Dr. Ragnar

SNRIs: energy and pain in one drug
SNRIs are SSRIs with a norepinephrine kick. Effexor, Cymbalta, Pristiq, Savella. When the lane fits, what to expect, and how to taper without the brain zaps.
Nov 25, 2025
GLP-1s and the math of getting lean
People are fat because they eat too much, eat the wrong stuff, and don't move their body. That's the equation. Eat less and move more.
Nov 22, 2025
The meds that actually move opioid use
Where I refer for detox and methadone I don't run detox here. Don't run a methadone clinic either. Different programs, different regs, different rhythm.
Nov 17, 2025
SSRIs: what they actually do
SSRI stands for selective serotonin reuptake inhibitor, and the name basically describes the trick.
Nov 16, 2025
Stimulants: real talk on what works
Stimulants are the most effective class of medication in modern psychiatry, and they're also the class that earned the worst reputation the fastest,…
Nov 16, 2025
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit aren't 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
Motivation Is Overrated
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...
Nov 7, 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