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ADHD, anxiety, depression, PTSD, bipolar, addiction. Plain explanations, not textbook copy.

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Sleep, Stress, and Your Brain
Conditions · 9 min read

Sleep, Stress, and Your Brain

Sleep deprivation isn't something you can think your way out of. Chronic stress and five hour nights make everything else on your psych chart worse.

May 18, 2025
Complicated Grief / Prolonged Grief Disorder
Conditions · 9 min read

Complicated Grief / Prolonged Grief Disorder

Prolonged grief disorder made it into the DSM-5-TR (the most current version of the psychiatric diagnostic manual) in 2022, and the diagnosis is useful…

May 17, 2025
Burnout (ICD-11)
Conditions · 9 min read

Burnout (ICD-11)

Burnout picked up an actual ICD-11 (the international diagnostic codebook used outside the U.S.) designation in 2019, and the conversation since then has…

May 14, 2025
You mad, bro?
Conditions · 7 min read

You mad, bro?

A lot of guys think anger is the problem because anger is the part everybody sees...

May 11, 2025
PMDD (for the partners who live with it)
Conditions · 10 min read

PMDD (for the partners who live with it)

This one's for the husbands, because most of the guys who come in with a wife who has PMDD (premenstrual dysphoric disorder, the severe, predictable mood…

May 11, 2025
Persistent Depressive Disorder (Dysthymia)
Conditions · 10 min read

Persistent Depressive Disorder (Dysthymia)

Persistent depressive disorder, what used to be called dysthymia, is the diagnosis for guys who've been depressed for so long they don't remember what…

May 9, 2025
Bipolar I vs Bipolar II vs Cyclothymia
Conditions · 10 min read

Bipolar I vs Bipolar II vs Cyclothymia

These three diagnoses get confused constantly, including by clinicians, and the difference matters because the treatments diverge in important ways.

May 6, 2025
Loneliness as diagnosable risk factor
Conditions · 10 min read

Loneliness as diagnosable risk factor

Loneliness isn't a DSM diagnosis and nobody's going to pretend it's, but it functions like one in terms of risk, and the data on it for middle-aged men…

May 3, 2025
Narcissist diagnosis misused: clinical reality
Conditions · 9 min read

Narcissist diagnosis misused: clinical reality

The word narcissist has been so thoroughly hijacked by TikTok and pop psychology that you can't use it in a clinical conversation anymore without first…

May 1, 2025
Sleep apnea + depression in middle-aged men
Conditions · 9 min read

Sleep apnea + depression in middle-aged men

If you’re a guy in your forties or fifties who feels depressed, exhausted, foggy, and irritable, and the SSRI (selective serotonin reuptake inhibitor, the most common antidepressant class,…

Apr 28, 2025
Cannabis-induced psychosis (2025 evidence)
Conditions · 9 min read

Cannabis-induced psychosis (2025 evidence)

The data on cannabis and psychosis is no longer ambiguous, and saying so out loud is going to lose some readers in the first paragraph.

Apr 26, 2025
Post-COVID brain fog as a diagnostic entity
Conditions · 10 min read

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