Involuntary holds: OR/WA specifics
Oregon and Washington don’t use the California 5150/5250 numbering, which confuses people who moved up here from the Bay Area expecting that vocabulary. The thing being described is…
Jun 1, 2026
MAT (Medication-Assisted Treatment) full landscape
If you have opioid use disorder, medication is the actual treatment. Not therapy first, not 12-step first, not the white-knuckle abstinence approach that’s been the default for forty…
Jun 1, 2026
TMS (Transcranial Magnetic Stimulation)
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 specific spot on…
Jun 1, 2026
Prescription Education
Starting a psychiatric medication is mostly an exercise in being patient through a stretch of weeks that feel worse than baseline before they feel better. Nobody really tells…
Nov 5, 2025
Sexual Performance
Sexual performance is one of those topics where guys sit on a problem for years before bringing it up, and then when they finally do, it’s at the…
Oct 12, 2025
How to Transfer Your ADHD Prescription to a New Provider
Maybe you moved. Maybe your provider retired. Maybe your current doctor is a fifteen-minute med check assembly line and you’re tired of feeling like a chart number. Maybe…
Oct 1, 2025
Adhd Treatment
Adult ADHD treatment is one of the parts of psychiatry where the gap between what works and what most patients actually get prescribed is genuinely wide. The medications…
Sep 18, 2025
Testosterone
Testosterone is the most over-prescribed hormone in American medicine right now, and it’s not close. Walk into a strip-mall “low T clinic” with a pulse and a complaint…
Sep 12, 2025
What to Expect in Your First Appointment
Nobody walks into a first psychiatric appointment relaxed and anybody who claims they did is lying. The fears stack up the same way for almost everyone… that I’m…
Aug 27, 2025
Bipolar Treatment
Bipolar treatment goes wrong in the first appointment more often than in any later one. Get the diagnosis wrong and every prescription after it is wrong. And bipolar…
Aug 27, 2025