Ricardo Bierrenbach, MD, in Asheville, North Carolina, specializes in psychiatry. His practice is dedicated to the diagnosis, treatment, and humane care and treatment of mental disorders for all persons with mental illness.
SERVICES AND SYMPTOMS TREATED
Opioid dependency is when a person physiologically and psychologically addicted to opioids. Symptoms include tremors, chills, sweating, itch, restlessness, anxiety, paranoia, nausea and depression.
What is suboxone and what is it used for?
Suboxone is a prescription medication that combines buprenorphine and naloxone. It is used to treat opioid addiction (Heroin and narcotic painkillers are common opioid drugs). Buprenorphine belongs to a class of drugs called opioid partial agonists, which help relieve symptoms of opiate withdrawal.
ADD is a developmental disorder that is marked especially by persistent symptoms of inattention (such as distractibility, forgetfulness, or disorganization) or by symptoms of hyperactivity and impulsivity (such as fidgeting, speaking out of turn or restlessness) or symptoms of all three and that is not caused by any serious underlying physical or mental disorder.
Adult attention-deficit/hyperactivity disorder (ADHD) is a mental disorder that includes a combination of persistent problems, such as difficulty paying attention, hyperactivity and impulsive behavior. Adult ADHD can lead to unstable relationships, poor work or school performance, low self-esteem, and other problems.
Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home.
Depression symptoms can vary from mild to severe and can include:
- Feeling sad or having a depressed mood
- Loss of interest or pleasure in activities once enjoyed
- Changes in appetite – weight loss or gain unrelated to dieting
- Trouble sleeping or sleeping too much
- Loss of energy or increased fatigue
- Increase in purposeless physical activity (e.g. hand-wringing or pacing) or slowed movements and speech (actions observable by others)
- Feeling worthless or guilty
- Difficulty thinking, concentrating or making decisions
- Thoughts of death or suicide
Dementia is not a single disease in itself, but a general term to describe symptoms of impairment in memory, communication and thinking. While the likelihood of having dementia increases with age, it is not a normal part of aging. Light cognitive impairments, such as poorer short-term memory, can happen as a normal part of aging. This is known as age-related cognitive decline rather than dementia because it does not cause significant problems.
Dementia describes two or more types of symptom that are severe enough to affect daily activities.
- Recent memory loss – a sign of this might be asking the same question repeatedly.
- Difficulty completing familiar tasks – for example, making a drink or cooking a meal.
- Problems communicating – difficulty with language; forgetting simple words or using the wrong ones.
- Disorientation – getting lost on a previously familiar street, for example.
- Problems with abstract thinking – for instance, dealing with money.
- Misplacing things – forgetting the location of everyday items such as keys, or wallets for example.
- Mood changes – sudden and unexplained changes in outlook or disposition.
- Personality changes – perhaps becoming irritable, suspicious or fearful.
- Loss of initiative – showing less interest in starting something or going somewhere.
Anxiety disorders are a group of mental disorders characterized by feelings of anxiety and fear. Anxiety is a worry about future events and fear is reaction to current events. These feelings may cause physical symptoms such as a fast heart rate and shakiness. It depends on the type of anxiety disorder, but general symptoms include:
- Feelings of panic, fear and uneasiness
- Problems sleeping
- Cold or sweaty hands or feet
- Shortness of breath
- Heart palpitations
- Not being able to be still and calm
- Dry mouth
- Numbness or tingling in the hands or feet
- Muscle tension