Dr. Ragnar
Dextromethorphan for Depression: The Legal, Overlooked One
Dextromethorphan’s the weird one in this whole conversation because unlike MDMA or psilocybin or ayahuasca, it isn’t hiding behind a Schedule I wall. It’s been sitting on pharmacy…
Mar 16, 2026
TMS (Transcranial Magnetic Stimulation)
TMS (transcranial magnetic stimulation, an in-office procedure where a magnetic coil sits against the side of your head and pulses a magnetic field into a…
Mar 16, 2026
EMDR
EMDR stands for eye movement desensitization and reprocessing, which is a mouthful and also kind of misleading because the eye movements may not actually…
Mar 14, 2026
Is my penis normal?
Most guys who worry they're too small aren't actually too small, they're comparing themselves to porn, bad angles, lies, memory, locker room mythology,…
Mar 13, 2026
Suboxone (buprenorphine/naloxone)
Suboxone is the closest thing we have to a miracle drug in psychiatry, and most of the people who need it spent years being talked out of taking it by…
Mar 12, 2026
Kegels: when they help and when they backfire
A lot of men hear pelvic floor and immediately think kegels, which is how this whole topic gets dumbed down fast, because the pelvic floor is a real…
Mar 11, 2026
Abilify (aripiprazole)
Abilify is the drug I add to an antidepressant when the antidepressant is doing maybe sixty percent of the job and we need to find the other forty.
Mar 10, 2026
Lamictal (lamotrigine)
Lamictal is one of those medications I actually like prescribing, which isn't a sentence I get to write very often in psychiatry.
Mar 8, 2026
Weed and Your Sex Life: The Honest Read
Weed and sex isn't a simple good or bad story. Acute use may help some people, chronic use can start costing you, and the evidence is mixed.
Mar 8, 2026
Lithium
Lithium is the best mood stabilizer we have for bipolar I, and we don't use it nearly enough. That's the whole post, more or less. The rest is detail.
Mar 6, 2026
Stress, Cortisol, and a Flat Sex Life
Stress can flatten desire and wreck erections, but the clean cortisol story is usually too neat. What stress actually does to libido and performance.
Mar 5, 2026
Klonopin (Clonazepam)
The pitch for Klonopin, the one I hear from prescribers and from the guys who've been on it for years, is that it's the cleaner benzo.
Mar 4, 2026