Nortriptyline is an older tricyclic that still does real work without feeling as blunt as amitriptyline for some patients.

Amitriptyline is an older medication that still hangs around because it does several useful things at once, not because it's clean.

Quviviq (daridorexant) is a newer orexin-blocker for insomnia with a shorter half-life than Belsomra, so less morning fog. What it does and who it's for.

Lithium, lamotrigine, valproate, carbamazepine, oxcarbazepine. What each one does, what it doesn't, and why the drug is the line and the work is yours.

Trazodone, Silenor, Belsomra, Ambien-class, mirtazapine, Seroquel. What actually helps, what borrows time you pay back later, and where the benzo trap is.

SNRIs are SSRIs with a norepinephrine kick. Effexor, Cymbalta, Pristiq, Savella. When the lane fits, what to expect, and how to taper without the brain zaps.

People are fat because they eat too much, eat the wrong stuff, and don't move their body. That's the equation. Eat less and move more.

Where I refer for detox and methadone I don't run detox here. Don't run a methadone clinic either. Different programs, different regs, different rhythm.

SSRI stands for selective serotonin reuptake inhibitor, and the name basically describes the trick.

Stimulants are the most effective class of medication in modern psychiatry, and they're also the class that earned the worst reputation the fastest,…