I have seen many patients who complain of either or both derealization and depersonalization. These are dissociative experiences that can occur separately or together, often in response to stress or trauma. They also qualify as “psychotic” symptoms, meaning, these symptoms are characterized by a disconnection from reality. Derealization is a feeling of detachment from one’s...

If you suspect you might have ADHD, consider the following signs: Inattention: Difficulty focusing on tasks, frequently losing things, becoming easily distracted, or making careless mistakes. You might struggle with organizing tasks, forget daily responsibilities, or have trouble following through on instructions. Hyperactivity and Impulsivity: Restlessness, fidgeting, difficulty sitting still, talking excessively, or acting without...

If a person is very depressed with or without feeling suicidal, there are two methods I recommend to remit these feelings right away:  lithium and ketamine.  Why?  All the antidepressants available (SSRIs, SNRIs, older drugs like tricyclics or MAO-I’s) will take approximately one month to help a person start to feel better.  While some people...