Rittenhouse Psychiatric Associates
Rittenhouse Psychiatric Associates
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Psychiatric Medication Management: Online and In-office at Rittenhouse with our Psychiatrists & NPs
Information on Psychiatric medication management services at Rittenhouse Psychiatric Associates, by our Psychiatrists and Psychiatric Nurse Practitioners.
In-office and Online Virtual Telehealth availability. Office locations in Philadelphia, Manhattan, Wilmington, Pittsburgh, Lehigh Valley, The Main Line, Delray Beach and others. Providers licensed in additional states as well.
We treat patients for anxiety, depression, bipolar disorder, ADHD, insomnia and Substance Use Disorders - among other conditions. We believe that while medications can help many patients, providers should take the time to understand their patient's personality, life-history (and any history of trauma), and any behaviors that could be affecting their mental state. We devise holistic and evidenced-based treatment plans, and tailor treatment to the individual.
We believe that providers need to be thoughtful, thorough and conscientious about the prescription of psychiatric medications.
Rittenhouse Providers trained at The Johns Hopkins Hospital, The University of Pennsylvania, Tufts Medical Center, Children's Hospital of Philadelphia and Similar Institutions. Most of our providers teach, or have taught, at Academic institutions.
Visit RittenhousePA.com for more information.
View our youtube channel for informational videos on mental health topics, conditions and treatment.
Переглядів: 103

