Dr. Vadim Y. Baram

Yes. Most commonly used and most effcieint is naltrexone oral tablet and its analog Vivitrol 380 mg injectable monthly.

Its' possible and depends upon motivations in the treatment process. Psychotherapy, especially cognitive behavioral therapy is the most commonly used option. Along lines transcranial magnetic stimulation is an option for the treatment of major depression.

It depends. Some of them may be more weight gain proned than another. It depends of the class of medications for the treatment of depression. Among pure antidepressants medications varry also. Some of them more weight gain proned and some of them less as well as some of them may hav weight loss rather than weight gain,

definitely yes. There are numerous options this days for the treatment of ADHD, incuding control and non control options (two medications) available. It will be more reasonable to obtain treatment by specialist-psychiatrist to make determination, which medications and in what dose could be more appropriate. Usually pediatrician aware about basic options, but any newest treatment modalities may not known to pediatrician or there is not that much experience with either of them,

Psychotherapy could be as effective as medication management in the treatment of depression. It is imperative to choose correct subtype of psychotherapy ( CBT, where are you?psychodynamic, emdr, DBT etc)

I think it is critical to see a doctor for panic attack. Specialist ( psychiatrist) preferrably rather than primary care physician. With the specific of affective disorders/panic attack and very specific options to treat this disease strongly suggested to seek attention from psychiatrist who will not only prescribe medications but also guided treatment process

I think that going to the hospital is counterproductive, instead you need to go to see psychiatrist and this days a lot of practices doing telepsychiatry which is less time consuming and productive. Doctor you will be able to see, will go with you through the medications options and psychotherapy options. The model of the inpatient hospitalizations in the modern psychiatry wouldn't allow enough time to the hospital and in my opinion other than frustrating experience, you wouldn't be able to earn anything else.

I don't think so. Realistically if your son need it, better to take medications than not. Antidepressant has very specific mechanism of actions and if there is deficit in the brain of serotonin, norepinephrine or other neurotransmitters, I think it will be detrimental not to take medications. Those medications at least able to maintain level of the important chemical under certain controlled level instead of having defficit of them with the high probability of the unpredictable consequences. Any medications has side effects, however if your son tolerated medications well, it is my strong advise to continue them without interruption. There is old student postulate: if the 1 episode of the problem happened-take medications for 9 month, if 2 episodes happened-take medications for 5 years, if more than 2 episodes-take medications indefinitely.

I think that answer to your question is yes. Slowly progressive deterioration and worsening of the motor functional abilities definitely contribute to the overall self esteem and perception of the self and subsequent limitations and loosing independence in the functioning frequently contributing to the worsening of the emotional instability and development of the depressive symptoms.

Cymbalta.

Vadim Baram, MD, DFAPA