Dr. Ragnar

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, 2026Lithium
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
Morning Wood: What It Means and When Its Gone
Morning wood is a clue about whether the hardware still runs on its own. What it means, when it doesn't mean much, and when to pay attention.
Mar 3, 2026
Xanax (Alprazolam)
I prescribe Xanax rarely, and when I do I usually regret it within six months.
Mar 2, 2026
Perseris
Perseris is monthly subcutaneous risperidone for schizophrenia. It can help when risperidone works but daily pills keep falling apart.
Feb 28, 2026
Risperdal Consta
Risperdal Consta is older long-acting risperidone technology. It can help with adherence, but the two-week overlap and side effects matter.
Feb 26, 2026
Invega Sustenna
Invega Sustenna is a long-acting injectable built for adherence, relapse prevention, and patients who do better without daily pill logistics.
Feb 23, 2026
Aristada (aripiprazole lauroxil)
Aristada is long-acting aripiprazole. The point isn't a new effect so much as steadier delivery and fewer missed-dose failures.
Feb 20, 2026