Notes from Practice

Guanfacine is one of those medications that sits quietly in the background of psychiatry. It is not flashy. It does not “kick in” the way stimulants do. Most adults have never heard of it. It is often overlooked, but in the right person, it can shift the tone of the entire nervous system in a way that feels relieving. People often notice they are less on edge, less reactive, a little more able to stay with things instead of getting pulled off course. You do not feel it in a b

Bupropion, sold under the brand name Wellbutrin, is one of the most interesting and frequently misunderstood medications in psychiatry. Patients hear "antidepressant" and assume it works like everything else they've tried. It doesn't. Understanding what makes bupropion different can help you have a much more informed conversation with your prescriber about whether it makes sense for you. How It Works: The Dopamine and Norepinephrine Story Most antidepressants work primarily o

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I can’t tell you how many first visits begin with, “I’m having attention issues.” It’s a real and exhausting feeling. But difficulty...

Walking into a first psychiatry appointment can feel intimidating. Many people worry they’ll be judged, labeled, or rushed into a...