Topic

Recovery

Everything we have written on Recovery, in one place.

Xanax (Alprazolam)
Medications · 10 min read

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
Treatment · 15 min read

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
Medications · 9 min read

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
Consequences Aren’t Punishment
Off Script · 8 min read

Consequences Aren’t Punishment

Consequences are just what happens next. You don't sleep, you feel like shit, that's biology.

Oct 27, 2025
Prozac (Fluoxetine)
Medications · 11 min read

Prozac (Fluoxetine)

Prozac came out in 1987. Almost forty years later it's still on the short list of SSRIs I reach for, and not because of nostalgia.

Oct 20, 2025
You Already Know You Have a Problem
Treatment · 8 min read

You Already Know You Have a Problem

If you're reading this and wondering whether your drinking is a problem... it is. You wouldn't be reading this otherwise.

Sep 15, 2025
Fluvoxamine (Luvox)
Medications · 11 min read

Fluvoxamine (Luvox)

Fluvoxamine is the SSRI (selective serotonin reuptake inhibitor, the Zoloft/Lexapro/Prozac class) nobody thinks of first, and that's sort of a shame,…

Sep 9, 2025
Hydroxyzine
Medications · 10 min read

Hydroxyzine

Hydroxyzine has been sitting in the pharmacy for sixty years doing useful work, and most prescribers act like it doesn't exist.

Sep 1, 2025
What to Expect in Your First Appointment
Treatment · 10 min read

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...

Aug 28, 2025
Bipolar Disorder, Explained
Conditions · 11 min read

Bipolar Disorder, Explained

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.

Aug 27, 2025
Wellbutrin (Bupropion)
Medications · 10 min read

Wellbutrin (Bupropion)

Wellbutrin is the weird cousin in the antidepressant family.

Aug 27, 2025
Sobriety Isn’t the Hard Part (It’s Everything After)
Treatment · 10 min read

Sobriety Isn’t the Hard Part (It’s Everything After)

People think getting sober is the hard part. Yeah, detox sucks, early sobriety is uncomfortable, breaking the actual habit is genuinely difficult...

Aug 25, 2025