Psychiatrist in Fort Walton Beach Jerzy Grzebieluch MD

Q: What is ADHD?ADHD treatment

A: Attention Deficit Hyperactivity Disorder (ADHD) is a term used to describe a group of behaviors that most often appear in young, school-aged children.
Q: What are the symptoms of ADHD?

A: ADHD has a wide range of symptoms and it can be confusing and stressful for the child or teen. Young people mature at different rates and have different personalities, temperaments, and energy levels. Most of us get distracted, act impulsively, and struggle to pay attention at one time or another. It is when symptoms such as these, or acting in impulsive or reckless ways, daydreaming , becoming easily confused, or trouble sitting still for any length of time are hurting school work or impairing social activities that ADHD should be looked into.
Q: How is ADHD diagnosed?

A: Most ADHD symptoms usually appear early in life, often between the ages of 3 and 6. No single test can diagnose ADHD, but a licensed health professional such as a pediatrician or mental health specialist with experience in childhood mental disorders can first try to rule out other reasons for the symptoms.
Q: What causes ADHD?

A: Scientists are not sure what causes ADHD, although many studies suggest that genes (the “blueprints” for who we are) play a large role. Like many other illnesses, ADHD probably results from a combination of genetic and environmental factors such as nutrition, brain injuries, or social environment.
Q: Can a teenager have ADHD?

A: Most children with ADHD continue to have symptoms as they enter adolescence. Some may not be diagnosed until then. It’s not easy being a teenager, but for a teenager with ADHD, it can be especially hard. Staying with […]

By |July 27th, 2014|Blog|Comments Off on Psychiatrist in Fort Walton Beach Jerzy Grzebieluch MD

Borderline Personality treatment

What is Borderline Personality Disorder?

Borderline personality disorder (BPD) is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed BPD as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.

Because some people with severe BPD have brief psychotic episodes, experts originally thought of this illness as atypical, or borderline, versions of other mental disorders. While mental health experts now generally agree that the name “borderline personality disorder” is misleading, a more accurate term does not exist yet.

Most people who have BPD suffer from: 

  • Problems with regulating emotions and thoughts
  • Impulsive and reckless behavior
  • Unstable relationships with other people.

People with this disorder also have high rates of co-occurring disorders, such as depression, anxiety disorders, substance abuse, and eating disorders, along with self-harm, suicidal behaviors, and completed suicides.


Research on the possible causes and risk factors for BPD is still at a very early stage. However, scientists generally agree that genetic and environmental factors are likely to be involved.

Studies on twins with BPD suggest that the illness is strongly inherited. Another study shows that a person can inherit his or her temperament and specific personality traits, […]

By |May 22nd, 2014|Blog|Comments Off on Borderline Personality treatment

Depression treatment in Fort Walton Beach Destin Florida Jerzy Grzebieluch MD


About this leaflet

This leaflet is for anyone who is, or has been depressed. We hope it will also be helpful for friends and relatives.

It describes what depression feels like, some of the help that is available, how you can help yourself and how to help someone else who is depressed. It also mentions some of the things we don’t know about depression. At the end of the leaflet there is a list of other places where you can get further information.



We all feel fed up, miserable or sad at times. These feelings don’t usually last longer than a week or two, and they don’t interfere too much with our lives. Sometimes there’s a reason, sometimes not. We usually cope – we may talk to a friend but don’t otherwise need any help.

However, in depression:

  • your feelings don’t lift after a few days – they carry on for weeks or months
  • are so bad that they interfere with your life.

What does it feel like?

Most people with depression will not have all the symptoms listed below, but most will have at least five or six.


  • feel unhappy most of the time (but may feel a little better in the evenings)
  • lose interest in life and can’t enjoy anything
  • find it harder to make decisions
  • can’t cope with things that you used to
  • feel utterly tired
  • feel restless and agitated
  • lose appetite and weight (some people find they do the reverse and put on weight)
  • take 1-2 hours to get off to sleep, and then wake up earlier […]
By |May 7th, 2014|Blog|Comments Off on Depression treatment in Fort Walton Beach Destin Florida Jerzy Grzebieluch MD

Problem Behaviors Can Signal Risk in Prescribing Opioids to Teens

Problem Behaviors Can Signal Risk in Prescribing Opioids to Teens

In the years 2007 to 2009, more than 1 in 5 high school seniors nationwide had used an opioid painkiller (e.g., Vicodin, OxyContin, Percodan, Percocet, Demerol, Dilaudid, morphine, or codeine) at least once in their lives. Roughly 1 in 8 had used these medications without a doctor instructing them to do so. Any history of such nonmedical opioid use should raise a red flag for a person’s potential engagement in multiple problematic substance-related behaviors.

