Entries by Alexander Papp, MD

,

When the Ketamine Trip is a Dud

Ketamine Works Even When You Feel Nothing Patients who receive ketamine for depression, PTSD or other indications, experience distortions of time and space, and a loss of sense of self, during the peak blood levels of ketamine. These so-called psychedelic effects are classified as side effects and they are not considered to be essential to […]

, ,

What’s in a Name, or the Curious Drug called Topiramate

Topiramate (Topamax): More Than What It’s Called! Patients frequently ask their psychiatrist: “Why are you prescribing me an antidepressant for anxiety when I’m not depressed?” or “Why are you prescribing me an antipsychotic for depression?” Their puzzlement is caused by the categorization of medications with clear-cut labels. It originated from the initial decades of pharmacotherapy, […]

,

Self-pay versus Insurance-based Practice

A respected psychiatric journal, JAMA Psychiatry, recently published a study, in which they showed that an increasing number of psychiatrists in the US have been opting out of accepting payment for services by insurance and will only see patients who pay upfront, out-of-pocket, for office visits. While the frequency of such direct-pay practices has remain unchanged […]

, , ,

When the Brain Buzzes: Understanding Zaps After SSRI Discontinuation

Known as ‘brain zaps,’ these perplexing phenomena are a fairly common yet poorly understood side effect of antidepressant discontinuation.  Brain zaps are sensations perceived as electrical flashes occurring inside the brain, typically experienced when the levels of antidepressants in the brain are dropping. The aptly descriptive term “brain zaps” emerged on Internet discussion boards, but it […]