expert type icon EXPERT

Dr. David Gersten, MD

Psychiatrist

Dr. David Gersten MD is a top Psychiatrist in Encinitas, . With a passion for the field and an unwavering commitment to their specialty, Dr. David Gersten MD is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. David Gersten MD is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. David Gersten MD is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Encinitas, Ca, Dr. David Gersten MD is a true asset to their field and dedicated to the profession of medicine.
50 years Experience
Dr. David Gersten, MD
  • Encinitas, Ca
  • University of Colorado Medical Shool
  • Accepting new patients

Sudden mental fatigue--what can it be?

Symptoms are almost always the tip of the iceberg. Thyroid or adrenal problems can cause this. I use plasma amino acid testing, urine organic acids (and sometimes plasma neurotransmitter READ MORE
Symptoms are almost always the tip of the iceberg. Thyroid or adrenal problems can cause this. I use plasma amino acid testing, urine organic acids (and sometimes plasma neurotransmitter testing) to find out what is going on with brain chemistry and total body chemistry. Your issue, "not able to put as much mental and emotional effort in tasks" sounds like norepinephrine deficiency, although it's guess work without having more info. Low norepinephrine is usually associated with impaired memory and concentration. The amino acid L-tyrosine is the nutrient that turns into dopamine and norepinephrine in the brain. It needs to be taken with P5P (pyridoxal-5-phosphate). I prefer Montiff brand P5P, which is called TriPhosB. I don't know your location, but New York will not allow 3 or 4 nutritional tests to be done.

Is negative thinking a disease?

The nature of the mind is to churn out thoughts. The average person runs 5,000 random thoughts per day, 35,000 per week, 1,825,000 per year. The faster the mind moves the more READ MORE
The nature of the mind is to churn out thoughts. The average person runs 5,000 random thoughts per day, 35,000 per week, 1,825,000 per year. The faster the mind moves the more anxious and stressed a person is. Very rarely is this a disease. Neurotransmitters can be involved (dopamine, norepinenephrine and/or serotonin), along with GABA (our most calming neurotransmitter). Low grade inflammation is often an issue. In situations like this I usually combine physical with mental treatments. (meditation, use of the breath, mental imagery). I've spent a career trying to figure out what the mind is. Oh, hmm I forgot something. I wrote a book for the POWs of Operation Desert Storm, and re-wrote it last year. It was part of military training for army and navy in Operation Desert Storm. The POW Survival Guide will be re-named and briefly re-written. The military is no longer interested in this information. It's on Amazon. It is high on technique, low on theory, and the most important thing it teaches is how to establish "Mental Home Base," a place you can return to internally over and over again, instead of constantly churning out thoughts. Most thoughts, by the way, are pretty neutral, even if a person is feeling negative. Affirmations are useful, but not as important as mantra meditation, and regular exercise is important.