Therapy types compared, how care actually works, and what to ask a prescriber.

Most people who fire their psychiatrist or therapist wait about a year too long to do it. They sit through appointment after appointment, refilling something that isn’t quite…
Jan 27, 2026High-dose ketamine in clinic is a different animal from the troches you take at home. Same molecule, different dose, different route, and a completely different experience. At-home protocols…
Jan 22, 2026
“If the problem can be solved, why worry? If the problem cannot be solved, worrying will do you no good.” I have used this quote in many a…
Jan 16, 2026
For most of the guys who land in my office, the first appointment is the hardest thing they’ve done in years. Not the conversation. The phone call to…
Jan 9, 2026
People come to therapy wanting to be fixed. They want the therapist to do something to them that makes them better. Like taking your car to the mechanic.…
Jan 4, 2026At-home ketamine is the version of this treatment most people end up actually doing. Less because it’s better than the IV in a clinic, and more because it…
Jan 4, 2026