Riverview Community Mental Health Blog

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5 Promising & Most Prescribed Psychotropic Medications

Psychotropic MedicationsPsychotropic medications for the treatment of mental illnesses are a large piece of the puzzle in treating all types of mental illnesses. While non-drug therapies are often preferred, drug interventions can be effective depending on the severity of illness and risk factors. Psychotropic medications prescribed to children have increased in recent years both in the United States and worldwide. In the Netherlands, 2.9% of youths were prescribed psychotropic medications, compared with 6.7% in the United States.

Antidepressants, SSRIs, and stimulants are the most prescribed psychotropic medications

Because psychotropic drugs can lead to dangerous side effects, they should be used with caution. Your doctor will help you determine which medications are right for you and adjust your prescriptions based on the benefits and side effects you experience.

1) Anti-psychotics

A typical low potency antipsychotic drug is chlorpromazine. It was developed over 60 years ago and is still in use today. These drugs block dopamine and the serotonin 5-HT2A receptor, both of which are important players in schizophrenia. Typically, these drugs are used to treat mood disorders and depression. Anti-psychotics were also more commonly used in patients with autism spectrum disorders, bipolar mania, and aggressive behaviors. However, some antipsychotics are associated with serious side effects. For example, aripiprazole, clozapine, and quetiapine have been known to increase the risk of suicide in children. Other antipsychotic drugs include risperidone and olanzapine.

While antipsychotic drugs are effective, they are not a cure-all for mental illness. As with any psychotropic medication, it’s important to avoid abrupt dose changes. If you need to stop your medication. You should taper the dosage slowly with the help of your doctor. You should also ask yourself whether it’s the right time for a change. Do you have the support you need from family and friends? If you’re unsure, ask your doctor a few questions about your current medications. And, if you’re not happy with your doctor’s answer, seek a second opinion.

2) Antidepressants / SSRIs

SSRIs are a class of psychotropic medications that are useful for treating depression and anxiety, however, their therapeutic actions are not specific to any one type of diagnostic group. These drugs are known to have similar side effects, many of which disappear after a few weeks of treatment. While the therapeutic effects of each SSRI may overlap, they differ in their potency and how quickly they are eliminated from the body.

Commonly prescribed SSRIs include Zoloft, a sertraline-based antidepressant. It is also used in the treatment of bipolar disorder and schizophrenia. Effexor and Elavil are tricyclic antidepressants. There are many other SSRI medications including Celexa, Lexapro, Prozac, and Paxil, so you can understand why it might take time and trial to find the most effective medication and dosage.

3) Anti-anxiety

Benzodiazepines, anxiolytics, and beta-blockers are all used as anti-anxiety medications. These medications have different dosages and are effective in reducing the symptoms of anxiety and panic attacks. Xanax, Klonopin, and Ativan are benzodiazepines that are often prescribed to treat panic attacks, anxiety, insomnia, and other mental disorders.

Most commonly, anti-anxiety medications are prescribed for those who experience excessive levels of anxiety. Some people experience heightened levels of anxiety only under certain circumstances, such as when confronted with a certain object, animal, or phobia. Other people have ongoing conditions that require daily medication. For example, some people may take anti-anxiety medications for obsessive-compulsive disorder or an antipsychotic to treat the symptoms of anxiety.

4) Stimulants

Stimulant psychotropic medications are mostly prescribed for children and adults with ADHD. While stimulants affect the central nervous system, there is a wide range of use for them in clinical practice. Stimulants can affect blood pressure, heart rate, and alertness. In certain patients, this class of medication may have immense therapeutic value, while for others there is no clinical benefit.

5) Mood stabilizers

The most common mood stabilizer is lithium, however, other medications such as Tegretol, Depakote, and Lamictal have also been prescribed for this purpose. These medications are also prescribed to prevent seizures. People who are using psychotropic medications as mood stabilizers should be aware of the side effects associated with the medications. It can take two to four weeks for the mood stabilizer to take effect. They should be taken for at least six months and even longer to prevent future episodes of depression and mania.

In Summary

Before taking psychotropic medications, people should discuss their medical history and symptoms with their doctors. They should also discuss their goals for using the medication. Though psychotropic medications can help people suffering from depression and other mental illnesses, they cannot treat the underlying problem. A physician should prescribe psychotropic medications as a supplement to other treatments.

An effective way to start is to seek therapy with a qualified health care provider. The right therapy can help you overcome your symptoms and improve your life in general

Don’t Let Obsessive Compulsive Disorder Destroy Your Life

People who have obsessive compulsive disorder experience repetitive patterns of behavior, or “compulsions.”

