Off Script, unfiltered.
Essays and observations from working clinicians. Mental health, broader than a diagnosis.
Browse by topic
Jump to what you came for, instead of scrolling. 12 topics, each linking to every essay tagged with it.
Confidence Is Built by Receipts, Not Vibes
Confidence is not a feeling you wait for. It is evidence you build by turning intention into specific action.
May 20, 2026
Ibogaine: Real Promise, Real Risk
Ibogaine might be the strangest substance in the whole psychedelic treatment conversation, because the promise is real and the risk is real and they sit…
Mar 21, 2026
Ayahuasca for Depression: Promising, Strange, and Still Early
Ayahuasca isn’t some shiny startup molecule that got cooked up in a lab last year. It’s an old Amazonian brew with a long ceremonial history, and now it…
Mar 18, 2026
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
Motivation Is Overrated
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...
Nov 7, 2025
The Problem with “I Can’t Help It”
"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 loud...
Oct 30, 2025
Consequences Aren’t Punishment
Consequences are just what happens next. You don't sleep, you feel like shit, that's biology.
Oct 27, 2025
It’s Just a White Lie. So What?
Most lies don't look like lies.
Oct 27, 2025
Psilocybin for Depression
Of all the psychedelics getting a second look from serious researchers, psilocybin is the one with the most momentum and the most credible evidence behind it, and the…
Oct 20, 2025
MDMA-Assisted Therapy for PTSD
The first thing to clear up is that MDMA-assisted therapy for PTSD has almost nothing to do with taking ecstasy at a party. The clinical version is a…
Oct 18, 2025
Statins and Your Brain
A balanced look at statins, cognitive complaints, FDA label language, stronger evidence, and the trade worth discussing.
Oct 15, 2025
Stop Asking What’s Wrong With You
People walk in thinking something is fundamentally wrong with them all the time.
Oct 8, 2025