Klonopin (Clonazepam)
The pitch for Klonopin, the one I hear from prescribers and from the guys who’ve been on it for years, is that it’s the cleaner benzo. Longer half-life,…
Jun 1, 2026
Pregabalin (Lyrica)
Pregabalin is gabapentin’s better-looking, more expensive cousin. Same mechanism family, more aggressive marketing, much higher price, and a controlled substance in the US for reasons that have to…
Jun 1, 2026Three Months In on an SSRI: What’s Normal, What’s Not, and When to Tell Your Prescriber
If you’re reading this, you’re probably somewhere between week eight and week twelve on an SSRI, you’re trying to figure out whether it’s working, and you don’t entirely…
Jun 1, 2026
Xanax (Alprazolam)
I prescribe Xanax rarely, and when I do I usually regret it within six months. That’s not a slogan, it’s a clinical observation from watching how this drug…
Jun 1, 2026
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…
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn’t malfunctioning. The wiring is fine. It’s the same alarm system humans have been running for the last fifty thousand years, and it works exactly the way…
Oct 29, 2025
Hydroxyzine
Hydroxyzine has been sitting in the pharmacy for sixty years doing useful work, and most prescribers act like it doesn’t exist. It’s an antihistamine in the same H1…
Sep 1, 2025
Lorazepam (Ativan)
Ativan has a reputation, and half my new patients walk in with strong feelings about lorazepam before I’ve said anything. The feelings split along a sharp line. The…
Aug 24, 2025
Propranolol
Propranolol is a cardiology drug that wandered into psychiatry by accident and stayed because it does one specific thing well. It’s a non-selective beta blocker, developed for blood…
Aug 3, 2025
Anxiety Treatment
The public conversation about anxiety treatment and the clinical reality have drifted about as far apart as it’s possible for two conversations on the same topic to drift.…
Jul 7, 2025