expert type icon EXPERT

Robert James Spensley

Psychiatrist

Dr. Robert Spensley is a psychiatrist practicing in Fair Oaks, California. Dr. Spensley is a medical doctor specializing in the care of mental health patients. As a psychiatrist, Dr. Spensley diagnoses and treats mental illnesses. Dr. Spensley may treat patients through a variety of methods including medications, psychotherapy or talk therapy, psychosocial interventions and more, depending on each individual case. Different medications that a psychiatrist might prescribe include antidepressants, antipsychotic mediations, mood stabilizers, stimulants, sedatives and hypnotics. Dr. Spensley treats conditions like depression, anxiety, OCD, eating disorders, bipolar disorders, personality disorders, insomnia, ADD and other mental illnesses.
Robert James Spensley
  • Fair Oaks, California
  • University of Michigan
  • Accepting new patients

Is Contrave safe for weight-loss?

I am not familiar with Contrave, but I do not favor medication for weight loss. Generally, lasting weight loss requires a combination of a change in diet [Mediterrranean preferably], READ MORE
I am not familiar with Contrave, but I do not favor medication for weight loss. Generally, lasting weight loss requires a combination of a change in diet [Mediterrranean preferably], portion control, and regular exercise.

How do I ween myself off of opioid medications?

Doing it yourself is a long and difficult process. Every 10 to 14 days you decrease your dose by 10%-15%. You will probably have some withdrawal symptoms, but try to tolerate them. READ MORE
Doing it yourself is a long and difficult process. Every 10 to 14 days you decrease your dose by 10%-15%. You will probably have some withdrawal symptoms, but try to tolerate them.

Are antidepressants good for elderly patients?

There is no simple answer to your question. Like all medications, antidepressants may have a wide variety of side effects. Their benefits are also quite variable. The benefits READ MORE
There is no simple answer to your question. Like all medications, antidepressants may have a wide variety of side effects. Their benefits are also quite variable. The benefits your mother may have need to be carefully evaluated on a regular basis. In addition, be alert for any negatively effects and immediately inform her doctor if you observe anything of concern to you.

Is Adderall the only form of treatment for ADHD?

There are several different medications for ADHD. There are also behavioral therapies which can be helpful.

What is the education and training required to become a psychiatrist?

One must first complete all the premed undergraduate requirements and usually receive a BS degree. Then one must complete medical school [usually a 4 year program] and then complete READ MORE
One must first complete all the premed undergraduate requirements and usually receive a BS degree. Then one must complete medical school [usually a 4 year program] and then complete a 4 year psychiatric residency. Thus you have an MD degree with a specialization in Psychiatry.

My son has a birth defect in his hand. How can I make sure it doesn’t affect his confidence level?

Make every effort to be warm, affectionate, and accepting of his appearance and any functional defect he may have. Let him know that some kids can be mean, but to realize that READ MORE
Make every effort to be warm, affectionate, and accepting of his appearance and any functional defect he may have. Let him know that some kids can be mean, but to realize that is their problem - do not make it your problem.

I am extremely scared of talking in public. Why do I have this fear?

Fears like this are specific to the individual. Being the center of attention is often difficult for many. Discussing your fears and background experiences with a counselor might READ MORE
Fears like this are specific to the individual. Being the center of attention is often difficult for many. Discussing your fears and background experiences with a counselor might give you more helpful information.

Will counseling help my son get over his stage fright?

Counseling could help if your son is willing to work on overcoming his fears.

Can a psychiatrist help someone who is losing their memory?

Only if that person specializes in dementia. Any counselor can help with the anxiety and depression.

What could be the reason my mother is just not eating?

This is clearly depression. A psychiatric evaluation is definitely indicated.

I worry too much about death. Is this normal?

Counseling would be most likely to help. There are also apps for mindfulness which could be helpful.

Why do I feel more happy in the afternoon?

Sometimes a nap is more refreshing than night sleep.

Difference in treatment between a psychiatrist and psychologist?

A psychiatrist could determine if your anxiety and depression might have a biologic cause and could respond to medication.

My son displays sociopathic behavior. Can anything be done to help him?

He needs professional help; either a psychiatrist or a psychologist. If he is unwilling, even the best professional would be unlikely to help. As another option, group therapy READ MORE
He needs professional help; either a psychiatrist or a psychologist. If he is unwilling, even the best professional would be unlikely to help. As another option, group therapy might break through his defenses.

Are there any natural remedies or medications that will help with anxiety and depression?

Valerian can help with anxiety. I do not know of any natural antidepressants.

My mother is depressed with too much pain in her body. What should I do?

I would suggest a pain management specialist.

Is medication required for anxiety?

Chronic anxiety which occurs with little or no situational stimulus are usually effectively treated with a serotonin uptake inhibitor effectively with few if any side effects.

Are there any medications for OCD?

Yes. A number of different antidepressants can help. See a psychiatrist.

How do I manage my depression after menopause?

A major depression can follow menopause. See your primary care physician or a psychiatrist to evaluate you for antidepressant medication.

Can trichotillomania be treated with medication?

Since Trichotillomania is an Obsessive Compulsive Disorder, any of the antidepressants useful in OCD could be helpful to her.