Dr. Ragnar
Modafinil and the productivity stack
Modafinil is the drug a lot of guys in tech, finance, and the productivity-bro corners of the internet are taking off-label, often without a prescription,…
Jul 10, 2025
AI girlfriends and male loneliness
The number of guys using Replika, Character.ai, and the half-dozen newer AI companion apps has gone vertical in the last couple of years, and it’s showing up in…
Jul 8, 2025
Anxiety, Explained
The public conversation about anxiety treatment and the clinical reality have drifted about as far apart as it's possible for two conversations on the…
Jul 7, 2025
Decline of male friendship after 40
The data on this is what it sounds like.
Jul 5, 2025
Jonathan Haidt’s Anxious Generation: what’s right and overstated
Haidt’s argument in The Anxious Generation is that smartphones and social media, hitting kids hard around 2012, broke teen mental health. The data on adolescent depression and anxiety…
Jul 3, 2025
Men’s Mental Health: Why Asking for Help Feels Impossible
You already know something's off, and you've probably known for a while... months, maybe years.
Jul 1, 2025
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