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
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
Prozac (Fluoxetine)
Prozac came out in 1987. Almost forty years later it’s still on the short list of SSRIs I reach for, and not because of nostalgia. Fluoxetine has a…
Oct 20, 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
Performance Anxiety Isn’t Just About Sex
Performance anxiety doesn’t show up the way the name suggests it does. When people hear it they think about sex, specifically about a guy who can’t get hard…
Jul 26, 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