All Writing
Everything published on psychiatry.help, newest first. Showing 1-36 of 297 posts.
When Sex Stops Being a Choice
When chasing sex stops feeling like a choice and starts running your life, that's not a big libido. It's a pattern worth taking seriously.
Jul 20, 2026
Azithromycin (Z-Pack)
The Z-Pack became famous for conditions it cannot treat. Here is what azithromycin actually does well, what it does not touch, and why the cardiac risk warning matters more for…
Jul 17, 2026
ADHD Is a Superpower
ADHD really is a superpower: speed, creativity, humor, pattern recognition, and intensity. It can also leave the people around you doing the boring shit your brain keeps dropping.
Jul 11, 2026
Tirzepatide
Ozempic and Wegovy got famous first, which is the main reason tirzepatide is still playing catch-up in the public conversation even though the clinical trial data says it’s…
Jul 10, 2026
Porn Addiction Is Real, and That’s Not Moral Panic
It's not about being a prude. The compulsive porn loop is a real behavioral pattern, and pretending it isn't is what keeps guys stuck.
Jul 3, 2026
Doxycycline: Acne, STDs, Tick Bites
One cheap old antibiotic covers acne, a couple of STDs, and the tick bite you barely noticed. Just don't take it lying down, literally.
Jun 29, 2026
ECT (Electroconvulsive Therapy)
ECT (electroconvulsive therapy, the one with the bad PR from the Jack Nicholson movie) works better than any antidepressant we have, and almost nobody who…
Jun 25, 2026
Low T When You’re Young
You’re 27, tired most of the time, your sex drive isn’t what it was at 19, you can’t put on muscle the way your buddy can, and somewhere…
Jun 21, 2026
Three Months In on an SSRI: What to Expect
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…
Jun 19, 2026
Why You Can’t Sleep
Insomnia usually is not a mystery. Your body is tired, but your nervous system is still working overtime.
Jun 18, 2026
Sildenafil
Most guys who need this prescription have already been sitting on the problem for way longer than they should have. Could be a year, could be two, sometimes…
Jun 12, 2026
Cumming Too Fast Is Common and Fixable
Cumming too fast means you finish before you want to and can't slow it down. That's premature ejaculation, and it's more fixable than most guys think.
Jun 12, 2026
Anti-Anxiety Medications
Anti-anxiety medication only makes sense after you name the kind of anxiety you are treating. Panic, worry, performance anxiety, and withdrawal are not the same job.
Jun 11, 2026
Involuntary holds: OR/WA specifics
Oregon and Washington don't use the California 5150/5250 numbering, which confuses people who moved up here from the Bay Area expecting that vocabulary.
Jun 10, 2026
Real Talk About Sex
Sex problems are medical, psychological, relational, and usually more fixable than men think. The hard part is saying the quiet part out loud.
Jun 5, 2026
Semaglutide
The drug is real. The results in the trials are real. And if you’ve spent years feeling genuinely hungry all the time, not like “I skipped breakfast” hungry…
Jun 3, 2026
MAT (Medication Assisted Treatment)
If you have opioid use disorder, medication is the actual treatment.
Jun 2, 2026
MAOI Medications
MAOIs are old antidepressants with real power, real food and drug rules, and a role in stubborn depression when easier options failed.
Jun 2, 2026
Testosterone, Honestly
Testosterone is not a magic masculinity injection. It is a hormone with real benefits, real risks, and a workup people skip too often.
May 30, 2026
Tricyclic Antidepressants
Tricyclics are older antidepressants that can still help depression, pain, migraine, and sleep, but overdose risk and anticholinergic side effects keep them out of the casual lane.
May 20, 2026
Knowing better isn’t the same as doing better.
Knowing better doesn’t mean shit if you’re not doing better. We all know that guy. Reads all the right books, quotes all the right people, posts about the…
May 17, 2026
The SSRI Waiting Game
The hardest part of starting an SSRI is the lag. Side effects can show up fast, while the benefit takes weeks.
May 16, 2026
NoFap and Semen Retention: The Honest Version
Semen retention gets a bad rap and a pile of mystical hype. The honest version: dropping compulsive porn helps, the superpowers don't.
May 16, 2026
Masturbation: The Myths, and the Real Line
It's normal and it's not tanking your testosterone. The only real question is whether it's a habit or a compulsion.
May 14, 2026
Sleep Medications
Sleep medications can be useful short-term tools, but insomnia is rarely solved by pretending sedation is the same thing as healthy sleep.
May 12, 2026
Confidence Is Built by Receipts, Not Vibes
Confidence is not a feeling you wait for. It is evidence you build by turning intention into specific action.
May 8, 2026
Tadalafil: the 36-hour ED and prostate pill
Tadalafil is the one erectile dysfunction medication that doesn’t care what time you took it. You can take it Friday morning and it’ll still be working Saturday night.…
Apr 30, 2026
Hydration: Nobody Likes It Dry
Here’s something everybody agrees on before we get anywhere near the science, which is that nobody’s ever hoped things would get a little drier, in any situation, ever,…
Apr 26, 2026
Typical Antipsychotic Medications
Typical antipsychotics are older dopamine-blocking drugs that can still be useful, especially in acute psychosis and agitation, but movement side effects are the central trade.
Apr 25, 2026
ED Is Happening Younger Than You Think
Going soft at 24 feels like the end of the world. It's usually your head, not your plumbing, and it's far more common and more fixable than anyone lets on.
Apr 25, 2026
Atypical Antipsychotic Medications
Atypical antipsychotics can be exactly right for psychosis, bipolar disorder, and depression augmentation. They are not casual sleep pills.
Apr 19, 2026
Trazodone vs Quviviq vs Belsomra
The sleep medication landscape in 2026 is in a weird place. Trazodone is still the default for most prescribers, mostly out of habit and price.
Apr 18, 2026
Benzodiazepine Medications
Benzodiazepines work fast, which is exactly why they need a narrow lane, a clear exit plan, and more respect than casual anxiety prescribing usually gives them.
Apr 16, 2026
Ozempic, GLP-1s, and mood
The GLP-1 agonists (Ozempic and Wegovy and Mounjaro and the rest, a class of medications originally developed for type 2 diabetes and now used…
Apr 16, 2026
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…
Apr 14, 2026
Stimulant Medications
Stimulants can be life-changing for ADHD and narcolepsy, but the Schedule II, diversion, sleep, blood pressure, appetite, and misuse conversations are not optional.
Apr 14, 2026