Blog

For most people, making an appointment to see a psychiatrist about behaviors or symptoms that are impacting their personal, academic or work life is a hard first step to take. Psychiatrists are specialists who are not there to judge you, but to work with you to find the best medication and treatment regime for your specific needs – making that first appointment takes you in a positive direction toward turning your life around.

Psychiatric Help Needed by Thousands Who Never Seek Treatment

The website Every Day Health reports that almost 66% of adults with depression will never seek treatment. For those with addictive behaviors, a chronic history of substance abuse, or mental health issues that are causing havoc with one’s life, only approximately 35% seek help, usually when they are faced with a failed relationship, loss of their job, failing college grades, or a criminal record.

Comprehensive Psychiatric Evaluation Needs Full Disclosure by Patient

The initial evaluation appointment with your Atlanta psychiatrist follows an organized plan that includes finding out about your issues, concerns, behaviors, symptoms and areas where you are having difficulty, and the information you give will affect the treatment strategy and time frame of the recovery process.

An experienced and practiced psychiatrist like Dr. Hege understands patients may hold back or alter important information out of embarrassment, fear, anxiety or trust issues. Accurately answering questions, and describing symptoms and behaviors experienced will lead to building a sound foundation for a successful treatment plan.

Common Information to Discuss During Comprehensive Evaluation

Many points and issues are discussed during a comprehensive evaluation with your psychiatrist. Talking about one area of concern may lead to a whole new set of questions. Some common topics that may be discussed include:

• Medications currently taking – include prescription medications and their dosage, as well as all over-the-counter (OTC) herbal remedies, vitamins, supplements or pain medicine you use. Discuss any products that may have caused a side effect or left you “feeling bad.”
• Stress in your life – stress comes from many different directions such as work, home, friends, children, money, debt, weight, pain, loss, worry, etc.
• Self Medication – use of drugs or alcohol to help you “cope” with life
• Physical Symptoms –  includes trouble sleeping, poor appetite, voracious appetite, feeling run-down, loss of energy, loss of interest in sex, low frustration tolerance or any other symptoms that are interfering with your daily routine
• Suicidal or Homicidal Thoughts – discuss any thoughts about hurting yourself or others with your psychiatrist; thinking may not mean follow through but this is a serious issue that needs to be addressed right away

Atlanta Mental Health Management Psychiatrist

Dr. Darvin Hege, a highly regarded Atlanta mental health management psychiatrist has a long history of successfully planning and implementing individually based treatment plans.

Schedule an evening or weekend appointment with Dr. Hege and start positively changing your life.

With the world’s seemingly unending stressful events, such as money issues, family problems, random violence in the news, many people can develop a mental health issue. Whether or not the problem is short-lived or becomes chronic, both respond to psychiatric medications that when properly managed lead to the successful treatment of life-disrupting mental illness.

Psychiatric Medications Critical Part of Treatment Plan

Psychiatric medications are often a critical element in the development of a successful mental health treatment plan. The National Institute of Mental Health separates psychiatric medications into six main groups which include medications used to treat ADHD, anxiety disorders, clinical depression, bi-polar disorder, mood disorders, or medications used as a sedative. A qualified psychiatrist carefully diagnoses and prescribes after a thorough evaluation and history taking.

Top Five Psychiatric Medications Prescribed

Psych Central reports that the top ranking medication from 2005 forward to today is Xanax / alprazolam used for anxiety, with almost 48 million U.S. prescriptions written on an annual basis. The other four psychiatric medications range from almost 24 million U.S. prescriptions a year to well over 37 million.

The 2nd ranked medication includes Zoloft/sertraline for anxiety, PTSD, OCD, and depression; 3rd, the drug Ativan for panic disorder and anxiety; 4th, Prozac/fluoxetine for anxiety and depression; and 5th, Celexa/citalopram for anxiety and depression. The variety of psychiatric medications used for ADHD rank all the way from 15th to 25th with yearly U.S. prescriptions totaling up to more than 35 million a year.

