Panic Treatment
A practical guide to treating panic disorder with CBT, interoceptive exposure, medication, and fewer rescue rituals.
Pregabalin (Lyrica)
Pregabalin is gabapentin's better-looking, more expensive cousin.
OCD Treatment
A practical guide to OCD treatment, exposure and response prevention, medication, reassurance traps, and when to get specialty care.
Vivitrol (extended-release naltrexone)
Vivitrol is naltrexone in a syringe, given once a month in your butt. That's the whole pitch.
Naltrexone for alcohol
Naltrexone is the medication that gets prescribed more than any other for alcohol use disorder in clinics that actually know what they're doing, and it's…
Prescription Education: Know What’s Actually in That Bottle
Most med checks hand you a script and skip the useful part. You still need to know the name, dose, timeline, side effects, generic issues, taper rules, and when to call.
Seroquel (quetiapine)
Seroquel is the antipsychotic that gets prescribed for everything other than what it's actually approved for, and the off-label sleep use is the biggest…
Statins
Statins cut events when the risk is real. The decision should come from your risk numbers and the side effects you can actually live with, not vibes.
Microdosing: what controlled trials actually show
The honest answer on microdosing is that the controlled trials don't show much, the open-label data shows a lot, and the difference between those two…
Ibogaine: Real Promise, Real Risk
Ibogaine might be the strangest substance in the whole psychedelic treatment conversation, because the promise is real and the risk is real and they sit…
Online ADHD clinics & the regulatory crackdown
Done and Cerebral are the two names everybody remembers from the great pandemic ADHD telehealth boom, and the story of what happened to them is most of…
Ayahuasca for Depression: Promising, Strange, and Still Early
Ayahuasca has a real but early depression signal. The hard part is separating clinical research from retreat hype and real safety risk.