All Writing

All Writing

Medications · 9 min read

Lamictal (lamotrigine)

Lamictal is one of those medications I actually like prescribing, which is not a sentence I get to write very often in psychiatry. The people on it tend…

Jun 1, 2026
Medications · 11 min read

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…

Jun 1, 2026
Treatment · 11 min read

Bipolar Treatment

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. And bipolar…

Aug 27, 2025
Treatment · 11 min read

Mood Disorders Treatment

“Mood disorder” is a category, not a diagnosis. Under that umbrella sit a half dozen actually-different illnesses: regular old depression, bipolar I, bipolar II, cyclothymia, premenstrual dysphoric disorder,…

May 7, 2025