Patients
Everything we have written on Patients, in one place.
Psychiatric hospitalization: what to expect
Most people who get hospitalized for a psychiatric reason have never been inside one and have no idea what's about to happen, which makes a scary thing…
Jun 12, 2025
ADHD in Adults Isn’t About Being Hyper
Most people picture ADHD as a kid bouncing off the walls, can't sit still, disruptive in class. That's one version of it, mostly in children.
Jun 12, 2025
The Story I’m Telling Myself Is…
Most people do not get taken out by facts first. They get taken out by what the facts start to mean. You send a text and do not hear back.
Jun 11, 2025
Trintellix (Vortioxetine)
Trintellix is the antidepressant pharma reps spent a decade trying to make happen.
Jun 9, 2025
CBT-I deep dive (beyond the mention)
CBT-I (cognitive behavioral therapy for insomnia, the structured-protocol kind that actually has a syllabus, not the talk-about-your-sleep-feelings kind)…
Jun 9, 2025Group Therapy: what actually happens in the room
Group therapy is the treatment I refer to most often and the one patients fight me hardest on. The fight is almost always the same: I don’t want…
Jun 4, 2025
Internal Family Systems (IFS)
IFS (internal family systems, the therapy model that asks the patient to relate to different aspects of himself as if they were distinct internal parts…
Jun 1, 2025
Addiction, Explained
Addiction is what happens when the brain's reward wiring gets dragged hard in one direction.
May 31, 2025Acceptance and Commitment Therapy (ACT)
ACT (acceptance and commitment therapy, a “third-wave” behavioral therapy that grew up out of the CBT lineage in the late 80s and 90s) has built itself into a…
May 30, 2025
Hair loss: what works, what is hype
Finasteride, dutasteride, minoxidil, PRP, microneedling, transplants. The math of male pattern hair loss, the meds that bend it, and the things sold to you that mostly do not.
May 29, 2025
Prolonged Exposure for PTSD
Prolonged exposure is one of the two gold-standard treatments for PTSD (post-traumatic stress disorder, the trauma-spectrum condition that follows certain…
May 27, 2025
Pristiq (Desvenlafaxine)
Pristiq is what happens when you take Effexor, skip a metabolic step, and sell it as a new drug. That's not a dig, that's the actual mechanism.
May 27, 2025