Chris Pagnani MD PC

Chris Pagnani MD PC Chris Pagnani, MD's private practice of Psychiatry w/ Offices in Philadelphia, Manhattan, Wilmington, DE and on The Main Line.

Anxiety Treatment, Depression Treatment, Bipolar & ADHD Medication Management. In-office & Virtual Psychiatric Appointments.

01/04/2024

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses reasons why someone may want to schedule an appointment to see a mental health professional for Anxiety.

There are certainly normal levels of anxiety, and up to a certain point, anxiety is important and helpful. For example, if an individual has an exam at school or a presentation at work, it may motivate them to prepare. However, if anxiety levels become too high, they can cause individuals to lose sleep, have poor focus, to have difficulty being present in the moment, to have upset stomach, changes in appetite, changes in libido, and cause other distress for the individual.

Behavioral modification (for example, working on sleep hygiene, decreasing caffeine and avoiding illicit substances and alcohol), psychotherapy and even medication management can be very effective for the treatment of anxiety disorders.

Finally, other health conditions (for example, a hyperactive thyroid, certain neurological conditions and mood disorders) can cause someone to feel more stress, and may mimic primary anxiety disorders. Seeing a specialist to perform a full evaluation, workup and then work with a patient to devise a holistic plan, can be an important step to someone finally getting relief.

Rittenhouse Psychiatric Associates is a private psychiatry practice with about 25 academically oriented psychiatrists, psychiatric nurse practitioners and psychotherapists serving the Philadelphia area and all of PA, NJ, NY and FL via tele-psychiatry. Visit RittenhousePA .com.

Rittenhouse Psychiatric Associates is NOT advocating for or against the use of any mentioned psychiatric medications or treatment for any individual. Any side effects mentioned are not a complete list of potential side effects and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment.

Visit our Youtube channel, click all videos and search topics youtube.com/

12/14/2023

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses what the term "positive symptoms" refers to when discussing Schizophrenia. Positive symptoms are a term given to symptoms for experiences like hallucinations and delusions, and caused by hyperactivity of dopamine in the mesolimbic pathway of the limbic system.

Rittenhouse Psychiatric Associates is a private psychiatry practice with about 25 academically oriented psychiatrists, psychiatric nurse practitioners and psychotherapists serving the Philadelphia area and all of PA, NJ, NY and FL via tele-psychiatry. Visit RittenhousePA .com.

Rittenhouse Psychiatric Associates is NOT advocating for or against the use of any mentioned psychiatric medications or treatment for any individual. Any side effects mentioned are not a complete list of potential side effects and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

Visit our Youtube channel, click all videos and search topics youtube.com/

12/11/2023

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses the term "negative symptoms" used to describe some of the symptoms that one sees in schizophrenia. These symptoms can include anhedonia (a decreased ability to feel enjoyment), avolition (decreased motivation), isolation/ decreased interest in social activities, alogia (poverty of speech) and others. These symptoms can worsen with treatment, and this is one of the reasons why providers should be careful to not overprescribe medications (with that said, medications can be life-saving and/or extremely important for many individuals with schizophrenia). One should be mindful regarding not prescribing doses in excess of what one may require for symptom resolution or management. All of this should be discussed directly with one's mental health provider.

Rittenhouse Psychiatric Associates is a private psychiatry practice with about 25 academically oriented psychiatrists, psychiatric nurse practitioners and psychotherapists serving the Philadelphia area and all of PA, NJ, NY and FL via tele-psychiatry. Visit RittenhousePA .com.

Rittenhouse Psychiatric Associates is NOT advocating for or against the use of any mentioned psychiatric medications or treatment for any individual.

Visit our Youtube channel, click all videos and search topics youtube.com/

11/30/2023

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Vistaril (Hydroxyzine) and its use in anxiety disorders. Vistaril is structurally similar to benadryl (diphenhydramine) and is also used for some patients for pruritis (itching), seasonal allergies, insomnia and other conditions. Vistaril may be a preferred medication for individuals wanting to avoid benzodiazepines for anxiety (which have abuse potential) and daily medications like SSRIs or SNRIs, which have their own list of side effects. With that said, Vistaril has its own side effects, and they include (but are not limited to) sedation, dry mouth, dry eyes, constipation, urinary retention, incoordination, and even seizures or renal failure in overdose.

Rittenhouse Psychiatric Associates is a private psychiatry practice with about 25 academically oriented psychiatrists, psychiatric nurse practitioners and psychotherapists serving the Philadelphia area and all of PA, NJ, NY and FL via tele-psychiatry. Visit RittenhousePA .com.

Rittenhouse Psychiatric Associates is NOT advocating for or against the use of any mentioned psychiatric medications or treatment for any individual. Any side effects mentioned are not a complete list of potential side effects and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

Visit our Youtube channel, click all videos and search topics youtube.com/

Address

1528 Walnut Street, STE 1415
Philadelphia, PA
19102

Opening Hours

Monday 9am - 8pm
Tuesday 9am - 8pm
Wednesday 9am - 8pm
Thursday 9am - 8pm
Friday 9am - 5pm
Saturday 10am - 3pm

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