Ryan Koryciak

Evidenced-based methods such as Cognitive behavioral therapy approved by a body of APA American Psychologists; acceptance and commitment therapy; dialectical behavioral therapy; experiential acceptance; mindfulness-based cognitive therapy; panic disorder; and third-wave psychotherapies. Medications if needed or as needed and management of them and any and all other client services for health, nutrition, doctor visits, and therapist visits, to address any other functions of treatment for therapeutic purposes of bringing about better. mental health as deemed safe and appropriate by a doctor and/or therapist. Many times a combination of medication if needed and prescribed by a psych doctor and meditation, counseling/therapy, deep breathing exercises, and time for daily love and adherence with the techniques into a dependable, consistent behavioral routine daily.

It depends on circumstances around a person that can affect mental, emotional even spiritual progress as well. Also, the diagnosis present and how it is being treated whether the medication is effective or not, and some of the roles the patient has in their progress such as helping themselves to appointments with their doctor or doctors for regular checkups and medication adjustment if necessary and following all recommendations such as diet, taking the medication regularly, is it the right medicine for them? etc. The type of medication with any side effects can play a factor in things as well. Also, the person's diet, whether are they continuing any street drug use, drinking of alcoholic beverages, or any other unhealthy use of drugs or anything else that could impede their progress. Also, not often discussed is the affected person lost someone they love or were close to, bereavement is a real thing often overlooked in people's lives in which people don't always have to die physically maybe there is just a death of a relationship or relationships where people just stop talking or spending time with each other where this can affect their progress as well. When people are in multi-diverse interpersonal relationships. The best thing for depression is proper medication or medications if needed, many times life and circumstances can become better and people do become healed or their depression becomes less often with proper counseling this help. Along this path of healing meditation, yoga, reading, and learning about subjects people find interesting to acquire knowledge can help in the person's progress as well as simplify their life when things can become overwhelming to take care of oneself. Hope this helps. Wishing you well always, Dr Ryan Koryciak

It's best not to, alcohol most often has negative side effects when combined with medications and can sometimes depending on type of medication cause more side effects.

Thank you for your patience, many times medications take a while to start working correctly for a state of equilibrium. However, sometimes medications can cause more side effects with specific types and when in combination with each other. It may be too much and may be efficacious to back off one of two or reduce the frequency of taking the medications in some way without affecting the therapeutic treatment aspect, or replacement of one or more of the medications thus changing it's continuity and the effectiveness of the medications either positively or negatively, discretion from your doctor or health provider will help in this case. Lamictal is often prescribed with other medications for treatment of depression as a mood stabilizer, Klonopin is for reduction in anxiety 'attacks', Trazadone is also many times prescribed for a 'sedative' type antidepressant to help people sleep often prescribed at night, Levothyroxine is used for treatment of hypothyroidism (Low amounts of the thyroid hormone) which need to be monitored and has some adverse side effects and if taken with additional medications could cause potential adverse biophysical consequences which should always be managed by your medical doctor as well as with your psychiatrist and any other related health provider in the management of your health conditions. This all depends on what is being treated medically and physically in the body as well as psychological, anything additional taken internally such as supplements, coffee or street drugs including marijuana could potentially cause adverse side effects. Some careful maneuvering on titrations of specific or all of the medications could be beneficial depending on all health and mental health conditions being treated. There is a moderate risk with the medications Levothyroxine and absorption with other foods, time taken, fluctuations with blood levels which may alter effects and this medication can cause nervousness and may increase anxiety with other medications as well so blood levels for this medication alone also need to be monitored, a moderate risk and interaction with Trazadone and foods absorption and may impair cognitive alertness and may cause dizziness and or drowsiness in which case tasks requiring full attentiveness may want to be avoided (use discretion), same with Lamotrigine and Clonazepam. With Clonazepam and Trazadone combination the central nervous system can be affected so mindfulness in this area will help with management from your health professionals. Lastly, there is a body of evidence that may suggest that ingesting Levothyroxine with Trazadone can potentiate the antidepressant actions of Trazadone which isn't fully understood why. Clinical advice in this scenario would be cessation of any caffeine, alcohol or drugs or any supplements that may cause an increase in nervousness and a reduction or changing the medication dosages of Lamictal (could elevate nervousness), Trazadone( Could elevate nervousness) Klonopin and Levothyroxine ( Could elevate nervousness) especially with the combinations present. Wishing you well,

Sincerely,

Dr Ryan Koryciak

Thank you for your patience. Much of the research suggest some possible scenario's for child anxiety an/or anger. It may be a repressed feeling that the child has not been able to identify or accept. This may be caused by environmental issues, familial issues, parenting styles or a fluctuation or inconsistency in interpreting what is happening with these factors. Or, maybe it is a medication or food in combination with these factors as well depending on the child's current health conditions being treated. Many times children are 'seeking' safety, attention or fleeing from danger in their eyes, possibly school friends or a parent that she may 'interpret' these situations from negatively could impact her anxiety or elevate feelings of uncomfortableness. Also, having conversation with your daughter can help with you identifying any areas of concern. CBT (Cognitive Behavioral Therapy) is the evidenced based therapeutic treatment option for child anxiety and anger which can assist with cognitive restructuring, skills training to help her manage emotions correctly, help with avoidant behaviors which can all be explained further by a licensed therapist, or counselor which can help make all the difference in her days ahead. Wishing you well.

