Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about. It started life as a blood pressure pill in the…
May 15, 2026
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…
May 13, 2026
People wait to feel motivated before they do things. They wait for inspiration, for the right mood, for the moment when they feel like doing it. And then…
May 12, 2026Starting a psychiatric medication is mostly an exercise in being patient through a stretch of weeks that feel worse than baseline before they feel better. Nobody tells you…
May 11, 2026
People come into my office wanting a pill that fixes their life. They don’t say it like that. They say things like “I just want to feel like…
May 10, 2026
“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…
May 10, 2026
Anxiety isn’t malfunctioning. The wiring’s fine. It’s the same alarm system humans have been running for the last fifty thousand years, and it works exactly the way evolution…
May 9, 2026
Consequences are just what happens next. They’re not punishment. They’re not the universe weighing in on your character. They’re cause and effect, running on the same physics that…
May 8, 2026Prozac came out in 1987. Almost forty years later it’s still on the short list I reach for, and not because of nostalgia. Fluoxetine has a profile that…
May 7, 2026
Most people think depression looks like sadness. Someone crying, withdrawn, hopeless, visibly struggling. And sometimes it does look like that. But in men, it often looks completely different.…
May 6, 2026