Guanfacine (Intuniv)
Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about, which is sort of par for the course in psychiatry...
What “Trauma-Informed Care” Actually Means
Trauma informed care is the most successful piece of mental health branding of the last decade, and for a crowd that never shuts up about how…
The Quiet Damage Addiction Does to Others
Addiction doesn’t just live in a person’s body. It moves into the spaces between people.
Motivation Is Overrated
People wait to feel motivated before they do things. They wait for inspiration, for the right mood, for the moment when they feel like doing it...
What Medication Can and Can’t Do
People come in wanting a pill that fixes their life. They don't say it that way.
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 loud...
Anxiety Isn’t the Enemy
Anxiety isn't malfunctioning. The wiring is fine.
Consequences Aren’t Punishment
Consequences are just what happens next. You don't sleep, you feel like shit, that's biology.
It’s Just a White Lie. So What?
Most lies don't look like lies.
Olanzapine (Zyprexa)
Olanzapine can work fast for mania and psychosis, but the weight, sedation, glucose, and lipid tradeoff needs real monitoring.
Risperidone (Risperdal)
Risperidone is one of the workhorse antipsychotics. It isn’t fashionable, it isn’t subtle, and it doesn’t get talked about the way the newer branded drugs do, but when somebody’s psychotic, manic, badly agitated, or spiraling into the kind of paranoia…
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.