Recovery
Everything we have written on Recovery, in one place.
Seroquel (quetiapine)
Seroquel is the antipsychotic that gets prescribed for everything other than what it's actually approved for, and the off-label sleep use is the biggest…
Mar 24, 2026
Microdosing: what controlled trials actually show
The honest answer on microdosing is that the controlled trials don't show much, the open-label data shows a lot, and the difference between those two…
Mar 22, 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…
Mar 16, 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…
Mar 14, 2026
Suboxone (buprenorphine/naloxone)
Suboxone is the closest thing we have to a miracle drug in psychiatry, and most of the people who need it spent years being talked out of taking it by…
Mar 12, 2026
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.
Mar 10, 2026
Lamictal (lamotrigine)
Lamictal is one of those medications I actually like prescribing, which isn't a sentence I get to write very often in psychiatry.
Mar 8, 2026
Lithium
Lithium is the best mood stabilizer we have for bipolar I, and we don't use it nearly enough. That's the whole post, more or less. The rest is detail.
Mar 6, 2026
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.
Mar 4, 2026
Xanax (Alprazolam)
I prescribe Xanax rarely, and when I do I usually regret it within six months.
Mar 2, 2026
What “Trauma-Informed Care” Actually Means
Trauma informed care is the most successful piece of mental health branding of the last decade, and for a crowd that never shuts up about how…
Nov 12, 2025
What Medication Can and Can’t Do
People come in wanting a pill that fixes their life. They don't say it that way.
Nov 1, 2025