Newest articles
Every article in one chronological feed, newest first. Showing 109-144 of 302 posts.
Nortriptyline (Pamelor)
Nortriptyline is an older tricyclic that still does real work without feeling as blunt as amitriptyline for some patients.
Dec 7, 2025
Amitriptyline (Elavil)
Amitriptyline is an older medication that still hangs around because it does several useful things at once, not because it's clean.
Dec 4, 2025
Quviviq (Daridorexant)
Quviviq (daridorexant) is a newer orexin-blocker for insomnia with a shorter half-life than Belsomra, so less morning fog. What it does and who it's for.
Dec 3, 2025
Mood stabilizers and the math of staying in the lane
Lithium, lamotrigine, valproate, carbamazepine, oxcarbazepine. What each one does, what it doesn't, and why the drug is the line and the work is yours.
Nov 30, 2025
PDE5 inhibitors and the men’s sexual health math
Viagra, Cialis, Levitra, Stendra, Trimix. What each one does, when it fits, and why the pill is leverage, not a substitute for the cardiovascular work.
Nov 29, 2025
Sleep meds, ranked by what works
Trazodone, Silenor, Belsomra, Ambien-class, mirtazapine, Seroquel. What actually helps, what borrows time you pay back later, and where the benzo trap is.
Nov 27, 2025
SNRIs: energy and pain in one drug
SNRIs are SSRIs with a norepinephrine kick. Effexor, Cymbalta, Pristiq, Savella. When the lane fits, what to expect, and how to taper without the brain zaps.
Nov 25, 2025
GLP-1s and the math of getting lean
People are fat because they eat too much, eat the wrong stuff, and don't move their body. That's the equation. Eat less and move more.
Nov 22, 2025
The meds that actually move opioid use
Where I refer for detox and methadone I don't run detox here. Don't run a methadone clinic either. Different programs, different regs, different rhythm.
Nov 17, 2025
SSRIs: what they actually do
SSRI stands for selective serotonin reuptake inhibitor, and the name basically describes the trick.
Nov 16, 2025
Stimulants: real talk on what works
Stimulants are the most effective class of medication in modern psychiatry, and they're also the class that earned the worst reputation the fastest,…
Nov 16, 2025
Therapy for Men Who Think Therapy Is Bullshit
The guys who think therapy is bullshit aren't wrong about most of what they've been pitched.
Nov 15, 2025
Guanfacine (Intuniv)
Guanfacine is one of those drugs that quietly does a lot of work and almost nobody talks about, which is sort of par for the course in psychiatry...
Nov 14, 2025
What “Trauma-Informed Care” Actually Means
Trauma informed care is the most successful piece of mental health branding of the last decade, and for a crowd that never shuts up about how…
Nov 12, 2025
The Quiet Damage Addiction Does to Others
Addiction doesn’t just live in a person’s body. It moves into the spaces between people.
Nov 10, 2025
Motivation Is Overrated
People wait to feel motivated before they do things. They wait for inspiration, for the right mood, for the moment when they feel like doing it...
Nov 7, 2025
What Medication Can and Can’t Do
People come in wanting a pill that fixes their life. They don't say it that way.
Nov 1, 2025
The Problem with “I Can’t Help It”
"I can't help it" is one of the most common sentences people bring into a psychiatry office, and one of the most expensive things they can say out loud...
Oct 30, 2025
Anxiety Isn’t the Enemy
Anxiety isn't malfunctioning. The wiring is fine.
Oct 29, 2025
Consequences Aren’t Punishment
Consequences are just what happens next. You don't sleep, you feel like shit, that's biology.
Oct 27, 2025
It’s Just a White Lie. So What?
Most lies don't look like lies.
Oct 27, 2025
Olanzapine (Zyprexa)
Olanzapine can work fast for mania and psychosis, but the weight, sedation, glucose, and lipid tradeoff needs real monitoring.
Oct 26, 2025
Risperidone (Risperdal)
Risperidone is one of the workhorse antipsychotics. It isn’t fashionable, it isn’t subtle, and it doesn’t get talked about the way the newer branded drugs do, but when…
Oct 23, 2025
Prozac (Fluoxetine)
Prozac came out in 1987. Almost forty years later it's still on the short list of SSRIs I reach for, and not because of nostalgia.
Oct 20, 2025
Psilocybin for Depression
Psilocybin for depression still isn't FDA-approved, but the trials and 2026 FDA actions make it one of the psychedelic treatments worth watching closely.
Oct 20, 2025
Depression Looks Different in Men
Most people think depression looks like sadness... someone crying, withdrawn, hopeless, visibly falling apart.
Oct 19, 2025
MDMA-Assisted Therapy for PTSD
MDMA-assisted therapy for PTSD isn't approved yet. The trials looked strong, but the FDA asked for another study because the evidence package had real holes.
Oct 18, 2025
Statins and Your Brain
Statins can protect hearts, but some people report brain fog. Here's what the FDA label, cognition data, and real risk trade actually say.
Oct 15, 2025
Sexual Performance
Sexual performance is one of those topics where guys sit on a problem for years before bringing it up, and then when they finally do, it's at the end of…
Oct 12, 2025
Vyvanse
Vyvanse is Adderall with a seatbelt.
Oct 10, 2025
Topamax (topiramate)
Topiramate's nickname tells you most of what you need to know: Dopamax.
Oct 10, 2025
Stop Asking What’s Wrong With You
People walk in thinking something is fundamentally wrong with them all the time.
Oct 8, 2025
Modafinil (Provigil)
Modafinil isn't a genius pill. It's a stay-awake medication for real sleepiness problems, with smart-drug hype, rash warnings, and birth-control issues.
Oct 7, 2025
How to Transfer Your ADHD Prescription to a New Provider
Maybe you moved. Maybe your provider retired.
Oct 1, 2025
Children, Sports, and the Developing Mind
Think about the last time a kid came home from practice and something was just different. Quieter. More settled. Not because sports fix everything.
Sep 25, 2025
Prazosin
For a certain kind of trauma, the worst part of the day is the night.
Sep 22, 2025