Відео

5 Red Flags Choosing Psychiatrist Psychologist
Переглядів 392Місяць тому
5 Red flags to look out for when choosing a Psychiatrist, Psychologist or other mental health provider. Dr. Pagnani discusses five specific red flags to look out for, when choosing a mental health provider. They include 1) Providers who disclose a great deal about themselves, or give the appointments a feel as if you're chatting with a friend. 2) Phone appointments without regular in-office or ...
Split Dosing for Effexor / Venlafaxine Withdrawal. BID - TID dosing for Tapering & less Withdrawal
Переглядів 191Місяць тому
Venlafaxine or Effexor can cause withdrawal symptoms, even when taking consistently. If a patient is doing well with Effexor, but notices withdrawal symptoms before their once a day doses, they may want to consider BID (twice daily) or "split dosing." Essentially, patients would take half of their total daily dose in the morning, and the other half at night. Withdrawal occurs in medications lik...
Cotempla XR ODT: A Replacement for Concerta & Ritalin LA. Same ingredients - Philadelphia Treatment
Переглядів 1983 місяці тому
Cotempla XR ODT is a stimulant w/ the same active ingredients as Concerta & Ritalin LA. It has much better availability at specialty pharmacies in Philadelphia and nation-wide than Concerta and Methylphenidate LA (Ritalin LA), and manufacturer promotions making it affordable with commercial insurance plans. It is used in the Treatment of ADHD. Concerta and Ritalin LA are extended release D and ...
Azstarys a Replacement for Focalin in Philadelphia, Manhattan & Delaware.
Переглядів 7183 місяці тому
If your ADHD symptoms are well-controlled with Focalin (dexmethylphenidate) IR or Focalin XR, but you cannot fill it consistently due to the ADHD stimulant medication shortage, talk to your provider about Azstarys (dexmethylphenidate/ serdexmethylphenidate). As a Psychiatrist in Philadelphia, Manhattan, Pittsburgh, and Delaware, it can be frustrating to see patients prescribed the same medicati...
ADHD Stimulant Patches & Medication Shortage: Philadelphia. Daytrana (methylphenidate) and Xelstrym.
Переглядів 3963 місяці тому
The ADHD medication shortage has been difficulty to manage for many patients, providers and pharmacies for years. We've seen this issue in Philadelphia, Pittsburgh and Manhattan, but it's really nation-wide. Many do not realize that there are several new options for ADHD treatment and medication management, that tend to be readily available and in-stock at specialty pharmacies. Some actually co...
Adzenys ODT: Adderall Replacement for ADHD. Typically Available even during Shortage in Philadelphia
Переглядів 3993 місяці тому
The ADHD medication shortage has been difficulty to manage for many patients, providers and pharmacies for years. We've seen this issue in Philadelphia, but it's really nation-wide. Many do not realize that there are several new options for ADHD treatment and medication management, that tend to be readily available and in-stock at specialty pharmacies. Some actually contain the same active ingr...
Dynavel XR, an Alternative to Adderall with Availability in Philadelphia during the ADHD Shortage.
Переглядів 1813 місяці тому
The ADHD medication shortage has been difficulty to manage for many patients, providers and pharmacies for years. We've seen this issue in Philadelphia, but it's really nation-wide. Many do not realize that there are several new options for ADHD treatment and medication management, that tend to be readily available and in-stock at specialty pharmacies. Some actually contain the same active ingr...
ADHD Medication Shortage - Summary and Information
Переглядів 3323 місяці тому
The ADHD medication shortage has affected individuals throughout the country for several years now. This video aims to provide a brief summary regarding some of the reasons for the shortage and additional information to help patients and providers navigate this issue. Some of the reasons for the shortage discussed include an increase in awareness and normalization regarding the treatment of ADH...
Evekeo (Amphetamine) for the Treatment of ADHD. Treatment Alternative to Adderall.
Переглядів 2413 місяці тому
Evekeo (Amphetamine) for the Treatment of ADHD. Treatment Alternative to Adderall.
Adderall & Vyvanse Shortage Tips. Readily Available Options within the Amphetamine Class for ADHD.
Переглядів 1,1 тис.3 місяці тому
Adderall & Vyvanse Shortage Tips. Readily Available Options within the Amphetamine Class for ADHD.
Philadelphia Psychiatrist Discusses Best Treatment Approach for Virtual Care. Now Scheduling.
Переглядів 54910 місяців тому
Philadelphia Psychiatrist Discusses Best Treatment Approach for Virtual Care. Now Scheduling.
Thoughtful Prescribing Philadelphia ADHD Anxiety
Переглядів 15 тис.Рік тому
Thoughtful Prescribing Philadelphia ADHD Anxiety
Thoughtful Psychiatric Treatment. Philadelphia & Main Line. All of PA NJ. ADHD, Anxiety & Depression
Переглядів 151Рік тому
Thoughtful Psychiatric Treatment. Philadelphia & Main Line. All of PA NJ. ADHD, Anxiety & Depression
ADHD Skills Training with CBT in Philadelphia with Dr. Rannazzisi. ADD Treatment.
Переглядів 437Рік тому
ADHD Skills Training with CBT in Philadelphia with Dr. Rannazzisi. ADD Treatment.
Ativan Lorazepam Overview Risks Benefits Philadelphia
Переглядів 4,2 тис.Рік тому
Ativan Lorazepam Overview Risks Benefits Philadelphia
Valium Diazepam General Information Side effects. Anxiety Treatment in Philadelphia
Переглядів 6 тис.Рік тому
Valium Diazepam General Information Side effects. Anxiety Treatment in Philadelphia
Stimulants, Psychosis and Paranoia. Adderall & Amphetamine Risks. Video by Philadelphia Psychiatrist
Переглядів 6 тис.Рік тому
Stimulants, Psychosis and Paranoia. Adderall & Amphetamine Risks. Video by Philadelphia Psychiatrist
Dexedrine Dextroamphetamine Information Side effects. Treatment in Philadelphia
Переглядів 3,9 тис.Рік тому
Dexedrine Dextroamphetamine Information Side effects. Treatment in Philadelphia
Risks of Online Telehealth Subscription Providers for Anxiety and ADHD Treatment.
Переглядів 627Рік тому
Risks of Online Telehealth Subscription Providers for Anxiety and ADHD Treatment.
How do Adderall, Ritalin and Stimulants Work. Providers in Philadelphia
Переглядів 150Рік тому
How do Adderall, Ritalin and Stimulants Work. Providers in Philadelphia
Auvelity Dextromethorphan/ Buproprion for Depression treatment MDD in Philadelphia
Переглядів 6 тис.Рік тому
Auvelity Dextromethorphan/ Buproprion for Depression treatment MDD in Philadelphia
Qelbree Viloxazine and ADHD Treatment Philadelphia Offices
Переглядів 8 тис.Рік тому
Qelbree Viloxazine and ADHD Treatment Philadelphia Offices
Xanax or Alprazolam, General Information Conditions Treated, Risks and Benefits
Переглядів 641Рік тому
Xanax or Alprazolam, General Information Conditions Treated, Risks and Benefits
General Information Klonopin Clonazepam for Anxiety. Philadelphia Locations
Переглядів 7 тис.Рік тому
General Information Klonopin Clonazepam for Anxiety. Philadelphia Locations
Tapering and Stopping Valium / Diazepam. Philadelphia Offices
Переглядів 2 тис.Рік тому
Tapering and Stopping Valium / Diazepam. Philadelphia Offices
Tapering Ativan Lorazepam or stopping Philadelphia Psychiatrists
Переглядів 2,9 тис.Рік тому
Tapering Ativan Lorazepam or stopping Philadelphia Psychiatrists
Tapering or Stopping Clonazepam (Klonopin) Withdrawal Strategies Philadelphia
Переглядів 12 тис.Рік тому
Tapering or Stopping Clonazepam (Klonopin) Withdrawal Strategies Philadelphia
Tapering Stopping Xanax Alprazolam - Philadelphia Psychiatry Office
Переглядів 1,7 тис.Рік тому
Tapering Stopping Xanax Alprazolam - Philadelphia Psychiatry Office
Risks of Xanax Alprazolam - use in flights and MRIs Philadelphia
Переглядів 2,5 тис.Рік тому
Risks of Xanax Alprazolam - use in flights and MRIs Philadelphia

