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Jeffrey Knuppel, MD
United States
Приєднався 20 лют 2023
I'm a U.S.-based psychiatrist (licensed physician) with over 20 years of practice experience. I aim to create helpful videos about mental health and personal growth to create a community of like-minded people who wish to discuss these topics.
Regarding comments on this channel: Please share your experiences, positive or negative. Feel free to agree or disagree with me or others. However, comments must be respectful, not involve self-promotion (or mention of an organization), and must not advise other viewers to avoid or engage in a particular medical treatment.
DISCLAIMER: This channel contains content that is intended to be educational. However, nothing on this channel is intended to be individual medical advice. Please consult your own healthcare provider regarding any specific questions about your own diagnosis and treatment. I cannot answer questions asking for advice. The business contact email is for business inquiries only.
Regarding comments on this channel: Please share your experiences, positive or negative. Feel free to agree or disagree with me or others. However, comments must be respectful, not involve self-promotion (or mention of an organization), and must not advise other viewers to avoid or engage in a particular medical treatment.
DISCLAIMER: This channel contains content that is intended to be educational. However, nothing on this channel is intended to be individual medical advice. Please consult your own healthcare provider regarding any specific questions about your own diagnosis and treatment. I cannot answer questions asking for advice. The business contact email is for business inquiries only.
9 Steps to Ruin Your Mental Health (Don't do this!)
This is one of those "what not to do" videos that includes 9 steps to ruin your mental health. If you want to be happy and have a fulfilling life, these are things not to do. Our minds tend to respond more to potential threats or danger than to ideas of what we should ideally do. That's why the negative approach is helpful for some people. However, don't take the video too seriously. We all have room for improvement. The most helpful way to use videos like this is to pick out one or two key points from the video to focus on improving instead of possibly getting overwhelmed and doing nothing because it seems like you can identify with several of the points (many people can). Please be kind to yourself!
I'm Dr. Jeff Knuppel, a psychiatrist (M.D.) with over 20 years of practice experience. I'm a licensed healthcare professional (physician) in the U.S. My goal is to create helpful and interesting videos about mental health and self-improvement. If these topics interest you, please subscribe so that you don't miss any new videos when they are released. Thank you!
DISCLAIMER: This channel is for general informational purposes only and does not constitute the practice of medicine or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on or linked to from this channel is at the user’s own risk. Please consult your healthcare professional before making any changes in your treatment. I do not respond to requests for medical advice, either as comments/questions on this channel or as direct messages to me.
I'm Dr. Jeff Knuppel, a psychiatrist (M.D.) with over 20 years of practice experience. I'm a licensed healthcare professional (physician) in the U.S. My goal is to create helpful and interesting videos about mental health and self-improvement. If these topics interest you, please subscribe so that you don't miss any new videos when they are released. Thank you!
DISCLAIMER: This channel is for general informational purposes only and does not constitute the practice of medicine or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on or linked to from this channel is at the user’s own risk. Please consult your healthcare professional before making any changes in your treatment. I do not respond to requests for medical advice, either as comments/questions on this channel or as direct messages to me.
Переглядів: 144
Відео
10 Signs of Disrespect in a Relationship | Dr. Jeff Knuppel
Переглядів 98Місяць тому
In this video, I discuss 10 signs of disrespect in a relationship. As a psychiatrist with 25 years of experience and someone who has personally experienced some of these behaviors, I want to help you recognize the red flags in your relationship. We’ll explore behaviors like dismissive attitudes, name-calling, withholding affection, lack of support, stonewalling, gaslighting, contempt, controlli...
10 Signs You Need A New Psychiatrist | Dr. Jeff Knuppel
Переглядів 152Місяць тому
In this video, I’ll discuss 10 signs that your current psychiatrist may not be the best person to help you. It's important to find the right professional who truly understands and supports your mental health journey. Welcome! I’m Dr. Jeff Knuppel, and I've been a practicing psychiatrist for 25 years. This video is intended to provide helpful information and is not medical advice. If you decide ...
