Dr. G
@shrinksinsneakers.bsky.social
I’m on a mission to make psychiatry accessible and understandable for everyone. Through this website I will be translating the complex science of psychiatry into actionable insights.
Probiotics for Major Depressive Disorder: promising… not magic🧠🦠
Some RCTs with multi-strain probiotics show symptom reductions vs placebo in MDD
Your experience helpful or hype? 👇
Educational only. Views my own
#psychiatry #mentalhealth #depression #probiotics #metablichealth #depressiontreatment
Some RCTs with multi-strain probiotics show symptom reductions vs placebo in MDD
Your experience helpful or hype? 👇
Educational only. Views my own
#psychiatry #mentalhealth #depression #probiotics #metablichealth #depressiontreatment
February 16, 2026 at 4:35 PM
Probiotics for Major Depressive Disorder: promising… not magic🧠🦠
Some RCTs with multi-strain probiotics show symptom reductions vs placebo in MDD
Your experience helpful or hype? 👇
Educational only. Views my own
#psychiatry #mentalhealth #depression #probiotics #metablichealth #depressiontreatment
Some RCTs with multi-strain probiotics show symptom reductions vs placebo in MDD
Your experience helpful or hype? 👇
Educational only. Views my own
#psychiatry #mentalhealth #depression #probiotics #metablichealth #depressiontreatment
The supplement industry makes ~$200B/year
Most products were never FDA-approved
Yet patients trust them more than prescription meds
Some supplements work
Many don’t
Natural ≠ safe
Here’s the unfiltered 60-second breakdown 👇
#psychiatry #evidencebased #mentalhealth #supplements #psychiatryunfiltered
Most products were never FDA-approved
Yet patients trust them more than prescription meds
Some supplements work
Many don’t
Natural ≠ safe
Here’s the unfiltered 60-second breakdown 👇
#psychiatry #evidencebased #mentalhealth #supplements #psychiatryunfiltered
February 15, 2026 at 6:35 PM
The supplement industry makes ~$200B/year
Most products were never FDA-approved
Yet patients trust them more than prescription meds
Some supplements work
Many don’t
Natural ≠ safe
Here’s the unfiltered 60-second breakdown 👇
#psychiatry #evidencebased #mentalhealth #supplements #psychiatryunfiltered
Most products were never FDA-approved
Yet patients trust them more than prescription meds
Some supplements work
Many don’t
Natural ≠ safe
Here’s the unfiltered 60-second breakdown 👇
#psychiatry #evidencebased #mentalhealth #supplements #psychiatryunfiltered
Valentine’s Day isn’t romantic for everyone. For many, it’s grief + loneliness on steroids
February 14, 2026 at 4:58 PM
Valentine’s Day isn’t romantic for everyone. For many, it’s grief + loneliness on steroids
New JAMA cohort analysis found caffeinated coffee + tea were associated with lower dementia risk
observational ≠ causation
Real brain health = sleep + BP/DM control + exercise + hearing + less smoking/alcohol + social connection.
#psychiatry #coffee #tea #dementia #mentalhealth #brainhealth
observational ≠ causation
Real brain health = sleep + BP/DM control + exercise + hearing + less smoking/alcohol + social connection.
#psychiatry #coffee #tea #dementia #mentalhealth #brainhealth
February 13, 2026 at 2:53 PM
New JAMA cohort analysis found caffeinated coffee + tea were associated with lower dementia risk
observational ≠ causation
Real brain health = sleep + BP/DM control + exercise + hearing + less smoking/alcohol + social connection.
#psychiatry #coffee #tea #dementia #mentalhealth #brainhealth
observational ≠ causation
Real brain health = sleep + BP/DM control + exercise + hearing + less smoking/alcohol + social connection.
#psychiatry #coffee #tea #dementia #mentalhealth #brainhealth
Silver lining of politicized health debates: lifestyle medicine finally has a platform.
Hopeful we’ll get funding for bigger studies which diets for which people
Until then: don’t oversell early data
#Mentalhealth #diet #exercise #ketodiet #psychiatry
Hopeful we’ll get funding for bigger studies which diets for which people
Until then: don’t oversell early data
#Mentalhealth #diet #exercise #ketodiet #psychiatry
February 13, 2026 at 12:38 AM
Silver lining of politicized health debates: lifestyle medicine finally has a platform.
