It is estimated that as much as 9% of the U.S. population suffers from some form of eating disorder and sadly more than 10,000 people die each year from these disorders. While these statistics are alarming, the good news is that with proper treatment, one can recover from an eating disorder. It’s not easy, but with the help of a qualified eating disorder doctor, there is hope for a brighter, healthier future. 
 
Finding an eating disorder psychiatrist or therapist can be tricky, but before we provide some tips to help you find the best doctor for your needs let’s discuss some facts and myths about eating disorders in general.
 
Types Of Eating Disorders
The American Psychiatric Association recognizes several different eating disorders in its Diagnostic and Statistical Manual of Mental Disorders (DSM-5). With all of these disorders, the patient is afflicted by distressing thoughts regarding food and body image and, of course, eating behaviors also are affected severely. Here’s a quick summary of each type of eating disorder recognized in the DSM-5.
 
Anorexia Nervosa
Anorexia nervosa is a serious and potentially life-threatening eating disorder characterized by self-starvation, an intense fear of gaining weight, and a distorted body image. This disorder is characterized by the following:
 

1. Restriction of Food Intake: Persistent restriction of energy intake leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. The individual's weight is markedly below the minimum expected or, for children and adolescents, minimally expected for their age and height.
   
2. Intense Fear of Gaining Weight: Intense fear of gaining weight or becoming fat, even though underweight. This fear may persist, and the individual will continue to restrict food despite significant weight loss. 
3. Distorted Body Image: Disturbance in the way one's body weight or shape is experienced, undue influence of body shape and weight on self-worth, or persistent lack of recognition of the seriousness of the current low body weight. The individual may perceive themselves as overweight even if they are underweight.

 
Anorexia Nervosa Subtypes

• Restricting Type: Weight loss is achieved primarily through dieting, fasting, or excessive exercise. Individuals with this subtype do not engage in regular binge-eating or purging behavior.

 

• Binge-Eating/Purging Type: The individual engages in regular binge-eating or purging behaviors (i.e., self-induced vomiting or misuse of laxatives, diuretics, or enemas).

 
Physical & Psychological Complications of Anorexia:

• Cardiovascular complications, including bradycardia, hypotension, and arrhythmias.
• Osteoporosis or bone density loss.
• Gastrointestinal issues, such as constipation or gastroparesis.
• Endocrine disruptions, including amenorrhea (absence of menstruation) in females.
• Electrolyte imbalances, which can lead to severe complications, including cardiac arrest.
• Psychological issues, such as depression, anxiety, obsessive-compulsive behaviors, and social withdrawal.

 
Bulimia Nervosa
Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors to prevent weight gain. This disorder is characterized by the following:
 

1. Recurrent Episodes of Binge Eating: An episode of binge eating is characterized by both of the following:​

• Eating, in a discrete period (e.g., within any 2 hours), an amount of food that is larger than most people would eat in a similar period under similar circumstances.
• A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).  
  

   2. Inappropriate Compensatory Behaviors: Recurrent inappropriate compensatory behaviors to prevent weight  gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
    3. Frequency: The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for three months.
   4. Self-Evaluation Influenced by Body Shape & Weight: Self-worth is excessively influenced by body shape and weight.
   5. Distinction from Anorexia Nervosa: The disturbance does not occur exclusively during episodes of anorexia nervosa.

Physical and Psychological Complications:

• Electrolyte imbalances – These can lead to cardiac arrhythmias and even cardiac arrest.
• Physical damage from vomiting, including tooth erosion, gum disease, and swelling of the salivary glands.
• Gastrointestinal issues, such as acid reflux or constipation.
• Psychological issues, including feelings of guilt, shame, anxiety, and depression.
• Risk of self-harm or suicidal ideation.

 
Binge Eating Disorder
While Binge Eating Disorder (BED) may seem similar to Bulimia Nervosa (BN) in that people with either disorder will engage in binge eating. However, with Binge Eating Disorder, the individual, while concerned with weight gain, does not engage in actions to restrict this weight gain, such as vomiting or using laxatives. This disorder is more common than BN and is characterized by:
 

1. Binge Eating Episodes: Just like BN, individuals with BED have recurrent episodes of binge eating where they consume a large amount of food and feel a lack of control.
   
2. No Regular Compensatory Behaviors: Unlike BN, individuals with BED do not regularly engage in inappropriate compensatory behaviors after binge eating. This is a key distinguishing feature.
3. Frequency: Binge eating episodes occur, on average, at least once a week for three months.
4. Associated Features: Binge-eating episodes are associated with at least three of the following:
   

• Eating much more rapidly than normal
• Eating until feeling uncomfortably full
• Eating large amounts when not feeling physically hungry
• Eating alone due to embarrassment
• Feeling disgusted, depressed, or guilty afterward

     5. Physical Consequences: Individuals with BED are at increased risk for obesity and related medical conditions,  such as heart disease and type 2 diabetes. 

Avoidant Restrictive Food Intake Disorder
Avoidant Restrictive Food Intake Disorder (ARFID), previously known as Selective Eating Disorder, is a relatively new diagnosis that was introduced in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It's characterized by restrictive eating patterns that are not associated with concerns about body shape or weight. Here are some characteristics of this disorder:

     1. Restrictive Food Intake: An eating or feeding disturbance manifested by persistent failure to meet appropriate nutritional and/or energy needs, leading to one or more of the following:​

• Significant weight loss or failure to achieve expected weight gain in children.
• Significant nutritional deficiency.
• Dependence on enteral feeding or oral nutritional supplements.
• Marked interference with psychosocial functioning.

