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. Their wife dragged them to a couples counselor who used phrases…
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 it’s quietly making people worse. The phrase used to mean something…
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. They say “I just want to feel like myself again,” or “I…
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…
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn’t malfunctioning. The wiring is fine. It’s the same alarm system humans have been running for the last fifty thousand years, and it works exactly the way…
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. Fluoxetine has a…
Oct 20, 2025
Depression Looks Different in Men
Most people think depression looks like sadness… someone crying, withdrawn, hopeless, visibly falling apart. And sometimes it does look like that, sure, the brochure version is real. But…
Oct 19, 2025
Sexual Performance
Sexual performance is one of those topics where guys sit on a problem for years before bringing it up, and then when they finally do, it’s at the…
Oct 12, 2025
Vyvanse
Vyvanse is Adderall with a seatbelt. The molecule you swallow, lisdexamfetamine, has an amino acid (lysine, one of the building-block amino acids your body uses for everything) stapled…
Oct 10, 2025