CORONAVIRUS: We know these are difficult and challenging times for everyone. We are currently switching over to telemedicine visits via phone or video. We will call you. Please do not come in for your appointment. As always, you can reach us by email with any questions or requests. Wishing you health and strength through these unusual times.
Sleep ‘Sweeps’ Mind of ‘Monsters;’ Helps Fight Dementia
/in Articles /by Melissa ChefecMarch 25, 2020. Dr. Dimitriu was published in Psychology Today about the connection between sleep and dementia “I’ve always envied people who sleep easily. Their brains must be cleaner, the floorboards of the skull well swept; All the little monsters closed up in a steamer trunk at the foot of the bed.” This simple quote from […]
The Erosive Power of ADHD: Tips for Adults
/in Articles /by Melissa ChefecFebruary 19, 2020 Dr. Dimitriu was published in Psychology Today on the topic of ADHD in adults. ADHD isn’t just for kids. While attention-deficit hyperactivity disorder is now well recognized and commonly diagnosed in children, less attention has been focused on the fact that about half of these children carry some of the symptoms of ADHD into […]
New Research Shows How Sleep Clears Toxins from the Brain
/in Articles, In the News /by Melissa ChefecJanuary 14, 2020. Dr. Dimitriu was published in Psychology Today about how sleep clears toxins from the brain. We’ve long known that sleep is as important to our health as good nutrition and regular exercise. Not getting enough sleep is detrimental to daytime functioning – to our mood, energy, concentration and reaction time and over […]
Agitated Depression and the High Functioning Bipolar Rockstar (of Silicon Valley)
/in Articles /by Ross TaylorEveryone reads the words “bipolar disorder,” and immediately thinks this cannot possibly be a “disorder” that they have. And indeed, this terminology is a bit clinical for most high functioning people who let nothing slow them down and have moved mountains to get to where they are today. Think of bipolar disorder, and one immediately […]
Is It Postpartum Depression or the “Baby Blues”?
/in Articles /by Melissa ChefecNovember 14, 2019. Dr. Dimitriu was published in Psychology Today about Postpartum Depression. Giving birth is one of the most joyous experiences of a woman’s life. Everybody says so. Family, friends, books, magazine articles. Everything she knows has prepared her for the elation that will accompany the arrival of her baby. And yet, within days […]
Is It Bipolar Disorder or Borderline Personality Disorder?
/in Articles /by Melissa Chefec10/22/19. Dr. Dimitriu was published in Psychology on the topic of bipolar vs borderline personality disorder. Diagnosing psychiatric illness isn’t easy. There’s usually no lab test, physical indication, or quantitative measurement that can distinguish one illness from another and often no magic bullet that can ensure effective treatment. Clinicians are dependent on a description of […]
Is “Ego Fatigue” Sabotaging Your Willpower?
/in Articles /by Melissa Chefec9/24/19. Dr. Dimitriu was published in Psychology on the topic of Sleep and Memory: How They Work Together. For many people, just getting through the day is a monumental struggle. Those suffering from anxiety, depression, and ADHD must fight to control their impulses simply to function and stay on task through a day of work […]
How Much Sleep Do Teens Need?
/in Articles /by Ross TaylorWhen you look at your teenager, try to soften the lens and view him/her as an oversized toddler. We say this because the developmental changes taking place in a teen’s brain and body as the result of puberty are equivalent to the changes that take place as infants transition into toddlerhood. With that perspective, it’s […]
Sleep and Memory: How They Work Together
/in Articles /by Melissa ChefecDr. Dimitriu was published in Psychology Today on the topic of Sleep and Memory: How They Work Together. Medieval philosopher Thomas Aquinas once wrote that “sorrow can be alleviated by good sleep.” Now, scientists are learning he was not far from the truth. A study published in July 2019 in the journal Current Biology indicates a […]
Night and Day: The Essential Role of Sleep Medicine
/in Articles, In the News /by Melissa ChefecDr. Dimitriu was published in Psychology Today on the topic of The Essential Role of Sleep Medicine. Sleep is truly the other half of our waking lives, as well as an essential half of modern psychiatry. During sleep, our brains recharge the neurotransmitters that are so important to our mood and thinking—dopamine, norepinephrine, and serotonin, to […]
Shocking Sleep Statistics
/in Articles /by Greg GoodmanSleep is truly the other half of our waking lives as well as an essential half of modern psychiatry. During sleep, our brains re-charge the neurotransmitters that are so important to our mood and thinking – dopamine, norepinephrine, and serotonin to name a few. “If there is no gas in the tank, you can’t push […]
When Sleep Won’t Come…Do You Need Help?
