Dr. Payton

Recently my business manager noticed that a question was raised about my prescribing Lamictal [lamotrigine] for a 9 year old girl.  I realized then that I needed to clarify why I made this choice.  I have blogged about it in the past but I felt that I needed to write about it again. Lamotrigine was…

Recently a woman who I am treating for PTSD told me that her two year old child repeatedly would ask “where are we?”  As we talked about this it seemed that her child was responding to her mother being preoccupied and not available to her child.  It seemed that her child was sensing her mother…

Abilify [aripiprazole] and Seroquel XR [quetiapine XR] are called atypical antipsychotic medications with their atypicalness relating to the fact that they increase levels of the neurotransmitters serotonin and norepinephrine as well as decreasing the neurotransmitter dopamine which the typical antipsychotics do as well.  Research studies have shown that Abilify and Seroquel XR can treat bipolar…

I have previously blogged about how the two year old child of a mother who sees me started to ask “where are we?” and this question seemed related to when his mother was starting to cope with a percieved threat by removing her awareness from the situation as if she were not there.  This coping…

I have previously blogged about ADD/ADHD [attention deficit disorder/ attention deficit hyperactivity disorder] and the amount of stress that can occur because of significantly limited amounts of sustained concentration and attention.  I am frequently reminded of this when I work with people with this disorder, especially if they have not had treatment or their treatment…

One of my children asked me about how I help people who come to see me.  I began reflecting on the different ways that I provide support and encouragement for my patients. I was able to identify a number of different things that I attempt to do. I believe that my first effort is to…

The new Diagnostic and Statistical Manual Fifth Edition [DSM-V] has a new diagnosis for frequent and severe anger outburts and underlying irritability, Disruptive Mood Dysregulation Disorder[DMDD].  This diagnosis targets children and adolescents who have problems with anger control that do not seem to be related to moods and do not seem to respond to medications…

When I was on the faculty at the University of Pittsburgh School of Medicine, some of my research regarding the effectiveness of medication for ADD/ADHD utilized a single subject research design.  This design uses each person in the study as their own control.  This helps eliminate the uncontrolled variables in large n [number of subjects…

Starting in the 1980s, there was a focus on identifying risk factors for developing disease and yet it was clear that risk factors such as smoking, alcohol abuse and sexual behaviors were not evenly [randomly] distributed across the population. It was also found that risk factors for chronic diseases clustered with many people having more…

After the terrorist attacks in Paris, I heard a priest give a sermon where he said that we are being consumed by fear, that we are like vultures, and the fear is like carrion. This sounds like we are consuming fear and can’t get enough of it. My patients have shown me that their fear…