Even “pure” depression isn’t one thing
Atypical
Melancholic
Anxious
Postpartum
Same broad diagnosis, very different presentation
If you ignore the pattern, your treatment plan gets weaker
#psychiatry #depression #psychopharm #MentalHealth #ShrinksInSneakers #depressiontreatment

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

Most depression isn’t simple.
The “first med works perfectly” case?
Rare
Bupropion checks a lot of boxes:
• Less sexual dysfunction
• Weight-neutral
• Pro-cognitive
• Helps ADHD & smoking
Algorithms help
Judgment matters more
#Psychiatry #mentalhealth #Psychopharm #medication #medical #depression

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

Risperidone and aripiprazole are the only FDA-approved meds for irritability in autism
In this short clip, I share how I decide between them, what side effects to watch for, and why sometimes less is more.

#Psychiatry #Autism #ShrinksInSneakers #Psychopharm #MentalHealth #mentalhealthtips

🚨 New RCT alert: Pramipexole augmentation in TRD
📊 NNT ≈ 4, higher remission, but tolerability limits use
I break down the data + what it means for practice in my latest video 👇

#PsychTwitter #TRD #Psychopharm #psychiatry #mentalhealth #depression #depressiontreatment #ShrinksInSneakers

Check out or latest podcast episode!

youtu.be/5nZdc8VIaU8
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#warfighter #warfighteradvance #combatveterans #vietnamveterans #posttraumaticstress #marinecorps #psychopharm #restoringhumanitytolife #madinamerica #usnavy #usarmy #uscoastguard #usmarinecorps #usairforce #veteran

i don't have social anxiety, i have adhd-related rejection sensitive dysphoria.

pass the stims, doc

- me if i cared for being/feeling awake

#strictlydowners #psychiatry #psychopharm

youtube.com/shorts/K0fGXXSA8V4?feature=share
PTSD that doesn’t respond to SSRIs? There may finally be something worth trying. Here’s the latest brexpiprazole + sertraline RCT:
#Psychiatrist #PTSD #Psychopharm #Brexpiprazole #Sertraline #RCT #Psychiatry #PTSDtreatment #trauma