipolar depression is the ...
Borna Virus1/28/2009
  Q: Dr Goldberg, I came across your website and this website through my research into the Borna Virus. ...
  A: . . Borna has been something that has been of interest to me since 1985 when I first read about the ...
My wife needs help1/26/2009
  Q: I am Doris Matel's father. I live in Trumbull CT with my wife. We are both 64 and suffer from ...
  A: Richard . . . I would be happy to see you wife for an evaluation. But, I do not accept any ...
Genetic Connection in Family1/24/2009
  Q: Golberg, My friend/Sandi(female-49)has daughter/Ali-22 being treated for pretty severe bipolar-1. ...
  A: . . I am not allowed to do anything that approaches making a psychiatric diagnosis via the ...
Could I be bipolar or just have anger issues with blackout1/23/2009
  Q: I do not know what to do? For the past 2 years I have been having occasional black outs. Started ...
  A: . . I think you should see a neurologist to determine if there is some organic cause for the ...
bipolar disorder and custody issues1/20/2009
  Q: My husband has a child with his ex wife. He is 7 yrs.old. The issue is I am bipolar and it has never ...
  A: . . I hope you and your husband have a good lawyer who is representing your husband's interests in ...
Moban vs. Risperdal for Bipolar1/19/2009
  Q: I currently take 4mg of Risperdal and 15mg of Abilify. These two medications help to stabilize my ...
  A: Courtney . . . Moban, Abilify and Risperdal all are antipsychotic drugs that also often have ...
treatment for bipolar ll rapid cycling1/15/2009
  Q: I have seen my Dr.of psychiatry for 4 years. Initally I thought it was just depression. I started to ...
  A: . . There is good evidence that lithium is an effective way of preventing the destabilization of ...
bipolar and Zonegran1/13/2009
  Q: I am bipolar and i have tried every med in the book and every med cocktail ,i guess i am sensitive ...
  A: What I think is that you are in a VERY uncomfortable situation. The problem is that there is not ...
Only family member with bipolar?....is this possible?1/11/2009
  Q: Goldberg, I won't go into any detail about my situation but what are the chances that I have ...
  A: . . I have been practicing psychiatry for nearly 50 years and while I have no statistics upon which ...
Bi-Polar12/11/2008
  Q: I am prescribed medications of Lamictal 200 mg in a.m. & 600 mg of Triliptal. They are okay but I ...
  A: . . Lithium comes the closest of all treatments for people with bipolar disorder to being ...
bipolar12/9/2008
  Q: about 3 years ago my wife had a breakdown,and from that point on has lost the meaning value of ...
  A: . . One of the results of psychiatric illness can be a disregard for the meaning of money and a ...
Blood levels of Lithium12/8/2008
  Q: I am a patient of bipolar illness. Please inform me appropriate blood levels of lithium for ...
  A: . . There is no way that I can tell you what the right lithium level is for you. I have some ...
Using trileptal with abilify12/8/2008
  Q: My 20yro daughter was diagnosed 3 years ago with Cyclothymia and possibly bipolar. She has been off ...
  A: . . The horrible situation that you describe is all too common because many people with a disorder ...
Bi-Polor or hopeless?12/7/2008
  Q: I am a 55 year old male. I have never been fully diagnosed as being bi-polar, but my mother, to the ...
  A: . . As a psychiatrist with 45+ years of experience I have seen many people with stories similar to ...
Possibly ADD?12/7/2008
  Q: I am 16 years old and i was recently diagnosed with bipolar II disorder. My symptoms were of the ...
  A: . . ADD/ADHD and bipolar disorder often are found in the same person, the fancy word is that they ...
bi-polar and sleep12/4/2008
  Q: I have a friend whom i strongly beileve is Bipolar or has Bipolar dis-order. I have done some ...
  A: John . . . Over the 45+ years that I have been doing psychiatry I have treated many individuals in ...
Cyclothymia12/1/2008
  Q: Dr. Goldberg. I am 23 years old and was diagnosed with A.D.D. my freshman year of college. Since ...
  A: . . The relationship between ADD and bipolar disorder is not well understood. In some people what ...
bipolar bf11/27/2008
  Q: I'm struggling really hard to understand someone dear to me,someone i care deeply about..i really ...
  A: . . Bipolar disorder does not define everything asbout a person. Some people with bipolar disorder ...
Mixed episodes (agitated depression)11/24/2008
  Q: Ivan, I am a 21-year-old female with a clinical history of depression. Recently I was reading a bit ...
  A: . . The milder forms of bipolar disorder are regularly misdiagnosed as unipolar (major) depression. ...
side effects of lithium11/20/2008
  Q: My son is 35 and after 15 years of treatment for depression, he has been diagnosed as Bipolar. He ...
  A: Lithobid is lithium carbonate in a slow release form. Some people tolerate tu better than the ...
bipolar11/17/2008
  Q: Is bipolar the most common personality disorder or others take the cake? My understanding is it ...
  A: . . Bipolar disorder si not a personality disorder. Personality disorders are such disorders as ...
Bi-Polar disorder and possibly other11/16/2008
  Q: Goldberg, I will try to be as brief as possible. I am a 60 year old woman and have two younger ...
  A: . . The situation you describe is a very difficult one and one that may require a good deal of ...
Is My Friend Bipolar?11/14/2008
  Q: Sir, I've known this girl for over 2 years and we're close friends. I observed that sometimes ...
  A: Donny . . . From what you write, she may have a psychiatric illness or the two of you may just have ...
Depression11/12/2008
  Q: Im a 26 year old, and have been suffering with bad depressions mood swings for most of my life, but ...
  A: . . I am sorry for the delay in getting back to you but I have been involved in helping resolve a ...
Homeopathic Medication?11/11/2008
  Q: My brother is extremly bipolar. He has been clinically diagnosed since he was eight. As an adult ...
  A: Amber . . . I understand your concern for you brother and nephew. Unfortunately, there is no ...
bipolar disorder11/5/2008
  Q: I was recently diagnosed with bipolar disorder but i have no health insurance and because of my ...
  A: . . What you describe is not common in people with bipolar disorder. It sounds as if you might have ...
Fatigue as side effect of bipolar/antidepressant meds10/28/2008
  Q: I've been taking Wellbutrin and Zoloft for about 6 years for depression. A couple of years ago my ...
  A: . . I have had a few patients who have complained of excessive fatigue while taking Lamictal. I ...
Bipolar Husband- need help10/27/2008
  Q: My husband of 5 years was diagnosed as bipolar 19 months ago by his psychiatrist, whom he was ...
  A: . . Effexor and Pristiq are considered by many psychopharmacologists to be contraindicated in the ...
Effectiveness and Weight Gain: Abilify vs. Geodon10/24/2008
  Q: I have Bipolar I with psychotic features and need to be on an antipsychotic. I currently take only ...
  A: . . There is no evidence de that Geodon is more or less effective or more or less likely to cause ...
Bipolar II affective mood disorder10/23/2008
  Q: Goldberg I would like to ask for your opinion on a medical procedure. Three professional ...
  A: . . Psychiatric diagnoses are best made when a psychiatrist has a chance to interview a patient, a ...
Bipolar10/22/2008
  Q: Goldberg, I would like to know how long a patient can be on Olanzapine. I know of a patient who has ...
  A: . . Whiel people should take any medication for as short a period of time as possible, there are ...
Dealing with my boyfriend who is Bipolar10/19/2008
  Q: Hey there Dr.Goldberg,I am 20 years old and I have a boyfriend(24) who is bipolar. We have been ...
  A: . . One of the things about people with BPD that I did not mention in my last reply to you is they ...
Dealing with my boyfriend who is Bipolar10/18/2008
  Q: Hey there Dr.Goldberg,I am 20 years old and I have a boyfriend(24) who is bipolar. We have been ...
  A: . . Relationships are nearly always difficult and a relationship with someone who has bipolar ...
When should I let my bipolar spouse back in the house?10/18/2008
  Q: My husband and I have been married for 14 years, have 4 young kids and run a business together. He ...
  A: . . In situations such as the one you describe I tell the spouses of my patients that they should ...
feeling hopeless10/18/2008
  Q: I know I'm probably in a depressive state, but I'm confused. I was diagnosed with bi-polar close to ...
  A: . . One of the chief symptoms of bipolar disorder is impulsivity. People with this disorder do all ...
Abilify Side Effects10/16/2008
  Q: I have been diagnosed with Bipolar I, and I used to be on Risperdal (5 mg), Lithium (1800 mg), and ...
  A: . . Ability is an antipsychotic drug that si also approved as a treatment of people with bipolar ...
Bipolar Medicine10/16/2008
  Q: Well my husband is bipolar and he refuses to take his meds. First he was on Seroquel and he said it ...
  A: . . People with bipolar disorder often are often both in denial and grandiose. The denial prevents ...
Abilify Side Effects10/16/2008
  Q: I have been diagnosed with Bipolar I, and I used to be on Risperdal (5 mg), Lithium (1800 mg), and ...
  A: . . It is not clear to me exactly what medications you are currently taking. Is it just Abilify 30 ...
bipolar10/14/2008
  Q: i'm 26 weeks pregnant,i have bipolar but i haven't took my meds (seraquel) since i found out i was ...
  A: . . There is not a yes or no answer to your question as the use of every drug involves some risk. ...