With Anxiety: Don't Confuse UNCERTAINTY with RISK
Переглядів 88Місяць тому
In today's video, I'm diving into a crucial topic for anyone dealing with anxiety: the difference between uncertainty and actual risk. Many times, our anxiety tricks us into believing that uncertain situations are dangerous when, in reality, they're just unpredictable. This confusion can keep us stuck, avoiding new opportunities and growth. I'll share personal experiences and relatable examples...
Mindfulness-Based Stress Reduction: What I Learned in 8 Week Course
Переглядів 1882 місяці тому
I recently completed an 8-week in-person Mindfulness-Based Stress Reduction (MBSR) program at the University of Wisconsin-Madison. In this video, I'll share my experience with MBSR, explain what it is, and discuss how it can benefit you, especially if you deal with anxiety or physical pain. 🧘♂️ Discover how mindfulness can help you manage stress, reduce inflammation, and improve your overall w...
Alexithymia: When You Don't Know What You're Feeling
Переглядів 1902 місяці тому
Are you struggling to identify your own emotions or feeling disconnected from yourself and others? You might be dealing with alexithymia. In this video, I dive deep into the hidden cause of many relationship problems and emotional struggles: alexithymia. What You'll Learn: What alexithymia is and how it affects emotional awareness. Common signs and symptoms of alexithymia. Who is more likely to...
YouTube FINALLY Recognizes Me As a LICENSED DOCTOR!😊
Переглядів 812 місяці тому
I recently received great news from Google that this channel has been approved with additional features (which I explain in the video). This will hopefully help us to grow a more substantial online community and have increased visibility. Thanks for your support! I'm Dr. Jeff Knuppel, a psychiatrist (M.D.) with over 20 years of practice experience. I'm a licensed healthcare professional (physic...
Don’t Let Others Sway Your Own Mental Health Treatment Decisions
Переглядів 952 місяці тому
When it comes to your mental health, it's crucial to trust your own judgment. You are the best person to make decisions about your treatment. In this video, I share my insights from 25 years of practicing psychiatry, focusing on the importance of making your own informed decisions despite the noise from well-meaning friends, family, and social media. Throughout my career, I've noticed a few pat...
The Myth of the Perfect Career (Quarter Life Crisis)
Переглядів 1304 місяці тому
🔍 Feeling overwhelmed by the pressure to find the perfect career? You're not alone. In today's video, "The Myth of the RIGHT Career Choice," I discuss the unrealistic expectations placed on young adults to have their career paths figured out early on. These career expectations can be part of what is known as the "Quarter Life Crisis." Join me as we explore why these pressures are not only unfou...
Panic Disorder & Panic Attacks | Dr. Jeff Knuppel
Переглядів 2474 місяці тому
In today's video 🎥, "Panic Disorder & Panic Attacks," we delve into the often misunderstood world of panic attacks and panic disorder. I'm Dr. Jeff Knuppel, a psychiatrist and licensed physician, and I'll guide you through what panic attacks are, their unexpected nature, and how they're treated. Whether you've experienced a panic attack yourself or know someone who has, this video is for you. 🚗...
How to Get Cheaper Prescription Drugs Without Insurance (in the U.S.)
Переглядів 1574 місяці тому
Navigating the complex world of prescription medications in the U.S. can be daunting, especially if you're without insurance. In my latest video, I delve into practical strategies and insider tips to significantly reduce the cost of your meds, potentially saving you thousands. 💊 Drawing on over two decades of experience in psychiatry, I break down the essentials of finding the best prices for y...
Rethinking Your Antidepressant Use? How I Work With Patients
Переглядів 2044 місяці тому
In this video, I discuss the complexities and considerations of tapering off antidepressants. 🧠 If you've ever found yourself questioning whether you still need your medication or are concerned about long-term use, this conversation is for you. I dive into why it's crucial not to make this decision lightly and the importance of a structured treatment plan. 📈 This video isn't about giving indivi...
