How the Parasympathetic Nervous System Influences Your Mental Health

By Kendra Cherry, May 6, 2025

“While the sympathetic system helps you deal with things and get stuff done, the parasympathetic system helps you rest, heal, digest, and recover,” explains psychiatrist Alex Dimitriu, MD. It’s the sympathetic system that kicks into gear when you are faced with some type of stressor or threat and prepares you to either fight, flee, or freeze. When activated, this system elevates your heart rate, floods your body with stress hormones, and slows digestion so you’re ready to act fast.

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When will a Trintellix generic be available?

By Randy Magnuson, Apr 22, 2025

Per the Food and Drug Administration, around nine out of every ten prescriptions filled in the US are for generic drugs. What makes them so popular? The big draw for generics is that they’re often less expensive. A large chunk of any drug’s cost comes from the research and testing required to prove that it works and is safe for consumers. Generic drugs require much less testing, since their reference product already proved its safety and efficacy, so they typically cost 80–85% less than their brand-name counterparts. 

Everything else is pretty much identical. The FDA requires that generic drugs have the exact same active ingredient, strength, dosage form (tablet, liquid, etc.), and route of administration (oral, topical, injectable, etc.) as the brand-name medication. So when a generic version of Trintellix comes out, it will work exactly the same way as Trintellix. “Besides increasing serotonin levels (as all SSRIs do), Trintellix also acts directly on serotonin receptors, like the 5HT1A/B—which may improve cognition,” says Dr. Alex Dimitriu, MD, founder of Menlo Park Psychiatry & Sleep Medicine. “It also blocks 5HT3 serotonin receptors, which may help with nausea and also add benefits to mood.”

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Types of Mental Health Professionals: From Psychologists and Psychiatrists to Counselors and Social Workers

By Claire Wolters, Apr 21, 2025

Perhaps more important than your mental health expert’s education level is their integrity – and their honesty about the types of services they can or can’t provide. While this may seem like a low bar, in the age of social media scams and often-unqualified mental health influencers, it can be an easy bar to trip over. “It’s a mess out there on social media with lots of opinions and people with no clinical experience promising various solutions,” says Dr. Alex Dimitriu, a psychiatrist and sleep medicine specialist and founder of Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California. “Be cautious of anyone practicing outside of their training or expertise,” he adds.

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Is Eating Before Bed Bad for You? Experts Share the Truth

By Beth Ann Mayer, Apr 18, 2025

“Late meals or even late snacks can result in elevated metabolism during the night, which can interfere with slow-wave sleep,” explains Dr. Alex Dimitriu, MD, a double board-certified doctor in psychiatry and sleep medicine and the founder of Menlo Park Psychiatry & Sleep Medicine. “Slow-wave sleep is sort of the holy grail of cognition and brain health overall. During slow-wave sleep, toxins are cleared from the brain, and new memories are consolidated.”

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How to Be a Better Friend, According to Therapists

By Sian Ferguson, Apr 17, 2025

Founder of Menlo Park Psychiatry & Sleep Medicine, Dr. Alex Dimitriu—a psychiatrist and sleep medicine specialist—agrees. “A good friend is someone who shows up, listens well, shares in your joys, and supports you through challenges without judgment,” he says. In other words: You don’t have to be perfect. You just have to be willing to show up with empathy and curiosity.

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The 6 best alarm clocks of 2025, tested and reviewed

By Jenny McGrath and Suzy Hernandez, Apr, 15, 2025

“Light sleepers may want as few distractions and artificial light as possible,” said Alex Dimitriu, MD, the founder of Menlo Park Psychiatry and Sleep Medicine. “Deep sleepers may want an alarm that is loud or gradually loud, possibly with light or a sunrise simulator to facilitate waking up from a deep slumber.”

