OC Weekly
State Probes Doctors Joseph Efe Imarah and Ruth Annette Schack
By Matt Coker
November 28, 2017


Psychiatrist Ruth SchackThe second case concerns Dr. Ruth Annette Schack, who has been a practicing psychiatrist for nearly 30 years. A man identified only as “A.K.” saw Schack repeatedly from Jan. 3, 2002, through May 13, 2013. Over that span, Schack at various times diagnosed him with anxiety, depression, insomnia, panic disorder, grogginess, low testosterone and being “decompensated,” which means his mental health was deteriorating.

Schack began psychotherapy sessions that would continue with A.K. weekly and then monthly and then bi-monthly. Over his months and years of treatment, A.K. would be prescribed escalating and de-escalating doses of Celexa, Klonopin, Zoloft, Seroquel, Lexapro, Ambien, Provigil, Wellburtin, Prozac, Adderall, Silenor, Effexor, Remeron, Lunestra, Trazadone and a steroid hormone. But medical charts for some weeks during the various treatment periods showed the patient’s levels were normal for someone with his supposed afflictions.

In an accusation filed Nov. 1, Kirchmeyer concludes that Schack “excessively prescribed drugs and committed repeated acts of clearly excessive use of diagnostic procedures in the care and treatment of” A.K. The medical board official accused Schack of unprofessional conduct, repeated negligent acts, failure to maintain adequate and accurate records and “prescribing, dispensing or furnishing dangerous drugs without appropriate medical indication.”

Kirchmeyer requested the medical board conduct hearings to consider revoking, suspending or placing on probation Schack and Imarah’s state licenses to practice medicine. Probation could include the medical professionals being prohibited from supervising nurses and physician assistants, according to court documents.

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Ruth Schack

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