Essays and observations from working clinicians. Mental health, broader than a diagnosis.

People wait to feel motivated before they do things. They wait for inspiration, for the right mood, for the moment when they feel like doing it. And then…
May 12, 2026
“I can’t help it” is one of the most common sentences people bring into a psychiatry office, and one of the most expensive things they can say out…
May 10, 2026
Consequences are just what happens next. They’re not punishment. They’re not the universe weighing in on your character. They’re cause and effect, running on the same physics that…
May 8, 2026
Most lies don’t look like lies. Instead, they look like a casual, “Yeah, that’s fine” or “I don’t care where we eat.” They look like telling your partner…
May 7, 2026
People come into my office all the time thinking something’s fundamentally wrong with them. They’re anxious, or depressed, or struggling, and they’ve decided that means they’re broken. Defective.…
May 4, 2026
Nowhere is physical activity more important than during childhood and adolescence. The teenage brain is still under construction, particularly the prefrontal cortex, which governs impulse control, emotional regulation,…
May 2, 2026
If you’re in your 20s, 30s, or even your 40s and quietly wondering whether the career you chose still fits, you’re not imagining things. Large surveys show that…
Apr 19, 2026
There’s a part of relationships that nobody really prepares you for, and it’s not the big stuff. It’s not conflict, or trust, or anything dramatic. It’s the transition…
Mar 23, 2026
Freedom isn’t free. Neither is good mental health. There is no doubt I will never come close to understanding the sacrifice that members of our military have made…
Feb 26, 2026
One of the most powerful ideas that comes up again and again in therapy, and one that Dr. John returns to often on his podcast “The Dr. John…
Feb 21, 2026