The findings, by Drs. Sean Esteban McCabe, Carol Boyd, and Brady West at the University of Michigan and Dr. Christian Teter of the University of New England, highlight the need for physicians to exercise caution in prescribing opioid analgesics to teens. The research also identified several problem behaviors whose presence can alert physicians that a teen requires particularly close monitoring when treated with these medications. The behaviors include using an opioid for motives other than pain relief, co-ingesting an opioid with other drugs, and using non-oral routes of opioid administration.

This graphic shows that 1 out of 12 high school seniors reported nonmedical prescription opioids use in the past year.   A pie chart breaks down the data further by the number of times the seniors used prescription opioids.  24.3 % had used them 10 or more times, 15.8% 6 to 9 times, 21.7% 3 to 5 times, and 38.2% 1 or 2 times.

High School Seniors’ Medical and Nonmedical Opioid Exposures

Dr. McCabe and colleagues […]

By |April 8th, 2014|Blog|Comments Off on Problem Behaviors Can Signal Risk in Prescribing Opioids to Teens

ADHD, ADD in Adults

Attention Deficit Hyperactivity Disorder (ADHD) in adults 


What is it?

ADHD is a pattern of problems which is usually picked up in childhood. Parents and teachers notice that a child:

  • is unusually over-active
  • gets distracted all the time, cannot stick to doing something for any length of time
  • is impulsive, and does things on the spur of the moment without thinking
  • and has great difficult in concentrating.

Many of us have at least some of these problems, but do not have the diagnosis. To have the diagnosis of ADHD, these problems must be bad enough to interfere with how you get on with other people or with how you perform at work or school.

What happens as time goes on?

It tends to get better with age but can continue into adulthood. The over-activity usually gets less, but impulsivity, poor concentration and risk-taking can get worse.These can interfere with your work, learning and how you get on with other people. Depression, anxiety feelings of low self-esteem and drug misuse are more common in adults with ADHD.

How is ADHD diagnosed?

If you have these difficulties as s child or teenager, you would usually see either a Child and Adolescent Mental Health Service (CAMHS) or a Paediatric Service. You would be seen by specialist staff for an assessment interview of 1-2 hours. They would also get information about your early childhood and current problems from your family and school teachers.A child or young person with […]

By |March 19th, 2014|Blog|Comments Off on ADHD, ADD in Adults

Cannabis ( marijuana) and mental health

Mental Health and Growing Up Factsheet

Cannabis and mental health: information for young people


Introduction What does it do to you?
Lots of young people want to know about drugs. Often, people around you are taking them, and you may wonder how it will make you feel. You may even feel under pressure to use drugs in order to fit in, or be ‘cool’. You may have heard that cannabis is no worse than cigarettes, or that it is harmless. 

What is cannabis?

The cannabis plant is a member of the nettle family that has grown wild throughout the world for centuries. People have used it for lots of reasons, other than the popular relaxing effect.

It comes in two main forms:

  • resin, which is a brown black lump also known as bhang, ganja or hashish
  • herbal cannabis, which is made up of the dried leaves and flowering tops, and is known as grass, marijuana, spliff, weed, etc.

Skunk cannabis is made from a cannabis plant that has more active chemicals in it (THC), and the effect on your brain is stronger. Because ‘street’ cannabis varies so much in strength, you will not be able to tell exactly how it will make you feel at any particular time.


When you smoke cannabis, the active compounds reach your brain quickly through your bloodstream. It then binds/sticks to a special receptor in your brain. This causes your nerve cells to release different chemicals, and causes the effects that you feel. These effects can […]

By |March 11th, 2014|Blog|Comments Off on Cannabis ( marijuana) and mental health

ADHD treatment by Psychiatrist in Destin, Fort Walton Beach FL

Attention deficit hyperactivity disorder (ADHD) is a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. Attention deficit disorder (ADD) is a sub-type of ADHD.

Common symptoms of ADHD include:

  • a short attention span
  • restlessness or constant fidgeting
  • being easily distracted

ADHD can occur in people of any intellectual ability. However, many people with ADHD also have learning difficulties. They may also have additional problems such as sleep disorders.

Symptoms of ADHD tend to be first noticed at an early age, and may become more noticeable when a child’s circumstances change, such as starting school.

Young children are naturally active and easily distracted. However, if these features are excessive for a child’s age and general developmental level, and affecting their daily life, they may indicate ADHD.


Diagnosing ADHD

ADHD is normally diagnosed between the ages of three to seven, although in some cases it may not be until much later. It is more commonly diagnosed in boys.