     2. Lack of Interest or Avoidance: The disturbance is not due to a lack of available food or cultural practices. It may be associated with:

• Lack of interest in eating or food
• Avoidance based on sensory characteristics of food
• Concerns about the consequences of eating (fear of choking, etc.

     3. Absence of Body Image Disturbance: The eating disturbance is not due to concerns about body weight or  shape, and the individual does not exhibit any behaviors or symptoms consistent with anorexia nervosa or bulimia nervosa.
    4. Not Attributable to Another Medical Condition: The eating disturbance cannot be better explained by another medical condition or mental disorder. 

Associated Features:
Individuals with ARFID might have a limited range of preferred foods and may be highly sensitive to the texture, smell, or taste of certain foods. The disorder can lead to social isolation, as individuals might avoid social situations involving food or may experience anxiety around meal times. Unlike other eating disorders, individuals with ARFID do not have a distorted body image and do not engage in behaviors to lose weight.
 
Rumination Disorder
Rumination Disorder is a feeding and eating disorder characterized by the repeated regurgitation of food, which may be re-chewed, re-swallowed, or spit out. This regurgitation is not due to a medical condition but is rather a repeated behavior that can be voluntary or involuntary. Here are some characteristics of this disorder:
 

1. Repeated Regurgitation: Repeated regurgitation of food for at least one month. Regurgitated food may be re-chewed, re-swallowed, or spit out.
2. Not Attributable to a Medical Condition: The behavior is not due to an associated gastrointestinal or other medical condition (e.g., gastroesophageal reflux). 
3. Not Exclusive to Anorexia, Bulimia, BED, or ARFID: The behavior does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder.
   
4. Developmentally Inappropriate: If the symptoms occur in the context of another mental disorder (e.g., autism spectrum disorder, intellectual disability, another neurodevelopmental disorder) or during a neurodevelopmental period, they must be severe enough to warrant clinical attention. 

What Causes Eating Disorders?
Eating disorders are complex and there’s no single reason why a person might develop an eating disorder. In some cases, it might be genetic, and if there is a family history of an eating disorder, one may be more likely to develop an eating disorder. For others, low self-esteem or dissatisfaction with their body might be the initial trigger and social and cultural pressures can have a huge impact on the development of eating disorders.
 
Others develop eating disorders as a result of a traumatic event, abuse or bullying. Sometimes a person in a dysfunctional relationship or a dysfunctional family can develop an eating disorder. There is no single reason why these disorders develop, and for each person, determining the root cause can be beneficial for recovery.
 
Signs A Loved One Has An Eating Disorder
While we typically think of eating disorders as afflicting young women, any person can develop an eating disorder at any age and from any walk of life. As with just about any mental or physical issue, early intervention is key, but what are some signs that loved ones should watch for? Here are a few signs that a person may have some type of eating disorder:
 
Behavioral and Emotional Signs:

• Preoccupation with Food: Constantly talking about food, dieting, counting calories, or reading about nutrition.
• Change in Eating Habits: Skipping meals, avoiding social events where food is involved, or adopting strict or unusual food rituals.
• Frequent Dieting: Especially without weight loss or with continued expressions of feeling "fat."
• Fear of Gaining Weight: Even if they are underweight.
• Frequent Checking: Constantly checking their body in the mirror, weighing themselves often, or measuring body parts.
• Mood Swings: Irritability, depression, or anxiety, especially around meal times.
• Withdrawal: Avoiding friends, family, and social events, often to hide their eating habits.

 
Physical Signs:

• Rapid Weight Loss or Gain: Fluctuations in weight without a clear medical cause.
• Stomach Complaints: Consistent complaints about constipation, stomachaches, or feeling cold.
• Menstrual Irregularities: Missed periods or irregular menstrual cycles.
• Dizziness or Fainting: Due to malnutrition or dehydration.
• Signs of Vomiting: Swollen cheeks, calluses on knuckles, or discolored teeth from frequent vomiting.

 
Other Signs To Watch For:

• Wearing Baggy Clothes: To hide weight loss or body shape.
• Secretive Behavior: Hiding food, eating in secret, or frequent trips to the bathroom after meals.
• Excessive Exercise: Engaging in intense, prolonged exercise, especially outside of regular training sessions or despite adverse weather conditions or injuries.
• Sleep Problems: Insomnia or changes in sleep patterns.
• Use of Laxatives or Diet Pills: Especially in secret or in large amounts.

 
Psychological, Emotional & Social Indicators:

• Increased Sensitivity: To comments or criticism about eating, weight, or body shape.
• Low Self-Esteem: Particularly if they base their self-worth on their body shape or weight.
• Feelings of Worthlessness: Or feelings of hopelessness, often accompanied by other signs of depression.
• Perfectionism: Setting high standards and being very critical of perceived mistakes.
• Avoiding Social Situations: Especially those involving food.
• Isolation: Withdrawing from friends, family, or activities they once enjoyed.

