Three Months In on an SSRI: What’s Normal, What’s Not, and When to Tell Your Prescriber
If you’re reading this, you’re probably somewhere between week eight and week twelve on an SSRI, you’re trying to figure out whether it’s working, and you don’t entirely…
Jun 1, 2026
Prescription Education
Starting a psychiatric medication is mostly an exercise in being patient through a stretch of weeks that feel worse than baseline before they feel better. Nobody really tells…
Nov 5, 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. They say “I just want to feel like myself again,” or “I…
Nov 1, 2025
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. Fluoxetine has a…
Oct 20, 2025
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, because for one specific job it’s still…
Sep 9, 2025
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
Anxiety Treatment
The public conversation about anxiety treatment and the clinical reality have drifted about as far apart as it’s possible for two conversations on the same topic to drift.…
Jul 7, 2025
Low T vs. Depression: What You Actually Need to Know
Guys come in convinced they have low T when they’re actually depressed, and other guys come in convinced they’re depressed when their testosterone is in the basement. The…
Jun 25, 2025
Depression Treatment
Depression ≠ sadness. Sadness has a thing it’s about. Depression doesn’t, it just follows you around like a Dementor sucking the light out of the world. The texts…
Jun 19, 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. Sertraline…
Jun 12, 2025