Common Psychiatric Medication Side-Effects

Psychiatric medication side effects vary from one person to the next. There are numerous factors that change how your body will react to any one or a combination of medications. The four main psychiatric medication side effects are:

• Weight gain
• Sexual issues or dysfunction
• Restlessness, hyperactivity, irritability or agitation
• Tiredness, drowsiness, memory deficits or clouded thinking

Other significant side effects which may require more immediate psychiatrist medication adjustment and management include:

• Diarrhea or GI upset such as nausea and vomiting
• Impaired coordination and control of body’s extremities
• Insomnia
• Blurred vision
• Cardio-pulmonary issues
• Drop in blood pressure with feelings of dizziness or syncope
• Black outs or feeling like you are in a trance or stupor
• Becoming despondent or having feelings of great sadness and despair
• Any change in your emotional or physical state that may be due to psychiatric medication side effect which is causing you emotional stress.

Atlanta Psychiatrist, Expert in Managing Medication Side Effects

If you are currently taking psychiatric medications and are experiencing side effects that have negatively impacted family, social relationships or work related interactions, it is time for a change – call Atlanta’s expert in managing and adjusting psychiatric medications.

Dr. Darvin Hege, M.D. Atlanta’s psychiatric medication side-effects doctor is ready to help you make the change for the better – call to set up an appointment today.

Panic attacks are often viewed by society with a negative connotation attached to the diagnosis which leaves many to suffer without seeking medical help. The Mayo Clinic reports the medical community recognizes panic attacks as a medical condition that is successfully treated with proper medication or a specific combination of prescriptions.

The U.S. National Library of Medicine reports statistical data indicates 2-3% of the population have panic disorder. That’s almost 7 million adults who are affected by panic disorder. Unfortunately most people with panic disorder never seek treatment. For those properly evaluated by a psychiatrist who specializes in the treatment of panic and anxiety disorders, 90% find relief from their fear and severe physical reactions.

What is a Panic Attack?

A panic attack is a type of anxiety disorder where you have a sudden overwhelming fear that consumes the person without warning or any obvious reason, peaking in about 10 minutes. In addition, an attack also triggers severe physiological reactions which take the fear and anxiety to new levels of extreme. Recurrent panic attacks, and living in fear of another attack may indicate you have a panic disorder, which can be successfully treated by a specialized psychiatrist.

What Causes Panic Attacks and Anxiety Disorder?

While the cause of panic attacks is unknown, there is a connection between major life transitions and degree of stress involved. The National Institute of Mental Health report one episode may not indicate an underlying anxiety disorder; however living in fear of having a recurring episode has a negative impact on your home and social life as well as gainful employment. A full comprehensive evaluation by a psychiatrist is crucial to provide the proper diagnosis that can then be successfully treated.

What are the Symptoms of Panic Attack or Panic Disorder?

There are a variety of symptoms that accompany a panic attack. People generally present with at least four of the following symptoms during a panic attack:

• Chest pain or heavy discomfort
• Heart palpitations, unusual heart rhythm or “pounding” heart
• Shortness of breath or feeling like you will suffocate
• Overwhelming fear of impending doom
• Numbness and tingling in your arms, legs or face
• Uncontrollable shaking, shivering or trembling
• Fear of dying
• Profuse sweating, hot flashes, or chills
• Nausea, upset stomach, inability to eat
• Feeling dizzy, lightheaded or faint
• Feeling detached from reality

In addition, panic disorder can occur with other masked disorders which are often missed during a medical or psychological evaluation. Panic disorder may be associated with OCD, depression, substance abuse and alcoholism.

Atlanta Panic Attack Psychiatrist

Dr. Darvin Hege, MD, PC, is a well respected Atlanta panic attack psychiatrist with over 25 years of experience. Dr. Hege’s evaluation and subsequent diagnosis or multiple diagnoses is vital in developing a successful treatment and medication regime for panic disorder where the goal is to help you function without fear in everyday life situations.

Anxiety and worry is a normal part of our human makeup. In the distant past, anxiety had a purpose that helped our ancient ancestors survive by keeping them alert to the dangers they faced daily so they could be ready to act and stay alive. Today we are far removed from the need for being constantly on guard against a hostile world to ensure our survival.

When worry and anxiety become extreme, out of control, prolonged, begin to affect our ability to do our jobs, affect our relationships with others, or we begin to lose the enjoyment of life, we may need help getting balance back into our lives. Included in the category of anxiety disorders are panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and several phobias such as agoraphobia, and excessive social shyness. Anxiety disorders are the most common form of mental illness, affecting 40 million adults in the United States, according to the Anxiety and Depression Association of America.

