Dr. Ragnar
PCP-psychiatrist handoff: when to switch
A lot of the psychiatric medication in this country is prescribed by primary care doctors, not psychiatrists.
Jun 30, 2025
Mental health records: background checks, gun ownership, licensure
This is one of the questions that comes up in the first appointment most often, particularly from guys who own firearms or work in jobs with security…
Jun 27, 2025
Off-label prescribing: what it means
A huge percentage of what psychiatrists prescribe is off-label, and most patients have no idea, which is its own problem.
Jun 25, 2025
Low T vs. Depression: What You Actually Need to Know
Guys come in convinced they have low T when they're actually depressed, and other guys come in convinced they're depressed when their testosterone is in…
Jun 25, 2025
Long-term med use realities (20-year horizons)
The honest answer to "can I stay on this medication for the rest of my life" is: we don't fully know what happens at 30 or 40 years out, because…
Jun 22, 2025
Antidepressant withdrawal vs relapse: distinguishing
Guys stop their antidepressant, feel terrible a couple weeks later, assume the depression is back, restart the medication. Sometimes that's right.
Jun 20, 2025
Depression Treatment
Depression ≠ sadness. Sadness has a thing it's about. Depression doesn't, it just follows you around like a Dementor sucking the light out of the world.
Jun 19, 2025
Why some clinicians won’t take insurance
I take insurance. A lot of psychiatrists in private practice don't.
Jun 17, 2025
Zoloft
Zoloft is the drug I prescribe more than anything else, and the one patients ask the most questions about before they're willing to swallow the first pill.
Jun 13, 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
Trintellix (Vortioxetine)
Trintellix is the antidepressant pharma reps spent a decade trying to make happen.
Jun 9, 2025
Why Men Avoid Therapy
Men kill themselves at roughly four times the rate women do in the US, that gap has held year after year, the pandemic didn't close it, the recession…
Jun 7, 2025