Psychiatry has changed a lot in the past ten years, and not just because therapists have started using words like “vibes” in their intake notes. It’s not just about diagnosing depression anymore. These days, psychiatry is dealing with everything from gender identity to parenting styles to whether your kid’s tantrum means he needs therapy or...
During my psychiatry residency and fellowship, we met weekly to watch a film and then gather in a room to dissect it. These were not casual Netflix nights with snacks and a side of gossip. They were deep dives into character motivation, symptom portrayal, ethical dilemmas, and cultural subtext. We would watch a scene, stop...
Some girl on social media says she’s “traumatized” because a barista called her “ma’am,” and your health teacher says trauma is what happens when you experience a “distressing event,” which is vague enough to include your GPA. Trauma, PTSD, being a victim, being a survivor, it’s all real, complicated, and way more than just a...
I prescribe actual medication. The kind that’s been tested, approved, and doesn’t come in a hemp-wrapped mason jar. But I’m also not blind. Or arrogant. Or so deep in my own lane that I can’t see there might be more than one way to help someone feel like a functioning human being. That’s why I...
With all of the craziness in the world, especially in our country, I thought I’d make us some food that might help you laugh before the next existential crisis hits. So… imagine this: You take your significant other out for a nice meal. Not your boss, not your kid’s school principal, not that cousin who...
Beneath conscious awareness, the inner monologue narrating your every move, is the unconscious. The unconscious is the shadowy mental storage unit where your brain hoards all the stuff you’re not actively aware of but that still manages to hijack your decisions1. Freud, who chain-smoked cigars and saw your mom in every dream you’ve ever had,...
Autism didn’t get an official name until the 1940s, which is kind of ridiculous when you think about how long girls had already been punished just for not fitting into society’s idea of what a girl should be. Basically, if you were a girl and weren’t quiet, sweet, or perfectly polite, people thought something was...
Imagine your brain is like a chill, well-balanced party. Everyone’s doing their thing—dopamine’s out there passing around snacks of motivation and pleasure—basically the brain’s hype man, making sure you care about stuff, want stuff, and get up off the couch to go after stuff. In addiction, dopamine gets completely hijacked. Substances and behaviors that trigger...
We’ll talk about trauma. We’ll talk about serotonin. We’ll talk about childhood neglect, mood stabilizers, the therapeutic alliance, dopamine, the orbitofrontal cortex. We’ll talk about suicidal ideation and existential despair. But mention that a patient saw a dead relative in the hospital hallway before going into cardiac arrest? Say out loud that a six-year-old recalls—with...
It started with a shrug. Not a bang, not a riot. Just millions of people gaslit into submission while institutions cracked beneath the weight of denial. One moment you’re watching the news; the next, you’re questioning your sanity. Welcome to the world’s longest toxic relationship—America, circa right now—where the government’s got its hand on your...
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