After 2+ adequate meds, remission odds for another med are usually ~10–20%. rTMS in TRD delivers ~50–60% response and ~25–35% remission, with fewer systemic AEs. Sequence smarter
#TMS #TRD #Psychiatry #depression #neuro #meds
After 2+ adequate meds, remission odds for another med are usually ~10–20%. rTMS in TRD delivers ~50–60% response and ~25–35% remission, with fewer systemic AEs. Sequence smarter
#TMS #TRD #Psychiatry #depression #neuro #meds
It wasn’t always part of psychiatry’s language
But the term was never clearly defined just catchy
#Psychiatry #BipolarDisorder #Lithium #ShrinksInSneakers #bipolar #psychiatrist
It wasn’t always part of psychiatry’s language
But the term was never clearly defined just catchy
#Psychiatry #BipolarDisorder #Lithium #ShrinksInSneakers #bipolar #psychiatrist
A new analysis (130K+ patients) found long-term users had:
⚠️ 90% ↑ risk of heart failure
⚠️ 3.5× ↑ hospitalizations
⚠️ Nearly 2× ↑ mortality
youtu.be/IhpV5zD7TL4
#Melatonin #Insomnia #Sleep #Psychiatry #CBTI #ShrinksInSneakers #sleepmed
A new analysis (130K+ patients) found long-term users had:
⚠️ 90% ↑ risk of heart failure
⚠️ 3.5× ↑ hospitalizations
⚠️ Nearly 2× ↑ mortality
youtu.be/IhpV5zD7TL4
#Melatonin #Insomnia #Sleep #Psychiatry #CBTI #ShrinksInSneakers #sleepmed
This month: The Body Keeps the Score
The book validates survivors and highlights what many of us know meds play a minimal role in healing.
True trauma work is holistic: EMDR, neurofeedback, body-based therapy. Access remains the challenge
#Psychiatry #Trauma #PTSD
This month: The Body Keeps the Score
The book validates survivors and highlights what many of us know meds play a minimal role in healing.
True trauma work is holistic: EMDR, neurofeedback, body-based therapy. Access remains the challenge
#Psychiatry #Trauma #PTSD
A new @American_Heart study found people who took melatonin for ≥1 year had:
⬆️ 90% higher risk of heart failure
⬆️ 3.5x higher risk of heart-failure hospitalization
⬆️ Nearly 2x higher risk of death
A new @American_Heart study found people who took melatonin for ≥1 year had:
⬆️ 90% higher risk of heart failure
⬆️ 3.5x higher risk of heart-failure hospitalization
⬆️ Nearly 2x higher risk of death
Let’s be honest AI is a tool, not a therapist
It can’t replace empathy, connection, or care
If you’re in crisis, please reach out to a human
📞 Call or text 988 Crisis Lifeline
#Mentalhealth #MentalHealthMatters #AI #AIethics #psychiatry
Let’s be honest AI is a tool, not a therapist
It can’t replace empathy, connection, or care
If you’re in crisis, please reach out to a human
📞 Call or text 988 Crisis Lifeline
#Mentalhealth #MentalHealthMatters #AI #AIethics #psychiatry
I didn’t hit every goal, but I did take the AACP certification exam
Community mental health is where I learned who I am
#mentalhealth #psychiatry #community #psychiatrist #medical #AACP
I didn’t hit every goal, but I did take the AACP certification exam
Community mental health is where I learned who I am
#mentalhealth #psychiatry #community #psychiatrist #medical #AACP
It’s easy to avoid clozapine or lithium when things look complicated. But medicine isn’t about doing what’s easy it’s about doing what’s right
That’s clinical courage
#Psychiatry #DoctorLife #ShrinksInSneakers #mentalhealth #clinical
It’s easy to avoid clozapine or lithium when things look complicated. But medicine isn’t about doing what’s easy it’s about doing what’s right
That’s clinical courage
#Psychiatry #DoctorLife #ShrinksInSneakers #mentalhealth #clinical
But are we repeating the same mistakes
Each promised a cure. Each had a cost we learned about too late
In medicine, when something seems too good to be true… it usually is
#GLP1 #Psychiatry #Medicine #ShrinksInSneakers #weightloss
But are we repeating the same mistakes
Each promised a cure. Each had a cost we learned about too late
In medicine, when something seems too good to be true… it usually is
#GLP1 #Psychiatry #Medicine #ShrinksInSneakers #weightloss
That extra morning light helps regulate circadian rhythm, boost serotonin, and lift mood.
I try to start my day with sunlight and a walk 😅
#ShrinksInSneakers #Depression #MentalHealth
That extra morning light helps regulate circadian rhythm, boost serotonin, and lift mood.
I try to start my day with sunlight and a walk 😅
#ShrinksInSneakers #Depression #MentalHealth
• The trauma we pretend isn’t there
• The memories that replay like cursed loops
• The defenses we build to survive
On Halloween, remember: not every haunting is supernatural🧠💀
#ShrinksInSneakers #Psychiatry #Halloween #MentalHealth
• The trauma we pretend isn’t there
• The memories that replay like cursed loops
• The defenses we build to survive
On Halloween, remember: not every haunting is supernatural🧠💀
#ShrinksInSneakers #Psychiatry #Halloween #MentalHealth
Maybe it’s not “does ketamine work?”
It’s “for whom and where?”
#ShrinksInSneakers #Psychiatry #Ketamine #ECT #Depression
Maybe it’s not “does ketamine work?”
It’s “for whom and where?”
#ShrinksInSneakers #Psychiatry #Ketamine #ECT #Depression
No gains in mood, cognition, or QoL.
Study highlights: unblinded raters (>90%), underpowered sample, high placebo expectancy.
When blinding holds, ketamine’s magic fades.