Alternative to Seroquel9/16/2008
  Q: Doctor Goldberg, I am a 39 year old man with the Bipolar Disorder under medication since the age ...
  A: . . I cannot tell you what might or might not work for you, but I can tell you that the medications ...
Seroquel and severe stomach cramps9/16/2008
  Q: Dr. Goldberg, My 23 year old daughter is taking 600Mg. of Seroquel and 54Mg of Ritalin ( Concerta )- ...
  A: Frank . . . Your daughter should have an IMMEDIATE evaluation by a gastroenterologist. While it is ...
bipolar9/9/2008
  Q: My daughter refuses to talk to her doctor about the disease. I feel that she has it. What can I do? ...
  A: Loretta . . . The situation you describe is unfortunately all too common. Oe of the problems with ...
bipolar and migraine combination9/8/2008
  Q: My daughter a 20 yr old third year undergraduate is having bad headaches that seem to enter through ...
  A: . . There is data that shows an association, especially in women between bipolar disorder and ...
Bipolar Disorder and Self-Destructive Behavior8/9/2008
  Q: I am diagnosed BPII w/ rapid cycling and dually dx'd with Substance Abuse. I have a history of Self ...
  A: . . DBT = Dialectical behavior Therapy. Although ut is promoted as a therapy for people with ...
Confronting my father with his illness8/9/2008
  Q: Goldberg, I am not sure where to turn to and was surfing the web for treatment facilities and came ...
  A: Carter . . . The situation you describe is essentially a hopeless one. Unless your father is ...
Bipolar Disorder and Self-Destructive Behavior8/8/2008
  Q: I am diagnosed BPII w/ rapid cycling and dually dx'd with Substance Abuse. I have a history of Self ...
  A: . . While I cannot give personal medical advice I can tell you when treating people with a history ...
Bipolar Predisposition8/6/2008
  Q: My mother and 2 of my brother's have been diagnosed with bipolar. My husband has recently been ...
  A: Melanie . . . While there have been many studies of the genetics of bipolar disorder disorder I ...
BiPolarism and Infedelity8/3/2008
  Q: Three days ago, my fiancee to Washington DC (to go to a 1-year grad program) and I live in Philly- ...
  A: Elizabeth . . . One of the biggest problems with bipolar disorder is impulsive behavior. Impulsive ...
bipolar and hysterectomy7/28/2008
  Q: I am 43 and have bipolar i w psychosis. i need to have a laproscopic hysterectomy but have been told ...
  A: . . Most of my patients who have had psychotic bipolar episodes have done well following surgery. I ...
daughter7/23/2008
  Q: My daughter recently left a 45 day treatment facility for eating disorders. She is bipolar and has ...
  A: Lisa . . . The best psychiatric care is available through the departments of psychiatry of medical ...
over for bipolar or proper treatment?7/22/2008
  Q: 5 days ago my brother-in-law started talking very fast and saying and doing strange things. He was ...
  A: Kathleen . . . Major tranquilizers (neuroleptics) are often prescribed in hospitals as a treatment ...
wellbutrin7/21/2008
  Q: , Is it OK to use wellbutrin that expired in Oct, 2007? Thank ...
  A: Dionne . . . While I would never suggest to one of my patients that they take medication that has ...
Teen son needs alternative mood stabilizer7/20/2008
  Q: My son will be 17 in a few days. He was diagnosed and treated for juvenile onset BP at age 11. The ...
  A: There are many mood stabilizers that are useful when it comes to treating people with bipolar ...
Suffering from Bipolar II7/17/2008
  Q: I have been suffering with Bipolar II for 5 yrs - I am 25 yrs old. I may have had it at a younger ...
  A: While I am not allowed to give personal medical advice I can say something in general about the ...
bipolar child lost a sibling7/14/2008
  Q: My 15 year old daughter just lost her big brother she is manic most of the days and i really do not ...
  A: . . I suspect that my reply will disappoint you again. There is no simple solution to the ...
bipolar child lost a sibling7/14/2008
  Q: My 15 year old daughter just lost her big brother she is manic most of the days and i really do not ...
  A: . . I am sorry to hear of the death of your son. The loss of a relative is handled differently by ...
Bipolar & Pregnant7/13/2008
  Q: , I am 6 weeks pregnant diagnosed with Severe Depression,Bipolar, and PTSD. I was taking Effexor XR ...
  A: Keasha . . . Going through a pregnancy when one has been taking psychiatric medications is ...
injection of a long-acting antipsychotic medication.7/8/2008
  Q: How long is this injection effective? Where can I find out more info on this? My daughter is 21 ...
  A: Jamie . . . Injectable long-acting antipsychotic medications are used to treat people with ...
Bipolar Sister7/7/2008
  Q: My sister is 31 years old and is bipolar. Even with medication and therapy she is getting more out ...
  A: . . While I will answer your question i think there is a larger problem that you do not mention. ...
Sex and Bipolar7/5/2008
  Q: I am bipolar, diagnosed about 3 years ago but probably have been for much longer. I have had ...
  A: . . Excuse my bluntness but children do what is comfortable while adults try to do what is right. ...
oxcarbazepine7/5/2008
  Q: I have been taking this medication with success and when presciption was recently refilled..I was ...
  A: Kellie . . . Then a medication goes from there just being the brand product on the market, in this ...
schizoaffective disorder bipolar type7/2/2008
  Q: For the first time in 20 years my mood swings and psychotic symptoms are resolved. I am taking 1500 ...
  A: . . I am sorry my answer was so nonspecific as to be uninformative. But I am prohibited form giving ...
Bipolar7/1/2008
  Q: Why would someone with Bipolar be promiscuous but always come back to one person? (he is dating one ...
  A: Jennifer . . . There is no way that I can explain the behavior of a specific individual without ...
Is it because of BP Disorder, or just a communication problem?6/30/2008
  Q: I have been a dating a man for a little more than 2 months. He was diagnosed with BP disorder about ...
  A: Jennifer . . . People with bipolar disorder often show some psychopathology even when not in a ...
my sister's hateful letters6/16/2008
  Q: I have a sister that is 63 years old. All of her life she has sent hateful, mean and vicious ...
  A: Patty . . . While some people with bipolar disorder are irritable, angry and inappropriately ...
bipolar6/11/2008
  Q: i have bipolar ive been taken the pills but they make me not myself. im 18 i just got on the pills ...
  A: Tom . . . Bipolar disorder is best controlled by a combination of psychotherapy and medicine. To ...
recovering drug addicts and BPS6/10/2008
  Q: Are recoving drug addicts most likly to generate a Bipolar Disoder?, because my boyfriend is a ...
  A: . . The relationship between bipolar disorder and substance abuse is a complex one. It is well ...
soft bipolar vs. depression6/8/2008
  Q: my husband has been recently diagnosed (at age 52) with soft bipolar. Sometimes he would rage over ...
  A: Marie . . . A common mistake in thinking about people who have some form of bipolar disorder is to ...
"soft" bipolar6/7/2008
  Q: my husband has been recently diagnosed (at age 52) with soft bipolar. Sometimes he would rage over ...
  A: Marie . . . The use of antidepressants alone in people with any form of bipolar disorder sometimes ...
Medication worries6/3/2008
  Q: I've been diagnosed with Bipolar..I think rapid(very rapid) or mixed bipolar. I've been put on 600mg ...
  A: Kayte . . . I ma not sure exactly what you are asking in your query. Topiramate (Topamax) is ...
Can't get to sleep6/1/2008
  Q: I have BPD and GAD and due to the extreme anxiety associated with these illnesses I don't sleep ...
  A: . . As you know Seroquel is an antipsychotic (neuroleptic) medication that is used for many ...
Dramatic Worsening of Bipolar II symptoms - SSRI effects? Cytomel?5/29/2008
  Q: Dr. Goldberg, First I'd like to thank you for your long time efforts to increase professionals and ...
  A: 1. Since early onset dementia can look similar to deteriorating BP II symptoms, what would you as a ...
reduction of lithium5/26/2008
  Q: I have a family member who is on lithium he has a diagnosis of bipolar but this is now being ...
  A: Julie . . . Lithium does little to reduce primary anxiety. But, lithium does control mania and ...
Bipolar5/25/2008
  Q: When I was young I was diagnosis with many things the last being bipolar mixed episodes I noticed ...
  A: Nicole . . . In my practice I get to see many people with stories similar to yours. You will not ...
bi-polar resistance to medication5/17/2008
  Q: our son is 39 and was diagnoed bi-polar 4 years ago. his first psychotic episode was treated. 7 ...
  A: . . While out-patient commitment and long term hospitalization are available in some place I am not ...
bi-polar resistance to medication5/16/2008
  Q: our son is 39 and was diagnoed bi-polar 4 years ago. his first psychotic episode was treated. 7 ...
  A: . . I am not sure what you are asking. It is not unusual for people with the psychotic forms of ...
Lamictal and side effect5/13/2008
  Q: My husband was diagnosed with hypomania and was prescribed Lamectol. He is concerned with the ...
  A: Sabine, Lamotrigine (Lamictal) was introduced into medical practice about 18 years ago and I have ...
bipolar medication5/12/2008
  Q: I have rapid cycling bipolar disorder with mostly depression and am taking cymbalta 30mg 1x day and ...
  A: It is considered dangerous for someone with any form of bipolar disorder to take an antidepressant ...
My daughter was diagnosed bipolar5/1/2008
  Q: My daughter just started college a year and a half ago. She has been going through depression the ...
