 Generic Availability and Cost Abilify, brand name for aripiprazole, is available in generic form. Generics usually cost less and are covered more easily by insurance, so Abilify is more affordable for many patients. Vraylar is the brand name for cariprazine and currently does not have a generic version available in the United States. This makes Vraylar usually more expensive, but manufacturer coupons are available here to make it more affordable. A valid commercial insurance plan is required for the coupon to work. FDA-Approved Uses Abilify is approved by the FDA to treat several conditions. These include schizophrenia, manic or mixed episodes in bipolar disorder, irritability in children with autism, and as an add-on treatment for major depressive disorder. It is also sometimes used to help with tic disorders. Vraylar is FDA-approved for schizophrenia, manic or mixed episodes of bipolar I disorder, and depressive episodes of bipolar I disorder. In addition, it was recently approved as an add-on treatment for major depressive disorder. How They Work Both medications belong to the “atypical neuroleptic” group. They work by balancing brain chemicals, particularly dopamine and serotonin, but they do so in slightly different ways. Abilify works as a partial agonist at dopamine D2 and D3 receptors. This means it can increase dopamine activity when levels are too low and reduce it when levels are too high. It also affects serotonin receptors which helps with mood regulation. Vraylar works in a similar way but has a stronger effect on D3 receptors than Abilify. Since D3 receptors are linked to mood, motivation, and cognitive function, this difference may explain why some people respond better to Vraylar. Like Abilify, it also interacts with serotonin receptors to help balance mood and thought processes. Benefits Abilify can reduce hallucinations, delusions, and mood swings in people with schizophrenia and bipolar disorder. It is also effective at reducing irritability in autism and can boost the effectiveness of antidepressants in people with major depression. Vraylar is effective at controlling psychotic symptoms in schizophrenia, stabilizing mood during manic or mixed episodes, and improving depressive symptoms in bipolar disorder. Dosage and Administration Abilify comes in several forms including tablets, an oral solution, orally disintegrating tablets, and injections. The specific dose depends on the condition being treated, and doctors typically start with a low dose and increase from there. The most common and cost effective tablets range from 2mg - 30mg. Depression and agitation symptoms are most commonly dosed on the lower end of the spectrum. Bipolar disorder and psychosis often require higher doses. Vraylar is available as capsules that are taken once daily. Dosing usually begins at a low level and is gradually adjusted based on the patient’s response and tolerance. Vraylar capsules start at 1.5 - 6mg. There are fewer dose options with Vraylar. Common Side Effects and Safety Both medications have the potential for side effects, though the exact experience varies from person to person. For Abilify, common side effects include restlessness (known as akathisia), insomnia, nausea, constipation, dizziness, and sedation. Some people may also experience mild weight gain. Less common but more serious risks include movement disorders such as tardive dyskinesia, a rare but serious condition called neuroleptic malignant syndrome, and changes in impulse control such as compulsive gambling or spending. Abilify may also affect blood sugar and cholesterol levels, so physicians often monitor these over time. For Vraylar, the most common side effects include restlessness, nausea, insomnia, fatigue, dizziness, and constipation. Some patients may feel more sedated or notice tremors. Vraylar has long-lasting active ingredients, so its effects can remain for weeks even after stopping or adjusting the dose. There is also a small, less understood risk of vision changes such as cataracts, so sporadic eye exams may be recommended. Vraylar on average has fewer side effects. The development of Vraylar is believed to be from adapting Abilify to make it more user-friendly. Putting It All Together When comparing the two, some clear differences stand out. Abilify has the advantage of being available in generic form which usually makes it more affordable and accessible. It also has a longer track record of use with approvals for schizophrenia, bipolar disorder, autism-related irritability, and as an add-on for depression. Vraylar, although brand-only and more expensive, brings newer options to the table. It is approved for schizophrenia, both manic and depressive phases of bipolar I disorder, and as an add-on for use in major depressive disorder. Its stronger action at D3 receptors may give it an edge in treating certain symptoms like motivation and mood regulation. 
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 Tourette’s Syndrome is a neurological condition that causes people to have tics that are sudden and involuntary. These tics can range from simple eye blinking to more complex sounds. While many people with Tourette’s live full, successful lives, the condition is often misunderstood. One major source of misunderstanding is how it’s shown in movies. Films can shape how the public views Tourette’s. Some portrayals are sensitive and realistic, while others rely on stereotypes or use the condition as a punchline. Below is a look at several movies that have featured Tourette’s, with an eye toward accuracy and impact. 1. The Tic Code (1998) Portrayal: This film follows a young boy with Tourette’s who dreams of becoming a jazz pianist. The story is inspired by the life of musician and actor Gregory Hines. The boy struggles with social acceptance but finds understanding and mentorship from an adult musician who also has Tourette’s. Accuracy: Fairly accurate. It shows both motor and vocal tics, the social challenges, and the need for understanding rather than judgment. Impact: Positive. The movie treats the characters with dignity, shows their talents beyond the condition, and encourages compassion. 2. Front of the Class (2008) Portrayal: Based on the true story of Brad Cohen, this movie tells how a man with Tourette’s overcame years of misunderstanding to become a beloved teacher. His journey includes moments of rejection during job interviews, as well as the acceptance and support he receives. Accuracy: Highly accurate in showing the persistence of tics, the social stigma, and the determination it takes to succeed. Impact: Very positive. It’s an inspiring story that helps viewers see that people with Tourette’s can achieve their goals with the right support. 3. Niagara, Niagara (1997) Portrayal: This drama centers on a young woman with Tourette’s who embarks on a road trip. The character’s tics and outbursts are shown as part of her life but do not define her. Accuracy: Fairly accurate depiction of tics, though the film is more about the character’s emotional journey than medical details. Impact: Mildly positive. It does not educate viewers much on Tourette's. 4. Deuce Bigalow: Male Gigolo (1999) Portrayal: Features a character whose Tourette’s is utilized for comedy with exaggerated and constant shouting of inappropriate words (coprolalia). Accuracy: Very inaccurate. Coprolalia affects only about 10% of people with Tourette’s, yet the movie suggests it’s the defining symptom. Impact: Negative. While some viewers might laugh, this portrayal reinforces harmful stereotypes and may cause people to misunderstand what Tourette’s really is. 5. Motherless Brooklyn (2019) Portrayal: Edward Norton plays a private detective in the 1950's who has Tourette’s. His tics are woven into his speech and movements, sometimes disrupting conversations, but the character is shown as intelligent, resourceful, and capable. Accuracy: Reasonably accurate though the tics are sometimes more dramatic than most experience. Impact: Mostly positive. The film avoids mocking the character and shows him as a skilled professional. Some moments still lean on the tics for dramatic effect. 6. Phoebe in Wonderland (2008) Portrayal: While not strictly about Tourette’s, this movie portrays a young girl who exhibits obsessive and tic-like behaviors. Her struggles with fitting in and being misunderstood parallel the experiences of some with Tourette’s. Accuracy: Somewhat accurate in showing social isolation and misunderstanding though it blends symptoms from different conditions. Impact: Neutral to positive. It encourages empathy but may leave viewers unclear on the differences between Tourette’s and other conditions. Understanding the Bigger Picture Movies influence public opinion. Positive portrayals can lead to understanding, compassion, and inclusion for those with Tourette’s. Negative portrayals like inappropriate language or exaggerated tics can make life harder by spreading stereotypes. When you meet someone with Tourette’s, remember:
