Topic

Patients

Everything we have written on Patients, in one place.

High Dose Ketamine In Clinic
Treatment · 9 min read

High Dose Ketamine In Clinic

High-dose ketamine done in a clinic is a different animal from the troches you take at home.

Apr 22, 2025
Adult ADHD diagnostic surge
Conditions · 10 min read

Adult ADHD diagnostic surge

The number of adults walking into psychiatric offices in 2026 asking to be evaluated for ADHD is something nobody saw coming on this scale.

Apr 20, 2025
Stimulants and cardiovascular safety in adults
Conditions · 8 min read

Stimulants and cardiovascular safety in adults

For decades the conversation about stimulant cardiovascular risk was muddled, with primary care doctors being more cautious than the data warranted and psychiatrists being maybe a little too…

Apr 18, 2025
Lurasidone (Latuda)
Medications · 10 min read

Lurasidone (Latuda)

Lurasidone is the drug you reach for when somebody walks in with bipolar depression and a body that's already been wrecked by Seroquel.

Apr 16, 2025
Gabapentin
Medications · 8 min read

Gabapentin

Gabapentin is the drug American psychiatry is in a quiet relationship with that nobody really wants to talk about publicly. It's prescribed constantly.

Apr 15, 2025
Clonidine
Medications · 8 min read

Clonidine

Clonidine is a blood pressure medication from the 1970s that turned out to be useful for half a dozen things it was never designed for.

Apr 13, 2025
Strattera (atomoxetine)
Medications · 8 min read

Strattera (atomoxetine)

Strattera is the non-stimulant ADHD medication that most adults don’t think about until they have to, which is usually because stimulants are off the table for some reason.…

Apr 10, 2025
Buspar (buspirone)
Medications · 9 min read

Buspar (buspirone)

Buspar is the anti-anxiety drug I wish more people had heard of, mostly because it’s the answer to a lot of situations where the patient or the prescriber…

Apr 7, 2025
Paxil (paroxetine)
Medications · 9 min read

Paxil (paroxetine)

Paxil is the SSRI (selective serotonin reuptake inhibitor, the standard first-line antidepressant class) I almost never start a new patient on, and the…

Apr 5, 2025
Sexual Health
Men's Health · 13 min read

Sexual Health

Men's sexual health is one of those topics where the medicine is mostly straightforward and the conversation is mostly impossible.

Apr 4, 2025
Celexa (citalopram)
Medications · 9 min read

Celexa (citalopram)

Celexa is the SSRI (selective serotonin reuptake inhibitor, the standard first-line antidepressant class that boosts serotonin without much else going on)…

Apr 2, 2025
Effexor (venlafaxine)
Medications · 10 min read

Effexor (venlafaxine)

Effexor is the SNRI (serotonin-norepinephrine reuptake inhibitor, the antidepressant class that hits both serotonin and norepinephrine instead of just…

Mar 31, 2025