 
Choosing An Eating Disorder Doctor
If you suffer from any of these eating disorders, finding an eating disorder psychiatrist can be a good place to start. A psychiatrist is both a medical doctor and a mental health professional, which means that this type of doctor can diagnose both your eating disorder as well as any physical conditions that might be contributing to the disorder or caused by the eating disorder.
 
Many people with eating disorders also suffer from co-occurring disorders such as anxiety or depression, and a psychiatrist can provide you with expert care and a complete diagnosis that includes all of your physical and mental health conditions. An eating disorder psychiatrist also can create a treatment plan, that may or may not include medications, but will address all of the issues you are facing, including co-occurring disorders.
 
Typically, the treatment for eating disorders is intense psychotherapy. This might include cognitive-behavioral therapy and nutritional rehabilitation. Sometimes medications such as antidepressants also can be an effective tool for patients, and an eating disorder psychiatrist is the only mental health professional who can provide you with a prescription for these medications.
 
The best approach is to find both an eating disorder psychiatrist and a psychologist or therapist who provides care for those with eating disorders. The therapist or psychologist can provide you with talk therapy and other types of therapy to help aid in your recovery.
 
Talking with a nutritionist also can be an excellent idea, especially one that specializes in the treatment of eating disorders. Sometimes joining a support group also can be beneficial. In severe cases, it can be wise to seek long-term care in an inpatient or intensive outpatient eating disorder program.
 
In some cases, patients will be limited to finding eating disorder doctors that are covered by their insurance. If this is not an issue or you can submit an out-of-network doctor bill to your insurance provider, you have a bit more flexibility. This allows you to meet with multiple doctors and find a provider that truly seems to fit your needs and comfort level.
 
If you find that a provider makes you feel uncomfortable, I highly recommend searching for a new doctor. It can take time to find the best fit, but when you have an excellent support team, your journey toward recovery will be more successful.
 
As an experienced eating disorder psychiatrist, I offer both in-person treatment and treatment via telepsychiatry. Using a virtual psychiatrist can be a great option to consider because it expands your options beyond your local area and allows you to find the best possible match.
 
An online psychiatrist or therapist also can meet with you from anywhere you have an internet connection, which means you don’t necessarily have to skip appointments if you are out of town or perhaps not feeling well enough to attend in-person meetings. I can meet with patients either virtually or in person, or a combination of the two, depending on their needs.
 
Contact Our Office Today
Eating disorders take a huge toll on your mental and physical health, but there is hope and treatment can be successful. Millions of people have courageously and successfully recovered from eating disorders and live happier, healthier lives. The path might not always be easy, but your journey to wellness can be successful. If you need an eating disorder psychiatrist, please don’t hesitate to give us a call and set up an initial consultation.

It’s estimated that as many as five million Americans have borderline personality disorder, although that number could be higher, as many people with this condition go undiagnosed and untreated. As a borderline personality disorder doctor, I know that this mental health condition is often misunderstood and I also know that this disorder can be treated successfully, despite myths to the contrary. Let’s take a look at this mental health condition and some of the current treatment options.

In the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is produced by the American Psychiatric Association, borderline personality disorder is listed among 10 distinct personality disorders.
 
In general, a person with a “personality disorder” will experience different patterns of thought than most people. This includes how they perceive themselves as well as others, and how they respond and relate to other people. These disorders also affect behavior and emotional response. Most importantly, these disorders often cause distress and problems with daily life and relationships.
​ 
Borderline Personality Disorder (BPD) is characterized by a pattern of unstable relationships, self-image, and emotions. People with BPD often have difficulties regulating their emotions and thoughts, suffer from severe mood swings and they may exhibit impulsive and reckless behavior. Here are the primary symptoms of borderline personality disorder:

• Fear of Abandonment: People with BPD often fear being abandoned or left alone. Even something as innocuous as a loved one arriving home late can trigger intense fear. This can result in frantic efforts to keep the other person close.
  
• Unstable Relationships: Individuals with BPD tend to have relationships that are intense and short-lived. They may fall in love quickly, but their idealization of others can quickly shift to devaluation.
• Unclear or Shifting Self-Image: People with BPD might frequently change their self-image, goals, values, or even their career plans. They may view themselves as evil or bad, and sometimes they may feel as if they don't exist at all.
• Impulsive Behaviors: Engaging in potentially harmful activities such as substance abuse, binge eating, reckless driving, or spending sprees can be common among those with BPD.
• Self-Harming Behavior: Suicidal behavior or threats and self-harm, like cutting, are potential symptoms. These distressing actions often result from feelings of emptiness and boredom, or as a way to cope with intense emotions.
• Extreme Emotional Swings: Unstable emotions and moods are common in people with BPD. While they can be joyful and loving one moment, they can become irritable or anxious the next, often lasting a few hours to a few days.
• Chronic Feelings of Emptiness: Individuals with BPD often express feeling empty which can be distressing.
• Explosive Anger: They may struggle with intense anger, often finding it challenging to control. This can result in shouting, throwing things, or becoming completely consumed by rage.
• Feeling Suspicious or Out of Touch with Reality: Periods of paranoia related to stress or feeling disconnected from oneself or reality, known as dissociation, can occur.

