EXPERT
Dr. William T. Goldman, MD
Psychiatrist
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> </p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> Dr. Goldman is Board-Certified by the American Board of Psychiatry and Neurology, in practice since 1998, who specializes in the evaluation, diagnosis, and pharmacologic treatment of a wide variety of mental health disorders in children, adolescents, and adults. His practice scope encompasses a wide variety of behavioral, developmental, and emotional disorders. Dr. Goldman limits his practice to the psychopharmacologic intervention and treatment of disorders such as depression, bipolar disorder, OCD, anxiety disorders, autism spectrum disorders, and ADHD across ages from 4 to 65 years old. Researching and utilizing the most up-to-date and cutting-edge treatment modalities is the prime focus for Dr. Goldman’s practice, being one of the few physicians in the United States to use Ketamine infusions for Treatment Resistant Depression. </p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> Dr. Goldman is a Phi Beta Kappa and Magna Cum Laude graduate of the University of Texas at Austin, and earned his Doctor of Medicine degree from the University of Texas Southwestern Medical School in Dallas. He then completed his psychiatric residency through Parkland Hospital and underwent fellowship training through Children’s Medical Center of Dallas. Previously, Dr. Goldman worked at The Minirth Clinic in Richardson, Texas before opening his private practice. Dr. Goldman is the co-founder of Southlake Psychiatric & Counseling Center and has been in the Southlake community since 2003. Through frequent Continuing Medical Education program attendance and consistent study of the constantly-updated psychiatric medical literature, Dr. Goldman seeks to provide the latest in state-of-the-art medication treatment of psychiatric disorders. As the medical evidence demonstrates, Dr. Goldman strongly encourages a multi-modal treatment approach that includes medication(s) as well as individual and/or family psychotherapy and counseling. With his many professional connections in the area, he coordinates finding the most appropriate psychotherapist for each individual's needs, as well as makes relevant referrals to skilled psychologists that can provide comprehensive psychological and neurocognitive testing when needed.</p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> </p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> A diplomate of the American Board of Psychiatry and Neurology, Dr. Goldman is also certified in Clinical Psychopharmacology by the American Society of Clinical Psychopharmacology. He currently is an Adjunct Clinical Professor at the University of Texas at Arlington, co-founder of the Northeast Tarrant County Mental Health Professionals, and a member of Mensa International. Dr. Goldman strongly believes in the coordinated treatment of psychiatric disorders involving coordination and connecting with psychotherapists, primary care physicians, and family members where appropriate. Always a student of the art and science of medicine, Dr. Goldman participates in a variety of Continuing Medical Education activities and searches through the medical literature for promising and upcoming new directions in medical psychiatric treatment to be on the cutting edge of psychopharmacology. As such, he is one of few psychiatrists in the United States offering outpatient Ketamine treatment for severe treatment-resistant depression and bipolar depression; oxytocin for autism spectrum disorders (Asperger’s, Pervasive Developmental Disorder, High-Functioning Autism); and the latest options in the treatment of alcohol abuse and addiction.</p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> Dr. Goldman is Board-Certified by the American Board of Psychiatry and Neurology, in practice since 1998, who specializes in the evaluation, diagnosis, and pharmacologic treatment of a wide variety of mental health disorders in children, adolescents, and adults. His practice scope encompasses a wide variety of behavioral, developmental, and emotional disorders. Dr. Goldman limits his practice to the psychopharmacologic intervention and treatment of disorders such as depression, bipolar disorder, OCD, anxiety disorders, autism spectrum disorders, and ADHD across ages from 4 to 65 years old. Researching and utilizing the most up-to-date and cutting-edge treatment modalities is the prime focus for Dr. Goldman’s practice, being one of the few physicians in the United States to use Ketamine infusions for Treatment Resistant Depression. </p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> Dr. Goldman is a Phi Beta Kappa and Magna Cum Laude graduate of the University of Texas at Austin, and earned his Doctor of Medicine degree from the University of Texas Southwestern Medical School in Dallas. He then completed his psychiatric residency through Parkland Hospital and underwent fellowship training through Children’s Medical Center of Dallas. Previously, Dr. Goldman worked at The Minirth Clinic in Richardson, Texas before opening his