#Psychiatry #RCT #Depression
No gains in mood, cognition, or QoL.
Study highlights: unblinded raters (>90%), underpowered sample, high placebo expectancy.
When blinding holds, ketamine’s magic fades.
#Psychiatry #RCT #Depression
It’s not just about sleeping longer it’s about better sleep.
Trazodone boosts stage N3 (deep restorative sleep) the kind that leaves you feeling rested
#Psychiatry #SleepMedicine #Trazodone #Depression #ShrinksInSneaker
It’s not just about sleeping longer it’s about better sleep.
Trazodone boosts stage N3 (deep restorative sleep) the kind that leaves you feeling rested
#Psychiatry #SleepMedicine #Trazodone #Depression #ShrinksInSneaker
Prazosin is one of the few medications that consistently helps with PTSD-related nightmares and autonomic arousal from trauma but it’s also one of the most misused.
#Psychiatry #ShrinksInSneakers #PTSD #Sleep #Psychopharmacology #MentalHealth #Prazosin
Prazosin is one of the few medications that consistently helps with PTSD-related nightmares and autonomic arousal from trauma but it’s also one of the most misused.
#Psychiatry #ShrinksInSneakers #PTSD #Sleep #Psychopharmacology #MentalHealth #Prazosin
He worked with the most psychotic patients and saw humanity where others saw illness.
That message still matters.
#Psychiatry #ShrinksInSneakers #therapy #mentalhealth #mentalhealthmatters
He worked with the most psychotic patients and saw humanity where others saw illness.
That message still matters.
#Psychiatry #ShrinksInSneakers #therapy #mentalhealth #mentalhealthmatters
While most doctors aim to relieve pain and suffering, we aim to help people bear it and live with it
💡 That’s the paradox of healing in psychiatry
#Psychiatry #MentalHealth #Therapy #mentalhealthawareness
While most doctors aim to relieve pain and suffering, we aim to help people bear it and live with it
💡 That’s the paradox of healing in psychiatry
#Psychiatry #MentalHealth #Therapy #mentalhealthawareness
Start a patient on an antidepressant for depression → next visit they’re sleeping less, talking fast, launching a new business idea
It’s mania
#ShrinksInSneakers #Psychiatry #MentalHealth #BipolarDisorder #Antidepressants #bipolar
Start a patient on an antidepressant for depression → next visit they’re sleeping less, talking fast, launching a new business idea
It’s mania
#ShrinksInSneakers #Psychiatry #MentalHealth #BipolarDisorder #Antidepressants #bipolar
👉 Not really
Response ≠ diagnosis
Antipsychotics treat bipolar depression
Stimulants improve focus in anyone
We know drugs work symptomatically not necessarily why
#Psychiatry #MedEd #MentalHealth #mentalhealthmatters #medication #healthcare
👉 Not really
Response ≠ diagnosis
Antipsychotics treat bipolar depression
Stimulants improve focus in anyone
We know drugs work symptomatically not necessarily why
#Psychiatry #MedEd #MentalHealth #mentalhealthmatters #medication #healthcare
It’s not.
Uncertainty is the process.
Wanting certainty kills the spontaneity
The best therapy sessions often start in the fog and that’s exactly where change begins.
#Psychiatry #Therapy #Psychotherapy #ShrinksInSneakers
It’s not.
Uncertainty is the process.
Wanting certainty kills the spontaneity
The best therapy sessions often start in the fog and that’s exactly where change begins.
#Psychiatry #Therapy #Psychotherapy #ShrinksInSneakers
We say “mental health is a universal human right” but for too many, it’s still out of reach.
Mental health isn’t a luxury. It’s a foundation
It’s about dignity, access, and connection
👟 #ShrinksInSneakers #Psychiatry #MentalHealthAwareness
We say “mental health is a universal human right” but for too many, it’s still out of reach.
Mental health isn’t a luxury. It’s a foundation
It’s about dignity, access, and connection
👟 #ShrinksInSneakers #Psychiatry #MentalHealthAwareness
Great therapists add their own spice
Adaptability is the secret ingredient it turns a session from bland to transformative
Therapy is part science, part art
#Psychiatry #Therapy #MentalHealth #ShrinksInSneakers
Great therapists add their own spice
Adaptability is the secret ingredient it turns a session from bland to transformative
Therapy is part science, part art
#Psychiatry #Therapy #MentalHealth #ShrinksInSneakers
FDA dropped REMS but left old monitoring rules
New guidance:
🩸 Weekly ANCs ×18 wks
📅 Monthly ×2 yrs
✅ Then stop if stable
#Psychiatry #Clozapine #schizophrenia #mentalhealth #medication #psychiatrist
FDA dropped REMS but left old monitoring rules
New guidance:
🩸 Weekly ANCs ×18 wks
📅 Monthly ×2 yrs
✅ Then stop if stable
#Psychiatry #Clozapine #schizophrenia #mentalhealth #medication #psychiatrist
In this short clip, I share how I decide between them, what side effects to watch for, and why sometimes less is more.
#Psychiatry #Autism #ShrinksInSneakers #Psychopharm #MentalHealth #mentalhealthtips
In this short clip, I share how I decide between them, what side effects to watch for, and why sometimes less is more.
#Psychiatry #Autism #ShrinksInSneakers #Psychopharm #MentalHealth #mentalhealthtips
We’ve been taught to fear boredom
boredom isn’t dangerous distraction is.
#MentalHealth #Psychiatry #Wellbeing #Mindfulness #Focus #DeepWork #ShrinksInSneakers
We’ve been taught to fear boredom
boredom isn’t dangerous distraction is.
#MentalHealth #Psychiatry #Wellbeing #Mindfulness #Focus #DeepWork #ShrinksInSneakers