As a psychiatrist in Westlake Village who often treats patients with BPD, I find that It's important to note that BPD is a complex disorder, and not everyone with BPD will exhibit all these symptoms. The severity and manifestation of symptoms can vary widely among individuals. If someone suspects they or someone they know may have BPD, it's essential to seek a professional diagnosis and appropriate treatment from a borderline personality disorder doctor, such as a psychiatrist or psychologist (or ideally, both). 

Borderline personality disorder (BPD) is a complex mental health condition that is often misunderstood. Several myths and misconceptions surround BPD, which can contribute to stigma and make it harder for those with the disorder to seek help and support.
 
Myth: People with BPD are just seeking attention.
Fact: BPD is a legitimate mental health disorder with specific symptoms. It's not about seeking attention but rather a struggle with emotional regulation, self-image, and interpersonal relationships.

​Myth: BPD isn't a real psychiatric disorder.
Fact: As stated above, BPD is recognized by major medical institutions and diagnostic manuals, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The Americans With Disability (ADA) Act also recognizes BPD as a disability.
 
Myth: Only women have BPD.
Fact: While BPD is diagnosed more frequently in women, men can and do suffer from it as well. The presentation of symptoms might differ between genders, leading to potential underdiagnosis in men.
 
Myth: People with BPD are manipulative.
Fact: While individuals with BPD might exhibit behaviors that seem manipulative, it's essential to understand these actions often stem from an intense fear of abandonment or rejection rather than a desire to manipulate others.
 
Myth: BPD is a result of bad parenting.
Fact: While childhood trauma or neglect can be risk factors, BPD's exact cause is unknown. It's believed to result from a combination of genetic, environmental, and neurological factors.
 
Myth: BPD and bipolar disorder are the same.
Fact: While both disorders involve mood disturbances, they are distinct conditions. BPD primarily affects interpersonal relationships and self-image, while bipolar disorder affects mood in terms of mania and depression.
 
Myth: People with BPD are violent and dangerous.
Fact: While some individuals with BPD might have aggressive outbursts, it doesn't mean they are inherently violent. Often, the anger is directed inward, leading to self-harm rather than outward violence. Self-harm, such as cutting, and suicidal thoughts and suicidal attempts are extremely common with BPD.
 
Myth: Individuals with BPD can't have healthy relationships.
Fact: While interpersonal relationships can be challenging for those with BPD, with therapy and support, many can and do have fulfilling, healthy relationships.
 
Myth: People with BPD are just being dramatic.
Fact: The emotions and reactions of someone with BPD are very real to them. Labeling them as "dramatic" invalidates their experiences and struggles.
Understanding and dispelling these myths is crucial for reducing stigma and providing appropriate support and care to those with BPD.
 
Myth: BPD is untreatable.
Fact: BPD is treatable, and many individuals with the disorder experience symptom relief and improved quality of life with appropriate therapy, such as Dialectical Behavior Therapy (DBT).

​Psychotherapy is the most common treatment option for people with BPD. There are several different types of psychotherapy that a borderline personality disorder doctor might suggest including dialectical behavior therapy (DBT), mentalization-based therapy (MBT), schema-focused therapy and other types of talk therapy.
 
While there are no FDA-approved medications available specifically to treat BPD, a borderline personality disorder doctor (a psychiatrist) can prescribe medications to treat some issues related to this disorder, such as antidepressants, mood stabilizers or antipsychotic drugs. There is also some evidence to suggest that ketamine might be a treatment option to consider.
 
Ketamine’s original purpose was as an anesthetic, but eventually, it was found to have a positive effect on reducing suicidal ideation as well as in patients with treatment-resistant depression. Ketamine must be administered in a doctor’s office; it cannot be used at home like other types of psychiatric drugs. However, for many patients, only a few treatments might be necessary to achieve a significant lessening of symptoms.
 
In general, the best approach with any mental health disorder is a combination approach that includes talk therapy and, possibly, medication. A therapist or psychologist can help with talk therapy, and a psychiatrist can help with both diagnosis and medication management. As a psychiatrist also is a medical doctor, they also can consider whether any physical issues might be contributing to your mental health issues.
 
In many cases, a person with BPD also will have a co-occurring disorder, such as anxiety, depression, an eating disorder, addiction or another type of mental illness. Your care team must address all of the issues you are facing for the treatment to be successful.
 
I find that many of my patients suffer from multiple mental health disorders and it’s crucial to dive deep and find a diagnosis and treatment plan that accounts for all of these issues. I recommend finding mental health professionals who specialize in personality and mood disorders to ensure that all of your needs are being met.
 
Borderline personality disorder can be overwhelming for patients, as well as friends and family. I highly recommend friends and family members learn all that they can about this disorder and how to help a loved one with this condition. Talk therapy also can be a helpful outlet for loved ones. This helps you discuss worries, hopes, and frustrations in a safe place and find strategies to help your loved one.
 
For patients, maintaining consistent therapy sessions is crucial. Opting for doctors who provide teletherapy or telepsychiatry is an excellent option. This allows you to keep a consistent therapy regimen even if you are away from home or unable to drive to an appointment, etc. A virtual psychiatrist or psychologist treat borderline personality disorder from anywhere you have an internet connection.
 
For some patients, skipping the occasional therapy session isn’t always a problem. However, for people with borderline personality disorder, consistency is crucial and helpful, so an online psychiatrist or therapist can be a good option.
 