Do you have a favorite movie that portrays Tourette's that I missed? Please leave it in the comment section for me to look into. What was your favorite movie from the list?   You’re not just “tired.” Postpartum insomnia is when you regularly struggling to initiate sleep or can't stay asleep when your baby is sleeping. It’s common, real, and treatable. Quick story: At 3:17 a.m., Maya stared at the ceiling while her newborn finally slept. Her body ached, her mind raced (“Did I latch right? Did I miss a feeding?”), and every creak sounded like a cry. By sunrise, she’d slept maybe an hour, again. If this feels familiar, you’re not alone, and there’s a plan that helps. What is Postpartum Insomnia?Postpartum insomnia means trouble falling asleep, staying asleep, or waking too early that results in daytime fatigue or fog. It’s different from normal newborn sleep disruptions because it persists even when you have the chance to sleep. It is often driven by stress, pain, hormonal shifts, and “wired-but-tired” hyperarousal. How Common is Postpartum Insomnia
 Why Does Postpartum Insomnia Happen
Why It MattersGood sleep protects mood, attention, and healing. It also helps to solidify memories and knowledge. Persistent insomnia increases the risk for postpartum depression and anxiety. What you can do tonight (practical steps)
Counseling That WorksCognitive Behavioral Therapy for Insomnia (CBT-I) is the gold-standard, medication-free treatment. It teaches stimulus control (retraining the bed for sleep), sleep scheduling, relaxation skills, and how to quiet “what-if” thoughts. Trials in the perinatal and postpartum period show meaningful improvements in insomnia, and treating insomnia during pregnancy can also decrease the odds of depression. Ask about a therapist trained in CBT-I.  Medication OptionsMedication can be a short-term bridge while CBT-I and routines take hold. Life with a newborn is a significant transition period which is hard enough without insomnia. Get individualized care with your clinician. General safety principles
Often-considered options:
Safety: Whenever you’ve taken a sedating medication, do not bed-share. The risk of sleep-related infant death is much higher when a caregiver is fatigued or has taken sedating medicines. Use a separate, safe sleep surface for baby in your room. What to Watch ForCall your clinician soon if:
24/7 help: Call/text 988 (Suicide & Crisis Lifeline) or the National Maternal Mental Health Hotline: 1-833-TLC-MAMA (1-833-852-6262) Postpartum insomnia is common and treatable. With the right mix of structure, support, and targeted therapy, most new parents sleep better within days to weeks. If you’re struggling, you deserve help now. Contact your family physician or schedule an appointment with us quickly.   OCD (Obsessive-Compulsive Disorder) is generally considered neurodivergent, but this classification does depend on how you define "neurodivergence." What is Neurodivergence? Neurodivergence refers to brain functioning that diverges from what is considered “typical” or “neurotypical.” It often includes:
The term is not a medical diagnosis. It is a social concept meant to destigmatize and normalize differences in brain function. Why OCD Can Be Considered Neurodivergent
Discrepancy Some professionals and advocates differentiate between neurodevelopmental disorders (like autism or ADHD) and mental illnesses (like OCD or depression). While OCD is often grouped under neurodivergence for advocacy purposes, its classification is still debated in academic and clinical circles. Bottom Line
  What You Need to Know About These ADHD Medications If you or your child has been diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD), you've likely heard of the two popular medications Concerta and Adderall. Both are stimulant medications commonly prescribed to manage the symptoms of ADHD, but they have key differences in how they work, how long they last, and how they're used. If you have not been diagnosed, learn about how to know if you have ADHD. In this article, we’ll explore the differences and similarities between Concerta and Adderall, including how they work in the brain, what age groups they’re approved for, and how effective they are. Understanding the details of Concerta vs Adderall can help you make an informed decision with your psychiatrist. What Is ADHD? ADHD is a common neurodevelopmental disorder that affects both children and adults. It’s characterized by symptoms of inattention, hyperactivity, and impulsivity. According to different studies, about 7-10% of children in the U.S. between the ages of 3 and 17 have ADHD. Among adults, the prevalence is estimated to be around 4-5%. This means that you can grow out of ADHD. The stimulant medications Concerta and Adderall are considered first-line treatment options for ADHD. Research shows more than 75% of children with ADHD experience significant improvement in symptoms with the right stimulant medication. Concerta vs Adderall: Mechanism of Action Although both Concerta and Adderall are stimulants, they have different active ingredients and work slightly differently in the brain. Concerta contains methylphenidate which increases levels of dopamine and norepinephrine in the brain. These are two chemicals that help regulate attention, motivation, and impulse control. Methylphenidate works by blocking the reuptake (or recycling) of these chemicals, allowing them to stay active longer in the brain. Adderall contains a combination of amphetamine salts (dextroamphetamine and levoamphetamine). It increases dopamine and norepinephrine by both blocking reuptake and promoting the release of these chemicals into the brain. This dual action can sometimes lead to a more noticeable boost in alertness and energy. FDA Approvals and Age Ranges Both Concerta and Adderall are approved by the U.S. Food and Drug Administration (FDA) to treat ADHD, but they differ slightly in their approved uses and age ranges.
Duration of Action The duration of these medications can impact daily functioning, school performance, and even sleep.
Effectiveness: What the Research Says When comparing Concerta vs Adderall, studies show that both medications are effective in reducing the core symptoms of ADHD, but individual response to each medication varies.
Side Effects to Consider Although Concerta and Adderall are generally safe when taken as prescribed, they can cause side effects. Most side effects are mild and tend to lessen over time. Common side effects include:
More serious side effects are rare but can include mood swings, tics, or cardiovascular issues in those with underlying health conditions. Always talk to a doctor before starting, stopping, or changing a stimulant medication. Which One Is Better? There is no one-size-fits-all answer when it comes to choosing between Concerta vs Adderall. Some individuals respond better to methylphenidate (Concerta) while others do better with amphetamines (Adderall). Factors like duration of symptom coverage, side effect profile, co-existing health conditions, and even insurance coverage can influence the best choice. Your psychiatrist may recommend trying one medication for a few weeks and then switching if it doesn’t provide the desired benefits or causes unwanted side effects. Generic Options and Cost
Be sure to discuss cost and coverage with your pharmacist or doctor if affordability is a concern. ADHD Treatment: Medication Is Only One Part While Concerta and Adderall can make a dramatic difference in managing ADHD symptoms, the best outcomes occur when medication is combined with therapy, educational support, and healthy lifestyles. This include regular exercise, consistent sleep, time management skills, and mindfulness techniques. Only about 50% of children with ADHD receive behavioral treatment alongside medication even though combining both is recommended by most professional guidelines. Final Thoughts: Concerta vs Adderall Choosing between Concerta and Adderall is an important decision that depends on your individual needs, how your body responds, and your daily schedule. Both are highly effective ADHD medications with years of research and millions of success stories behind them. If you’re unsure which is right for you or your child, a consultation with a psychiatrist can help guide the process. It may take some time and adjustment, but finding the right treatment can dramatically improve focus, behavior, relationships, and overall quality of life. If you haven't been diagnosed but believe you have symptoms, reach out to a local psychiatrist and get an ADHD test performed.   What is childhood OCD? Obsessive‑Compulsive Disorder (OCD) in children involves unwanted, repetitive thoughts (obsessions) and/or repetitive behaviors or mental rituals (compulsions) that cause distress or interfere with daily life. Common examples include excessive hand‑washing, checking, counting, arranging, hoarding, or intrusive worrying thoughts like fear of harm or contamination. You can read more about the types of OCD here. How common is OCD in children?