КОМЕНТАРІ

  • @rachel2045
    @rachel2045 8 годин тому

    Can it help people with severe depression who also have severe fatigue. I’m basically bedridden from depression. But SRNIs and Wellbutrin make anxiety severe

  • @IAm-qf2xb
    @IAm-qf2xb День тому

    Anticholinergics. Trade your stuffy nose for dementia.

  • @fancykitty7245
    @fancykitty7245 День тому

    Causes high anxiety

  • @user-rx8qq8sk9ydv1ce5ib
    @user-rx8qq8sk9ydv1ce5ib День тому

    Hi doctor. I was prescribed Vortioxytine trintlex/brintlex but my sleep is very bad. Do you think it will improve. It’s my third day.

  • @oldegoatee8450
    @oldegoatee8450 2 дні тому

    Unfortunately it's an anticholinergic. Ugh. Just what I don't need, especially at my age.

  • @hajraabdool3272
    @hajraabdool3272 2 дні тому

    Its impossible for an insane person to be diagnosing a sane person who is a Health Professional

  • @freedomworks3976
    @freedomworks3976 3 дні тому

    Just started on this and it made me feel so much better

  • @curtiscollins2174
    @curtiscollins2174 3 дні тому

    Two things that doctors don't tell you when tapering off Xanax. Don't try if under stress. Ask God for help. Worked for me and many others.

  • @AndrewxW
    @AndrewxW 3 дні тому

    I think i am seeing an increase in prolactain levels and lowering my sex drive or possibly my test levels

  • @johnq8362
    @johnq8362 3 дні тому

    Thanks buddy. Mine is Prozac. Very helpful. I also listen to 8 Hz vibrations at night. It affects the pineal gland to release serotonin and melatonin

  • @PERIL_66
    @PERIL_66 4 дні тому

    Used to stay up for 3 days at a time thinking about war, ghosts n the cosmos, now I could sleep on a bed of nails with this sh!t. Thanks big pharma

  • @sickyjohn
    @sickyjohn 4 дні тому

    i’ve been on it for a week and i think im experiencing erectile dysfunction. is this supposed to happen

  • @cnc-jd9ss
    @cnc-jd9ss 4 дні тому

    Hello sir i need med for impression face for negative symptoms plz if you could give your num

  • @ALFREDOGutierrez-p2z
    @ALFREDOGutierrez-p2z 4 дні тому

    Drinking 2 to 4oz of tart cherry juice before bedtime will produce the same effect as one pill of benadryl.

  • @papitoalito
    @papitoalito 4 дні тому

    Does anyone else remember experiencing something like this as a kid? Sometimes when I was lying in bed, either falling asleep or just waking up, I’d zone out and feel like a dot was shrinking smaller and smaller, and it made me feel super uncomfortable and overwhelmed. There was also a high-pitched ringing sound tied to it. I haven’t had it in years, but it stuck with me-anyone else know what I’m talking about?

  • @PankitoNaranjoso
    @PankitoNaranjoso 5 днів тому

    I get a lot of yawning and some weird urge to deep breath when im in bed, im at 100mg, took 150mg and felt better of my depression, but the yawn really is a problem, i yawn probably more than 10 times in an hour. I wanted to reach at least 200mg, dont know what to do, lamotrigine really help me.

  • @chipcarty
    @chipcarty 5 днів тому

    --- Please update re: grapefruit juice interactions. It equates to double or triple the toxicity. Kidneys and increased dizziness and falling should be considered.