Hopeful we’ll get funding for bigger studies which diets for which people
Until then: don’t oversell early data
#Mentalhealth #diet #exercise #ketodiet #psychiatry
Hopeful we’ll get funding for bigger studies which diets for which people
Until then: don’t oversell early data
#Mentalhealth #diet #exercise #ketodiet #psychiatry
Keto for TRD:🥑🧠
JAMA Psychiatry RCT : keto control
Both improved fast
At 6 wks: keto slightly better: PHQ-9 diff −2.18
By 12 wks: not significant
Clinical take: ✅ reasonable adjunct for selected
🚫 not a cure / not “replace meds.”
#Psychiatry #MedTwitter #MedX #mentalhealth #ketodiet #keto
JAMA Psychiatry RCT : keto control
Both improved fast
At 6 wks: keto slightly better: PHQ-9 diff −2.18
By 12 wks: not significant
Clinical take: ✅ reasonable adjunct for selected
🚫 not a cure / not “replace meds.”
#Psychiatry #MedTwitter #MedX #mentalhealth #ketodiet #keto
February 12, 2026 at 4:26 PM
Keto for TRD:🥑🧠
JAMA Psychiatry RCT : keto control
Both improved fast
At 6 wks: keto slightly better: PHQ-9 diff −2.18
By 12 wks: not significant
Clinical take: ✅ reasonable adjunct for selected
🚫 not a cure / not “replace meds.”
#Psychiatry #MedTwitter #MedX #mentalhealth #ketodiet #keto
JAMA Psychiatry RCT : keto control
Both improved fast
At 6 wks: keto slightly better: PHQ-9 diff −2.18
By 12 wks: not significant
Clinical take: ✅ reasonable adjunct for selected
🚫 not a cure / not “replace meds.”
#Psychiatry #MedTwitter #MedX #mentalhealth #ketodiet #keto
A full life requires the ability to love, work, and play.
We obsess over the first two.
Play is what quietly disappears.
#MentalHealthMatters #MentalHealthAwareness #MentalWellness
We obsess over the first two.
Play is what quietly disappears.
#MentalHealthMatters #MentalHealthAwareness #MentalWellness
February 12, 2026 at 12:31 AM
A full life requires the ability to love, work, and play.
We obsess over the first two.
Play is what quietly disappears.
#MentalHealthMatters #MentalHealthAwareness #MentalWellness
We obsess over the first two.
Play is what quietly disappears.
#MentalHealthMatters #MentalHealthAwareness #MentalWellness
What if it doesn’t work?
A patient asked me this about ECT
My answer: we’ll cross that bridge if we get there
Worrying about an unpredictable future steals energy from recovery happening right now
This moment is all you have
#MentalHealth #Psychiatry #Recovery
A patient asked me this about ECT
My answer: we’ll cross that bridge if we get there
Worrying about an unpredictable future steals energy from recovery happening right now
This moment is all you have
#MentalHealth #Psychiatry #Recovery
February 10, 2026 at 3:21 PM
What if it doesn’t work?
A patient asked me this about ECT
My answer: we’ll cross that bridge if we get there
Worrying about an unpredictable future steals energy from recovery happening right now
This moment is all you have
#MentalHealth #Psychiatry #Recovery
A patient asked me this about ECT
My answer: we’ll cross that bridge if we get there
Worrying about an unpredictable future steals energy from recovery happening right now
This moment is all you have
#MentalHealth #Psychiatry #Recovery
Is keto a cure for schizophrenia?
No, and the science doesn’t support that claim.
✔️ Improves metabolic health
✔️ May help as an adjunct
❌ No evidence of cure
❌ No med-free remission
Hope is good.
Hype isn’t.
🎥 60-second breakdown below
#Psychiatry #Schizophrenia #NutritionalPsychiatry #ketodiet #keto
No, and the science doesn’t support that claim.
✔️ Improves metabolic health
✔️ May help as an adjunct
❌ No evidence of cure
❌ No med-free remission
Hope is good.
