Topic

Adult Men

Everything we have written on Adult Men, in one place.

Long-term med use realities (20-year horizons)
Off Script · 9 min read

Long-term med use realities (20-year horizons)

The honest answer to "can I stay on this medication for the rest of my life" is: we don't fully know what happens at 30 or 40 years out, because…

Jun 22, 2025
Antidepressant withdrawal vs relapse: distinguishing
Off Script · 9 min read

Antidepressant withdrawal vs relapse: distinguishing

Guys stop their antidepressant, feel terrible a couple weeks later, assume the depression is back, restart the medication. Sometimes that's right.

Jun 20, 2025
Depression, Explained
Conditions · 14 min read

Depression, Explained

Depression ≠ sadness. Sadness has a thing it's about. Depression doesn't, it just follows you around like a Dementor sucking the light out of the world.

Jun 19, 2025
Why some clinicians won’t take insurance
Off Script · 8 min read

Why some clinicians won’t take insurance

I take insurance. A lot of psychiatrists in private practice don't.

Jun 17, 2025
PHP vs IOP vs Outpatient
Treatment · 8 min read

PHP vs IOP vs Outpatient

These three terms get used like everybody knows what they mean and most patients don't, so they end up in the wrong level of care.

Jun 14, 2025
Freedom Costs Blood. Mental Health Costs Choices.
Off Script · 6 min read

Freedom Costs Blood. Mental Health Costs Choices.

Freedom isn’t free. Neither is good mental health.

Jun 13, 2025
Zoloft
Medications · 10 min read

Zoloft

Zoloft is the drug I prescribe more than anything else, and the one patients ask the most questions about before they're willing to swallow the first pill.

Jun 13, 2025
Psychiatric hospitalization: what to expect
Treatment · 7 min read

Psychiatric hospitalization: what to expect

Most people who get hospitalized for a psychiatric reason have never been inside one and have no idea what's about to happen, which makes a scary thing…

Jun 12, 2025
ADHD in Adults Isn’t About Being Hyper
Conditions · 9 min read

ADHD in Adults Isn’t About Being Hyper

Most people picture ADHD as a kid bouncing off the walls, can't sit still, disruptive in class. That's one version of it, mostly in children.

Jun 12, 2025
The Story I’m Telling Myself Is…
Off Script · 6 min read

The Story I’m Telling Myself Is…

Most people do not get taken out by facts first. They get taken out by what the facts start to mean. You send a text and do not hear back.

Jun 11, 2025
Trintellix (Vortioxetine)
Medications · 12 min read

Trintellix (Vortioxetine)

Trintellix is the antidepressant pharma reps spent a decade trying to make happen.

Jun 9, 2025
CBT-I deep dive (beyond the mention)
Treatment · 8 min read

CBT-I deep dive (beyond the mention)

CBT-I (cognitive behavioral therapy for insomnia, the structured-protocol kind that actually has a syllabus, not the talk-about-your-sleep-feelings kind)…

Jun 9, 2025