These actions, which are a result of anxiety, can take a lot of time and might be exhausting.

Fixation or preoccupation are often companions to OCD behaviors. In other circumstances, the event that sets off the behavior may be connected to a specific item or location. OCD sufferers may clean with extreme care or become fixated on scrutinizing everything.

Obsessive compulsive disorder

Obsessive Compulsive Disorder affects approximately 2.2 million people in the United States.

Typical symptoms of obsessive compulsive disorder include excessive washing, cleaning, praying, or performing rituals based on religious fear.

Other OCD symptoms may involve compulsive behavior about food or eating habits, body image, exercise, or being consumed with worry about forgetting something. For example, after leaving the house, obsessing over the thought that water was left running or a stove or heater was not turned off.

These behaviors can be especially disruptive to a person’s ability to concentrate and complete tasks.

For a proper diagnosis, it’s crucial to seek professional medical attention because children may exhibit comparable symptoms.

Obsessive-compulsive disorder does not have any potentially fatal side effects. Anxiety frequently sets off the obsessions.

Obsessive compulsive disorder causes irrational thoughts and disrupt a person’s life.

OCD can manifest at any age, however the behavior typically emerges in kids between the ages of 7 and 12. When a person has the disorder, their compulsions frequently increase in frequency and duration during stressful situations.

The whole health of the OCD sufferer depends on accurate diagnosis and therapy.

According to recent research, OCD is caused by abnormal neurological function that interferes with brain transmission. The relationship between the frontal cortex and the ventral striatum, a region of the brain, is disrupted by OCD, research reveals.

SSRI (anti-depressant) medicines and counseling are frequently used to treat OCD. A patient may receive assistance during therapy to lessen the erroneous thinking that fuels their obsessions.

Although the symptoms cannot be cured, they can be controlled. Obsessive compulsive disorder can be treated in a variety of ways, therefore it’s crucial to comprehend its causes in order to manage it effectively.

Treatment for OCD using cognitive therapy is beneficial. The patient’s fears are gradually exposed to throughout this therapy in a secure setting. Over time, the individual discovers that resisting the compulsion does not result in negative outcomes. Children with OCD can be effectively treated with this kind of therapy. Both the child and the family benefit from the treatment. The youngster should receive medicine to manage the symptoms if the disease is severe.

OCD is a condition that can be managed with medication. These drugs are intended to lessen symptoms and manage compulsions. Only a doctor’s prescription is required to purchase the drugs.

It’s critical to be aware that these drugs can have adverse effects like nausea and headaches. Any side effects should be discussed with your doctor. Only take the drugs if absolutely necessary. If you are concerned about the treatment’s side effects, you should also see a psychiatrist.

In Summary

Medication and cognitive treatment can help control the symptoms of obsessive compulsive disorder. OCD is an illness that frequently has no symptoms, yet treating it is a difficult procedure. The symptoms of OCD can be treated with a variety of medications, but they do not provide a cure.

Finding the best course of treatment may require some trial and error with several drugs. If the correct mix of therapy is used to treat the illness, the quality of life may potentially improve. Understanding OCD is the first step in treating it.

Panic Attacks Vs Anxiety Attacks – How to Identify Triggers

Although panic and anxiety attacks are similar in their    Anxietysymptoms and duration, they are very different from one another

People who have experienced either of them know how scary they can be. In fact, about 4.7 percent of U.S. adults will experience some form of anxiety or panic attack in their lifetimes. To further complicate matters, the two types are not listed as separate disorders in the DSM-5. But you can find some helpful information by reading the following article.

When you suffer from a panic or anxiety attack, the first step is to address the situation that is triggering the symptoms. You must try to avoid the situations that may trigger the attack. The next step is to practice mindfulness and breathing exercises. In addition, you should eat a balanced diet and drink enough water to stay hydrated. It’s also important to get enough sleep.

Anxiety and panic attacks are caused by two different types of responses to fear. The first is triggered by irrational fear. This is an instant reaction to a threatening situation. Hence, you will experience symptoms such as nausea, headache, and sleep disturbances. You will be able to cope better if you can express your fear or anxiety through speech. It is also vital to spot the difference between anxiety and panic attacks.

Many people have difficulty dealing with panic attacks, especially if they don’t know what to do or where to go. The first step is to plan for what to do if you experience one. Whether you should call a friend for support or leave the room, you should come up with an action plan that will help you calm yourself and try to remove yourself from the situation.

