Rittenhouse Psychiatric Associates
Rittenhouse Psychiatric Associates
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  • 703 773
Philadelphia Psychiatrist Discusses Best Treatment Approach for Virtual Care. Now Scheduling.
Dr. Pagnani is now scheduling initial psychiatric evaluations for medication management. Offices in Philadelphia and Paoli, PA, but care is predominantly virtual. Dr. Pagnani is licensed in PA, NJ, NY, MD, DE, FL and CA. State regulations are often changing, so call to discuss appropriateness of virtual care to your specific location and for your unique struggles.
Dr. Pagnani has been an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry and Behavioral Sciences since 2012, he has supervised residents in Psychiatry and young physicians at Jefferson Hospital since about 2012 as well, and he is the Medical Director and Founder of Rittenhouse Psychiatric Associates; a network of about 25 academically oriented Psychiatrists, Psychiatric Nurse Practitioners and Psychotherapists serving PA, NJ and others.
Dr. Pagnani believes that psychiatric medication is not a magic bullet, and patients are best served with a thorough, conscientious, evidenced based and holistic approach. While medication is often part of a patient's treatment plan, a patient's temperament, life story, stressors, history of trauma, and behaviors (healthy and not-so-healthy) need to be understood by a provider, which reduces the risk of the over-prescription of medication.
His practice is fee-for-service. However, many commercial plans will reimburse patients directly for a percentage of visits. Some patients will also choose to see Dr. Pagnani for an initial evaluation, diagnosis and treatment plan, and then transfer to a nurse practitioner within the practice as well.
Scheduling@RittenhousePA.com
chrispagnanimd.com/contact-us/
(267) 687-0655 x 1
Переглядів: 333