Forgiveness is the wrong word.
Переглядів 524 місяці тому
In this video, I delve into a topic that's both personal and universal: the concept of forgiveness. But what if "forgiveness" isn't the right term to describe what we truly need to move past our hurts and regain our inner peace? "Forgiveness is the Wrong Word" explores the complex emotions and societal expectations wrapped up in the concept of forgiving others. I discuss how the word "forgivene...
Why People Pleasing Will Destroy You and How to Stop | Dr. Jeff Knuppel
Переглядів 1454 місяці тому
In this video, I discuss the profound impact of people-pleasing on our lives and provide insights on how to overcome this destructive habit. People-pleasing may seem like a benign desire to make others happy, but it often stems from deeper issues of self-worth and can lead to significant personal and relational problems. I delve into the reasons behind people-pleasing, the high stakes of contin...
Using Mindfulness to Stop Your Emotions from Ruling You
Переглядів 1605 місяців тому
Using Mindfulness to Stop Your Emotions from Ruling You
Finding the Courage to Live Authentically | Dr. Jeff Knuppel
Переглядів 1645 місяців тому
Finding the Courage to Live Authentically | Dr. Jeff Knuppel
Seeing a Psychiatrist for the 1st Time: What Happens & How to Prepare
Переглядів 1,5 тис.5 місяців тому
Seeing a Psychiatrist for the 1st Time: What Happens & How to Prepare
Atypical Depression: What It Is & What Meds Work
Переглядів 1,1 тис.6 місяців тому
Atypical Depression: What It Is & What Meds Work
How to Keep Functioning During Stressful Life Events | Dr. Jeff Knuppel
Переглядів 996 місяців тому
How to Keep Functioning During Stressful Life Events | Dr. Jeff Knuppel
Stop Acting Small to Make Others Comfortable
Переглядів 6136 місяців тому
Stop Acting Small to Make Others Comfortable
Benzodiazepines for Anxiety Disorders | Dr. Jeffrey Knuppel
Переглядів 8 тис.6 місяців тому
Benzodiazepines for Anxiety Disorders | Dr. Jeffrey Knuppel
Pregabalin & Gabapentin for Anxiety | Dr. Jeff Knuppel
Переглядів 14 тис.7 місяців тому
Pregabalin & Gabapentin for Anxiety | Dr. Jeff Knuppel
7 Habits for Success & Fufillment | Dr. Jeff Knuppel
Переглядів 797 місяців тому
7 Habits for Success & Fufillment | Dr. Jeff Knuppel
When to Quit Something or Keep Going
Переглядів 2447 місяців тому
When to Quit Something or Keep Going
Why Do I Feel Lonely When I Have Friends?
Переглядів 3647 місяців тому
Why Do I Feel Lonely When I Have Friends?
Let's Have an Honest Conversation about Psychiatry | Dr. Jeff Knuppel
Переглядів 2407 місяців тому
Let's Have an Honest Conversation about Psychiatry | Dr. Jeff Knuppel
Psychiatric Med Checks: How to Prepare to Get Better Results
Переглядів 3439 місяців тому
Psychiatric Med Checks: How to Prepare to Get Better Results
Stop All-Or-Nothing Thinking (Cognitive Distortions)
Переглядів 2679 місяців тому
Stop All-Or-Nothing Thinking (Cognitive Distortions)
Alzheimer's dementia & Unmotivated: Are They Depressed?
Переглядів 11910 місяців тому
Alzheimer's dementia & Unmotivated: Are They Depressed?
