expert type icon EXPERT

Dr. David J. Koehn, Ph.D.

Psychologist

Dr. David Koehn is a psychologist practicing in Fort Myers, FL. Dr. Koehn specializes in the treatment of mental health problems and helps people to cope with their mental illnesses. As a psychologist, Dr. Koehn evaluates and treats patients through a variety of methods, most typically being psychotherapy or talk therapy. Patients usually visit Dr. Koehn because they have been experiencing depression, anxiety, stress, or anger for a significant period of time and are seeking help. As a psychologist, he may perform a variety of assessments to diagnose a mental condition as well as formulate a treatment plan. Current insurance programs include Aetna Behavioral Health, Medicare, WEBTPA, Tri-Care, Multi-Plan, and currently being considered by United Health Care-Behavioral Health and Blue Cross/Blue Shield. He has active licenses in the States of FL, NC, and WY. He contracts with ComPsych for EAP and IMCS for WC.
50 years Experience
Dr. David J. Koehn, Ph.D.
Specializes in:
  • Psychologist
  • Fort Myers, Florida
  • University of Notre Dame
  • Accepting new patients

Can you help me?

It appears a lot of things are going on here. Go take the ADD assessment by Dr. Amen. See what that report says. Consider purchasing Healing the seven types of ADD by Dr. Amen. READ MORE
It appears a lot of things are going on here. Go take the ADD assessment by Dr. Amen. See what that report says. Consider purchasing Healing the seven types of ADD by Dr. Amen. Since you have spent considerable funds on treatment make an appointment with the AMEN Clinic and get them to evaluate you.

Is this combo safe?

I am not a prescribing MH professional. That said, it always is important to be smart about the MH medications you are taking regarding their relevance for treatment, their side READ MORE
I am not a prescribing MH professional. That said, it always is important to be smart about the MH medications you are taking regarding their relevance for treatment, their side effects and interaction effects with each other. You need to get this from the prescribing medical doctor as well as verify this with your pharmacist. Listed below are the meds you indicated as well as their side effects.
Oxcarbazepine is an anticonvulsant. It works by decreasing nerve impulses that cause seizures and pain. Oxcarbazepine is used either alone or with other medicines to treat partial seizures. More common side effects are: Change in vision; change in walking or balance; clumsiness or unsteadiness; cough; crying; dizziness; double vision; false sense of well-being; feeling of constant movement of self or surroundings; fever; mental depression; sensation of spinning; sneezing; sore throat; uncontrolled back-and-forth or rolling eye movements
Lorazepam is used to treat anxiety. Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). Side effects include Drowsiness, dizziness, loss of coordination, headache, nausea, blurred vision, change in sexual interest/ability, constipation, heartburn, or change in appetite may occur. Other side effects are: mental/mood changes (such as hallucinations, depression, thoughts of suicide), slurred speech or difficulty talking, vision changes, unusual weakness, trouble walking, memory problems, signs of infection (such as fever, persistent sore throat).
Citalopram, sold under the brand name Celexa among others, is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. It is used to treat major depressive disorder, obsessive compulsive disorder, panic disorder, and social phobia. Common side effects of Celexa include: constipation, nausea, diarrhea, upset stomach, decreased sexual desire, impotence, difficulty having an orgasm, dizziness, drowsiness, tiredness, sleep problems (insomnia), dry mouth, increased sweating or urination, weight changes, and cold symptoms such as stuffy nose, sneezing, sore throat, or cough.
Mirtazapine is used to treat depression. It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. Side effects can be: dizziness, drowsiness, lightheadedness, increased appetite, weight gain, dry mouth, or constipation. Serious side effects are: swelling of the hands/feet, shaking (tremor), confusion, signs of infection (e.g., fever, persistent sore throat). May cause a condition called serotine toxicity syndrome: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
Quetiapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. Side effects include: constipation, drowsiness, upset stomach, tiredness, weight gain, blurred vision, or dry mouth. Serious side effects are: restlessness/constant need to move, shakiness (tremor), mental/mood changes (such as increased anxiety, depression, thoughts of suicide), difficulty swallowing, constipation with persistent abdominal pain, persistent nausea/vomiting, loss of appetite, yellowing eyes/skin, interrupted breathing during sleep, trouble urinating

Can you have a panic attack for no reason?

