Did ADHD suddenly explode, or did we broaden the diagnosis while making modern life harder to tolerate?
A recent JAMA study found ADHD diagnoses accelerated after DSM-5 and again after COVID
jamanetwork.com/journals/jam...
#ADHD #Psychiatry #MentalHealth #PsychiatryUnfiltered
Hope + honesty.
Curiosity + rigor.
That’s the standard.
#Psychiatry #Schizophrenia #MetabolicPsychiatry #NutritionalPsychiatry #PsychiatryUnfiltered #keto #ketodiet #mentalhealth
If approved, the bottleneck won’t be “vibes.” It’ll be workflow, staffing, monitoring, cost, and access.
Which is the biggest barrier?👇
#psychiatryunfiltered #TRD #psilocybin #psychiatry #mentalhealth #depression #depressiontreatment #psychedelics
The supplement industry makes ~$200B/year
Most products were never FDA-approved
Yet patients trust them more than prescription meds
Some supplements work
Many don’t
Natural ≠ safe
Here’s the unfiltered 60-second breakdown 👇
#psychiatry #evidencebased #mentalhealth #supplements #psychiatryunfiltered
Which pillar breaks down most often?
#PsychiatryUnfiltered #MentalHealth #Relationships #psychiatry #psychotherapy #mentalhealth #Valentinesday2026 #therapy
What we shouldn’t do:
❌ Say antidepressants have no role
❌ Ignore decades of data
That’s not science it’s ideology
#PsychiatryUnfiltered
#ShrinksInSneakers
#MentalHealth
#Antidepressants #depression #psychiatry #doctor
The headline is coming:
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
First-line antidepressants should evolve
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
Semaglutide… for alcohol use disorder? 👀
A major 2025 randomized trial showed:
⬇️ Heavy drinking days
⬇️ Cravings
⬇️ Alcohol consumption
This challenges how we think about addiction and who might benefit from GLP-1 meds
👟🧠 #Psychiatryunfiltered
#ShrinksInSneakers #Psychiatry #Addiction #MentalHealth
MAOIs aren’t “last resort” meds they’re under-used power tools.
Avoiding MAOIs isn’t caution
It's lost opportunity for patients who deserve better.
This is psychiatry unfiltered
#MAOI #Psychopharm #PsychiatryUnfiltered #ShrinksInSneakers 👟🧠 #antidepressants #psychiatry #mentalhealth
The month after psychiatric hospitalization is the danger zone.
The first 30 days = life or death for many
Follow up. Pick up meds. Use your safety plan
Hospitalization is the start of the work, not the cure
#PsychiatryUnfiltered 👟🧠 #ShrinksInSneakers #mentalhealth #healthcare #psychiatry
My book pick this month is a classic I still recommend to patients:
It’s old-school CBT, but the skills are timeless: challenging distortions, building healthier habits
Not for everyone but extremely practical for many
#PsychiatryUnfiltered #ShrinksInSneakers #CBT #therapy #psychiatry #mentalhealth
ADHD isn’t just for kids anymore.
Diagnosis rates are skyrocketing 📈, and research is finally catching up 🧠.
Are we doing it right? Are we missing key risks? 👀
shrinksinsneakers.com/2025/04/29/a...
#AdultADHD #PsychiatryUnfiltered #ADHDAwareness #MentalHealthMatters #EvidenceBased