A few ideas for how to deal with your panic attack or anxiety attack symptoms

  • The most important thing to remember is to focus on your breathing.
  • If possible, try to perform some physical activity. This will help burn off some of your stress.
  • You can also talk to someone who can help you to determine what caused the panic or anxiety attack. It may be embarrassing to let others know that you have a panic attack, but it’s important to seek help to overcome this condition. If you’re unsure of what to do, consider contacting a mental health professional.

If you’re having panic attacks, you’re not alone. Many people with panic disorders have symptoms that may be mistaken for heart attacks and often go to the doctor to get diagnosed with a medical condition. Often, panic is ignored, or may not be considered as the cause of these symptoms. If you’re concerned that you have a heart problem, visit the emergency room right away. During this visit, your healthcare provider will run tests to rule out any physical problems, such as an infection or heart problem.

If you have a panic disorder, your doctor may recommend you visit a mental health specialist. In most cases, treatment for panic disorder involves medication or psychotherapy. You can even find support groups in your area or online.

Depending on the severity of your panic disorder, your doctor can prescribe medications or recommend psychotherapy to help you identify triggers and patterns that cause the attacks. It is also important to seek help from your family and friends. You may need to go to a specialist to see if they’re able to help you with your condition. If your treatment is not working, you can go online and find books on coping techniques.

Symptoms of panic attacks are often intense and last for minutes. In some cases, these attacks can be long-lasting. Some people may have them daily, while others experience panic attacks on a weekly or monthly basis. If you have a panic disorder, you may feel stressed and in fear of it happening again, even if the severe attacks have only occurred once or twice.

5 Depression Symptoms | Find Help to Be Happy

Depression SymptomsDepression Symptoms affect millions of people around the globe. While it’s normal for people to experience sadness from time to time, depression is a more serious and pervasive condition that can affect your daily living. Knowing the signs is crucial for obtaining treatment and regaining your sense of happiness.

Here are Five Depression Symptoms to look out for:

Sadness, Despair, or an Empty Feeling.

Depression frequently results in persistently depressing emotions. Additionally, you might feel empty or sad, as if your existence is meaningless. It’s normal to lose interest in hobbies or hanging out with pals, two activities that many people used to love.

Changes in Weight or Hunger.

Your appetite may alter due to severe sadness, either making you overeat or undereat. You might also notice a noticeable change in your weight.

Sleeping Problems.

Sleep issues like sleeplessness or oversleeping are also prevalent symptoms. It might be challenging for you to go to sleep, remain asleep, or wake up in the morning.

Low Vitality and Weariness.

Even if you get enough sleep,  You still feel exhausted. You might experience a lack of energy and find it difficult to carry out routine chores.

Thoughts of Suicide or Death.

Suicidal or death thoughts are among the most severe signs of melancholy. It’s crucial to obtain assistance right away if you’re having these thoughts.

Help is Available!

If you’re displaying any of these depression symptoms, you must immediately seek professional help. You can regain your happiness by receiving the proper treatment for your depression.

Remember that this can be treated with therapy, medication, or a mix of the two. Your thoughts and emotions can be processed, and you can create coping mechanisms to help you deal with your depression. Antidepressant medications, for example, can be beneficial in treating the symptoms.

You can improve your mental health in a variety of ways in addition to seeking expert help. By getting frequent exercise, consuming a healthy diet, and getting enough sleep, you can improve your mood and overall mental health. You might also find that practicing mindfulness or meditation has positive effects on your ability to manage tension and improve your mental health.

The National Institute of Mental Health (NIMH) has published guidelines on treating depression symptoms in both men and women. Different types of therapy may be more suitable for your situation. It is important to find a mental health professional who can diagnose and treat depression in the right way.

depression is a common mental illness that can interfere with everyday living but is also treatable. Getting medical assistance is critical if you’re showing signs of depression. You can beat depression and regain your sense of happiness with the appropriate attention and self-care.

Riverview Community Mental Health Center has a caring well-trained staff to help you identify the cause of depression symptoms and plan effective treatment options. If you or a loved one is suffering from depression, please call today! We have offices in Stuart and Port Saint Lucie Florida.

Help For Seasonal Affective Disorder (SAD) and Anxiety

Millions of people suffer from seasonal affective disorder (SAD) seasonal affective disorder

It is believed that during winter months, less daylight increases the natural level of the hormone melatonin and decreases serotonin in the brain.  Serotonin is a key hormone that stabilizes our mood and emotional balance.  Low serotonin levels are often linked to depression and lack of energy.

