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Ask A Psychiatrist, with Dr. Erik Messamore
United States
เข้าร่วมเมื่อ 13 ก.พ. 2018
Moving useful mental health information out of libraries or textbooks and into the hands of people who need it.
Everyone deserves to know what science knows, especially if that knowledge can help someone get better.
Send me a question. Let me know what you'd like to know.
Videos in this channel explain the causes of symptoms, the treatment options that are available, why treatments sometimes don’t work, and what to do if they don’t.
This channel provides general knowledge about medical and mental health topics. It is for informational purposes only - and is not a substitute for personalized medical advice, diagnosis, or treatment. Please address specific concerns or questions with your personal healthcare provider.
Views and opinions expressed in this channel do not reflect or represent the policy or position of any prior or current employers.
Everyone deserves to know what science knows, especially if that knowledge can help someone get better.
Send me a question. Let me know what you'd like to know.
Videos in this channel explain the causes of symptoms, the treatment options that are available, why treatments sometimes don’t work, and what to do if they don’t.
This channel provides general knowledge about medical and mental health topics. It is for informational purposes only - and is not a substitute for personalized medical advice, diagnosis, or treatment. Please address specific concerns or questions with your personal healthcare provider.
Views and opinions expressed in this channel do not reflect or represent the policy or position of any prior or current employers.
Clozapine: Benefits, Reducing Side Effect Risks, and Alternatives
This is a recorded lecture. It was given at the monthly Psychosis Education Event in January, 2023. The monthly Psychosis Education Event consists of a free lecture on some mental health related topic, followed by an open-forum question/answer session with a psychiatrist and clinical psychologist. It is free of charge and open to the public. If you would like to join, send me a note via askapsychiatrist.info
Clozapine is the most effective medication for schizophrenia. It is the only medication with FDA approval for reducing suicide risk. About 30% of people with schizophrenia do not get significant benefit from standard antipsychotic medication -- yet in that subset of individuals, clozapine is successful in about 50% of cases (the success rate of other antipsychotic medications is about 7% to 14%).
This lecture discusses:
1. Why do some people with schizophrenia-like symptoms not respond to standard, first-line antipsychotic medications?
2. What are the unique advantages of clozapine?
3. What are the most common or worrisome clozapine side effects, and how can their risks be minimized?
4. Are there any alternatives to clozapine?
Clozapine is the most effective medication for schizophrenia. It is the only medication with FDA approval for reducing suicide risk. About 30% of people with schizophrenia do not get significant benefit from standard antipsychotic medication -- yet in that subset of individuals, clozapine is successful in about 50% of cases (the success rate of other antipsychotic medications is about 7% to 14%).
This lecture discusses:
1. Why do some people with schizophrenia-like symptoms not respond to standard, first-line antipsychotic medications?
2. What are the unique advantages of clozapine?
3. What are the most common or worrisome clozapine side effects, and how can their risks be minimized?
4. Are there any alternatives to clozapine?
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Delusion, in small amounts, is a risk many are willing to take to escape shallow living and missing the point. When any theologian delves into a religious text to interpret it they often add meaning that’s not in the text. That can mean they are delusional in their belief. But theology in principle isn’t wrong even if it leads to some delusions. This is just one example on how it is better to be slightly delusional than completely shallow minded and living with hardly any imagination at all.
After getting off trazodone, best I can get for sleep was at most 3 hours in 24 hours. Bandaid of alcohol helped me sleep but it's not convenient. 5 years later, I still can't sleep without alcohol. Seeing a sleep dr atm. Still trying to get fixed up
I’m a clinician, I work with serious acute mental illnesses with AVH would introducing my consumers to new stimuli help awaken or help with what antipsychotics are doses to ?
What cbd I can use for my schizophrenia
Pan Krzysztof Kamiński z zespołem z UJ wynalazł cząsteczkę, która odpowiada glutaminianowi, ale sprzedał licencję do Ameryki..
Maybe you should join the MAHA movement.... ... gift ... ... for .... help... I wrote emails to congressman Schweikert.... One doctor got arrested in Russia...
I quit for years and have found used periodically can help with my symptoms. I found regular use can make my symptoms less manageable but 1-3 times a week is the sweet spot for me.
Thank you for this video. I appreciate your expertise.
Here because a friend of mine has these symptoms. She believed for awhile she had parasites in her body. Apparently she told me she went to 26 MDs and they all told her nothing was wrong. She ended up going to a chiropractor quack who used a laser light to scan her body for a year and said she was all clear after she wasted thousands of dollars on "treatment." This was about 10 yrs ago. Today, she now has a few other more mild delusions and that is why I tried to armchair diagnose her because I noticed some disturbing patterns. She was severely traumatized as a child by her father. As her friend, this is way above my "pay grade" and I keep my psychology research to myself. No one can seem to be able to help her and she has a therapist and a life coach. Some I believe have even taken advantage of her ie. she pays a life coach thousands of dollars a month for 10 ys. I realize there is nothing I can do. I believe the delusional disorder affects different aspects of her life and if you do not know her well, you would think the life coach pursuit was normal but knowing her well, I think she is suffering from delusions in more than one area of her life. She is a vivacious loving person and it is sometimes sad and frustrating to me to see her suffer needlessly.
