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Psychiatrist Notes

Psychiatrist in New York City, New York
Psychiatrist Notes

WHAT IS TMS TREATMENT?

Transcranial magnetic stimulation (TMS) is a non-invasive method of treating depression that uses repetitively pulsed magnetic fields to generate an electrical current in a targeted region of the brain.   The magnet energy extends only 2 to 3 cm into the brain in an area of about the size of 50 cent piece. It penetrates farther,

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Cure Depression Naturally Tips & Videos
depression

NON-MEDICATION INTERVENTIONS FOR DEPRESSION:

NON-MEDICATION INTERVENTIONS FOR DEPRESSION:             Act as if you are not depressed.  Do the things that you would do if you were not depressed.  I am aware this takes a lot of effort.             Try to turn off repetitive negative thoughts, negative scenarios, and/or negative memories. It is easier to stop these than you think. 

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Sleep Disorder
Psychiatrist Notes

NON-MEDICATION METHODS TO IMPROVE SLEEP:

NON-MEDICATION METHODS SO IMPROVE SLEEP: Take a hot bath (or shower) prior to going to bed. A warm bath may work as well as a sleeping medication.  [The brain literally cools down when we fall asleep and stays cooled down for the first part of the night.   The reason the warm bath works is apparently

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Depression
depression

Options/ recommendations/ thoughts re TRD (treatment resistant depression)

Options/ recommendations/ thoughts re TRD (treatment-resistant depression), especially concerning atypical and bipolar spectrum depression.     —Robert D. McMullen, MD   7/28/2019          THE BIPOLAR SPECTRUM:   atypical depression and Bipolar II Disorder and their treatment.   Atypical Depression often ends up as TRD, sometimes because of the very things used to treat it: serotonin medications.  What is discussed below

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Alzheimer’s
ALZHEIMER’S

Bottom line on dose of lithium for Alzheimer’s prophylaxis:

Lithium 1mg per day or 5mg once a week are no doubt enough to reduce the risk of Alzheimer’s. I believe lithium 5mg daily – or ~150mg once a week – is probably better.  [Lithium orotate 5mg, 20mg, 120mg, and 130mg pills are inexpensive on Amazon.] Lithium 150 mg per day is advisable for anyone

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FISH OIL FOR DEPRESSION
depression

FISH OIL FOR DEPRESSION

FISH OIL FOR DEPRESSION.  (This information sheet is somewhat disorganized and redundant because I have added it and altered it over the years).  (The best source of EPA is fish oil  The other excellent source is eating the brain. Animals have the amount of EPA and DHA  that we should have.   In contrast to us,

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Episodes of major depression
Psychiatrist Notes

NUTRACEUTICALS for depression 8/12/2019, Robert D. McMullen, MD

Over the years I have occasionally had good success for depression with fish oil, NAC, inositol, L-methylfolate, very low dose lithium (150mg). I have not used a probiotic long enough to have seen obvious success. In a discussion on CUPP, others had a similar experience with inositol as I have had, finding it unimpressive.  However,

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Serotonin & Norepinephrine Reuptake Inhibitors
Psychiatrist Notes

LITHIUM INFORMATION and INSTRUCTIONS:

Robert Post is one of the most prominent, as well as kind and generous, psychiatrists in the U.S.   He has been at NIMH for decades. ROBERT POST MD   [5/2017] SAYS LITHIUM IS GOOD “FOR EVERYTHING”; BELOW IS FROM A SLIDE HE MADE REGARDING LITHIUM: Lithium prevents unipolar and bipolar depressions Increases hippocampal and cortical volume

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Serotonin & Norepinephrine Reuptake Inhibitors
Psychiatrist Notes

QUICK TAKE ON VITAMIN D DOSING

QUICK TAKE ON VITAMIN D DOSING [more complete information on dose is near the bottom]  Robert D. McMullen, MD                The  dose of vitamin D3 is based on weight.   A 100 lb person needs 4000 I.U./day.  One can easily extrapolate all other doses from that.  At 10-pound bay would need 1/10 of 4000 =

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psychiatrist notes
Psychiatrist Notes

NAC INFORMATION SHEET —Robert D. McMullen, MD

[note reference at the bottom : vitamin D stimulates the formation of glutathione in the brain, and NAC provides the cysteine to manufacture more.] 7/3/2019:  This is embarrassing. When I first used NAC about a decade ago, I frequently had tremendous results. Last few years the NAC seemed not as effective. I just found out why.

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