Відео

Thoughtful Prescribing Philadelphia ADHD Anxiety
Переглядів 14 тис.8 місяців тому
Find thoughtful psychiatric providers in Philadelphia and throughout PA & NJ. Depression, Anxiety & ADHD Treatment. Telemedicine and In-office care. We practice telemedicine differently. We are NOT a large company advertising on-line surveys and quick visits. We are thorough, deliberate, and conscientious about the over-prescribing of psychiatric medications. We will take the time to discuss wh...
Thoughtful Psychiatric Treatment. Philadelphia & Main Line. All of PA NJ. ADHD, Anxiety & Depression
Переглядів 1108 місяців тому
Find thoughtful psychiatric providers in Philadelphia and throughout PA & NJ. Depression, Anxiety & ADHD Treatment. Telemedicine and In-office care. We practice telemedicine differently. We are NOT a large company advertising on-line surveys and quick visits. We are thorough, deliberate, and conscientious about the over-prescribing of psychiatric medications. We will take the time to discuss wh...
ADHD Skills Training with CBT in Philadelphia with Dr. Rannazzisi. ADD Treatment.
Переглядів 30710 місяців тому
Dr. Rannazzisi, Psy.D. discusses non- pharmacological treatments for ADD / ADHD in Philadelphia using CBT. Dr. Rannazzisi is a Licensed Clinical Psychologist and Clinical Instructor at The Philadelphia College of Osteopathic Medicine, where he received his Doctorate. He received advanced training at The Center for Cognitive Therapy at The University of Pennsylvania and has also served as Clinic...
Ativan Lorazepam Overview Risks Benefits Philadelphia
Переглядів 1,9 тис.11 місяців тому
Ativan Lorazepam Overview Risks Benefits Philadelphia
Valium Diazepam General Information Side effects. Anxiety Treatment in Philadelphia
Переглядів 3,7 тис.11 місяців тому
Valium Diazepam General Information Side effects. Anxiety Treatment in Philadelphia
Stimulants, Psychosis and Paranoia. Adderall & Amphetamine Risks. Video by Philadelphia Psychiatrist
Переглядів 3,2 тис.11 місяців тому
Stimulants, Psychosis and Paranoia. Adderall & Amphetamine Risks. Video by Philadelphia Psychiatrist
Dexedrine Dextroamphetamine Information Side effects. Treatment in Philadelphia
Переглядів 2,3 тис.11 місяців тому
Dexedrine Dextroamphetamine Information Side effects. Treatment in Philadelphia
Risks of Online Telehealth Subscription Providers for Anxiety and ADHD Treatment.
Переглядів 43811 місяців тому
Risks of Online Telehealth Subscription Providers for Anxiety and ADHD Treatment.
How do Adderall, Ritalin and Stimulants Work. Providers in Philadelphia
Переглядів 10311 місяців тому
How do Adderall, Ritalin and Stimulants Work. Providers in Philadelphia
Auvelity Dextromethorphan/ Buproprion for Depression treatment MDD in Philadelphia
Переглядів 3,7 тис.11 місяців тому
Auvelity Dextromethorphan/ Buproprion for Depression treatment MDD in Philadelphia
Qelbree Viloxazine and ADHD Treatment Philadelphia Offices
Переглядів 5 тис.11 місяців тому
Qelbree Viloxazine and ADHD Treatment Philadelphia Offices
Xanax or Alprazolam, General Information Conditions Treated, Risks and Benefits
Переглядів 41711 місяців тому
Xanax or Alprazolam, General Information Conditions Treated, Risks and Benefits
General Information Klonopin Clonazepam for Anxiety. Philadelphia Locations
Переглядів 3,8 тис.11 місяців тому
General Information Klonopin Clonazepam for Anxiety. Philadelphia Locations
Tapering and Stopping Valium / Diazepam. Philadelphia Offices
Переглядів 97611 місяців тому
Tapering and Stopping Valium / Diazepam. Philadelphia Offices
Tapering Ativan Lorazepam or stopping Philadelphia Psychiatrists
Переглядів 1,5 тис.11 місяців тому
Tapering Ativan Lorazepam or stopping Philadelphia Psychiatrists
Tapering or Stopping Clonazepam (Klonopin) Withdrawal Strategies Philadelphia
Переглядів 7 тис.11 місяців тому
Tapering or Stopping Clonazepam (Klonopin) Withdrawal Strategies Philadelphia
Tapering Stopping Xanax Alprazolam - Philadelphia Psychiatry Office
Переглядів 34311 місяців тому
Tapering Stopping Xanax Alprazolam - Philadelphia Psychiatry Office
Risks of Xanax Alprazolam - use in flights and MRIs Philadelphia
Переглядів 1,4 тис.11 місяців тому
Risks of Xanax Alprazolam - use in flights and MRIs Philadelphia
Xanax Alprazolam Dangerous Sides to Consider Philadelphia Psychiatry
Переглядів 8911 місяців тому
Xanax Alprazolam Dangerous Sides to Consider Philadelphia Psychiatry
Xanax or Alprazolam for Anxiety, Risks and Benefits
Переглядів 1,1 тис.11 місяців тому
Xanax or Alprazolam for Anxiety, Risks and Benefits
Buproprion ADHD Risks Doses Philadelphia
Переглядів 7411 місяців тому
Buproprion ADHD Risks Doses Philadelphia
Wellbutrin Buproprion Seizure Eating Disorder Philadelphia
Переглядів 14011 місяців тому
Wellbutrin Buproprion Seizure Eating Disorder Philadelphia
Wellbutrin Anxiety ADHD Philadelphia
Переглядів 1,6 тис.11 місяців тому
Wellbutrin Anxiety ADHD Philadelphia
Deprescribing or Tapering Psychiatric Medications (lexapro, effexor, paxil, klonopin, xanax others)
Переглядів 993Рік тому
Deprescribing or Tapering Psychiatric Medications (lexapro, effexor, paxil, klonopin, xanax others)
Psychiatric Evaluations and Consultations with Dr. Chris Pagnani MD at Rittenhouse Psychiatric
Переглядів 332Рік тому
Psychiatric Evaluations and Consultations with Dr. Chris Pagnani MD at Rittenhouse Psychiatric
What is a Psychiatric Nurse Practitioner (Psych NP)?
Переглядів 613Рік тому
What is a Psychiatric Nurse Practitioner (Psych NP)?
A Deeper Look at Mood Disorders, Part 3: Bipolar I Disorder
Переглядів 167Рік тому
A Deeper Look at Mood Disorders, Part 3: Bipolar I Disorder
A Deeper Look at Mood Disorders, Part 2: Bipolar II Disorder
Переглядів 311Рік тому
A Deeper Look at Mood Disorders, Part 2: Bipolar II Disorder
A Deeper Look at Mood Disorders, Part 1: What is Major Depressive Disorder?
Переглядів 151Рік тому
A Deeper Look at Mood Disorders, Part 1: What is Major Depressive Disorder?