Some info on your question can be found at this link: https://www.betterhelp.com/advice/panic-attacks/what-causes-panic-attacks-and-how-can-you-stop-them/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=77548444015&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=Cj0KCQiA3NX_BRDQARIsALA3fIKDkJsry3x7Jt16hYaLgJK-UzX3QJejdPYL1oz5iu8x8CaKKteC12kaAhS7EALw_wcB READ MORE
Some info on your question can be found at this link:
https://www.betterhelp.com/advice/panic-attacks/what-causes-panic-attacks-and-how-can-you-stop-them/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=77548444015&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=Cj0KCQiA3NX_BRDQARIsALA3fIKDkJsry3x7Jt16hYaLgJK-UzX3QJejdPYL1oz5iu8x8CaKKteC12kaAhS7EALw_wcB

How long does it take for a panic disorder to go away?

Note this link for some info on your question: https://www.helpguide.org/articles/anxiety/panic-attacks-and-panic-disorders.htm#:~:text=Panic%20attack%20signs%20and%20symptoms,anywhere%20and%20at%20any%20time. or https://www.healthline.com/health/mental-health/how-long-do-panic-attacks-last READ MORE
Note this link for some info on your question:
https://www.helpguide.org/articles/anxiety/panic-attacks-and-panic-disorders.htm#:~:text=Panic%20attack%20signs%20and%20symptoms,anywhere%20and%20at%20any%20time.
or
https://www.healthline.com/health/mental-health/how-long-do-panic-attacks-last

Can panic disorders be cured?

Some insight into your question can be found at:
https://www.verywellmind.com/can-panic-disorder-be-permanently-cured-4016948

Is there a difference between anxiety and panic disorder?

See this link... https://www.betterhelp.com/advice/anxiety/what-is-the-difference-between-anxiety-attack-vs-panic-attack/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=77548444015&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=Cj0KCQiA3NX_BRDQARIsALA3fIJk0JQcu8RMy0Y_2ErbJ316SvFBEblwupJKrh4g_Vv7f3YsqR5CroYaAvc1EALw_wcB READ MORE
See this link...
https://www.betterhelp.com/advice/anxiety/what-is-the-difference-between-anxiety-attack-vs-panic-attack/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=77548444015&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=Cj0KCQiA3NX_BRDQARIsALA3fIJk0JQcu8RMy0Y_2ErbJ316SvFBEblwupJKrh4g_Vv7f3YsqR5CroYaAvc1EALw_wcB

What is the best medicine for panic disorders?

Check this link out...
https://www.verywellmind.com/medications-for-panic-disorder-2584307

What causes someone to be a pill addict?

Take a peek at this link... https://www.drugabuse.gov/publications/drugfacts/understanding-drug-use-addiction or https://theconversation.com/the-real-reason-some-people-become-addicted-to-drugs-81004 READ MORE
Take a peek at this link...
https://www.drugabuse.gov/publications/drugfacts/understanding-drug-use-addiction
or
https://theconversation.com/the-real-reason-some-people-become-addicted-to-drugs-81004

Should I see a psychologist for panic attacks?

Note this link... https://www.apa.org/topics/anxiety-disorders#:~:text=Psychologists%20are%20trained%20in%20diagnosing,effective%20at%20treating%20anxiety%20disorders. or https://www.goodtherapy.org/learn-about-therapy/issues/panic READ MORE
Note this link...
https://www.apa.org/topics/anxiety-disorders#:~:text=Psychologists%20are%20trained%20in%20diagnosing,effective%20at%20treating%20anxiety%20disorders.
or
https://www.goodtherapy.org/learn-about-therapy/issues/panic

What disorders are best treated with cognitive therapy?

See this link: https://www.nami.org/About-Mental-Illness/Treatments/Psychotherapy or https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610 READ MORE
See this link:
https://www.nami.org/About-Mental-Illness/Treatments/Psychotherapy
or
https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610

How does alcohol affect anxiety and depression?

Take a look at this link...
https://www.healthline.com/health/alcohol-and-anxiety
or
https://www.webmd.com/depression/guide/alcohol-and-depresssion#1

What are the weaknesses of cognitive behavioral therapy?

Some insight into your question can be found at this link:
http://www.thecbtclinic.com/pros-cons-of-cbt-therapy

Can CBT help with relationships?

See this link:
https://www.psychologytoday.com/us/blog/think-act-be/201703/8-ways-cbt-can-improve-your-relationship

What is social psychotherapy?

Basically it is: Social therapy is primarily a group-oriented approach. Its practitioners relate to the group, rather than individuals, as the fundamental unit of development. READ MORE
Basically it is:
Social therapy is primarily a group-oriented approach. Its practitioners relate to the group, rather than individuals, as the fundamental unit of development. ... This is in contrast to more traditional forms of therapy that relate to and understand human beings through the lens of behavior.

