Sleep
Everything we have written on Sleep, in one place.
Trazodone vs Quviviq vs Belsomra
The sleep medication landscape in 2026 is in a weird place. Trazodone is still the default for most prescribers, mostly out of habit and price.
Apr 18, 2026
Insomnia, Explained
Insomnia treatment is where people learn the hard way that exhaustion and sleep aren't the same thing.
Apr 6, 2026
Doxepin for sleep
Doxepin is a tricyclic antidepressant from the 1960s that turned out, at very low doses, to be one of the best sleep medications available.
Apr 2, 2026
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
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
Lorazepam (Ativan)
Ativan has a reputation, and half my new patients walk in with strong feelings about lorazepam before I've said anything.
Aug 24, 2025
Ambien
Ambien gets handed out like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown.
Aug 16, 2025
Remeron
Remeron is the antidepressant nobody picks first and a lot of guys end up grateful for.
Jul 29, 2025
Lunesta
Lunesta is the Z-drug you reach for when Ambien isn't holding the night together. Same family, different shape, slightly longer half-life.
Jul 23, 2025
CBT-I deep dive (beyond the mention)
CBT-I (cognitive behavioral therapy for insomnia, the structured-protocol kind that actually has a syllabus, not the talk-about-your-sleep-feelings kind)…
Jun 9, 2025
Sleep, Stress, and Your Brain
Sleep deprivation isn't something you can think your way out of. Chronic stress and five hour nights make everything else on your psych chart worse.
May 18, 2025
Sleep apnea + depression in middle-aged men
If you’re a guy in your forties or fifties who feels depressed, exhausted, foggy, and irritable, and the SSRI (selective serotonin reuptake inhibitor, the most common antidepressant class,…
Apr 28, 2025