Abilify (aripiprazole)
Abilify is the drug I add to an antidepressant when the antidepressant is doing maybe sixty percent of the job and we need to find the other forty.…
Jun 1, 2026
AI therapy chatbots, clinical perspective
Patients started bringing up Woebot a few years back, and at this point half the guys under thirty who walk into a psychiatry appointment have at some point…
Jun 1, 2026
Auvelity (dextromethorphan/bupropion)
Auvelity is a once-daily pill that combines dextromethorphan, the cough syrup ingredient, with bupropion, which most people know as Wellbutrin. It got FDA approval in 2022 for major…
Jun 1, 2026
Buprenorphine for depression and chronic pain
Buprenorphine is best known as an addiction medication, particularly for opioid use disorder, but a growing body of research and a quieter clinical practice have been using it…
Jun 1, 2026
Caplyta off-label use
Caplyta (lumateperone) is one of the newer atypical antipsychotics, FDA-approved for schizophrenia and bipolar depression, and what’s more interesting than its approved uses is what it’s quietly getting…
Jun 1, 2026
Compounded ketamine lozenges
For about five years, compounded ketamine troches and lozenges (small dissolving tablets made by specialty compounding pharmacies, taken at home) were the fastest-growing segment of mental health treatment…
Jun 1, 2026
Doxepin for sleep
Doxepin is a tricyclic antidepressant from the 1960s that turned out, at very low doses, to be one of the best sleep medications available. The 3mg and 6mg…
Jun 1, 2026
ECT (Electroconvulsive Therapy)
ECT (electroconvulsive therapy, the one with the bad PR from the Jack Nicholson movie) works better than any antidepressant we have, and almost nobody who needs it gets…
Jun 1, 2026
EMDR
EMDR stands for eye movement desensitization and reprocessing, which is a mouthful and also kind of misleading because the eye movements may not actually be the active ingredient.…
Jun 1, 2026
Involuntary holds: OR/WA specifics
Oregon and Washington don’t use the California 5150/5250 numbering, which confuses people who moved up here from the Bay Area expecting that vocabulary. The thing being described is…
Jun 1, 2026