The version of ADHD that gets diagnosed in childhood is the loud version. Kid can’t sit still, kid is bouncing off the walls in second grade, kid gets…
Apr 26, 2026
Almost nobody walks into a first psychiatric appointment relaxed. People show up with the same handful of fears. That I’ll prescribe something five minutes in. That I’ll judge…
Apr 26, 2026Bipolar treatment goes wrong in the first appointment more often than in any later one. If the diagnosis is wrong, every drug after it is wrong. And bipolar…
Apr 26, 2026Wellbutrin is the weird cousin in the antidepressant family. Most of what people think of as antidepressants are SSRIs, which work on serotonin and have a pretty consistent…
Apr 23, 2026
People think getting sober is the hard part. And yeah, detox sucks. Early sobriety is uncomfortable. Breaking the habit is genuinely difficult. But that’s not what pulls people…
Apr 15, 2026Ativan has a reputation. Half my new patients walk in with strong feelings about lorazepam before I’ve said a word, and those feelings split along a sharp line.…
Apr 12, 2026Men don’t usually walk into a psychiatrist’s office and say they’re depressed. They walk in because their wife told them to. Or because they’re drinking more than they…
Apr 12, 2026
I’m not against bubble baths. If a hot bath and some candles make you feel better, great. Do that. Nobody’s coming for your candles. But we need to…
Apr 8, 2026Ambien gets prescribed like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown. Most patients who walk…
Apr 3, 2026Methylphenidate has been around since 1944 and is still, in 2026, one of the most reliable molecules in psychiatry. Ritalin is the original brand. Concerta is the long-acting…
Mar 28, 2026