A "VERY" Few. Like In 2 !* This Is A "BIG PHARMA" Puppet !* Trazodone Is Just Too Cheap.
Has anyone been told the reason why marijuana does this to some people and what exactly is going on with it in my body to cause this? Why doesn't it happen to everyone who uses marijuana? Is it a allergy? Can I just take allergy meds for it then?
They don’t know a mechanism of action, diagnosis is based on elimination of other diseases, tons of stigma at hospitals around smoking pot. Some solid science is sciencing here. I had a misdiagnosis of CHS for a year before I had an MRI and found out it was actually a congenital birth defect. Lots of stigma around smoking pot at the hospital.
And tbh if you really want to be healthy make sure you don’t drink alcohol, like ever. That is the real poison.
@catherinedamico4596 I stopped drinking 8 years ago
My problem ended up being my pancreas. Gallstones and pancreatitis are other conditions with similar symptoms to CHS
I just took 50 mg i will keep you posted cause i need to sleep so badly.
If a person constantly hears voices, but the voices are perceived as coning from outside their heads vs inside their heads, can that distinction potentially offer a different diagnosis?
I am in 2.5 mg of Aripiprazole per day only . Is it sufficient for relapse prevention in schizophrenia?
I have been taking 2mg.of Xanax at bedtime for 15 years straight following 3 hip replacements and tried to slowly taped off with no success, either I take it and sleep well or I get down to 1.5 mg. and only sleep 3-4 hrs max. Honestly at 63 years old I hope pass before I have to go through most of the side effects I have read about. My Doctor retired and we moved and now I have to see a psychiatrist to get refills. The only positive point I see is that body has not built up a tolerance requiring more medication. I can't imagine how some doctors were prescribing 6-8 mg. PER day for some patients, I would be blowing spit bubbles all day. Doctor's need more education on the side effects of meds and quit helping to slowly kill patients by denying them pain medications under light supervision.
There are no treatments that Work Omai God please wake up. We have to survive this there is no help out there for this we just have to hope we have people around us that will keep us safe feed us well and keep us away from these neurotoxic drugs that they want to give us to treat this how horrifying is that the very drugs that did this to us they want to give us to treat . it’s scary to me that someone thinks there’s a cure for this out there. The only cure for this is time and believing you can heal. I have found absolutely no help from the outside world none the only thing they’ve done is hurt me more please be careful No, I’m not a doctor. I’m merely someone trying to survive eight years of this horrific injury. It’s a physical injury.
Does anyone know of any psychiatrists that will prescribe this?
This drug is horrible.
Blood pressure pills is garbage, this is the worst information I've ever heard where benzo withdrawal
HA! I guess this is another disorder I'm being trying to be diagnosed with. And I right, Google? 👎👎
legalise in norway pleace
is it from high thc low cannabinoid cannibus? i didnt hear of that in the 90s, and i suppose back then it was 5 percent to 10 percent, unlike the stuff nowadays.
I’m scared to take this medicine.. I got it for my ear infection
Smoked when I was younger and never had this happen. Smoked one time after 20 yrs and projectile vommited 4 times, wtf ?
So where do things like this leave all the people who developed schizophrenia and schizoaffective without ever having touched a drop of alcohol or any other illicit drugs? Do they even have the same disease?
Ive had some weird experiences on weed but the only time ive had a full blown psychotic episode was when they gave me adderall for adhd. That stuff kept me awake for over 5 days no matter how small a dose. Was taking 1mg and still douldnt sleep. I take dex and sleep like a baby now.
Hi whats dex plz
@maggiemcdonald3185 dextroamphetamine
Sounds like we need more testing, because for example, lithium has been put like a miracle mineral but it is so toxic that idk what's worse, hurting your liver or manage bipolar with a half functional brain...
I know three people with Bipolar Disorder. All three have used marijuana and firmly believed that it helped them, However, over a few months timeframe using high THC marijuana daily all three patients developed extremel mania, with intense anxiety and insomnia. Two of them threatened suicide, two of them threatened homicide, two of them were experiencing paranoid psychotic delusions and hallucinations. All three continued to insist that the marijuana was helping them - because they could only see the very real short term calming effect. After showing them the literature and explaining the causality two of them stopped using and fully recovered quickly. The other required 6 months to recover but now has fully recovered. There is a good paper in Psychiatric Times titled “Cannabis Induced Bipolar.” The author verifies my experiences saying that almost all bipolar patients will say that it helps them while in reality it is causing their extreme mania!
It’s not the pot, it’s what their growing it in. This was non existent before the legalization of pot. Never existed.
I've been a daily cannabis user for 35 years and recently diagnosed with bipolar disorder at age 50 after being diagnosed with emphysema which interfered with my ability to continue my cannabis use. That to me is enough proof it was helpful to my bipolar otherwise I'd had that diagnosis prior to my diagnosis of bipolar right?
Help me
Haldol can cause catatonia.
