expert type icon EXPERT

Dr. Ashley D. Toutounchi, M.D.

Psychiatrist

Dr. Toutounchi strives to provide a balance between incorporating both medication management in conjunction with healthy lifestyle changes. She strives to communicate in an open manner with her patients and consider the patient's preference for style of management as well as integrating into a framework of a medically therapeutic regimen. She follows both a balance between patient needs and systematically streamlines them into medication management that strives to enhance quality of living to improve her patient's quality of living on a daily basis. She specializes in treatment of Adult ADHD, anxiety, panic disorder, OCD, depression, bipolar disorder and other related psychiatric diagnoses such as women's health related issues. Upon request, she offers extended sessions for supplemental Cognitive Behavioral Therapy or Supportive Psychotherapy.

13 years Experience
Dr. Ashley D. Toutounchi, M.D.
  • Houston, TX
  • University of North Texas
  • Accepting new patients

I think I may be depressed. What do I do?

If you have never had any prior history of depression, this could be situational based on a sudden change in your day to day routine. However, even situational depression can READ MORE
If you have never had any prior history of depression, this could be situational based on a sudden change in your day to day routine. However, even situational depression can be debilitating. The options tend to be low dose antidepressant (typically monitored by a psychiatrist) along with seeing a therapist to help you develop some coping tools to manage this change in your life and get back to feeling yourself.

Sudden mental fatigue--what can it be?

There can be a number of causes for mental fatigue and this needs a full and comprehensive history and work-up to try to narrow down the cause. Sometimes abnormal labs such as READ MORE
There can be a number of causes for mental fatigue and this needs a full and comprehensive history and work-up to try to narrow down the cause. Sometimes abnormal labs such as thyroid, B12 or others can contribute to poor motivation/focus/energy. Other medical issues could contribute to this as well, such as Obstructive Sleep Apnea that is untreated as a quite common one.
Quite often lack of motivation/focus energy occur along with mood symptoms, such as low mood or anxiety. Poor focus/attention can also be incontext of other issues such as ADHD, however this tends to be more chronic (long-term) and not an issue out of the blue- but nevertheless may be as a possibility.
The next best step is to likely make an appointment with your primary physician and see their recommendations. If you are also experiencing issues with mood/anxiety as well, I would recommend to go ahead and make an appointment with a specialist, such as a psychiatrist for further investigation.