Patients
Everything we have written on Patients, in one place.
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.
Mar 10, 2026
Lamictal (lamotrigine)
Lamictal is one of those medications I actually like prescribing, which is not a sentence I get to write very often in psychiatry.
Mar 8, 2026
Lithium
Lithium is the best mood stabilizer we have for bipolar I, and we don't use it nearly enough. That's the whole post, more or less. The rest is detail.
Mar 6, 2026
Klonopin (Clonazepam)
The pitch for Klonopin, the one I hear from prescribers and from the guys who've been on it for years, is that it's the cleaner benzo.
Mar 4, 2026
Xanax (Alprazolam)
I prescribe Xanax rarely, and when I do I usually regret it within six months.
Mar 2, 2026
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit are not wrong about most of what they've been pitched.
Nov 15, 2025
Guanfacine (Intuniv)
Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about, which is sort of par for the course in psychiatry...
Nov 14, 2025
What “Trauma-Informed Care” Actually Means
Trauma informed care is the most successful piece of mental health branding of the last decade, and for a crowd that never shuts up about how…
Nov 12, 2025
What Medication Can and Can’t Do
People come in wanting a pill that fixes their life. They don't say it that way.
Nov 1, 2025
The Problem with “I Can’t Help It”
"I can't help it" is one of the most common sentences people bring into a psychiatry office, and one of the most expensive things they can say out loud...
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn't malfunctioning. The wiring is fine.
Oct 29, 2025
Prozac (Fluoxetine)
Prozac came out in 1987. Almost forty years later it's still on the short list of SSRIs I reach for, and not because of nostalgia.
Oct 20, 2025