  • @SilentRunningRedux
    @SilentRunningRedux 5 днів тому

    Thank you. I usually do research but was one of those who assumed as you note that many people do, that diphenhydramine was entirely benign.

  • @perfectcell1157
    @perfectcell1157 5 днів тому

    I've had some wild ones I one jumped from bed in terror because I saw Leonardo fucking Di Caprio sleeping next to me another time someone was trying to stab me, and most of the time I see stuff moving on the wall

  • @Luetop5
    @Luetop5 5 днів тому

    It makes you question what’s really real and what’s not 😂lol the crazy thing is I was seeing a lot of things Almost like having multiple short dreams all at once & back to back 😂 When I started hearing loud sounds I woke up & I was scared because I thought i just went crazy 😂😂 but I did some research & the second time it happened i was still a little scared but I tried to focus on what I was seeing. I really love that state now. I wish it would happen more often 😂

  • @shakiyyasamuels6221
    @shakiyyasamuels6221 5 днів тому

    I currently take lithium and I sweat profusely. My intake on water and liquids is enough I believe my doctor give me the right dosage but it still feels to much

  • @sparkijonas
    @sparkijonas 6 днів тому

    Remeron is a GREAT medicine for depression + sleep, I have history of Depression + N24SWD (Worst disorder), Remeron made sure to make me sleep same time, and wake up after 9 hrs, completely refreshed and with full of energy. Worst side effect: DESTRUCTIVE HUNGER and Weight gain, I gained around 11 lbs in 3-4 months so I had to stop it.

  • @hibax631
    @hibax631 6 днів тому

    Hypnopompic hallucinations here. No fucking joke. They are NOT normal...this has to have an explanation. I woke up to a literal hand groping my chest i could see and feel it clear as day...thats not normal is it?!

  • @josielobrillo4104
    @josielobrillo4104 6 днів тому

    I took my first 5mg dose last night. I am underweight and have appetite issues due to untreated anxiety. I’ve tried 3 different medications in the past, so far the side affects are mild compared to the ones I felt on lexapro and hydroxyzine. And I woke up this morning HUNGRY for the first time in a decade. I’m really hoping this stuff works out for me

  • @Phoenix_7568
    @Phoenix_7568 7 днів тому

    I will wake up and see faces, skeletons, huge bugs, shadows, black-eyed kids or people walking around my apartment. I’ve felt, heard and smelled things too. It’s been happening consistently for 5 years. It’s so scary 😢but they only last a couple seconds.

  • @davidcarrollcottlejr.
    @davidcarrollcottlejr. 7 днів тому

    Does the blue color give you blue eye or everything with a tint to it or color oditidy or eye dystopia it makes me drool

  • @bullmoose6739
    @bullmoose6739 7 днів тому

    Wellbutrin almost cost me my job. It could make you agitated. It could lead to poor decisions. It gives you more anxiety and could make you paranoid.

  • @JD247-p1x
    @JD247-p1x 7 днів тому

    I thought it was called ‘oxcarbazepine’…

  • @kellychapman-ro3qu
    @kellychapman-ro3qu 8 днів тому

    I've been on effexor xr 300mg for a long time. My depression is so bad that I barely get out of bed! I mean I do get up it's just I don't have any ambition to. My Dr started me on Lamictal, how long will it take to get out of this black hole that I've been struggling with?

  • @AliB19
    @AliB19 8 днів тому

    prozac is the best antidepressant. it saved my life and is the only one that worked. more doctors should prescribe this as first-line. I went through a terrible journey starting with zoloft because it didn't do anything. then one after another failure, trying so many things. ultimately, prozac woke me up and made my brain normal and active again.

  • @AliB19
    @AliB19 8 днів тому

    This medication helps with SSRI induced sexual dysfunction and also helps improve depression. It's an amazing thing to add low-dose buspar to fluoxetine.

  • @T.Novak5312
    @T.Novak5312 8 днів тому

    Hey, what does ambien do to the brain when it's vacuumed up the nose?

  • @MrDreaddrum
    @MrDreaddrum 9 днів тому

    Started on 50mg when I was 15. 27 years later on 40mg. its been the worst mistake of my tortured life brain zaps convulsions weight gain mood swings headaches suicidal thoughts and the odd spell of insanity

  • @Steven-u6f9s
    @Steven-u6f9s 9 днів тому

    I had Been taken Adderall for years but stratra helps me sleep

  • @hoffy1003
    @hoffy1003 9 днів тому

    After 10 years I've finally gotten myself titrated down to 1/4 to 1/8 of a 10mg tablet. How many days at 1/8 tablet would be ok before I stop completely?