SAD is often accompanied by a weakened immune system and may cause a higher than usual level of anxiety

Symptoms of Seasonal Affective Disorder (SAD)

SAD symptoms may include those of a major depressive disorder characterized by the following

  • Feeling depressed
  • Loss of interest in activities
  • Changes in appetite or weight
  • Sleeping too much or not enough (hypersomnia or insomnia)
  • Feeling anxious or agitated
  • Feeling lethargic
  • Feeling of hopelessness
  • Difficulty concentrating
  • Thoughts of death or suicide

Depression symptoms that are attributed specifically to seasonal affective disorder (SAD) are changes in sleep patterns, lack of motivation, increased or decreased appetite, and social withdrawal.

People who suffer from SAD tend to experience more depressive symptoms during the winter months and can also suffer from fatigue and irritability during the spring and summer.

Symptoms will vary from person to person.  If you or a loved one is experiencing seasonal affective disorder symptoms, you should seek professional treatment and follow recommendations from your doctor.

Treatment for Seasonal Affective Disorder

Although there is no definitive cure for seasonal affective disorder, it can be managed effectively.  Symptoms of SAD can be controlled with light therapy, medication, psychotherapy, exercise, and diet or dietary supplements.

For people suffering from SAD, light exposure is an important factor in treating the condition. 

A psychologist may suggest light therapy which involves the daily use of artificial light.

Sunlight provides vitamin D which is often deficient during the winter months.  With the decreased sunlight during the winter, vitamin D may be obtained from certain foods.  The best food sources of vitamin D are fatty fish, such as salmon, mackerel, tuna, and herring, as well as egg yolks, mushrooms, and cod liver oil.

If the condition does not improve with light therapy and diet changes, cognitive behavioral therapy can also be effective.  In addition to adding the recommended foods to your diet, you should also drink plenty of water, preferably with fresh lemon juice every day.

If the symptoms persist for several weeks, a psychological evaluation is recommended to ensure that the cause of the problem is not another illness.  This will allow the psychologist to decide on the right course of treatment for the patient.

Your doctor will recommend a physical exam that will reveal any underlying physical problems.

Light therapy is considered the most effective treatment for the condition.  By exposing the brain to light, the brain’s response to seasonal stress is improved, which may lead to improved mood and physical health.

A bright lightbox simulates the sun’s rays and can be effective in managing the symptoms of SAD.  It is also crucial to avoid stress as much as possible.  Meditation and outdoor walks can also be helpful to alleviate the condition and improve your overall mood.

While many people are unaware of their SAD condition, it is important to understand what causes it.  The symptoms of SAD can be unpredictable, but they can be treated.

A good approach to getting the condition under control is to combine cognitive-behavioral therapy with light therapy and diet changes.  It is also advisable to avoid caffeine and alcohol, as these can make SAD worse.

Seasonal Affective Disorder can affect every aspect of your life and can result in worsening symptoms of depression and anxiety.  Take the first step to understand this disorder and get the help you need to ease the symptoms.

The caring staff at Riverview CMHC are well-trained to treat seasonal affective disorder and we are here to help.

Bipolar Disorder Can Be Devastating, There Is Help and Hope


Bipolar disorder, also called manic depressive illness, is a serious psychiatric illness characterized by extreme emotional highs (mania) and lows (depression). People with it experience unusual emotional fluctuations – from extremely happy, sometimes referred to as “bipolar disorder mania” or “superman syndrome,” to extremely sad and depressed, sometimes referred to as “bipolar disorder depression.”

bipolar disorder

Bipolar sufferers experience alternating periods of mania and depression. They often go from highly active, seemingly energized, to extremely sad and inactive, seemingly paralyzed by depression. The sufferer can experience one episode of mania and depression or multiple episodes of both.

If you suspect that you or a loved one may be suffering from bipolar disorder, seek medical attention immediately                         

There are several ways to diagnose bipolar disorder. Your doctor will ask about your personal history and present you with a list of questions. The answers to these questions will help the doctor determine if your symptoms are related to another mental health issue, such as anxiety, depression, schizophrenia, or post-traumatic stress disorder.

When in doubt, get a thorough diagnosis from a psychiatrist or licensed psychologist?

Numerous studies have concluded that bipolar disorder is hereditary and approximately 80% of patients diagnosed with bipolar have some family history of mental illness.

Symptoms of bipolar disorder usually begin in the early to mid-teens and often go undiagnosed, as parents assume this behavior is due to puberty and normal stress associated with teenagers.

