The Real Reason You Keep Self-Sabotaging
People sabotage themselves constantly and they can't tell you why. Get within sight of something working out and they blow it up.
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, Lexapro and Zoloft and that crew) your primary care doc started you…
Melatonin
Melatonin is one of the most misunderstood things sold in a drugstore, and the misunderstanding got there with help from the supplement industry, the…
Cannabis-induced psychosis (2025 evidence)
The data on cannabis and psychosis is no longer ambiguous, and saying so out loud is going to lose some readers in the first paragraph.
How to Know If Your Provider Is Actually Helping
Most people who fire their psychiatrist wait about a year too long to do it.
Caplyta (Lumateperone)
Caplyta is the antipsychotic that came out in 2019 and made a bunch of psychiatrists do a double-take at the receptor pharmacology, then another…
Post-COVID brain fog as a diagnostic entity
Post-COVID brain fog is real and we still don't have a clean blood test for it, which means most of what gets done with these patients is ruling out the…
Adult ADHD diagnostic surge
The number of adults walking into psychiatric offices in 2026 asking to be evaluated for ADHD is something nobody saw coming on this scale.
Stimulants and cardiovascular safety in adults
For decades the conversation about stimulant cardiovascular risk was muddled, with primary care doctors being more cautious than the data warranted and psychiatrists being maybe a little too dismissive. The 2025 large-scale analyses cleaned up the picture significantly. The short…
The Playlist Changed. So Did We.
There's probably a song you still know by heart that taught you something about love before you were old enough to question it. Not in some dramatic way.
Lurasidone (Latuda)
Lurasidone is the drug you reach for when somebody walks in with bipolar depression and a body that's already been wrecked by Seroquel.
Gabapentin
Gabapentin is the drug American psychiatry is in a quiet relationship with that nobody really wants to talk about publicly. It's prescribed constantly.