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
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How is bipolar disorder 1 diagnosed in adults?
There must be a pattern of mood swings between depression and mania. Manic episodes include hyperactivity with decreased need for sleep and impaired judgement and often feelings READ MORE
There must be a pattern of mood swings between depression and mania. Manic episodes include hyperactivity with decreased need for sleep and impaired judgement and often feelings of grandiosity.
Which antidepressants help with pain?
I have very limited experience in this area. I treated one patient with Cymbalta and he noted a significant reduction in his need for pain medication. I have not seen medical READ MORE
I have very limited experience in this area. I treated one patient with Cymbalta and he noted a significant reduction in his need for pain medication. I have not seen medical literature addressing this question in the last few years.
How can I stop negative thoughts?
Negative thoughts often involve a preoccupation with the past or the future. If this is a significant part of your negativity, you can work at directing your thoughts to the immediate READ MORE
Negative thoughts often involve a preoccupation with the past or the future. If this is a significant part of your negativity, you can work at directing your thoughts to the immediate present. Sometimes it helps to focus on tasks. If negativity is more pervasive, depression my be the problem; in which case, counseling or therapy would be in order.
What is the main cause of ADHD?
It appears to be genetic
Is it better to take sertraline at night or in the morning?
Sertraline tends to have sedative qualities, therefore I usually recommend starting it at night. Occasionally, a person says that they have sleep problems since starting. In READ MORE
Sertraline tends to have sedative qualities, therefore I usually recommend starting it at night. Occasionally, a person says that they have sleep problems since starting. In that situation, I suggest taking it after breakfast.
What are the signs of a manic depressive?
There are episodes of hyperactivity not sleeping much and impulsive behaviors {manic] and episodes of depression: negativity, lack of energy and withdrawal. These are the most READ MORE
There are episodes of hyperactivity not sleeping much and impulsive behaviors {manic] and episodes of depression: negativity, lack of energy and withdrawal. These are the most common behaviors seen by a non-clinician.
Do antidepressants work for generalized anxiety?
Some do if they are not activating. I would be best to consult with a psychiatrist to choose the most appropriate one.
What do antidepressants do to the brain?
They supply compounds that are deficient in the brain.
How successful is cognitive behavioral therapy?
It can be very successful, but you have to work hard at making changes.
Can sugar worsen depression?
There is some evidence that sugar may stimulate depression.
Can anxiety change your personality?
It depends on how you manage your anxiety. If you get too wrapped up in it, that can definitely change your personality. It is important to see your anxiety as a condition to READ MORE
It depends on how you manage your anxiety. If you get too wrapped up in it, that can definitely change your personality. It is important to see your anxiety as a condition to deal with, not who you are.
Is anxiety common in the US?
Anxiety is very common. Life is quite stressful in the US, and stress leads to anxiety.Maturing as an adult enables a person to gradually manage stress better and not allow it READ MORE
Anxiety is very common. Life is quite stressful in the US, and stress leads to anxiety.Maturing as an adult enables a person to gradually manage stress better and not allow it to develop into anxiety.
Are senior citizens more likely to develop depression?
Yes.. Seniors are more likely to develop depression.
I caught my husband having an affair?
This is very traumatic for you. It will take time for your husband to earn your trust again. Trust develops gradually based on a person proving trustworthy by being trustworthy READ MORE
This is very traumatic for you. It will take time for your husband to earn your trust again. Trust develops gradually based on a person proving trustworthy by being trustworthy in larger ways. So, he has a lot of work to show you that you can trust him.
Is depression a lifelong illness?
Not always. The greater the biologic component, the more likely it will last, but often with episodic depression.
How can I help someone with manic depression?
Encourage her to see a psychiatrist.
How do I stop overthinking everything?
You might consider mindfulness meditation. There are several apps available-I use Headspace
What is the difference between manic depression and bipolar disorder?
There are 2 types of bipolar disorder: Manic depression which varies between manic episodes and depressive episodes and bipolar depression which varies between depressive episodes READ MORE
There are 2 types of bipolar disorder: Manic depression which varies between manic episodes and depressive episodes and bipolar depression which varies between depressive episodes and normal mood or mild agitation.
What are natural methods to treat anxiety disorder?
Exercise regularly and get at least 8 hours of sleep a night.
How long usually is treatment for depression?
The length of therapy varies tremendously depending on response to medication, level of coping skills, and external stressors. The best response to medication and no other issues READ MORE
The length of therapy varies tremendously depending on response to medication, level of coping skills, and external stressors. The best response to medication and no other issues might involve a few visits followed by med management occasional visits.
