Education Center and Blog
Below you will find educational articles and insights from Dr. McWilliams regarding various mental health topics and treatments
Alcohol Is Disruptive To Sleep – Even If It Seems To Help
Alcohol may help you fall asleep faster, but it disrupts sleep architecture, suppresses REM sleep, worsens sleep apnea, and becomes habit-forming over time. A Columbia, MD psychiatrist explains why alcohol is not a sleep aid and what to do instead.
Read MorePart II: How CBT-I Begins: Sleep Assessment and the Sleep Diary
CBT-I begins with a thorough assessment and two weeks of sleep diary data before any interventions start. A Columbia, MD psychiatrist walks through what the assessment covers, how sleep efficiency is calculated, and what to expect before treatment begins.
Read MoreAre Two Failed Antidepressants Enough? Why Ketamine Might Not be the Early Intervention it is Being Marketed As
As a psychiatrist practicing in Columbia, Maryland and seeing patients virtually across Maryland, Virginia, and Wisconsin, I regularly evaluate people who have tried ketamine with little to no legimitate treatment history. Brand new patients often ask about starting with ketamine immediately without having tried anything else. This article is an attempt to offer a more complete picture - one that takes ketamine seriously - while being realistic about when it's the right tool, and when it isn't.
Read MoreCognitive Behavioral Therapy for Insomnia (CBT-I)
CBT-I is the first-line treatment for chronic insomnia, recommended above medication by every major sleep and psychiatric organization. A Columbia, MD psychiatrist explains what CBT-I is, who it helps, and how it compares to sleep medication.
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