I also recommend keeping life as simple as possible, maintaining a daily schedule that includes exercise, a healthy diet, a good sleep schedule and some mindfulness exercises, along with techniques you learn in therapy. Keeping a mood diary also can help you understand what types of events trigger emotional responses and help you to see these situations in a more detached way.
 
For instance, you might look through your mood journal and notice that certain situations consistently trigger feelings of fear, rejection or abandonment. You can discuss these situations with your therapist and come up with strategies that help you work through these issues. 
 
BDT is a complex mental health condition, but it is absolutely not untreatable. I firmly believe that with consistent treatment people with BDT can enjoy happier, more successful lives and see a significant reduction in symptoms. The key is to seek treatment and stay consistent with therapy and medications.
 
Despite what you may believe about yourself – you are a worthy human being, and you deserve to have a better life. Not one of us humans is perfect, and we all must work to become the best versions of ourselves. With BPD, it can be tough because you are struggling with a mental health disorder and that’s not your fault, but it’s not impossible to treat and help is out there.
 
If you are searching for a psychiatrist in Westlake Village, I treat patients in person from all over the Los Angeles area. If you live outside of this area or prefer telepsychiatry, I can provide diagnosis and treatment plans via telepsychiatry. In addition to BPD, I also work as an ADHD psychiatrist, addiction psychiatrist, and bipolar psychiatrist and treat anxiety, depression, eating disorders and many other mental health conditions. Give me a call today and let’s get you on a path toward wellness and a better life!

Depression is a complex and pervasive mental health condition that can significantly impact a person's emotional well-being and overall quality of life. While feeling down or sad occasionally is a normal part of the human experience, it becomes a cause for concern when these feelings persist, intensify, and interfere with daily functioning. If this is the case, it might be time to seek the services of a psychiatrist for depression.
​
Recognizing the signs of depression is crucial for early intervention and seeking appropriate help. In this article, we will explore five key indicators that may suggest it's time to consider consulting a psychiatrist for professional support and guidance on the journey to healing and emotional well-being. Understanding these signs can be the first step towards regaining control over your mental health and embarking on a path toward recovery.

​You've tried therapy, medication from your primary doctor, lifestyle changes, etc., but have not experienced relief from your depression symptoms. A psychiatrist for depression can evaluate other types of medication as well as alternative treatment options such as ketamine. 

​If you have been diagnosed or suspect you may have an additional mental illness such as an anxiety disorder, bipolar disorder, OCD, PTSD, etc., a psychiatrist can provide specialized treatment. Many people with depression also have a co-occurring disorder and while that can make it more difficult to find the best treatment options, an experienced depression psychiatrist can help.

Having recurring thoughts of suicide or feeling at risk of harming yourself are huge red flags, and you should consult a psychiatrist. (NOTE: If you are having suicidal thoughts, please call 911 or call the National Suicide & Crisis Lifeline by dialing 988. There is always support available for anyone experiencing suicidal thoughts or severe distress.)

​Genetics can play a role in depression, so a family history may mean you need more tailored psychiatric treatment. Your psychiatrist also can look at your medical history and that of your relatives to determine whether or not that has any impact on your mental health issues.
 
The right depression psychiatrist can help identify the roots of your depression through diagnosis and provide comprehensive treatment including therapy, medication, and lifestyle changes. 

Symptoms of Depression
When you think about depression, you might conjure up an image of a person curled up in their bed, crying or feeling sad. While that certainly can be one manifestation of depression, many other symptoms can indicate a person is depressed.
 
Physical Pain: Depression can be associated with unexplained physical pain, such as headaches, stomachaches, backaches, or muscle pains, without any apparent underlying medical cause.
 
Changes in Appetite: While a decrease or increase in appetite is common in depression, some individuals may experience specific food cravings or aversions, leading to unusual eating patterns.
 
Hypersomnia: While insomnia is a well-known symptom of depression, some individuals may experience hypersomnia, where they sleep excessively and have difficulty staying awake during the day.
 
Psychomotor Slowing: In some cases, depression can lead to psychomotor slowing, which involves slowed physical and mental activity. This can make everyday tasks feel arduous and lead to sluggish movements and speech.
 
Cognitive Impairment: Depression can affect cognitive functions, leading to difficulties with concentration, memory, and decision-making, often referred to as "brain fog."
 
Irritability or Anger: Instead of appearing sad, some people with depression may express their emotional distress through irritability, anger, or even aggression.
 
Loss of Emotional Expression: Known as "flat affect," some individuals with depression may exhibit a lack of emotional expression, appearing emotionally blank or indifferent.
 
Social Withdrawal: While some people with depression may isolate themselves, others may engage in social situations while feeling detached and emotionally distant from others.
 
Fixation on Death or Existential Themes: Unusual preoccupation with death, dying, or existential themes may be present in some individuals experiencing depression.
 
Physical Self-Neglect: Depressed individuals might neglect their physical appearance and personal hygiene due to a lack of motivation and self-care.
 
Self-Destructive Behavior: Some individuals may engage in self-destructive behaviors, such as substance abuse, reckless driving, or self-harm, as a way of coping with their emotional pain.
 
