Congratulations on the hard work of addiction recovery. Sugar cravings are a problem for many people and can become all the more difficult when recovering from alcoholism. Research on food, mood, substance abus... continue reading  about  I am a 49-year-old recovering alcoholic and have three years of sobriety. Since I got sober I have not been able to control my sugar cravings. Is there any thing I can do?

Obsessive-compulsive disorder (OCD) is an anxiety disorder that typically begins early in life - and which, for most afflicted individuals, has a chronic fluctuating course. Exacerbations of this disorder are o... continue reading  about  What are your thoughts on the long-term use of SSRIs like Prozac? I have OCD and think I'll probably need it for the rest of my life.

Bipolar II disorder is a major mood disorder characterized by a history of one or more major depressive episodes, as well as one or more hypomanic episodes. Hypomanic episodes are similar to manic episodes - co... continue reading  about  I come from a long line of insomniacs who struggle to put together more than three hours of sleep at once. I've heard that chronic insomnia that runs in families can be an indicator of Type 2 Bipolar Depression. What are your thoughts?

Depression, like many chronic illnesses (such as diabetes or heart disease), tends to run in families. For most diseases with a heritable component, having a close family member with the illness does not necess... continue reading  about  My mother suffered from depression. Should I be worried that I, too, will develop depression as I age?

It is not unusual for patients who take pain medication and are depressed due to chronic pain to have diminished interest in sex. It could be due to the medications, the depression, the chronic pain, diminished... continue reading  about  My husband had back surgery last year. He takes medication daily for chronic pain. The last few months he seems depressed and has very little interest in sex. Could the medication or the pain be causing this? Any suggestions on how I can help him?

Alcohol abuse and alcohol dependence are not the same thing, but both are commonly thought of as “alcoholism”. Alcohol dependence is defined by physiologic dependence on alcohol from consistent, hea... continue reading  about  I only drink a glass or two of wine a day, but I have a very hard time giving this up. Does that mean I'm an alcoholic?

It is often very difficult to differentiate the symptoms of a heart attack from other causes. Even in the Emergency Department, with access to X-rays, EKG's, and fancy lab work, we sometimes cannot be 100 perce... continue reading  about  Awhile ago my husband complained of a pounding heart. He said it felt like it was thumping against his chest. Tests showed that he was fine and it was probably caused by stress. How can we tell the difference between severe anxiety and a heart attack?

"Nervous breakdown" is a slang term that does not have a precise medical or scientific meaning. Even as slang, it is presently used infrequently. It was perhaps in more common usage during the middle part of th... continue reading  about  What are the symptoms of a nervous breakdown? How does it differ from depression or anxiety?

I am sorry that you have lately been feeling so poorly. You mention a wide variety of symptoms, some of which often have non-psychiatric causes. For this reason, I recommend that you see your primary care physi... continue reading  about  I'm 30 and have had depression throughout my life. I'm on antidepressants, but lately I've been very antisocial - staying home or working late. I have a high-stress job and haven't been able to sleep. I also have headaches, mood swings, and weight gain.