КОМЕНТАРІ

  • @yazminmojica4458
    @yazminmojica4458 12 годин тому

    Thank you 👍💯🙂

  • @zarahkmanashirov3461
    @zarahkmanashirov3461 21 годину тому

    Ох кардазорине

  • @bigd4115
    @bigd4115 23 години тому

    Could this medication be stimulating worried it may increase anxiety?

  • @user-hg3ri5jh6i
    @user-hg3ri5jh6i День тому

    I took 10 days medicine..for depression ..and i have mood swings..but it makes me more depressed

  • @ThingsToTalkAbout1
    @ThingsToTalkAbout1 День тому

    30 days without ambien and still not sleeping 😥

  • @dubaiedge
    @dubaiedge 2 дні тому

    Ah, good to know about the cyp2d6, which i have. Supposed to pick up an 18mg script but don't really want to. Guess I'll give it a try.

  • @ryantimm9748
    @ryantimm9748 3 дні тому

    I take 300mg once a day at night and it has absolutely been a life saver. I have bipolar 1 and pretty bad anxiety so sleep is very elusive to me, and seroquel not only has treated my insomnia and let me get a good 8+ hours of sleep, it helps regulate my bipolar. I don’t have very many episodes of mania or severe depression but maybe 2 times a year. The ONLY side effect I’ve had is that is affects my ability to regulate body temperature so I can become overheated very easily and feel like I’m going to faint if I overdo it physically. Taking all that into consideration the benefits that I receive from the medication absolutely outweighs the one side effect I have. I have also tried rexulti and Abilify but had terrible weight gain and cravings. So seroquel has been a game changer for me that treats SO many symptoms I was experiencing. 10/10 would recommend for anyone with bipolar 1, moderate to severe anxiety, and insomnia.

  • @kapvann6699
    @kapvann6699 3 дні тому

    Is weight gain something to worry about on 1 mg ?

  • @janethomas78
    @janethomas78 3 дні тому

    I took this for a year and it tightened up my joints and ligaments and I had small sores and swelling everywhere-- I am still trying to recover--- I won't EVER take this EVER again.

  • @Prathamjot__
    @Prathamjot__ 3 дні тому

    So nobody talking about the f*cking hallucinations?

  • @m2omen143
    @m2omen143 3 дні тому

    If I lower the dose a little, I will not be able to sleep. This is the most difficult problem I face. This medicine is poison Does anyone have a solution?

  • @silliestputty
    @silliestputty 4 дні тому

    While knowing this helped many people, I am relieved to know it works for some. For me it caused long lasting cognitive issues. Ive been off of it for a few years now, and it really caused some slower thinking? mental fatigue.

  • @Dustin_Quick_Holy_Smokes
    @Dustin_Quick_Holy_Smokes 5 днів тому

    It’s really helped with energy and depression

  • @LordOmnissiah
    @LordOmnissiah 6 днів тому

    Stuff doesn’t work for me. Just made my anxiety worse at higher doses.

  • @Yorkiepud1973
    @Yorkiepud1973 6 днів тому

    Go research ssri withdrawal symptoms. Stay away from this hard narcotic! Shame on you "doc"

  • @user-hg3ri5jh6i
    @user-hg3ri5jh6i 7 днів тому

    Does this tablet cause sleepless?

  • @maureentam5912
    @maureentam5912 7 днів тому

    Constant panic attacks from bentos. Good luck it’s hell!

  • @maureentam5912
    @maureentam5912 7 днів тому

    No doctor can help if you have chronic insomnia. Finally got on disability due to fall and suffered TBI. LUCKED OUT. BUT FACE IT CHRONIC INSOMNIA IS A DISABILITY….SO I NOW HAVE A TRAUMATIC BRAIN INJURY. IN. URRENT MEDICAL speak, insomnia is NOT a medical issue.

  • @Nurr0
    @Nurr0 7 днів тому

    Thanks this is a helpful, concise summary. I hadn't realised until today that Ritalin *wasn't* amphetamine based. Interesting!

  • @gabby_moloko
    @gabby_moloko 7 днів тому

    Im about to switch to this from my ssri, mainly because adderall has been repeatedly losing effectiveness, and the possibility that some of my supposed adhd symptoms might actually be depression symptoms that my ssri isnt effectively treating For my ADHD people: ive been continuously upping my stimulant med dosage. It helps for a few days, then it'll stop having any effect whatsoever. So i take a break for a few days, up my dosage, and repeat the cycle. This has been the pattern for over 6 months. I started out on ritalin, then went over to adderall, which ive been on for 2.5 - 3 months. The entire time, it's been the same pattern, and im now on 2 25mg per day with no sustaining effective dosage appearing to settle in. Has anyone else had this experience? Whatd u do?

