expert type icon EXPERT

Victor Manuel Santiago-Noa

Psychiatrist

Dr. Victor Manuel Santiago-Noa is a top Psychiatrist in Guaynabo, . With a passion for the field and an unwavering commitment to their specialty, Dr. Victor Manuel Santiago-Noa is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Victor Manuel Santiago-Noa is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Victor Manuel Santiago-Noa is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Guaynabo, Puerto Rico, Dr. Victor Manuel Santiago-Noa is a true asset to their field and dedicated to the profession of medicine.
Victor Manuel Santiago-Noa
  • Guaynabo, Puerto Rico
  • Unviersity of Puerto Rico School of Medicine
  • Accepting new patients

Is there a connection between mental health and chronic pain?

Anxiety tends to make pain perception worse, and pain causes anxiety, creating a vicious circle. Some people have different thresholds for pain tolerance. There are many new treatments READ MORE
Anxiety tends to make pain perception worse, and pain causes anxiety, creating a vicious circle. Some people have different thresholds for pain tolerance. There are many new treatments for chronic pain that are not dependent on the use of drugs. 

Can I become dependent on Celexa?

What you are doing can be very dangerous. Celexa is not habit forming and the maximum dosage, reached slowly, is 40 mg per day. If you take more of it, it won't work faster. Celexa READ MORE
What you are doing can be very dangerous. Celexa is not habit forming and the maximum dosage, reached slowly, is 40 mg per day. If you take more of it, it won't work faster. Celexa will take at least 4 weeks to show any effects. Take the medications as it was prescribed. More is not better. You are exposing yourself to dangerous side effects from this medication. Stop doing what you are doing.

Victor M. Santiago-Noa, MD, PhD

Blurred vision with Celexa. Is this normal?

One of the sides effects of Celexa is a lazy pupil. This causes blurred vision when you change light conditions and when you change the distance of objects you are looking at. READ MORE
One of the sides effects of Celexa is a lazy pupil. This causes blurred vision when you change light conditions and when you change the distance of objects you are looking at. At this stage of treatment, consult your psychiatrist for a change in medication. 
Victor M. Santiago-Noa

How can I get rid of my depression and anxiety?

When you are having problems with anxiety and depression, you will need an evaluation by a psychiatrist. There are medical conditions that manifest as anxiety and depression, so READ MORE
When you are having problems with anxiety and depression, you will need an evaluation by a psychiatrist. There are medical conditions that manifest as anxiety and depression, so a thorough evaluation is needed to asses the cause of your symptoms. Once the medical causes are ruled out, there is psychiatric and psychological treatment for those conditions. My advice is to seek psychiatric help soon.

Victor M. Santiago-Noa, MD

Is trichitilomania curable?

Trichitilomania is more frequent in females than in males. It is considered an impulse control disorder and may be related to hormonal changes in post-menopausal women. It is treatable READ MORE
Trichitilomania is more frequent in females than in males. It is considered an impulse control disorder and may be related to hormonal changes in post-menopausal women. It is treatable with psychotherapy, behavior modification and medications. It tends to recur if only medication is used. It is advisable to seek treatment with a qualified therapist and a psychiatrist. Avoid benzodiazepines completely, as it will worse the condition in the long run. There are many factors related to this condition which tends to be chronic if not treated.
Victor M. Santiago Noa, MD, PhD 

Will a psychiatrist help me with my depression?

Depression with suicidal thoughts is considered a psychiatric emergency. Prompt psychiatric treatment is a must. Go to your nearest emergency department and they will guide you READ MORE
Depression with suicidal thoughts is considered a psychiatric emergency. Prompt psychiatric treatment is a must. Go to your nearest emergency department and they will guide you through the process of getting immediate psychiatric help.
Victor M. Santiago-Noa, MD

My mother seems to be obsessed with her health. Is this abnormal

Insisting on having an illness in spite of negative medical facts can be delusional. If she says she has a specific illness that her doctor has proven non existent, then we are READ MORE
Insisting on having an illness in spite of negative medical facts can be delusional. If she says she has a specific illness that her doctor has proven non existent, then we are dealing with a somatic delusion.

Victor M. Santiago-Noa, MD

My daughter has suddenly lost her appetite. Could it be a hormonal issue?

A sudden loss of appetite can mean a lot of things, some of them serious. It is advisable that she get a thorough medical examination before we assume it is mental illness. Victor READ MORE
A sudden loss of appetite can mean a lot of things, some of them serious. It is advisable that she get a thorough medical examination before we assume it is mental illness.

Victor M. Santiago-Noa, MD

My husband has severe post traumatic stress disorder. What can be done to help him cope?

PTSD is treatable. But not everyone is trained to do perform the treatment. Treatment is usually a team effort with a trauma therapist and a psychiatrist that understands the pharmacology READ MORE
PTSD is treatable. But not everyone is trained to do perform the treatment. Treatment is usually a team effort with a trauma therapist and a psychiatrist that understands the pharmacology of trauma. The most successful treatments I have witnessed include medications for depression and anxiety (an SSRI), and hypnosis. Under any circumstance the use of benzodiazepines is indicated in PTSD or any other anxiety disorder. For nightmares, Prazosin tends to diminish or eliminate the nightmares. Hypnosis works quite well in relieving flashbacks. Professionals not trained in trauma management should not treat traumatized patients. 
Victor M. Santiago-Noa, MD 

Can insomnia be psychological?