Hype isn’t.
🎥 60-second breakdown below
#Psychiatry #Schizophrenia #NutritionalPsychiatry #ketodiet #keto
February 9, 2026 at 9:56 PM
Is keto a cure for schizophrenia?
No, and the science doesn’t support that claim.
✔️ Improves metabolic health
✔️ May help as an adjunct
❌ No evidence of cure
❌ No med-free remission
Hope is good.
Hype isn’t.
🎥 60-second breakdown below
#Psychiatry #Schizophrenia #NutritionalPsychiatry #ketodiet #keto
No, and the science doesn’t support that claim.
✔️ Improves metabolic health
✔️ May help as an adjunct
❌ No evidence of cure
❌ No med-free remission
Hope is good.
Hype isn’t.
🎥 60-second breakdown below
#Psychiatry #Schizophrenia #NutritionalPsychiatry #ketodiet #keto
A full life requires the ability to love, work, and play.
We obsess over the first two
Play is what quietly disappears
People who play well tend to live and function better
So here’s the question:
What do you do purely for fun?
#mentalhealth #psychiatry #doctorlife #stressmanagement #therapy
We obsess over the first two
Play is what quietly disappears
People who play well tend to live and function better
So here’s the question:
What do you do purely for fun?
#mentalhealth #psychiatry #doctorlife #stressmanagement #therapy
February 5, 2026 at 4:56 PM
A full life requires the ability to love, work, and play.
We obsess over the first two
Play is what quietly disappears
People who play well tend to live and function better
So here’s the question:
What do you do purely for fun?
#mentalhealth #psychiatry #doctorlife #stressmanagement #therapy
We obsess over the first two
Play is what quietly disappears
People who play well tend to live and function better
So here’s the question:
What do you do purely for fun?
#mentalhealth #psychiatry #doctorlife #stressmanagement #therapy
Agitation isn’t a sedation problem.
It’s usually an untreated illness problem.
De-escalation works best when patients have:
• choice
• dignity
• meds that treat the cause not just behavior
#psychiatry #mentalhealth #doctor #agitation #inpatientpsych #psych #mentalhealthmatters
It’s usually an untreated illness problem.
De-escalation works best when patients have:
• choice
• dignity
• meds that treat the cause not just behavior
#psychiatry #mentalhealth #doctor #agitation #inpatientpsych #psych #mentalhealthmatters
February 4, 2026 at 5:54 PM
Agitation isn’t a sedation problem.
It’s usually an untreated illness problem.
De-escalation works best when patients have:
• choice
• dignity
• meds that treat the cause not just behavior
#psychiatry #mentalhealth #doctor #agitation #inpatientpsych #psych #mentalhealthmatters
It’s usually an untreated illness problem.
De-escalation works best when patients have:
• choice
• dignity
• meds that treat the cause not just behavior
#psychiatry #mentalhealth #doctor #agitation #inpatientpsych #psych #mentalhealthmatters
Kicking off 2026 with my first research update in the February issue of The Report focused on antipsychotic-induced weight gain
Independent. Evidence-based. No industry influence.
This is how we move patient care forward.
@chrisaikenmd.bsky.social #psychiatry #mentalhealth #schizophrenia
Independent. Evidence-based. No industry influence.
This is how we move patient care forward.
@chrisaikenmd.bsky.social #psychiatry #mentalhealth #schizophrenia
February 3, 2026 at 3:58 PM
Kicking off 2026 with my first research update in the February issue of The Report focused on antipsychotic-induced weight gain
Independent. Evidence-based. No industry influence.
This is how we move patient care forward.
@chrisaikenmd.bsky.social #psychiatry #mentalhealth #schizophrenia
Independent. Evidence-based. No industry influence.
This is how we move patient care forward.
@chrisaikenmd.bsky.social #psychiatry #mentalhealth #schizophrenia
• Slow taper + therapy = same relapse risk as staying on antidepressants
• Fast taper w/o support = relapse rates ≈ cold turkey
• 1 relapse prevented for every 5 patients with supported tapering
How you stop matters more than whether you stop.