  • @margaretfahey8090
    @margaretfahey8090 8 днів тому

    nano technology which is embedded in the central nervous system which is being remotely stimulated and manipulated from a distance should never be diagnosed as schizophrenia.

  • @sdfjsd
    @sdfjsd 8 днів тому

    I remember my doctor prescribed me Concerta for ADHD a couple years back just to have me try it out, and it was very bad. It made me feel REALLY jittery, it would severely decrease my appetite, it made me feel like throwing up especially when I worked out, but most importantly, it didn't really help me focus. Eventually, just looking at the pill made me nauseous lol. I started calling it "the death medicine" because it felt like poison. Interestingly, however, Adderall does not do this to me. Yes, it does make me feel a little jittery and a little anxious, but it really helps me focus.

  • @PhoenixBlacke
    @PhoenixBlacke 8 днів тому

    Idk how anyone takes this crap. I took it once and was in a coma almost. My son sleeps so much with it or is grouchy cause he's tired

  • @dv_vid
    @dv_vid 8 днів тому

    You are not a real doctor.

  • @user-yg3jb1td2b
    @user-yg3jb1td2b 9 днів тому

    yeah! i'm having a terrible. paranoid delusional episode, because i got this the wrong thing for me. when it wears off i will be thankful, that i didn't go off on anyone. I'm allergic to all kind of drugs how long for it to wear off? Inquiring minds need to know mine.

  • @dv_vid
    @dv_vid 9 днів тому

    Psychiatry is a 1950s baby boom profession. Makes lots of money but not earnest.

  • @deborahwhit9583
    @deborahwhit9583 9 днів тому

    It also causes dementia

  • @JoeMo953
    @JoeMo953 9 днів тому

    I’m on it n had no side effects😮 but also I don’t think I feel any difference I’m crazy for sure😢😢😅

  • @nativechique7589
    @nativechique7589 10 днів тому

    Anyone ese get huge belly fat and lose thwir butt

  • @bullmoose6739
    @bullmoose6739 10 днів тому

    I’ve had no side effects from starting/stopping the medication. I do feel much more depressed being off of it. I’m going to ask the dr to continue the 150 but if I want to skip a day, I’m going to skip a day.

  • @bullmoose6739
    @bullmoose6739 10 днів тому

    My anxiety wasn’t any better or worse. I wanted to quit bupropion because of anxiety but it wasn’t any better after I quit. I have weight loss goals. I think it could help you live a healthier life. Even though that isn’t my ultimate goal, it could help me get there. If you have a bad night’s sleep, it could help you the next day. I don’t believe you have to take it every day if you don’t want to. You build up a tolerance anyway. I’ve had no side effects from starting/stopping the medication.

  • @kirstensingh7697
    @kirstensingh7697 10 днів тому

    I take duloxetine 30mg and now my doctor got me to take apriazole 10g mum take this she said its good . I was on risperidone but make me so unwell but anti psychic and depression together i felt better happier

  • @dwightatnip9487
    @dwightatnip9487 12 днів тому

    You got too many pans. In their

  • @marymoon1632
    @marymoon1632 12 днів тому

    Sooo many spider ones... I get hypnopompic spider hallucinations too and it's not a phobia of mine so why? Makes me think we're actually tapping into a different dimension/realm of some kind 🕷️

  • @stevegoodson9022
    @stevegoodson9022 12 днів тому

    I had one of these recently, I was experiencing overwhelming daytime sleepiness, which I was worried might be a symptom of narcolepsy (no sleep paralysis as far as I'm aware though). I walked into my bedroom, almost falling asleep on my feet, and for a brief instant I saw a set of pyjamas on my bed as my cat. Occasional dog or cat hallucinations have been part of my life sine a major haemorrhagic stroke in 2017. Nothing too distressing, just sometimes I'm not sure what I'm seeing and it resolves into a cat or dog. I continue to be amazed by the amount of useful medical information that can be found on UA-cam, thought I should probably spend less time self-diagnosing based on UA-cam videos.

