Psychiatry, honestly.

Writing about psych meds, diagnoses, and the work itself.
By the people who do it for a living.

The Lead Story
Medications

Abilify (aripiprazole)

Abilify is the drug I add to an antidepressant when the antidepressant is doing maybe sixty percent of the job and we need to find the other forty.…

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Recent writing

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Treatment · 9 min read

AI therapy chatbots, clinical perspective

Patients started bringing up Woebot a few years back, and at this point half the guys under thirty who walk into a psychiatry appointment have at some point…

Jun 1, 2026
Medications · 8 min read

Auvelity (dextromethorphan/bupropion)

Auvelity is a once-daily pill that combines dextromethorphan, the cough syrup ingredient, with bupropion, which most people know as Wellbutrin. It got FDA approval in 2022 for major…

Jun 1, 2026
Medications · 8 min read

Buprenorphine for depression and chronic pain

Buprenorphine is best known as an addiction medication, particularly for opioid use disorder, but a growing body of research and a quieter clinical practice have been using it…

Jun 1, 2026
Medications · 8 min read

Caplyta off-label use

Caplyta (lumateperone) is one of the newer atypical antipsychotics, FDA-approved for schizophrenia and bipolar depression, and what’s more interesting than its approved uses is what it’s quietly getting…

Jun 1, 2026
Medications · 10 min read

Compounded ketamine lozenges

For about five years, compounded ketamine troches and lozenges (small dissolving tablets made by specialty compounding pharmacies, taken at home) were the fastest-growing segment of mental health treatment…

Jun 1, 2026
Medications · 8 min read

Doxepin for sleep

Doxepin is a tricyclic antidepressant from the 1960s that turned out, at very low doses, to be one of the best sleep medications available. The 3mg and 6mg…

Jun 1, 2026

What's on the site.

Four buckets. The writing's organized so you can find what you came for without scrolling for ten minutes.

  1. 01

    Medications

    SSRIs, stimulants, mood stabilizers, antipsychotics. What they actually do, what they don't, and what to expect.

    Read all Medications
  2. 02

    Conditions

    ADHD, anxiety, depression, PTSD, bipolar, addiction. Plain explanations, not textbook copy.

    Read all Conditions
  3. 03

    Treatment

    Therapy types compared, how care actually works, and what to ask a prescriber.

    Read all Treatment
  4. 04

    Off Script

    Essays and observations from working clinicians. Mental health, broader than a diagnosis.

    Read all Off Script
About

Everybody who writes here is a working clinician. It's the day job, not a side project. The stuff on this site is meant to be educational, not medical advice, and nothing here replaces an actual conversation with whoever's prescribing for you. If you're in crisis right now, please call 988 or get to an ER.