GLP-1 meds are being hyped as the next big thing even in psychiatry
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

Daylight Savings Time can actually improve depression. ☀️
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

New RCT (KARMA-Dep 2) found no benefit of serial IV ketamine vs midazolam for inpatients w/ moderate–severe depression.
Maybe it’s not “does ketamine work?”
It’s “for whom and where?”
#ShrinksInSneakers #Psychiatry #Ketamine #ECT #Depression

New RCT (KARMA-Dep 2): 8 IV ketamine infusions = no better than midazolam for inpatient 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

Have you ever wondered why trazodone is the go-to for insomnia in 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

What people get wrong about using 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

There’s one scenario where medication response really matters 👇
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

Can medication response make a psychiatric diagnosis?
👉 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

Clozapine’s agranulocytosis risk peaks in the first 6 months then drops but never disappears
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

Risperidone and aripiprazole are the only FDA-approved meds for irritability in autism
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

The Mental Health Superpower Nobody Talks About: Boredom

We’ve been taught to fear boredom

boredom isn’t dangerous distraction is.

#MentalHealth #Psychiatry #Wellbeing #Mindfulness #Focus #DeepWork #ShrinksInSneakers

🚨 High-Potency Cannabis: Psychiatry’s Next Challenge 🚨

When my parents were young, marijuana was ~4% THC Today, dispensaries sell products at 20%

💡 We’ve engineered a plant into something entirely different from what nature intended

#Psychiatry #MentalHealth #Cannabis #Psychosis #Addiction