#mentalhealth #antidepressants #depression #psychiatry
• Fast taper w/o support = relapse rates ≈ cold turkey
• 1 relapse prevented for every 5 patients with supported tapering
How you stop matters more than whether you stop.
#mentalhealth #antidepressants #depression #psychiatry
January 23, 2026 at 5:58 PM
• Slow taper + therapy = same relapse risk as staying on antidepressants
• Fast taper w/o support = relapse rates ≈ cold turkey
• 1 relapse prevented for every 5 patients with supported tapering
How you stop matters more than whether you stop.
#mentalhealth #antidepressants #depression #psychiatry
• Fast taper w/o support = relapse rates ≈ cold turkey
• 1 relapse prevented for every 5 patients with supported tapering
How you stop matters more than whether you stop.
#mentalhealth #antidepressants #depression #psychiatry
Depression+ MRI showing white matter hyperintensities
• Poor SSRI response
• Start with vascular risk control
• TMS & tDCS show promise
• ECT still works even with vascular burden
Different disease. Different strategy.
#Psychiatry #MedX #MedTwitter #mentalhealthtips #mentalhealth #depression
• Poor SSRI response
• Start with vascular risk control
• TMS & tDCS show promise
• ECT still works even with vascular burden
Different disease. Different strategy.
#Psychiatry #MedX #MedTwitter #mentalhealthtips #mentalhealth #depression
January 22, 2026 at 4:13 PM
Depression+ MRI showing white matter hyperintensities
• Poor SSRI response
• Start with vascular risk control
• TMS & tDCS show promise
• ECT still works even with vascular burden
Different disease. Different strategy.
#Psychiatry #MedX #MedTwitter #mentalhealthtips #mentalhealth #depression
• Poor SSRI response
• Start with vascular risk control
• TMS & tDCS show promise
• ECT still works even with vascular burden
Different disease. Different strategy.
#Psychiatry #MedX #MedTwitter #mentalhealthtips #mentalhealth #depression
Violence in psychiatry is not “part of the job.”
In Florida, licensed therapist Rebecca White was murdered by a former client during an evening session
www.psychiatrictimes.com/view/violenc...
#Psychiatry #HealthcareViolence #ClinicianSafety @apapsychiatric.bsky.social
In Florida, licensed therapist Rebecca White was murdered by a former client during an evening session
www.psychiatrictimes.com/view/violenc...
#Psychiatry #HealthcareViolence #ClinicianSafety @apapsychiatric.bsky.social
Violence in Psychiatry: Stop Pretending It’s Just “Part of the Job” | Psychiatric Times
Inpatient psychiatry faces an epidemic of violence, highlighting systemic neglect and the urgent need for reform to protect health care workers.
www.psychiatrictimes.com
January 21, 2026 at 10:36 PM
Violence in psychiatry is not “part of the job.”
In Florida, licensed therapist Rebecca White was murdered by a former client during an evening session
www.psychiatrictimes.com/view/violenc...
#Psychiatry #HealthcareViolence #ClinicianSafety @apapsychiatric.bsky.social
In Florida, licensed therapist Rebecca White was murdered by a former client during an evening session
www.psychiatrictimes.com/view/violenc...
#Psychiatry #HealthcareViolence #ClinicianSafety @apapsychiatric.bsky.social
Violence in inpatient psychiatry is not “just part of the job.”
I break down the data, my own experiences, and the urgent need for real reform.
👇 Read & RT to push this into the conversation: www.psychiatrictimes.com/view/violenc...
#psychiatry #healthcareviolence #mentalhealth #psychiatrist #doctor
I break down the data, my own experiences, and the urgent need for real reform.
👇 Read & RT to push this into the conversation: www.psychiatrictimes.com/view/violenc...
#psychiatry #healthcareviolence #mentalhealth #psychiatrist #doctor
Violence in Psychiatry: Stop Pretending It’s Just “Part of the Job” | Psychiatric Times
Inpatient psychiatry faces an epidemic of violence, highlighting systemic neglect and the urgent need for reform to protect health care workers.
www.psychiatrictimes.com
January 21, 2026 at 8:14 PM
Violence in inpatient psychiatry is not “just part of the job.”