Maybe I need to start taking them then. Imagine having a crazy sex drive to only be single. Not anymore
Psychiatrist rx clonazepam for complex ptsd, as well as sertraline. Limotragine and aventil for trigeminal neuralgia. All are long-term without any plan to taper or stop. I have been on for 5+ years. I'm supposed to take 1.5 mg 2x a day. I used to (up until a few weeks ago) only take it at night. Now i take 1 mg in am and 1 mg pm as my mum has been struggling with lung cancer and post lobectomy/copd difficulties. Trauma is definitely activated, and extra help is needed. I never go above rx dose and take care of myself as best as I can. It's an absolute nightmare for me (and those who love me) without medication. I am personally very thankful this combination of medication really helps day to day/life as a whole.
Thank you again Dr. Knuppel Be well.
Thank you. Same to you.
Appreciate you taking the time for us out here living with mental health issues. I'm off to my first visit with a psychiatrist tomorrow. I'm not so much scared as I am relieved and ready to get myself back together. Thank you Dr. Knuppel
You’re welcome. Thank you for your comment and best wishes with your upcoming appointment!
Good listen, my friend, appreciated. Cheers from Montana :-)
Remember point #4 and don't take this too seriously. I've made all the mistakes in the video many times myself. We often unknowingly adopt habits and mindsets that can seriously harm our well-being. Today, I’m using a bit of reverse psychology to highlight some of the negative behaviors we may fall into. My hope is that by recognizing these, you can start making positive changes in your life. Be kind to yourself and best wishes to you.
Really enjoy your content! Could you please do a video on chronic insomnia and your go to medications that you prescribe. Myself have been suffering for 4 years since stopping clonazapam. Currently only thing that gives a little relief is 3mg of Lunesta. This would be much appreciated. !!!
I'll consider your suggestion. Thank you.
Much needed these days, thank you. I think a lot of it has to do with the notion that angry emotions always have to come from past wrongdoings, that it always has to be about someone else that (apparently or actually) did you wrong. What's helped me throughout life is understanding that anger can come from anything that comes your way, minor inconviniences. It doesn't have to make you explode or anything, and with that said, it helps you not constantly blame that other person or event for your anger whenever it shows up. It gives you ownership, a sense that it's probably as normal as breathing; "it's just me", "I'm just having a bad day, that's all".
Thanks for your thoughtful comment. Have a great day.
Another mistake people make (and I've been there myself a couple of times) is that people get obsessed with letting go and forgiveness, and that only perpetuates the anger. What you resist, persists. I've had to allow myself to be angry to any extent I had to for any amount of time, and then of course in the meantime take action. I've had a few milestones, sometimes involving the parties involved, but for the most part it was just time and daily habits. And most importantly, finding purpose in all the events and its aftermath, cause (at least in my experience) most of the anger comes from not the event itself, but an external echo of how it all started, and being unable to change the environment or replace it with something better. I've had to take the good with the bad most often, especially as a teenager of course. Even in recent years I've had to be lonely because of things, but only because I preferred it this time, being 33 in post-Covid. That wasn't an option in the past. But speaking of the past, I've had many minor incidents that I forgot the next day. It's only a few that truly leave an imprint, I dare say for decades now. I'm at peace now, but now I feel docile instead. I had purpose before, but now all I do is scroll and take walks around the neighborhood without seeing anyone. I'm not miserable, but also not truly alive.
this soo perfect thank you number one is my biggest problem.
I’m glad it was helpful! Thanks for watching.
I understand this video is meant to help people, however it's irritating to listen to you describe people who have had trauma and are stuck in a poor cycle. Some of these cycles you describe people won't ever get out of till they die. It's very pretensions advice considering most homeless people don't have access to the healthy things.
Thank you for sharing your thoughts. I understand where you're coming from, and I appreciate you taking the time to express your concerns. I’ve spent most of my career treating people who are poor, many of whom were incarcerated and have experienced significant trauma, so I know how difficult it can be to break free from some of these cycles, especially when resources and support are limited. However, this video is not targeted at any particular group of people and is intended for the general public. “What not to do” videos like this one work better for some people than others, but as I mentioned in point number 4, it’s meant to serve as a mental checklist-just a way to see if there’s one or two things someone might be able to work on. It’s not supposed to be taken too seriously or as a cure-all. I’ve made all of the mistakes I talk about in the video myself many times, so my intention was never to talk down to anyone. I’m fully aware that the challenges people face are diverse and complex. Thanks for your comment.