Bipolar disorder is widely believed to be the result of chemical imbalances in the brain. The chemicals responsible for controlling the brain’s functions are called neurotransmitters and include noradrenaline, serotonin, and dopamine.

To treat bipolar disorder, the most effective way is through a combination of medication and psychotherapy.

You can choose which medications you use and when to take them. Depending on the severity of your symptoms, you may be prescribed antidepressants or mood stabilizers, which are taken daily. You can also choose between lifestyle changes and other forms of treatment. No matter what treatment options you choose, you should try to find a healthy lifestyle and diet and maintain a regular sleep pattern.

For mild cases of bipolar disorder, lifestyle, and diet changes such as limiting caffeine and alcohol intake, avoiding too much stress, exercising, and eating a balanced diet may provide relief and decrease your symptoms.

When suffering from an episode of mania or depression, lifestyle and diet changes aren’t always enough. Medications can sometimes help, as well as therapy. Antipsychotic drugs, antidepressants, and beta-blockers are commonly prescribed in the treatment. However, they are not for everyone and must be used under a doctor’s care.

Manic and depressive episodes are classified as first-degree or major depression and mania.

  • A first-degree bipolar disorder episode lasts for at least four weeks and is directed at the sufferer.
  • A major depression, on the other hand, occurs less frequently and is characterized by at least four or more first-degree episodes that last for a period of six months or more. These episodes may include extreme unexplained anger towards others and may be difficult for loved ones to understand.
  • A manic episode is characterized by a sustained period of abnormally elevated or irritable mood, intense energy, racing thoughts, and other extreme and exaggerated behaviors.

Bipolar disorders are twice as likely to affect people who have first-degree depression or mania compared to those with second-degree depression or mania. Bipolar disorder is also more likely to affect people who have a genetic disposition.

Your medical history will have a lot to do with your treatment options. Your medical history is often the only basis for the diagnosis, so it’s important to get all your tests and records from your doctor.

Your medical history includes details about the types of medications you’re taking, including doses, length of time you’ve taken them, and the results of any diagnostic tests. It includes details about your family medical history, including whether any of your relatives have been diagnosed with bipolar disorder before. Keeping a medical history is critical to getting the right medications and the best treatment for bipolar disorder.                 

Riverview CMHC        

451 SW Bethany Drive, Suite 103
Port Saint Lucie, Florida


Alzheimer’s Disease | Best Medication and Treatments

Alzheimer's disease


Alzheimer’s Disease Symptoms and Treatments

Alzheimer’s disease amasses a frightening vocabulary of symptoms.

Some of the most common symptoms of Alzheimer’s disease include the following.

  • Forgetting words
  • The sense that one is not in control
  • Experiencing lapses in memory
  • A decline in social skills
  • Trouble solving thinking problem
  • Losing the ability to reason properly

Alzheimer’s is a progressive, sometimes fatal disease that causes nerve cells in the brain to deteriorate and die. The first symptom of this disease might be a person forgetting recent happenings or words. As the disease advances, a normal individual with Alzheimer’s may develop severe mental decline and lose the capacity to perform basic tasks such as riding a bike or operating a refrigerator.

Treating the Symptoms of Alzheimer’s Disease


Alzheimer’s disease is one of the most common causes of dementia and researchers have been in an ongoing effort to come up with treatments for this condition. In the United States alone, there are millions of people who are afflicted with Alzheimer’s, and the number of people diagnosed with this debilitating condition is expected to increase.

As medical technology improves, there is still a lot of research to be done to find new courses of treatment. It has yet to be proven conclusively that there is no cure for Alzheimer’s, though many researchers believe that early detection and prevention is the best treatment for this disease. This is because the earlier it is detected, the better chance there is to slow down the progression of Alzheimer’s. Some of the best treatments for Alzheimer’s have already been developed and have proven to be quite effective.

A range of options exist for the treatment of Alzheimer’s, and patients can choose from using drugs, psychotherapy, cognitive behavioral therapy, and other methods.

One Alzheimer’s disease study conducted and funded by the National Institute of Neurological Disorders and Stroke (NINDS) found that the most successful treatment method for Alzheimer’s was through using a combination of medications and cognitive behavioral therapy. Based on this research, the NINDS has developed standards for testing eligibility for Alzheimer’s patients. Generally, when evaluating mild Alzheimer’s patients, doctors check for the following symptoms: decline in attention, memory, understanding, language, judgment, and coordination; a reduction in the ability to make standard decisions; and a significant loss of social functions.