  A: . . If you have questions about your daughter's diagnosis and treatment I think you should insist ...
OCD Symptoms and BPD3/28/2008
  Q: Dr. Goldberg: I read an answer of yours on this website in which you stated "The symptoms of OCD ...
  A: . . As pointed out in the abstract below, the usually pattern is that depression is associated with ...
Figuring out if my hubby is bipolar3/21/2008
  Q: I am going to start by giving our story. My hubby and I are pretty sure he has bipolar disorder. He ...
  A: . . Lithium usually take a while to work and often people experience side-effects before feeling ...
Figuring out if my hubby is bipolar3/19/2008
  Q: I am going to start by giving our story. My hubby and I are pretty sure he has bipolar disorder. He ...
  A: . . I am not really sure what the question is that you wish answered. From your description is ...
Blackouts and realistic dreams3/17/2008
  Q: I have several "issues" and I'm having a hard time dealing with it.First,I have been recently been ...
  A: Christina . . . PTSD or not, people who describe dreams such as yours often have them as the result ...
Blackouts and realistic dreams3/12/2008
  Q: I have several "issues" and I'm having a hard time dealing with it.First,I have been recently been ...
  A: Christina . . . What you describe is something that rarely is seen in people with mood disorder, ...
my daughter3/10/2008
  Q: my daughter is 24 and been diagnosed with bipolar and depression. she has been in treatment for ...
  A: Mia . . . The situation you describe is a very difficult one and one that causes great pain in all ...
diagnosing ultradian from random severe mood swings3/10/2008
  Q: is there a diagnostic criteria for ultradian bipolar disorder? i cannot see a therapist because i am ...
  A: Kelly . . . There are no criteria for the diagnosis of ultra-rapidly cycling bipolar disorder. ...
Medication question3/8/2008
  Q: Dr. Goldberg: You've answered my questions before and I so value your wisdom. My son, who has ...
  A: Frances . . . One of the problems faced by people with a mood disorder is that the disorder can ...
bipolar and pregnancy3/7/2008
  Q: I am currently taking 2.5mg of zyprexa and I'm 3 months pregnant, what are the risks? should I stop ...
  A: . . Some women have taken Zyprexa quite successfully during their pregnancy/ Other women have had ...
Bi-Polar Disorder2/19/2008
  Q: Can someone in there 60s, who has never displayed any symptoms of mental illness suddenly develop ...
  A: . . It is impossible for me to make a diagnosis via the Internet, but if I were to see a patient ...
Bi-Polar and pregnant2/16/2008
  Q: When I found out I was pregnant, I was taking my regular bi-polar meds for about 4 weeks (Abilify ...
  A: Jennifer . . . I have been unable to find any reliable information regarding the possible impact ...
Bipolar disorder....internet and sex addiction2/14/2008
  Q: My marraige fell apart when my wife fell into an online gaming addiction wehre she has cyber sex and ...
  A: . . People with bipolar disorder often show both poor control over their impulses and bad judgment. ...
SSRI and Substance Abuse Induced Mania2/11/2008
  Q: Dr. Goldberg, In the spring of 2007, I began to smoke marijuana heavily after a long moratorium. I ...
  A: It is hard for me to say anything definite based on the information you provide. I have seen many ...
early-onset bipolar psychopharmacology2/7/2008
  Q: Goldberg: We are planning a retrial of Wellbutrin/bupropion to treat my nine-year-old son, who has ...
  A: Sarah . . . I am not enthusiastic about the use of antidepressants in anyone diagnosed with bipolar ...
biopolar2/6/2008
  Q: Why would a person diagnosed being bipolar get off his meds on his own, whether he forgets or just ...
  A: . . There are many reasons why people with bipolar disorder stop taking their medication. Among ...
Bipolar II, frequent hospitalizations & reaching stability2/3/2008
  Q: I was diagnosed with Bipolar II over 14 years ago after a bout of 3 hospitalizations and treatment ...
  A: . . Usually with intensive treatment an episode of bipolar depression can be controlled in a few ...
starting Cymbalta & wanting to know more2/3/2008
  Q: Golberg, I am 38 yrs.old. I was diagnosed with bipolar disorder twenty years ago. I have been on ...
  A: . . People with any form of bipolar disorder should generally avoid taking antidepressants as ...
18 y.o. son with ultra rapid cycling bipolar disorder1/31/2008
  Q: My 18 y.o.son was diagnosed and began treatment 2 years ago for Bipolar II disorder and has had ...
  A: Mary . . . When treating someone with bipolar-II disorder hat is rapidly cycling here are a few of ...
Bipolar diagnosis1/27/2008
  Q: I am writing in regards to my aunt. She is in her late 40s. She has been diagnosed with Bipolar ...
  A: Selena . . . While diagnosis from a distance is really impossible, it sure does sound as if your ...
Pediatric mood disorder/ drug induced mania1/27/2008
  Q: One of my children was diagnosed at age 3 with OCD. She is now almost 7, and we have tried ...
  A: Laura . . . I am not surprised to hear that there is bipolar disorder in your husband's family. ...
Pediatric mood disorder/ drug induced mania1/27/2008
  Q: One of my children was diagnosed at age 3 with OCD. She is now almost 7, and we have tried ...
  A: . . It is impossible for me to evaluate the situation based on the information that your provide. ...
bipolar & electroconvulsive therapy1/25/2008
  Q: Good Morning Dr. Goldberg, My husband has a a-typical personality disorder with bipolar. This ...
  A: Susan . . . ECT is an appropriate treatment for people with epilepsy who are depressed. Usually a ...
Bipolar medication side effects1/24/2008
  Q: Can you please tell me any and all medications used to treat Bipolar Disorder that have a chance of ...
  A: Leesa . . . There is no way that I can catalogue all the medications that could cause sexual side ...
early-onset bipolar psychopharmacology1/23/2008
  Q: Goldberg: I discovered you while looking for information on the internet, and am an admirer of both ...
  A: Sarah . . . I am not a child psychiatrist and while I have treated some bipolar children, as young ...
Am I bipolar?1/22/2008
  Q: Goldberg. I'm 19 years old, and I've had ongoing problems with depression and anxiety my entire ...
  A: . . It is both unethical and impossible for a physician to attempt to make a psychiatric diagnosis ...
Children1/17/2008
  Q: I am married to a man who adopted two children from his ex wife. His ex wife has borderline ...
  A: . . I may be mistaken but it seems that you need legal advice much more than advice from a mental ...
Bi Polar1/15/2008
  Q: My wife has a bi polar disorder. Before she was hypo manic now she is suffering with depression.She ...
  A: Kenneth . . . The single most important thing you can do for her is help her find an excellent ...
medication toxicity?12/7/2007
  Q: I am a 33 y/o female in overall good health except for the following: bipolar 2 disorder and ...
  A: . . There is no way that I can comment of the safety of those medications for you as that would ...
Is Bi-polar like a truth serum?12/7/2007
  Q: I have a 19 year old stepdaughter who my wife and some doctors believe has Bi-polar disorder. I've ...
  A: . . People often mistakenly think that alcohol and disinhibiting disorders such as bipolar disorder ...
What Is Wrong With Me?!12/5/2007
  Q: ..my name is Jessica and I'm a seventeen year old living in the US. Over the past four years, I've ...
  A: Jessica, Hi again . . . Mood disorders are potentially serious as they can affect all aspects of ...
Bipolar Disorder12/4/2007
  Q: Goldberg, I have recently have been diagnosed Bipolar I, I have also been recently been diagnosed ...
  A: Walt . . . I'm not sure that I have any encouraging words for you but I often encounter behavior ...
What Is Wrong With Me?!12/4/2007
  Q: ..my name is Jessica and I'm a seventeen year old living in the US. Over the past four years, I've ...
  A: . . People who have a history of having been abused in any way are at increased risk to develop ...
Parent w/ bipolar12/2/2007
  Q: My mother was diagnosed with bipolar twelve years ago, when I was three. Since that point, she has ...
  A: . . The situation you describe is more than difficult and has the possibility of being tragic. You ...
RE: Bipolar12/1/2007
  Q: Goldberg, I have a sister,37, who is currently suffering from bipolar.She is on Risperidone 2mg, & ...
  A: . . Clozapine is frequently very useful in the management of people with Bipolar Disorder. Below ...
What is the genetic risk of bipolar11/29/2007
  Q: I am wondering what the risk of giving a baby bipolar is. I know this guy and both his parents seem ...
  A: . . In the general population the risk of having bipolar disorder is 1-2 percent . . . although if ...
Am I making it up?11/14/2007
  Q: Here lately I'm wondering if I'm bipolar or a hypochondriac or what. I'm 17 and for nearly a year ...
  A: . . I don't think that you are making it up, but of course there is no way I can know for sure. It ...
I think I have Bipolar Disorder11/14/2007
  Q: What are the symptoms of Bipolar Disorder and is Lithium the best medication? Can Bipolar Disorder ...
  A: . . Bipolar disorder is a mood disorder in which people have periods of depression and other times ...
TRD / VNS Therapy11/14/2007
  Q: I had VNS Model 102 installed in Jan.2007 for TRD. Initially it worked well. About 6 weeks after the ...
  A: . . While I have seen in consultation many patient who have been treated with VNS, I do not ...
Medication-Induced Mania11/11/2007
  Q: How can SSRI induced mania be a good argument for diagnosing someone with Bipolar disorder when that ...