Why consider a quiz? Online screening tools (like the Children’s Yale–Brown scale or other simple parent measures) can help identify behaviors that suggest OCD. These are not diagnostic, but they can help you decide if a full evaluation by a child psychiatrist may be helpful. When not properly addressed, OCD is likely to get worse. Does My Child Have OCD? (Quiz – 18 Items) Instructions: Think about your child’s behavior over the past month. Answer Yes or No to each item. A. Obsessions
B. Compulsions
C. Impact on daily life
Scoring guidance (simple):
What happens next? If your answers suggest possible OCD, you might consider seeking an evaluation with a child psychiatrist. Child psychiatrists may use additional tools like the Children’s Yale–Brown Obsessive‑Compulsive Scale (CY‑BOCS) or the Obsessive Compulsive Inventory Child version to assess severity and plan treatment. Effective treatments include Cognitive Behavioral Therapy (CBT) and often medications like SSRIs under careful supervision. Family involvement is also a key part of treatment for children. Why early detection matters
✅ Disclaimer This OCD quiz is not a diagnostic tool. It cannot confirm whether your child has OCD. Only a licensed professional like a child psychiatrist can make and confirm a diagnosis.   If you’ve ever had a cup of coffee and felt more focused, you’ve experienced the effects of caffeine. Caffeine is a stimulant that can affect the brain in powerful ways. Did you know that caffeine can also help some people with ADHD (Attention-Deficit/Hyperactivity Disorder) feel more calm and focused? While it’s not a substitute for prescription treatment, caffeine shares some similarities with medications used for ADHD. Let’s take a closer look at why caffeine sometimes helps and what its limits are. What Is ADHD? ADHD is a condition that affects how the brain regulates attention, activity levels, and self-control. People with ADHD often struggle with:
These symptoms are connected to certain brain chemicals including dopamine and norepinephrine that affect alertness, motivation, and decision-making. How Caffeine Works in the Brain Caffeine is a stimulant, which means it speeds up certain processes in the brain. It works in several ways, including:
This increase in brain activity can temporarily improve focus, reaction time, and mental energy. That’s why caffeine is often considered a nootropic which is a term used for substances that may enhance brain function. Way Caffeine Helps Some People with ADHD Some people with ADHD report:
This may seem strange, because how can a stimulant calm someone down? With ADHD, the brain often under-functions in key areas, and mild stimulation can help it work more efficiently. Why Caffeine Is Less Effective than ADHD Medications While caffeine can improve focus for some people with ADHD, it’s not nearly as effective or reliable as FDA approved prescription medications. Here is why:
ADHD medications are formulated, dosed, and monitored for consistent results with fewer ups and downs. Is Caffeine Safe for People with ADHD? In small amounts, caffeine is generally safe for most teens and adults. For those with ADHD, it should be used with caution:
For young children, caffeine is usually not recommended. Summary Caffeine can offer mild, short-term help with ADHD symptoms because it acts on the same brain chemicals as ADHD medications. It is considered a nootropic which is fancy terminology for a substance that may enhance focus and alertness. It’s not as effective, long-lasting, or clearly dosed like FDA-approved ADHD treatments. If you or your child is struggling with attention, hyperactivity, or impulsiveness, it’s worth talking to a psychiatrist. A professional evaluation and a personalized treatment plan can make a major difference in everyday life.  Yes! Elon Musk has publicly stated that he has Autism. He specifically mentioned the term Asperger's on May 8, 2021 during his opening monologue on Saturday Night Live (SNL). Elon Musk said, "I'm actually making history tonight as the first person with Asperger's to host SNL or at least the first to admit it."  He followed up his SNL quote with "I know I sometimes say or post strange things, but that's just how my brain works."
At a TED Talk, Elon Musk shared more insight into his Autism diagnosis with "The social cues were not intuitive....I would just tend to take things very literally." What this Means in Medical Terms The term "Asperger's syndrome" is no longer an official diagnosis in the current DSM5 diagnostic manual. The term was absorbed with Autism into the diagnosis of Autism Spectrum Disorder. Why This Matters When a high profile celebrity like Elon Musk openly discusses a mental health diagnosis, it can help reduce stigma and raise public awareness. His openness encourages acceptance and may empower others to embrace their mental health condition. Disclaimer: No one at Your Family Psychiatrist is treating or diagnosing Elon Musk with any condition. We can not confirm nor deny any of his claims. This article is quoting Elon Musk himself regarding his personal disclosures.  Depression in children under age 12 is a serious mental health concern that can have lifelong consequences. Parents and healthcare professionals often feel torn between the risks and benefits of antidepressant medications in young patients, but the evidence shows that these medications can be life-changing when used thoughtfully. Prozac (Fluoxetine): The Only FDA-Approved Antidepressant for Depression Under Age 12 Among all antidepressants, fluoxetine (Prozac) is currently the only medication approved by the U.S. Food and Drug Administration (FDA) for treating major depressive disorder in children under the age of 12. This indication by the FDA was granted in 2003. This means that we are currently at 22+ years without an additional medication option. Other antidepressants, while not FDA-approved for depression in this age group, have also been studied:
These results indicate that while Prozac leads the way, other medications may provide significant benefit. Working with a child psychiatrist to understand the research and the many options is important. Note that Lexapro is FDA approved for depression between the ages of 12-17. It is the only other antidepressant FDA approved younger than age 18. Other options are certainly used off-label, but selection of an alternative is very nuanced. How Effective Are Antidepressants in Children? The effectiveness of antidepressants is very encouraging, especially when combined with therapy. A notable study involving adolescents with moderate to severe depression found that after 36 weeks an impressive 86% of participants receiving both an antidepressant and cognitive behavioral therapy (CBT) responded to treatment. This combination remains the gold standard for improving mood, functioning, and preventing relapse in children. Suicide Risk: What the Numbers Really Say One of the most discussed concerns around antidepressant use in children is the risk of suicidal thoughts or behaviors. It is crucial to interpret this data accurately.
