Articles
One Dose of Psilocybin Reversed Year-Old Brain Injury Deficits in Rats
August 1, 2026
I've spent over a decade in psychiatric care watching the long shadow of traumatic brain injury. Depression, anxiety, cognitive fog that never lifts. We have al…
Psilocybin Works Fast in Treatment-Resistant Depression. We Still Don't Know If It Lasts.
July 15, 2026
I've been prescribing antidepressants for over a decade in psychiatric care, and treatment-resistant depression (TRD) remains one of the most frustrating clinic…
Tirzepatide: What It Is and How It Works
July 13, 2026
Tirzepatide is a once-weekly injectable that hits both GIP and GLP-1 receptors. It's designed to help with blood sugar control and weight loss. How it works Tir…
Semaglutide: What It Is and How It Works
July 13, 2026
Semaglutide is a synthetic version of the GLP-1 hormone that targets areas of the brain and body involved in appetite, insulin secretion, and glucose metabolism…
GLP-1 Support for Patients on Psychiatric Medication
July 13, 2026
Some SSRIs and other psych meds can bump up appetite, trigger weight gain, and add metabolic strain in certain patients. That matters because the extra load can…
SSRIs, Decoded: A Patient-Friendly Guide
July 13, 2026
Selective serotonin reuptake inhibitors (SSRIs) increase serotonin signaling by slowing its reuptake. They're commonly used as first-line medications for major…
Why Anxiety Shows Up in Your Body First
July 13, 2026
A lot of anxiety arrives at a primary care office, not a psychiatric one, because it shows up in the body first. Jaw tension. A stomach that reacts to Sunday ev…
Depression Usually Does Not Look Like Sadness
July 13, 2026
Most people I evaluate for depression do not describe themselves as sad. They describe being tired in a way sleep does not touch. Snapping at people they love.…
Is It ADHD, or Something That Looks Like It?
July 13, 2026
A parent asked me recently whether her nine-year-old's report card was an attention problem or an attitude problem. She had been told both, by different people,…
Why I Still Prescribe Prozac After All These Years (And When I Don't)
July 13, 2026
Why I Still Prescribe Prozac After All These Years (And When I Don't) Fluoxetine (Prozac) came out in 1987. I wasn't prescribing then, but I've watched it becom…