  • @popeyefreeze2541
    @popeyefreeze2541 10 днів тому

    No waking symptoms but I dealt with awful sleep paralysis and sleep psychosis all my life. 200mg puts me to sleep and keeps it that way. Good drug for me, trazadone didn’t work but this did

  • @springbloom5940
    @springbloom5940 11 днів тому

    First and foremost, its not a magic potion. Its a tool you have to learn how to use. Adderall is somewhat sedating for me. Something that still stymies me, is I have stage 2 hypertension (140s - 150s with high doses of severa BP medications). I was very worried I wouldn't be able to use stimulants and didn't know what I was going to do; to my surprise, *speed* has moderated my blood pressure back to somewhat normal. Neither my PCP, nor psychiatrist really have an answer about that, but I suspect its the lessened anxiety. I also have become surprisingly charming(apparently). Ive spent my whole life being out of step with everyone. My ex always looked at me like 'WTF' are you talking about??? because I was always a step early or a step late in a conversation. Turns out being 'in' the conversation makes me more relatable 🤯

  • @cgenster
    @cgenster 11 днів тому

    I will be turning my OCD, anxiety, depression, and ADHD up 10 fold while on Fluoxetine. This stuff sucks. I'm just not going to listen.

  • @SF-ue3le
    @SF-ue3le 11 днів тому

    I get this about twice a week. It happens about 50 to 100 times in a row and lasts for about 2 or 3 hours until I finally fall asleep. I fall asleep, then see something (that I can never remember or describe) that scares the hell out of me and jolts me awake in terror. It is like a terrifying vision and/or a horrifying realization and once awake I can't remember what it was. This happens over and over again for hours. It is torture.

  • @scottiusnevious4838
    @scottiusnevious4838 11 днів тому

    *WARNING* I took more than my dose to see if it would benefit me more. It hit me like an ssri and i became numb. Do not try! Taper up to and down from prescribed doses.

  • @Underpar26
    @Underpar26 12 днів тому

    I was just hospitalized for a.... "Something". This is what they were giving me and it's been a week and a half now that I've been taking it and I absolutely love it

  • @nate.leal.
    @nate.leal. 12 днів тому

    That list is a bit of a stretch.

  • @dv_vid
    @dv_vid 12 днів тому

    I'm going to un-alive myself by taking Zoloft thirty 200mg tablets on 12/26/2024 12:01pm at my home at 107 Kimball Bridgton Maine. You should try to do something to stop me from un-aliving on Zoloft.

  • @1sleuthy
    @1sleuthy 12 днів тому

    induced schizophrenia here in Ireland

  • @bandibhargavi3657
    @bandibhargavi3657 12 днів тому

    Any medicine to overcome lithium withdrawal symptoms?

  • @barbaragraves4522
    @barbaragraves4522 13 днів тому

    This drug is awful. Debilitating withdrawal effects especially for long term users. Can cause Akathisia that may lead to suicide which is often misdiagnosed by medical professionals.

  • @babynaysc
    @babynaysc 13 днів тому

    I have Type II Bipolar Disorder, I've used these and other medications, I found them all horrible, full of side effects, and to make matters worse, I don't lose weight at all, I diet and exercise, with Divalproex Sodium I gained almost 10kg in 2 months and I was completely bloated, it's desperate to try hard and get fatter and fatter. I also felt pain in my stomach, tremors, drowsiness, waking up in the morning was very difficult, I spent the day tired and sleepy, I did tests and nothing showed anything. It also increased my blood pressure and deregulated my thyroid. I'm vain and it affects me. Now it's been 2 weeks since I stopped using Venlafaxine, and it seems like a miracle, in 1 week I've already lost 3kg. Now I only use Lamotrigine, TAB really has no cure, the only way is to accept and deal with the ups and downs

  • @GSDLover95-k9v
    @GSDLover95-k9v 14 днів тому

    It has completely stopped my anxiety tremendously. Wh inch in return has improved my moods drastically and positively. And helped my depression as well

  • @anonymouscadaver
    @anonymouscadaver 14 днів тому

    i take 40 every night, feel like im dying, see a bunch of shit, and then pass out for 12 hours

  • @CourageUnderFire87
    @CourageUnderFire87 14 днів тому

    Does Wellbutrin affect AMH or fertility?