Chris Gorman M.D., F.R.C.P.C.

Dr. Chris P. Gorman is recently appointed Staff Psychiatrist at Psychiatric Centers of San Diego. Dr. Gorman is also Medical Director of Palomar Hospital Day Treatment Program in Escondido, California

Dr. Gorman received his M.D. from University of Alberta in 1980. The next year he served his internship at Royal Jubilee Hospital in Victoria. In 1985 Dr. Gorman became a F.R.C.P.C. from the University of Alberta. The same year he became Board Certified by the American Board of Psychiatry and Neurology in Denver, Colorado. Recently he was also Medical Director of the Rockyview General Hospital in Calgary as well as Medical Director of the Mood Clinic at the Foothills Hospital in Calgary

Dr. Gorman was Clinical Associate Professor, Department of Psychiatry at the University of Calgary from 1996 to 2005. Dr. Gorman lectured medical students plus Psychiatric and Family Practice Residents at the University of Calgary and was lecturer for Calgary area doctors. His Research includes Novel Compounds for Major Depression and Anxiety in Seasonal Affective Disorder plus Light Therapy and Opthamologic effects in S.A.D.

Dr. Gorman was also head of the Medical Advisory Board of the Organization for Bipolar Affective Disorders (O.B.A.D.) from 2001 to 2005. Dr. Gorman continues his work with OBAD as International Medical Advisor and contributor to www.obad.ca in the Ask The Expert section.

"My boyfriend suffers majorly from delusions of grandeur..."

Q: 
My boyfriend suffers majorly from delusions of grandeur and he sees things religiously and thinks he's a profit here to preach through his mind to others and that he controls everything and very powerful. A lot of odd things occur when he is driving like asking did you see that eagle sent from god? I'm just wondering if there is anything we can do to lesson these symptoms! It's over bearing and annoying. Please help I love him a lot!
A: 
The following are speaking in general, not specifically to this case as advice cannot be rendered without seeing the person in person: Mania is a medical emergency, and if severe (psychotic symptoms - beliefs or experiences that no one else believes or experiences) can require hospitalization, although only a physician seeing him first-hand can determine that. Medication and talking therapy are both necessary in follow-up after time in hospital. Involvement with the family helps address insight issues, or lack there of, during manic episodes. The goal of treatment is to have a "therapeutic relationship", or mutual respect between patient and health care provider.

"I would like to know the basic guidelines of medications through pregnancy in particular lithium..."

Q: 
Hi, i found out about your organization through Charlie Sheen's recent donation. I reside in Los Angeles. I would like to know the basic guidelines of medications through pregnancy in particular lithium. There seems to be no standard answer and im trying to get info to make a wise decision. Thank you, d.
A: 
This is a very important question, and you are lucky to live in Los Angeles, a place with no shortage of expertise in mood disorders. Contact UCLA, or a university close to you, and they will have a reproductive psychiatry division. These are psychiatric and other mental health professionals that focus their work on assisting people with mental health issues related to fertility, pregnancy, etc. They will have the most up to date information. The most important fact is that the illness itself can hurt a baby when untreated through a number of mechanisms, although bipolar disorder is no reason to not have a baby (we need more great people in fact, and the connection of great people and bipolar disorder is substantial). What you need is information, guidance and support from an expert health care professional to assist you in making the best decision. I will enclose a website where I found up to date information. Thanks for asking a crucial question. www.ncbi.nlm.nih.gov/pubmed/21034180

"I have been diagnosed as bipolar for the last 30 years..."

Q: 
I have been diagnosed as bipolar for the last 30 years. I have had multiple hospitalizations (about 7) and over the course of those hospitalizations i have also had about 20 ECT Treatments.) This was early on in my disorder. Things are still difficult, but managed better. I'm learning that Stress is my enemy. I am currently on disability. I have been on medication most of that time. I am a recovering addict for prescription meds that I used to self-medicate. I have chronic insomnia and anxiety disorder. I'm on the following meds: Lithium (600 mg, Buproprion, Effexor, Restoril (low dose), Seroquel (100mg), Estrace and Aciphex. I take the following vitamin supplements: Multi, Fish Oil, Calcium w/ D, Magnesium, 3 stool softeners, 1 laxative, acidophulus (a temporary basis). I came down with a terrible flu that was in my throat on June 24 and despite antibiotics, I'm not recovering well. My doctor is treating me for Lyme Disease (2nd time), but it seems that it is Chronic Fatigue Symdrome. I have the majority of the symptoms. I guess my question is: I can't imagine that being on all these medications for so long isn't going to have some affect on my body. It seems I get one thing after another. Is my immune system weakening? Is this going to shorten my life expentancy? I also have Fatty Liver Disease. My kidneys seem to be functioning well. My heart and lungs are also fine. I realize I'm asking for speculation, but I really would like to know long-term effects of what I'm putting in my body.
A: 
This is a very important question, and this is what I would say: Statistics do not necessarily apply to individuals, as there are frequently other important variables. All statistics need a time and geographic reference, as something cited 30 years ago, and in a country that has inadequate health care may not apply to this individual where the rubber truly hits the road. If you: take your medication; treat other medical conditions that are related (obesity, heart disease, depression causing suicide) by seeing a physical health doctor; see a psychiatrist that employs talking therapy and adjusts treatment so it is optimal for you; don't engage in substance abuse; socialize; exercise; and work to satisfy yourself and others - you might even outlast the rest of us. Hope this helps and good luck.

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