AI therapy chatbots, clinical perspective
Patients started bringing up Woebot a few years back, and at this point half the guys under thirty who walk into a psychiatry appointment have at some point…
Jun 1, 2026
Compounded ketamine lozenges
For about five years, compounded ketamine troches and lozenges (small dissolving tablets made by specialty compounding pharmacies, taken at home) were the fastest-growing segment of mental health treatment…
Jun 1, 2026
ECT (Electroconvulsive Therapy)
ECT (electroconvulsive therapy, the one with the bad PR from the Jack Nicholson movie) works better than any antidepressant we have, and almost nobody who needs it gets…
Jun 1, 2026
EMDR
EMDR stands for eye movement desensitization and reprocessing, which is a mouthful and also kind of misleading because the eye movements may not actually be the active ingredient.…
Jun 1, 2026
Ketamine clinics: legit vs grift
The ketamine clinic boom of the last five years is two different things wearing one storefront. One is a real treatment with real data for the kind of…
Jun 1, 2026
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 the…
Jun 1, 2026
Ozempic, GLP-1s, and mood
The GLP-1 agonists (Ozempic and Wegovy and Mounjaro and the rest, a class of medications originally developed for type 2 diabetes and now used aggressively for weight loss)…
Jun 1, 2026
Pharmacogenomic testing for psych meds
GeneSight and the other pharmacogenomic tests (cheek-swab panels that look at your liver-enzyme genetics to suggest which psych medications you’ll handle well or badly) promise that a single…
Jun 1, 2026Three Months In on an SSRI: What’s Normal, What’s Not, and When to Tell Your Prescriber
If you’re reading this, you’re probably somewhere between week eight and week twelve on an SSRI, you’re trying to figure out whether it’s working, and you don’t entirely…
Jun 1, 2026
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit are not wrong about most of what they’ve been pitched. Their wife dragged them to a couples counselor who used phrases…
Nov 15, 2025