Off Script, unfiltered.
Essays and observations from working clinicians. Mental health, broader than a diagnosis.
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Jump to what you came for, instead of scrolling. 12 topics, each linking to every essay tagged with it.
Statins and Your Brain
Statins can protect hearts, but some people report brain fog. Here's what the FDA label, cognition data, and real risk trade actually say.
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
Children, Sports, and the Developing Mind
Think about the last time a kid came home from practice and something was just different. Quieter. More settled. Not because sports fix everything.
Sep 25, 2025
Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates
Here’s the situation almost nobody tells you about. You finally find a psychiatrist or a therapist who actually fits, who actually has openings, who actually understands what you’re…
Aug 27, 2025
Why So Many People Are Rethinking Their Careers Right Now
Most people don't decide all at once that their work no longer fits. It usually starts smaller than that.
Aug 25, 2025
ACA Marketplace Plans: Picking One for Mental Health Coverage
If you’re self-employed, between jobs, contracting, running a small business, or stuck with an employer plan that costs more than your rent, the ACA marketplace is where you…
Aug 24, 2025
ICD-10 Coding for Psych: The Crash Course Nobody Gave You
Most billing denials come down to one thing nobody drilled into you: the diagnostic code on the claim is the whole thing.
Aug 21, 2025
Documenting Medical Necessity in Psych Notes
What "medical necessity" actually means, legally Medical necessity isn't a vibe, it's a legal standard, and the people who decide whether you met it are…
Aug 19, 2025
ERISA vs State-Regulated Plans (Why It Matters When You Appeal)
If you have ever fought a health insurance denial for a psychiatric medication, an inpatient stay, or a residential program, you've probably noticed…
Aug 16, 2025
Beating Prior Authorization Denials in Psych (The Clinician’s Survival Guide)
Why prior auth exists, and why your psych patients get hit twice as hard Prior authorization (PA) is the process where, before an insurance company will…
Aug 13, 2025
Medicare for Patients Under 65 (SSDI Disability + Mental Health Coverage)
Medicare isn’t just a senior thing, and that surprises a lot of guys Most people grow up thinking Medicare is the program your grandfather is on. You hit…
Aug 11, 2025
HDHPs, HSAs, and Mental Health Coverage
What an HDHP actually is, in plain English Every fall during open enrollment your HR portal lights up with a plan called something like "Choice HSA 3000"…
Aug 8, 2025