Long-Term Risks of Untreated Depression Beyond short-term mood symptoms, depression in childhood can have long-term consequences. One study found that early-onset depression in males was associated with a significantly increased risk of never having children later in life. This suggests potential lifelong impairments in relationships and functioning when mood disorders go untreated. What If the First Medication Doesn’t Work? It’s relatively common for the first antidepressant to be partially effective or even ineffective. One high-quality study looked at teens who didn’t respond to their initial SSRI and found no statistically significant difference in response rates when switching to either a second SSRI or to venlafaxine (Effexor). This means that both options are reasonable, and decisions can be based on side effect profiles, patient history, and other factors. A Positive Outlook on Medication for Depression Antidepressants are not a cure-all, but they are one of the most powerful tools we have to treat depression in children and adolescents. When used correctly, they can improve quality of life, reduce symptoms, and prevent long-term complications. It’s essential to monitor side effects and assess risks carefully. The larger truth is that the risks of untreated depression often outweigh the risks of treatment. With careful evaluation and compassionate care, children struggling with depression can thrive, and antidepressants can help them get there, especially when used in combination with talk therapy. If you are a parent or guardian and believe your child may be experiencing depression, please reach out to a local child psychiatrist for an evaluation.  Klonopin (clonazepam) and Xanax (alprazolam) are both benzodiazepines used to treat anxiety and panic disorders. While they work in similar ways, they differ in how quickly they start working, how long they last, and how likely they are to cause dependence and withdrawal. Choosing the right medication depends on several factors including symptom type, treatment goals, and medical history. FDA-Approved Uses Klonopin and Xanax are both approved by the U.S. Food and Drug Administration (FDA), but for slightly different conditions.
Both are also commonly prescribed off-label for other anxiety-related conditions, including social anxiety and sleep disturbances. Duration of Action and Onset One of the key differences between Klonopin and Xanax is how long their effects last.
With these differences, Klonopin may be better suited for patients needing long-term, steady relief while Xanax is often used for sudden or acute anxiety episodes. Mechanism of Action Both Klonopin and Xanax enhance the effects of a calming brain chemical called gamma-aminobutyric acid (GABA). By increasing GABA activity, these medications reduce the overactivity in the brain that causes anxiety, panic, and muscle tension. Although they work through the same process, the speed and duration of their effects differ, which can influence a doctor’s decision about which to prescribe. Side Effects Like all medications, Klonopin and Xanax can cause side effects. Many are similar because both are benzodiazepines. Common side effects of both include:
Some side effects are more likely depending on the medication’s timing and duration.
Risk of Dependence and Abuse Both medications carry a risk of dependence when used regularly. Xanax tends to have a higher abuse potential.
With these risks, both drugs are classified as Schedule IV controlled substances in the United States. Safety Warnings Both Klonopin and Xanax carry serious warnings and should only be taken under close medical supervision.
When to Consider Each Medication While both medications can be helpful, one may be more appropriate than the other depending on the individual situation. Klonopin may be a better choice if:
Conclusion Klonopin and Xanax are both effective treatments for anxiety and panic when used correctly. They share a similar mechanism of action but differ in how long they last, how quickly they work, and how likely they are to cause dependence or withdrawal. Klonopin’s long duration may be more helpful for ongoing anxiety, while Xanax’s fast relief is often used for acute episodes. Both medications have significant risks if misused and are not recommended for long-term use without close medical supervision. If you’re struggling with anxiety or panic symptoms, speak with a local psychiatrist.   Understanding and Overcoming the Mind-Body Connection When 14-year-old Emily started blinking excessively during her final exams, her parents chalked it up to allergies. As time passed, the blinking turned into shoulder shrugs, grunts, and occasional jerky movements which all worsened when she was stressed. After months of concern, a visit to a psychiatrist revealed a surprising discovery: anxiety-related tics. Emily's story is not uncommon. Many people experience involuntary movements or sounds known as tics, especially during times of high stress or anxiety. These tics can range from subtle muscle twitches to noticeable vocal outbursts, and they often go undiagnosed. What Are Anxiety Tics? Tics are sudden, repetitive, non-rhythmic movements or vocalizations that can be difficult or impossible to control. They can occur in the context of several conditions, but many are linked to stress and anxiety. While tics are most often associated with Tourette Syndrome, they can also be stress-related or transient, especially in children and teens. Examples of Motor Tics:
Examples of Vocal Tics:
Are Anxiety Tics Common? Yes. According to the CDC, approximately 1 in 50 children in the U.S. has a tic disorder with many cases connected to anxiety or emotional distress. A 2021 study published in JAMA Neurology found that stress is one of the most frequently reported triggers. The same study noted a rise in stress-induced tic behaviors in adolescents following the COVID-19 pandemic, especially among girls. Tics aren’t limited to children. Adults with generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or panic disorder may also experience tics as part of their symptoms. What Causes Anxiety Tics? The exact cause of anxiety tics isn't fully understood, but researchers believe it's a combination of neurological, genetic, and psychological factors. 1. Neurological Sensitivity The brain circuits that regulate movement and emotion, basal ganglia and dopamine pathways, are often overactive in individuals with tics. Stress can increase this activity which makes the body more reactive. 2. Anxiety and Overarousal Anxiety puts the body in a state of "fight or flight." This heightened arousal increases muscle tension and sensitivity which can make tics worse or create them. 3. Genetics Tics and anxiety often run in families. If a parent or sibling has experienced them, the risk is higher. 4. Psychological Stress Major life changes, school pressure, family conflict, or trauma can trigger or worsen tics. Many children experience their first tics during times of high emotional stress. How Are Anxiety Tics Diagnosed? There is no single test for anxiety tics, but a thorough evaluation by a psychiatrist or neurologist can help determine the cause and rule out other conditions like:
The psychiatrist may ask:
It’s also important to assess for co-occurring conditions. Up to 50% of people with tics also have ADHD, and up to 40% have anxiety or OCD according to the Tourette Association of America. Are Anxiety Tics Permanent? In many cases, no. Anxiety-related tics are often temporary, especially in children. With the right treatment and emotional support, they tend to fade or resolve over time. If left untreated, they can worsen or become part of a more chronic condition. Treatment Options for Anxiety Tics Treatment is available and effective. A combined approach involving both psychiatric care and therapy often leads to the best outcomes. 1. Cognitive Behavioral Therapy (CBT) CBT is the gold standard for anxiety and related tics. It helps patients:
In fact, the Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to reduce tic severity by 30–50% in multiple studies. 2. Medication Options If tics are interfering with school, work, or relationships, medications can be helpful. Options include: For Anxiety:
Medication is not always necessary, but in moderate to severe cases, it can significantly improve quality of life. Supplements for Anxiety Tics Some people prefer natural options, especially as a first step. While not a substitute for medical care, the following supplements have shown promise:
Always consult your psychiatrist before starting supplements, especially if you’re already taking medications. Natural Strategies for Managing Tics Here are a few simple things that can make a big difference: 1. Mindfulness and Meditation These practices help calm the nervous system and improve awareness of physical sensations. Apps like Calm, Headspace, and Insight Timer can guide beginners. 2. Regular Exercise Physical activity reduces anxiety and channels energy in a healthy way. It also promotes better sleep. 3. Sleep Hygiene Poor sleep can make tics much worse. Stick to a consistent bedtime, reduce screen time at night, and keep the bedroom cool and quiet. 4. Avoiding Triggers Caffeine, video game overstimulation, and sugar may increase tic frequency in some people. Keeping a journal can help track patterns. 5. Supportive Environments Children with anxiety tics do best in calm, predictable environments. Praise efforts, not outcomes, and avoid drawing attention to the tics. Working with a Psychiatrist and Counselor Managing anxiety tics is not a one-person job. It takes a team approach, and that starts with the right professionals. Why a Psychiatrist Matters:
Why a Counselor Matters:
The combination of medication and therapy is often more effective than either alone. A Message of Hope Tics can be frustrating, embarrassing, and scary, but they are manageable. Emily, the teenager from the beginning of this article, began therapy, worked with a child psychiatrist, and started a small dose of guanfacine. Within three months, her tics had reduced by 80%, and she felt more confident at school. Thousands of children, teens, and adults just like her experience anxiety-related tics and recover. If you or your child is experiencing tics that may be linked to anxiety, don’t wait. The earlier you seek help, the better. At Your Family Psychiatrist, we offer psychiatric evaluations and treatment plans for children, teens, and adults with anxiety, tics, and other mental health concerns. Our collaborative care model ensures you get comprehensive support from a caring team of professionals. Request your appointment online today.   If you’re thinking about starting ketamine treatment for depression, anxiety, or suicidal thoughts, you might have questions about how it shows up on drug tests, especially if you have to take drug tests for work, legal reasons, or medical procedures. One common question we hear from patients is, “Does ketamine show up on a 12-panel drug test?”
