All Writing

All Writing

Off Script · 3 min read

Freedom Costs Blood. Mental Health Costs Choices.

Freedom isn’t free. Neither is good mental health.  There is no doubt I will never come close to understanding the sacrifice that members of our military have made…

Jun 12, 2025
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. Sertraline…

Jun 12, 2025
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. By the time…

Jun 12, 2025
Off Script · 4 min read

The Story I’m Telling Myself Is…

One of the most powerful ideas that comes up again and again in therapy, and one that Dr. John returns to often on his podcast “The Dr. John…

Jun 11, 2025
Medications · 11 min read

Trintellix (Vortioxetine)

Trintellix is the antidepressant pharma reps spent a decade trying to make happen. The generic name is vortioxetine, marketed under Trintellix in the US and Brintellix everywhere else,…

Jun 9, 2025
Off Script · 3 min read

Expectations Hurt Us More Than People Do

Most emotional pain doesn’t come from what someone actually does to us. It comes from what we quietly expected them to do but just didn’t say out loud.…

Jun 8, 2025
Treatment · 9 min read

Why Men Don’t Go to Therapy (And Why That’s Killing Them)

Men kill themselves at roughly four times the rate women do in the US, that number’s been stable for decades, the pandemic didn’t move it, the recession didn’t…

Jun 7, 2025
Treatment · 10 min read

Addiction Treatment

Addiction is what happens when the brain’s reward wiring gets hijacked. There’s a circuit that’s supposed to push you toward food, sex, novelty, your kid’s face, the things…

May 31, 2025
Men's Health · 21 min read

Hair loss: what works, what is hype

Finasteride, dutasteride, minoxidil, PRP, microneedling, transplants. The math of male pattern hair loss, the meds that bend it, and the things sold to you that mostly do not.

May 29, 2025
Medications · 10 min read

Pristiq (Desvenlafaxine)

Pristiq is what happens when you take Effexor, skip a metabolic step, and sell it as a new drug. That’s not a dig, that’s the actual mechanism. Venlafaxine…

May 27, 2025