*NEW* MANAGING SIDE EFFECTS
A-Z SERIES
TO MEDICATE, OR NOT TO MEDICATE?
Indications for pharmacotherapy: a target-symptom-based approach. avoiding polypharmacy.
TREATING TARGET SYMPTOMS
A PRAGMATIC, FAIL-SAFE APPROACH TO THE TREATMENT OF PSYCHIATRIC CONDITIONS, WHICH ARE BY THEIR NATURE INVARIABLY SYNDROMAL
*NEW* UNDERSTANDING
PSYCHOPATHOLOGY SERIES
IN-DEPTH, COMPREHENSIVE DESCRIPTIONS OF THE SYMPTOMS YOU MAY BE HAVING, EXPLAINED IN A WAY YOU MAY NOT HAVE HEARD BEFORE
ADULT ATTENTION-DEFICIT DISORDER
Diagnosing and treating ADD in adult patients.
TREATING INSOMNIA
How best to take prescription sleep aides. Good sleep hygiene. Avoiding tolerance and preserving efficacy.
THE OVER-DIAGNOSIS OF BIPOLAR DISORDER
The ineffectiveness and hazards of misidentifying symptoms and treating a diagnostic label that is usually misapplied.
THE ACTIONS OF SEROTONIN
Irritability, tearfulness, obsessions, compulsions and all forms of anxiety, including interpersonal and panic.
selective serotonin reuptake inhibitors (SSRIS):
the prozac family
WHAT'S THE DIFFERENCE BETWEEN PROZAC, ZOLOFT, PAXIL, CELEXA, & LEXAPRO, AND WHY HAS NO ONE EVER HEARD OF LUVOX?
Aug 2009 Blog post
Aug 2009 Blog post
PRN USE OF SSRIS
UNORTHODOX TO SOME, BUT IT WORKS WHEN INDICATED!
"PARADOXICAL" REACTIONS TO MEDICATIONS
FREQUENCY OF OFFICE VISITS
How often patients are expected to return to clinic.
PRIVACY PRACTICES
Confidentiality of Protected Health Information. U.S. Health Insurance Portability and Accountability Act (HIPPA).
"DO NOT TAKE ON AN EMPTY MIND"
Information and advice on psychotropic medications from an expert psychopharmacologist (2009 Blog)
(This section of the website is continually undergoing renovation; please check back periodically.)
DISCLAIMER: the INFORMATION contained herein REFLECTS MY OWN PROFESSIONAL OPINIONS, BASED UPON PERSONAL EXPERIENCE TREATING ACTUAL PATIENTS OVER MANY YEARS. IN ADDITION TO ESTABLISHED SCIENTIFIC FACTS, THIS MATERIAL ALSO INCLUDES PERSONAL OPINIONS AND ANECDOTAL REPORTS: IMPRESSIONS AND CONCLUSIONS THAT HAVE NOT BEEN SUBJECT TO SCIENTIFIC SCRUTINY OR FORMAL INVESTIGATION. THESE EDUCATIONAL VIDEOS ARE PRESENTED AS A PUBLIC SERVICE, FOR GENERAL INFORMATIONAL PURPOSES, ONLY. THEY ARE NOT MEANT TO SUBSTITUTE FOR A PROPER medical EVALUATION or THE ADVICE OF AN EXPERT, and NO DOCTOR-PATIENT RELATIONSHIP with dr. silva IS ESTABLISHED OR IMPLIED. tHE BEST TREATMENT PLANS ARE HIGHLY INDIVIDUALIZED, AND NO INFORMATION THAT CAN BE GLEANED FROM the INTERNET can SUBSTITUTE FOR A THOROUGH, AND ONGOING, EVALUATION BY A SEASONED CLINICIAN WORKING IN THE CONTEXT OF A THERAPEUTIC ALLIANCE WITH A PATIENT, WHO IS likewise ACTIVELY engaged IN HIS OR HER OWN TREATMENT.
