Editorial
Everything we have written on Editorial, in one place.
Loneliness as diagnosable risk factor
Loneliness isn't a DSM diagnosis and nobody's going to pretend it is, but it functions like one in terms of risk, and the data on it for middle-aged men…
May 3, 2025
Narcissist diagnosis misused: clinical reality
The word narcissist has been so thoroughly hijacked by TikTok and pop psychology that you can't use it in a clinical conversation anymore without first…
May 1, 2025
Sleep apnea + depression in middle-aged men
If you’re a guy in your forties or fifties who feels depressed, exhausted, foggy, and irritable, and the SSRI (selective serotonin reuptake inhibitor, the most common antidepressant class,…
Apr 28, 2025
How to Know If Your Provider Is Actually Helping
Most people who fire their psychiatrist wait about a year too long to do it.
Apr 25, 2025
Post-COVID brain fog as a diagnostic entity
Post-COVID brain fog is real and we still don't have a clean blood test for it, which means most of what gets done with these patients is ruling out the…
Apr 23, 2025
Why your psychiatrist is rushed (the 15-min visit)
The 15-minute psychiatric follow-up is the unit of care in most outpatient psychiatry now, and most patients hate it and most psychiatrists hate it too. The reason it…
Mar 28, 2025
Why Your Brain Won’t Shut Up at Night
It's 2 AM. You have to be up in five hours.
Mar 25, 2025
Why Asking for Help Feels Like Weakness
For most of the guys who land in a psych office, the hardest thing they did in years wasn't the appointment. It was the phone call to book it.
Mar 24, 2025
AI Therapy Isn’t Therapy
The thing guys are calling AI therapy now is usually not Woebot, Wysa, or some mental health startup with a cute mascot and a CBT worksheet engine.
Mar 15, 2025
TRT clinic boom: Hone, Vault, Marek, what’s legit
Half the guys in their forties walking into a psychiatry appointment now have already done a finger-prick testosterone test through some clinic they saw on Instagram, and a…
Mar 12, 2025
Suicidal Ideation, passive vs active
Passive suicidal ideation is the one that catches guys off guard, because it doesn't look like the thing they think they're supposed to be worried about.
Mar 7, 2025
Why Your Therapist Can’t Fix You
Your therapist can't fix you, and that's actually the news the whole industry is trying not to lead with. Guys come into therapy wanting to be fixed...
Mar 3, 2025