Dr. Ragnar
Post-COVID brain fog as a diagnostic entity
Post-COVID brain fog is real and we still don't have a clean blood test for it, which means most of what gets done with these patients is ruling out the…
Apr 23, 2025
Adult ADHD diagnostic surge
The number of adults walking into psychiatric offices in 2026 asking to be evaluated for ADHD is something nobody saw coming on this scale.
Apr 20, 2025
Stimulants and cardiovascular safety in adults
For decades the conversation about stimulant cardiovascular risk was muddled, with primary care doctors being more cautious than the data warranted and psychiatrists being maybe a little too…
Apr 18, 2025
Lurasidone (Latuda)
Lurasidone is the drug you reach for when somebody walks in with bipolar depression and a body that's already been wrecked by Seroquel.
Apr 16, 2025
Gabapentin
Gabapentin is the drug American psychiatry is in a quiet relationship with that nobody really wants to talk about publicly. It's prescribed constantly.
Apr 15, 2025
Clonidine
Clonidine is a blood pressure medication from the 1970s that turned out to be useful for half a dozen things it was never designed for.
Apr 13, 2025
Strattera (atomoxetine)
Strattera is the non-stimulant ADHD medication that most adults don’t think about until they have to, which is usually because stimulants are off the table for some reason.…
Apr 10, 2025
Buspar (buspirone)
Buspar is the anti-anxiety drug I wish more people had heard of, mostly because it’s the answer to a lot of situations where the patient or the prescriber…
Apr 7, 2025
Paxil (paroxetine)
Paxil is the SSRI (selective serotonin reuptake inhibitor, the standard first-line antidepressant class) I almost never start a new patient on, and the…
Apr 5, 2025
Sexual Health
Men's sexual health is one of those topics where the medicine is mostly straightforward and the conversation is mostly impossible.
Apr 4, 2025
Celexa (citalopram)
Celexa is the SSRI (selective serotonin reuptake inhibitor, the standard first-line antidepressant class that boosts serotonin without much else going on)…
Apr 2, 2025
Effexor (venlafaxine)
Effexor is the SNRI (serotonin-norepinephrine reuptake inhibitor, the antidepressant class that hits both serotonin and norepinephrine instead of just…
Mar 31, 2025