Dextromethorphan’s the weird one in this whole conversation because unlike MDMA or psilocybin or ayahuasca, it isn’t hiding behind a Schedule I wall. It’s been sitting on pharmacy shelves for decades in cough syrup, boring and legal and mostly ignored,…
TMS (transcranial magnetic stimulation, an in-office procedure where a magnetic coil sits against the side of your head and pulses a magnetic field into a…
EMDR stands for eye movement desensitization and reprocessing, which is a mouthful and also kind of misleading because the eye movements may not actually…
Most guys who worry they're too small aren't actually too small, they're comparing themselves to porn, bad angles, lies, memory, locker room mythology,…
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 it by…
A lot of men hear pelvic floor and immediately think kegels, which is how this whole topic gets dumbed down fast, because the pelvic floor is a real…
Abilify is the drug I add to an antidepressant when the antidepressant is doing maybe sixty percent of the job and we need to find the other forty.
Lamictal is one of those medications I actually like prescribing, which isn't a sentence I get to write very often in psychiatry.
Weed and sex isn't a simple good or bad story. Acute use may help some people, chronic use can start costing you, and the evidence is mixed.
Lithium is the best mood stabilizer we have for bipolar I, and we don't use it nearly enough. That's the whole post, more or less. The rest is detail.
Stress can flatten desire and wreck erections, but the clean cortisol story is usually too neat. What stress actually does to libido and performance.
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.