  A: . . I am sorry that my reply to your original query was not clear. What I am saying is that if ...
Medication-Induced Mania11/11/2007
  Q: How can SSRI induced mania be a good argument for diagnosing someone with Bipolar disorder when that ...
  A: . . Great question and I think I understand your position. I disagree, and here is why. Let's say ...
Taking the first step.11/8/2007
  Q: Good afternoon Dr., And thank you for taking the time. I am a 23-year-old female who's suffered from ...
  A: . . I think a proper diagnosis is the first thing you need. I think that can best be obtained from ...
Bi Polar?10/30/2007
  Q: My sister has been on Prozac off and on for many years, from 20mg to 40 mgs. She suffers from ...
  A: . . I don't think you should see the doctor but not to to ask questions. I think that you should ...
Cymbalta/Trileptal10/25/2007
  Q: I am on Cymbalta and Trileptal. I am wondering if you can tell me what condition this would be for? ...
  A: , , Cymbalta is FDA approved for the treatment of both anxiety and depression. Trileptal is only ...
can it be dangerous?10/24/2007
  Q: My live in boyfriend of 8 years has met a girl that he befriended and has been trying to help. She ...
  A: Deanna . . . There is no way I can comment on the possible dangerousness of a person I have never ...
BP wife10/23/2007
  Q: Goldberg. My situation is as follows; I have been married to my wife for 15 years and have always ...
  A: . . What you describe is a typical story of what uncontrolled bipolar disorder does to a ...
I want to get pregnant - what meds can I take?10/23/2007
  Q: My husband and I adopted a baby 18 months ago and would now like to try to get pregnant. I have ...
  A: . . Women with bipolar disorder who wish to become pregnant have some hard decisions to make. It is ...
Depression and morbid thinking10/21/2007
  Q: I am looking for understanding into my "bipolar" illness which i have battled with for many years. ...
  A: . . Bipolar disorder is a disorder that has biological, psychological and social etiologies. To ...
adoption10/19/2007
  Q: We have the chance to adopt a 1 year old. Mother was a cocaine user but in a treatment facility ...
  A: Michelle, Hi . . . To answer your question properly would require a book and I do not have the ...
EX WITH SERIOUS MENTAL DISORDER10/19/2007
  Q: Goldberg, I have quite a complex question. I understand by answering it that you can only give me ...
  A: Lori . . . One should remember that probably the best predictor of future is past behavior. If ...
Bipolar and Medication10/19/2007
  Q: I was diagnosed with depression and subsequently attempted suicide at 18. Soon after that ...
  A: . . Having bipolar disorder and being treated for it are, as you have discovered, very frustrating ...
Weight gain on lithium10/16/2007
  Q: I am a seventy-year-old female who gained 45 pounds in 3 months on lithium 30 years ago. Everything ...
  A: . . Unfortunately, many medications used to treat people with psychiatric disorders induce weigh ...
Depakote10/15/2007
  Q: My son was diagnosed with bipolar in August 2007 after having two manic episodes. One in June and ...
  A: . . probably the most difficult thing in life is not being able to help someone you love. From that ...
Stability10/14/2007
  Q: Dr. Goldberg: I wrote to you last November, 2006 and you have no idea how much I appreciate your ...
  A: Frances . . . I can only answer your quesiton in the most general terms as I have no idea what ...
lamictal for bipolar II10/13/2007
  Q: Have you observed the occurrence of folliculitis or vesiculitis in people taking lamictal? If so, ...
  A: Camilla . . . I am always made anxious by patients taking Lamictal who develop lesions of any sort ...
Treatment resistant bipolar10/11/2007
  Q: I am a 39 year old female dx'd Bipolar 1 with psychosis. I have taken every pill that's out there, ...
  A: Rose . . . Without a list of exactly what you have taken and the doses and the length of time there ...
Bipolar Disorder / depression/migraines9/20/2007
  Q: I am a 48 year old female diagnosed and treated for bipolar disorder since the age of 16. I am ...
  A: . . People with bipolar disorder are MUCH more likely to have migraine headaches than those without ...
Zonisamide9/10/2007
  Q: I recently started taking this medication and have been taking it for about 3 months. How do I stop ...
  A: . . For direction on how to stop a medication you will have to ask you doctor. I am not able to ...
bipolar husband9/9/2007
  Q: My husband has bipolar and we have a great relationship when he is stable and we are very much in ...
  A: Kristin . . . In my practice most of the people I see who have bipolar disorder improve but from ...
Are meds ALWAYS needed?8/17/2007
  Q: My 16 year old son recently had his first manic episode, lasted 2-3 weeks before it was diagnosed ...
  A: . . Bipolar disorder is a serious, often fatal disorder. It clearly has bio-psycho-social aspects ...
help8/8/2007
  Q: I think that I am dating someone who has a serious mood disorder. I have only been with this guy ...
  A: Megan . . . From the description of the guy there is no way that I can say what his problem might ...
abilify8/7/2007
  Q: I have been taking 5 mg Abilify for two weeks for rapid-cycling bipolar. Previously I was taking ...
  A: . . Please do Google searches on: "metabolic syndrome" "tardive dyskinesia" "neuroleptic malignant ...
Can dieting bring on bipolar episodes?8/2/2007
  Q: My girlfriend has been diagnosed with bipolar disorder and there is some concern that when she diets ...
  A: Tony . . . I have never heard of dieting causing manic or depressive episodes, but I have heard of ...
definitions7/30/2007
  Q: What is the difference between cyclothymia and rapid-cycling bipolar type II? When I search the ...
  A: . . Cyclothymia involves relatively minor mood fluctuations. The downs do not meet the criteria for ...
Cyclothymia vs. Ultradian bipolar7/29/2007
  Q: My 19 year old daughter came home from college this summer with a change in her personality. She ...
  A: Carol . . . It is impossible to make a diagnosis on the basis of the information your provide. But, ...
Lithium Related Psoriosis7/27/2007
  Q: Goldberg, For three years I have been in agony with Lithium related psoriosis. The problem is that ...
  A: Jodi . . . I have found that it can be disastrous for someone with psoriasis to continue to take ...
bipolar sister in manic stage7/24/2007
  Q: I have a bipolar sister,54 yr old,I have been dealing with this since since was in college.She is ...
  A: . . The generic advice I give my patients and their relatives is to set whatever limits are ...
HEREDITARY BIPOLAR7/24/2007
  Q: IS THE CHANCE OF HAVING A BIPOLAR CHILD LOWER IF THE FATHER IS BIPOLAR AND THE MOTHER IS NOT AND ...
  A: . . If either parent has bipolar disorder the probability of each child having bipolar disorder is ...
BF has Bipolar.7/21/2007
  Q: When I was a little girl and moved into a new house at age 5 I met my next door neighbor who was 4 ...
  A: . . Being a friend to someone who has bipolar disorder can be very difficult. If you can accept ...
marinol7/20/2007
  Q: I have ocd and bipolar. i am on welbutrin and paxil. i want to try marinol , just to try, but my ...
  A: Carol . . . Marinol is a controlled substance and I know of no legal way that a physician can ...
Drug Complications7/19/2007
  Q: My husband was diagnosed as being bipolar approx 10 years ago. He has been stable on Lamictal and ...
  A: . . Diagnosis at a distance is impossible, but it may be that your husband has tardive dyskinesia. ...
abilify7/19/2007
  Q: I took risperdal for 5 years even i had breast milk then my new doctor changed it to abilify.i have ...
  A: . . There is no way that I can say of Abilify, Risperdal or any other antipsychotic medication is ...
clnical evidence7/19/2007
  Q: Is there any clinical evidence that the cocktails of subtherapeutic doses work for bipolar?
  A: . . Whiel I am unaware of any formal studies of the use of a combination of subtherapeutic doses of ...
Normal or BP7/16/2007
  Q: First off, I’m a daydreamer. At 18, I was diagnosed with bipolar disorder. However, I never ...
  A: . . There is no way that I can make a diagnosis over the internet. It certainly is possible that ...
Follow up7/15/2007
  Q: Doctor: This was my original question, and below is a follow up from a recent visit to my mothers ...
  A: . . I can understand the lithium being discontinued with a creatinine of 1.3 and the confusion you ...
My mother's bipolar disorder and her medications7/13/2007
  Q: Goldberg, I am very concerned for my mother's situation right now. She has had bipolar disorder her ...
  A: of herIt sounds as of your mother should have a reevaluation by a new psychiatrist and general ...
geodon, lamictal, wellbutrin7/12/2007
  Q: Can any of these be associated with sexual dysfunction?
  A: Idelle . . . As soon as a question starting with "Can any of these . . ." is asked the short answer ...
Bipolar Disorder and Pregnancy7/11/2007
  Q: I have been diagnosed bipolar for some years now, and though I had accepted that due to my many ...
  A: Leslie . . . Mnay women with bipoalre disorder have had children. One thing to remember is that, ...
lithim toxicity7/10/2007
  Q: My dad has been taking lithim for his bipolar disorder since he was 25 and is now 62. He has been ...
  A: Doris . . . The symptoms of dementia can originate in many ways. While it is possible that lithium ...
lamictal7/5/2007
  Q: Although it's called a mood stabiliazer, is it really no good for antimania?
  A: . . Lamictal is generally prescribed to people with bipolar disorder as a way of reducing the ...