Sincerely,

Dr. Ryan Koryciak

Yes, depression is difficult to cope with for many. Staying away from alcoholic beverages, marijuana inhalation, any street drugs and any non healthy environment where it may make symptoms worse, even personal, work and family relationships that are draining or toxic. Apart from even these things not eating healthy is very taxing on the body so a good healthy diet rich in green leafy vegetable foods, moderate fruits, and plenty of water is always a good thing for the health and in any fight with mental health. Also having regular "check-ins" with your therapist, family doctor and psychiatrist for medication reviews and to adjust any medications that may be not working for you any more and to switch to medications that will work for you. Hope this helps and as always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

The most common form of therapy and is evidenced-based method is (CBT) cognitive behavioral therapy and medications. However, if there are other diagnosis with an individual it is up to the doctor and licensed clinician overseeing the patient to asses the person and there then may be other forms of psychotherapy for the person's treatment such as dialectical behavioral therapy for BPD, exposure therapy for varying social phobias etc. Hope this helps, wishing you well.

Sincerely,

Dr. Ryan Koryciak

Yes, psychiatrists help with anxiety especially if you have a diagnosis already and to keep with regular medication changes. Other clinicians such as nurse practitioners, licensed therapists, case managers and doctors are very integral in the process of helping with anxiety and helping to manage the symptom severity and checking in how medications and diagnoses are doing and related anxiety disorders as well. Hope this helps as always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

Condolences you are going through this with your friend as most addictions do encompass more than the individual. Much of the time there is a whole array of issues surrounding the individual such as the alcohol use and many times a co-occurring use of other things such as narcotics and street drugs (not always) that are happening within the individual and other things like medical problems, social/familial issues, legal issues, job problems etc. In essence, there is No quick 'fix' for alcohol addiction. It is an individuals self-effort and adherence to programs, counseling, medications (if needed), and programs such as AA or NA, regular urine drops from a reputable facility for alcohol addiction recovery (for accountability) that can help in an individual's recovery that will ultimately help them through the rough waters of alcohol addiction. This is many times or can be at least a lifelong process for some depending on the severity of the condition of the person and their surrounding situation(s). AA and NA is a great evidenced-based program that many seek solace from and do very well at. As long as sufferers of alcohol addiction can adhere to the 'programs' much good can come to the person and their families which will require some work. Throughout this process for the individual person they will need 1:1 counseling, group counseling can be very effective, access to doctor's, nurse appointments and regular routine medical and dental care to help foster a better sense of equilibrium for the person and their families caring for their health. Hope this helps, as always wishing you well.

Sincerely,

Dr Ryan Koryciak

In one article by BMC Psychiatry in a randomized control trial among 33 studies and a total of 1,142 patients, 44.5 and 13.2 % of the patients reached a minimally improved status and a 50 % much improved status and reduction of overall symptoms. Likewise, 52.9 and 24.8% of the patients reached a 20%/50% reduction of positive symptoms of schizophrenia. Because of the uniqueness and the varying diagnosis of symptoms from patient to patient, it is subjective and therefore always difficult to say as to the length of CBT sessions before positive outcomes are reached but, on average, people could expect to see results and reduction of symptoms from CBT therapy in 4 to 6 sessions within a four month window of time providing they can consistently work with their mental health professional in their treatment. As always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

In one article by BMC Psychiatry, within 33 studies and a total of 1,142 participants who received CBT therapy 44.5 or 13.2% of the patients reached a 20 % minimally improved and a 50 % much improved status and 52.9 of the patients or, 24.8% of them reached a 20% to 50% reduction of the positive symptoms of schizophrenia. The average response rate is subjective because of the varying and uniqueness of schizophrenia symptoms from person to person, but, on average it could take up to 4 to 6 sessions within four months to see improvements and reduction of positive symptoms of schizophrenia with CBT therapy.

Yes, According to the American Academy of Sleep Medicine adults need on average 7 hours of REM sleep to maintain optimal health, anything less than that can have negative side effects such as anxiety and depression. As always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

In the case of panic attacks it might be sometimes possible for them to stop if the event or 'trigger' that has caused panic attacks ceases to exist. Some people go through a momentary bout with anxiety and/or panic attacks and it is only momentary where it can be modulated with brief medications, meditation, exercise, diet changes and some do great with this, because life circumstances have improved. On the other hand, many find themselves in a bout that lasts for a long time because of their life circumstances or events that won't subside. This can be a lifelong diagnosis with complex trauma, poverty, familial problems, and medicine side effects that seem to not help the matter of panic or anxiety in which case a mental health care doctor, nurse practitioner, or therapist and doctors should work together to bring about the best possible case scenario for the patient involved taking into consideration their family, financial, diagnosis, medications and current living conditions. In essence, there are many factors that can affect panic attacks and it will take a licensed mental health care provider to be able to see through these factors deciphering the best course of action. Hope this helps. As always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