I break down the data, my own experiences, and the urgent need for real reform.
👇 Read & RT to push this into the conversation: www.psychiatrictimes.com/view/violenc...
#psychiatry #healthcareviolence #mentalhealth #psychiatrist #doctor
I break down the data, my own experiences, and the urgent need for real reform.
👇 Read & RT to push this into the conversation: www.psychiatrictimes.com/view/violenc...
#psychiatry #healthcareviolence #mentalhealth #psychiatrist #doctor
Antidepressants “not working”?
• Alcohol even moderate—can kill antidepressant response
• Daily cannabis = worse depression outcomes
• Schedule III ≠ medical endorsement
• Real risks: psychosis + addiction
Treatment failure isn’t always the med.
#Psychiatry #mentalhealth #depression #antidepressants
• Alcohol even moderate—can kill antidepressant response
• Daily cannabis = worse depression outcomes
• Schedule III ≠ medical endorsement
• Real risks: psychosis + addiction
Treatment failure isn’t always the med.
#Psychiatry #mentalhealth #depression #antidepressants
January 20, 2026 at 9:10 PM
Antidepressants “not working”?
• Alcohol even moderate—can kill antidepressant response
• Daily cannabis = worse depression outcomes
• Schedule III ≠ medical endorsement
• Real risks: psychosis + addiction
Treatment failure isn’t always the med.
#Psychiatry #mentalhealth #depression #antidepressants
• Alcohol even moderate—can kill antidepressant response
• Daily cannabis = worse depression outcomes
• Schedule III ≠ medical endorsement
• Real risks: psychosis + addiction
Treatment failure isn’t always the med.
#Psychiatry #mentalhealth #depression #antidepressants
Early inpatient lesson:
Not every “almost manic” patient has #bipolar disorder.
Some have hyperthymic temperament a stable, lifelong elevation in energy, mood, and drive.
High functioning. Low sleep. Creative. Risk-tolerant.
Often misdiagnosed → mistreated.
#Psychiatry #depression #mentalhealth
Not every “almost manic” patient has #bipolar disorder.
Some have hyperthymic temperament a stable, lifelong elevation in energy, mood, and drive.
High functioning. Low sleep. Creative. Risk-tolerant.
Often misdiagnosed → mistreated.
#Psychiatry #depression #mentalhealth
January 19, 2026 at 11:50 PM
Early inpatient lesson:
Not every “almost manic” patient has #bipolar disorder.
Some have hyperthymic temperament a stable, lifelong elevation in energy, mood, and drive.
High functioning. Low sleep. Creative. Risk-tolerant.
Often misdiagnosed → mistreated.
#Psychiatry #depression #mentalhealth
Not every “almost manic” patient has #bipolar disorder.
Some have hyperthymic temperament a stable, lifelong elevation in energy, mood, and drive.
High functioning. Low sleep. Creative. Risk-tolerant.
Often misdiagnosed → mistreated.
#Psychiatry #depression #mentalhealth
We were seeing progress on overdose deaths and engagement in treatment. Now that momentum is at risk
If we want the U.S. to be the gold standard in addiction & mental health care, now is the time to invest more, not less
Lives are on the line
#MentalHealth #Addiction #psychiatry #medicine #medical
If we want the U.S. to be the gold standard in addiction & mental health care, now is the time to invest more, not less
Lives are on the line
#MentalHealth #Addiction #psychiatry #medicine #medical
January 15, 2026 at 10:33 PM
We were seeing progress on overdose deaths and engagement in treatment. Now that momentum is at risk
If we want the U.S. to be the gold standard in addiction & mental health care, now is the time to invest more, not less
Lives are on the line
#MentalHealth #Addiction #psychiatry #medicine #medical
If we want the U.S. to be the gold standard in addiction & mental health care, now is the time to invest more, not less
Lives are on the line
#MentalHealth #Addiction #psychiatry #medicine #medical
340 million antidepressant prescriptions is too many.
I agree.
But the problem isn’t that antidepressants “don’t work.”
It’s how we diagnose depression. 🧵
I agree.
But the problem isn’t that antidepressants “don’t work.”