Zoloft 15 years. Last years side effects and numb. Adverse reaction. Tapered off too fast by Dr. 10 months off its been hell. Went to hospital 2 times. Horrible WD/neuro toxic injury. Constant Head pressure, burning squeeze nerv pain, body ache, housebound. Cant work. Feels like brain damage. Can I heal?
People do recover from PSSD :)
Just adding my 2 cents to this, I was diagnosed with ADHD since my 5-6 years old, took Ritalin for a short period (my father decided I should not take it), now at my 34 years old, after suddenly remembering that I had ADHD as a kid, I consulted with 2 psychiatrists and 1 psychologist, all agreed I have “adult AHDH”, my psychologist also suspects I might be in the autism spectrum, I liked she said to me “ don’t think you’re wrong or broken, you just have a different nervous system”. Based on this, and based on my personal experience, the keys for these medications to work properly are (I take Ritalin LA, currently 30 mg, but gonna increase until finding the “sweet spot”): - Exercise, I go to the gym 4 days a week and a 5th just 25 min of cardio. - Diet, for me a gluten and dairy free works. (You have to confirm, but I think you should even avoid chocolate while on the effect of the meds.) - Psychotherapy, meds alone are not enough. - Avoid vitamin C while on the effect of meds, I literally had to stop adding ketchup to my eggs in the morning cause they have vitamin c (even worse as these are “processed tomatoes”), there is an interaction between vitamin c and Ritalin. - Check possible interactions, these medications can have interactions with different foods, supplements, etc. or with other medications. - And the most important, check, double check, and check again, because you might not even have ADHD, there are a lot of different “mental disorders”. Keep it up my fellow ADHDers 🫶🏼
Hello, I wanted to take a moment to say thank you. Your video has given me a sense of relief, and I already feel a bit better after watching it. Lately, I've been under a lot of stress, mostly due to the pressure I feel about "choosing the right career path." The weight of this decision has been overwhelming. Since I was young, I've always been passionate about helping people, and I excelled in all my science classes. This led me to consider a career in medicine, particularly psychiatry, which I find incredibly fascinating. My parents have also supported this idea, as they believe it's a safe and stable career path. However, over the years, I've developed a strong interest in math and physics. Now, I find myself at a crossroads, torn between pursuing medicine or engineering. I've done extensive research-probably more than necessary-but I still feel overwhelmed. While I know that this decision isn't set in stone and that I could switch paths later if needed, I worry about wasting time. My perfectionism only adds to the pressure, as you mentioned in your video. To complicate things further, I have some anxiety around physics due to a negative experience at a competition, which makes choosing engineering even more challenging. I'm struggling to let go of either path and would greatly appreciate any advice you could offer for someone in my situation. Thank you again for your help and take care!
I really like my doctor. He has been so responsive.So at my last appointment I told him that I had been having increased anxiety and my mood had been in a decline for two months. I have bipolar 1 and have been stable for about 15 years. I felt that I was on the edge. He said that I was not severely depressed. After the appt I felt hopeless and began rapid cycling. I was having manic episodes and was not even aware until my therapist pointed it out. I was at the point where I was planning my method of suicide. After the manic episode I called his nurse and my med was increased. Two weeks later I am fine. But I have another appt this week and I don't want to share anything with him. He is a great doctor, and I can't believe that he blew me off. I think that I will tell him that I felt hopeless after my last appt.
Refreshing that you touched on Mindfulness. I enjoyed the video. Thank you!
You’re welcome! Thanks for your comment.
How long can you take daily .5 klonopin before addiction sets in ?
