SILVA PSYCHIATRIC CARE
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TARGETING
​SEROTONIN

Targeting ANGER, CRYING SPELLS, DWELLING, obsessions, compulsions and all forms of anxiety, including interpersonal (SOCIAL), PANIC, AND ESPECIALLY ANTICIPATORY. SEROTONIN INCREASES THE PHYSICAL THRESHOLDS FOR IRRITABILITY, TEARFULNESS, WORRYING, INTRUSIVE AND NEGATIVE THOUGHTS, SHYNESS (AND ALL FORMS OF DREAD AND IRRATIONAL FEAR), AND FEELINGS/EMOTIONALITY ITSELF.

TOO MUCH LEADS TO APATHY AND ANHEDONIA: EMOTIONAL BLUNTING AND A DEARTH OF PASSION (SUFFERING) IN ALL OF ITS MYRIAD FORMS, INCLUDING CRAVINGS, THE SENSE OF URGENCY AND EXCITABILITY OF ALL KINDS, INCLUDING SEXUAL AROUSAL AND THE ABILITY TO SEXUALLY CLIMAX, AND OVERALL EMOTIONAL REACTIVITY TO EVENTS, SITUATIONS, CIRCUMSTANCES, OTHER INDIVIDUALS, AND EVEN ONE'S OWN THOUGHTS AND MEMORIES, WHICH ARE TAMED AND BENIGN COMPARED TO ONE'S BASELINE, PARTICULARLY IN PERSONS WITH ANY COMBINATION OF GENERALIZED ANXIETY DISORDER, OCD, PANIC DISORDER AND/OR SOCIAL PHOBIA AND OTHER PHOBIAS by increasing serotonin.

VERY SMALL DOSES OF SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI) IMPROVE FRUSTRATION TOLERANCE VIRTUALLY IMMEDIATELY, AND EVEN AS-NEEDED (i.e.., NON-DAILY) DOSING CAN RELIEVE SITUATIONAL AND PERFORMANCE ANXIETY and irritability and VULNERABILITY due to estrogen withdrawal during the Late luteal phase of a woman’s menstrual cycLe.

serotonergic antidepressants are appropriate for agitated dysphoria characterized by tearfulness, anxiety and/or anger, as opposed to melancholic, anergic, anhedonic, psychomotorically retarded depressions, characterized by lethargy, hypersomnolence and/or cognitive dysfunction, which do not improve with increases in serotonin levels.

​SEROTONIN HELPS us LET GO, AND STOP ATTENDING TO THINGS THAT AREN'T HAPPENING, EXCEPT IN OUR TROUBLED, IMAGINATIVE, AND IRRATIONAL MINDS.

TAKING TRYPTOPHAN

Can increasing one's dietary consumption of the essential amino acid tryptophan (needed to synthesize serotonin) serve as a naturopathic remedy for irritability, anxiety, tearfulness, PMDD and other forms of agitated dysphoria?

Click here to learn more about selective serotonin reuptake inhibitors (ssris) 



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See Dr. Silva's profile on Healthgrades.

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SERVICES

  • Comprehensive Psychiatric Evaluations
  • Psychotropic Medication Management
  • Brief Counseling Sessions
  • Competency/Guardianship determinations
  • Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)
  • Court-Mandated Evaluations
  • DOT Clearances
  • + other fitness-for-duty and focused psychiatric evaluations
  • Emotional Support Animal Documentation
  • + other medical endorsements

ABOUT SPC

  • Dr. Silva, M.D.
  • CV
  • Cost
  • Patient Reviews
  • Payment Policy
  • No-Show Policy
  • Refill Requests
  • Refill Policy
  • Privacy

Suicide Prevention Hotline

SUPPORT

  • Contact Me
  • Set Up/How To
  • Telemed App
  • ZOOM Download
  • GoodRx/$4.00 Meds
  • Medical Record Copies
  • Medication Prior Authorizations
  • Patient Portal
  • FORMS
  • FAQ

RESOURCES

  • Dr. Silva's Blog (2009)
  • S. Stahl, Prescriber's Handbook (7th Ed.)
  • American Psychiatric Association (APA)
  • Alcoholics Anonymous
  • Centers For Disease Control
  • La Hacienda Treatment Center
  • NAMI (National Alliance on Mental Illness)
  • Narcotics Anonymous
  • Physician's Desk Reference
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT
    • Patient Reviews
    • REQUEST AN APPOINTMENT
    • ADULT ADD/ADHD?
    • Frequency of Visits
    • Frequently Asked Questions
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • Concierge Reviews
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & THEIR FAMILIES
    • ARCHIVES
  • CONTACT
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • CANCEL/NO-SHOW
    • PRIVACY
    • FORMS
    • RECOMMENDED