It is crucial to remember that depression affects individuals differently, and some people may experience a combination of these unusual symptoms alongside more common signs of depression. If you or someone you know is struggling with any of these symptoms or suspect depression, seeking help from a mental health professional is essential for proper assessment, diagnosis and treatment.
 
Mild Depression? What Should You Do?
Even if your symptoms aren’t impacting your ability to get work and personal tasks accomplished, mild depression reduces your quality of life, and seeking treatment can be a great option. In some cases, mild depression is common after an illness, a trauma or a life-changing event or perhaps due to changes in seasons. Many people experience some level of depression during the winter months when sunlight is at a minimum.
 
Talking with a therapist or a depression psychiatrist can be a great option to consider. Additionally, regular exercise and going outdoors can be helpful. Meditation and mindfulness exercises can help, as well. It also is recommended that you eat healthy foods and avoid alcohol and drugs, as these can worsen depression.
 
Do You Need A Depression Psychiatrist or Psychologist?
Psychiatrists are medical doctors that can prescribe medication and diagnose mental health disorders as well as other health issues but typically don’t provide talk therapy or cognitive behavioral therapy. A psychologist can diagnose mental health issues, but not physical health issues and these mental health professionals cannot prescribe medication. However, a psychologist can provide you with talk therapy and other types of therapy.
 
In many cases, I recommend that you enlist the services of both a psychiatrist and a psychologist or therapist. Multi-faceted treatment plans with therapy and possibly medication tend to yield the best results when it comes to many mental health issues, including depression and anxiety.
 
Treatment Options
There are many treatment methods available for people with depression. Some medications can help reduce symptoms, although it is important to note that it does take time to find the best medication for each patient as well as the best dosage.
 
In some cases, if medication doesn’t work, we can look into alternative treatments for depression such as transcranial magnetic stimulation (TMS), ketamine treatments or eye movement desensitization and reprocessing (EMDR).
 
If you do opt for medication, I also recommend finding a psychologist for talk therapy and also making some lifestyle choices to ensure that your physical and mental health is as strong as possible. This might include anything taking up a new hobby, art therapy, dance therapy, charity work, etc. Daily exercise, creating a daily schedule, minimizing stress and creating a soothing night/sleep schedule all can help reduce symptoms of depression.
 
How To Find A Psychiatrist For Depression
Finding a depression psychiatrist can seem like a huge challenge, but with telepsychiatry, you can expand your search field beyond setting for a “psychiatrist near me.” A virtual psychiatrist not only allows you to find the best possible match for your needs, but you can meet from the comfort of your own home or meet with your doctor when you are on vacation or on a work trip with ease.
 
When searching for a psychiatrist for depression, you can ask for recommendations from your primary care physician or friends or family members, as well as looking at patient reviews. Read over the website of each doctor carefully to see gauge whether or not their treatment philosophy feels comfortable to you. It can take time to find the right psychiatrist for your unique needs, but, in the end, finding the best care providers can ensure that treatment will be as successful as possible.
 
As an experienced psychiatrist for depression as well as many other mental health disorders, I strongly encourage anyone battling depression to seek treatment. My philosophy is that psychiatric disorders are not a weakness, they are a biological disease that is often treatable.
 
I offer both in-person psychiatric treatment and I also work as a virtual psychiatrist. In addition to serving as a depression psychiatrist, I also am a PTSD psychiatrist, bipolar psychiatrist, anxiety psychiatrist, addiction psychiatrist and an adult ADHD psychiatrist. Feel free to contact my office at any time to schedule a consultation and let’s get you on a path toward a happier, healthier future.

​As an adult psychiatrist, I fully understand the trepidation many young adults experience when transitioning from meeting with their child psychiatrist to using a psychiatrist that specializes in psychiatric care for adults. 

If you have an excellent psychiatrist that treats children, teens and adults, it probably isn’t necessary to make any changes. If your doctor does focus their practice on children and teenagers, however, it is best to find someone that specializes in adult psychiatry.
 
Some health plans also will require that you make the transition to an adult psychiatrist, although this transition usually doesn’t have to occur on the day of your 18th birthday. It’s often recommended to make the switch before you turn 19 or in some cases, the plan will allow you to keep your psychiatrist until you turn 21.
 
As you get older, your psychiatric needs can change, especially once you’ve completed puberty and your body and brain become fully developed. Adult psychiatric treatment plans can be different than those for children, and a psychiatrist that specializes in helping adults can be beneficial as you head into adulthood. Here are a few tips to help make this process a bit easier.

1. Start Early
Don't wait until the last minute to start the transition process. Begin discussing the change with your child psychiatrist well in advance, ideally a year or more before you'll need to switch.
 
2. Ask for Recommendations
Your child psychiatrist likely knows of trusted adult psychiatrists to whom they can refer you. They can help guide you to someone who will be a good fit for your needs. You also could ask your primary care physician or even trusted friends or family for recommendations.
 
3. Involve Parents or Guardians
If you're comfortable doing so, involve your parents or guardians in the process. They can provide emotional support and help manage the logistics of the transition. While you are becoming more independent, complete independence doesn’t have to end after you blow out the candles on your 18th birthday cake. Trusted adults can offer excellent advice and support if you need it.
 
