Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit are not wrong about most of what they’ve been pitched. Their wife dragged them to a couples counselor who used phrases…
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 it’s quietly making people worse. The phrase used to mean something…
Nov 12, 2025
The Quiet Damage Addiction Does to the People Closest to Us
Addiction doesn’t just live in a person’s body. It moves into the spaces between people. It slips into marriages, friendships, co-parenting, business partnerships, group chats, dinner tables, and…
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… and then…
Nov 7, 2025
Prescription Education
Starting a psychiatric medication is mostly an exercise in being patient through a stretch of weeks that feel worse than baseline before they feel better. Nobody really tells…
Nov 5, 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. They say “I just want to feel like myself again,” or “I…
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…
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn’t malfunctioning. The wiring is fine. It’s the same alarm system humans have been running for the last fifty thousand years, and it works exactly the way…
Oct 29, 2025
Consequences Aren’t Punishment
Consequences are just what happens next. You don’t sleep, you feel like shit, that’s biology. You drink most of a bottle of wine on a Tuesday and wake…
Oct 27, 2025