Testosterone
Testosterone is the most over-prescribed hormone in American medicine right now, and it’s not close. Walk into a strip-mall “low T clinic” with a pulse and a complaint…
Sep 12, 2025
IV Wellness Therapy
The IV wellness industry is one of the strangest things to watch from inside medicine. A drip clinic opens in a strip mall next to a barre studio,…
Sep 12, 2025
Fluvoxamine (Luvox)
Fluvoxamine is the SSRI (selective serotonin reuptake inhibitor, the Zoloft/Lexapro/Prozac class) nobody thinks of first, and that’s sort of a shame, because for one specific job it’s still…
Sep 9, 2025
Hydroxyzine
Hydroxyzine has been sitting in the pharmacy for sixty years doing useful work, and most prescribers act like it doesn’t exist. It’s an antihistamine in the same H1…
Sep 1, 2025
ADHD in Men: Why It Gets Missed and What to Do About It
The version of ADHD that gets diagnosed in childhood is the loud version. Kid can’t sit still, kid is bouncing off the walls in second grade, kid gets…
Aug 28, 2025
What to Expect in Your First Appointment
Nobody walks into a first psychiatric appointment relaxed and anybody who claims they did is lying. The fears stack up the same way for almost everyone… that I’m…
Aug 27, 2025
Bipolar Treatment
Bipolar treatment goes wrong in the first appointment more often than in any later one. Get the diagnosis wrong and every prescription after it is wrong. And bipolar…
Aug 27, 2025
Wellbutrin (Bupropion)
Wellbutrin is the weird cousin in the antidepressant family. Most of what people think of as antidepressants are SSRIs (selective serotonin reuptake inhibitors, the Zoloft/Lexapro/Prozac class), and they…
Aug 27, 2025
Why So Many People Are Rethinking Their Careers Right Now
If you’re in your 20s, 30s, or even your 40s and quietly wondering whether the career you chose still fits, you’re not imagining things. Large surveys show that…
Aug 25, 2025
Sobriety Isn’t the Hard Part (It’s Everything After)
People think getting sober is the hard part. Yeah, detox sucks, early sobriety is uncomfortable, breaking the actual habit is genuinely difficult… that’s not what pulls people back…
Aug 25, 2025