What Is a 12-Panel Drug Test? A 12-panel drug test is a common type of urine drug screening used by employers, legal systems, rehab centers, and medical providers. It screens for 12 different types of drugs or drug classes. Here’s what a standard 12-panel test usually checks for:
Ketamine is not typically included on a standard 12-panel drug test. It can be detected if the test is specially designed to look for it, such as in expanded panels or when specifically requested. Will Ketamine Show Up on a Drug Test? Most standard drug screens do not test for ketamine unless the test is customized to include it. In workplace or routine legal settings, ketamine is usually not part of the drug testing panel. Some advanced or expanded drug panels, such as 14-, 16-, or 18-panel tests might include it. Detection window for ketamine in urine:
If you're concerned about drug testing and are using ketamine as part of a prescribed treatment plan, it's important to tell your employer or testing agency in advance (if needed), and have documentation from your provider. Can Ketamine Cause a False Positive? While rare, ketamine may cause a false positive for PCP (phencyclidine) due to the chemical similarities between the two substances. This is most likely to happen on older or less specific urine drug tests. If a false positive occurs, a GC/MS (gas chromatography/mass spectrometry) confirmatory test will clarify the results and show the difference between ketamine and PCP. These confirmatory tests are highly accurate and typically follow any positive result from an initial screen. Is Ketamine Safe? Ketamine was first approved in the 1970s as a surgical anesthetic. In recent years, it has been used in much lower doses to treat mental health conditions, especially when traditional antidepressants have failed. That said, ketamine is not risk-free. Potential side effects include:
When used medically and under supervision, psychiatric oversight, the risk of serious side effects is low. Ketamine also has the potential for misuse or addiction. In clinical settings, dosages are controlled and patients are carefully monitored. Clinics ensure that ketamine is used safely and only for appropriate mental health indications. Why Is Ketamine Used for Mental Health? Ketamine is different from most other psychiatric medications. It acts on NMDA receptors in the brain instead of the serotonin or dopamine systems like many antidepressants. This different mechanism allows ketamine to work much faster than traditional medications, often in hours or days, rather than weeks. Ketamine has shown powerful results in treating: 1. Treatment-Resistant Depression According to research from the American Journal of Psychiatry, about 60-70+% of patients with treatment-resistant depression experience significant improvement after ketamine treatment. 2. Suicidal Thoughts One of ketamine’s most impressive benefits is its ability to rapidly reduce suicidal thinking. In a 2020 study published in JAMA Psychiatry, patients receiving ketamine reported a significant drop in suicidal thoughts within 24 hours of their first dose. 3. Anxiety While ketamine is not officially FDA-approved for anxiety, growing research supports its benefit for conditions like generalized anxiety disorder and social anxiety. One study from Neuropsychopharmacology showed that patients with social anxiety disorder experienced long-lasting relief after a single dose. Is It Worth the Risk? Mental health conditions like depression, suicidality, and anxiety can be life-threatening. For patients who haven’t responded to traditional treatments, ketamine offers a new and promising path forward. Benefits of Ketamine Therapy:
Over 80% of patients with treatment-resistant depression see some improvement with ketamine, according to multiple clinical trials. When combined with psychotherapy (known as ketamine-assisted therapy), the benefits can be even greater and longer-lasting. Key Takeaways
Mental health treatment is deeply personal. For many patients, ketamine offers hope after years of frustration. While it’s not the right fit for everyone, it has changed and even saved many lives.  Let’s face it: Psychiatrist is not an easy word to spell. It has a silent “p,” an unexpected “ch,” and just enough vowels to throw anyone off. In fact, it’s such a tricky word that it’s one of the more commonly misspelled Google searches by people trying to get help. Ironically, even the word “misspell” is one of the most misspelled words in the English language. Here’s the real problem: spelling errors can actually get in the way of finding accurate mental health care. If you type the wrong thing into a search engine, you might end up clicking on irrelevant websites, outdated resources, or giving up altogether. Why Does It Matter If People Misspell "Psychiatrist"?You might think a misspelling is no big deal. Autocorrect will fix it, right? Not always. While search engines have improved, many people still get different results depending on how they type a word. That means patients looking for help with depression, anxiety, ADHD, bipolar disorder, or OCD might not find a qualified psychiatrist, especially if they’re typing something closer to “sikeatrist.” That’s important, because according to the National Alliance on Mental Illness (NAMI):
If the first step to getting help is looking for a psychiatrist and you spell the word incorrectly, it might just delay getting that help. The 20 Most Common Misspellings of “Psychiatrist”Below are some of the most frequently searched or mistyped versions of the word psychiatrist. If you’ve ever typed one of these, you’re in good company:
Many of these are understandable. The confusion between a psychiatrist and a psychologist is also common, especially because they sound similar but have different training and roles. Psychiatrists are medical doctors who can prescribe medication. Psychologists often focus on therapy and assessments but don't typically prescribe.  Why Is Psychiatrist So Hard to Spell?Let’s take a quick look at the word itself. “Psychiatrist” comes from Greek:
The word literally means “healer of the mind.” Beautiful, right? Unfortunately, “psyche” is one of those words that start with a silent “p” and ends with letters that aren’t pronounced how they look. Add in “-iatrist” (which looks nothing like it sounds), and you’ve got a word that trips up even English majors. Is It Really a Big Deal?Surprisingly, yes. While the internet is getting smarter, people still report frustration when looking for mental health professionals online. A 2022 Pew Research study found that 41% of Americans looking for mental health support online felt overwhelmed by the number of confusing or irrelevant results. Many patients search things like:
Without strong search engine optimization (SEO), legitimate psychiatrists might not appear in these results, especially if their websites don’t account for common misspellings.  What Can Be Done?
Don’t Let Spelling Get in the Way of HealingMental health is too important to be blocked by a tricky word. Whether you’re dealing with depression, anxiety, trauma, ADHD, or anything else, the first step is reaching out. If that step involves spelling "psychiatrist" wrong, who cares? You're still taking action and that counts. So next time someone says, “I don’t even know how to spell that,” just smile and say: “You don’t have to spell it right. You just have to start.”   Obsessive-Compulsive Disorder (OCD) is a mental health condition that causes unwanted thoughts (obsessions) and repetitive behaviors (compulsions). For some people, symptoms stay the same over time. For others, OCD can get worse. Understanding what makes OCD more severe can help you or a loved one manage symptoms more effectively. How Common Is OCD? OCD affects about 2.3% of people during their lifetime, according to the National Institute of Mental Health. While it can begin in childhood, symptoms often become more noticeable in late adolescence or early adulthood. For many, symptoms can fluctuate depending on stress, lifestyle, and treatment. 1. Medication Causes of Worsening OCD Some medications can unintentionally make OCD symptoms worse, especially if they impact brain chemistry related to serotonin, dopamine, or anxiety.
