Dr. Melissa Welby is a psychiatrist that participates in people’s process of discovery, empowerment, and search for satisfaction and happiness. She treats a variety of illnesses including depression, anxiety & panic attacks, adult ADHD (Attention Deficit / Hyperactivity Disorders), bipolar disorder, OCD (Obsessive-Compulsive Disorder) and borderline personality disorder. She is also the current president of the Connecticut Psychiatric Association.She completed her Internship & Residency at Cambridge Hospital, affiliate of Harvard Medical School, 2000 to 2004. Dr. Melissa Welby is Board Certified in General Psychiatry by the American Board of Psychiatry and Neurology, 2005 to present.
Don't make these 2 common mistakes when deciding if an antidepressant is effective. Many people have inadequate trials on antidepressant medication due to dosing that is too low or taking the medication for too short of a time. Without accurate expectations of treatment, people assume the medicine isn't effective and discontinue it. So how long does it take for antidepressants to work?
As a psychiatrist, part of my job is to talk to people about suicide. Suicidal thoughts are a symptom like all other symptoms that I consider in my assessments. Often people are fearful that if they admit to feeling this way I will instantly hospitalize them against their will. (Not true -- there are only certain situations when I have to which I will explain later).
Sometimes we can figure out the best antidepressant to start by asking the right questions. Before I choose an antidepressant for my patient, I think about these 6 questions. We can frequently narrow down the choices so we know which antidepressant to try first.
If you didn't have anxiety what would you do differently? How would you live your life? Without anxiety would you pursue different careers or hobbies? Would you try to get that promotion you deserve even if it requires travel and public speaking? Would you fly in a plane or go back to school to complete your degree? Would you drive on the highway so you can take road trips? Would you go to a party at a friends house? Or a work gathering? Would you go to a store instead of ordering everything online? Let me tell you how to deal with anxiety and how to stop anxiety from affecting your life.
Do you get stuck in black and white thinking and it is hard for you to see options other than all or nothing? Does rigid thinking cause you to live in extremes where it is "my way or the highway"? Black and white thinking, both at work and in relationships, is generally not a benefit that brings harmony. Are you aware of the downsides of dichotomous thinking in your life and how to change these patterns?