According to the National Institute of Mental Health, mental disorders are the leading cause of disability in the United States. A psychiatrist can quickly determine if you are suffering from an anxiety disorder or other disorders that can affect the ability to function normally and enjoy life. By knowing which medications to prescribe for those affected with anxiety disorders or other mental disorders, a psychiatrist can help to restore your mental health. Medication is an important option to consider and has helped thousands to regain balance in their lives and enabled them to function as contributing members of society.

Atlanta Anxiety Disorder Psychiatrist

If you’re looking for an experienced Atlanta anxiety disorder psychiatrist who has been helping people in the Atlanta area for many years, contact Dr. Hege. He can help with your anxiety disorder. He can help prescribe you medications that may help you regain your enjoyment of life. Give us a call or submit a message through our online form.

To a certain degree, most people experience a mild bit of panic during every day life. For example, if you have to give a speech, you may be anxious about not embarrassing yourself or not forgetting the speech material. If you are starting a new job, you may be anxious about making a good impression and may worry about learning new procedures. If you are going out on a first date, you may worry about how you look or if you’ll like the person you are dating. But, many people routinely suffer from panic or anxiety that keeps them from living a “normal” life. If you are one of the more than 6 million Americans who frequently experience an overwhelming degree of anxiety, you may need help for your anxiety and panic attacks.

The first thing to do after experiencing a panic attack is to go through a medical evaluation so physical conditions can be ruled out as the cause of the panic attack. Thyroid disorders, anemia, pheochromocytoma, heart problems, fluctuating hormones caused by pregnancy or menopause, too much nicotine or caffeine, and certain medications can cause symptoms similar to panic attacks. The physical symptoms of a panic attack include a sense of impending doom combined with a pounding and rapid heart beat, sweating, shakiness or dizziness, a feeling of shortness of breath or hyperventilating, and sometimes either chills or flushing. The sense of panic during an attack is increased by the knowledge that these same symptoms can be signs of more serious conditions, such as a heart attack, which raises the person’s level of anxiety.Although scientists aren’t sure what causes true panic attacks, they suspect that they may be caused by chemical imbalances in the brain. Also panic attacks can be an inherited condition. Many times there is no physical reason for an attack, but it is best to get medical help to rule out physical causes first when taking steps to get help for anxiety and panic attacks.

If you routinely experience several of these symptoms, you may be living with an anxiety disorder:

• Do you feel like every day experiences make you anxious (driving, social interactions, etc)?
• Does your anxiety interfere with your work, school, or family responsibilities?
• Do you experience fears that you know are irrational, but can’t shake?
• Do you believe that something bad will happen if certain things aren’t done a certain way?
• Do you experience sudden, unexpected attacks of heart-pounding panic?
• Do you feel like danger and catastrophe are around every corner?

So, how can you get help for anxiety and panic attacks? Sometimes you can get relief through natural methods and sometimes you need to seek help through counseling and medication. If the natural route is what you would like to try first, you should think about learning and practicing tai chi, yoga, or meditation to help you relax and reduce stress. Healthy eating habits and an exercise program can also help to reduce the stress of the day. Deep breathing exercises practiced during stressful times of the day (the commute, after a talk with the boss, etc) can help calm and center your mind.

If these techniques are not enough to provide  help for your panic attacks and anxiety, counseling and medication are an important next step. Find a therapist who has experience in dealing withpanic attacks and can provide help for your anxiety. Treatment such as cognitive behavior therapy can alleviate or eliminate panic attacks for many people. Cognitive behavioral therapy helps you change the way you “see” things and helps you alter behaviors that contribute to panic attacks or keeps them going. It helps you see your fears more realistically. Exposure therapy can also help you with panic attacks and anxiety. This type of therapy mimics the sensations you feel when you have a panic attack. For example, you might hold your breath or be asked to hyperventilate with a counselor present and while in a safe environment. In this way, you can learn how to cope with the feelings you experience so that you have more control over the sensations and your reaction to them.

Anti-anxiety medications can also help for anxiety and panic attacks. Dr. Darvin Hege provides help for panic attacks in the Atlanta area. Dr. Hege most commonly prescribes Xanax XR, Klonopin, Zoloft, Prozac, Celexa, Lexapro, Paxil, Effexor, or Cymbalta. For more information from Dr. Hege about panic attacks and the most effective medications for anxiety and panic attacks, go to the Panic Attacks Information page on his website.

