A physician of Articles
Written by Dr. Gobar. Plain language, sources named, no sponsorship.
- How I think about changing an antidepressant that has stopped workingWhen an antidepressant stops working, switching is not the first move. Dr. Gobar explains why he first confirms the trial was adequate, checks adherence, alcohol, medical causes and the diagnosis itself, then chooses between optimizing, switching and augmenting, and how he carries out a switch to avoid discontinuation symptoms and dangerous interactions.
- Psychosis is treatable: what I tell families at the first visitA first episode of psychosis frightens families, and most of what they find online is bleaker than the evidence. Dr. Gobar describes the conversation he has at the first visit: what psychosis is, why treating it early improves the outcome, how antipsychotic medication is chosen and monitored, what families can do at home and what recovery realistically looks like.
- Work stress or something more: how I tell the differenceMany adults describe their problem as work stress. Some have a hard job, some have burnout, and some have a depressive or anxiety disorder that arrived wearing a work badge. Dr. Gobar lays out the questions he asks to tell these apart, including whether the symptoms follow a person home and whether vacation helped, and explains why each calls for a different response.
- Treatment-resistant depression: the order I try things in, including SpravatoAbout a third of patients treated for depression do not respond adequately to two antidepressant trials. Dr. Gobar explains the order in which he works through the alternatives: confirming the diagnosis and the adequacy of past trials, optimizing, switching, augmenting, Spravato (esketamine) at the Boynton Beach office, TMS and ECT, with psychotherapy throughout.
- A biopsychosocial-spiritual approach: what that actually means in a medication visitThe phrase biopsychosocial-spiritual can sound like a slogan. Dr. Gobar explains where the model came from, what each of its four dimensions means in a medication visit, how he asks about faith and meaning without imposing his own views, and why a few extra questions per visit usually explain whether a medication is working.
- Antipsychotics and metabolic health: how I monitor my patientsAntipsychotics control psychosis and stabilize mood, but many raise weight, blood sugar and cholesterol. Dr. Gobar explains how he chooses lower-risk agents when possible, the baseline and follow-up schedule he uses for weight, blood pressure, A1c and lipids, the other side effects he watches for, and the behavioral, pharmacological and switching strategies he uses when the numbers move.
See Dr. Peter Gobar
New patients are usually seen within one to two weeks, in person at Boynton Beach or by video. Call the office or request an appointment online.