Another way to treat Alzheimer’s is with one drug or group of medications known as antipsychotic drugs. The NINDS also supports this approach by conducting a series of trials on mice that were specifically developed to be resistant to Alzheimer’s. In these studies, results showed that the mice treated with the new drugs showed a significantly higher survival rate than a control group that did not receive the new drugs. Also, people living with Alzheimer’s Disease who are given these drugs show an improvement in their moods and in balancing their mental activity.

Another treatment option available for people living with Alzheimer’s is to take cholesterol-lowering medications known as statins. These drugs can lower the level of “bad” cholesterol in the body while increasing the levels of “good” cholesterol. This will help to reduce the risk of heart attacks and other cardiovascular problems. Although statins are recommended for people with mild Alzheimer’s Disease, it is important to note that there is an increased risk of stroke in people taking these drugs. Also, a few months after stopping this medication, people may experience a withdrawal symptom which is called the “algia” or “malaise” that is associated with the lower levels of the cholesterol-lowering drug.

Alzheimer’s Disease is a difficult disease to live with, but fortunately, there are a variety of Alzheimer’s disease medications that exist. It is very important that if you are prescribed one or more medications that you discuss it thoroughly with your doctor and research the possible side effects that may occur. There are also many support groups, both local and online, for those who suffer from Alzheimer’s and for their loved ones. These groups are often a wealth of information and can help you through the process as well.

Riverview Community Mental Health Center

865 SE Monterey Commons Blvd
Stuart, Florida
United States

Port Saint Lucie
451 SW Bethany Drive, Suite 103
Port Saint Lucie, Florida
United States

Discover the Difference Between Psychologists and Psychiatrists

If you are considering mental health care options, you should know the difference between psychologists and psychiatrists.

Choosing to seek the help of a psychiatrist or psychologist can often be overwhelming for the person in need of mental health services. Many psychiatrists do not offer all the services that people are seeking.

Because many psychiatrists do not work in the specialized areas of treatment that people need, it can become confusing as to which services psychiatrists provide vs. psychologists.

When people are searching for mental health care treatment optioPsychologists ns, they often do not want to have to search among numerous psychiatrists, each with different services, waiting to find out if they will be able to treat their needs.

This type of situation can quickly become frustrating and can even cause the person who is seeking mental health care to lose interest and give up the idea of getting the help they need.

So What is the Difference Between Psychologists and Psychiatrists?

A psychiatrist is a medical doctor specializing in the diagnosis and treatment of mental illness. Psychiatrists must complete four years of medical school after earning their bachelor’s degree, and then serve another 4-year residency in the psychiatric field.

Psychologists earn their bachelor’s degree and then continue to doctoral-level training. They do not go through medical school, but rather pursue a Ph.D. or a PsyD. A PsyD has a stronger focus on clinical training and behavioral therapy treatment and a Ph.D. focuses more on research.

The main difference between psychologists and psychiatrists is that psychiatrists are medically trained in the diagnosis of physical and mental diseases, and treatment with prescription medications

Most psychiatrists work in private offices. To ensure that a psychiatrist treats all the individuals in his or her office with a high level of care, the patient and his or her family or friends should be involved in the process of selecting a psychiatrist.

Having the patient’s close friends and family members be part of the selection committee can prove to be greatly beneficial. With this approach and the support of the patient’s loved ones, the mental health professional will always be able to receive feedback on the progress of the individual’s therapy.

If a psychiatrist is willing to stay in communication with those family members and close friends, this also indicates that the professional cares about his or her patients.  Often, the person seeking mental health services needs the encouragement and support of those closest to them.

In addition to the services that a psychiatrist provides through his or her private office, a psychiatrist may also refer the patient to alternative specialty services if the individual feels that his or her treatment methods are not working. For instance, a patient might benefit from group counseling.  A good psychiatrist will be able to make the appropriate referrals.

To avoid spending additional money for the services of a psychiatrist who offers specialty services, many patients turn to a psychologist who may be able to provide appropriate services for the individual. Because many psychologists are trained in a variety of behavioral treatment methods, they can offer a wide range of effective care solutions.

In conclusion, the main difference between psychologists and psychiatrists is that psychiatrists are trained medical doctors who prescribe medications. They spend much of their time with patients on medication management as a course of treatment.

Psychologists are a little different because they focus extensively on psychotherapy and treating emotional and mental suffering in patients with behavioral intervention. Patients often benefit the most from both services combined.