Dr. Hege has 25 years of experience dealing with patients who need help for anxiety and panic attacks. Call him today at 770-458-0007 for an evaluation for relief of your panic, and for help deciding the most effective and safest treatment for your anxiety attacks.

Panic attacks can be devastating for those suffering from the condition. Attacks come at random and can occur frequently or can have long periods of time between episodes. The fact that attacks can't be anticipated causes more anxiety. Ultimately, two thirds of the people who have a panic attack will be diagnosed with a panic disorder within a year following their first attack, and half of those who go through a panic attack will develop clinical depression within a year. It seems that panic attacks and depression often go hand in hand.

The first thing to do after experiencing a panic attack is to go through a medical evaluation so physical conditions can be ruled out as the cause of the panic attack. Overactive thyroid, heart problems, too much nicotine or caffeine, certain medications, and abuse of alcohol or illegal drug use can cause symptoms similar to panic attacks. Scientists aren't sure what causes true panic attacks. They may be caused by chemical imbalances in the brain. Sometimes panic attacks are an inherited condition. Many times there is no physical reason for an attack, but it is best to get medical help to rule out physical causes.

Repeated anxiety attacks can cause depression and panic attacks can turn into a panic disorder. The anxiety of wondering if another panic attack is on the way causes severe stress and sometimes thoughts of suicide in people who suffer from them. Since panic attacks are frighteningly similar to symptoms of serious medical conditions such as heart attacks, people naturally become more anxious that their attacks may be life-threatening. The lack of control that sufferers go through is often depressing as is the fact that they can't anticipate an attack. If a person has lived with panic attacks for a while, the anxiety they feel can give them low self-esteem or may lower their self-image which also can result in depression. Panic attacks and depression combined can make people feel like they are in a downward spiral that can never be escaped.

When panic attacks and depression occur together, it is best to get help from a qualified psychiatrist. Early intervention can help the person before the condition affects their lives too much since often people will avoid the places or situations they feel bring on their panic attacks, leading to a decreased quality of life. Depression is a serious condition and needs to be treated separately from the the panic attacks. But, anti-depression medication, certain types of psychotherapy, or a mixture of the two can effectively treat the individual who suffers from panic attacks and depression. Dr. Darvin Hege, an Atlanta-based psychiatrist, says "addressing the core panic disorder or other condition with the vast selection of tools with which psychiatrists are familiar will likely result in relief and success."

Dr. Darvin Hege has 25 years of experience dealing with patients who have panic attacks and depression simultaneously. He offers evening and weekend office hours at his Atlanta, GA practice. Call today at 770 458-0007 for an evaluation for relief of your panic attacks and depression and for help deciding the most effective and safest treatment. 

Panic attacks are common for many people. It doesn’t matter where you are or what you are doing – a panic attack can come on randomly and disrupt your day (or night). Over 6 million Americans suffer from panic attacks and between 44 percent and 71 percent of those people have also experienced panic attacks at night.

While it would seem that people should have more anxiety during the day, due to stresses of work and home, panic attacks at night are more common than you would think. Panic attacks at night are characterized by waking abruptly from sleep in a state of anxiety, and for no obvious reason. Episodes of panic attacks at night are generally over within ten minutes or so, but those few minutes can set the tone for sleeplessness the rest of the night. The physical symptoms of a panic attack include a sense of impending doom combined with a pounding and rapid heart beat, sweating, shakiness or dizziness, a feeling of shortness of breath or hyperventilating, and sometimes either chills or flushing. It can be hard to go back to sleep after the body is revved up from the attack. Also, the sense of panic during an attack is increased by the knowledge that these same symptoms can be signs of more serious conditions, such as a heart attack, which raises the person’s level of anxiety.

Part of the distress of panic attacks at night is the sense of loss of control. Patients suffering from an attack may also feel the night brings with it a sense of being defenseless while unconscious (sleeping) and the thought that something might happen while they are most vulnerable. Panic attacks at night can be precipitated by events that happened during the day. Things that happened during the day may be revisited at bedtime, causing anxiety before sleeping. Events at home may leave an emotional imprint on the mind, causing the patient to be more anxious than usual. Even eating late at night just before going to bed can keep the sufferer awake and make them more prone to panic attacks at night.