There are several criteria that must be met for a child to be diagnosed with ADHD. Adults are harder to diagnose because there is no definitive set of age-appropriate symptoms.


What causes ADHD?

Although the exact cause of ADHD is not known, research shows that […]

By |February 5th, 2014|Blog|Comments Off on ADHD treatment by Psychiatrist in Destin, Fort Walton Beach FL

Adult ADHD , ADD

Signs of Adult ADHD

Chronic forgetfulness
Problems with time management; problems estimating how long a given task will take
Tendency to take on far too many projects or tasks
Generally disorganized; frequently late; rushed; unprepared
Frequent moves or job changes
Tendency to speak without considering the reaction which may be elicited by the comment
Tendency to interrupt conversations
Difficulty controlling temper
Difficulty managing paperwork on job
Chronic pattern of under achievement
Pattern of establishing relationships with caretakers – this may be spouse, room mate or a secretary
Pattern of periodic depression
Difficulty in maintaining long-term relationships
Greater than average tendency toward substance abuse
Tendency toward impulsivity ; making decisions without careful long-term planning
Tendency to be either over-active or under-active
Low tolerance for frustration – tendency to overreact to frustration
Tendency to give up on difficult long-term projects
Pattern of interests which are taken up, then dropped, often with the investment of substantial sums of money
Difficulty concentrating when reading
Difficulty handling demanding learning situations which may be required for job advancement

By |January 30th, 2014|Blog|Comments Off on Adult ADHD , ADD

Anxiety Treatment

What causes anxiety?

Family history of mental health problems

People who experience anxiety often have a history of mental health problems in their family. However, this doesn’t mean that a person will automatically develop anxiety if a parent or close relative has had a mental illness

Ongoing stressful events

Stressful events can also trigger symptoms of anxiety. Common triggers include:

  • job stress or job change
  • change in living arrangements
  • pregnancy and giving birth
  • family and relationship problems
  • major emotional shock following a stressful or traumatic event
  • verbal, sexual, physical or emotional abuse or trauma
  • death or loss of a loved one.

Physical health problems

Continuing physical illness can also trigger anxiety or complicate the treatment of either the anxiety or the physical illness itself. Common conditions that can do this include:

  • hormonal problems (e.g. overactive thyroid)
  • diabetes
  • asthma
  • heart disease

If there is concern about any of these conditions, ask a doctor for medical tests to rule out a medical cause for the feelings of anxiety.

Substance use

Heavy or long-term use of substances such as alcohol, cannabis, amphetamines or sedatives can cause people to develop anxiety, particularly as the effects of the substance wear off. People with anxiety may find themselves using more of the substance to cope with withdrawal-related anxiety, which can lead to them feeling worse.

Personality factors

By |January 29th, 2014|Blog|Comments Off on Anxiety Treatment

Depression in older people : depression treatment by Jerzy Grzebieluch MD

Depression and anxiety in older people may occur for different reasons, but physical illness or personal loss can be common triggers. Factors that can increase an older person’s risk of developing depression or anxiety include:

  • an increase in physical health problems/conditions e.g. heart disease, stroke, Alzheimer’s disease
  • chronic pain
  • side-effects from medications
  • losses: relationships, independence, work and income, self-worth, mobility and flexibility
  • social isolation
  • significant change in living arrangements e.g. moving from living independently to a care setting
  • admission to hospital
  • particular anniversaries and the memories they evoke.


  • General slowing down or restlessness
  • Neglect of responsibilities and self-care
  • Withdrawing from family and friends
  • Decline in day-to-day ability to function, being confused, worried and agitated
  • Inability to find pleasure in any activity
  • Difficulty getting motivated in the morning
  • Behaving out of character
  • Denial of depressive feelings as a defence mechanism


  • Indecisiveness
  • Loss of self-esteem
  • Persistent suicidal thoughts
  • Negative comments like ‘I’m a failure, ‘It’s my fault’ or ‘Life is not worth living’
  • Excessive concerns about financial situation
  • Perceived change of status within the family


  • Moodiness or irritability, which may present as angry or aggressive
  • Sadness, hopelessness or emptiness
  • Overwhelmed
  • Worthless, guilty

Physical symptoms

  • Sleeping more or less than usual
  • Feeling tired all the time
  • Slowed movement
  • Memory problems
  • Unexplained headaches, backache, pain or similar complaints
  • Digestive upsets, nausea, changes in bowel habits
  • Agitation, hand wringing, pacing
  • Loss or change of appetite
  • Significant weight loss (or gain)

It’s important to note that everyone experiences some of these symptoms […]

By |January 28th, 2014|Blog|Comments Off on Depression in older people : depression treatment by Jerzy Grzebieluch MD