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Ask the Mental Health Expert Archives 2001-2004

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Week of March 11, 2002

    Question: I am interested in the effectiveness of Lamictal 100 mg on bipolar disorder in conjunction with Prozac 20 mg and Tamazepam and klonopin PRN to treat mania. I understand Lamictal is not approved by the FDA for bipolar, but for seizures. I'm also interested in the weight factor with Lamictal (loss, gain, etc.) Finally, Topimax has come to my attention recently. Do you think this is a more suitable medication for a typical Bipolar who has manic and depressive episodes approximately two times each year?    Dr. Pies' Answer


    Question: I am an attorney representing a juvenile who has been diagnosed with Intermittent Explosive Disorder. I need to know if this disorder is a basis for judging someone "not responsible by reason of mental defect." Could you point me to online resources? Does a person who suffer from this order have control over his/her actions? This case is in Wisconsin, can you recommend any experts on this subject close by?    Dr. Pies' Answer


    Question: I have been asked to examine a patient to provide testimony whether his hair loss was caused by PTSD. Have you any suggestions or literature on the subject?    Dr. Pies' Answer