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.
The Real Reason You Keep Self-Sabotaging
People sabotage themselves constantly and they can't tell you why. Get within sight of something working out and they blow it up.
Apr 30, 2025
The Playlist Changed. So Did We.
There's probably a song you still know by heart that taught you something about love before you were old enough to question it. Not in some dramatic way.
Apr 16, 2025
Why your psychiatrist is rushed (the 15-min visit)
The 15-minute psychiatric follow-up is the unit of care in most outpatient psychiatry now, and most patients hate it and most psychiatrists hate it too. The reason it…
Mar 28, 2025
You’re Making a Choice Right Now
You're making a choice right now.
Mar 27, 2025
Provider type field guide: PA, NP, MD, PhD, LMFT, LCSW
The alphabet soup of mental health providers is genuinely confusing and there's no good reason for the patient to have to figure it out on their own,…
Mar 26, 2025
Go with your Gut
You probably know this feeling.
Mar 24, 2025
What HIPAA actually protects (and what it doesn’t)
Most of what people think HIPAA covers, it doesn’t. And most of what people actually worry about when they think about HIPAA isn’t even a HIPAA question. The…
Mar 20, 2025
For the Elder Millenials, Gen X’rs, and Beyond
Sometimes aging announces itself in the smallest possible way. Not with a dramatic milestone. Not with a birthday that suddenly changes everything.
Mar 17, 2025
The manosphere and mental health (Tate effect)
Andrew Tate isn't really my problem in a psychiatry appointment.
Mar 17, 2025
Turn Intention Into Action
The gap between knowing what you should do and actually doing it's the most popular real estate I work in.
Mar 16, 2025
What the men’s mental health movement gets wrong
There are basically two wings of the men's mental health conversation in 2026 and both of them are selling stuff, which is most of the problem.
Jan 11, 2025
Schedule II is doing more harm than good
Stimulant medications are currently Schedule II, which is the same legal category as fentanyl, oxycodone, and morphine.
Jan 8, 2025