The Adderall Shortage: How to Find Alternatives and Help

By Lisa Fields, Apr 5, 2023

“I’ve had a number of patients with this same issue, and indeed we have asked them to call local pharmacies and see if they had any Adderall in stock,” says Dr. Alex Dimitriu, a psychiatrist in Menlo Park, California. Sometimes, a pharmacy may not have your dosage, but it may have enough smaller capsules to give you the correct amount of medication — for example, three 5 mg capsules for a 15 mg prescription. However, some health insurance companies make it difficult to fill prescriptions this way.

Click HERE for the full article.

Sleep Medications for Insomnia: Limitations and Alternatives

April 4, 2023 Dr. Dimitriu was published in Psychology Today in an article titled:

Sleep Medications for Insomnia: Limitations and Alternatives

A study published recently (January 2023) in the Journal of Alzheimer’s Disease is the latest confirmation of prior scientific warnings about a potential association between certain prescribed sleeping aids, including benzodiazepines, “Z-hypnotic drugs,” and trazodone, and a significant risk of developing dementia—as high as 79 percent in Caucasian adults, ages 71-77. Additional research suggests these medications also are linked to other adverse effects, namely increased risk of falls and resulting fracturesmemory loss, and confusion among older adults and safety concerns. An article appearing in a 2019 issue of Frontiers in Behavioral Neuroscience contends that commonly prescribed benzodiazepines for anxiety and sleep suppress the central nervous system and the brain’s awake response to danger, causing some study participants to sleep through loud fire alarms.

But if left untreated, disordered sleep, which involves difficulties falling asleep or remaining asleep during a seven- or eight-hour period, poses problems that can be as disconcerting as the effects of the drugs used to treat it. In Nature and Science of Sleep, for example, scientists indicate short-term consequences of insomnia include increased response to stress, emotional and mood disorders, and cognitive, memory, and performance deficits.

Click HERE for the full article.

Dating With Schizophrenia

By Camille Noe Pagán,  Apr 03, 2023

It can take a while to find a treatment plan that works. You may have to wait weeks or even months before it fully takes effect. Ask the doctor who treats your schizophrenia if they feel your plan is working and you’re ready. Besides medication, you’ll want to discuss lifestyle issues. “For example, if you spend the night at someone else’s house, do you have a plan for making sure you’re able to take your medication on schedule?” says Alex Dimitriu, MD, a psychiatrist and the founder of Menlo Park Psychiatry & Sleep Medicine in California. You also need think about how the rest of your life is going. “Regularity is important if you have schizophrenia, and dating can disrupt that,” Dimitriu says. If you’re dealing with another big change, like a new job, location, or treatment plan, you may want to wait until you’re settled to try dating.

Click HERE for the full article.

Best Sleep Aids, Explained

By Patty Onderko, Apr 3, 2023

Once underlying health conditions are either ruled out or managed, your doctor may suggest cognitive behavioral therapy for insomnia (CBT-i) as your first sleep “aid.” “CBT-i is the gold standard treatment for insomnia,” says Alex Dimitriu, M.D., a sleep medicine specialist and founder of Menlo Park Psychiatry & Sleep Medicine in Menlo Park, CA. This therapy includes sleep education, stimulus control, sleep restriction, and relaxation training, explains Dr. Dimitriu. “The harder you try to fall asleep, the worse sleeplessness becomes,” he says, “so the goal of CBT-i is to make the bed a place of relaxation, associated with sleep.”

Click HERE for the full article.

What Are the “Sunday Scaries” and What Causes Them?

By Sara Novak, Mar 30, 2023

According to Alex Dimitriu, a psychiatrist with Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California, there’s a level of dread that goes along with starting the work week on Monday.  Accompanying that dread may be anxiety and delaying going to bed on Sunday. “It’s a sort of fear and loathing that builds up as the end of Sunday draws near,” says Dimitriu. The Sunday Scaries are really a level of performance anxiety that tends to take over, says Dimitriu, almost like the feeling that you get before giving a speech or taking a big exam. With it comes anticipation and a sense that you need to show up and do your best work.

Click HERE for the full article.

Inspire Sleep Apnea Treatment Review

By Nina Chamlou, Mar 30, 2023

“The primary causes of sleep apnea are typically related to physical [conditions], such as obesity or [a] blockage of the airway,” says Alex Dimitriu, M.D., who is double board-certified in psychiatry and sleep medicine and founder of Menlo Park Psychiatry and Sleep Medicine. “Essentially it’s a problem with the air intake and when people fall asleep, the walls [of the throat] relax and get floppy, which can result in blockage.”