I know this is a conundrum that many people face and for that I am sorry because my heart goes out to you in the fight against depression. Many times people are trying to get over a small event or episode that is momentary and many others go through a major fight against depression. In many cases jobs are lost, people are on medicines they have never been on before with side effects they have to try to figure out as well as dietary changes due to medicine and it's cognitive and physiobiological effects on the bodily systems. In any case, a case worker or case manager can help with the application process to assist with state benefits in your state of residence such as TANF (temporary assistance for needy families), EBT food benefits also disability such as SSI or SSDI. A lawyer can assist with the latter two, SSI and SSDI because one SSI involves social security disability from the SSA and is for those who have no earned income credits and have never worked, while SSDI is for those who do have earned income credits for working at jobs throughout their lives. Often these two accompany Medicaid and Medicare type health insurance while the person is off of work. Sometimes this can just be temporary and a few months and other times this can be lifelong disability situation depending on the diagnosis. Please be sure to notify your mental health practitioner, case manager, or nurse practitioner of any life changes or circumstances that would require this type of assistance. As always, wishing you well.

Sincerely,

Dr. Ryan Koryciak

Yes, CBT is an effective evidenced based treatment method for schizophrenia. This is effective along with other treatments and pharmacological management such in patient-centered care with prescribing of medications, management of them, family intervention, supported employment, assertive community treatment, skills training as recommended, and rarely psychosocial interventions as prescribed from your doctor or licensed mental health care provider and the preferences of the patient. As always wishing you well.

Sincerely,

Dr. Ryan Koryciak

Yes, many schizophrenics are fully functional and lead normal lives more times than not with correct treatment, medication and management, although depending on some and their specific illness a doctor or licensed health care professional should be consulted. As always, wishing you well.

Have a good day,

Dr. Ryan Koryciak

Panic attacks stem from anxiety disorders. Medications help to reduce instances of 'panic episodes.' These types of medications are called benzodiazapines, SSRI and SNRI antidepressants assist with this. I highly recommend meditation, yoga, or other physical activities like creative exploration such as coloring, drawing, painting along with deep therapeutic breathing techniques when such panic episodes occur providing the episodes are not life-threatening or inhibiting the person's abilities to do such activities. Especially, if the panic episodes are isolated then can it be easier to implement said recommendations. It is helpful to implement a daily behavioral routine to give the patient's environment some sense of predictability that one can control such as their level of happiness in it with activities such as meditation, yoga, painting, drawing, having peppermint tea with a friend can be very calming as well. Many people stop drinking, alcohol, caffeine, smoking (cannabis and tobacco) and find that it helps as well because these agents can further anxiety. Hope this helps.

Wishing you well,

Dr Ryan Koryciak

Many times a good diet rich in organic green leafy vegetables, moderate fruits and plenty of water can help many people in many ways. Also, there is a study that was published by The National Library of Medicine which included the observations of Magnesium and Vitamin D supplementation in school-aged children which reported a significant decrease in problematic behaviors, anxiety/shy scores/ and social problems when compared to the placebo in the study. There is an emphasis here in drastically reducing table sugar, candy and sweet intake as well as increasing a good diet rich in lean protein like fish and chicken with vegetables with plenty of fresh water. Now for the medication aspect. There are stimulant and non-stimulant medications used in a clinical settings to address ADHD. Some of the stimulant types are: methylphenidate and amphetamine medications that work by increasing the levels of chemical messengers in the brain concerning focus and concentration. Non-stimulant medications are reserved for those patients who can't tolerate the stimulant types. The non-stimulant types of medications are clonidine, atomoxetine, guanfacine. Also, antidepressants SSRI's and SNRI's can help as well depending on the diagnosis and the specific person. As always the benefits and risks should always be presented to the families and patients taking these medications as they are monitored by licensed clinicians, doctors, and therapists. Hope this helps.

Wishing you well,

Dr Ryan Koryciak

There are many "anxiety pills" that relieve anxiety some better than others and always based on the number of hereditary receptors in every unique person based on biology on what brand of anxiety pill will work the best. The class of pills are called "Benzodiazapines." Some of the brand of medications which are used are: Klonopin, Buspar, Valium, Ativan, however, this list is not exhaustive. These are used many times as an "onsite" when anxiety happens type administration of the medication and are often used in conjunction with mood stabilizers, antidepressants and any other medication deemed helpful by your licensed mental health care provider. As always this is always monitored by a case managers, therapists, and doctors and any other licensed healthcare provider who are prescribing the medications. Hope this helps, as always.

Wishing you well,

Sincerely,

Dr Ryan Koryciak

This is somewhat dependent on the current health conditions, The type of medicine and it's side effects as it pertains to the individual person, the dosages, the number of depressive episodes and any risks for relapse. A medication adjustment can usually help if someone is at risk for certain side effects or to stop the furthering of a specific health disparity if the medication could be a risk factor, however, only a licensed mental health professional who is currently watching over your case can make this call regarding your specific health situations and any adjustments. Hope this helps.

Wishing you well.

Dr. Ryan Koryciak