Dr. Ragnar
Persistent Depressive Disorder (Dysthymia)
Persistent depressive disorder, what used to be called dysthymia, is the diagnosis for guys who've been depressed for so long they don't remember what…
May 9, 2025
Mood Disorders Treatment
"Mood disorder" is a category, not a diagnosis.
May 7, 2025
Why “Rock Bottom” Is Bullshit
Rock bottom is bullshit.
May 6, 2025
Bipolar I vs Bipolar II vs Cyclothymia
These three diagnoses get confused constantly, including by clinicians, and the difference matters because the treatments diverge in important ways.
May 6, 2025
Loneliness as diagnosable risk factor
Loneliness isn't a DSM diagnosis and nobody's going to pretend it's, but it functions like one in terms of risk, and the data on it for middle-aged men…
May 3, 2025
Narcissist diagnosis misused: clinical reality
The word narcissist has been so thoroughly hijacked by TikTok and pop psychology that you can't use it in a clinical conversation anymore without first…
May 1, 2025
The Real Reason You Keep Self-Sabotaging
People sabotage themselves constantly and they can't tell you why. Get within sight of something working out and they blow it up.
Apr 30, 2025
Sleep apnea + depression in middle-aged men
If you’re a guy in your forties or fifties who feels depressed, exhausted, foggy, and irritable, and the SSRI (selective serotonin reuptake inhibitor, the most common antidepressant class,…
Apr 28, 2025
Melatonin
Melatonin is one of the most misunderstood things sold in a drugstore, and the misunderstanding got there with help from the supplement industry, the…
Apr 26, 2025
Cannabis-induced psychosis (2025 evidence)
The data on cannabis and psychosis is no longer ambiguous, and saying so out loud is going to lose some readers in the first paragraph.
Apr 26, 2025
How to Know If Your Provider Is Actually Helping
Most people who fire their psychiatrist wait about a year too long to do it.
Apr 25, 2025
Caplyta (Lumateperone)
Caplyta is the antipsychotic that came out in 2019 and made a bunch of psychiatrists do a double-take at the receptor pharmacology, then another…
Apr 23, 2025