All Writing
Everything published on psychiatry.help, newest first. Showing 253-288 of 297 posts.
Celexa (citalopram)
Celexa is the SSRI (selective serotonin reuptake inhibitor, the standard first-line antidepressant class that boosts serotonin without much else going on)…
Apr 2, 2025
Effexor (venlafaxine)
Effexor is the SNRI (serotonin-norepinephrine reuptake inhibitor, the antidepressant class that hits both serotonin and norepinephrine instead of just…
Mar 31, 2025
Why your psychiatrist is rushed (the 15-min visit)
The 15-minute psychiatric follow-up is the unit of care in most outpatient psychiatry now, and most patients hate it and most psychiatrists hate it too. The reason it…
Mar 28, 2025
You’re Making a Choice Right Now
You're making a choice right now.
Mar 27, 2025
Provider type field guide: PA, NP, MD, PhD, LMFT, LCSW
The alphabet soup of mental health providers is genuinely confusing and there's no good reason for the patient to have to figure it out on their own,…
Mar 26, 2025
Two Quotes That Changed How Clients Think
“If the problem can be solved, why worry?
Mar 26, 2025
Trazodone
Trazodone is the most prescribed sleep medication in the United States that was never actually approved as a sleep medication.
Mar 25, 2025
Why Your Brain Won’t Shut Up at Night
It's 2 AM. You have to be up in five hours.
Mar 25, 2025
Go with your Gut
You probably know this feeling.
Mar 24, 2025
Why Asking for Help Feels Like Weakness
For most of the guys who land in a psych office, the hardest thing they did in years wasn't the appointment. It was the phone call to book it.
Mar 24, 2025
What HIPAA actually protects (and what it doesn’t)
Most of what people think HIPAA covers, it doesn’t. And most of what people actually worry about when they think about HIPAA isn’t even a HIPAA question. The…
Mar 20, 2025
For the Elder Millenials, Gen X’rs, and Beyond
Sometimes aging announces itself in the smallest possible way. Not with a dramatic milestone. Not with a birthday that suddenly changes everything.
Mar 17, 2025
The manosphere and mental health (Tate effect)
Andrew Tate isn't really my problem in a psychiatry appointment.
Mar 17, 2025
Turn Intention Into Action
The gap between knowing what you should do and actually doing it is the most popular real estate I work in.
Mar 16, 2025
AI Therapy Is Not Therapy
The thing guys are calling AI therapy now is usually not Woebot, Wysa, or some mental health startup with a cute mascot and a CBT worksheet engine.
Mar 15, 2025
TRT clinic boom: Hone, Vault, Marek, what’s legit
Half the guys in their forties walking into a psychiatry appointment now have already done a finger-prick testosterone test through some clinic they saw on Instagram, and a…
Mar 12, 2025
988 and the gap between calling and getting help
988 is better than 911 used to be for a mental health crisis, which is a low bar and a real improvement at the same time. It’s a…
Mar 10, 2025
Suicidal Ideation, passive vs active
Passive suicidal ideation is the one that catches guys off guard, because it doesn't look like the thing they think they're supposed to be worried about.
Mar 7, 2025
Why Your Therapist Can’t Fix You
Your therapist can't fix you, and that's actually the news the whole industry is trying not to lead with. Guys come into therapy wanting to be fixed...
Mar 3, 2025
Andropause / Late-Onset Hypogonadism
Andropause is the catchier name for late-onset hypogonadism, which is the clinical term for low testosterone in older men.
Mar 2, 2025
Adjustment Disorder
Adjustment disorder is the diagnosis most underused in actual practice, which is funny because it's the diagnosis that probably fits half the people who…
Feb 27, 2025
Disulfiram (Antabuse)
Disulfiram (Antabuse) doesn't kill cravings, it makes drinking miserable on purpose. Who the alcohol deterrent actually fits, and who should skip it.
Feb 26, 2025
Premature Ejaculation
Premature ejaculation is one of the most common sexual complaints in men and one of the least often brought up in a doctor's office.
Feb 25, 2025
Erectile Dysfunction (clinical workup)
Most guys want the pill and skip the visit. But new ED can be the first sign your blood vessels are in trouble, which is why the workup matters way…
Feb 22, 2025
Insomnia Disorder
Insomnia disorder is when you can't fall asleep, or can't stay asleep, or wake up too early and can't get back under, three or more nights a week for…
Feb 17, 2025
OCD
OCD is one of those diagnoses that got grabbed by pop culture and quietly butchered along the way.
Feb 14, 2025
Panic Disorder
Panic disorder is not generalized anxiety.
Feb 11, 2025
Valproate (Depakote)
Valproate (Depakote) is a heavy mood stabilizer for acute mania, not ordinary moodiness. The real side effects, labs, and pregnancy risk.
Feb 11, 2025
Generalized Anxiety Disorder (GAD)
GAD (generalized anxiety disorder, the diagnosis given to chronic free-floating worry that isn't attached to one specific thing) is the kind of anxiety…
Feb 9, 2025
Dialectical Behavior Therapy (DBT)
DBT (dialectical behavior therapy, the skills-and-group approach that came out of Marsha Linehan's lab in the 1980s) got invented to treat patients with…
Feb 6, 2025
Cognitive Behavioral Therapy (CBT)
CBT (cognitive behavioral therapy, the structured worksheet-and-homework kind, not the talk-about-your-mother kind) is the therapy with the most evidence…
Feb 4, 2025
Cymbalta (Duloxetine)
Cymbalta is the drug I reach for when the depression has a physical component...
Feb 1, 2025
Social Anxiety Disorder
Social anxiety isn't shyness, it's an anxiety disorder run by avoidance. Here's how dodging makes it worse and how exposure, CBT, and meds fix it.
Jan 30, 2025
Lexapro (Escitalopram)
Lexapro is the SSRI I start with most of the time, and the reason is boring...
Jan 29, 2025
When to switch antidepressants, and when to stay
Half the antidepressant switches that happen shouldn't have happened, and the other half should have happened six months earlier.
Jan 27, 2025
Choosing between SSRIs, SNRIs, and what comes next
The decision tree for picking an antidepressant in 2026 isn't really a tree, it's more like a workflow, and the workflow is a lot simpler than the size of…
Jan 24, 2025