private practice. Dr. Goldman is the co-founder of Southlake Psychiatric & Counseling Center and has been in the Southlake community since 2003. Through frequent Continuing Medical Education program attendance and consistent study of the constantly-updated psychiatric medical literature, Dr. Goldman seeks to provide the latest in state-of-the-art medication treatment of psychiatric disorders. As the medical evidence demonstrates, Dr. Goldman strongly encourages a multi-modal treatment approach that includes medication(s) as well as individual and/or family psychotherapy and counseling. With his many professional connections in the area, he coordinates finding the most appropriate psychotherapist for each individual's needs, as well as makes relevant referrals to skilled psychologists that can provide comprehensive psychological and neurocognitive testing when needed.</p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> </p>
<p class="paragraph_style_2" style="color: #5f5f5f; font-family: ComicSansMS, 'Comic Sans MS'; font-size: 24px; font-stretch: normal; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; line-height: 40px; margin: 0px; opacity: 1; padding-bottom: 4px; padding-top: 0px;"> A diplomate of the American Board of Psychiatry and Neurology, Dr. Goldman is also certified in Clinical Psychopharmacology by the American Society of Clinical Psychopharmacology. He currently is an Adjunct Clinical Professor at the University of Texas at Arlington, co-founder of the Northeast Tarrant County Mental Health Professionals, and a member of Mensa International. Dr. Goldman strongly believes in the coordinated treatment of psychiatric disorders involving coordination and connecting with psychotherapists, primary care physicians, and family members where appropriate. Always a student of the art and science of medicine, Dr. Goldman participates in a variety of Continuing Medical Education activities and searches through the medical literature for promising and upcoming new directions in medical psychiatric treatment to be on the cutting edge of psychopharmacology. As such, he is one of few psychiatrists in the United States offering outpatient Ketamine treatment for severe treatment-resistant depression and bipolar depression; oxytocin for autism spectrum disorders (Asperger’s, Pervasive Developmental Disorder, High-Functioning Autism); and the latest options in the treatment of alcohol abuse and addiction.</p>
30 years
Experience
Dr. William T. Goldman, MD
- Southlake, TX
- University of Texas Southwestern Medical Center Southwestern Medical School
- Accepting new patients
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What happens when you come off antidepressants?
First, you must talk with your treatment provider about your desire to stop medication. That person can help address any side effects you may be having, as well as guide you READ MORE
First, you must talk with your treatment provider about your desire to stop medication. That person can help address any side effects you may be having, as well as guide you as to how to taper down slowly on your medication, if appropriate. You should NOT just stop an antidepressant. Second, studies show that if you have been taking an antidepressant medication for 9-12 months, and are feeling back to your normal self (= remission from depression) and this is your first depressive episode, then after proper tapering from the medication you will have about a 50% chance of not having a depressive episode again. Third, that being said, there is a 50% risk of lifetime recurrence- meaning you will want to watch for signs of a returning depression which can occur months to years later. Coordinating with your prescriber on discontinuing antidepressant medications is the best thing you can do for yourself.
Can you take anti-anxiety medicine while overweight?
Being overweight or obese has absolutely nothing to do with being allowed to take anxiety medications- totally safe
Do antidepressants make you sleepy?
That depends on the specific antidepressant and you. There are some people that experience sedation with antidepressants, and there are some antidepressants more likely than others READ MORE
That depends on the specific antidepressant and you. There are some people that experience sedation with antidepressants, and there are some antidepressants more likely than others to cause sedation. On the other hand, Lexapro (escitalopram) for example can cause one person to be sedated, another to feel insomnia, and others to have no change in their energy level. The antidepressants that seem to be the most sedating are the older tricyclic antidepressants (amitriptyline, for example), trazodone, mirtazepine, paroxetine, and maybe duloxetine. Often switching the antidepressant timing from a morning dose to a bedtime dose can help with this situation, but if it does not, then talk to your prescriber about alternative antidepressants.
Do antidepressants do more harm than good?
Simply, antidepressant medications are NOT harmful (unless they are causing side effects), and they absolutely are NOT addictive.
Why is my anxiety so high?