  • @rbkitchen641
    @rbkitchen641 13 днів тому

    My 17 yrs old son is on divalproex for 11 months now he wan’t to stop already his on 500mg can i give him every other day of his medicine. His psychiatrist doctor said he will take it for 1 year, this aug is gonna be 1 year. He was diagnosed with bipolar 1 he was only manic when the other doctor give him medicine for depression, the medicine cause him manic and psychosis i ask the doctor if he can stop the medicine he said ok. The name of the medicine is Soloft

  • @Algebrainiac
    @Algebrainiac 13 днів тому

    I’m gonna start taking lurasidone (generic for latuda) along with lamotrigine 200 mg and lexapro (half of 10 mg tablet) for both anxiety and mood stabilization from borderline personality disorder. I hope it goes well. Unfortunately I began to have more episodes despite being on lamictal 200 mg. So I hope this medication works well for that.

  • @kathypeterman2886
    @kathypeterman2886 13 днів тому

    While Unisom is an antihistamine (Doxylaimine Succinate) and it may act similarly to Benadryl, it does not contain Benadryl (check the ingredients to see for yourself). As soon as I saw some of the videos on Benadryl and that it is not meant to be used for more than 2 weeks and can lead to dementia or psychoses, I took myself off Unisom just to be safe.

  • @st6576
    @st6576 13 днів тому

    I took 300 mg for years for sleep. Currently taking 100 mg. Love this medication. It works most nights & I've had no negative side effects. Always take with food, though, or it causes dizziness.

  • @Underpar26
    @Underpar26 13 днів тому

    My girlfriend was on this medication when we dated in college. Every time I got a really bad hangover she would give me one and it would wipe out all of the hangover symptoms especially the anxiety. Fast forward 15 years I am now about to go on it. Cool

  • @tamikillion6115
    @tamikillion6115 13 днів тому

    Did nothing for my anxiety

  • @janets7291
    @janets7291 13 днів тому

    I found out that TCA's are super toxic in intentional overdose. That's why my psychiatrist won't let me touch them with a 10 foot pole.

  • @OscarIbarra-qm5wk
    @OscarIbarra-qm5wk 15 днів тому

    I'm under lexapro 20 ml for anxiety. It's not helping me as it used to. I got prescribed Wellbutrin. But I get some of the side effects, some anxiety dry lips and lots of fast heart beats. I know side effects last about 2 weeks. It feels horrible. Should I keep on taking it. Today is my 3rd day.

  • @cassandrademery7669
    @cassandrademery7669 16 днів тому

    i am almost 6 months pregnant can i come off this medicine directly without having witdrawals

  • @johndidomenico6558
    @johndidomenico6558 16 днів тому

    I have experienced hallucinations after being awake for extended periods of time. My shift work for a major retail food brand is extremely demanding. It requires us to stay very long hours if a line is down. Many times I've stayed awake multiple days without sleep except for a few minutes of shut eye, when and if that's available. The experience I've had and still do are things moving. I've seen the handle of a tennis racket stretch horizontally, then start to break down, like on the molecular level. I've seen a glove hanging out of a box of latex gloves undulating it's fingers, paper towels fluttering as if they were being blown by the wind. The most recent and most vivid happened earlier this week. After geeting home from an extremely long shift that had me up for 2 days, was the strangest of all. From my back deck, looking into my neighbors back yard was a floral arrangement, with a lantern type decoration at the top and other items hung about it made me see the most profound one. As I glanced over in that direction and noticed that arrangement, looking back directly at it, I saw a red headed woman, sitting in a chair, with a green blanket, swinging her leg back and forth, like if she were enjoying a song keeping in time. Further looking I saw arm movement slight head movement and what looked like subtle adjustment of her shifting in the chair. It was by far the most detailed vision I've had in the 3 or 4 years I've had these experiences. Any insite on this?

  • @karlreinke9653
    @karlreinke9653 16 днів тому

    I’ve taken Benadryl for years for sleep. My doctor said it helps and can be used for sleep deprivation.

  • @louisk319
    @louisk319 16 днів тому

    This drug absolutely ripped my nervous system to shreds. I honestly feel assaulted and lobotomized by taking this drug.

  • @sugarfree8303
    @sugarfree8303 16 днів тому

    My doctor used Benedryl to treat my anxiety a few years back. Now I cannot take it at all because it makes my arms and legs twitch

  • @chokethewoke746
    @chokethewoke746 16 днів тому

    I got subscribed Paroxetine and Diazepam at the same time.

  • @adhamah1138
    @adhamah1138 16 днів тому

    experiment