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, July 11, 2019 We all have occasional trouble sleeping. Anxiety, jet lag, something we ate, or any number of other things can have us tossing and turning restlessly now and then. Most of the time, these episodes of sleeplessness are of brief duration and with resolution of the root cause we […]
Smiling Depression: Masking the Pain
/in Articles /by Melissa ChefecSmiling depression isn’t an oxymoron. It’s a serious atypical manifestation of depression in which the sufferer masks typical depressive symptoms like sadness and lethargy with the outward appearance of a happy, successful, productive life. While approximately 10 percent of the U.S. population suffers from depression, not all sufferers experience it in the same way. Typically, […]
Overcoming Insomnia Without Drugs
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, March 12, 2019 Sleep isn’t optional. It is one of our most basic physiological needs, right up there with air, water, food, and shelter. It isn’t heroic to go without sleep and it isn’t true that many people need only four or five hours a night. Most of us need seven […]
Sleep Restriction Therapy for Insomnia: Can Spending Less Time in Bed Help You Sleep More?
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, March 12, 2019 Insomniacs know all about good sleep hygiene. They’ve lowered the temperature in the bedroom, hung room-darkening shades, eliminated nicotine, caffeine, and liquids before bedtime, taken warm baths, and banished electronic devices from the bedroom. Many have tried prescription sleeping pills but were groggy the next day. Natural relaxation […]
Natural Sleep Remedies: Do They Work?
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, February 21, 2019 We all have occasional trouble sleeping. Stress, anxiety, a change in routine, something we ate, …any number of things might be responsible for a night of restless tossing and turning. For most of us, bouts of insomnia are of short duration. But for many millions of people, sleepless […]
Coping with Agitated Depression and “Rockstar” Histories
/in Articles /by Melissa ChefecMillions of people experience episodes of depression every year, making it one of our most common mental disorders. Although its symptoms may look similar, clinical depression differs in its intensity and duration from the ordinary sadness that we all experience from time to time. Sadness triggered by a loss, disappointment, or a major life change […]
Reducing Anti-Anxiety Medications : Risks and Rewards
/in Articles /by Melissa ChefecBy Alex Dimitriu, MD, January 22, 2019 With anxiety disorders ranking as the most common mental illness in the United States – affecting 18% of the adult population every year – perhaps it’s not surprising that more than 1 in 10 Americans take antidepressants, the class of medications used most often to combat anxiety.
Is There a Place for CBD in Treating Insomnia?
