Notes from Practice

Fall officially started last week, and if you live anywhere in the northern half of the country, you've probably already noticed it's getting dark earlier. Right now we're losing a couple of minutes of daylight every day. On November 1 the clocks fall back, and suddenly it's dark by 5. This is the time of year I start bringing up seasonal depression with patients who've had it before. Not in December, when they're already sleeping ten hours and can't get off the couch. Now, w

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.

Patients ask me about supplements constantly. Most of the time I am cautious. The evidence for a lot of what gets marketed as brain health or mood support is thin at best. Magnesium is different. It is one of the few supplements I recommend regularly, across a wide range of patients, because the evidence is real and the need is genuinely common. Why So Many People Are Deficient Magnesium is involved in over 300 biochemical processes in the body. Sleep regulation, muscle relax

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.

Sexual functioning during perimenopause and menopause is rarely one simple problem with one simple answer. This guide is written from a psychiatric perspective to help you identify which part of the system is changing, and why. Many women come in saying, “My libido is gone.” But libido is not one single switch. Sexual functioning is a system made up of several parts, and different factors affect each one. When something changes, especially during perimenopause or menopause, i

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