All Writing

All Writing

Medications · 8 min read

Buprenorphine for depression and chronic pain

Buprenorphine is best known as an addiction medication, particularly for opioid use disorder, but a growing body of research and a quieter clinical practice have been using it…

Jun 1, 2026
Treatment · 8 min read

MAT (Medication-Assisted Treatment) full landscape

If you have opioid use disorder, medication is the actual treatment. Not therapy first, not 12-step first, not the white-knuckle abstinence approach that’s been the default for forty…

Jun 1, 2026
Medications · 10 min read

Suboxone (buprenorphine/naloxone)

Suboxone is the closest thing we have to a miracle drug in psychiatry, and most of the people who need it spent years being talked out of taking…

Jun 1, 2026
Medications · 8 min read

Vivitrol (extended-release naltrexone)

Vivitrol is naltrexone in a syringe, given once a month in your butt. That’s the whole pitch. If you’ve read the naltrexone post, you already know what the…

Jun 1, 2026
Treatment · 10 min read

Addiction Treatment

Addiction is what happens when the brain’s reward wiring gets hijacked. There’s a circuit that’s supposed to push you toward food, sex, novelty, your kid’s face, the things…

May 31, 2025