It’s how we diagnose depression. 🧵
January 14, 2026 at 4:32 PM
340 million antidepressant prescriptions is too many.
I agree.
But the problem isn’t that antidepressants “don’t work.”
It’s how we diagnose depression. 🧵
I agree.
But the problem isn’t that antidepressants “don’t work.”
It’s how we diagnose depression. 🧵
The headline is coming:
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
January 13, 2026 at 5:13 PM
The headline is coming:
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
SSRIs aren’t dead
They’re just misused
They’re often weak antidepressants,
but can be excellent for severe anxiety disorders
Watch 👇
#psychiatry #mentlhealth #depression #anxiety #depressiontreatment #anxietytreatment #SSRIs #Antidepressants
They’re just misused
They’re often weak antidepressants,
but can be excellent for severe anxiety disorders
Watch 👇
#psychiatry #mentlhealth #depression #anxiety #depressiontreatment #anxietytreatment #SSRIs #Antidepressants
January 10, 2026 at 4:12 PM
SSRIs aren’t dead
They’re just misused
They’re often weak antidepressants,
but can be excellent for severe anxiety disorders
Watch 👇
#psychiatry #mentlhealth #depression #anxiety #depressiontreatment #anxietytreatment #SSRIs #Antidepressants
They’re just misused
They’re often weak antidepressants,
but can be excellent for severe anxiety disorders
Watch 👇
#psychiatry #mentlhealth #depression #anxiety #depressiontreatment #anxietytreatment #SSRIs #Antidepressants
Another “failed” antidepressant trial.
Or is it another failed diagnostic system?
Depression ≠ one disease.
MDD criteria are too broad.
All-comer trials bury real signals.
We’re testing precision drugs on sloppy diagnoses.
👟🧠
#Psychiatry #mentalhealthtips #depression #research #mentalhealth
Or is it another failed diagnostic system?
Depression ≠ one disease.
MDD criteria are too broad.
All-comer trials bury real signals.
We’re testing precision drugs on sloppy diagnoses.
👟🧠
#Psychiatry #mentalhealthtips #depression #research #mentalhealth
January 8, 2026 at 9:53 PM
Another “failed” antidepressant trial.
Or is it another failed diagnostic system?
Depression ≠ one disease.
MDD criteria are too broad.
All-comer trials bury real signals.
We’re testing precision drugs on sloppy diagnoses.
👟🧠
#Psychiatry #mentalhealthtips #depression #research #mentalhealth
Or is it another failed diagnostic system?
Depression ≠ one disease.
MDD criteria are too broad.
All-comer trials bury real signals.
We’re testing precision drugs on sloppy diagnoses.
👟🧠
#Psychiatry #mentalhealthtips #depression #research #mentalhealth
First-line antidepressants should evolve
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
January 7, 2026 at 3:36 PM
First-line antidepressants should evolve
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
Most depression isn’t simple.
The “first med works perfectly” case?
Rare
Bupropion checks a lot of boxes:
• Less sexual dysfunction
• Weight-neutral
• Pro-cognitive
• Helps ADHD & smoking
Algorithms help
Judgment matters more
#Psychiatry #mentalhealth #Psychopharm #medication #medical #depression
The “first med works perfectly” case?
Rare
Bupropion checks a lot of boxes:
• Less sexual dysfunction
• Weight-neutral
• Pro-cognitive
• Helps ADHD & smoking
Algorithms help
Judgment matters more
#Psychiatry #mentalhealth #Psychopharm #medication #medical #depression
January 6, 2026 at 2:20 PM
Most depression isn’t simple.
The “first med works perfectly” case?
Rare
Bupropion checks a lot of boxes:
• Less sexual dysfunction
• Weight-neutral
• Pro-cognitive
• Helps ADHD & smoking
Algorithms help
Judgment matters more
#Psychiatry #mentalhealth #Psychopharm #medication #medical #depression
The “first med works perfectly” case?
Rare
Bupropion checks a lot of boxes:
• Less sexual dysfunction
• Weight-neutral
• Pro-cognitive
• Helps ADHD & smoking
Algorithms help
Judgment matters more
#Psychiatry #mentalhealth #Psychopharm #medication #medical #depression