Notes from Practice

Stimulants that help your focus can also leave you wired, but that feeling is usually one of four different problems: adrenergic activation, end-of-dose rebound, sleep loss, or anxiety the ADHD was covering up. Sorting out which one you have is most of the work, and the dose is usually the first thing to look at.

Why anxiety and IBS travel together, what visceral hypersensitivity actually means, how IBS should be diagnosed, and which medications and therapies help both.

Exhaustion, dread, and a brain that won't shut off can point to burnout, anxiety, or both. How the two differ in high-functioning professionals, and the question I ask first: what were you like before this job?

Peptides are having a moment. If you spend any time in the wellness world, you’ve probably noticed. There are peptides for muscle recovery. Peptides for weight loss. Peptides for better skin. Peptides for sleep. There is even one people use to get tan. And increasingly, I’m hearing about peptides for the brain. Patients are asking about Selank for anxiety, Semax for focus and brain fog, and BPC-157 for just about everything. Some have already found clinics that will prescribe

If you've been struggling with stress, poor sleep, or low libido, ashwagandha might be worth a closer look. Here's what the research actually shows, and what to know before you try it.

Integrative psychiatry is not a rejection of medication. It is a fuller way of thinking about mental health. Jamie Solomon, PMHNP-BC, explains how she thinks about baselines, biology, therapy, supplements, and what actually happens at a first appointment.

In your 40s, life can feel like a balancing act between growth and maintenance. You may be hitting your professional stride, supporting a family, or planning the next chapter of your life, all while noticing subtle shifts in energy, focus, and motivation. In this chapter of life, resilience and longevity become more than buzzwords; they’re essential skills. Resilience is your ability to stay steady through uncertainty, and longevity is not just about living longer but about

Cannabis is part of many people’s lives. Some use it to unwind at the end of a long day, others for medical reasons, and for many it’s...

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...

Anxiety is one of the most common mental health struggles. According to the National Institute of Mental Health , nearly one in three...

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