Modafinil is the drug a lot of guys in tech, finance, and the productivity-bro corners of the internet are taking off-label, often without a prescription,…

The number of guys using Replika, Character.ai, and the half-dozen newer AI companion apps has gone vertical in the last couple of years, and it’s showing up in clinical practice in ways that are worth talking about honestly. The take…

The data on this is what it sounds like.

Haidt’s argument in The Anxious Generation is that smartphones and social media, hitting kids hard around 2012, broke teen mental health. The data on adolescent depression and anxiety spiking that year is real. The claim that phones caused it’s partially…

A lot of the psychiatric medication in this country is prescribed by primary care doctors, not psychiatrists.

This is one of the questions that comes up in the first appointment most often, particularly from guys who own firearms or work in jobs with security…

A huge percentage of what psychiatrists prescribe is off-label, and most patients have no idea, which is its own problem.

The honest answer to "can I stay on this medication for the rest of my life" is: we don't fully know what happens at 30 or 40 years out, because most of…

Guys stop their antidepressant, feel terrible a couple weeks later, assume the depression is back, restart the medication. Sometimes that's right.