One way to make sure that a psychiatrist offers the services that will meet all your needs is to make an appointment to meet with him or her personally.

Whichever course of treatment is right for you, Riverview CMHC is here to help.

Contact us today. We have offices in Stuart and Port Saint Lucie, Florida.

Stuart, FL office  772-266-4713

Port Saint Lucie, FL office at 772-301-1354


The 4 Types of Borderline Personality Disorder (BPD) Explained


borderline personality disorder

Borderline personality disorder (BPD) is one of the most misunderstood mental conditions in the US.  Some believe it is a mental disorder caused by genetic predisposition and chemical imbalances in the brain, while others think the affected person is simply difficult to handle. A few mental health professionals believe that BPD is nearly always brought on by childhood trauma, or PTSD.

The truth is, we are still learning and experimenting with medication and therapy treatments. The good news is the success rate for easing severe symptoms has improved and showing better results than ever before.

A borderline personality disorder is often confused with bipolar disorder. Most patients suffer from more than one condition. Both borderline personality disorder and bipolar disorder include anxiety and depression disorders and may manifest in eating disorders, substance abuse, and other physical illnesses.

Further, the perception of the severity of the mental illness may be subjective, and the diagnosis is often based solely on information the patient provides the therapist. Severely depressed people are often mistrustful by nature and have difficulty communicating or admitting the symptoms of their condition. 

The 4 types of borderline personality disorder – symptoms, and treatment options

If you or a loved one suffers from BPD, it is helpful to understand and recognize the four different types of borderline personality disorder. 

After reading this article, you will know more about the symptoms, causes, and treatment options, as well as the similarities and differences of bipolar disorder. 

Borderline Personality Disorder (BPD) is defined by its psychological impact on emotional regulation, impulse control, and interpersonal relationships. 

The difference between borderline personality disorder and bipolar is that BPD manifests with an outburst of anger triggered by an interaction with a person the borderline perceives as critical or judgmental. 

Bipolar disorder is a physical affliction where the person experiences a manic-depressive state with periods of emotional depression (with lack of energy and fatigue) and alternating manic episodes (feeling high with excessive energy and euphoria). The bipolar state can last from days to months. Unlike borderline personality disorder, bipolar disorder manic episodes are generally triggered by seasonal weather changes, disrupted sleep patterns, or stressful events.

To be officially diagnosed with borderline personality disorder, an individual must have four of these characteristics: 

  • Feelings of sadness or guilt for even the smallest of things
  • A constant overwhelming need to control the lives of others
  • Experiencing significant swings in emotions (such as anger or fear)
  • Experiencing chaotic emotions that can include rage, jealousy, helplessness, and fear of abandonment.

Additionally, a sufferer will have impulse-based thoughts that are unreasonable and unrealistic. This negative perception causes intense distress and leads to detrimental behaviors and strained relationships. These thoughts and actions usually stem from deep-seated feelings of inadequacy, shame, fear, and helplessness. 

Most people who suffer from BPD exhibit behaviors that overlap all four of the subtypes. In most cases, the illness is predominantly one of the four types. 

The 4 Subtypes of Borderline Personality Disorder are defined as follows:

  • Impulsive – The impulsive BPD is prone to reckless and risk-taking behavior and often acts without regard for the consequences. This type demands to be the center of attention and often complains of chronic or recurring illness to gain attention and sympathy. 
  • Petulant – Characterized by childish and ill-tempered behavior. The petulant BPD exhibits uncontrollable anger and feeling of worthlessness and self-loathing. They possess an intense need to control and manipulate others, and their volatile mood swings and rage can lead to violence and conflict in their relationships.
  • Discouraged – These traits are overly dependent on others, low self-esteem, hopelessness, depression, and anger. The discouraged borderline personality is susceptible to substance abuse. They may have an intense fear of rejection, anxiety, vulnerability, and weakness.
  • Self-Destructive – This BPD is prone to be overly sensitive to perceived criticism. They cannot empathize with others and lash out in hostility when they feel threatened. The self-hatred and bitterness may be so severe and deep-seated that they tend to react irrationally and push away the people who care about them the most. The self-destructive type is impulsive, moody, and prone to risky behavior and self-harm.


Borderline Personality Disorder treatment combines psychotherapy and medication. The goal is to help the client recognize and manage their debilitating emotions. Effective medications such as antidepressants and antipsychotic drugs are the most prescribed for BDP. These medications are an effective tool to control mood swings and behaviors out of the patients’ control. 