What are examples of social psychology?

Check this link out:
https://www.verywellmind.com/social-psychology-4157177

Can you go to therapy for stress?

See this link for some insight into your question:
https://www.healthline.com/health/therapy-for-stress

Spouse on antidepressants?

See this link, especially tab dealing with side effects... https://www.webmd.com/drugs/2/drug-35/zoloft-oral/details. Since she is experiencing these side effects get her to discuss READ MORE
See this link, especially tab dealing with side effects...
https://www.webmd.com/drugs/2/drug-35/zoloft-oral/details.
Since she is experiencing these side effects get her to discuss this with her medical team to modify/change medication.

What is my mental disorder?

First thing is for you to get smart about what are the impacts, side effects and interaction effects of these combination of meds. Here is a quick summary of these meds: Fluvoxamine, READ MORE
First thing is for you to get smart about what are the impacts, side effects and interaction effects of these combination of meds.
Here is a quick summary of these meds:
Fluvoxamine, sold under the brand name Luvox among others, is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class which is used primarily for the treatment of obsessive–compulsive disorder (OCD).
Clonazepam is a benzodiazepine. It is thought that clonazepam works by enhancing the activity of certain neurotransmitters in the brain. Clonazepam, a type of anti-epileptic drug, is used to treat certain seizure disorders (including absence seizures or Lennox-Gastaut syndrome) in adults and children.
Trifluoperazine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Trifluoperazine is also used on a short-term basis to treat anxiety in people who have not been helped by other medications.
Sertraline is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Sertraline affects chemicals in the brain that may be unbalanced in people with depression, panic, anxiety, or obsessive-compulsive symptoms.
Paliperidone is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Paliperidone is in a class of medications called atypical antipsychotics.
Sodium valproate is used to treat epilepsy and bipolar disorder. It's occasionally used to prevent migraine headaches. This medicine is only available on prescription. It comes as capsules, tablets and a liquid that you swallow. It also comes as granules that you mix with food or drink.

You need to address your question with your medical team. Some of these mood stabilizing meds are to treat schizoaffective and schizophrenia disorders and others to treat various forms of depression and anxiety.

Why do I have episodes where everything is super loud and fast in my head?

Take a look at this link for some insight into your question:
https://patient.info/forums/discuss/screaming-fast-thoughts-498213

Do you think I have depression?

You appear to have some signs of depression - see this link for a review of symptoms: https://www.betterhelp.com/advice/depression/what-are-symptoms-of-depression-how-to-see-the-signs/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=82966718848&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=CjwKCAiA_eb-BRB2EiwAGBnXXsAY75AGpWCbilTdDLM8ZOHAqzPbZ6yr2cMABO5RqEI84Nb2v-Sr1hoC2f4QAvD_BwE or https://facty.com/conditions/depression/10-signs-of-depression/?style=quick&utm_source=adwords&adid=359454102640&ad_group_id=72347729036&utm_medium=c-search&utm_term=%2Bsigns%20of%20%2Bdepression&utm_campaign=FH-USA---Search---Depression-Signs---Desktop&gclid=CjwKCAiA_eb-BRB2EiwAGBnXXlhVg2_wlYHIAGYkE_9m88CO_Yd7knC7ipovB1X-JkiV_u4dHxRp0xoC-DMQAvD_BwE READ MORE
You appear to have some signs of depression - see this link for a review of symptoms:
https://www.betterhelp.com/advice/depression/what-are-symptoms-of-depression-how-to-see-the-signs/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=_b&utm_content=82966718848&network=g&placement=&target=&matchtype=b&utm_campaign=6459244691&ad_type=text&adposition=&gclid=CjwKCAiA_eb-BRB2EiwAGBnXXsAY75AGpWCbilTdDLM8ZOHAqzPbZ6yr2cMABO5RqEI84Nb2v-Sr1hoC2f4QAvD_BwE
or
https://facty.com/conditions/depression/10-signs-of-depression/?style=quick&utm_source=adwords&adid=359454102640&ad_group_id=72347729036&utm_medium=c-search&utm_term=%2Bsigns%20of%20%2Bdepression&utm_campaign=FH-USA---Search---Depression-Signs---Desktop&gclid=CjwKCAiA_eb-BRB2EiwAGBnXXlhVg2_wlYHIAGYkE_9m88CO_Yd7knC7ipovB1X-JkiV_u4dHxRp0xoC-DMQAvD_BwE