Notes from Practice

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