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's wrong.
Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates
Here’s the situation almost nobody tells you about. You finally find a psychiatrist or a therapist who actually fits, who actually has openings, who actually understands what you’re dealing with, and then you check your insurance card and they aren’t…
Wellbutrin (Bupropion)
Wellbutrin is the weird cousin in the antidepressant family.
Why So Many People Are Rethinking Their Careers Right Now
Most people don't decide all at once that their work no longer fits. It usually starts smaller than that.
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...
Weight Isn’t Always Emotional.
Sometimes the first good clue is physical.
ACA Marketplace Plans: Picking One for Mental Health Coverage
If you’re self-employed, between jobs, contracting, running a small business, or stuck with an employer plan that costs more than your rent, the ACA marketplace is where you end up shopping for health insurance. It isn’t a scam, it’s not…
Lorazepam (Ativan)
Ativan has a reputation, and half my new patients walk in with strong feelings about lorazepam before I've said anything.
ICD-10 Coding for Psych: The Crash Course Nobody Gave You
Most billing denials come down to one thing nobody drilled into you: the diagnostic code on the claim is the whole thing.
Men’s Health
Men don't usually walk into a psychiatrist's office and say they're depressed.
Documenting Medical Necessity in Psych Notes
What "medical necessity" actually means, legally Medical necessity isn't a vibe, it's a legal standard, and the people who decide whether you met it are…
Why “Self-Care” Misses the Point (And What Actually Works)
I'm not against bubble baths. If a hot bath and some candles make you feel better, great, do that, nobody's coming for your candles.