Topic

Editorial

Everything we have written on Editorial, in one place.

HDHPs, HSAs, and Mental Health Coverage
Off Script · 11 min read

HDHPs, HSAs, and Mental Health Coverage

What an HDHP actually is, in plain English Every fall during open enrollment your HR portal lights up with a plan called something like "Choice HSA 3000"…

Aug 8, 2025
Getting On Insurance Panels: The Credentialing Game
Off Script · 15 min read

Getting On Insurance Panels: The Credentialing Game

If you’re a licensed clinician and you’ve been circling the question of whether to get on insurance panels, you’ve probably gotten a lot of advice that’s either cheerleading…

Aug 6, 2025
Medicaid for Mental Health Care in Oregon and Washington
Off Script · 13 min read

Medicaid for Mental Health Care in Oregon and Washington

If you’re an adult in Oregon or Washington and you’re scraping by, there’s a real chance Medicaid covers you, and a real chance it covers more of your…

Aug 3, 2025
How to Actually Appeal an Insurance Denial
Off Script · 16 min read

How to Actually Appeal an Insurance Denial

Insurance denied your mental health claim.

Jul 31, 2025
Off Script · 14 min read

How to Actually Access Your Mental Health Benefits

Insurance companies in this country have figured out a quietly profitable trick. They sell you a plan that technically includes mental health coverage, they staff a member-services line…

Jul 29, 2025
Performance Anxiety Isn’t Just About Sex
Conditions · 10 min read

Performance Anxiety Isn’t Just About Sex

Performance anxiety doesn't show up the way the name suggests it does.

Jul 26, 2025
What Every Insurance Term Actually Means (And Which Ones Matter)
Off Script · 14 min read

What Every Insurance Term Actually Means (And Which Ones Matter)

Insurance companies don't write their paperwork to be understood. They write it to be unfalsifiable, which is a different problem.

Jul 26, 2025
How Health Insurance Actually Works
Off Script · 15 min read

How Health Insurance Actually Works

Health insurance is confusing on purpose.

Jul 24, 2025
Men’s Mental Health: Why Asking for Help Feels Impossible
Treatment · 13 min read

Men’s Mental Health: Why Asking for Help Feels Impossible

You already know something's off, and you've probably known for a while... months, maybe years.

Jul 1, 2025
Long-term med use realities (20-year horizons)
Off Script · 9 min read

Long-term med use realities (20-year horizons)

The honest answer to "can I stay on this medication for the rest of my life" is: we don't fully know what happens at 30 or 40 years out, because…

Jun 22, 2025
Antidepressant withdrawal vs relapse: distinguishing
Off Script · 9 min read

Antidepressant withdrawal vs relapse: distinguishing

Guys stop their antidepressant, feel terrible a couple weeks later, assume the depression is back, restart the medication. Sometimes that's right.

Jun 20, 2025
Why some clinicians won’t take insurance
Off Script · 8 min read

Why some clinicians won’t take insurance

I take insurance. A lot of psychiatrists in private practice don't.

Jun 17, 2025