There are some things people can do to help them deal with panic attacks at night:

1. Learn and practice calming techniques like yoga, tai chi, and meditation.
2. Learn and practice slow, deep breathing exercises.
3. Reduce stress at night by taking time to relax and forget the worries of the day before retiring to bed at night.
4. Develop healthy eating habits and exercise programs to help reduce stress.

If these techniques are not enough to help you deal with panic attacks at night, counseling and medication are an important next step. Find a therapist who has experience in dealing with panic attacks at night. Treatment such as cognitive behavior therapy and anti-anxiety medications can alleviate or eliminate panic attacks for most people. Dr. Darvin Hege provides help for panic attacks in the Atlanta area. Dr. Hege most commonly prescribes Xanax XR, Klonopin, Zoloft, Prozac, Celexa, Lexapro, Paxil, Effexor, or Cymbalta for panic attacks at night. For more information from Dr. Hege about panic attacks and the most effective medications for stopping panic attacks at night, go to thePanic Attacks Information page on his website.

Although having panic attacks at night can be a frightening experience, they aren’t something you just have to live with. Medications, therapy, and stress reduction can help sufferers face the night without fear.

Dr. Hege has 25 years of experience dealing with patients who have panic attacks at night. Call him today at 770-458-0007 for an evaluation for relief of your panic during the night, and for help deciding the most effective and safest treatment.

Panic attacks and pregnancy simultaneously create risks for the fetus. Stress and anxiety in the mother increase adrenaline and cortisol that can reduce oxygen to the fetus and contribute to risks during labor and delivery. The peak age of onset is in the 20s and more women than men get panic attacks. Therefore, the incidence of panic attacks and pregnancy together is elevated. The prevalence of panic attacks and pregnancy is about 1 to 2%.

In a retrospective study of first onset of panic attacks in childbearing age women, 10 times as many women reported their first panic attack occurred in the first trimester of a pregnancy. Other retrospective studies suggested that breast-feeding reduced the risk of panic disorder during the postnatal period and weaning increased the risk. If a woman has had panic attacks before pregnancy, studies have suggested that they may have worsening of the panic attacks during pregnancy and/or the postnatal period if the panic disorder was severe.

Medical causes of panic attacks need to be ruled out. These include thyroid disorders, anemia, preeclampsia, and pheochromocytoma. Comorbid psychiatric conditions frequently underlie panic disorder. These include mild bipolar disorder, depression, ADHD, other anxiety disorders such as PTSD, generalized anxiety disorder, or alcohol or drug abuse or withdrawal.

Panic attacks and pregnancy present challenges for treatment. Self-care strategies include elimination of caffeine, reduction of sleep deprivation, and relaxation techniques. Non-medication therapy with cognitive behavioral therapy with a professional therapist may be effective.

Medication treatment for panic attacks and pregnancy are often very helpful, but risk and benefit analysis include the following: as mentioned in the beginning there are medical, physical development, labor and delivery, postpartum, and later physical and mental developmental risks for the baby when the mother is having uncontrolled panic attacks during pregnancy, postpartum, and early childhood stages.
Now I will address some of the concerns of taking medication during panic attacks and pregnancy. Medications that help panic attacks the quickest are benzodiazepines. Benzodiazepines include Xanax, Klonopin, Ativan, Valium, Librium, Tranxene, and Serax. There was at least one study suggesting an increased risk of cleft palate if Valium is used during pregnancy. That suggestion was about a 1% risk. SSRIs retrospective studies have not suggested any congenital malformations except possibly in Paxil. Hence, the other SSRIs are first choice. These include Prozac, Zoloft, Celexa, and Lexapro. The drawback of the SSRIs are that they require one to two weeks of administration before getting any benefit and one to two months before getting full benefit against panic attacks. Withdrawal or discontinuation symptoms of any of these medicines in the baby after delivery are additional concerns.

Dr. Hege has 25 years of experience dealing with patients who have panic attacks and pregnancy simultaneously. Call today at 770 458-0007 for an evaluation for relief of your panic during the planning or managing of a pregnancy or postpartum, and for help deciding the most effective and safest treatment.