There’s not a set amount of time before someone may become dependent on Klonopin/clonazepam and have trouble getting off it. It varies from person to person, the dose per day and whether it’s taken every day. In general, benzos are less likely to cause dependence if taken for no more than a few weeks.
Psychiatrists are cruel. They can force you to take their medications. Even if the medication has chronic side effects they will still force you to take it. It can be life destroying. Beware.
I’m not sure where you live in the world, but in the US, that’s very rarely the case. Unless someone is clearly a danger to themselves or others and meets other criteria that depends on the state, treatment is always voluntary. Otherwise, I never would have gone into this field. Successful treatment is a collaborative effort.
So all the symptoms of ADHD.
Thank you Dr for this very informative video. I havent had therapy in almost 5 years and had enough courage recently to finally reach out for help. Allot happened in life since last time i got some advice from a professional. I think I experienced ptsd after my wife cancer battle that began 3 and a half years ago. I seen a therapist not a psychiatrist previously. The psychiatrist I set appointment with is much older and hopefully i can vibe with him.
Best wishes on your journey. I hope you’ll advocate for what you feel you need. If you don’t vibe with him, I hope you’ll look elsewhere. There are good psychiatrists and therapists out there, but not everyone’s a good fit, and not everyone’s good at what they do.
@JeffreyKnuppelMD Thank you for this Mine not sure, facing perfectionism OCD on trivial matters in life - from brushing teeth in the morn to arranging bottles in washroom to cleaning dishes perfectly to arranging closet according to colour, fabric and size to organising pencils beside laptop. The condition overlapping more with 'just right / order' OCD but there's no obsession of self harm etc involved. More like doing things 'perfectly' All things in life need to be perfect and absolutely perfect, paying lesser heed to more important tasks at hand - be it urgent work deliverables to critical life goals, often compromising the latter at cost of non-essential daily chores. Is this even ocpd? The expectation of perfectionism applies more to self than others Anyone relate? Any way out? And most importantly, the root cause/s behind this ineffective s hit Life's a huge mess, and utter ridiculous at that 😔
Thanks for sharing that. I hope you find a way to be kind to yourself and learn to strive for excellence in the things that truly matter to you and not be stuck in the perfectionist cycle (I’ve been there). We’re all only human after all. 😊
What about women who are going through menopause?
The clinical picture of women going through menopause who are taking medications I referred to in the video can be more confusing because the medication and/or menopause can both affect sexual functioning. The approaches I mentioned in the video may still be helpful but as always I would recommend discussing the situation with your doctor.
Great advice
Thank you!
Diazepam is the worse withdrawal I’ve ever done we don’t prescribe Xanax in the uk 🇬🇧 unless it’s a private prescription
Pues yo lo tomé mucho tiempo, lo dejé radical y no tuve abstinencia
This is truly an excellent video. RS. Canada
Thank you kindly.
Wish you were my psychiatrist. Since Covid, hard to get an appointment with any psychiatrist. I've suffered from GAD, Panic and mood swings for most of my adult life. Some days I can cycle thru feelings of feeling relatively normal and then severe anxiety / panic several times. Really the only thing that has ever helped was Clonazepam but having an addictive personality (alcohol abuse when younger), I try to take it sparingly and then mostly at bed time. I probably average 0.5 mg a couple times a week but sometimes go a few weeks without. But one thing I've noticed is, it's supposed to have a half life of something like 12 hours but when I take it during the day which isn't often, I would say, it takes a good hour to have an effect and then after maybe four or five hours it starts to wear off, I wonder why that is? Wish it lasted the whole day. I recently tried buspirone which helped a little but increased my dizziness as well as tinnitus. Now trying Gabapentin, not doing a thing.
Thank you, and best wishes with your situation. It's frustrating when you can't find a medication that works for you and agrees with you.
Both Lyrica and Gabapentin are horrible to get off of. Horrid withdrawal. I’ll never touch either again. Even missing one dose would cause huge discomfort.