If they decreased glutamate why helped in schizophrenia, isn't that against the theory
Antipsychotika zerstören das Hirn! Sprechen hilft aus der Psychose! 😢😢😢 Ich habe Akathisie die Hölle😢😢😢
Antipsychotika zerstören das Hirn! Sprechen hilft aus der Psychose!😢 Ich habe Langzeitschäden 😢 Akathesia, Insomnie, keine Gefühle mehr😢
I find eating THC helps me with my mental health weed can help u in so many ways eating it better then smoking it I find I also now use 2 to 1 THC to CBD
Statment. I see and hear things which I know are my mind playing tricks on me. Myself? As much as I'd like to blame someone or something for these occasions, my logic runs out as I don't believe that I'm anywhere near important enough to warrant anyone or anything undermining me in such a manner.
I had a brief psychotic episode this year. I was dabbing, but I was also getting absolutely no sleep for a few weeks because of chronic back pain and I was on hydrocodone and flexiril along with the dabs. The hospital at first said it was cannabis psychosis but then after hearing how I wasn’t sleeping and was taking painkillers and highly stressed I think they kind of changed their mind and blamed the weed less. I’ve smoked weed every day for 15 years and never had a problem until now. I love weed. How can I know whether it will cause problems in the future if I smoke again? I truly believe that lack of sleep and stress and painkillers and also stopping alcohol at the same time had more to do with it than the weed did.
Indeed the hot showers are a big time out from puking and feeling sick
The vibes in the world are far too dark to take this plant lightly. That also goes for any 'medicinal or mind altering substance. We are in a perilous and fragile time, seek God instead.
I've been using cannabis for 30 years. Never had I had this happen until this year. It's only from super high potency products such as 50mg to 200mg edibles and live resin vape cartridges and rosin. Now I have to stop my favorite loving cannabis for life because of no dam research. No truth. Well now I can't buy any cannabis. Don't lose your people, warn us. God dammit😢😢😢😢😢😢😢😢
Propranolol did nothing for my medication-induced akathisia.....
Akathisia is absolute agony constantly....... crawling out of your skin is a good way to describe the absolutely least you could do to stop the feeling.... it doesn't feel like restlessness, it feels like your nerves are constantly being stimulated regardless of what you want, or if you want to relax...... it's like restless leg syndrome, if you felt it over every inch of your body...... I wish I could have found a psychiatrist that would have listened to me years ago, but just as someone else had commented, I found that psychiatrist didn't help, you're on your own.... I am so lucky I finally found a nurse practitioner that actually listens to me. Doesn't mean the problem is solved, doesn't mean everything is peachy keen now, but at least he listens to me and if I say a medication is causing issues, he will respond accordingly..... I wish I could have found someone like him when I was in my twenties or thirties....
Thank you for covering this...... they gave it to me for hives, and just told me to watch out for severe depression. I had to look this up, because my anxiety is out of control, and I'm a very very calm person but I am becoming agitated, anxious, on edge, I don't seem like myself at all..... I am ending this today, I'm so glad I looked it up now instead of continuing to take it for months or years and suffering, or worse.....
Dr Messamore, why are not both gaba and glutamate given to schizophrenia patients in lieu of or in concert with antipsychotics?
Please help me. I’ve been suffering since September 2023. I’ve been doing my research and discovered Akathisia. I think this is what I have. I’m losing my hope. I need help soon, I want to save my life. I don’t want to die, but this constant torture is too much. My body feels like it’s starting to break down from all the stress on my body. I’ve reached out to family members. Most people have turned their backs on me. They don’t understand how horrible this is. I’m afraid I’m going to die if I can’t get the help I desperately need. This condition is not fair. It’s hard to get people to believe you. 😢
hi my friend, are you getting help now?
I take haloperidol as well as invega paleperidone i cant spell it 25 miligrams not sure of the shot, i was wondering about talking with my doctor about taking me off of the haldol because its too much its making me feel bad or wearing thin or i feel like im going through withdraw with the haldol ive been on haldo for ten years or more and im tired of it but i like my invega and they stopped my haldol shot
Uh, "schizophrenia" is not a brain disease. It is an emotional disorder caused by environment.
Thank you for the information.
I son hears voices everyday,and he has smoked weed since he was 16 and I caught him doing meth,this is not a good combination so please don't do it,he goes nuts for about 3 days not eating And sleeping,had him hospitalized 2 times but he won't leave the pot alone.He is disabled can't do anything so sad.
Debbie first of all, your a dumbass. I hope your son can find happiness and a beautiful recovery journey. These comments are so ignorant and uneducated. Your son's probably seeing things bcuz he is going thru meth psychosis. The devils lettuce doesn't make the shadow ppl come, meth does Debbie. Your son's disabled and there's NOTHING you can do about it?! It's called IOP, Rehab, NA, support groups, or even a mom that's not a judgemental fuckstick.....weed and merh are two different things with 2 completely different highs. Weed meth and heroin should not have ever been classified in the same group. They are not the same. Do some research Debbie. Try being a drug addict Debbie and then give ppl ur stupid fucking opinion.