4. Understand Your Diagnosis and Treatment
Make sure you have a clear understanding of your diagnosis, treatment plan, and medications before you transition. Ask your child psychiatrist to explain anything you're unclear about. I am a huge advocate for educating yourself about any mental or physical health issues – knowledge is power, and it helps you advocate for yourself and your needs.
 
5. Get Copies of Your Medical Records
Request a copy of your medical records, including mental health diagnoses, treatment plans, and medication histories. Provide these to your new psychiatrist to ensure continuity of care.
 
6. Prepare for Your First Appointment
Before your first appointment with your new psychiatrist, make a list of questions, concerns, and any symptoms you want to discuss. It’s always a good idea to compile a list of questions when meeting with any healthcare provider and be sure to take some notes during your appointment.
 
7. Be Open & Honest
During your initial appointments, be as open and honest as you can about your feelings, symptoms, and any concerns. This will help your new psychiatrist understand your situation and provide the best possible care.
 
8. Be Patient
Building a new relationship takes time. It might take a few sessions for you to feel comfortable with your new psychiatrist. As you move from adolescence to adulthood, your physical body changes and this can necessitate changes in your psychiatric care. When it comes to trying out new treatment options, it’s also wise to keep in mind that it does take time for treatment to work, so try to be patient with this process as well.
 
9. Stay Consistent
Keep up with regular appointments and follow the treatment plan laid out by your new psychiatrist. Consistency is key in managing mental health conditions. Stay consistent with any medications as well, as changing your dosage on your own or stopping medications can have serious consequences. If you have concerns about your medications, schedule an appointment with your doctor.
 
10. Advocate for Yourself
If something doesn't feel right, speak up. You know yourself best, and it's important for you to be active in your treatment plan. This can be tough for young adults, but always keep in mind that this is your life and your health. You have a right to proper care and a right to ask questions and voice concerns.

Again, the same criteria may apply as to whether or not you need to transition to using an adult psychologist or therapist. Psychiatrists are medical doctors and the only mental health professionals that can provide you with prescriptions for medications to treat mental illnesses.
 
However, while medications can be highly effective at treating mental health disorders, I find that the best treatment plans are those that also include regular visits with a therapist or psychologists. Learning strategies to help cope with symptoms is essential and talk therapy can help make day-to-day life and the transition into adulthood much easier. 

​I provide adult psychiatric services for a wide range of mental health conditions. If you need an anxiety psychiatrist, addiction psychiatrist, ADHD psychiatrist, depression psychiatrist or bipolar disorder psychiatrist, these are just a few of the issues I treat.
 
Additionally, I also provide telepsychiatry services, which can be a convenient option for many patients. Using a virtual psychiatrist can be less stressful and save time, but it also can be extremely convenient for young adults. If you are attending college away from home, for example, we can still meet and continue treatment without waiting until you are home for vacation or breaks.
 
Remember, transitioning to an adult psychiatrist is a big step towards independence and self-management in mental health. While it may be challenging at times, it's an important part of your journey. 

If you or a loved one is experiencing symptoms of bipolar disorder, finding a psychiatrist specializing in bipolar disorder can be the first step toward an easier, happier life. There are many treatment options available, and while it can take time to find the best options for you, help is available, and treatment can be successful. Let’s take a look at this illness and share some tips that can help you manage this condition.

Bipolar disorder tends to be one of the most misunderstood psychiatric disorders, often portrayed unrealistically in TV shows and movies. One of the biggest misconceptions is that people with this illness are dangerous and violent, although this is rarely the case.
 
Typically, when a person with bipolar disorder exhibits violent or aggressive behavior, there are many factors in play, such as childhood trauma, that feed into that behavior and it's not simply caused entirely by bipolar disorder. Additionally, these issues tend to manifest far more in patients with untreated bipolar disorder. When treated, people with bipolar disorder are no more violent than anyone else in the general population.
 
It's also important to understand that people with bipolar disorder are not always experiencing either mania or depression. When well-controlled, a person may not experience any severe symptoms at all. That’s perhaps the most important fact about bipolar disorder to understand – treatment can be successful and people with bipolar disorder can enjoy a successful, fulfilling life. But, there’s no one size fits all treatment, so it can take time to create a plan that truly helps reduce your symptoms and allows you to live a better life.

​There are several types of bipolar disorder, which is classified as a mood disorder. Symptoms of bipolar disorder vary based on the type of bipolar disorder you have, but people often will experience these symptoms differently.
 
In general, mood and energy levels are affected to some extent with any type of this disease, often severely. Mood stabilizers and other medications often are prescribed to reduce these symptoms; however, bipolar disorder treatment also should include additional types of therapy. 

​With a diagnosis of Bipolar I Disorder, the patient will experience both severe episodes of mania and depression. The manic episodes will last at least a week, while the depressive episodes will last at least two weeks. A diagnosis of Bipolar I also can be made if these episodes were shorter in length but required hospitalization.
 
There also may be episodes of hypomania, which is a milder type of mania. In some cases, a patient with Bipolar I also will experience symptoms of psychosis, such as confusion, delusions and even hallucinations.

​With this type of bipolar disorder, a patient will experience the same long periods of depression, but without the manic episodes, although they do typically experience some hypomanic episodes. In general, most people with Bipolar II will not experience psychosis or extreme mania as this is generally milder than Bipolar I. 