Determining bipolar 'racing thoughts'7/3/2007
  Q: Are bipolar racing thoughts, thoughts that are pleasurable? Are they thoughts of planning to do ...
  A: . . While I have never seen an increase in obsessive symptoms in any of the 500+ patients I have ...
Determining bipolar 'racing thoughts'7/2/2007
  Q: Are bipolar racing thoughts, thoughts that are pleasurable? Are they thoughts of planning to do ...
  A: Jennifer . . . The racing thoughts that are found in people during a manic or hypomanic episode may ...
Anxiety on Abilify?7/1/2007
  Q: My 45 yr old husband has been dx with BP-rapid cycler- for 3 years now (but probably had it since ...
  A: . . Because of the dangers of tardive dyskinesia (see: ...
drug and natural supplements interactions6/27/2007
  Q: I am currently on 300mg of Lamictal and 300mg of Seroquel for bipolar disorder. I have been hearing ...
  A: Katie . . . IN the 1980s I published on the use of L-tyrosine as a treatment for people with mood ...
lithium and older people5/31/2007
  Q: Doctor, a few years ago a doctor my mother had said that sometimes older people do better on lower ...
  A: . . The answer to both of your questions is, "Yes." "Subtherapeutic" doses of lithium can be an ...
bipolar husband5/29/2007
  Q: My husband recently had an episode where he cut his arm and called the police to charge me with ...
  A: . . Thge situation you describe is a difficult one and there is no good answer to your problem. ...
Therapists in CO5/26/2007
  Q: I checked the list you have of top therapists for mood disorders and did not see any in Colorado. ...
  A: Leslie . . . There must be expert mental health professionals in CO, but I am not familiar with any ...
Zonegran and bipolar disorder5/25/2007
  Q: I take Sonogram, Lexapro, Wellbutrin and Ambien. This is all to combat bipolar disorder, depression, ...
  A: Maria . . . Serotonin is made in many parts of the body. Some is made in the gut, some in the blood ...
exhaustion; muscle spasms; paralysis5/22/2007
  Q: I was diagnosed "bipolar 1 w/ psychoses" 16 years ago. In the last 2 0r 3 years it's been changed to ...
  A: Clare . . . What you describe does not sound like the "leaden paralysis" symptom often seen in ...
Bipolar or Unipolar?5/22/2007
  Q: How do I know if I'm bipolar or unipolar? I was diagnosed 7 years ago with OCD and Unipolar ...
  A: John . . . See the test at: http://www.psycom.net/depression.central.bipolar-screening.html and ...
depression and ocd5/10/2007
  Q: My adult son has ocd and bipolar depression. He has been on a combo of 1000 mgs a day of depakote ...
  A: . . Depakote is often taken for many years by people with epilepsy and psychiatric disorders. In ...
severe shaking and meds5/9/2007
  Q: I have a question regarding the meds my husband is on for being bipolar. He is on Lithium, Clonopin, ...
  A: Denise . . . When one of my patients taking a bunch of medications starts to shake badly I usually ...
Zonegran5/7/2007
  Q: Have you heard about Zonegran being a good medication for the treatment of Bi-polar?
  A: . . The matrerial below is from a book I am bringing out. Best regards . . . Ivan ...
Bi-Polar5/7/2007
  Q: Have there been any studies on a correlation of bipolar and nicotine use, or any other drugs for ...
  A: Kevin . . . Below are a few abstracts. Best regards . . . Ivan %%%%%%%%%%%%%%%%%%%%%%%%% 1: J Clin ...
Breastfeeding5/5/2007
  Q: Ivan, it is so cool to find that I can ask you a question personally as your website is one of my ...
  A: Danielle . . . I am delighted that you find Depression Central to be useful. When it comes to ...
Bipolar episodes.5/3/2007
  Q: My husband is bipolar I. When he goes into a depressive episode, he turns against me (hates me, ...
  A: Wendy . . . Unfortunately there are limits on what you can do to help your husband get the help he ...
am I bipolar?4/29/2007
  Q: Let me start off in saying im am 15 but i have had symptoms of bipolarism since i was 9. I am young ...
  A: . . There is no way that I can even try to make a diagnosis over the internet. If you suspect that ...
Bipolar4/8/2007
  Q: My husband has been recently diagnosed with bipolar but he refuses to believe anything is wrong. ...
  A: . . In most parts of the USA people can be hospitalized against their will if they are a danger to ...
Bipolar4/8/2007
  Q: My husband has been recently diagnosed with bipolar but he refuses to believe anything is wrong. ...
  A: . . People with bipolar disorder are often convinced that they are not only OK but that they are in ...
Bipolar II4/4/2007
  Q: Goldberg, I have had bipolar symptoms since I was 17. I have in one way or another controlled these ...
  A: . . Unfortunately you may not be able to get first class treatment unless you can figure out how to ...
Bipolar and Vicodin4/4/2007
  Q: My dentist recently prescribed Vicodin ES for severe tooth pain. I also take trileptal for my ...
  A: . . Narcotics and alcohol can destabilize mood in people with bipolar disorder If the pain is very ...
my bipolar son4/3/2007
  Q: I have a son who is 20 years old and refuses to take medications they prescribe him, and only wants ...
  A: Patricia . . . Ethical physicians will never prescribe a medication simply because a patient things ...
Xyrem and selegilene patch3/31/2007
  Q: Ivan, I was an ultra-rapid cycler who is now stable on aripiprazole, duloxetine, lamotrigine, T3 ...
  A: . . I have no experience with Xyrem and cannot comment on its usefulness. When it comes to ...
Bi-Polar and Pregnant3/10/2007
  Q: My wife and I got married this past July, ive noticed alot of mood changes in her, lack of wanting ...
  A: John . . . There is no way I can diagnose your wife from a distance. It is impossible for me to ...
I'm starting to cycle again3/9/2007
  Q: I have ADHD and Bi-polar and few other things to boot. I have not taken my Depakote b/c it is ...
  A: I will not prescribe Depakote for women who think they might want to have children some day in the ...
Mentally Ill Parent Refusing Treatment3/2/2007
  Q: I have a friend who's mother she suspects is mentally Ill. She is on medicare and has several ...
  A: . . I have no idea what the law sin in California but in New York if the daughter were to petition ...
bipolar II vs something else?2/28/2007
  Q: Goldberg- I am in the process of consulting with as many professionals as I can with regard to ...
  A: . . Unfortunately psychiatric symptoms are on-specific. Depression and anxiety may be found in ...
Bipolar danger?2/23/2007
  Q: I am writing with concern about our landlord. He is Bipolar and on Sertraline and Depakote. He has ...
  A: . . There is no way I can comment on the possible danger of interacting with an individual who I ...
bipolar with other health issues2/22/2007
  Q: I am bipolar with symptoms of psychosis which don't seem to coincide with my mania or my depression. ...
  A: . . People with bipolar disorder who have other health PROBLEMS are often not taken seriously, To ...
going back on meds, scared2/15/2007
  Q: I had to go off my meds , 7-05 because of a very bad GI bleed had 4 units was very sick. Since then ...
  A: Juli . . . Both Depakote and risperidone have been reported to cause bleeding in some people. Such ...
bipolar?2/13/2007
  Q: The last couple months ive been trying to fix whatever is wrong with me. At first i was diagnosed ...
  A: Jon . . . There is no way that I can make a diagnosis based on the information you provide. To make ...
Mood Swings?1/4/2007
  Q: Ok i was diagnosed a few weeks ago with having borderline bipolar disorder. I didn't even know that. ...
  A: . . I just came back from vacation and found your question. It is impossible to make a diagnosis ...
2 disorders at once1/2/2007
  Q: First I know we need to see someone . My wife has been diagnose with Post traumatic stress and ...
  A: Darren, Its hard for me to give any sort of advice as I have no idea what sort of psychiatric care ...
bipolar disorder12/30/2006
  Q: I have a brother who has been suffering from manic depressive illness since he was 20 years old. He ...
  A: . . Whiel drugs such as lithium and Thorazine often do a good job they do not always do a perfect ...
Question12/30/2006
  Q: I recently went to a the psyatric part of my hospital and met with somone who siadi had depression ...
  A: . . It is impossible for me to make a diagnosis of any sort from the information you provide. I ...
Bipolar disorder12/29/2006
  Q: My Mother is 63. She has been severley depressed for 4 years now. she spent her first year of ...
  A: So 3 questions. What are your thoughts on Shock therapy? I think hat when someone has been ...
BIPOLAR and pregnant12/26/2006
  Q: I am 28 years old and diagnosed as bipolar 9 years ago. Six weeks ago I found out I am pregnant. ...
  A: . . Pregnancy in a woman with a mood disorder leads to some hard decisions to make. It is well ...
Bipolar,IBS,questions12/23/2006
  Q: It's along time that I have Bipolar disorder(BP) and also IBS. I used so many different medicines ...
  A: . . Bipolar disorder has a strong genetic basis. The disorder can be controlled through the use of ...
EST12/20/2006
  Q: I have a long history of Bipolar/BPD/PTSD diseases. The past three and a half years have been hell ...
  A: . . AS you may know ECT is done under anesthesia two or three times a week. It is probably be most ...
65 yr old mother BP?12/9/2006
  Q: I recently found out in a very circuitous way that I am BP. I was being treated for unipolar for 8 ...
  A: . . As you know there is a strong genetic aspect the bipolar disorder. At one time most people with ...
