Recovery
Everything we have written on Recovery, in one place.
PHP vs IOP vs Outpatient
These three terms get used like everybody knows what they mean and most patients don't, so they end up in the wrong level of care.
Jun 14, 2025
Zoloft
Zoloft is the drug I prescribe more than anything else, and the one patients ask the most questions about before they're willing to swallow the first pill.
Jun 13, 2025
Trintellix (Vortioxetine)
Trintellix is the antidepressant pharma reps spent a decade trying to make happen.
Jun 9, 2025
Couples Therapy for substance use
If one partner has a drinking or drug problem and they're in a relationship, the partner is part of the treatment whether anybody signs them up for it or…
Jun 6, 2025Group Therapy: what actually happens in the room
Group therapy is the treatment I refer to most often and the one patients fight me hardest on. The fight is almost always the same: I don’t want…
Jun 4, 2025
Internal Family Systems (IFS)
IFS (internal family systems, the therapy model that asks the patient to relate to different aspects of himself as if they were distinct internal parts…
Jun 1, 2025
Addiction, Explained
Addiction is what happens when the brain's reward wiring gets dragged hard in one direction.
May 31, 2025Acceptance and Commitment Therapy (ACT)
ACT (acceptance and commitment therapy, a “third-wave” behavioral therapy that grew up out of the CBT lineage in the late 80s and 90s) has built itself into a…
May 30, 2025
Prolonged Exposure for PTSD
Prolonged exposure is one of the two gold-standard treatments for PTSD (post-traumatic stress disorder, the trauma-spectrum condition that follows certain…
May 27, 2025
Pristiq (Desvenlafaxine)
Pristiq is what happens when you take Effexor, skip a metabolic step, and sell it as a new drug. That's not a dig, that's the actual mechanism.
May 27, 2025
The Difference Between Depression and Just Being Sad
Not every bad day is depression and not every hard week means you need medication.
May 21, 2025
Alcohol Use Disorder diagnostic criteria
Most guys who have alcohol use disorder don’t think they have it, because they think alcoholism means falling-down-drunk and missing work, and they’re not doing that. They’re functional,…
May 19, 2025