There are a lot of reasons why you may be experiencing high anxiety, usually viewed as "situational" and biologic. Since I do not know the details of your life, I cannot comment READ MORE
There are a lot of reasons why you may be experiencing high anxiety, usually viewed as "situational" and biologic. Since I do not know the details of your life, I cannot comment on the situational aspects that may be playing a role in generating or perpetuating your anxiety. As far as biological determinants of abnormal anxiety, there are anxiety disorders that can be caused by substances (alcohol, cannabis, others), caused by illness or a disease process (Mitral Valve Prolapse, heart arrhythmias, endocrine disorders, Multiple Sclerosis, Dementias, to name a few) and those caused by genetics. At 22 years of age, I would wonder if you have a family history of anxiety in your blood relatives, after ruling out all the other potential causes. For example, Generalized Anxiety Disorder is a disorder characterized by chronic levels of worry that wax and wane over periods of time, often to the point that a person is considered a "worry wart." There is a large genetic component to this, but like almost all psychiatric disorders, also has non genetic factors as well.
Which is the best antidepressant for anxiety?
There really is no "best" antidepressant for anxiety, as almost all antidepressants can treat a variety of anxiety disorders. Pharmaceutical companies like to try to convince READ MORE
There really is no "best" antidepressant for anxiety, as almost all antidepressants can treat a variety of anxiety disorders. Pharmaceutical companies like to try to convince prescribers that one product is better than another, but that simply is not true. The exception is that Wellbutrin has typically very little anti-anxiety benefits. Almost by definition, the "best" antidepressant is the one that works well with your body chemistry, adn there is no way to pick the one that would be right for you without simply trying them. One caveat to this trial-and-error method is that if you have a first degree relative that has taken some antidepressant and done well on it, then the odds lean towards you trying that one first, since genetics have something to do with response to antidepressants. But, this is not a science; usually you need to try a few before finding the one just right for you.
What foods reduce depression?
There is no evidence that any particular food reduces depression. That being said, there are some dietary supplements that can reduce depression and are worth trying: the omega-3 READ MORE
There is no evidence that any particular food reduces depression. That being said, there are some dietary supplements that can reduce depression and are worth trying: the omega-3 fatty acid Eicosapentaenoic Acid (EPA), S-Adenyl Methionine (SAMe), L-Tyrosine, 5-hydroxytryptophan, Acetyl-L-Carnitine, St. John's Wort, and the probiotic Bifidobacterium longum have medical evidence that they can help. In fact, St. John's Wort is prescribed in Europe for mild to moderate depression. Given that there is a high concentration of Omega-3 Fatty Acids (EPA) in fish, it would make sense to eat massive amounts of fish in your quest to find a "food" that could help depression...
How do antidepressants affect the brain?
Antidepressant medications affect the brain by interacting with specific neurochemical receptors on nerve cells and inducing changes in the chemical signaling of those cells with READ MORE
Antidepressant medications affect the brain by interacting with specific neurochemical receptors on nerve cells and inducing changes in the chemical signaling of those cells with specific regions in the brain. The principal three neurochemicals that are targeted in the brain by medication are serotonin, norepinephrine, and dopamine. These are the three neurochemicals that seem to be mainly involved in regulating mood, anxiety, motivation and pleasure, among other effects. These changes and modification of nerve cell functioning are temporary, thus it is necessary to continue to take antidepressant medication daily for lengthy periods of time (at least one year) to achieve and sustain the antidepressant effect.
Can anxiety cause anger issues?
Anxiety is fundamentally the cause of most anger issues, yes. Although it may go unrecognized at first, if you would look back objectively to the beginnings of an anger outburst, READ MORE
Anxiety is fundamentally the cause of most anger issues, yes. Although it may go unrecognized at first, if you would look back objectively to the beginnings of an anger outburst, more likely than not there were several flashes of thought involving fear or worry or panic that triggered the anger. Recall the "fight or flight or freeze" scenario: a sudden trigger of adrenaline often triggers a behavioral response we see as either aggression or rage. The degree of anger that the underlying fear sets off differs- people without "anger problems" are able to use coping mechanisms to control the extent of their responses in socially acceptable ways, whereas people with "anger problems" are unable to contain and regulate the extent of their aggressive emotional energy and so are seen as acting outside the bounds of socially accepted norms of behavior.
Are antidepressants addictive?
Contrary to some peoples' beliefs, antidepressant medications are NOT addictive. Antidepressants are not abusable, nor do people develop a tolerance for them, unlike addictive READ MORE
Contrary to some peoples' beliefs, antidepressant medications are NOT addictive. Antidepressants are not abusable, nor do people develop a tolerance for them, unlike addictive substances such as alcohol, nicotine, opioid, etc. Unfortunately, the notion that antidepressant medication may be addictive has kept many people for receiving the proper mental health help they need by avoiding trying antidepressants.
