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My Daughter Has Borderline Personality Disorder

Typically, referring to a person as having Borderline Personality Disorder (BPD) suggests there is no way to help them from themselves. There are definitely stereotypes of people with BPD, including that they are “manipulative” or “attention-seeking,” that they are “dangerous” or “unstable,” and they are unable to “form healthy relationships.”1   According to the Diagnostic Statistical Manual...

The consensus of the leading researchers and thought leaders in the field of ketamine-assisted psychotherapy (KAP), including Dr. Phil Wolfson (who wrote The Ketamine Papers), Drs. Raquel Bennett, Carl Bonnett, John Krystal, Scott Shannon (and others) is that ketamine therapy should be used selectively, tailored for those with severe, treatment-resistant conditions, and ideally combined with...

I HATE DIETS! – Why People Hate Diets

Generally, most people who go on any kind of diet are doing this to lose weight.  One of the more famous diets is the Keto Diet, where a close to complete removal of carbohydrates from daily meals will bring the dieting person into what is called Ketosis.  This is when the body switches from burning...

Sugar? How could that be bad? It’s sweet!

Sweet things are good, no?  Of course sweet things are good.  What about the newer semaglutides (such as Ozempic, Wegovy, and Rybelsus)?  First, let’s take a look at some basic facts about sugar and carbohydrates generally.  Sugar and carbohydrates are related, but they aren’t the same.  Carbohydrates are a macronutrient found in many foods and...

What is Derealization and Depersonalization

I have seen many patients who complain of either or both derealization and depersonalization. These are dissociative experiences that can occur separately or together, often in response to stress or trauma. They also qualify as “psychotic” symptoms, meaning, these symptoms are characterized by a disconnection from reality. Derealization is a feeling of detachment from one’s...

What does being “stuck” mean?

One major complaint I hear from people is that they feel “stuck”. In general, feeling “stuck” refers to a psychological state where a person feels unable to change, progress, or escape from their mental or emotional experience. It can reflect a sense of inertia, paralysis, or hopelessness, and is often associated with a lack of...

What is ADHD and Do I have this?

If you suspect you might have ADHD, consider the following signs: Inattention: Difficulty focusing on tasks, frequently losing things, becoming easily distracted, or making careless mistakes. You might struggle with organizing tasks, forget daily responsibilities, or have trouble following through on instructions. Hyperactivity and Impulsivity: Restlessness, fidgeting, difficulty sitting still, talking excessively, or acting without...

Am I autistic?

I receive many requests from middle-aged women who want to know if they have ASD. They say they were not evaluated for this when they were younger, but have been struggling with symptoms related to Autism for their lives. It will be helpful to first understand, generally, what is Autism, or Autism Spectrum Disorder (ASD)....

EASY meals to make when you’re depressed

When someone is depressed, they typically have disruptions in their sleep (either too much, or not enough, including lots of waking when actually trying to sleep), they feel “anhedonic”, meaning, they do not get enjoyment from things that they typically enjoy (ie, a favorite television show, favorite place to go, favorite band), they feel everything...