How you get off from it
I had no trouble ran out of pregablin and as I had found they didn't make Any difference so didn't take anymore no reaction we are all different
@@Guriidhaliwal922 I opened the gabapentin capsules and removed about 1/4 of the medication every day for 1 wk, then about 1/2 removed for 1 wk, etc. After 1 wk of taking 1/4 of dose every night, I then took i1/4 dose every other night 1 wk. and then was done. With Lyrica I think I did it about the same way…
Taking Lexapro currently. It's definitely taken some of the edge off of social anxiety. It's occurred to me that my anxiety is likely correlated with muscle tension and mobility issues I've been attempting to solve in the last 6mo. After finding some old physique photos of my back (2011 ish) it's clear to me that both the muscular/mobility issues and anxiety developed between 2011 and 2017. I served in the military 2009-2017 so this makes sense. Any advice for rolling back the clock on the damage a stressed nervous system does to the body? It seems to be a very predictable/common twisted pelvis, uneven shoulders, tight/weak thorasic spine and associated muscle/tendon tightness.
Thanks for sharing your situation - I'm glad to hear that Lexapro has been helpful. As to your question, I don't have a good answer for you. It's possible that a sports medicine doc, a physical therapist, or a chiropractor could help you.
@@JeffreyKnuppelMD Regardless of if you could help or not. I appreciate the attentiveness to your comment section. On a 9mo old video no less too. Thank you!
Wonderful discussion
Great discussion. RS. MD FRCS Canada
Keep up the work. Great quality
Thanks for the feedback and encouragement. I appreciate you watching.
Excellent discussion. Thank you
Thank you!
Wonderful discussion
Terrific talk. Thank you
You’re welcome and thank you!
Very, very good and relevant video. Great video
Great talk. Thank you.
You’re welcome! Thanks for watching.
Thank you for your help!
Nardil saved my life after I suffered atypical depression for 9 years in my 20s. I have taken it consistently-except through two pregnancies-for 35 years. I am very worried about the consequences of such long term use, but I can find very little research on this issue. I had a hypertensive crisis in my early 50s that resulted in a brain hemorrhage and neurosurgery. Still, my quality of life is far better on it than off it.
Thank you for sharing your experience. I’m not aware of any long-term harm from Nardil. When I’ve worked with patients who came to me on it, their stories were similar to yours in that they had finally found an antidepressant that worked for them, and they had therefore usually already been on it for years.
Valium works yo relax my scoliosis and helps me stop bring anxious do I can focus to work. If I take more than 5mg at once I’ll feel drowsy and need to sleep. I have never gotten high from Valium. It’s useful and it seems to scare doctors to death (similar to prescribing morphine 😂). It’s a good drug. I am limited to 50 every 6 months only. I self regulate. Luckily I have a very good doctor.
Hello, my friend. I have been diagnosed with EUPD MDD C-PTSD. I also struggle with psychotic episodes which of course I am now stable. It took a long time to become stable and get the right medication to work for me. I am on 150 mg Of Quetiopine and 90 mg of duloxetine I struggle with a very low sex drive of watching your video thinking about stopping taking my medication even for a few days scares me as I don’t want to go back to where I was before I suffer constantly with anxiety I’m mean of course I would love to have a good sex drive but I feel like I have been chemically castrated it’s horrible. I have been thinking about going to see my GP. Thank you for the video. I enjoyed watching it.
Thanks for your comment. You’re in such a difficult situation. Unfortunately some version of your story is all too common - improved functioning and reduced symptoms and suffering from the “right” meds yet with major trade-offs. I’m glad you’re going to talk to your doctor (please don’t change anything based on a video), but I realize there are no simple solutions. I wish you all the best.
