Dr. Ragnar
MAT (Medication Assisted Treatment)
If you have opioid use disorder, medication is the actual treatment.
Apr 26, 2026
Involuntary holds: OR/WA specifics
Oregon and Washington don't use the California 5150/5250 numbering, which confuses people who moved up here from the Bay Area expecting that vocabulary.
Apr 24, 2026
Sleep Medications
Sleep medications can be useful short-term tools, but insomnia is rarely solved by pretending sedation is the same thing as healthy sleep.
Apr 24, 2026
ECT (Electroconvulsive Therapy)
ECT (electroconvulsive therapy, the one with the bad PR from the Jack Nicholson movie) works better than any antidepressant we have, and almost nobody who…
Apr 22, 2026
MAOI Medications
MAOIs are old antidepressants with real power, real food and drug interaction rules, and a role in treatment-resistant depression when boring options have failed.
Apr 21, 2026
Compounded ketamine lozenges
For about five years, compounded ketamine troches and lozenges (small dissolving tablets made by specialty compounding pharmacies, taken at home) were the…
Apr 20, 2026
Atypical Antipsychotic Medications
Atypical antipsychotics can be exactly right for psychosis, bipolar disorder, and depression augmentation. They are not casual sleep pills.
Apr 19, 2026
Trazodone vs Quviviq vs Belsomra
The sleep medication landscape in 2026 is in a weird place. Trazodone is still the default for most prescribers, mostly out of habit and price.
Apr 18, 2026
Benzodiazepine Medications
Benzodiazepines work fast, which is exactly why they need a narrow lane, a clear exit plan, and more respect than casual anxiety prescribing usually gives them.
Apr 16, 2026
Ozempic, GLP-1s, and mood
The GLP-1 agonists (Ozempic and Wegovy and Mounjaro and the rest, a class of medications originally developed for type 2 diabetes and now used…
Apr 16, 2026
Buprenorphine for depression and chronic pain
Buprenorphine is best known as an addiction medication, particularly for opioid use disorder, but a growing body of research and a quieter clinical…
Apr 14, 2026
Stimulant Medications
Stimulants can be life-changing for ADHD and narcolepsy, but the Schedule II, diversion, sleep, blood pressure, appetite, and misuse conversations are not optional.
Apr 14, 2026