Sobriety Isn’t the Hard Part (It’s Everything After)
People think getting sober is the hard part. Yeah, detox sucks, early sobriety is uncomfortable, breaking the actual habit is genuinely difficult… that’s not what pulls people back…
Aug 25, 2025
Lorazepam (Ativan)
Ativan has a reputation, and half my new patients walk in with strong feelings about lorazepam before I’ve said anything. The feelings split along a sharp line. The…
Aug 24, 2025
Men’s Health
Men don’t usually walk into a psychiatrist’s office and say they’re depressed. They walk in because their wife told them to, or because they’re drinking more than they…
Aug 20, 2025
Why “Self-Care” Misses the Point (And What Actually Works)
I’m not against bubble baths. If a hot bath and some candles make you feel better, great, do that, nobody’s coming for your candles. That’s not what this…
Aug 18, 2025
Ambien
Ambien gets handed out like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown. Most patients who…
Aug 16, 2025
Ritalin and Methylphenidate
Methylphenidate has been around since 1944 and is still, in 2026, one of the most reliable molecules in psychiatry. Ritalin is the original brand. Concerta is the long-acting…
Aug 14, 2025
Call It What It Is: The Naming Method Explained
This is the core of how I work with people, so it’s worth getting on the page in plain English. The Naming Method comes down to one principle.…
Aug 9, 2025
Propranolol
Propranolol is a cardiology drug that wandered into psychiatry by accident and stayed because it does one specific thing well. It’s a non-selective beta blocker, developed for blood…
Aug 3, 2025
Adderall
Adderall is amphetamine. Specifically, it’s a roughly 3:1 mix of dextroamphetamine and levoamphetamine salts, the same molecule that’s been around since the 1930s. The branding is newer than…
Jul 29, 2025
Remeron
Remeron is the antidepressant nobody picks first and a lot of guys end up grateful for. The generic name is mirtazapine, it’s been around since the mid-90s, and…
Jul 29, 2025