Tip: Never stop or change psychiatric medication without speaking to your doctor. Your psychiatrist can help tailor the medication plan to reduce obsessions and compulsions effectively. 2. Behavioral and Lifestyle Triggers Certain behaviors or habits can make OCD worse, even if they're not intentional.
Statistic: One study found that between 76% and 82% of OCD patients had at least one other mental health condition like anxiety or depression. 3. Age and Hormonal Changes OCD symptoms can fluctuate depending on age and hormonal changes.
Important: OCD in different life stages may look different. A psychiatrist experienced in treating OCD across the lifespan can adjust therapy and medication based on age and hormonal influences. 4. Major Life Stressors and Events Stress is one of the most well-known causes of OCD symptom flare-ups.
Research shows that stressful life events often precede an increase in OCD symptoms, with some studies suggesting a 44–60% increase in severity following a major stressor. 5. Poor or Incomplete Treatment OCD is a chronic condition, but it is highly treatable. The key is the right combination of strategies.
6. Co-Occurring Conditions OCD often overlaps with other mental health diagnoses, which can complicate treatment if not properly addressed:
Treating co-occurring conditions can dramatically improve OCD outcomes. When to Seek Help If your OCD symptoms are becoming more frequent, interfering with work, relationships, or your peace of mind, it's time to seek professional help. Questions to ask your psychiatrist include:
Treatment Outlook The good news: OCD is treatable. With the right combination of therapy, medication, and lifestyle changes, most people experience significant improvement. Some even achieve full remission.
Summary OCD can worsen due to a range of factors including biological, emotional, and environmental, but it doesn’t have to stay that way. Understanding the causes of symptom flare-ups is the first step toward effective care.   Disruptive Mood Dysregulation Disorder and Oppositional Defiant Disorder Disruptive Mood Dysregulation Disorder (DMDD) and Oppositional Defiant Disorder (ODD) affect many children and teens. They both involve behavioral issues like irritability and aggression, but they have important differences in mood symptoms, duration, and treatment needs. Being informed will help parents and caregivers get accurate diagnoses and effective treatment. Here we explain the diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‑5), presents key statistics, compares the two conditions, suggests questions to ask your psychiatrist, describes treatment options, and outline complications if left untreated. What Is Disruptive Mood Dysregulation Disorder (DMDD)? Disruptive Mood Dysregulation Disorder (DMDD) is a mental health condition characterized by severe temper outbursts and chronic irritability and anger in children. It was added to the DSM-5 in 2013 to differentiate these symptoms from pediatric bipolar disorder. DSM-5 Criteria for DMDD To be diagnosed with DMDD, a child must multiple of the following:
Prevalence and Statistics for DMDD
What Is Oppositional Defiant Disorder (ODD)? Oppositional Defiant Disorder (ODD) is characterized by a pattern of angry, irritable mood, argumentative behavior, and deliberate defiance lasting at least six months. DSM-5 Criteria for ODD To be diagnosed with ODD, a child must exhibit at least four of the following symptoms: Angry/Irritable Mood:
Argumentative/Defiant Behavior:
Vindictiveness:
Additional criteria:
Prevalence and Statistics for ODD
 Key Differences Between DMDD and ODD While DMDD and ODD share overlapping symptoms like irritability and defiance, they are distinct in critical ways: Mood vs Behavior
Age of Onset & Duration
Nature and Frequency of Outbursts
Impairment and Settings
Self-Awareness
Common Comorbidities
Questions to Discuss with Your Psychiatrist Clear communication with a psychiatrist helps ensure the right diagnosis and treatment strategy. Consider the following questions and answers to share with your psychiatrist:
Treatment Options DMDD Treatment
ODD Treatment
 Complications If Untreated DMDD
Untreated DMDD and ODD both negatively impact academic achievement, social development, and emotional health well into adulthood. Shared and Unique Considerations
Summary Comparison DMDD involves prolonged anger and mood volatility between frequent temper outbursts. It's diagnosed by age 18, with symptoms starting early. Treatment focuses on mood management, behavioral therapy, and possibly medication. ODD focuses on habitual defiance, argumentativeness, and bitterness, with a six-month symptom timeframe. Treatment emphasizes behavior modification, parent training, and addressing any coexisting conditions. What to Do Next If you suspect DMDD or ODD in a child or teen:
Key Takeaways
  When Clean Doesn’t Feel Clean Enough Imagine washing your hands once, then again and again and still feeling like you missed something. You avoid touching door handles, shaking hands, or even hugging loved ones, because of an overwhelming fear of germs or “contamination.” This is what life can feel like for someone with Contamination OCD, a specific and common form of Obsessive-Compulsive Disorder. While many people may joke about being a “clean freak,” the reality of Contamination OCD is far from funny. It’s exhausting, emotionally draining, and can take over someone’s entire life. Let’s take a closer look at this condition including what makes it unique, how common it is, and what treatment options can help people feel normal again. What Is Contamination OCD? Obsessive-Compulsive Disorder (OCD) is a mental health condition made up of two parts:
In Contamination OCD, the obsession usually involves a fear of germs, dirt, illness, or being “infected” in some way. The compulsion is typically something like excessive washing, cleaning, or avoiding certain objects, people, or places. For example, someone might:
These behaviors aren't just habits. They’re driven by fear, and they interfere with daily life. How Common Is Contamination OCD? Contamination OCD is one of the most common subtypes of OCD.
These numbers may be higher as many people suffer in silence or don’t recognize their symptoms as OCD. Contamination OCD became even more noticeable during the COVID-19 pandemic when fears around germs became part of daily life. For some, this triggered new OCD symptoms. For others, it made existing symptoms worse. What Makes Contamination OCD Unique? Contamination OCD isn’t just about being neat or clean. People with this condition often know their fears are irrational, but the anxiety is too powerful to ignore. What makes it different from normal worries or cleanliness:
Contamination OCD can also extend beyond germs. Some people feel "contaminated" by bad energy, certain people, or moral “impurities.” For example, someone may feel the need to wash if they hear a disturbing story or see something unpleasant on the news. How Is Contamination OCD Diagnosed? A psychiatrist can diagnose OCD by asking questions about your thoughts, behaviors, and how they affect your life. You do not need to have every symptom. If your thoughts or behaviors are causing distress, anxiety, or interfering with your day, it’s worth having an evaluation. There is no blood test or brain scan for OCD, but a trained professional can spot the signs quickly. How Is Contamination OCD Treated? Contamination OCD is treatable. With the right approach, people can experience major relief, even full recovery. 1. Cognitive Behavioral Therapy (CBT) Specifically, a method called Exposure and Response Prevention (ERP) is the gold standard for OCD.
