Fatigue is more than just feeling tired; it’s a pervasive sense of exhaustion that can significantly impact your daily life. I often see patients who struggle with chronic tiredness, and identifying the root cause is crucial for effective management. This guide explores various factors contributing to fatigue and offers insights into how you can address them. Let’s dive into some common—and perhaps surprising—causes of fatigue.

Most people would probably prefer not to take any medication during pregnancy or breastfeeding. The concern every parent has when deciding to use medication or not during pregnancy is whether their actions could harm their unborn child. Many also assume giving medication to the birthing parent will harm the fetus. This idea is false and harmful because during pregnancy, mother and fetus are inseparable, otherwise known as a dyad.

The biggest harm with an all-or-nothing approach is this: when medications are stopped, changed, or not started during pregnancy, this can cause mental health issues that result in pregnancy complications.

Neuropharmagen® enables providers to identify the safest psychotropic medication protocol for patients based on their genetic markers and other relevant factors. Finding the right medication for mental health conditions can often be challenging for patients and providers. Being able to quickly discern specific treatments and dosage amounts for antidepressants and other psychoactive drugs may increase a patient’s adherence and chance for a positive outcome.

When other traditional treatments for depression are not working, such as psychotherapy, medications (SSRIs, SNRIs), exercise, and healthy eating, there are other great treatment options. At Sweetgrass Psychiatry in Mount Pleasant, SC, we are pleased to provide our patients with treatment resistant depression HOPE. One evidence based, safe treatment option is Intramuscular (IM) ketamine.

Behavioral Activation (BA) is a therapy skill that can be done with or without Cognitive Behavioral Therapy (CBT). CBT is a type of therapy highlighting how thinking, behavior, and feelings are all inter-related and directly involved with one’s mental health. BA specifically focuses on the behavior portion involved in our mental health.

Two of our favorite evidence-based treatments for depression that we offer at our Mount Pleasant, SC location are Spravato / esketamine and transcranial magnetic stimulation (TMS). Both transcranial magnetic stimulation (TMS) and Spravato (esketamine) are FDA-approved treatments for treatment-resistant depression.

How do I know if I should see a psychologist or a psychiatrist? This is a question we get asked a lot here at Sweetgrass Psychiatry!