Newest articles
Every article in one chronological feed, newest first. Showing 145-180 of 302 posts.
Adult ADHD, Explained
Adult ADHD treatment is one of the parts of psychiatry where the gap between what works and what most patients actually get prescribed is genuinely wide.
Sep 18, 2025
You Already Know You Have a Problem
If you're reading this and wondering whether your drinking is a problem... it is. You wouldn't be reading this otherwise.
Sep 15, 2025
Testosterone
Testosterone is the most over-prescribed hormone in American medicine right now, and it's not close.
Sep 12, 2025
ADHD: when stims don’t fit
Strattera, Qelbree, Intuniv, Kapvay, Wellbutrin, Modafinil. What each one does, who it fits, and why most patients shouldn't switch off a working stim.
Sep 10, 2025
Fluvoxamine (Luvox)
Fluvoxamine is the SSRI (selective serotonin reuptake inhibitor, the Zoloft/Lexapro/Prozac class) nobody thinks of first, and that's sort of a shame,…
Sep 9, 2025
Trimix and Penile Injections for ED
The reliable second-line ED treatment most men flinch at: how penile injection therapy works, the in-office test dose, and the real risks.
Sep 6, 2025
Shockwave Therapy for Chronic Pain: What Holds Up
Where shockwave therapy genuinely helps chronic musculoskeletal pain (plantar fasciitis at the top) and where it's oversold.
Sep 3, 2025
Hydroxyzine
Hydroxyzine has been sitting in the pharmacy for sixty years doing useful work, and most prescribers act like it doesn't exist.
Sep 1, 2025
Shockwave Therapy for Stubborn Tendon Injuries
Where shockwave therapy actually earns its keep: chronic tendon and soft-tissue injuries that have outlasted rest and rehab.
Sep 1, 2025
Shockwave Therapy for ED: The Honest Read
Low-intensity shockwave therapy for erectile dysfunction: what the evidence really shows, who it helps, and where the upsells start.
Aug 29, 2025
What to Expect in Your First Appointment
Nobody walks into a first psychiatric appointment relaxed and anybody who claims they did is lying. The fears stack up the same way for almost everyone...
Aug 28, 2025
ADHD in Men: Why It Gets Missed
The version of ADHD that gets diagnosed in childhood is the loud version.
Aug 28, 2025
Bipolar Disorder, Explained
Bipolar treatment goes wrong in the first appointment more often than in any later one. Get the diagnosis wrong and every prescription after it's wrong.
Aug 27, 2025
Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates
Here’s the situation almost nobody tells you about. You finally find a psychiatrist or a therapist who actually fits, who actually has openings, who actually understands what you’re…
Aug 27, 2025
Wellbutrin (Bupropion)
Wellbutrin is the weird cousin in the antidepressant family.
Aug 27, 2025
Why So Many People Are Rethinking Their Careers Right Now
Most people don't decide all at once that their work no longer fits. It usually starts smaller than that.
Aug 25, 2025
Sobriety Isn’t the Hard Part (It’s Everything After)
People think getting sober is the hard part. Yeah, detox sucks, early sobriety is uncomfortable, breaking the actual habit is genuinely difficult...
Aug 25, 2025
Weight Isn’t Always Emotional.
Sometimes the first good clue is physical.
Aug 24, 2025
ACA Marketplace Plans: Picking One for Mental Health Coverage
If you’re self-employed, between jobs, contracting, running a small business, or stuck with an employer plan that costs more than your rent, the ACA marketplace is where you…
Aug 24, 2025
Lorazepam (Ativan)
Ativan has a reputation, and half my new patients walk in with strong feelings about lorazepam before I've said anything.
Aug 24, 2025
ICD-10 Coding for Psych: The Crash Course Nobody Gave You
Most billing denials come down to one thing nobody drilled into you: the diagnostic code on the claim is the whole thing.
Aug 21, 2025
Men’s Health
Men don't usually walk into a psychiatrist's office and say they're depressed.
Aug 20, 2025
Documenting Medical Necessity in Psych Notes
What "medical necessity" actually means, legally Medical necessity isn't a vibe, it's a legal standard, and the people who decide whether you met it are…
Aug 19, 2025
Why “Self-Care” Misses the Point (And What Actually Works)
I'm not against bubble baths. If a hot bath and some candles make you feel better, great, do that, nobody's coming for your candles.
Aug 18, 2025
Ambien
Ambien gets handed out like Tic Tacs. Primary care hands it out, urgent care hands it out, the dentist hands it out before a crown.
Aug 16, 2025
ERISA vs State-Regulated Plans (Why It Matters When You Appeal)
If you have ever fought a health insurance denial for a psychiatric medication, an inpatient stay, or a residential program, you've probably noticed…
Aug 16, 2025
Ritalin and Methylphenidate
Methylphenidate has been around since 1944 and is still, in 2026, one of the most reliable molecules in psychiatry. Ritalin is the original brand.
Aug 14, 2025
Beating Prior Authorization Denials in Psych (The Clinician’s Survival Guide)
Why prior auth exists, and why your psych patients get hit twice as hard Prior authorization (PA) is the process where, before an insurance company will…
Aug 13, 2025
Medicare for Patients Under 65 (SSDI Disability + Mental Health Coverage)
Medicare isn’t just a senior thing, and that surprises a lot of guys Most people grow up thinking Medicare is the program your grandfather is on. You hit…
Aug 11, 2025
Call It What It Is: The Naming Method Explained
This is the core of how I work with people, so it's worth getting on the page in plain English. The Naming Method comes down to one principle.
Aug 9, 2025
HDHPs, HSAs, and Mental Health Coverage
What an HDHP actually is, in plain English Every fall during open enrollment your HR portal lights up with a plan called something like "Choice HSA 3000"…
Aug 8, 2025
Getting On Insurance Panels: The Credentialing Game
If you’re a licensed clinician and you’ve been circling the question of whether to get on insurance panels, you’ve probably gotten a lot of advice that’s either cheerleading…
Aug 6, 2025
Propranolol
Propranolol is a cardiology drug that wandered into psychiatry by accident and stayed because it does one specific thing well.
Aug 3, 2025
Medicaid for Mental Health Care in Oregon and Washington
If you’re an adult in Oregon or Washington and you’re scraping by, there’s a real chance Medicaid covers you, and a real chance it covers more of your…
Aug 3, 2025
How to Actually Appeal an Insurance Denial
Insurance denied your mental health claim.
Jul 31, 2025
Why You and Your Partner Feel Out of Sync
There’s a part of relationships that nobody really prepares you for, and it’s not the big stuff. It’s not conflict, or trust, or anything dramatic.
Jul 31, 2025