This is the mildest form of this mood disorder, but it still can cause brief episodes of hypomania and mild depression that can be quite upsetting. If you experience mood swings that seem more severe than others, cyclothymic disorder is a possible diagnosis, especially if these mood swings continue for at least two years. Typically, people with this disorder will only have brief periods where they experience normal moods.

1. Find A Specialist

Ok, easier said than done, right? Most of my patients with bipolar disorder have seen a myriad of psychiatrists specializing in bipolar disorder, not to mention psychologists, therapists and other health professionals. It can be tough to find a psychiatrist with whom you feel comfortable and to find a doctor that truly meets your needs.
 
However, these days, with telepsychiatry, you do have more options than ever before. In the past, we were often limited to finding that elusive “psychiatrist near me,” but an online psychiatrist can provide you with comprehensive treatment and the best part is that you can meet with your doctor anywhere you have an internet connection.
 
With bipolar disorder, you do need to find a psychiatrist and not just a psychologist or therapist. Psychiatrists are medical doctors, and they can assess all of your health issues and determine if any physical health conditions are impacting your mental health. They are also the only mental health professionals that can prescribe medication, which can be a highly successful treatment option for people with bipolar disorder.
 
That said, I highly recommend that you also find a psychologist or therapist that specializes in bipolar disorder. Talk therapy, cognitive behavioral therapy and other therapies can greatly reduce symptoms and help you better manage your life. A combination of medication and therapy tends to yield the best long-term results for any mental health condition.
 
2. Be Honest With Your Provider

Trust me, your bipolar disorder psychiatrist has heard it all so there is no reason not to share all of the symptoms you are experiencing. It’s also crucial that you share everything with your doctor so that they can provide you with the most accurate diagnosis. After all, many people with bipolar disorder have co-occurring disorders and we need to treat everything, not just bipolar disorder.
 
For instance, if you have an anxiety disorder or ADHD and bipolar disorder, both of which are quite common, we need to be careful about any medications that are used. There are ways to treat all of these disorders concurrently, but we need to diagnose them properly to find the best treatment.
 
I am often asked how often does ADHD co-occur with bipolar disorder? Some studies suggest that as many as 1 in 6 people diagnosed with bipolar disorder also have ADHD. ADHD symptoms can be similar to some bipolar symptoms, so we need to be very careful during the diagnostic phase to ensure that we know precisely which disorders a patient is experiencing.
 
When it comes to anxiety disorders, some studies suggest more than 40% of people with bipolar disorder also suffer from an anxiety disorder. I also find that many people with bipolar disorder suffer from addiction disorders, often as a result of trying to sort of self-medicate and reduce their symptoms. All of this needs to be addressed during treatment.
 
3. Stay Active & Eat Healthy

Regular physical activity and a balanced diet can help manage the symptoms of bipolar disorder. Exercise has been shown to reduce depression and anxiety and improve mood. Similarly, a healthy diet can support overall well-being and energy levels. Avoiding alcohol and drugs also are crucial as these can interact dangerously with your medications or trigger and exacerbate mood episodes.
 
While a consistent daily routine will not cure bipolar disorder, it can be helpful to create a workable, easy daily schedule. Don’t try to pile too much on your plate, so to speak and create a restful nighttime routine that allows you the best chance of enjoying a good night’s sleep. It’s also smart to keep a daily mood journal. Track your sleep patterns, as well, as sleep disruptions can lead to a manic or depressive episode.
 
4. Join A Support Group

You are not alone! Many people have bipolar disorder, and it can be great to talk to others with this disorder. Not only will you feel less isolated, you will likely find it beneficial to share your experiences and will probably find some good strategies to help you cope with bipolar disorder.
 
If you are the loved one of someone with bipolar disorder, I recommend educating yourself about this disorder and also perhaps seeking support as a caregiver. Both people with this disease and those that love and care for them need support!
 
5. Take Your Medications & As Prescribed
​
Medications can greatly reduce or even eliminate symptoms of bipolar disorder. Unfortunately, once those symptoms abate, many patients decide now that they feel better, they don’t need to take their medication.
 
Bipolar disorder is a chronic disease, and that means it’s always there, it’s simply being controlled by medication. Let’s compare it to asthma for a minute. This is also a chronic disease but when controlled by medication, the symptoms often go away. However, this doesn’t mean a person should stop treatment. Once you quit using your daily asthma meds, the symptoms will simply reappear.
 
It's just the same with bipolar disorder except that while it can be relatively easy to get your asthma back under control, it’s not nearly as easy to get bipolar disorder back under control. Additionally, with some bipolar medications, you cannot simply just stop using them, you must gradually taper off these medications.
 
Taking your daily medications and taking them exactly as prescribed is always the best option. If you do have concerns about your medications, contact your psychiatrist and discuss these concerns with them. They may be able to adjust the dosage or try a different medication, but it is never a good idea to simply stop taking your meds or alter the amount of your meds without professional medical advice. 

​If you need a psychiatrist specializing in bipolar disorder, I am always here to help and I offer telepsychiatry services. I also work as an anxiety psychiatrist, depression psychiatrist, addiction psychiatrist and can treat PTSD and other co-occurring disorders you may be facing. Don’t suffer another day with bipolar disorder, help is out there, and treatment can be successful. We will work together to come up with a treatment plan that truly transforms and improves your life.