@@JeffreyKnuppelMD thanks for your reply. All the best to you
Excellent reminders…my wife and I of 30 years have both spent time tripping up over these things sometimes. Thankfully we’ve learned how to recognize the lite fuse and snuff it out before it’s too late:)
Thanks for sharing that. Your comment also reminds me to mention that none of us is perfect and that we all make mistakes in relationships even though we may not intend to. I'm sure all of us have done several of these things at one time or another.
Best approach when you feel many or most of my ideas and/or plans are being challenged- judged?
I'd use the same approach that I mentioned in the video -- say something in the moment each time it happens, something like "I don't feel like you're taking my idea seriously." If you're not used to speaking up about things like this and your partner isn't used to you speaking up (I've been there myself), then this will be a paradigm shift and a bit confusing to them at first. But we can re-teach people how to treat us if we've silently gone along in the past. Use "I" statement ("I feel like...") and avoid "you always" and "you never" statements. I know it sounds like a generic suggestion, but a couple's therapist can help if repeated attempts don't change anything. Best wishes to you.
@@JeffreyKnuppelMD , thank you. So glad you read comments from your subscribers. And respond.
You’re welcome!
Can i take xanax on SoS basis? I have insomnia and don't want to get addicted to any medication... however, sometimes when i don't get sleep for 3-4 days straight, i have to pop up a zolpidem 10 or alpazolam 0.5 ... and i get 6 hours sleep... so can i get addicted to drugs even if i take them with a gap of 2-3 days or so???
Generally speaking, Xanax can be taken as-needed. For most people it’s not the best medication for sleep because it’s so short-acting. The risk of physical and psychological dependence on Xanax is not zero if it’s used once every 3-4 days, but it’s definitely lower than if taken every day.
@JeffreyKnuppelMD thanks a lot sir 🙏
What about a psychiatrist who takes days to respond to texts?sometimes I’ll need a refill and I don’t hear back until I send a second reminder. What is the protocol for responding to messages? 24 hours?
You should clarify with the psychiatrist how they want you to request refills and how soon you should be able to expect a reply. There isn’t a universal protocol. Your requests shouldn’t be ignored though. But I believe it’s best to openly discuss things like this if they don’t tell you upfront.
Can you drink while on pregabalin?
It’s not a good idea as smaller amounts of alcohol may have much greater effects than they normally would.
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I vaguely remember hearing about the Mark Cuban enterprise. WOW. Prices are crazy. $15 for 30 days of Seroquel XR!
Yes that’s a good deal. I wish there was more Rx price transparency in the US.
There aren't enough licensed doctors and especially psychiatrists on youtube. I hope you continue.
Thank you, I appreciate that.
Isn't there a place for this class of drugs in bipolar disorder? Antipsychotics seem much worse so far as antimuscarinic effects, which most likely does lead to dementia. SSRIs and SNRIs are not an option for many due to mood instability. In my personal experience, withdrawal from antipsychotics is just as bad as benzos. I've often wondered if the anti-benzo stance of the past decade is a moral panic of sorts. Those with bipolar who are stable on lithium for example don't have many good choices for anxiety. Even anticonvulsants that can help have major cognitive side effects that for many make day-to-day life difficult. Can we really say quetiapine is safer than clonazepam?
Benzodiazepines definitely have a role in some patients with bipolar disorder although I do believe that increased caution about prescribing them in recent years is legitimate. I agree that antipsychotics are definitely not benign drugs - you mentioned Seroquel - I see this overprescribed frequently. With the newer antipsychotics, the metabolic side effects are often overlooked. As I mention in many of my videos, care must always be individualized as each person is different. The side effects of these meds are frustrating to me as a psychiatrist, too. Thanks for your comment.
Thank you.
You're welcome!
Great information! I have ADHD and GAD. Plenty of genetic presentation of both in family history. I find it very helpful to understand these disorders in-depth so I better understand why I am disturbed, distracted, irrationally worried, or obsessed at a given time or over a given incident. I appreciate your work here!
Thank you! I’m glad to hear it was helpful. Thanks for watching.