Adult Men
Everything we have written on Adult Men, in one place.
Lithium
Lithium is the best mood stabilizer we have for bipolar I, and we don't use it nearly enough. That's the whole post, more or less. The rest is detail.
Mar 6, 2026
Klonopin (Clonazepam)
The pitch for Klonopin, the one I hear from prescribers and from the guys who've been on it for years, is that it's the cleaner benzo.
Mar 4, 2026
Xanax (Alprazolam)
I prescribe Xanax rarely, and when I do I usually regret it within six months.
Mar 2, 2026
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit aren't wrong about most of what they've been pitched.
Nov 15, 2025
Guanfacine (Intuniv)
Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about, which is sort of par for the course in psychiatry...
Nov 14, 2025
What “Trauma-Informed Care” Actually Means
Trauma informed care is the most successful piece of mental health branding of the last decade, and for a crowd that never shuts up about how…
Nov 12, 2025
The Quiet Damage Addiction Does to Others
Addiction doesn’t just live in a person’s body. It moves into the spaces between people.
Nov 10, 2025
Motivation Is Overrated
People wait to feel motivated before they do things. They wait for inspiration, for the right mood, for the moment when they feel like doing it...
Nov 7, 2025
What Medication Can and Can’t Do
People come in wanting a pill that fixes their life. They don't say it that way.
Nov 1, 2025
The Problem with “I Can’t Help It”
"I can't help it" is one of the most common sentences people bring into a psychiatry office, and one of the most expensive things they can say out loud...
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn't malfunctioning. The wiring is fine.
Oct 29, 2025
Consequences Aren’t Punishment
Consequences are just what happens next. You don't sleep, you feel like shit, that's biology.
Oct 27, 2025