Over time, your brain learns that the fear was false and the anxiety fades. 2. Medication Many people benefit from medications called SSRIs (Selective Serotonin Reuptake Inhibitors) such as fluoxetine (Prozac), sertraline (Zoloft), or fluvoxamine (Luvox). These medications help reduce the intensity of obsessive thoughts and make therapy more effective. In more severe cases, psychiatrists may prescribe a combination of medications. 3. Support and Education Learning more about OCD and connecting with others who have it can help reduce shame and build confidence. Support groups, educational websites, and books can be great tools. Living with Contamination OCD If you or someone you know has Contamination OCD, it's important to remember:
You don’t have to live your life avoiding the world out of fear. With the right support, that sense of constant worry can be replaced by peace and freedom. At Your Family Psychiatrist, we work with patients of all ages to understand their OCD, reduce their anxiety, and build a life that doesn’t revolve around fear. Request your appointment online today and take back control from contamination OCD.   Why You Feel That Sinking Feeling and What You Can Do Have you ever had an important meeting, a first date, or an upcoming test that made your stomach feel like it was twisting? That fluttering, uneasy sensation is often called “butterflies in the stomach.” It’s a real physical reaction that happens when you feel anxious or nervous, and you’re definitely not imagining it. What causes this feeling? Why does your stomach respond to your emotions? Most importantly, what can help when the anxiety feels like too much? As psychiatrists, we see this connection all the time. Let’s break it down. The Brain–Gut Connection: Why Your Emotions Show Up in Your Stomach Your brain and your gut are constantly talking to each other through a powerful communication system called the gut-brain axis. This connection helps explain why emotions can cause real, physical symptoms in your digestive system. At the center of this communication is the vagus nerve which is the longest cranial nerve in the body. It acts like a highway between your brain and major organs like your stomach When you feel anxious:
In some people, this signal is stronger or more sensitive. That’s why some feel just a little jittery, while others feel actual stomach pain, nausea, or even diarrhea when they’re nervous. Why Anxiety Feels So Uncomfortable Anxiety is a normal human emotion, but when it becomes too intense or too frequent, it can affect how your mind and body function. Common stomach-related symptoms of anxiety include:
These symptoms can make anxiety worse by creating a cycle: you feel nervous, your stomach reacts, you worry more because of the stomach pain, and the anxiety increases. Over time it can lead to chronic stomach issues, like irritable bowel syndrome (IBS), frequent nausea, or loss of appetite. What Can Help? If you're dealing with frequent anxiety and stomach discomfort, know that you're not alone and there are ways to feel better. 1. Relaxation Techniques Practices like deep breathing, mindfulness, and meditation can help calm the nervous system. These techniques activate the parasympathetic system (the opposite of fight-or-flight) which helps your stomach relax. 2. Physical Activity Exercise, even light movement like walking, reduces stress hormones and promotes digestive health. It can also help release pent-up energy from anxiety. 3. Therapy Cognitive Behavioral Therapy (CBT) is one of the most effective tools for anxiety related stomach issues. It helps you understand how your thoughts affect your body and teaches you how to interrupt the anxiety cycle. 4. Diet and Gut Health Some foods can irritate an already sensitive stomach. Avoiding caffeine, highly processed foods, and carbonated drinks during high-stress times can help. Probiotics may also support gut balance though results vary from person to person. Additional natural strategies to treat a nervous stomach can be found here. Are Medications Helpful? Yes, medication can be a helpful tool, especially when symptoms are interfering with daily life. A psychiatrist may prescribe:
Not everyone needs medication, but for some people, it can make a big difference. Your stomach symptoms are not all in your head. Anxiety has very real physical effects, and psychiatrists are trained to help you treat the problem at its root, not just mask the symptoms. When Should You See a Psychiatrist? If you’re experiencing any of the following, it may be time to talk with a professional:
You don’t have to live with constant stomach pain or that sinking feeling in your gut. Many patients are surprised how quickly symptoms improve once they get the right diagnosis and support. At Your Family Psychiatrist, we specialize in helping people understand these symptoms, get the right treatment, and feel like themselves again. Whether your anxiety shows up in your mind or your stomach, we’re here to help. Request your appointment online today.   Understanding How This FDA-Approved Medication Can Help Imagine feeling stuck in a cycle of overeating, where you're consuming large amounts of food in a short period of time in secret, followed by shame, guilt, or regret. This isn’t just about having a "cheat day" or loving dessert. For many people, it's something much more serious. It's called Binge Eating Disorder (BED), and it's the most common eating disorder in the United States. The good news? There is treatment, and one of the most effective options is a medication called Vyvanse. What Is Binge Eating Disorder? Binge Eating Disorder is a mental health condition that involves repeated episodes of eating unusually large amounts of food, often very quickly, even when not hungry. Afterward, people feel upset, guilty, or out of control. Unlike bulimia, there is no regular purging (vomiting or over-exercising) afterward. Symptoms of Binge Eating Disorder:
If you or someone you care about relates to these symptoms, you are not alone. According to the National Alliance for Eating Disorders, about 3.5% of women and 2% of men experience BED in their lifetime. Vyvanse: FDA-Approved for Binge Eating Disorder Vyvanse (lisdexamfetamine dimesylate) is the first and only medication FDA-approved to treat moderate to severe Binge Eating Disorder in adults. It was originally approved in 2007 for ADHD, but in 2015, the FDA also approved it for BED after strong clinical trial results. It is not a weight loss drug, although some people may experience weight loss while taking it. Vyvanse is designed to reduce binge episodes, not act as a diet pill. How Does Vyvanse Work? Vyvanse is a stimulant medication, which means it increases activity in certain areas of the brain, especially those related to attention, impulse control, and reward. It works by affecting two important brain chemicals:
People with BED often describe feeling “out of control” during a binge. Vyvanse helps by improving impulse control, decreasing food cravings, and reducing the urge to binge. It does not take away normal appetite. It simply helps people pause, think clearly, and make healthier decisions about food. What Does the Research Say? Vyvanse was studied in two large clinical trials that led to its FDA approval for BED. The results were impressive. Study Highlights:
Vyvanse is not a cure, but it has helped thousands of adults regain control over their eating behaviors and reduce the emotional pain caused by BED. What to Expect When Taking Vyvanse for Binge Eating Vyvanse is taken once daily in the morning, either with or without food. Your doctor will usually start you at a low dose and increase it slowly until you find the most effective and well-tolerated amount. Patients often report:
You may notice improvement within the first 1–2 weeks, though full benefits are often seen by week 4–6+. Vyvanse is usually one part of a broader treatment plan, which may also include counseling or therapy to address emotional and behavioral patterns related to food. Common Side Effects Like all medications, Vyvanse comes with potential side effects. Most are mild to moderate and often improve with time or dose adjustments. Most Common Side Effects:
Less Common but Serious Side Effects:
It’s important to have regular check-ins with your psychiatrist to monitor side effects and track your progress. Who Should Not Take Vyvanse? Vyvanse is not recommended for individuals who:
Your psychiatrist will need to review your medical history and current medications to determine if Vyvanse is a safe option for you. Vyvanse vs. Other Options While Vyvanse is currently the only medication FDA-approved for BED, it’s not the only way to treat binge eating. Many people also benefit from:
Vyvanse has the strongest evidence and official approval for treating BED, making it a preferred choice when symptoms are moderate to severe. Binge Eating Disorder can feel isolating, but it is treatable. Vyvanse offers an effective option for reducing the frequency and intensity of binge episodes, allowing many people to regain control over their eating and improve overall mental health. If you’re in the Houston area and looking for a psychiatrist to help determine if Vyvanse is right for you, our clinic is here to help. We take the time to understand your unique story, rule out other conditions, and create a treatment plan that works.  Training, Specialties, and What Psychiatrists Really Do If you’ve ever wondered, “How long does it take to become a psychiatrist?”, the short answer is, a long time. There’s a good reason for that. Psychiatrists are medical doctors who specialize in mental health, meaning we study both the brain and the body. Our training includes diagnosing mental illnesses, providing therapy, prescribing medications, and understanding how physical health and mental health are connected. Step-by-Step: Education and Training to Become a Psychiatrist 1. Bachelor’s Degree (4 Years) Before medical school, future psychiatrists must complete a 4-year college degree. Most students major in something related to science or psychology, but any major is acceptable as long as medical school prerequisites are completed. 2. Medical School (4 Years) After college, students enter medical school to earn their MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) degree. Medical school lasts another 4 years. During this time, students study anatomy, pharmacology, diseases, and treatments, and gain clinical experience in hospitals and clinics. Here the focus is becoming a well-rounded doctor first. Expect to do surgical, pediatric, ob/gyn, family medicine, and other similar rotations. While there will be aspects of mental health learning in every rotation, the focus is developing the student into someone prepared to enter advanced, specialty training. 3. Psychiatry Residency (4 Years) After graduating from medical school, new doctors begin a psychiatry residency, which is a paid, hands-on training program that lasts 4 years. Pay is typically $40,000-65,000 per year and the pay differential is mostly related to local cost of living. You can't negotiate it. During residency, you focus specifically on psychiatry, learning how to diagnose and treat conditions like:
Residents often work 50–80 hours per week, treating patients in hospitals, emergency rooms, outpatient clinics, and even correctional facilities. There is no overtime pay. Total time to become a general psychiatrist: 12 years after high school. Optional: Fellowship Specialties in Psychiatry (1–2 Extra Years) Some psychiatrists choose to complete a fellowship after residency. This is specialized training in a specific area of psychiatry, which usually lasts 1–2 additional years. Below are the most common specialties and what they involve. 1. Child and Adolescent Psychiatry (2 Years) Child and adolescent psychiatrists specialize in treating patients ages 3–17. Mental health in children often looks different than in adults, and early intervention can make a lifelong difference. These psychiatrists treat conditions such as:
Training includes working closely with families, schools, pediatricians, and therapists. It also involves learning how to modify treatments to suit a child’s developmental stage. Total time: 14 years (4 college + 4 med school + 4 residency + 2 fellowship) 2. Geriatric Psychiatry (1 Year) Geriatric psychiatrists specialize in working with older adults, usually age 65 and above. As people age, they may face unique mental health issues due to physical illness, memory loss, or isolation. The ability to metabolize medications decreases. Geriatric psychiatrists treat:
They often work in nursing homes, hospitals, memory clinics, or private practice. Total time: 13 years 3. Addiction Psychiatry (1 Year) Addiction psychiatrists focus on treating patients with substance use disorders, including alcohol, opioids, stimulants, and other drugs. They understand how addiction affects both the brain and behavior, and they treat the underlying mental health issues that often come with addiction. They help with:
These psychiatrists often work in rehab centers, hospitals, VA clinics, or outpatient programs. Total time: 13 years 4. Forensic Psychiatry (1 Year) Forensic psychiatrists work at the intersection of psychiatry and the law. They evaluate individuals involved in legal cases and may testify in court as expert witnesses. They perform assessments related to:
Their work often involves writing legal reports and working closely with attorneys and judges. Total time: 13 years 5. Consultation-Liaison Psychiatry (1 Year) Also known as psychosomatic medicine, this specialty focuses on mental health in medically ill patients. These psychiatrists are often found in hospitals and collaborate with doctors from other specialties like cardiology, oncology, or surgery. Usually other specialties consult or request assistance from the Consultation-liaison psychiatrist. They treat patients who are:
This field is especially helpful in improving whole-person care in complex medical settings. Total time: 13 years 6. Neuropsychiatry (1–2 Years) Neuropsychiatrists specialize in patients with neurological and psychiatric overlap, often caused by brain injury, stroke, epilepsy, or neurodegenerative diseases. They treat:
These specialists often work in academic centers or with neurologists on difficult-to-diagnose cases. Total time: 13–14 years Becoming a psychiatrist requires at least 12 years of education and training after high school. Many go on to complete another 1–2 years of fellowship training to specialize in areas like child psychiatry, addiction, or geriatrics. Why does it take so long? Mental health is complex. As psychiatrists, we’re trained not only to diagnose and treat emotional distress, but also to understand the medical, psychological, and social factors that influence a person’s well-being. If you’re considering seeing a psychiatrist, know that you’re not alone, and the person you’re meeting has spent over a decade learning how to help people just like you. If you’re looking for a board-certified psychiatrist in Houston for yourself or a loved one, we’re here to help. Request your appointment online today and take the first step toward feeling better.   Understanding Obsessive-Compulsive Disorder and the Many Faces It Can Have When people think of Obsessive-Compulsive Disorder (OCD), they often imagine someone who washes their hands too much or arranges things perfectly. OCD is far more complex and more common than most people realize. As a psychiatrist, I work with people from all walks of life who struggle with OCD including students, nurses, parents, CEOs, and celebrities. It’s important to know that having OCD doesn’t mean you’re weak or damaged. In fact, many highly successful and creative individuals have lived with OCD and learned to manage it. Let’s take a look at some well-known celebrities who have publicly shared their experiences with OCD, learn some unique statistics, and explore why treatment works. OCD by the Numbers
Celebrities with OCD: Proof That It Doesn’t Define You Many public figures have bravely spoken out about their experiences with OCD. Their stories show that OCD can affect anyone, no matter how famous, talented, or successful. 🎬 Actors & Actresses
🎤 Musicians
⚾ Athletes
📺 TV Personalities & Comedians
📚 Authors & Creatives
OCD Looks Different in Everyone OCD doesn’t always involve cleaning or checking. It can include:
The thoughts are usually unwanted and distressing, and the compulsions don’t bring joy. They bring temporary relief followed by more anxiety. Treatment Can Be Life-Changing Many of the celebrities above have emphasized one key message: OCD is treatable. Effective treatment often includes:
In more severe cases, other options like ketamine, TMS (transcranial magnetic stimulation), or intensive outpatient programs can be helpful. You Are Not Alone OCD doesn’t make you weak. It makes you human. The celebrities mentioned above are just a few examples of highly successful people who have lived full lives with OCD. If you find yourself constantly battling distressing thoughts, performing mental or physical rituals, or feeling like your mind is stuck on repeat, it may be time to reach out. You don’t have to live trapped in your own thoughts. There is help. There is hope. With the right treatment, you can get your life back. If you or someone you love is struggling with OCD, request your appointment online today. At Your Family Psychiatrist, we help children, teens, and adults find freedom from obsessive-compulsive disorder with compassionate, evidence-based care.  |
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