Patients
Everything we have written on Patients, in one place.

Cymbalta (Duloxetine)
Cymbalta is the drug I reach for when the depression has a physical component...
Feb 1, 2025
Lexapro (Escitalopram)
Lexapro is the SSRI I start with most of the time, and the reason is boring...
Jan 29, 2025
Adderall vs Vyvanse: side by side
Both are amphetamines, both work, the differences are real but not enormous, and the right answer for any given patient depends on factors that the rep…
Jan 22, 2025
ADHD meds for adults: the questions I get most
Adult ADHD is everywhere now, which means I get the same set of questions from people considering a stimulant, in slightly different fonts, over and over.
Jan 19, 2025
How long does an antidepressant actually take to work?
Eight to twelve weeks at a real dose.
Jan 16, 2025
Does Wellbutrin actually not cause sexual side effects?
The short version: mostly true, the marketing is shading it slightly cleaner than it actually is, and the most useful clinical move with Wellbutrin in…
Jan 14, 2025
Schedule II is doing more harm than good
Stimulant medications are currently Schedule II, which is the same legal category as fentanyl, oxycodone, and morphine.
Jan 8, 2025
The Adderall shortage isn’t what you think it is
The Adderall shortage that's been going on for the last three-plus years is not caused by telehealth mills, not caused by hoarding anxious parents, not…
Jan 6, 2025