Click HERE for the full article.

Why we can’t sleep – and what it means for work

By Tony Case, Mar 27, 2023

“Between Covid, wars and now the economy, the general temperature of our society has increased,” said Alex Dimitriu, founder of Menlo Park Psychiatry and Sleep Medicine in California and a Sleep Foundation medical review board member. “Things have gotten more stressful and unsettled, and people tend to think more when they are quiet — i.e., before bed.”

Click HERE for the full article.

Diplo says he ran a marathon while on LSD. Experts say he’s tripping.

By Hannah Yasharoff, Mar 25, 2023

There are also certain people who are at-risk for a negative experience, even with the proper setting and dosage. Dr. Alex Dimitriu, who specializes in psychiatry and sleep medicine, previously told USA TODAY that anyone with any personal or family history of schizophrenia should steer clear of these substances.

Click HERE for the full story.

Managing Your Emotional Health With Vitiligo

By Frances Gatta, Mar 6, 2023

Learning to appreciate your appearance can help you live unapologetically with vitiligo. Start with being comfortable with yourself, advises Alex Dimitriu, MD, founder of Menlo Park Psychiatry and Sleep Medicine in California. “This can be built on the core belief that appearances are only skin deep, and your personality, kindness, intelligence, or other attributes you cherish matter far more than anything on the outside,” Dr. Dimitriu says. It might also help to realize that people who judge your color or appearance may not be the people you want in your life.

Click HERE for the full article.

A Good Night’s Sleep Can Help You Maintain Diet, Exercise Goals

By David Rossiaky, Mar 3, 2023

Dr. Alex Dimitriu, double board-certified in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine in California, noted that an individual’s discipline and impulse control are a factor, too. “It could well be that the people that have the discipline to get good sleep also have the discipline to stick to a weight loss program. It is a virtuous cycle where the discipline helps sleep and, in turn, sleep helps discipline (and weight loss),” Dimitriu told Healthline.

Click HERE for the full article.

The Best Sleep Apps, According to Sleep Experts

By Danielle Sinay, Feb 24, 2023

“A variety of sleep apps exist, which can range from listening to a bedtime story, to guided meditation or breathing, white or brown noise, binaural beats, or soothing or calming music,” says Alex Dimitriu, MD, a double-board-certified psychiatrist and sleep medicine specialist and founder of Menlo Park Psychiatry & Sleep Medicine. “Many of these apps work by helping the user get settled and relaxed, either physically or mentally, and also to reduce mind wandering that can lead to distraction and anxiety before sleep.”  

Click HERE for the full article.

Idiopathic insomnia: What to know

By Mary West, Feb 20, 2023

Medical News Today reached out to Dr. Alex Dimitriu, who founded Menlo Park Psychiatry & Sleep Medicine and is board certified in psychiatry and sleep medicine, for his definition. “Essentially, this is insomnia that is not due to any particular cause, such as anxiety, alcohol, caffeine, or jet lag,” explains Dr. Dimitriu. “It is also not associated with another sleep disorder and is not linked to a mental [health condition], substance use, or a general medical condition.” “The sleep disturbance causes significant impairment in occupational, academic, social, behavioral, or other areas of functioning,” adds Dr. Dimitriu.

Click HERE for the full article.

Recurring Dreams: Signs Of Trouble Or Symptoms Of Poor Sleep?

By Brie Schmidt, Feb 19, 2023

If you’re one of the lucky few that has feel-good recurring dreams, there’s likely no need to put an end to your happy nighttime fantasies. But if your dreams are disrupting your sleep and leaving you feeling uneasy, it’s time to take action. “Some recurring dreams are worthy of more attention [and therapy],” Dr. Alex Dimitriu, a psychiatrist and sleep medicine specialist, explained to Good Housekeeping. “People with unresolved trauma that should be treated will experience an event in their nightmares, and people with sleep apnea may commonly dream of suffocating or drowning, when in reality, they cannot breathe.” An appointment with your doctor or therapist is the first step to putting an end to recurring dreams.

Click HERE for the full article.

Don’t Identify as an Introvert or an Extrovert? You Might Be an Ambivert—Here’s What That Means

By Kaitlin Vogel, Feb 15, 2023

“There are no true ambiverts, but more likely people who in certain circumstances or settings will appear more extroverted or introverted,” Dr. Dimitriu explains. “In my experience, even an extrovert may be tired and appear introverted after a long day of work, or a poor night of sleep. An introvert can celebrate and socialize with coworkers at a party and appear totally into it, but still need time alone to recharge.”

Click HERE for the full article.

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