Question/Help12/2/2006
  Q: I've recently recognized what ive been experiencing for a while as a possible mental illness. I have ...
  A: Jon . . . It is impossible to make a diagnosis from the information you provide in your query. It ...
im diagnosed bipolar and im on so many meds11/30/2006
  Q: in march 2006, i had a psychotic episode, i had to be restrained by police. thought my husband was ...
  A: Tamara, It is common for people with bipolar disorder, especially people who have had a psychotic ...
BP d/o and Cymbalta11/21/2006
  Q: Goldberg-I was just diagnosed with BPD. I have been taking Cymbalta for about 3 months and my ...
  A: Jody . . . People with bipolar disorder will often have hypomanic or even manic episodes if they ...
seroquel addiction? Stomach ulcers?11/21/2006
  Q: I am a 36 year old wife and mother of 4. I was dx with bp when I was 16 years old. I have been tried ...
  A: . . While there is no evidence that Seroquel is addicting, there is evidence that some people have ...
Bipo;ar11/19/2006
  Q: My father had bipolar, I think I might have it or some sort of disorder. The other day for example, ...
  A: Terri . . . It is impossible for me to make a diagnosis over the Web, but if you think you may have ...
alternative to medication for bi-polar11/14/2006
  Q: I realize you are an MD but do you know or have heard of any treatments besides medication for ...
  A: . . There are a few non-pharmacologic treatments that help medications work better, but that do not ...
antidepressants and bipolar problems11/11/2006
  Q: I was diagnosed and treated foe depression for over 10 years. After getting into trouble during a ...
  A: There is some data that suggests that people with bipolar disorder often go 10+ years before the ...
Discontinue Depakote ER11/11/2006
  Q: I have heard you speak many times and value your advice. Currently, I am taking 250 mg of Depakote ...
  A: . . I cannot give personal medical advice, but when my patients ask me about the possible effects ...
Medication,self medicating11/9/2006
  Q: For years have struggled. am 41. I have been on several medications for the past 20 years. When I ...
  A: Heather . . . The following is form a book I am in the process of finishing: Tramadol (Ultram) ...
Seroquel for Bipolar side-effects irritating my IBS (constant upset stomach/diarrhea)11/9/2006
  Q: I started on 25mg for anxiety/sleep issues. It was discovered that I have had mania/bipolar disorder ...
  A: Ken . . . I have been prescribing Seroquel for many years and have never run into increased ...
Bi-Polar Couples11/8/2006
  Q: My boyfried and I both have bi-polar. We met in a support group about 2years ago. We both work ...
  A: Joyce . . . I this life love is rare and should not be easily thrown away. Couples in which both ...
Bipolar: Life Insurance11/7/2006
  Q: I have has bipolar disorder for appx 20 years. For the past 3 years my doctor and I have finnally ...
  A: It is often difficult for people with bipolar disorder to get life insurance because of the ...
anticonvulsants to treat bipolar11/3/2006
  Q: My first manic episode was while I was on Keppra for epilepsy. 6 months off meds I had no bipolar ...
  A: Joanne . . . It is impossible for me to say much about your situation based on the data you ...
In the genes?10/31/2006
  Q: I am a 27 year old female. My mother says she has been diagnosed as a manic depressive with a ...
  A: . . While your question was quite long and involved, the answer is short. I am not familiar with ...
Re Bipolar10/30/2006
  Q: I am sorry my mail was quite rightly very unclear, I sent it very late and did not check it before ...
  A: Sandra . . . If, in fact, you are bipolar, paroxetine by itself might just make things worse. I do ...
bipolar?10/30/2006
  Q: Goldberg, Thank you so much for providing this service. I truly appreciate it, as I can not get an ...
  A: . . I think ti is important that you get a psychiatric evaluation ASAP. There is a chance that you ...
Re Bipolar10/29/2006
  Q: Goldberg, I'm a 39 year old female and my first depressive episode was age 7. Although I was not ...
  A: . . I am a little confused by your message as I am not sure what you are asking. If you doubt the ...
Bipolar10/28/2006
  Q: I have a 3yr old who has been diagnosed with bipolar disorder her mom has bipolar can the 3yr old be ...
  A: . . I ma a psychiatrist, not a child psychiatrist, but I know one thing about child psychiatry . . ...
am i bipolar?10/26/2006
  Q: I have noticed strange mood swings which started around a year ago and have increasingly worsened. ...
  A: . . It is impossible for me to make a diagnosis based on the info that can be transmitted by email. ...
confusion about diagnosis10/23/2006
  Q: I was diagnosed with Bipolar II. I have had depression off and on for years. Prozac helped, but ...
  A: Ruth . . . It is impossible for me to make a diagnosis or suggest treatment based on the sort of ...
7yr old son has bipolar, is sensitive to meds10/22/2006
  Q: Goldberg, Hi. My son is 7 and has bipolar disorder and an anxiety disorder. Bipolar runs in my(his ...
  A: Nancy . . . I am not an expert when it comes to the treatment of children, so please take what I ...
Bipolar Boyfriend10/20/2006
  Q: My ex-boyfriend has not been diagnosed with bipolar disorder. However, he is definately text book ...
  A: The situation you describe is unfortunately both common and painful. Many people with bipolar ...
Effects of Bipolar Disorder10/17/2006
  Q: What are the most major effects of Bipolar Disorder on people, other than just mood swings? Is it ...
  A: . . Other than mood swings the effects of bipolar can be minimal or catastrophic. School failure, ...
i have a question?10/15/2006
  Q: I just wanted to ask that if people with bipolar are capable of taking care of child? Im asking ...
  A: . . There probably are millions, yes millions, of mothers who have bipolar disorder. The vast ...
Bipolar and Pregnancy10/13/2006
  Q: I have two children 6 and 3 and also have bipolar 1. My husband and i would love another baby, and ...
  A: . . Women with bipolar disorder may have an easy time during pregnancy, but stopping ...
Bipolar and IBS, Seroquel9/17/2006
  Q: My wife has bipolar and severe Irritible Bowel Syndrome (a stress-related problem of the colon being ...
  A: Ken . . . Seroquel is useful as a treatment of both the manic and depressive phases of bipolar ...
Question9/15/2006
  Q: how are you going? My name is Christina and I live in Australia. Thank you very much for taking the ...
  A: . . It is impossible to make a diagnosis by way of email. When I have seen patients with stories ...
brain injuries9/13/2006
  Q: I had a brain injury about seven years ago. Before then I was digoised with depression. THen in my ...
  A: . . Many if not most people with bipolar disorder have been misdiagnosed before the true nature of ...
children with bipolar8/10/2006
  Q: Goldberg I have a three year old step daughter and for the past 2 years she has been showing many ...
  A: . . Bipolar disorder has a large hereditary aspect and can manifest itself in young children. I ...
Adult Sister never diagnosed8/3/2006
  Q: If we can get her to answer the questionnaire truthfully and she scores in the bi-polar spectrum ...
  A: . . What you might do is take your sister to a psychiatrist with special interest in diagnosing and ...
irrational fears anger and paranoia7/31/2006
  Q: I've known my boyfriend for nearly ten years and we have been dating for nearly two. I've always ...
  A: . . There is no way that I can make a diagnosis over the net. You might want to read, "Stop Walking ...
...7/30/2006
  Q: I'm 16 years old but I did the questionaire at the website that you used in one of your answers to ...
  A: . . The Bipolar Screening Questionnaire is only valid if you are over 18 and have had a serious ...
bipolar disorder7/30/2006
  Q: I was wondering is it possible for me to passed this disorder off to my children? This the first ...
  A: It has been estimated that each child of a parent with bipoalr disorder has about a 15% chnace of ...
How accurate is the bipolar screening thingy?7/26/2006
  Q: I just took the above screening question thingy and scored 40. The answers were wholly honest, and ...
  A: . . People who score 40 on the screening test have a good chance of having some form of bipolar ...
Bipolar question7/15/2006
  Q: I have a family history of bipolar disorder. My brother had symptoms of bipolar. My cousin has ...
  A: . . I am not a medical geneticist and cannot give you an exact answer. I would say that if we ...
Friend with Bipolar6/4/2006
  Q: Our super is bipolar. He seems like a really nice guy, but he goes into these funks and just leaves ...
  A: . . Obviously there is no way I can say anything about the dangerousness of an individual I have ...
bi-polar and the influence of family dynamics5/24/2006
  Q: My sister, she s 25, was diagnosed with bi-polar about 6 years ago. My father, he s 56, was ...
  A: Jason . . . People with bipolar disorder often have a hard time remaining organized especially ...
Mental Illness5/19/2006
  Q: Based on the information I give you, please tell me what illness you think this might be. My ...
  A: . . I am sorry that I cannot help you out. It is impossible to make a diagnosis from a distance ...
Bipolar5/12/2006
  Q: Dr. Goldberg, My 26 yr. old brother was diagnosed a few years ago with Bipolar II disorder with ...
  A: . . It is impossible for me to make a diagnosis on an individual I have never examined. People with ...
BIPOLAR/ADD5/9/2006
  Q: my doctor just diagnosed me with bipolar disorder. i am on 20 mg of lexapro and 10 mg of abilify. ...
  A: . . The symptoms of bipolar disorder and ADD/ADHD overlap. More often than not ADD/ADHD is ...
My 13-year old son has been...5/3/2006
  Q: My 13-year old son has been treated for OCD and ADHD. Before being treated for both, had only a few ...