A borderline personality disorder is a serious condition that needs to be treated by professional therapists. It often goes untreated for long periods. Family members are often afraid to seek help, as they fear the consequences and possible outbreak of anger if they suggest counseling or drug therapy. 

When left untreated, the disorder can worsen very quickly, and the person’s quality of life can suffer. Because Borderline Personality Disorder has so many potential symptoms and complications, it is imperative to identify them when they first occur.

If you suspect that someone close to you may be displaying these symptoms, do not hesitate to make an appointment with a physician. The doctor will perform diagnostic tests and determine if the patient has a borderline personality disorder.

Your doctor will also be able to offer helpful information and referral options for treatment. If you are diligent about seeking treatment, you can get your loved one the help needed to gain control over their life. It is possible to regain the ability to love yourself and live as independently as possible.


Medications will not cure borderline personality disorder, but they can effectively manage the symptoms, including mood swings, impulsivity, and obsessive-compulsive behavior

Common medications used to treat mood swings are sedatives like Valium and Ativan. Other common medications to treat the symptoms of BPD include antidepressants and mood stabilizers.

Antipsychotic drugs like Ritalin, Concerta, and Temoxazole can also be helpful to treat borderline personality disorder symptoms. 

However, all these medications carry risks and possible complications. You will have to work closely with your doctor to find the best course of drug therapy.

Behavioral Therapy

A very successful treatment approach for borderline personality disorder is called Cognitive Behavioral Therapy (CBT). This treatment approach focuses on changing how a person thinks and how they respond to situations. CBT is sometimes combined with medications to treat people who suffer from BPD. Some doctors will use antidepressant medications alongside therapy to treat people with a borderline personality disorder. 

People who suffer from BPD tend to experience more severe emotional symptoms than those with other personality disorders. Because of this, it can be more complicated to treat co-occurring conditions when they are part of borderline personality disorder. Although some people with borderline personality disorder have enjoyed successful treatment for co-occurring conditions. 

The best way to treat borderline personality disorder is with medications to treat the symptoms and not the disorder.

If you choose to use medication to control your symptoms, make sure that you select FDA-approved drugs. Some prescription medications can cause your symptoms to get worse rather than better, however, medications remain one of the most effective treatment options available for people diagnosed with a borderline personality disorder.

Call  Riverview CMHC today.  Offices in Stuart and Port St. Lucie FLA – Contact Riverview CMHC


Medication Management – 5 Things You Need To Know Today

Managing medication can get confusing for those that require multiple medications on a daily basis. For the patient and their loved ones, the management of medication can seem a bit daunting. With the proper steps and techniques in place, the process becomes much more manageable.

Medication Management Today

The following five steps will help you to safely and effectively manage your medications, or the medications of your loved one that requires them:

  1. Listen to the doctor and pharmacist. When you listen to the doctor and pharmacist, you are given proper instructions to reduce chances of negative reactions. Some medications require you to take them with food. Others require you to have an empty stomach. Some may make you feel tired, while others may keep you awake. Knowing what to expect from the medication being administered is the first step. If something seems unclear, ASK. Do not be afraid to ask questions when it comes to the care of yourself or a loved one.
  2. Organize medications. At the beginning of the week, set up all medications that are needed, in order of the times they are taken. A medication dosage organizer is a great help. They are available in date and time formats that allow you to put the pills in the certain slot where they are required to be taken. There are even applications available on smartphones to assist with organizing medications. Taking the correct amount at the correct time is imperative, and having all doses set up in advance will assist with ensuring that the medication is taken appropriately.
  3. Keep information handy. You need to have a complete list of medications that are taken ready and available in case of an emergency. Medical professionals need to know what you are taking and what is in your system in the event of an emergency, when determining how to give emergency care. Some medications can not be mixed with others. Keep a list of your medications with you in your wallet, so you have it at all times. Make sure it is up to date regularly.
  4. Keep the correct supply in your possession. Make sure that you refill prescriptions when you notice that the bottle is getting low. Usually, a week or two notice should be given for a refill at the pharmacy. Don’t leave it until the last minute, or you may run out.
  5. Notice changes in the medication. If you refill a prescription and the pill or bottle looks completely different, consult with the pharmacy or doctor to make sure that the correct medication is given. Over time, the appearance of the pill or bottle may change, but errors can also occur. Making sure you have the correct one is important to your health.

These five steps should assist in making medication management easier. Keeping a list of medications, dosage amounts, and dosage times, and using a pill organizer are the simplest and most effective ways of managing medication. If you still feel like you could use more help, contact Riverview Community Mental Health Center