Dr. Ragnar

ADHD: when stims don’t fit
Strattera, Qelbree, Intuniv, Kapvay, Wellbutrin, Modafinil. What each one does, who it fits, and why most patients shouldn't switch off a working stim.
Sep 10, 2025
Fluvoxamine (Luvox)
Fluvoxamine is the SSRI (selective serotonin reuptake inhibitor, the Zoloft/Lexapro/Prozac class) nobody thinks of first, and that's sort of a shame,…
Sep 9, 2025
Trimix and Penile Injections for ED
The reliable second-line ED treatment most men flinch at: how penile injection therapy works, the in-office test dose, and the real risks.
Sep 6, 2025
Shockwave Therapy for Chronic Pain: What Holds Up
Where shockwave therapy genuinely helps chronic musculoskeletal pain (plantar fasciitis at the top) and where it's oversold.
Sep 3, 2025
Hydroxyzine
Hydroxyzine has been sitting in the pharmacy for sixty years doing useful work, and most prescribers act like it doesn't exist.
Sep 1, 2025
Shockwave Therapy for Stubborn Tendon Injuries
Where shockwave therapy actually earns its keep: chronic tendon and soft-tissue injuries that have outlasted rest and rehab.
Sep 1, 2025
Shockwave Therapy for ED: The Honest Read
Low-intensity shockwave therapy for erectile dysfunction: what the evidence really shows, who it helps, and where the upsells start.
Aug 29, 2025
What to Expect in Your First Appointment
Nobody walks into a first psychiatric appointment relaxed and anybody who claims they did is lying. The fears stack up the same way for almost everyone...
Aug 28, 2025
ADHD in Men: Why It Gets Missed
The version of ADHD that gets diagnosed in childhood is the loud version.
Aug 28, 2025
Bipolar Disorder, Explained
Bipolar treatment goes wrong in the first appointment more often than in any later one. Get the diagnosis wrong and every prescription after it's wrong.
Aug 27, 2025
Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates
Here’s the situation almost nobody tells you about. You finally find a psychiatrist or a therapist who actually fits, who actually has openings, who actually understands what you’re…
Aug 27, 2025
Wellbutrin (Bupropion)
Wellbutrin is the weird cousin in the antidepressant family.
Aug 27, 2025