  A: . . I am not an expert when it comes to children and adolescents. It has been my experience that ...
bipolar child4/26/2006
  Q: Dr. Goldberg, I believe that my husband is bipolar, although he is undiagnosed. He has the classic ...
  A: . . While I am not an expert in psychiatric genetics, my understanding is that a genetic ...
Bi-polar II4/24/2006
  Q: My husband has just been diagnosed with Bi-polar II. He is 57 years old, but he has suffered from ...
  A: . . Not knowing your husband I cannot answer your questions in anything other than a general way. ...
Parental denial making it worse4/5/2006
  Q: I'm a 45-year-old, divorced mother of two, and have suffered from bipolar II disorder, PTSD and ...
  A: . . Having a mother such as the one you have increaes your burden of having to deal with a ...
bipolar3/31/2006
  Q: I have read that people personality disorders should not be institutionalized for many years in a ...
  A: . . Bipolar Disorder is not a personality disorder and it frequently results in behavior that makes ...
Bipolar and ADHD3/27/2006
  Q: I am taking Depakote (2x500 mg.), Effexor (3x75 mg.), Gabapentin (3x600 mg.), Trazodone (2x100 mg.) ...
  A: Not knowing your depakoet levcel puts me at a great disadvantage when ti comes to trying to say ...
Bipolar and ADHD3/27/2006
  Q: I am taking Depakote (2x500 mg.), Effexor (3x75 mg.), Gabapentin (3x600 mg.), Trazodone (2x100 mg.) ...
  A: . . I may be better able to answer your query if you tell me the amount of the reduction in ...
psychotic bipolar disorder3/27/2006
  Q: My 20 year old son was diagnosed with bipolar1 mania with psychotic features. He was also a chronic ...
  A: . . While there may be data on the average time for the resolution of the psychosis accompanying a ...
psychotic bipolar disorder3/27/2006
  Q: My 20 year old son was diagnosed with bipolar1 mania with psychotic features. He was also a chronic ...
  A: Unfortunately there is no way I can predict how long your son will remain psychotic. As you mention, ...
Treatment for manic-depression3/23/2006
  Q: Goldberg, Three years ago, I was evaluated by you and your team at the Presbyterian Hospital, in ...
  A: . . While I was affiliated with the Columbia-Presvyterian Medical center for about 30-years, I left ...
childhood bipolar3/19/2006
  Q: I was just told my son who is 5 years old suffers from bipolar, prior to this diagnosis 2 years ago ...
  A: . . While I am a psychiatrist and an expeet on Bipolar Disorder I am not a child psychiatrist and ...
Various Bipolar Questions2/13/2006
  Q: Dr. Goldberg, Is there a way that I can locate a Psychiatrist/Psychopharmacologist with experience ...
  A: Is there a way that I can locate a Psychiatrist/Psychopharmacologist with experience treating mixed ...
Stablization2/13/2006
  Q: When my most severe manic symptoms are apparent I am usually drinking. I can't stand my behavior ...
  A: . . Theer is no way I can truly answer your question but I can point out that manic symptoms of any ...
Stablization2/13/2006
  Q: For a very long time I've been cycling on basically a monthly basis on average. For the last year ...
  A: . . I'd try it for about 2 months before bringing the following abstracts to your doctor';s ...
Friend receives ECT : (2/13/2006
  Q: I'm just wondering about Bipolar issues that are dealt with using Electro Convulsive Therapy. From ...
  A: Sam . . . ECT is usually used to treat mania or depression that fails to respond to other ...
Wife Bi-polar How to help2/10/2006
  Q: My wife although not officially diagnosed meets almost every criteria for the disorder and as she ...
  A: Robert . . . I wish a had a really good answer to your question but unfortuately I don't. I think ...
Herbal remedies1/24/2006
  Q: I started with a problem of what appeared to be depression at the age of 10 which rapidly grew into ...
  A: . . I am not aware of any effective herbal treatments for people with bipolar disorder. Please ...
Bipolar medicine1/17/2006
  Q: I have bipolar disorder, and have been diagnosed and treated. I have been really stable for the ...
  A: Maria . . . Medication (or medications) reduce the probability that someone with Bipolar Disorder ...
Emotionally bankrupt1/16/2006
  Q: I have a 20 year old son has been diagnosed with bipolar since the age of 12. He stopped taking his ...
  A: . . I think you should stay in contact with the crisis team and discuss with them how an ...
dms12/11/2005
  Q: I have suffered from major depression for more than a year.I think it is a refractory depression.My ...
  A: . . It is certainly possible that your have a mixed state and that your true diagnosis is a ...
Bipolar wife 5months rapid cycling12/2/2005
  Q: We are up in Canada, so your list won't quite help us. But, the doctor she has seems to be quite ...
  A: Scott . . . Below are a few abstracts that may give you, and possibly your wife's doctor, some ...
Bipolar wife 5months rapid cycling12/2/2005
  Q: I have been having the most horrible time trying to help get my wife (28yrs old) stabilzed. We have ...
  A: Scott . . . Rapidly-cycling bipolar disorder is difficult for the family and for the doctors ...
seroquel11/20/2005
  Q: I was diagnoised as having major depression and put on a combination 225 mg anafranil and 20 mg ...
  A: . . I have no idea what was in the mind of the psychiatrist who started you on Seroquel. While ...
bipolar, genetics11/14/2005
  Q: I recently found out that both my fiance and I have relatives with bipolar disorder. His father's ...
  A: . . Whilr there is growing understanding of the genetics of mood disorders I am not aware of any ...
Bipolar??11/13/2005
  Q: I was wondering how a person is diagnosed as being bipolar. Is bipolar the same thing as having a ...
  A: Lisa . . . The diagnosis of bipolar disorder is made by a psychiatrist who after an interview sees ...
bipolar disorder10/30/2005
  Q: I was wondering if you could describe to me the most common effects of bipolar disorder in everyday ...
  A: . . Wheh depressed people are withdrawn, without energy, interest, motivation, concentration, or ...
Am I bipolar?9/24/2005
  Q: I've noticed not too long ago that my mood can switch from high to low in a split second, and not ...
  A: . . Rapid changes in mood, as if a switch were flicked, are more common in bipolar than unipolar ...
Lithium Toxicity9/23/2005
  Q: Greetings, I have Bipolar Disorder, I take Lithium to manage it and I was wondering about a few ...
  A: . . Lithium toxicity is usually defined as a state in which the lithium blood level is dangerously ...
Trileptal6/26/2005
  Q: I am a rapid cycling bipolar woman who is 48. I have been through a few meds over the ...
  A: . . I use a lot of Trileptal in my practice and while a few pts have developed tremors at high ...
anxiety6/21/2005
  Q: i have a question about whether i have an anxiety problem that can/should be helped with medication. ...
  A: People with bipolar disorder who also have an anxiety problem often do better when gabapentin ...
rapid cycling/hard to treat bipolar6/21/2005
  Q: My girlfriend is bipolar and is currently in the midst of a relapse. She was first hospitalized ...
  A: It is often possible to totally block episodes of bipolar disorder. To accomplish that usually ...
rapid cycling/hard to treat bipolar6/21/2005
  Q: My girlfriend is bipolar and is currently in the midst of a relapse. She was first hospitalized ...
  A: There is evidence that the more manic or depressive episodes you have, the more likely you are to ...
lithium related6/4/2005
  Q: Doctor: Can you tell me why the kidneys are watched closely in lithium treatment? And if creatine ...
  A: Lithium can decrease kidney function. Measuring the creatinine level in the blood is the best way to ...
Treatment resistant depression5/29/2005
  Q: I am 54,I have taken over 35 different anti-depressants and combinations of other drugs that are ...
  A: . . I have not heard of a Nardil patch, but there has been talk of a selegeline patch. Selegeline ...
switching drugs5/25/2005
  Q: Doctor; My mom has been on lithium for several years, she is now 65 and her blood work for her ...
  A: . . I'm sorry for the delay in getting back to you but I was out of town at a psychiatric meeting. ...
bipolar disorder...I have a few questions5/17/2005
  Q: I have a few questions and any info you could give me would be greatly appreciated. I have some ...
  A: The answers to your querstions are available on the Web. You might start by reading the material at: ...
Please advise, Bipolar Isolation in a friend5/13/2005
  Q: Recently, one of my friends has gone into a period of deep isolation. He doesn't take phone calls, ...
  A: . . Not knowing your friend there is no way I can give you specific advice. In general it is a ...
suggested reading?4/28/2005
  Q: Goldberg, I am bipolar and have problems connecting my thoughts with my feelings. I'm experiencing ...
  A: . . While you might find the workbook at: ...
lamictal + valproic acid3/12/2005
  Q: What is the interaction between lamictal and valproic acid? I'm told that depakote more than doubles ...
  A: . . While there is no doubt that valproate can seriously increase the plasma levels of lamotrigine, ...
Rapid cycling/"normal" personality3/7/2005
  Q: BACKGROUND:My 44-yr-old daughter has been ill for 20+ years; is bipolar, primarily depressive. In ...
  A: . . There is no way that I can answer your question. Without examining your daughter at various ...
Bipolar meds & pregnancy3/6/2005
  Q: I'm taking Lithium 300mgx4/day and concidering getting pregnant soon.Is it harmful to unborn child?