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3 foods to avoid while taking Strattera

By Sarah Bradley,

Strattera is part of a class of medications called selective norepinephrine reuptake inhibitors (SNRIs). These drugs increase the amount of norepinephrine in your brain. Norepinephrine “plays a crucial role in attention, focus, and cognition,” says Alex Dimitriu, MD, psychiatrist and founder of Menlo Park Psychiatry & Sleep Medicine.  Dr. Dimitriu says increasing the levels of norepinephrine in the brain typically results in reduced hyperactivity and impulsivity. However, it’s important to note that Strattera doesn’t work immediately, the way stimulant drugs do. “It typically takes four to six weeks to see improvements in attention and focus, so it’s important to stay on this medication long enough to give it a chance to work,” Dr. Dimitriu explains.

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Why Sleep Disturbance and Atopic Dermatitis (AD) Go Hand in Hand

By Khendra Cherry, Apr 7, 2025

According to Dr. Alex Dimitriu, a double board-certified psychiatrist and sleep medicine specialist, sleep and eczema have a bidirectional relationship. “Sleep and eczema are closely linked, and one can feed off of the other,” he explains.

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I Tried NSDR for a Week—Here’s How It Improved My Mental Health

By Sian Ferguson, Mar 27, 2025

To learn more, I spoke with Alex Dimitriu, MD, double board-certified in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine.  Dimitriu says that both napping and NSDR can be helpful, but they fulfill different needs. “For someone sleep deprived, a nap may be best,” he explains. “For someone busy and stressed out, and adequately rested, a moment to introspect and quiet all the inputs can also be a precious and rejuvenating experience.”  NSDR, while refreshing, can’t really make up for lost sleep. As Dimitriu says, “Silence is golden. But it is not sleep.”

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Why We’re Obsessed with Other People’s Morning Routines

By Erica Sweeney, Mar 26, 2025

But routines should be personal and tailored to your needs and lifestyle, says Dr. Alex Dimitriu, a psychiatrist and sleep medicine physician and founder of Menlo Park Psychiatry & Sleep Medicine. There’s no “secret sauce” for morning habits that will automatically help you become like someone you admire. Videos like Hall’s may be fun to watch, but Dimitriu urges taking them with “a grain of salt.” 

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Selecting a Treatment Option for Tardive Dyskinesia

By Brianna Graham, Mar 26, 2025

“VMAT-2 inhibitors are effective in reducing TD symptoms, but caution is needed in older adults due to potential side effects like gait disturbances,” says Alex Dimitriu, MD, in an interview with Physician’s Weekly.

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Beta Blockers Are the Buzziest New Anti-Anxiety Medicine—Here’s What to Know

By Lo Styx, Mar 25, 2025

To determine the best medication fit for his patients, psychiatrist Alex Dimitriu, MD, groups symptoms of anxiety into two categories. “I always ask my patients if they feel anxiety more in the mind—rumination, catastrophic thoughts, worry—or the body—racing heart, tight chest, shortness of breath, tremor,” Dimitriu says. “More globally it should be recognized that either beta blockers or other medication such as Xanax or Klonopin are patches. If someone needs a patch too often, it might be better to take something that works all the time, usually SSRIs.”

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EMDR Therapy: How It Works for PTSD and Other Trauma

By Claire Wolters, Mar 24, 2025

“The role of the therapist during the bilateral movement processing is similar to a music conductor working with an improvisation,” says Shiva Wilson, a psychotherapist with Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California. “The clinician’s ability to observe the physical cues of the client is an important skill.”

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Monitoring for Tardive Dyskinesia: Who Is at Greatest Risk?

By Brianna Graham, Mar 12, 2025

The Abnormal Involuntary Movement Scale (AIMS) is the gold standard for monitoring TD symptoms. It is recommended to screen patients at the start of antipsychotic treatment, annually for most patients, and every six months for high-risk groups, including older adults and those on FGAs. In addition, Alex Dimitriu, MD, advises clinicians to “regularly review medications for TD potential by checking for dopamine-blocking agents.”

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