Insomnia can occur for many reasons. Caffeine consumption (soda, chocolate), certain medications, disrupted sleep patterns, and many others. It can also be a symptom of some psychological READ MORE
Insomnia can occur for many reasons. Caffeine consumption (soda, chocolate), certain medications, disrupted sleep patterns, and many others. It can also be a symptom of some psychological problems. The best is to get an evaluation with a competent professional who can either make a diagnosis or make the necessary referrals to investigate further. 

Victor M. Santiago-Noa, MD

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

This type of behavior you describe at his age is called a conduct disorder. Extensive and intensive psychological and psychiatric treatments are needed if there is to be some modification READ MORE
This type of behavior you describe at his age is called a conduct disorder. Extensive and intensive psychological and psychiatric treatments are needed if there is to be some modification in his personality. Many adolescents with a conduct disorder grow to be antisocial, sociopathic adults. If he develops and antisocial personality, then there is no treatment that he can respond to. The moment to act is now. There are other possibilities that need to be examined. He might be depressed or have a serious mood disorder. As I don't have all the facts with me, this is as far as I can advise. 

Has my mother's illness affected my wife?

Hello,  Caring for a bedridden patient should not be a cause for emotional upheaval. But when it is done constantly, without any help, it can be very tiring and emotionally READ MORE
Hello, 

Caring for a bedridden patient should not be a cause for emotional upheaval. But when it is done constantly, without any help, it can be very tiring and emotionally burdensome. It takes at least three or four people taking turns to tend to a bedridden person with multiple health problems. If your wife is the only person available to take care of your mother, it is my advice that either you find help for her or put your mother in a nursing home, where she can be taken care of appropriately. You have to compare the costs of having your mother at home and paying three people to take care of her versus the cost of a nursing home. If the situation you describe continues, it will cause severe emotional disturbances for your wife. 

Victor M. Santiago-Noa, MD.

Can chemotherapy cause depression?

Hello, Yes, chemotherapy can cause or worsen depression. A person in chemotherapy has many factors that can produce depression, such as knowing that they have cancer or a family READ MORE
Hello,

Yes, chemotherapy can cause or worsen depression. A person in chemotherapy has many factors that can produce depression, such as knowing that they have cancer or a family history of depression. Depression during chemotherapy needs to be treated by a competent professional that has knowledge in the treatment of this special case of depression.

Dr. Santiago Noa

my Girl she's into sex extremely

There are medications that inhibit sexual desire. SSRI are among them. Prozac (Fluoxetine) probably has the highest effect on this line. There is also a chance that the person READ MORE
There are medications that inhibit sexual desire. SSRI are among them. Prozac (Fluoxetine) probably has the highest effect on this line. There is also a chance that the person has a bipolar disorder, and SSRI will worsen her condition. A thorough evaluation by a competent psychiatrist would be recommended to determine if medications are suitable in this case. 

Is thinking about diseases a mental disorder?

It could be, if those thoughts occupy most of the waking mind of the person.

My son is affected by his older brother's behavior. How should I talk to him?

I understand that you have a 9-year-old with ADHD. Are his symptoms being managed or is he still having symptoms? Your younger son, has he been evaluated for behavioral disorders? READ MORE
I understand that you have a 9-year-old with ADHD. Are his symptoms being managed or is he still having symptoms? Your younger son, has he been evaluated for behavioral disorders? ADHD runs in families and it is probable that your younger son has a similar disorder as your elder one. A full evaluation of both children is necessary, and appropriate treatment should be instituted. Besides medication, there are behavioral interventions. Parents can be trained to do behavior modification at home. Appropriate medical treatment is usually necessary for children with ADHD, that together with behavioral management. This is all I can state, given the scarce information given.

Can depression cause physical symptoms?

There's not enough information to answer your question rationally. The hormonal imbalance, which I don't now what it is, may be causing many symptoms, including your depression. READ MORE
There's not enough information to answer your question rationally. The hormonal imbalance, which I don't now what it is, may be causing many symptoms, including your depression. Your endocrinologist should make sure that your hormonal imbalance is corrected and under control before conclusions on the causes of other symptoms are reached.

What can I do to cope with my late night shifts?

Sleep hygiene is extremely important. If you have a steady night shift, then you should plan all of your life around being awake at night, even when you're not working. If you READ MORE
Sleep hygiene is extremely important. If you have a steady night shift, then you should plan all of your life around being awake at night, even when you're not working. If you set for yourself a different sleep schedule for your free days, then your circadian rhythms will be disturbed. It seems difficult, but it's the only way.

My daughter is going through a divorce. Should she get psychiatric counselling?

A divorce is usually a traumatic experience. I would advise that a person going through that experience seek some counseling. Some people get depressed during or after a divorce. READ MORE
A divorce is usually a traumatic experience. I would advise that a person going through that experience seek some counseling. Some people get depressed during or after a divorce. Then psychiatric help is needed. Just "going through a divorce" is not enough information.

I am suddenly binge eating. Is it a mental disorder?

It can be an eating disorder. Or it can be a sudden metabolic disorder. My advice is to be evaluated for a hormonal imbalance first. Then, if everything is normal, seek an eating READ MORE
It can be an eating disorder. Or it can be a sudden metabolic disorder. My advice is to be evaluated for a hormonal imbalance first. Then, if everything is normal, seek an eating disorder center for further evaluation and treatment.