/in Articles /by Melissa ChefecBy: Alex Dimitriu, MD, January 6, 2019 With the rise in states legalizing the use of both medicinal and recreational marijuana, more attention is now being given to a component of the cannabis plant that’s been scrutinized for decades – CBD, or cannabidiol. But far from seeking a “high,” many of those giving fresh consideration […]
Overcoming the Stigma of Psychiatric Medication
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, 12/20/18 Even as the stigma associated with mental illness has – thankfully – dissipated over the last decade, millions of people still fail to get the help they need because the stigma around the medication that can alleviate their suffering endures. Fueled in part by celebrities talking about their struggles with […]
Anxiety Disorders: When to Worry about Anxiety
/in Articles /by Melissa ChefecBy Dr. Alex Dimitriu, 12/13/18 We all worry. Occasional anxiety is part of everyday life –- an upcoming test, a job interview, a troubled relationship –- and anxiety may have a beneficial effect, helping us focus and problem-solve by studying for the test, preparing for the interview, or working on the relationship. But for millions […]
Combining Insomnia, Depression Treatment May Improve Outcome By Lynne Lamberg
/in Articles /by doctoralexIn people with both depression and insomnia, determining which disorder surfaced first may be key to improving clinical care. Studying the timing of emergence of symptoms in people with both depression and insomnia may help identify differences in patients’ clinical presentation and aid treatment decisions, according to experts at the joint meeting of the American Academy of […]
Fixing Sleep, Greatly Improves Depression Outcomes
/in Articles /by doctoralexCPAP therapy reduces symptoms of depression in adults with sleep apnea DARIEN, IL – A new study shows that depressive symptoms are extremely common in people who have obstructive sleep apnea, and these symptoms improve significantly when sleep apnea is treated with continuous positive airway pressure therapy. Results show that nearly 73 percent of sleep […]
Seasonal Affective Disorder and the Risk of Addiction
/in Articles /by doctoralexBy Laura Baker: Seasonal affective disorder (SAD) is a form of depression that occurs only during certain times of the year. Most people will experience SAD during the winter due to lack of sunlight and the consequential lack of vitamin D, though spring and summer SAD also can occur. As with most mental illnesses, SAD creates […]
Pachamama – Celebrating Earth Day 2018
/in Articles /by doctoralexIn a time of rapid change, and the decline of things sacred, our quiet time, our families, the nature around us, it is no surprise that anxiety and depression are as prevalent as they are. Indeed these conditions emerge, as we get further and further from our natural selves. We are indeed blessed to be […]
Less Stressful Holiday Hosting
/in Articles /by doctoralexThe holiday season is upon us. Along with the season, come many friends, family, trips, and social gatherings. The holidays can certainly be a spirited, nostalgic time that many look forward to. But the holidays can also be trying times for many people, especially those who deal with overwhelming stress and anxiety during this time of year. […]
The Connection Between Memory And Sleep
/in Articles /by doctoralexThrough much of my training at Stanford, we often saw young patients come in complaining “doctor I think I have early Alzheimer’s.” They would forget entire movies or important events, forget why they walked into rooms, and at minimum had tremendous trouble remembering names and paying attention in conversations. A lot of times, these patients […]
L-Methylfolate For Depression
/in Articles /by doctoralexIn an ongoing search to find increasingly effective treatments for depression, nutritional supplements often come up as a relatively benign, and possibly effective option. One supplement that has received significant attention is folic acid – readily available over the counter, and Deplin (L-methylfolate). Folic acid is converted to L-methylfolate, which is believed to play a […]
Finally, A Truly New Sleep Medication…
/in Articles /by doctoralexThe FDA has recently approved a new sleep medication – Suvorexant – which works as a orexin receptor blocker. What is orexin? This is a key switch that keeps us awake, and is low in people with narcolepsy – so temporarily blocking it will put you to sleep. Because orexin is “the master switch” for […]
Weight Loss And Happiness – Serotonin And The Carbohydrate Connection
/in Articles /by doctoralexThe bread rolls at restaurants may actually help you eat less… Serotonin is an essential neurotransmitter – and acted upon by many commonly known anti-depressants which boost its levels. It has a myriad of effects- ranging from creating a feeling of satiety, sleep, mood, anxiety, pain, blood pressure, and sense of overall calm. The highest […]
A Concise Review Of Behavioral Approaches To Insomnia
/in Articles /by doctoralexFrom the American Academy of Sleep Medicine. Below is the current recommendations for behavioral treatment of insomnia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576317/ Common Cognitive and Behavioral Therapies for Chronic Insomnia Stimulus control (Standard) is designed to extinguish the negative association between the bed and undesirable outcomes such as wakefulness, frustration, and worry. These negative states are frequently conditioned in response […]