  A: . . There is no simple answer to your question. Here are a few abstracts from the medical ...
Anesthetic and Depakote3/6/2005
  Q: Goldberg, I have bi-polar disorder and had back surgery earlier this week. Prior to surgery I ...
  A: Debby . . . Many of my patients taking Depakote have had surgery and there have been no ...
antidepressants and mania/hypomania2/3/2005
  Q: I am a 66-year-old woman with Bipolar II disorder. My first episode, a severe depression, occurred ...
  A: . . The best estimate is that between 20% and 25% of people with Bipolar disorder who take ...
Bi-Polar??2/2/2005
  Q: I am 39 years old and a victim of child abuse (hitting and sexual). I have struggled for years with ...
  A: . . There is no way that I can make a diagnosis on the basis of information contained in an email. ...
Bipolar Disorder Question1/29/2005
  Q: I know that it is nearly impossible to diagnos someone online, but I just had a question. For the ...
  A: . . The quickest way to get a preliminary reading on the question of your having a disorder in the ...
Is my girlfriend bipolar1/8/2005
  Q: DR Thank you for your dedication. I have been seeing a woman for 3 + years now, she is very pretty ...
  A: . . it is impossible for me to accurately make to make and unethical for me to even try to make a ...
Add/ Bipolar?11/11/2004
  Q: Dr. Golberg, I recently went to a psychiatrist because I felt I had add. The doctor told me that ...
  A: . . There is no way I can determine if the doctor's diagnosis is correct or not. If the 5 mg/day of ...
bipolar disorder11/3/2004
  Q: My bipolar husband, blames me for his illness and everthing else when he is having a depressed ...
  A: As you have discovered, living with someone who has less than adequately treated bipolar disorder ...
caffeine11/3/2004
  Q: Goldberg, I am bipolar. I have just quit drinking caffeine a week ago (i used to drink sevaral cups ...
  A: . . I tell my patients that up to about 200 mg per day of caffeine is not likely to make any ...
Bipolar Disorder II10/29/2004
  Q: Goldberg, After many years, of medical tests, antidepressants and being told that "nothing" was ...
  A: 1. Are physical symptoms part of Bipolar Disorder (ie. muscle pain, nausea, lack of appetite, ...
Lamictal and breast feeding..possible?9/22/2004
  Q: Is it possible to take Lamictal and continue breast feeding? I am BP I, and have a 6 mon. old ...
  A: . . Lamictal (LTG)is a drug that remains in the body for at least 24-hours after it is taken . . . ...
Bi-Polar while pregnant9/19/2004
  Q: I am bi-polar and have currently found out that I am pregnant. My psycologist had me go off of my ...
  A: . . I am not sure why a psychologist would offer you advice regarding medications. It turns out ...
bipolar9/17/2004
  Q: I had a doctor who told me I had symptoms of bipolar and borderline personality disorder. I am ...
  A: . . I can only encourage you to get in touch with your doctor and get back on medication. It will ...
7 year old with Bipolar Disorder9/14/2004
  Q: We have a 7 year old son who has been diagnosed with Bipolar Disorder. I have home schooled him ...
  A: I wish I could help you with the problem you are having with your son but I am not a ...
prognosis8/9/2004
  Q: I was recently diagnosed with BPI, after a severe manic episode in which I became psychotic for a ...
  A: Have you come across any people who only have a couple of episodes in their life, or who get by on ...
bipolar medications7/27/2004
  Q: Goldbert, I have a few questions about medications and thought processes. i hope you don't mind, ...
  A: I have a few questions about medications and thought processes. i hope you don't mind, there are a ...
Bi Polar Disorder/Alternative Treatments7/23/2004
  Q: I am a 30 year old female. I was diagnosed with bipolar disorder about 6 years ago. I was given ...
  A: . . People who have a rapidly cycling version of bipolar disorder generally do best when taking ...
my anger7/21/2004
  Q: sometimes my mother but not nearly as bad. it is causeing a lote of problems with my marriage and i ...
  A: Crissy . . . I'm not sure why you are venting your anger toward your husband more thant towards ...
Effects of Dilantin5/28/2004
  Q: Dr. Goldberg, do yoy believe in the positive effects of Dilantin (Phenytoin) on mood disorders, ...
  A: . . While Jack Dryfus advocates the use of Dilantin for many disorders he provides no evidence that ...
could my child be bipolar??5/11/2004
  Q: My 14 yo daughter is beautiful, smart, funny and happy most of the time. She has been cutting ...
  A: . . AS you realize the behavior of your daughter is unusual. There are a number of conditions that ...
Bipolar and Socio/Psychopathic5/9/2004
  Q: I have a close relative, 60 year old female with bipolar, diagnosed three years ago. She ...
  A: Sue . . . Many thanx for your kins words. I greatly appreciate them. People with Bipolar Disorder ...
Bipolar Disorder, how do you know?5/4/2004
  Q: How do you know if you have Bipolar Disorder? From previously reading the other questions that you ...
  A: . . It is quite possible for someone to have Bipolar Disorder and not know it. The only way eb be ...
Hi I need some advice. I've...4/30/2004
  Q: I need some advice. I've been depressed for four years and have been on every medicine. Nothing ...
  A: . . Nobody has been on all medications even one at a time and certainly no one has been on all the ...
new meds4/27/2004
  Q: I have a 10 year history with depression (an eating disorder, cutting and three suicide attempts ...
  A: . . Seroquel comes in tablets as small as 25 mg and as large as 300 mg. It is unlikely that 25 mg ...
Bipolar/ADHD/Alcoholic4/17/2004
  Q: My husband has been diagnosed in the last 2 years as having Bipolar Disorder and ADHD (more so ...
  A: . . io think the first thing for you to do is to learn ads much as you can about bipolar disorder. ...
treatment for bipolar disorder in adolescents4/8/2004
  Q: My 12 year old daughter has just been diagnosed with BPD. The psychiatrist is going to start her on ...
  A: . . While the combination of a mood stabilizer and an antidepressant is one approach to the ...
treatment for bipolar disorder in adolescents4/7/2004
  Q: My 12 year old daughter has just been diagnosed with BPD. The psychiatrist is going to start her on ...
  A: . . I do not like to prescribe depakote for women, especially young women. Depakote can have ...
Lithibid long term effects3/31/2004
  Q: A friend of twelve years was recently put on lithibid after having a nervous breakdown. Along with ...
  A: It is impossible to know for how long someone will have to take lithium. Some people take it for a ...
what do i do3/20/2004
  Q: i have been diagnosed bipolar, also have ebv and fibro. i am so confused dont know where to turn. ...
  A: . . Whether you do it through a clinic or through a private doctor you should see a psychiatrist ...
lithium related3/12/2004
  Q: Doctor: My mother takes 750mg of lithium daily and her family doctor placed her on an ace inhibitor ...
  A: ACE inhibitors are known the increase lithium levels by over 30%. In many individuals this is ...
bi polar legal problems3/11/2004
  Q: My husband suffers from bi polar and attention deficit disorder, I believe that perhaps low self ...
  A: . . I know little about sexual misconduct, but can tell you that when many people are manic, they ...
Son with bipolar2/8/2004
  Q: My 18-year-old son was diagnosed with bipolar, hospitalized in 11/03 with attempted suicide and ...
  A: . . it is my practice to discontinue antipsychotic medication, such as Zyprexa, as soon as possible ...
Pregnant Bipolar patient1/29/2004
  Q: I am a 24 yr old woman who was diagnosed with Bipolar Affective Disorder and Panic ...
  A: . . I discourage my patients who take lithium and who become pregnant to take lithium during the ...
beta blocker mania?1/22/2004
  Q: Doctor: I was wandering for my mother if the drug toprol is given to slow a faster than normal ...
  A: Beta-blockers have not generally been thought of as drugs that destabilize people with bipolar ...
getting help for a bipolar partner12/3/2003
  Q: My friend is bipolar. He was institutionalized for a few months when he was very young, and also as ...
  A: . . Lost of people who have mood problems are irritable and easily angered. if all such people were ...
Have you seen these symptoms before?11/22/2003
  Q: Have you seen people with anxiety/panic disorder "move up" to Bipolar disorder? Can the depression ...
  A: . . It is not unusual for anxiety to precede the onset of bipolar disorder. See the abstract below. ...
lithium reduction11/7/2003
  Q: My mother is presenly on 750mg of lithium a day however her creatinine has risen a little, can you ...
  A: . . Without knowing your mother's age and total medical situation it is impossible to say anything ...
difficult daughter9/27/2003
  Q: I have a 14 1/2 year old daughter who my wife and I have had huge difficulties with for the past ...
  A: . . It is hard to find truly qualified professionals to care for someone with a hard-to-treat mood ...
medication/ lab results7/13/2003
  Q: Doctor: My mom age 62 has been on lithium since 1991, her present dose is 750mg a day, one ...
  A: With a creatinine around 1.6 it very well may be necessary for your mother to come off of the ...
Husband bipolar and irratic5/23/2003
  Q: My husband has been in and out of therapy, on and off medication for almost 4 years now after an ...
  A: . . If your husband is truly within the bipolar spectrum, he should be in a mood stabilizer such as ...
bi polar yes or no4/7/2003
  Q: dr. goldberg, my 21 yr old daughter has been recently diagnosed bi polar,but i read this can be ...
  A: . . It is not unusual for people with Bipolar Disorder to reduce or stop their medications and for ...

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