All Writing

All Writing

Medications · 9 min read

Abilify (aripiprazole)

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.…

Jun 1, 2026
Treatment · 9 min read

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
Medications · 8 min read

Auvelity (dextromethorphan/bupropion)

Auvelity is a once-daily pill that combines dextromethorphan, the cough syrup ingredient, with bupropion, which most people know as Wellbutrin. It got FDA approval in 2022 for major…

Jun 1, 2026
Medications · 8 min read

Buprenorphine for depression and chronic pain

Buprenorphine is best known as an addiction medication, particularly for opioid use disorder, but a growing body of research and a quieter clinical practice have been using it…

Jun 1, 2026
Medications · 8 min read

Caplyta off-label use

Caplyta (lumateperone) is one of the newer atypical antipsychotics, FDA-approved for schizophrenia and bipolar depression, and what’s more interesting than its approved uses is what it’s quietly getting…

Jun 1, 2026
Medications · 10 min read

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
Treatment · 8 min read

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
Treatment · 9 min read

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
Treatment · 8 min read

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
Medications · 9 min read

Klonopin (Clonazepam)

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. Longer half-life,…

Jun 1, 2026